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다문화가정 결혼이주여성의 건강관련 삶의 질 예측모형

Prediction Model for Health Related to Quality of Life of Married Immigrant Women in Multicultural Families

  • 박현옥 (중앙대학교병원 대외협력팀) ;
  • 박경숙 (중앙대학교 적십자 간호대학) ;
  • 권오윤 (중앙대학교 대학원)
  • Park, Hyun-Ok (Dept. of External cooperation, Chung-Ang University Hospital) ;
  • Park, Kyung-Sook (Dept. of Nursing, Red-Cross College of Nursing, Chung-Ang University) ;
  • Kwon, Oh-Yun (Dept. of Nursing, Graduate School, Chung-Ang University)
  • 투고 : 2017.09.18
  • 심사 : 2018.01.20
  • 발행 : 2018.01.28

초록

본 연구는 다문화가정 결혼이주여성의 건강관련 삶의 질을 설명하는 요인을 규명하고, 각 요인들의 영향력을 파악하여 구조모형을 개발해 검증하는데 목적이 있다. 2013년 7월 1일부터 2014년 2월 28일까지 한국거주 1년 이상인 다문화가정 결혼이주여성 254명을 대상으로 하였다. 가설적 모형은 Pender의 건강증진모형을 바탕으로 건강관련 삶의 질을 내생 변수로 구성하여 구축하였다. 수정된 모형의 적합 결과는 ${\chi}^2=112$(p<.001), RMSEA=0.069, GFI=0.937, NFI=0.910, CFI=0.948 였다. 수정 모형의 검정결과 지각된 유익성, 지각된 장애성, 자아존중감, 지각된 건강상태가 건강관련 삶의 질을 55.2% 설명했으며 지각된 건강상태, 자기효능감, 자아존중감, 문화적응도가 건강증진행위를 29.3% 설명하였다. 다문화가정 결혼이주여성의 건강관련 삶의 질의 영향 요인은 자아존중감(${\beta}=.35$), 지각된 건강상태(${\beta}=.20$), 지각된 장애성(${\beta}=-.26$), 지각된 유익성(${\beta}=.21$) 순으로 나타났다. 본 연구는 다문화가정 결혼이주여성의 건강관련 삶의 질에 영향을 주는 요인들의 효과를 확인 했다는 점에서 의미가 있으며, 향후 본 연구결과를 토대로 결혼이주여성에게 제공되는 건강 정책에서 전략 개발의 기초자료가 될 수 있을 것이다.

This study is to determine health related to Quality of Life(QOL) of married immigrant women in multicultural families, factors of predictors, and influence of these factors to develop and verify the structural model for development of an effective nursing mediation strategy for improved QOL. The participants were 254 women who immigrated to Korea for marriage. The hypothetical model is based on the health improvement model by Pender. Immigrant women's perceived barriers, perceived benefits, self-esteem, and perceived health had an impact on their health promotion behavior(HPB). These variables explained 55.2% of the QOL regarding health, and perceived health conditions, self-efficacy, self-worth, and level of cultural adaptation explained 29.3% of acts towards improving health. The results of this study suggest that development of efficient policy considering factors affecting health related to QOL of married immigrant women in multicultural families.

키워드

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