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Convergence Study about the Types of Integrated Care Needs and Depression of Community-Dwelling Elderly

지역사회 거주 노인의 통합돌봄욕구 유형과 우울에 대한 융합적 연구

  • Chang, Sujie (Department of Social Welfare, Kyungsung University)
  • Received : 2021.06.30
  • Accepted : 2021.09.20
  • Published : 2021.09.28

Abstract

The purpose of this study was to typology the integrated care needs of communitydwelling elderly, explore the socio-demographic characteristics of each type, and determine their effects on depression. The secondary data analyses using the 2017 National Survey of the elderly were conducted. The research results are as follows: First, as a result of typology patterns of care needs of the elderly based on the number of chronic diseases, ADL/IADL, dwelling satisfaction, social activities, and social support networks, three clusters were derived; 'low care needs group (LCN), 'high social needs group (HSN)' and 'complex care needs group (CCN)'. Second, compared to HSN, CCN was characterized by older, women, low educational level and urban residence. Third, the level of depression in LCN was lower than that of the HSN, and the depression level of CCN was higher. The practical and policy implications of the results were discussed.

본 연구는 지역사회 거주 노인들의 통합돌봄욕구를 유형화하여 각 유형이 우울에 미치는 영향을 검증하고, 동시에 각 유형의 인구사회학적 특징을 파악하기 위해 실시되었다. 2017년 노인실태조사 자료로 65세 이상 노인 10,300명을 대상으로 분석한 결과는 다음과 같다. 첫째, 만성질환 수, ADL/IADL, 거주환경 만족도, 사회활동/사회적 지지망으로 노인들의 돌봄욕구 수준을 유형화한 결과, '전반적 돌봄욕구 저집단', '사회적욕구 고집단', '복합 돌봄욕구집단'의 세 개 군집이 도출되었다. 둘째, '사회적욕구 고집단'에 비해 '복합돌봄욕구집단'은 고연령, 여성, 낮은 교육수준, 도시 거주라는 특성이, '전반적 돌봄욕구 저집단'은 저연령, 여성, 높은 교육수준, 가족동거라는 특성이 제시되었다. 셋째, '전반적 돌봄욕구 저집단'의 우울 수준은 '사회적욕구 고집단'에 비해 더 낮았고, '복합돌봄 욕구집단'의 우울 수준은 더 높은 것으로 나타났다. 분석 결과에 따른 실천적, 정책적 함의를 논하였다.

Keywords

Acknowledgement

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2019S1A5C2A03081040)

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