지역사회 허약노인과 비허약노인의 신체기능, 건강관련 삶의 질 및 자아통합감

Other Titles
Physical Functions, Health-Related Quality of Life and Ego-Integrity of the Frail and Non-Frail Elderly in a Local Community
Authors
김효영
Issue Date
2008-12
Awarded Date
2009
Abstract
The purposes of this study were to categorize the elderly of a local community into the frail and non-frail groups based on the definitions of frailty and to compare the two groups in terms of physical functions, health-related quality of life and ego-integrity. It also aimed to examine the physical, emotional, and sociopsychological characteristics of the frail elderly and to provide basic data to prevent the state of frailty and monitor the frail elderly. Data were gathered from August 1 to September 20, 2008, and research design followed that of a descriptive study. And a structured questionnaire was filled out by 196 elderly people that were aged 65 or older and visited one of 14 halls for the aged in D Metropolitan City. Using the SPSS WIN 12.0 program, collected data were analyzed in frequency, percentage, mean, standard deviation, -test, and t-test. The research findings were summarized as follows: 1. Of the 191 subjects, 37.2% were categorized into the frail group and 62.8% into the non-frail group according to the definitions of frailty. 2. The mean number of chronic diseases the frail and non-frail elderly had was 2.17 and 1.59, respectively, which means the frail elderly had significantly more chronic diseases than the non-frail elderly(t=3.68, p=0.000). And there were significant differences between the two groups in subjective health state(p=0.000), health state compared to peers(p=0.000), satisfaction with health condition(p=0.000), walking exercise(p=0.000), flexibility exercise(p=0.000) and muscle exercise(p=0.000). 3. As for the physical functions, significant differences were also observed between them in physical performance(p=0.000), grip strength(p=0.000), walking speed(p=0.000), eye sight(p=0.000), hearing(p=0.000), and chewing(p=0.000). The frail elderly had significantly more ADL/IADL items than the non-frail elderly(p=0.000). 4. As for health-related quality of life, statistically significant differences were also found between the two groups in mobility(p=0.000), self-care(p=0.000), usual activity(p=0.000), pain/discomfort(p=0.000), and anxiety/depression(p=0.000). The mean total scores of health condition were 47.89 and 81.58 for the frail and non-frail elderly, respectively, which means the former group was significantly lower than the latter group(t=-9.53, p=0.000). 5. The mean total scores of ego-integrity were 89.68 and 112 for the frail and non-frail elderly, respectively, which indicates that the former group was significantly lower than the latter group(t=-11.90, p=0.000). In short, 37% of the elderly of the local community turned out to be frail and were lower than the non-frail elderly in terms of health condition, physical functions, health-related quality of life, and ego-integrity. Thus there is a need to identify the frail elderly in a community, understand them in the physical, emotional, and sociopsychological aspects, and provide them with proper interventions to prevent frailty and monitor the frail elderly.
본 연구는 지역사회 노인을 허약성 판단기준에 따라 허약노인과 비허약노인으로 분류하고 두 집단의 신체기능, 건강관련 삶의 질 및 자아통합감을 비교함으로써 허약노인의 신체적, 정서적, 사회·심리적 특성을 파악하여 이를 바탕으로 허약상태의 예방과 허약노인 관리를 위한 기초자료를 제공하고자 시행되었다. 자료수집은 2008년 8월 1일부터 2008년 9월 20일까지 이루어졌으며, 연구설계는 서술적 조사연구이다. 연구대상은 D광역시 소재 14개 경로당을 이용하는 65세 이상 노인환자 196명을 대상으로 하여 구조화된 설문지를 사용하여 조사하였다. 자료분석은 SPSS WIN 12.0 program을 이용하여 빈도, 백분율, 평균, 표준편차, -test, t-test로 분석하였다. 본 연구결과를 요약하면 다음과 같다. 1. 본 연구 대상자 191명 중 허약성 판단기준에 따라 분류된 허약노인은 37.2%, 비허약노인은 62.8%이었다. 2. 허약노인과 비허약노인의 평균 만성질병수는 각각 평균 2.17개, 1.59개로 허약노인이 비허약노인보다 유의하게 많았고(t=3.68, p=0.000), 주관적 건강상태(p=0.000), 동년배와 비교한 건강상태(p=0.000), 건강상태에 대한 만족감(p=0.000), 걷기운동(p=0.000), 유연성 운동(p=0.000), 근력운동(p=0.000)에서도 유의한 차이가 있었다. 3. 신체기능에서 허약노인과 비허약노인의 운동능력(p=0.000), 양손 악력(p=0.000), 보행속도(p=0.000)에서 유의한 차이가 있었으며(p=0.000), 시력(p=0.000), 청력(p=0.018), 씹기(p=0.000)상태도 모두 유의한 차이를 보였다. ADL/IADL 제한 항목수에서 허약노인이 비허약노인에 비해 유의하게 많았다(p=0.000). 4. 허약노인과 비허약노인은 건강관련 삶의 질은 운동능력(p=0.000), 자기관리(p=0.000), 일상활동(p=0.000), 통증/불편(p=0.000), 불안/우울(p=0.000)에서 통계적으로 유의한 차이를 보였고, 건강상태 총 평균점수는 각각 47.89점, 81.58점으로, 허약노인이 비허약노인보다 유의하게 낮았다(t=-9.53, p=0.000). 5. 허약노인과 비허약노인의 자아통합감 총점의 평균점수는 각각 89.68점, 112점으로 허약노인이 비허약노인보다 유의하게 낮았다(t=-11.90, p=0.000). 본 연구의 결과를 종합해 보면, 지역사회 노인 중 허약노인이 37%로 나타났으며, 비허약노인보다 낮은 건강상태, 신체기능, 건강관련 삶의 질 및 자아통합감을 보였다. 따라서 지역사회 노인 중 허약노인을 분류하여 신체적, 정서적, 사회·심리적 특성을 파악하고 이를 바탕으로 허약상태의 예방과 허약노인 관리를 위한 적절한 중재가 필요하다고 생각된다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/11062
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3. 학위논문 > 2. College of Nursing (간호대학) > 석사
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