Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing the Health-Related Quality of Life by Age among Vulnerable Elderly Women

저소득 여성노인의 연령별 건강관련 삶의 질에 영향을 미치는 요인

  • Kim, Yun-Hee (Department of Nursing, Pukyong National University)
  • Received : 2012.12.24
  • Accepted : 2013.03.07
  • Published : 2013.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to investigate the factors which impact on the health-related quality of life of young-old(65-69 yr), old-old(70-79 yr), and oldest-old(80 yr or above) women in vulnerable elderly received home care service from public health centers in B city. The data were collected from 383 elderly women using structured questionnaires from September to November, 2010. Multiple regression with the SPSS WIN 18.0 program were used to analyze the data. There were statistically significant differences among young-old, old-old, and oldest-old women regarding the health-related quality of life, life satisfaction, cognitive function, frail condition. The models including life satisfaction, frail condition, cognitive function, perceived health status, number of chronic diseases were explained variance of the health-related quality of life elderly women differently like 42.8% of young-old, 28.9% of old-old, and 31.5% of oldest-old. Finally, frail condition and life satisfaction were predictors in explaining the level of health-related quality of life among vulnerable old women regardless of age. Based on the findings of the study, health promotion programs should be developed to improve health-related quality of life of vulnerable aged women according to age differences.

본 연구는 저소득 여성노인의 건강관련 삶의 질에 영향을 미치는 요인을 전기노인(65-69세), 중기노인(70-79세), 후기노인(80세 이상)으로 연령별로 구분하여 파악하고자 수행되었다. 자료는 B광역시의 5개 보건소의 맞춤형방문 보건사업에 등록된 기초생활수급자 여성 노인 383명으로부터 2010년 9월부터 11월까지 설문지를 통하여 수집되었으며 다중회귀분석으로 분석하였다. 저소득 여성노인의 건강관련 삶의 질, 생활 만족도, 인지기능, 허약수준은 연령별로 차이가 있었다. 저소득 여성노인의 건강관련 삶의 질에 영향을 미치는 요인은 연령별로 차이가 있었으며 생활 만족도, 인지기능, 허약수준, 주관적 건강수준, 만성질환개수를 포함한 모형은 전기노인의 건강관련 삶의 질을 42.8%, 중기노인의 28.9%, 후기노인의 31.5%를 설명하였다. 허약수준과 생활만족도는 저소득 여성노인의 전체 연령에 있어 건강관련 삶의 질에 영향을 미치는 요인으로 나타났다. 그러므로 저소득 노인여성의 건강관련 삶의 질 개선을 위한 건강증진 프로그램은 연령별 차이를 고려하여 개발되어 적용될 필요가 있다.

Keywords

References

  1. Statistics Korea, Frocasting future population, Retrieved 01/09/2012 from http://www.kostat.go.kr
  2. Jeon, E. Y., Choi, Y. H., " Factors affecting the health related quality of life according to age in vulnerable aged men", Journal of Korean Academy of Nursing, 40(3), pp. 400-410, 2010. DOI: http://dx.doi.org/10.4040/jkan.2010.40.3.400
  3. Delateur, B. J., "Quality of life: a patient-centered outcome", Archives of Physical Medicine and Rehabilitation, 78, pp. 237-239, 1997. DOI: http://dx.doi.org/10.1016/S0003-9993(97)90026-5
  4. Minkler, M., Schauffler, H., Clements-Nolle, K., Health promotion for older americans in the 21th century, American Journal of Health Promotion, 14(16), pp. 371-397, 2000. DOI: http://dx.doi.org/10.4278/0890-1171-14.6.371
  5. Lee, S. O., Jeon, S. Y., "The relations of socioeconomic status to health status, health behaviors in the elderly", Journal of Preventive Medicine Public Health, 38(2), pp. 154-162, 2005.
  6. Thome, B., Hallberg, I. R., "Quality of life in order people with cancer a gender perspective", Europe Journal of Cancer Care, 13(5), pp. 454-463, 2004. DOI: http://dx.doi.org/10.1111/j.1365-2354.2004.00471.x
  7. Kim, H. R., Oh, H. O., Lee, S. S., Lee, S. J., Kim, J. A., "Quality of life in low income Korean aged", Journal of Academy of Korean Nursing, 38(5), pp. 694-703, 2008. DOI: http://dx.doi.org/10.4040/jkan.2008.38.5.694
  8. Moon, M. J., "A Study on the instrumental activities of daily living and quality of life of elderly home residents", Korean Journal of Rehabilitation Nursing, 4, pp. 46-57, 2001.
  9. Kim, M. L., "The study of comparing the factors of affecting on the quality of life for young-old women and old-old women", Korean Journal of Social Welfare, 58, pp. 197-222, 2006.
  10. Jo, K. H., Lee ,H. J., "Factors related to life satisfaction in young-old, old, and oldest-old women", Journal of Academy of Korean Nursing, 39(1), pp. 21-32, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.1.21
  11. Cohen, J., Statistical power analysis for the behavioral sciences. NJ: Lawrence Erlbaum Associates, 1988.
  12. EuroQul, EQ-5D & EuroQoL Group, Retrieved August 10. 2011, from http://www.euroqol.org/
  13. Kim, M. H., Cho, Y. S., Uhm, W. S., Kim, S. H., Bae, S. C., "Cross-cultural adaptation and validation of the Korean version of the EQ-5D on patients with rheumatic diseases", Quality of Life Research, 14(5), pp. 1401-1406, 2005. DOI: http://dx.doi.org/10.1007/s11136-004-5681-z
  14. Centers for Disease Control and Prevention, HRQoL of disabled person, Retrieved September 11. 2011, from http://www.cdc.gov/hrqol/resources.htm.
  15. Choi, S. J., "A study on the development of measuring scale of the concept of life satisfaction," Journal of Korean Cultural Research, 49, pp. 233-257, 1986.
  16. Bandura, A., "Self-efficacy mechanism in human agency", Journal of Personality and Social Psychology, 37, pp. 122-147, 1982. DOI: http://psycnet.apa.org/doi/10.1037/0003-066X.37.2.122
  17. Myung, S. H., A Study on Sense of Self-Usefulness of Participants by Employment Type of Old People. Gyungki University, Master thesis, 2008.
  18. Jeon, Y. J., Yun, K. E., Kim, Y. S., "Validation of KDSQ-P as selecting elderly for KDSQ-C", Korean Journal Health Promotion, 10, pp. 45-52, 2010.
  19. Ministry of Health, Welfare & Family. Family Health Guide. Ministry of Health, Welfare & Family, 2009.
  20. Kang, H, M., Kim, D, J., "Gender differences in the association of socioeconomic status with metabolic syndrome in middle aged Koreans", The Korean Journal of Internal Mecicine, 82(5), pp. 135-141. 2012.
  21. Smith, J., Borchlet, M., Maier, H., Jopp, D., "Health and well-being in the young old and oldest old", Journal of Social Issues, 58, pp. 715-732, 2002. DOI: http://dx.doi.org/10.1111/1540-4560.00286
  22. Bowling, A., Windsor, J., "A population survey of dimensions of quality of life", Journal of Happiness Studies, pp. 55-81, 2001. DOI: http://dx.doi.org/10.1023/A:1011564713657
  23. Kwon, Y. C., Park, J. H., "Standardization of Korean version of the Mini-Mental State Examination for use in the aged. Part II. diagnostic validity", Journal of the Korean Neuropsychiatric Association, 28, pp. 125-135, 1989.
  24. Choi, Y. H., "A study on depression, sleep and fatigue in younger and older elders", Journal of the Korean Academy of Community Health Nursing, 18, pp. 223-231, 2007.
  25. Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., "Frailty in older adults: evidence for a phenotype", Journal of Gerontology, 56, pp. 46-56, 2001. https://doi.org/10.1093/geronb/56.1.P46
  26. Yim, E. S., No. K. H., "The effects of related factors on health-related quality of life for the frail elderly", Journal of Academy of Korean Nursing, 21(1), pp. 12-20, 2010. https://doi.org/10.12799/jkachn.2010.21.1.12

Cited by

  1. Health-related quality of life according to breakfast in elderly vol.16, pp.7, 2015, https://doi.org/10.5762/KAIS.2015.16.7.4668