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

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

DOI QR Code

The Relevance of Chronic Disease Management and Mental Health

만성질환관리와 정신건강과의 관련성

  • 최령 (인석의료재단 울산보람병원) ;
  • 황병덕 (부산가톨릭대학교 병원경영학과)
  • Received : 2013.09.23
  • Accepted : 2014.01.09
  • Published : 2014.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study in the case of stress recognition, the lower the age was, as they had a spouse, the higher they got educated, and the worse their subjective health state was, the higher the stress recognition appeared. this study selected 6,227 adults over the age of 19 from the 5th first-year data of Korean National Health and Nutrition Examination Survey(KNHNES)conducted by KCDC(Korea Centers for Disease Control and Prevention)in 2010. In the case of experience of depression symptoms, female subjects experienced more depression symptoms than male ones; study subjects aged between 19 and 54 years experienced more; the worse their subjective health state was, the more they experienced; and in the case of non-education about diabetics, those who did physical activity more than four days experienced more symptoms. In the case of suicide ideation, female subjects ideation suicide more than male ones; as they had no spouse, the lower they got educated, the worse their subjective health state was, and as they never did physical activity, they more experienced suicide ideation. Then, it is expected that the results of this study can contribute to chronic-disease patients'leading a much healthier life in the future.

이 연구의 목적은 만19세 이상의 성인을 대상으로 만성질환에 대한 관리적 특성인 질환진단, 치료, 교육, 신체활동, 일상생활활동이 정신건강(스트레스인지, 우울증상경험, 자살생각경험여부)과의 관련성과 영향을 주는 요인을 분석한다. 연구대상은 국민건강영양조사 2010년도 제5기 1차년도 19세 이상 6,227명의 원시데이터를 활용하였다. 일반적 특성에 따른 정신건강과의 관련성을 분석한 결과 연구대상자들 6,227명중 스트레스를 느낌 84.8%, 우울증상경험 있음 13.2%, 자살생각경험 있음 15.1% 이었다. 스트레스인지는 연령이 낮을수록, 배우자가 있는 경우, 교육수준이 높을수록, 주관적 건강상태가 나쁠수록, 우울증상경험은 성별은 남자보다 여자가, 연령은 19-54세, 교육수준이 낮을수록, 주관적 건강상태가 나쁠수록, 당뇨병에 관한 교육을 받지 않은 경우, 신체활동을 4일 이상 하는 경우. 자살생각경험여부는 성별은 여자가, 배우자가 없는 경우, 교육수준이 낮을수록, 주관적 건강상태가 나쁠수록, 신체활동을 전혀 하지 않는 경우 영향을 주었다. 만성질환자들에게 의학적인 치료를 제공하는 방안에 대해서만 관심을 가질 것이 아니라 정신건강에도 깊은 관심을 가지고 심리적인 치료를 병행할 수 있는 정책적인 지원이 제공된다면 이들이 보다 건강한 삶을 영위하는데 기여할 수 있을 것이다.

Keywords

References

  1. OECD. The Prevention of Lifestyle-Related Chronic Diseases: an Economic Framework, 2008.
  2. Health Insurance Review & Assessment Service, Ttrend of Policy, 3, 4, pp57-62, 2009.
  3. Korea Institute for Health and Social Affairs, A Report on the Korea Health Panel Survey of 2009 (II), 2011.
  4. Korea Institute for Health and Social Affairs, Health-welfare Policy Forum, 193, pp 2-3, 2013.
  5. Ministry of Health & Welfare. Administration of Chronic Disease Service, 2010.
  6. NIMH, The Numbers Count, 2001.
  7. Ministry of Health & Welfare, Mental Health Service, 2012.
  8. Ministry of Health & Welfare, Korean National Health and Nutrition Examination Survey, 2010.
  9. H, S. Yoon, "A Study on quality of life in Chronic invalid", Korea Academey Social Welfare Conference Source, 4, pp301-316, 1994.
  10. M. J. Kim, "Health Practices of the Elderly and Related Variables", The Korean Gerontological Society, 20, 2, pp169-182, 2000.
  11. M. J. Lee, Self-Rated Health of the Chronic Disease Patients, pp1-51, Unpublished Doctoral Dissertation, Inje University, 2011.
  12. H. R. Kim, "Health Status among Community Elderly in Korea", Journal of Korean Academy of Nursing, 33, 5, pp544-552, 2003. https://doi.org/10.4040/jkan.2003.33.5.544
  13. J. T. Cha, Y. S. Jee, "The effects of regular exercise on cardiovascular function and depression in elderly", The Korean Journal of Physical Education, 43, 5, pp331-340, 2004.
  14. M. S. Yoon, "The Study on the Relationship of Psychosocial Factors, Problem drinking on Quality of Life for the Elderly in Urban and Rural Areas", Journal of Welfare for the Aged, 38, pp281-310, 2007.
  15. D. H. Lee, "The Effects of Quality of Life in the Elderly`s Health Condition", The Korean Gerontological Society, 30, 1, pp93-108, 2010.
  16. S. K. Nam, O. S. Shim, "Study on the Influence Factors on Quality of Life of Elderly with Chronic Disease", Journal of Welfare for the Aged, 53, 2, pp239-259, 2011.
  17. R. Choi, H J. Moon, B. D. Hwang, "The Influence of Chronic Disease on the Stress Cognition, Depression Experience and Suicide Thoughts of the Elderly", The Korean Journal of Health Service Management, 4, 2, pp73-84, 2010.
  18. S. S. Han, S. H. Jeong, S. W. Kang, "An Association between Spouse Satisfaction and Depressive Symptom among the Middle-aged and Elderly Couples", The Korean Journal of Health Service Management, 7, 1, pp59-68, 2013. DOI: http://dx.doi.org/10.12811/kshsm.2013.7.1.059
  19. M. J. Lee H. S. Sohn, "Self-Rated Health of the Chronic Disease Patients with Depression in Aged over 65", Korean Society for Agricultural Medicine and Community Health, 37, 4, pp246-257, 2012. DOI: http://dx.doi.org/10.5393/JAMCH.2012.37.4.246
  20. J. S. Hur, S. .H. Yoo, "Determinants of Depression among Elderly Persons", Mental Health & Social Work, 13, 6, pp7-35, 2002.
  21. M. K. Sim, J. M. Park, "A Study on the Physical Health Status", Depression and Health Behaviors of the Elderly, 15, 3, pp438-449, 2004.
  22. Korea Institute for Health and Social Affairs, Health-welfare Policy Forum, 107, pp81-86, 2005.
  23. S. H. Park, The Effect of Their Mental Health for Managerial Characteristics in Chronic-disease Patients, pp1-43, Unpublished Doctoral Dissertation. Catholic University of Pusan, 2013.
  24. Statistics Korea, Death rate of 2011, 2011.
  25. J. W. Kim, C. K. Kim "A Study on the Effects of Health Behavior upon Health Status in Some Old People", Journal of Korean Society for Health Education and Promotion, 14, 1, pp73-95, 1997.
  26. Y. H. Lee Mental Health Problems, pp.13-18, Hyeonhksa, 2003,
  27. National Health Insurance, 2011Medical service usage statistics by region, 2012.
  28. Y J. Jung, Factors Related to Mental Health Status in Elderly Type 2 Diabetes Patients, pp1-28, Unpublished Doctoral Dissertation, Ajou Unversity, 2011.
  29. S. H. Han Health-related Quality of Life in Patients with Chronic Diseases Visiting in Rehabilitation Outpatient Clinic, pp1-47, Unpublished Doctoral Dissertation, Hanyang Unversity, 2007 .
  30. G. S. Jeon, H. Y. Lee, "Impact of Marital Status on Depression and Suicidal Ideation Among Korean Adults - Focused on the Difference by Age and Sex", The Korean Journal of Health Service Management, 5, 3, pp179-190, 2011. https://doi.org/10.12811/kshsm.2011.5.3.179
  31. H. K. Kim, S. H. Ko, G. H. Chung, "Suicidal Ideation and Risk Factors among the Elderly in Korea", Journal of Korea community health nursing academic society, 24, 1, PP82-92, 2010.
  32. M. K. Sim, J. M. Park, "A Comparative Study of Social Support, Depression and Life Satisfaction in the Urban and Rural Elderly", Korean Acad Community Health Nurs, 13, 4, PP689-698, 2002.
  33. Biderman A, Cwikel J, Fried A.V, Galinsky D, "Depression and Falls among Community Dwelling Elderly People: A Search for Common Risk Factors", Journal of Epidemiology and Community Health, 56, 8, PP631-636, 2002. DOI: http://dx.doi.org/10.1136/jech.56.8.631
  34. J. S. Kim, "A Study on Health Status and health Promoting Behavior of Older Adults in a Rural Area", Korean Acad Community Health Nurs, 12, 1, PP187- 201, 2001.
  35. H. N. Ko, S. S. Lee, H. J. Han, "The Prevalence of Depression and Its Related Factors of the Elderly in Rural Area", Korean Acad Psychiatr Ment Health Nurs, 10, 4, PP645-655, 2001.
  36. J. K. Jin, The effect of physical activity and dietary habit on functional fitness, prevalence of chronic disease, and health related quality of life in older adults, pp1-137, Unpublished Doctoral Dissertation, Kookmin University, 2008.

Cited by

  1. The Relationship of Subjective Recognition of Social Class and Mental Health in Korean Adult vol.11, pp.3, 2017, https://doi.org/10.12811/kshsm.2017.11.3.115