Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A study on the experience of daily life and chronic disease management of elderly living alone : Focus group interview

독거노인의 일상생활 및 만성질환관리의 경험: 포커스그룹 인터뷰

  • 임효남 (건양대학교 간호대학) ;
  • 이병임 (건양대학교 기초교양교육대학) ;
  • 차태현 (건양대학교 작업치료학과) ;
  • 김광환 (건양대학교 병원경영학과)
  • Received : 2018.02.28
  • Accepted : 2018.04.20
  • Published : 2018.04.28
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Abstract

This study is a qualitative analysis that conducted a focus group interview to analyze the experiences of daily life of the elderly living alone and their chronic diseases management, and to explore the meaning, nature, and difficulties associated with. The subjects of this study were elder who lives alone without cognitive impairment and over 65-year-old. There were total 31 people and divided into 5 groups and they had 60 minutes interview. By this study, there were four themes of 'difficulties of daily life', 'suffering from chronic diseases', 'fear of the future', 'acceptance of life'. In conclusion, the elderly living alone felt difficulty in daily life due to physical aging and chronic illnesses, and they felt that they were accepting life at the same time while feeling the fear of the future situation. Therefore, in order to improve the life satisfaction and life quality of elderly people living alone, it is necessary to provide institutional devices that enable daily life such as meals and laundry to be maintained and to develop of an intervention program in order to maintain physical health. In addition, an intervention program should be developed to reduce the fear of future uncertainty and positively accommodate the life.

본 연구는 독거노인의 일상생활 및 만성질환 관리에 대한 경험을 분석하여 이에 대한 의미와 본질 및 어려움을 알아보기 위해 포커스그룹 인터뷰를 실시한 질적 연구이다. 연구 대상자는 D시 노인복지관을 방문하는 65세 이상의 독거노인 중 인지장애가 없는 자를 대상으로 하였으며, 총 31명의 대상자를 5그룹으로 나누어 각 그룹 당 약 60분의 면담을 진행하였다. 본 연구결과 '일상생활의 어려움', '여러 만성질환에 이환됨 ', '미래의 상황에 대한 두려움', '삶에 대한 수용'의 4개의 주제가 도출되었다. 결론적으로 독거노인들은 신체적 노화와 만성질환의 이환에 따라 일상생활의 어려움을 느끼고 있으며 미래의 상황에 대한 두려움을 느끼면서도 동시에 삶에 대해 수용하고 있는 것으로 나타났다. 따라서 독거노인들의 삶의 만족도와 삶의 질 향상을 위해서는 식사 및 세탁 등의 일상생활이 유지될 수 있도록 제도적 장치 마련이 요구되며, 만성질환이 악화되지 않도록 관리함으로써 신체적 건강이 유지될 수 있도록 하는 중재프로그램의 개발이 필요하다. 또한 미래의 불확실한 상황에 대한 두려움을 감소시켜 삶에 대해 긍정적인 수용을 할 수 있는 중재 프로그램이 개발되어야 하겠다.

Keywords

References

  1. Statistics Korea. (2017). Future Furniture Estimation: 2015-2045. Daejeon: Statistics Korea.
  2. Statistics Korea. (2016). 2016 Statistics for the elderly. Daejeon: Statistics Korea.
  3. J. G. Kim. (2011). The Impact of Family Type on Health Behavior of Elderly People. Korean Journal of Gerontological Social Welfare, 51(51), 35-56.
  4. H. G. Han & Y. R. Lee. (2009). A Study on Factors Impacting on the Mental Health Level of the Elderly People Living Alone. Journal of the Korean Gerontological Society, 29(3), 805-822.
  5. C. J. Chang. (2017). Structural Relationship of Subjective Health, Ability to Work, Participation on Economic Activity, and Life Satisfaction among the Korean Elderly. Journal of the Korea Convergence Society, 8(10), 305-310. https://doi.org/10.15207/JKCS.2017.8.10.305
  6. S. Watson, Z. K. ZHANG, & T. J. Wilkinson. (2010). Nutrition risk screening in community‐living older people attending medical or falls prevention services. Nutrition & Dietetics, 67(2), 84-89. https://doi.org/10.1111/j.1747-0080.2010.01424.x
  7. H. S. Kim. (2017). Effect of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone. Journal of the Korea Convergence Society, 8(7), 207-218. https://doi.org/10.15207/JKCS.2017.8.4.207
  8. S. Brownie. (2006). Why are elderly individuals at risk of nutritional deficiency. International journal of nursing practice, 12(2), 110-118. https://doi.org/10.1111/j.1440-172X.2006.00557.x
  9. Ministry of Health and Welfare. (2015). Nutrition Research and Practice: 2015 Korean nutrient intake standard. Sejong: Ministry of Health and Welfare.
  10. I. S. Jang. (2006). The Leisure Type, Health Status, Self-esteem, and Social Support of the Elderly Living Alone. Journal of Korean Public Health Nursing, 20(2), 130-140.
  11. M. S. Song & N. C. Kim & D. H. Lee. (2008). Factors Realted to Depression and Activities of Daily Living in Elders with Symptoms of Depression. Journal Korean Gerontological Nursing Society, 10(1), 20-26.
  12. J. Harooni, A. Hassanzadeh & F. Mostafavi. (2014). Influencing factors on health promoting behavior among the elderly living in the community. Journal of Education and Health Promotion, 3, 40.
  13. Haseli-Mashhadi & N Dadd, T, Pan, A, Yu, Z, Lin, X, & Franco, O. H. (2009). Sleep quality in middle-aged and elderly Chinese: distribution, associated factors and associations with cardio-metabolic risk factors. BMC Public Health, 9, 130. https://doi.org/10.1186/1471-2458-9-130
  14. Y. M. Jung & J. H. Kim. (2004). Comparison of Cognitive Levels, Nutritional Status, Depression in the Elderly according to Living Situations. Journal of Korean Academy of Nursing, 34(3), 495-503. https://doi.org/10.4040/jkan.2004.34.3.495
  15. Y. J. Kim. (2009). Comparison of Health Habits, Perceived Stress, Depression, and Suicidal Thinking by Gender between Elders Living Alone and Those Living with Others. Journal Korean Acedemy of Fundamantals of Nursing, 16(3), 333-344.
  16. H. R. Lee. (2018). Nutrient Intakes, Dietary Behavior and Health Status of The Elderly Living Alone. Masterl dissertation. Yonsei University, Seoul.
  17. M. K. Lim. & Y. M. Ko. (2018). Effects of Separated Children Support on Depression in One-Person Households of the Elderly. Journal of the Korea Convergence Society. 9(3), 265-277. https://doi.org/10.15207/JKCS.2018.9.3.265
  18. Y. S. Kim. (2014). The Study of the Impact of the Family Type on the Health Promoting Behavior and Physical and Mental Health of Elderly People. Health and Social Welfare Review, 34(3), 400-429. DOI:http://dx.doi.org/10.15709/hswr.2014.34.3.400
  19. H. K. Kim & H. J. Lee & S. M. Park. (2010). Factors Influencing Quality of life in Elderly Women Living Alone. Journal of the Korean Gerontological Society, 30(2), 279-292.
  20. S. R. Seo & M. H. Kim. (2014). Influencing Factors on the Health-related Quality of Life of Older Adults Living Alone. Journal of the Korean Gerontological Society, 34(4), 705-716.
  21. M. A. Kim & H. J. Park & C. K. Suh. (2017). Factors Influencing the Quality of Life for the Elderly with Disabilities in the Aging Society. Journal of Rehabilitation Welfare Engineering & Assistive Technology, 11(1), 37-44. https://doi.org/10.21288/RESKO.2017.11.1.37
  22. J. M Park. & N. Y. Shin. (2018). A Convergence Study on the Relationships between Self-Efficacy and Health Behavior in eldery women with chronic low back pain. Journal of the Korea Convergence Society, 9(2), 43-50. https://doi.org/10.15207/JKCS.2018.9.2.043
  23. M. A. Lee. (2014). Problems with the Change of Household Structure and Death in Japan. Japanese Culture Research, 52, 341-354.
  24. Y. Y. Park & J. S. Park & H. S. Yoon & N. H. Kim & J. H. Jun. (2017). Level and Related Characteristics of Phobia (Fear) for Dementia among Community Dwelling Elderly. Arts & Humanities Society Convergence Multimedia Journal, 7(4), 829-839.
  25. Y. S. Kang & E. S. Kim & M. O. Gu & Y. Eun. (2003). A Study on the Health Status and the Needs of Health-related Services of Female Elderly in an Urban-rural Combined City. Journal of Korean Public Health Nursing, 17(1), 47-57.
  26. H. J. Leem & K. H. Lee & Y. Y. Yang. (2016). Relations among Fear of Falling, Anxiety and Instrumental Activities of Daily Living Above 65 Years Old Age. Journal of the Korean Aging Society, 8(1), 35-45.
  27. J. S. Sin & Y. K. Kim & M. A. Kang & H. N. Yeo. (2016). Effects of Fall Prevention Program on Muscle Strength, Postural Balance, and Fear of Falling in Elderly. Journal of Korean Clinical Nursing Research, 22(1), 10-19. https://doi.org/10.22650/JKCNR.2016.22.1.10
  28. J. W. Choi., M. U. Chun. & S. G. Kang. (2017). Cognitive Function, Depression and Quality of Life according to the Demographic Characteristics and Physical Activity Type of the Elderly. Journal of the Korea Convergence Society, 8(12), 431-444 https://doi.org/10.15207/JKCS.2017.8.12.431
  29. S. C. Lee & H. J. Jeong. The Effects of Combined Indicator in Income Level and Living Arrangement, and Social Support on Life Satisfaction of Rural Elders. Korean Social Welfare Survey, 51, 53-76.
  30. S. M. Ha & J. S. Lee. (2017). Factors affecting elderly death acceptance, Journal Korean Gerontological Nursing Society, 19(3), 165-172. https://doi.org/10.17079/jkgn.2017.19.3.165