재가노인의주관적건강, 일상생활수행능력, 영양상태간의관계 = The Relationship of Perceived Health Status, Activities of Daily Living and Nutrition Status in the Community-Dwelling Korean Elderly

다국어 초록 (Multilingual Abstract)

This study aimed to identify the associated factors of the perceived health status of the elderly in Korea and to
provide basic data for developing nursing interventions for the elderly’s health management. Methods: This study used a
descriptive correlational research design. The subjects of this study were 335 elderly people over 60 yr living in an urban
city. Data were collected through personal interviews using questionnaires from September 2006 to March 2007. Empirical
indicators of perceived health status were measured by SF-36, nutritional screening initiative (NSI), activities of daily
living (ADL) Index, and instrumental activities of daily living (IADL) scale. The collected data were analyzed by descriptive
statistics, Pearson’s correlation, and hierarchical regression. Results: The mean age of the subjects was 72.8 and 57.0%
of subjects were female. 41.5% of variance in physical health was explained by nutrition, ADL, IADL, and the number of
years attending school. Among them the most important factor was ADL. 13.2% of variance in mental health was explained
by the number of family, nutrition, and IADL. Among them the most important factor was nutrition. Conclusion: It is necessary
to develop supportive interventions for improving the perceived health status of elderly people by considering the
most important factors shown in this study.

다국어 초록 (Multilingual Abstract)

This study aimed to identify the associated factors of the perceived health status of the elderly in Korea and to
provide basic data for developing nursing interventions for the elderly’s health management. Methods: This study used a
descriptive correlational research design. The subjects of this study were 335 elderly people over 60 yr living in an urban
city. Data were collected through personal interviews using questionnaires from September 2006 to March 2007. Empirical
indicators of perceived health status were measured by SF-36, nutritional screening initiative (NSI), activities of daily
living (ADL) Index, and instrumental activities of daily living (IADL) scale. The collected data were analyzed by descriptive
statistics, Pearson’s correlation, and hierarchical regression. Results: The mean age of the subjects was 72.8 and 57.0%
of subjects were female. 41.5% of variance in physical health was explained by nutrition, ADL, IADL, and the number of
years attending school. Among them the most important factor was ADL. 13.2% of variance in mental health was explained
by the number of family, nutrition, and IADL. Among them the most important factor was nutrition. Conclusion: It is necessary
to develop supportive interventions for improving the perceived health status of elderly people by considering the
most important factors shown in this study.

참고문헌 (Reference)

1 이금재, "재가 도시 노인의 주관적 건강상태, 우울, 일상생활수행능력에 관한 연구" 여성건강간호학회 12 (12): 221-230, 2006

2 최윤정, "서울 및 경기지역 노인의 건강자가평가에 따른 기능적 건강 및 영양위험 평가" 한국영양학회 37 (37): 223-235, 2004

3 정영미, "동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교" 한국간호과학회 34 (34): 495-503, 2004

4 공수자, "노인의 주관적 안녕감 예측요인" 성인간호학회 17 (17): 368-378, 2005

5 한애경, "노인의 생리적 지수와 신체건강 상태, 건강지각과의 관계연구" 성인간호학회 16 (16): 460-469, 2004

6 Kim, C. G, "The relationship of family support, health perception, nutritional status and depression in elders" 9 (9): 14-21, 2007

7 Kim, C. G., "The correlation between ability of activity in daily living and self-care agency among elderly in chunchon province" 13 (13): 40-52, 2001

8 Ministry of Health & Welfare, "The World Health Report"

9 Ware, J. E., "The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection" 30 : 473-483, 1992

10 Bobak, M., "Socioeconomic factors perceived control and self-reported health in Russia. A cross-sectional survey" 47 : 269-279, 1998

11 Ministry of Health & Welfare, "Society at a glance-OECD social indicators"

12 Choi, E. J, "Social relationship, social support and mental and physical health for old adults" 11 : 185-203, 2000

13 Smith, A. M., "Self-rated health: biological continuum or social discontinuity?" 39 (39): 77-83, 1994

14 Ware, J. E, "Scales for measuring general health perceptions" 11 : 396-415, 1976

15 Phillips, L, J., "Predictors of self-rated health status among Texas residents" 2 (2): 1-10, 2005

16 Han, K. H, "Nutritional and health status of the elderly male and female in chong-ju area" 6 (6): 307-329, 2000

17 Keller, H. H, "Nutrition and health-related quality of life in frail older adults" 8 : 245-252, 2004

18 Woo, E. K., "Morbidity and related factors among elderly people in South Korea: results from the Ansan Geriatrics (AGE) cohort study" 7 (7): 1-9, 2007

19 Kennedy-Malone, L., "Management guidelines for nurse practitioners working with older adults (2nd ed.)" F. A. Davis Company 2004

20 Korea National Statistical Office, "Korean standard industrial classification"

21 Shah, S., "Improving the sensitivity of the barthel Index for stroke rehabilitation" 42 : 703-709, 1989

22 Kim, Y. S, "Health state variation and health management of old men" Kosin University 2003

23 Mahoney, F. J., "Functional evaluation: The barthel index" 14 (14): 1-3, 1965

24 Kanagae, M., "Determinants of self-rated health among community-dwelling women aged 40 years and over in Japan" 210 (210): 11-19, 2006

25 Ro, Y. J., "Comparisons of physical fitness, self efficacy, instrumental activities of daily living, and quality of life between institutionalized and noninstitutionalized elderly" 25 : 259-278, 1995

26 Lawton, M. P., "Assessment of older people: Self-maintaining and instrumental activities of daily living" 9 : 179-186, 1969

27 Song, K. C., "Activities of daily living of elderly in a rural area and study for related factors" 6 (6): 29-40, 2002

28 Jang, E. H., "A survey on physical health status and health behavior of the elderly who live alone and who live with family" 33 : 91-104, 2003

29 Lee, S. Y., "A study on the healthrelated quality of life" 7 (7): 6-17, 2001

30 Sung, J. A, "A study on the cognitive function and quality of life in the elderly people living at home" Ewha Womans University 2007