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만성질환이 있는 노인의 통증, 지혜와 건강보존
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  • 만성질환이 있는 노인의 통증, 지혜와 건강보존
  • Pain, Wisdom and Health Conservation in Older Adults with Chronic Diseases
저자명
성기월
간행물명
노인간호학회지KCI,SCOPUS
권/호정보
2014년|16권 1호(통권35호)|pp.85-93 (9 pages)
발행정보
한국노인간호학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(0.62MB)
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서지반출

국문초록

노인은 연령이 증가할수록 신체 기능이 감퇴하고 사회 ? 경 제적 능력이 상실되어 다른 연령층에 비해 상대적으로 질병에 이환될 확률이 높으며, 만성질환의 유병률이 높다(Park, 2006).생물학적노화는신체조직과기능을저하시키고장애 와 병리적 변화를 유발함으로써 건강문제를 일으키며, 이는 대부분 만성질환과 연관되어 나타난다(Jo, 2010). 우리나라 65세 이상 노인은 88.5%가 만성질환을 가지고 있으며, 질환 별유병률은고혈압이 54.8%, 관절염40.4%, 당뇨병20.5%, 요통및좌골통이19.9%순으로보고되었다(Korea Institute for Health and Social Affairs, 2011). 한편, 노인은 만성질환 및 노화와 관련된 건강문제의 발 생빈도가 증가되어 노인의 81.5%가 통증을 경험하고 있다 (Korea Institute for Health and Social Affairs, 2008).대부 분 노인들은 보통 이상의 통증을 느끼면서 일상생활을 하고 있으며(Nam, 2012), 특히 관절과 뼈의 통증을 가장 많이 경 험하고 있다(Son & Suh, 2002). 의학적 치료에도 불구하고 통증은 장기간 지속되면 신체기능저하, 활동장애, 정서상태 의변화,사회적고립감등의문제를유발하여노인의삶의질 에 부정적인 영향을 미친다(Nam, 2012; Son & Suh, 2002). 또한 만성질환은 대부분 완치가 어려운 특성이 있기 때문 에 환자들은 여생동안 질환을 조절하며 살아가야 한다. 따라 서 만성질환이 있는 노인의 경우 단순히 수명의 연장이나 치 료중심의 접근보다는 독립적으로 일상생활을 수행할 수 있도 록 기능을 최대한 보존해주는 것이 중요하며(Sung, 2005; Yeo, 2010),건강을유지, 증진할수있도록역량을강화시키 는 것이 필요하다(Kim, 2011).

영문초록

Purpose: This study was done to identify the relationships among pain, wisdom, and health conservation, and to identify the influence of pain and wisdom on health conservation among the Korean elders. Methods: Participants were 188 elders living in the city of Daegu. Data collection was done through interviews during April and May, 2013. Pain was measured with the Visual Analogue Scale, wisdom with the Wisdom Scale for Korean elders, and health conservation with the Health Conservation Scale. Data analysis included one-way ANOVA, independent t-test, Pearson correlation, and stepwise multiple regression, done with the SPSS/WIN 19.0 program. Results: A negative correlation was found between pain and health conservation and a positive correlation between wisdom and health conservation. Pain explained 8% and wisdom explained 36% of the variance in health conservation. Conclusion: The results indicate that to increase health conservation among Korean elders with chronic disease, nursing interventions are needed to decrease pain and increase wisdom.

목차

서 론
연 구 방 법
연 구 결 과
논 의
결 론
REFERENCES

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