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지역사회 거주 노인의 우울, 대처방식이 자기방임에 미치는 영향

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Alternative Title
The Association of Depression and Coping Styles with Self-Neglect in the Elderly Living in the Community
Abstract
This study aimed to examine the prevalence of self-neglect and identify the factors affecting self-neglect among the elderly living in the community. A cross‑sectional survey design was adopted for the study. Data were gathered using the structured questionnaire through face‑to‑face interviews with 125 older adults aged 65 and over who visited the three senior centers in J City. The data analysis was analyzed using SAS WIN 9.2 program. The difference in general characteristics and depression according to the self-neglect of the subject was analyzed using χ², and the differences in scores in the sub-domain of coping styles according to self-neglect were analyzed by t-test. To examine the associated factors affecting self-neglect, multiple logistic regression was performed. This study showed that 40.8% of the participants had some form of self-neglect. As a result of multiple logistic regression analyses, it was found that depression, regular exercise, educational level, problem re-definement, and religion had significant factors. Depression increased the risk of self-neglect by about 5 times (95% CI=2.00∼12.68, p=<.001), and those who did not exercise regularly increased the risk of self-neglect by about 5.2 times (95% CI=1.55-17.26, p=.008). In the group below the elementary school, the risk of self-neglect was 3.9 times (95% CI=1.30-1.79, p=.016). As the problem re-definement score increased, the risk of self-neglect decreased by about 0.5 times (95% CI=1.15-4.02, p=.016), and in the absence of religion, the risk of self-neglect decreased by 0.3 times (95% CI=0.11-0.85, p=.023). Based on the results of the above study, I would like to suggest the following. 1. A study on the self-neglect of the elderly including the socio-demographic characteristics and various environmental factors of the elderly living in the community is needed. 2. Development of education and intervention programs for the prevention of self-neglect of the elderly living in the community and nursing intervention are applied, and research on its effectiveness is required.
Author(s)
윤행순
Issued Date
2022
Awarded Date
2022. 2
Type
Dissertation
URI
https://dcoll.jejunu.ac.kr/common/orgView/000000010517
Alternative Author(s)
Yoon, Haeng Soon
Affiliation
제주대학교 대학원
Department
대학원 간호학과
Advisor
송효정
Table Of Contents
Ⅰ. 서론 1
1. 연구 필요성 1
2. 연구의 목적 3
3. 용어 정의 3
Ⅱ. 연구 방법 5
1. 연구 설계 5
2. 연구 대상 5
3. 연구 도구 6
4. 자료수집 방법 8
5. 자료 분석 8
6. 연구의 윤리적 고려 8
Ⅲ. 연구 결과 10
1. 대상자의 일반적 특성 10
2. 자기방임과 우울 실태 및 자기방임, 우울, 대처방식 수준 12
3. 자기방임의 유무에 따른 일반적 특성 및 우울 유무에 따른 차이 13
4. 자기방임 유무에 따른 하위영역별 대처방식 점수 차이 15
5. 자기방임에 영향을 미치는 관련요인 16
Ⅳ. 논의 18
Ⅴ. 결론 및 제언 22
참고문헌 24
Abstract 28
부록 30
Degree
Master
Publisher
제주대학교 대학원
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