지역사회 거주 노인의 우울, 대처방식이 자기방임에 미치는 영향

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.