노인의 사회경제적, 심리적, 건강행태 요인이 노쇠에 미치는 영향: 주관적 건강상태와 다중이환을 매개하여

Abstract

초록·키워드 목차 오류제보하기 Frailty increases the disability and hospitalization rates, reduces individuals" quality of life, and increases dependence on others due to dysfunction. Therefore, preemptive management of factors affecting frailty is required. This study aims to construct a structural equation model by selecting factors that influence frailty through multimorbidity and subjective health status as the mediating factors and to analyze their impact. This study was conducted in 1,958 elderly subjects (males: 922(47.1%), females: 1,036(52.9%) aged 65 years or older who participated in the second year of the 6th Korean National Health and Nutrition Examination Survey(2014~2015). This study"s main variables were the frailty diagnosis variable, subjective health status, multimorbidity, income, physical activity, anxiety/depression, and dietary quality. As a result of this study, according to the frailty criteria, 572 people(29.2%) were normal, 1,105 people(56.4%) were in the pre-frailty state, and 281 people(14.4%) were in the frailty state. The direct and total effects on subjective health status were found to be significant in all observed variables(p<0.05), and the direct and total effects on multimorbidity were significant in the anxiety/depression variables(p<0.05). The total effect on frailty by mediating the subjective health status and multimorbidity was physical activity -0.202, anxiety/depression 0.183, dietary quality -0.137, and income -0.133 in that order. Direct effect, indirect effect, and total effect were significant in all observed variables(p<0.05). The influence of income, anxiety/depression, dietary quality, and physical activity was increased more when subjective health status was mediated than when multimorbidity was mediated. Therefore, to manage frailty, it is necessary to improve the subjective health status. #Frailty #Subjective health status #Multimorbidity #Structural equation model #Korea #노쇠 #주관적 건강상태 #다중이환 #구조방정식 모형 #대한민국 AbstractⅠ. 서론Ⅱ. 연구 방법Ⅲ. 연구결과Ⅳ. 논의 및 결론REFERENCES