복지관이용 노인의 건강 관련 삶의 질 예측요인

김혜령

서지반출

국문초록

건강 관련 삶의 질은 질병이나 치료에 의해서 영향을 받는 삶의 신체적, 심리적, 사회적 측면을 개인이 주관적으로 평가 하는 건강상태로 정의된다(EuroQol Group, 1990). Euro Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D)은 EQ-5D descriptive와 EQ-Visual Analogue Scale (EQ-VAS)로 구성된 건강 관련 삶의 질 측정도구 이다(Lee et al., 2009). 이 도구는 EuroQol Group에서 1990 년 개발한 이후, 2013년 현재 전 세계 170개국어로 번역되어 사용되고 있다(EuroQol Group, 1990). EQ-5D가 전세계적 으로 널리 사용되는 이유는 첫째, 건강 프로파일을 이용하여 영역별 건강상태를 일련의 숫자를 나열하는 방식의 체계적 기 술을 할 수 있고, 둘째, 건강수준의 통합적 평가 지표인 EQ- 5D Index를 산출할 수 있다는 점에서 기존의 삶의 질 측정도 구와는 차별화되고 그 가치가 인정되기 때문이다(Lee et al.,2009). Jo (2009)는 2008년부터 질병관리본부에서 실시한 지역사 회 건강조사 원시자료를 이용하여 19세 이상 성인을 대상으 로 분석한 결과 지역별로 EQ-5D Index에 차이가 있는데, 이 러한 EQ-5D Index의 지역별 차이에 가장 크게 기여하는 것 은 노령인구비율이라고 하였다. 당초 EuroQol Group에서 EQ-5D를 개발한 이유가 건강상 취약인구의 삶을 모니터하 기 위함이었다는 점(EuroQol Group, 1990)을 상기할 때, 지 역 주민의 EQ-5D로 측정한 건강 관련 삶의 질에서 고위험인 구인 노인의 특성을 파악하는 것은 중요하다.

영문초록

Purpose: The purpose was to identify factors affecting health related quality of life among older adults in Korea. Methods: Participants were 334 people, 60 or over, and registered at senior centers. Health related quality of life was measured using EuroQol 5-Dimension Questionnaire (EQ-5D). Results: Order of frequency for EQ-5D was pain/discomfort, mobility, anxiety/depression, usual activity, and self-care. Of the participants, 27.5% reported no problem in any of the dimensions of EQ-5D. Mean score for the EQ-5D was 0.82±0.14, and EQ-VAS (Visual Analog Scale), 60.26±22.28. Socio-demographic factors (age, gender, education, spouse) and health factors (self-rated health status, symptom experience, IADL, depression, waist circumference, and regular exercise) explained 43% of variance in health related quality of life using EQ-5D, whereas they explained 34% variance in health related quality of life using EQ-VAS. Symptom experience was the most significant factor affecting health related quality of life according to EQ-5D, and depression, for health related quality of life according to EQ-VAS. Conclusion: Finding indicate that to increase elders' health related quality of life as measured by the EQ-5D, staff at senior centers should pay attention to older adults when they have more experiences of symptoms and when they are depressed.

키워드

Quality of life Older adults

참고문헌 (30건)

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