재가노인의 무력감 영향요인 분석 : 우울, 스트레스, 사회적 지지, 건강증진행위 및 일상생활수행능력과의 관련성

Abstract

Purpose: This study was done to identify the factors influencing powerlessness in community-dwelling older adults. Methods: The participants in this study were 155 older adults. Data were collected using a structured questionnaire including scales for general characteristics, powerlessness, stress, depression, social support, health promotion behavior, and activity of daily living. Data were analyzed using descriptive statistics, t-test, ANOVA, and stepwise multiple regression analysis with the SPSS Windows 18.0 program. Results: There were statistically significant differences in powerlessness according to age, living with spouse, living with family, education level, perceived economic status, perceived health status, and medical treatment experience. The most powerful predictor of powerlessness was depression (p<.001, R2=.577). A combination of depression, health promotion behavior, stress, social support, and current medical treatment accounted for 69.1% of the variance in powerlessness. Conclusion: The results suggest that future study needs to be done to develop and test nursing intervention programs using randomized clinical trial methods to identify interventions to relieve the powerlessness in older adults.