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농촌지역 중년과 노인의 자기효능감, 사회적 지지와 지역사회 공동체의식이 건강관련 삶의 질에 미치는 영향

Other Titles
 Influence of self efficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community 
Authors
 이현경  ;  조성혜  ;  김정희  ;  김윤경  ;  추향임 
Citation
 JOURNAL OF KOREAN ACADEMY OF NURSING, Vol.44(6) : 608-616, 2014 
Journal Title
 JOURNAL OF KOREAN ACADEMY OF NURSING 
ISSN
 2005-3673 
Issue Date
2014
MeSH
Adult ; Age Factors ; Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Personal Satisfaction ; Quality of Life* ; Regression Analysis ; Rural Population ; Self Efficacy* ; Sex Factors ; Social Support* ; Surveys and Questionnaires
Keywords
Quality of life ; Self efficacy ; Social support ; Sense of community
Abstract
PURPOSE: The purpose of this study was to examine the relationship between self-efficacy, social support, sense of community and health-related quality of life (HRQoL), including the direct and indirect effects of the variables on HRQoL. METHODS: A cross-sectional survey was conducted with a convenience sample of 249 middle-aged and elderly residents living in a rural community in A-County, K Province. The structured questionnaire included 4 scales from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), and measures of General Self-Efficacy, Social Support, and Sense of Community. Data were analyzed using SPSS WIN 20.0 and AMOS 21.0 program. RESULTS: The mean HRQoL score for the participants was 0.87±0.13. Self-efficacy (β=.13, p=.039) and age (β= -.38, p<.001) were significantly associated with HRQoL, explaining 21% of the variance. In the path analysis, self-efficacy showed a significant direct effect on HRQoL (β=.14, p=.040) and significantly mediating relationships between both social support (β=.05, p=.030) and sense of community (β=.02, p=.025) and HRQoL. CONCLUSION: Although self-efficacy was found to be the main predictor for HRQoL, the findings imply that social environmental factors such as social support and sense of community need to be considered when developing interventions to increase HRQoL in middle-aged and elderly residents in rural communities.
Files in This Item:
T201404908.pdf Download
DOI
10.4040/jkan.2014.44.6.608
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Jung Hee(김정희) ORCID logo https://orcid.org/0000-0002-6527-2678
Lee, Hyeonkyeong(이현경) ORCID logo https://orcid.org/0000-0001-9558-7737
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138591
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