폐경 이후 한국 여성의 건강관련 삶의 질 영향요인 : 제8기 국민건강영양조사 자료 활용
Factors Influencing Health-Related Quality of Life Among Women after Menopause in Korea : Data from the 8th Korea National Health and Nutrition Examination Survey
- 주제(키워드) 도움말 폐경여성 , 건강관련 삶의 질 , 코골이 , 국민건강영양조사
- 발행기관 강릉원주대학교 일반대학원
- 지도교수 도움말 박경옥
- 발행년도 2024
- 학위수여년월 2024. 8
- 학위명 석사
- 학과 및 전공 도움말 일반대학원 간호학과
- 실제URI http://www.dcollection.net/handler/kangnung/000000011959
- UCI I804:42001-000000011959
- 본문언어 한국어
초록/요약 도움말
Background: The average lifespan of Korean women is 85 years, meaning that women spend approximately one-third of their life in middle age and beyond. Midlife and early menopause begin from the age of 40 years. During this phase, women experience physical, psychological, and social changes due to menopausal symptoms, induced by hormonal changes. These menopausal symptoms directly related to health-related quality of life of women after menopause make the reduce health-related quality of life. This present study was utilized data from the Korea National Health and Nutrition Survey, which comprises a representative sample, to measure the health-related quality of life of women after menopause using the Health-Related Quality of Life Instrument with 8 Item. This study also assesses the overall factors that affect the health-related quality of life of women after menopause. Purpose: The purpose of this study was to examine the differences in the health-related quality of life of women after menopause and to understand the factors that influence their health-related quality of life. Methods: This study was a secondary data analysis using original data from the 8th Korean National Health and Nutrition Survey in 2021. Composite sample statistical analysis was performed using SPSS/WIN 28.0. A composite sample frequency analysis and Rao-Scott . were conducted to understand participants’individual and environmental characteristics, biological and psychological variables, symptom and functional status, and general health perceptions. Differences in the characteristics and health-related quality of life of women after menopause were analyzed using independent t-tests presented in a general linear model of multiple sample analysis. Factors influencing health-related quality of life in women after menopause were analyzed using multiple regression analysis with a general linear model of multiple sample analyses. Results: Characteristics and health-related quality of life of women after menopause were determined by Individual characteristics such as muscle strength exercise(t=-2.541, p=.012), snoring(t=-2.026, p=.044), and symptom status. There was a significant difference in depression (t=-9.051, p<.001), anxiety (t=-6.493, p<.001), functional status for limitation of activities(t=-5.144, p<.001), and general health perceptions regarding perceived health status(t=10.84, p<.001). Factors that influenced the health-related quality of life of women after menopause were anxiety(B=-.14, p<.001), depression (B=-.08, p<.001), perceived health status (B=.068, p<.001), limitation of activities(B=-.05, p<.001), strength exercise practice(B=-.02, p=.012), and snoring(B=-.02, p=.044). and the explanatory power of these variabl es for health-related quality of life of women after menopause was 35.5%. Conclusion: Considering the factors that influence the health-related quality of life of women after menopause, we suggest educating menopausal women and developing programs that can improve their health-related quality of life. Women who are about to reach menopause should be provided with information about the physical and mental changes caused by menopause and encouraged to recognize and accept the changes caused by menopause positively. Preventive emotional support programs, steady muscle strength exercise practices, and education on the risk danger of persistent snoring in women afer menopause are needed. Women must be encouraged to be socially active after menopause, aware of the importance of positive subjective health, and develop and manage effective health plans.
more초록/요약 도움말
연구배경: 한국 여성의 평균 수명은 85세로 인생의 1/3정도를 중년기 이후의 삶으로 보내게 된다. 중년기와 이른폐경이 시작되는 만 40세 이상부터 중년여성은 여성호르몬 변화로 생기는 폐경 증상으로 신체적, 심리적, 사회적 변화를 겪게 된다. 폐경으로 인한 수면장애나 신체적·정신적 증상들은 건강관련 삶의 질에 직접적인 관련이 있으며 폐경 이후 여성의 건강관련 삶의 질을 저하시킨다. 본 연구는 대표성 있는 표본을 추출할 수 있는 국민건강영양조사를 활용하여 폐경 이후 여성의 건강관련 삶의 질을 한국형 건강관련 삶의 질 측정 도구인 HINT-8을 통하여 측정하고, 건강관련 삶의 질에 영향을 미치는 요인을 확인하고자 한다. 연구목적: 본 연구의 목적은 폐경유무에 따른 여성의 건강관련 삶의 질의 차이를 확인하고, 폐경 이후 여성의 건강관련 삶의 질에 영향을 미치는 요인을 파악하기 위함이다. 연구방법: 본 연구는 국민건강영양조사 제8기 2021년도 원시자료를 이용한 이차자료 분석연구이다. 국민건강영양조사 원시자료의 표본설계에 따라 가중치를 적용하여 SPSS/WIN 28.0 프로그램을 이용하여 복합표본통계분석을 하였다. 대상자의 개인적 특성, 환경적 특성, 생물학적·생리적요인, 증상상태, 기능상태, 전반적인 건강지각을 복합표본 빈도분석하고, 폐경유무에 따른 개인적 특성, 환경적 특성, 생물학적·생리적요인, 증상상태, 기능상태, 전반적인 건강지각은 Rao-scott 로 분석하였다. 폐경 이후 여성의 특성과 건강관련 삶의 질의 차이는 복합표본분석의 일반선형모형에서 제시하는 독립 T-검정으로 분석하였다. 폐경 이후 여성의 건강관련 삶의 질 영향요인은 복합표본분석의 일반선형모형을 활용하여 다중회귀분석으로 분석하였다. 연구결과: 폐경 이후 여성의 특성과 건강관련 삶의 질은 개인적 특성에서는 근력운동 실천(t=-2.541, p=.012), 생리적요인에서는 코골이(t=-2.026, p=.044), 증상상태에서는 우울(t=-9.051, p<.001)과 불안(t=-6.493, p<.001)에서 유의한 차이가 있었다. 기능상태에서는 활동제한(t=-5.144, p<.001)이 전반적 건강지각에서는 주관적 건강상태(t=10.84, p<.001)가 유의한 차이가 있었다. 폐경 이후 여성의 건강관련 삶의 질에 영향을 미치는 요인은 연령(B=.02, p=.003), 교육수준(B=-.02, p=.021), 불안(B=-.14, p<.001), 우울(B=-.08, p<.001), 주관적 건강상태(B=.068, p<.001), 활동제한(B=-.05, p<.001), 근력운동 실천(B=-.02, p=.012), 코골이(B=-.02, p=.044) 순으로 나타났으며, 폐경 이후 여성의 건강관련 삶의 질을 35.5%를 설명하였다. 결론: 본 연구 결과인 폐경 이후 여성의 건강관련 삶의 질 영향요인을 근거로 하여 폐경 이후 여성의 교육에 대한 전반적인 방향 제시와 건강관련 삶의 질을 증진 시킬 수 있는 프로그램을 개발하고 적용할 필요가 있다. 폐경을 앞둔 여성에게는 폐경으로 인한 신체적·정신적 변화에 대한 정보를 제공하여 폐경으로 인한 변화에 대해 긍정적인 인식과 수용을 도모할 필요가 있겠으며, 폐경 이후 여성에게는 불안을 감소시키고, 우울을 조기에 예방할 수 있는 정서적지지 프로그램과 꾸준한 근력운동 실천의 필요성, 폐경 이후 여성의 지속적인 코골이 위험성에 대한 교육이 필요하겠다. 또한 폐경 이후에도 여성의 사회활동을 격려하며, 긍정적인 주관적 건강상태의 중요성을 인지하도록 하여 폐경 이후 여성의 효과적인 건강관리를 위한 계획을 수립하여 관리할 수 있도록 해야겠다.
more목차 도움말
I. 서 론 ··································································································1
1. 연구의 필요성 ··································································································1
2. 연구목적 ···········································································································5
3. 용어 정의 ·········································································································6
1) 폐경 ·············································································································6
2) 건강관련 삶의 질 ·······················································································7
II. 문헌고찰 ·····························································································8
1. 폐경 ··················································································································8
2. 폐경 이후 여성의 건강문제 ··········································································10
3. 건강관련 삶의 질과 측정 도구 ····································································15
1) 건강관련 삶의 질 ·····················································································15
2) 건강관련 삶의 질 측정 도구 ··································································19
4. 폐경 이후 여성의 건강관련 삶의 질 ···························································22
III. 연구방법 ···························································································24
1. 연구설계 ·········································································································24
2. 연구자료 및 대상 ··························································································24
1) 국민건강영양조사 ·····················································································24
2) 연구자료 및 연구대상 ··············································································25
3. 연구변수 ·········································································································27
1) 종속변수 ····································································································29
2) 독립변수 ····································································································33
4. 자료분석 방법 ································································································35
5. 윤리적 고려 ····································································································36
IV. 연구결과 ···························································································37
1. 대상자의 개인적 특성, 환경적 특성, 생물학적·생리적요인, 증상상태, 기능상태, 전반적인 건강지각 ·····································································37
2. 대상자의 폐경유무에 따른 개인적 특성, 환경적 특성, 생물학적·생리적
요인, 증상상태, 기능상태, 전반적인 건강지각의 차이 ·······························40
3. 폐경 이후 여성의 특성과 건강관련 삶의 질의 차이 ·································43
4. 폐경 이후 여성의 건강관련 삶의 질 영향요인 ···········································46
V. 논 의 ································································································48
VI. 결론 및 제언 ···················································································55
참고문헌 ··································································································57
부 록 ··································································································73
Abstract ···································································································74
