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The purpose of this study is to conduct empirical research on how the health of the elderly living in the island area and elderly welfare service are related to their quality of life, and thereby to provide a fundamental material to improve the quality of life of the elderly in the island area. To achieve that, this study performed a questionnaire survey with the elderly living in the island area of Jindo-gun, Jeollanamdo. A total of 290 copies were used for data analysis.
As the tools to analyze the factors affecting the quality of life, SPSS 18.0 and AMOS 16.0 were used to perform frequency analysis, correlation analysis, reliability analysis, confirmatory factor analysis, path analysis, and effect analysis.
The main results of this study are presented as follows:First, the effect of three health factors on the quality of life was analyzed. As a result, physical health(p<.001), emotional health (p<.001), and social health(p<.001) had significantly positive correlation with the quality of life. Secondly, it was found that among the health factors, emotional health had significant correlations with the social (welfare) service exposure frequency of the elderly in the island area(p<.001), their social (welfare) service satisfaction(p<.01), and the quality of life. Thirdly, it was found that the social (welfare) service exposure frequency of the elderly in the island area (p<.001) significantly affect the quality of life. Lastly, emotional healthy, with the mediation of social (welfare) service, significantly influenced the quality of life of the elderly in the island area. Based on the study results, the practical and policy-based suggestions, necessary to improve the quality of life of the elderly in the island area, were discussed.
본 연구는 도서지역 노인들의 건강과 노인복지서비스 등이 삶의 질과 어떠한 관계가 있는지를 경험적 검증을 통해 도서지역 노인들의 삶의 질 향상을 위한 기초자료를 제공하는데 목적이 있다. 설문 대상은 전라남도 진도군 도서지역 노인들이며, 290부를 자료 분석에 사용하였다.
분석방법으로는 삶의 질에 영향을 미치는 요인을 분석하기 위하여 통계 프로그램 SPSS 18.0과 AMOS 16.0을 사용하여, 빈도분석, 상관관계분석, 신뢰도분석, 확인적 요인분석, 경로분석과 효과분해를 실시하였다.
연구의 주요 결과는 다음과 같다. 첫째, 건강관련 삶의 질의 세 가지 구성요소별로 각 건강 요인들이 미치는 영향을 분석한 결과 육체적 건강(p<.001), 정서적 건강(p<.001), 사회적 건강(p<.001)등이 유의한 양의 상관관계를 가지는 것으로 분석되었다. 둘째, 건강관련 요인들 중에서 정서적 건강은 도서지역 노인의 사회(복지)서비스 노출빈도(p<.001), 사회(복지)서비스 만족도(p<.01), 삶의 질에 유의한 상관관계를 가지는 것으로 분석되었다. 셋째, 도서지역 노인의 사회(복지)서비스 노출빈도(p<.001)는 삶의 질에 유의한 영향을 미치고 있었다. 마지막으로, 정서적 건강은 사회(복지)서비스를 매개로하여 도서지역 노인의 삶의 질에 유의한 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 도서지역 노인들의 삶의 질 증진에 필요한 실천적이고 정책적인 제언을 논의하였다.
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