Earticle

본 연구는 여성독거노인을 대상으로 대사증후군과 관련된 인구⋅사회학적 및 건강 관련 특성요인을 파악하고 비만 요인을 중심으로 대사증후군의 관련 요인을 분석하기 위해 시도되었다. 본 연구는 제8기 국민건강영양조사 1-2차년도 자료를 활용하여 여성독거노인 606명을 대상으로 복합표본방법 분석을 수행하였다. SPSS/WIN 24.0 프로그램을 이용하여 카이제곱 검정 및 다중 로지스틱 회귀분석 으로 분석하였다. 연구결과 대상자의 대사증후군 영향요인은 교육수준, 직업상태 및 비만이었으며, 이들 변수의 설명력은 26.0%로 나타났다. 최종모형에서 비만 요인은 대사증후군 분산 중 10.2%를 추가적으로 설명하였다. 따라서, 여성독거노인의 비만 관리는 대사증후군 발생을 낮추는데 필수적 이라는 것을 대상자 스스로 인식할 수 있도록 교육해야 할 것이며, 대상자의 교육수준 및 직업 유무 를 고려한 식이 및 운동프로그램을 개발하는 것이 필요하다.

This study analyzed socio-demographic and health–related influencing factors associated with metabolic syndrome(MetS), focucing on obesity in older women living alone. Methods: The subjects were 606 older women living alone and data set was obtained from the Eighth Korean National Health and Nutrition Examination Survey (ⅦI-1, ⅦI-2). Multi-logistic regression analysis were conducted to identify factors associated with metabolic syndrome. Results: The influencing factors of MetS were educational level (OR=1.95, CI=1.01-3.78), occupational status (OR=0.53, CI=0.31-0.91) and obesity (OR=5.70, CI=3.04-10.70) explained 26.0% of the variance in MetS. In final model, obesity factor explained an additional 10.2% of the variance in MetS. Therefore, obesity management of the older women living alone should be educated so that the subjects themselves can recognize that it is essential to lower the incidence of metabolic syndrome.

본 연구는 자살 고위험집단인 독거 우울 노인을 대상으로 문제해결치료 프로그램의 효과성을 검증 하기 위해 실시한 유사실험연구이다. 실험집단을 대상으로 문제해결치료 프로그램을 실행하고, 실 험집단과 통제집단에게 우울과 사회적 문제해결능력 및 5개 차원에 대한 사전, 사후, 추적조사를 실시하였다. PST 프로그램의 효과성을 검증하기 위해 반복측정 분산분석의 집단과 조사시점 간 상 호작용에 대한 분석과 조사시점 별 두 집단 간의 차이에 대한 t-test 분석을 실사하였다. 분석결과 실험집단의 우울수준은 사후조사에서 감소되었고, 추적조사에서도 지속되었다. 사후조사에서 측정 한 실험집단의 사회적 문제해결능력과 합리적 문제해결양식이 강화되었고, 부정적 문제지향과 충동 적, 회피적 문제해결양식이 감소되었지만, 추적조사에서는 그 효과들이 지속되지 못하였다. 결론적 으로 자살 고위험군인 독거 우울 노인의 자살 예방에 PST가 효과적임을 확인하였으며, 자살 위험에 처한 노인들의 PST에 대한 접근성을 높일 수 있도록 사회복지사를 대상으로 한 PST 교육이 확대되 어야 하고 PST 참여자의 문제해결능력을 유지하기 위한 사후관리가 필요함을 제안하였다.

This study used the quasi-experimental research design to examine the effectiveness of problem-solving therapy (PST) for the depressed elderly people living alone as a suicidal high-risk group. PST was conducted for the experimental group, both the experimental and control groups were subjected to pre-test, post-test, and follow-up test on depression and social problem-solving ability. The effectiveness of PST was verified by repeated measurement variance analysis and t-test. PST was found effective in reducing depression and its effect continued until the follow-up test. PST strengthened social problem-solving ability and rational problem-solving style, but reduced negative problem orientation and impulsive/avoidant problem-solving style, but their effects did not persist in the follow-up test. In conclusion, PST was found suitable to prevent suicide for the depressed elderly living alone, and thus PST training programs should be expanded for social workers and follow-up management should be carried out for PST participants.

본 연구는 자살 고위험집단인 독거 우울 노인을 대상으로 문제해결치료 프로그램을 실시하고, 양적 연구에서는 드러나지 않는 문제점을 찾아내어 문제해결치료 프로그램을 효과적이고 효율적으로 실 행할 수 있는 방안을 모색하기 위한 목적으로 시도되었다. 이를 위해 사회복지사 7명이 춘천에 거주 하는 독거 우울 노인 16명을 대상으로 PST 프로그램을 실시하였고, 진행자들이 작성한 개입과정 기록을 질적으로 분석하였다. 프로그램 진행과정별로 분석한 결과 드러난 참여자의 태도나 반응 및 진행상의 어려움을 바탕으로 PST 프로그램과 일반 상담과의 차별성을 참여자에게 이해시키기, 노인의 인지기능수준을 확인하여 프로그램 대상자로써의 적합성 확인하기, 진행자의 노인과 노화에 대한 지식 및 PST 매뉴얼 숙지하기, PST 매뉴얼 보완하기, 워크시트 간소화하기, 문제해결과정에 대한 충분한 학습이 가능하도록 프로그램 구성하기 등을 제언하였다. 따라서 노인을 대상으로 상담 하는 복지기관의 사회복지사가 PST 프로그램을 보다 효율적으로 활용할 수 있는 방안을 제시하였다 는데 본 연구의 의의가 있다.

This study aims to implement the problem-solving therapy (PST) for the depressed elderly living alone as a suicidal high-risk group and suggest the ways to perform the PST program effectively and efficiently. For this purpose, 7 social workers performed PST to 16 depressed elderly living alone in Chuncheon, and their intervention records were qualitatively analyzed. Based on the participant’s attitude and response as well as difficulties in progress, the followings were suggested: (1) to make the participants understood the difference between PST and general counseling, to confirm the appropriateness of the subject by evaluating their cognitive function level, to become proficient in the knowledge of aging and the aged as well as PST manuals, to update PST manuals and simplify worksheets, and to develop the curriculum that allows for sufficient learning about problem-solving process. Therefore, this study suggests how social workers in welfare agencies can conduct PST for the aged more efficiently.

Background & objectives: Cognitive function decline is a main factor influencing the overall life of the elderly and places a burden of society. The aime of this study was to investigate the risk factors of cognitive function decline of elderly living alone and living with a spouse. Methods: This study used the Korean Longitudinal Study of Ageing from 2014 to 2018. 243 older adults who lived alone and 1,155 lived with a spouse with the Korean version of Mini Mental State Examination scores in normal range at the time of 2014 were included in the analysis. Logistic regression analysis was conducted to determine the difference of risk factors affecting cognitive function decline between in elderly living alone and elderly living with a spouse. Results: Cognitive function decline incidence rate of elderly living alone was 30.5% and the elderly living with a spouse showed 23.0%. According to the results of logistic regression analysis, the risk factors of cognitive function decline in the elderly living alone was age and residential area, while in the elderly living with a spouse were age, education level, social networks, and depression. Conclusions: The factors that affect the cognitive function decline of the elderly living alone and the elderly living with a spouse were different. Accordingly, other measures to prevent cognitive decline are necessary.

Purpose: Despite a rapid increase in male older adults living alone, relatively little is known about their life satisfaction and related factors. Based on Levine’s conservation model, this study aimed to explore predictors of life satisfaction among older men living alone in South Korea. Methods: Using logistic regression, a cross-sectional secondary data analysis was conducted among male older adults living alone (N=548) from the 2020 National Survey of Older Koreans. Results: The factors associated with a risk of lower life satisfaction in older men living alone were income lower than the standard median income, unemployment, living in rural areas, moderate-high nutritional risk, declined sensory function, depression, and social isolation. Conclusion: To enhance the life satisfaction of older men living alone, customized interventions are required, including comprehensive health assessment with a holistic perspective. Addressing economic stability alongside prevention and multidimensional interventions is needed to mitigate nutritional risks, sensory function decline, depression, and social isolation. Healthcare providers and policymakers in local communities should understand the sociocultural characteristics of older Korean men living alone and provide well-suited formal and informal support programs to address these needs.

Purpose: The aims of this study were to examine the rate of depression among older adults living alone and to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Methods: A secondary data analysis was performed using data from the 2020 Korea Community Health Survey. The study participants were 18,824 older adults aged 65 years and over living alone. The data of the complex sample design was analyzed with consideration for weights, stratification, and clustering. Complex sample multiple logistic regression was conducted to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Results: The results showed that the rate of depression in older adults living alone was 6.3%. Older adults living alone with decreased physical activity, decreased hours of sleep, and an increased or similar frequency of meeting with friends or neighbors were found to be more likely to have depression. In terms of factors related to the practice of COVID-19 infection prevention and control rules, not disinfecting regularly and not wearing a mask indoors were related to depression. For health-related factors, fair or poor self-rated health status, not having breakfast every day, and feeling stressed were related to depression. Conclusion: It is recommended to develop tailored interventions to prevent depression among older adults living alone by considering the factors related to their depression during the COVID-19 pandemic.

Purpose: This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea. Methods: A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy. Results: Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=?0.36, p=.031), age (B=?0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=?0.06, p=.006). Conclusion: Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.

Purpose: The study has been conducted to identify factors affecting the participation in leisure activities by elderly women living alone. Methods: Data were collected through a questionnaire survey among 150 elderly women in Seoul and Gyeong-gi Province. The measurement tools that were used include participation in leisure activities, perceived health status, Geriatric Depression Scale Short Form-Korea (GDSS-K), psychological well-being scale, and loneliness scale. The data were analyzed by using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and stepwise multiple regression with the SPSS/windows version 21.0 program. Results: The analysis shows that the affection for participation in leisure activities of the elderly women living alone who participated in the questionnaire survey is significant (F=14.6, p<.001). The value of the adjusted R2 is 0.55, which accounts for the explanatory power of 55.4%. The predictor that has been found to have the greatest influence on the participation in leisure activities by the elderly women living alone include perceived health status, followed by monthly allowance (10,000 won), psychological well-being, economic status, religion, depression, family structure, and loneliness. Conclusion: The results suggest that in developing nursing interventions and practice for the participation in leisure activities by elderly women living alone, perceived health status, psychological well-being, depression, and loneliness should be considered.

Purpose: This study was designed to reveal how individual-level characteristics and local-government policy factors associated with self-rated health (SRH) among older adults living alone. Methods: Data were drawn from the 2023 Korean Community Health Survey, including 21,677 adults aged 65 years and older who reported living alone. A multilevel regression analysis was conducted using four models: a null model, an individual-level model, a regional-level model, and a full model including cross-level interactions. Fixed and random effects were estimated. Results: The null model showed an intra-class correlation coefficient of 10.9%, indicating that regional-level factors explained a significant portion of the variance in SRH. In the full model, individual-level factors such as older age, being female, lower educational attainment, lower monthly income, current smoking, and depressive symptoms were significantly associated with lower SRH. Conversely, current alcohol use and greater physical activity were associated with better SRH. At the regional level, a higher older adults welfare budget and the number of healthcare and leisure welfare facilities were positively associated with better SRH. Cross-level interactions showed that the positive effect of regional welfare budgets was attenuated among older individuals and those with higher monthly income, but was amplified for individuals with a higher degree of physical activity. Conclusion: SRH among older adults living alone is related to individual and regional factors. Regional welfare interventions are essential, but their benefits are context-sensitive and vary depending on individual characteristics like age and physical activity level. Structural, context-sensitive interventions at the community level are essential to improving health equity and well-being in this population.

Purpose: This study aimed to categorize the factors related to suicidal ideation among elderly individuals living alone into social and psychological levels. By gradually incorporating these levels, the study aimed to clarify the influence of significant factors. Methods: This study adopted cross-sectional correlational methods. The study sampled 154 elderly people aged over 65 years and living alone. Using hierarchical regression analysis, SPSS 26.0 analyzed the impact of sociological factors (social support, experiences of elderly discrimination, social participation) and psychological factors (self-esteem, depression, sense of isolation) on suicidal ideation among elderly individuals living alone. Results: The results of the significance tests for the regression coefficients in the final model indicated that social support (β=-.17, p<.05), self-esteem (β=-.39, p<.001), depression (β=.22, p<.001), and sense of isolation (β=.39, p<.001) significantly impacted suicidal ideation. This regression model had an explanatory power of about 59.2%. Conclusion: This study suggests the importance of identifying various social resources for elderly individuals living alone and exploring supportive measures tailored to individual circumstances. By predicting social risk factors that elderly individuals may face and preventing exposure to negative psychological states, early detection and intervention may reduce suicidal ideation, ultimately contributing to integrated community care policies that enhance the quality of life for elderly individuals living alone.

최근 우리나라의 경우 빠른 고령화로 독거노인의 추세 또한 사회적, 경제적, 국가적인 다양한 문제를 야기 시키고 있다. 특히 나 홀로 사는 노인계층의 건강수명관리, 독거노인의 안전, 길어진 노령시기의 쾌적하고 행복한 삶 유지 등이 사회적 이슈로 부각되고 있으며, 범정부차원에서 다양한 서비스 제공을 위한 실천과제를 모색하고 있으나, 실질적으로 노인의 일상생활지원 및 서비스 정보접근 향상을 위한 구체적 대안은 매우 부족한 실정이다. 본 연구는 ICT 기술기반의 독거노인복지서비스 제공을 목적으로, 개방된 공개정보를 적극 활용하고 노인계층의 정보접근을 향상 및 독거노인의 여러 상황조건에 부합하는 “ELA 서비스 모델”을 제시한다. 이는 독거노인의 기본 욕구에 따른 단계별 자가생활지원 서비스 모델로 현재 제공되거나 계획 중인 서비스의 편중 또는 과부족을 해결하고, 독거노인의 요구수준에 맞는 실질적 서비스 제공을 목표로 일상생활지원에 균형 잡힌 서비스 정책 수립에 기여할 것으로 기대한다.

In case of current South Korea, the rapid graying is in the progress. Because of it, the increase of elders who live alone causes variety of social, economic and national problems. Especially in the modern city, the health care, safety and maintenance of pleasant and joyful life of elders who live alone are being a big social issue. Even though practical services have been tried at the whole of government approach, the detailed alternatives are insufficient to improve the daily life support and service to approach the information. This research suggests the "ELA Service Model" which actively improves the easy access to information and corresponds to condition and circumstance of elders for providing the ICT-base Elderly Living alone care service. It is a step self-life support service based on fundamental desire of elders which resolves the problem and contributes to establish the active and balanced policy to the elderly.

본 연구는 독거노인들의 일상생활 수행능력, 사회적지지, 외로움 및 노인차별이 우울에 어떤 영향을 주는지 검증하고자 하였다. 편의표본 추출을 사용하여 306명의 독거노인 대상으로 사회적지지, 한국형 일상생활수행능력, UCLA 외로움, 폴모아 노인차별척도를 사용하여 측정하였다. 연구의 통계처리는 독립T-검증, 변량분석, 상관관계, 다중회귀기법을 사용하였다. 연구결과 우울은 노인차별과 외로움 수준이 높을수록 우울이 높아지는 것으로 확인 되었다. 일상생활 수행능력과 사회적지지 수준이 높을수록 우울 수준이 낮아지는 것으로 확인되었다. 다중회귀통 계 처리 결과에 의하면 일상생활 수행능력, 사회적지지, 외로움은 독거노인의 우울에 주요 영향요인임을 확인하였 다. 연구결과를 토대로 사회복지 실천적 및 정책적 함의를 제시하였다. 사회복지사와 사례관리자를 위한 사회복지 실천적 함의를 제공하였다.

The study purpose was to test the impact of activity daily living, social support, loneliness, and ageism on depression among elders living alone. Data were collected by 306 elderly people over 65 years old using a convenience sampling method and completed the questionnaires of MSSPS, K-ADL(Korean Activities of Daily Living), the UCLA Loneliness, and Palmore Ageism Scale. Survey data were collected and analyzed using T-test, Annova, Pearson correlation coefficient, and multiple regression. The research study findings indicated that increased loneliness and ageism were associated with a high level of depression. Depression decreases with high level of activity daily living and strong social support. Multiple regression showed that activity daily living, social support and loneliness were significant predictors for depression of elderly living alone. The findings of this study will provide implications of social work practices and social policy. Recommendations to guide health professionals such as social workers and case managers in their work with elderly living alone were made.

본 연구는 독거노인의 우울발생을 예측하는 요인을 탐색하는 목적으로 하는 연구로 2020년 한국 노인실 태조사 원시자료를 활용하였다. 연구 대상자는 65세 이상의 독거노인으로 최종 분석에서 3,117명이 선정되었다. 독거노인의 우울발생에 영향을 미치는 요인들의 병합 및 관계조합을 확인하고자 데이터마 이닝 기법 중 의사결정 나무분석 알고리즘을 통해 분석을 실시하였다. 연구결과 독거노인의 우울을 예측하는 가장 높은 변수 관계 조합은 주관적 건강상태에 있어 부정적으로 평가하는 경우, 장애요인과 관련하여 장애가 있다고 응답한 독거노인 집단에서 우울 발생 가능성이 가장 높게 예측되었다. 이어, 성별 요인에서는 남성 독거노인, 기초생활수급권 유무에 있어 비수급 독거노인인 경우 우울 발생이 유의미하게 예측됨을 확인 하였다. 연구 결과를 바탕으로 독거노인의 우울을 감소하고 관리할 수 있는 실천적 제언을 제공하였다.

The purpose of this study is to explore the factors predicting the occurrence of depression in elderly individuals living alone. people were selected in the final analysis 3,117 elderly people aged 65 or older who are living alone from the raw data of the 2020 National Survey of Older Koreans. A decision tree analysis algorithm, one of the data mining techniques, was used to identify the combinations and relationships of factors affecting the occurrence of depression in elderly individuals living alone. The results of the study indicated that the highest probability of depression was predicted in elderly individuals living alone who gave a negative evaluation of their subjective health status and reported having a disability. Additionally, Men were identified as a significant influencing factor in gender factorsr and Non-basic living security were identified as significant influencing factors. Based on the study results, suggestions for managing depression in elderly individuals living alone were provided.

이 연구는 농촌지역 독거노인들의 사회적 안전망, 즉 유형별 위험 인식에 우체국 집배원들이 역할이 어떠한 영향을 미치는지를 실증적으로 모색해 보는데 목적이 있다. 연구 결과, 독거노인에 대한 집배 원의 사회적 지지가 노인의 위험 인식 정도, 즉 고독, 자살, 우울, 신체적 부상, 범죄, 재난 인식에 미치는 정도는 다음과 같다. 정서적 지지의 경우는 노인의 위험 인식 정도를 낮추어 주는 긍정적인 효과가 있다. 하지만 물질적 지지와 애정적 지지는 노인의 자존감이 낮아져서 오히려 부정적인 효과 를 미치는 것으로 나타났다. 그리고 도시지역에 비해 농촌지역이, 여성에 비해 남성 노인이, 학력이 증가할수록, 집배원 방문 횟수가 많아질수록 집배원의 사회적 지지가 더 높다고 인식하는 것으로 나타났다.

The purpose of this study is to empirically examine the role of post officers in social safety nets for the elderly living alone in rural areas, namely risk recognition by type. It assesses how the social support of post officers affects the extent to which the elderly perceived to be at risk, such as perceptions on loneliness, suicide, depression, physical injury, crime, and disaster. It is found that emotional support has a positive effect, reducing the level of risk perception among the elderly people. Material and affectionate supports, however, have a negative effect on the elderly people due to the reduction of their self-esteem. Also, the social support of post officers is found higher in rural areas than in urban areas, among male adults than female, among those with higher education, and with more door-to-door visits.

본 연구의 목적은 독거노인의 자살생각에 영향을 주는 요인을 규명하여 자살예방을 위한 프로그램 개발과 수행에 필요한 기초자료로 활용되도록 하기 위하여 시행 되였다. 본 연구는 2017년 제4차 노인실태조사 자료를 활용한 이차분석 연구이며 2017년 현재 전국 17개 시·도의 일반 주거시설에 거주하는 65세 이상의 노인 10,299 명의 자료를 활용하여 로지스틱 회귀분석을 시행하였다. 분석결과 독거노인 10.5%가 자살에 대해 생각해 보았고 성별, 나이, 만성질환 수, 우울증, 차별경험에서 자살생각 정도가 유의하게 차이를 나타냈다. 따라서 독거노인의 자살예방을 위해서 만성질환자에 대한 지속적인 관리와 우울증환자의 조기발견 및 다양한 사회활동 프로그램에 참여할 수 있도록 공공· 민간영역 모두 관심과 적극적인 관리가 필요하다.

The purpose of this study is to identify factors influencing suicidal ideation for the elderly living alone. Utilizing the identified factors as the base data, the study aims to develop community programs for suicide prevention. This research is a secondary analysis of the 2017 national survey, ‘Survey on the Elderly,' conducting logistics regression analysis on the data collected on 10,299 elderly aged 65 or older living in 17 general residential facilities as of 2017. The analysis reveals that 10.5% of the elderly living alone have contemplated suicide. The frequency of suicidal ideation was attributed to such factors as gender, age, chronic disease, depression and experiences of abuse and discrimination. To prevent suicide among the elderly, therefore, active management from both public and private sectors are needed for early detection of chronic diseases and depression.

본 연구는 60세부터 74세까지의 독거 노인 남성의 대사증후군 복합 위험 요인을 잠재계층분석으로 분류하 고 특징을 분석했다. 국민건강영양조사에 참여한 520명을 대상으로 허리둘레, 혈압, 혈당, 중성지방, HDL 콜레스 테롤 수치를 분석했다. 그 결과 건강군(26%), 흡연 및 스트레스군(19.6%), 비만군(29.2%), 음주 및 우울군(25.2%) 의 4개 계층이 확인됐다. 로지스틱 회귀분석 결과, 흡연 및 스트레스, 비만, 음주 및 우울군은 건강군 대비 각각 4.86배, 5.11배, 2.76배 높은 대사증후군 위험을 보였다. 이는 독거 노인 남성의 특성을 고려한 맞춤형 건강 관리의 중요성을 시사한다.

This study classified multi-risk factors of metabolic syndrome in 60-74 year-old men living alone using Latent Class Analysis. Data from KNHANES on 520 men, including waist circumference, blood pressure, blood glucose, triglycerides, and HDL cholesterol, were analyzed. Four classes emerged: healthy (26%), smoking and stress (19.6%), obesity (29.2%), and alcohol and depression (25.2%). Logistic regression showed significantly higher metabolic syndrome risk in the smoking and stress (4.86 times), obesity (5.11 times), and alcohol and depression (2.76 times) groups compared to the healthy group, emphasizing the need for tailored health management for this demographic.

본 연구의 목적은 독거노인들의 외로움과 인지적 사회적지지 및 구조적 사회적 지지가 자살생각에 어떤 영향 을 주는 지를 검증하고자 하였다. 서울시 및 경기도에 거주하는 254명을 대상으로 연구를 실시하였다. 본 연구는 연구 참여자들을 위해 외로움, 인지적 사회적 지지와 구조적 사회적지지 및 자살생각에 대하여 다중회귀기법의 통계분석을 사용하였다. 연구결과, 외로움은 독거노인들의 자살생각에 영향을 주는 주요 요인임을 확인 할 수 있 었다. 즉 독거노인들의 외로움이 높을수록 자살생각 수준이 높아지는 것으로 확인되었다. 또한 독거노인들의 자살 생각에 영향을 주는 주요 변수임이 확인 되었다. 또한 본 연구는 인지적 사회적 지지는 독거노인들의 외로움과 자 살생각에 완충효과가 있음을 확인하였다. 하지만 구조적 사회적 지지는 완충효과가 없는 것으로 확인되었다. 끝으 로 본 연구 결과의 토대로 독거노인들의 자살 예방을 위한 사회복지 실천적 함의를 토론하고자 한다.

This study's purpose was to examine the impact of loneliness, and two types of social support(functional and structural) on the suicidal ideation among elderly living alone. About 254 research participants were recruited from Seoul City and other cities in Gyeonggi-do and finished the questionnaires of loneliness, perceived social support, structural social support, and the suicidal ideation. Data were entered into multiple regression analyses. The finding of this research study indicates that loneliness was an important predictor for suicidal ideation. Thus, increased loneliness was associated with a high level of the suicidal ideation. This research study result showed a moderating effect of functional social support. However, structural social support did not moderate relationship between loneliness and suicidal ideation. This research study would provide implications for social work practices.

본 연구는 2013년과 2021년 지역사회건강조사 자료를 활용하여 지역사회에 거주하는 1인 가구 노인의 자살행동 현황과 관련 예측요인의 변화를 분석하였다. 총 연구대상자 32,580명의 인구학적, 신체적, 정신적 및 사회·환경적 특성에 따른 자살 행동의 차이에 대햐여 복합표본을 고려한 χ² 검정을 실시하였 고, 자살행동에 대한 예측요인을 확인하기 위하여 자살 생각을 한 적 없는 집단(G1)과 자살 생각 집단 (G2), 자살 시도 집단(G3)을 구분하여 복합표본 다항 로지스틱 회귀분석을 실시하였다. 2013년에 비해 2021년 1인 가구 노인의 자살 생각과 자살 시도는 감소하였고, 자살행동 예측요인에도 일부 차이가 있었으나 고령과 남성 노인, 낮은 소득수준과 취약한 주관적 건강수준, 통증과 신체적 기능 저하, 스트레 스 및 우울감 경험, 심리 상담 경험, 미충족 의료, 동네 사회자본 및 환경에 대한 불만족 등은 1인 가구 노인의 자살행동 위험을 높이는 것으로 나타났다. 이와 같은 자살행동 예측요인을 기반으로 자살 고위험 집단의 조기 선별을 위한 1차 보건의료인 대상 노인 포괄 건강사정 관련 교육과 훈련을 실시하고, 1인 가구 노인의 자살을 체계적으로 예방하고 관리하기 위한 시스템 구축이 필요할 것이다.

This study aimed to examine changes in the prevalence of suicidal behaviors and the predictors of these behaviors among community-dwelling older adults living alone using data from the 2013 and 2021 Korea Community Health Surveys. Data from both surveys (N = 32,580) were analyzed using the chi-square test and complex sample multiple logistic regression. Compared to 2013, the prevalence of suicidal ideation (7.4%) and suicide attempts (0.1%) decreased in 2021. The predictors of suicidal behaviors showed slight variation between the two survey periods. In addition to individual physical and mental health factors, social and environmental characteristics, including unmet medical needs, limited neighborhood social capital, and dissatisfaction with the neighborhood environment, were associated with suicide risk among older adults living alone. To improve the effectiveness of suicide prevention in this population, it is necessary to establish systems for early identification and management of high-risk individuals through education and training in comprehensive geriatric health assessments for primary healthcare providers.

Background/Objectives: As the fourth industrial age begins, research on speech recognition is actively being carried out. Methods/Statistical analysis: However, since speech recognition is developed based on the standard language, the recognition rate is lower for people using dialects and unusual tones. Because of these problems, it is more difficult to gather data because seniors and dialect users do not attempt to recognize speech. Improvements/Applications: Therefore, to solve this problem, we have added a specific database and configured a speech recognition system that can be used by people who use dialects and unusual tones.

배경: 급속한 고령화속에 독거노인의 삶에 미치는 노인빈곤, 자살, 고독사 등의 많은 문제로 인한 독거노인의 우울이 사회적문제를 양산하고 있다. 본 연구는 통합예술치료가 독거노인 우울에 미치는 효과에 관한 사례연구로 독거노인의 우울에 대한 통합예술치료가 미치는 영향을 확인해보고자 하였다. 방법론/접근: 연구참여자는 A노인센터에서 연구참여를 원하는 참여자3인을 선정하였고 집단프로그램 100분씩 4회기를 거쳐 진행하였으며, 연구대상에 대한 기초자료가 부족한 부분은 인터뷰를 통하여 보완하였다. 연구의 방법은 통합예술 치료프로그램의 회기별 분석과 인터뷰를 사용하였다. 결과/결론: 본 연구는 독거노인 우울에 대한 통합예술치료가 미치는 긍정적 효과로 긍정적 자기인식과 자기수용으로 정서적 안정감을 얻고, 대인관계(사회적 상호작용), 자기효능감과 성취감을 통하여, 자아통합으로 인한 삶에 대한 재구 성, 행동의 변화로 인한 우울감 감소로 독거노인의 삶의 질 전반에 영향을 미치고 있음을 확인할 수 있었다. 시사점: 연구참여자들은 우울감이 있는 독거노인들로 연구결과에서와 같이 몇몇 사례들로 일반화되기는 어렵지만 노년 기에 느낄 수 있는 고독, 우울에서 오는 부정적 인식 보다 긍정적 사고와 자기수용, 타인의 이해로 우울한 삶에서 하 루하루 변화하는 삶을 통하여 정서적 안정감과 긍정적 삶을 살 수 있도록 통합예술치료가 독거노인의 우울에 긍정적 인 효과를 미치고 있음을 확인할 수 있었다.

Background: In the midst of a rapidly aging population, the depression of the elderly living alone due to many problems such as elderly poverty, suicide, and lonely death affecting the lives of the elderly living alone is creating social problems. This study is a case study on the effect of integrative art therapy on depression in the elderly living alone, and it was intended to confirm the effect of integrative art therapy on depression in the elderly living alone. Methodology/Access: Three participants who wanted to participate in the study were selected at the A Senior Center, and the group program was conducted through 4 sessions of 100 minutes each, and the deficiencies were supplemented through interviews. The method of the study was the analysis of the sessions of the integrated arts therapy program and interviews. Results/Conclusion: This study confirmed that the positive effect of integrated art therapy on depression in the elderly living alone is that it has an overall impact on the overall quality of life of the elderly living alone by gaining emotional stability through positive self-awareness and self-acceptance, through interpersonal relationships (social interaction), self-efficacy and sense of accomplishment, restructuring of life due to self-integration, and reduction of depression due to behavioral changes. Implications: The participants in the study were elderly people living alone with depression, and although it is difficult to generalize to some cases as shown in the research results, it was confirmed that the integrated art therapy has a positive effect on the depression of the elderly living alone so that they can live a positive life with emotional stability and a positive life through a life that changes day by day through positive thinking, self-acceptance, and understanding of others rather than the negative perception of loneliness and depression that can be felt in old age.