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1 : :. 1.., ,, (,1989). (1994)., (,1992). (1989),, 64:36, 61:40., (Diann,1983),, 65 10%, 80 20% (F reda, 1987).. (1995) 8 3.,,. 2.,,,.. 1),,. 2)?
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3 .,,,,. (,1987). 65,,. 2. T imiras (1972),,,.. 1), (Sacher, 1966).,. 2), (Comfort, 1964). Shock (1960). 3). (collagen ),.,. 4),, (Bromley, 1970). Makinodan (1977). 3.. Erik son,,.,
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5 , 17.,,,,,, 42. (1990), Cronbach ' s Alpha.845,.849, SA S.,,,,, ANOVA, Pearson Correlation Analy sis < 1>. (1992) 1995 (656938%, %, %, 8015% ). < 1> () (%) (N =280), 226(80% ), (1985), (1987), (1994)., (1995), 52%, 48%, 78%.
6 . 2.,, <2> 5(4.748), (4.302), (4.062), (3.879), (2.431), (1.336), (52:48) (1990) 4.054,, 30%, 70% (1 995) < 2> , (,1987), 78% ,,,,,,,. 80%,, 78%,,.
7 3. (P <.005) (< 3> ). < 3> Mean S.D. F P Mean S.D F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P (P < 0.001). (1985), (1988), (1991). (P <.005), (P <.005). (1990)
8 ,. (P <.005),. (1990),., (Mcclelland, 1982 : Quinn, 1983), (1994). (P <.01). (P <.0003). 4. (P <.005), 6569, 80 (< 4> ). (1990) (1985). < 4> Mean S.D. F P Mean S.D. F P Mean S.D. F P ,,. 5. (P <.0001) (<5> ).
9 < 5> Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P Mean S.D. F P (P <.0001),.. (1987) (P <.05). (P <.0001),. (P <.0001).
10 ,,,. (1987) 80%. (P <.05). (P <.005),. (Kiv ett,1985), Neugarten (1968). (P <.005)., (1987)., (P <.0001). (P <.005), (P <.05),. (1989),,., (1987). 6.,,,,,,, (P <.001) (< 6> ). < 6> * * * * * * * * * * * * * P<.001,,,,,, (P <.001), (< 7> ). (1995)
11 < 7> * * * * * * * * * * * * * * * * * * P < %,.,, T hom as(1986)..,, , (1990) SAS (4.054) , 78% % ,. 3.,,. 4...
12 ., ,,.. 1., ,. < > 1. (1987).,. 2. (1987).,. 3. (1995).,, 7 (2), (1985).,. 5. (1989).,, (1992)., 8, 8, (1989).,. 8. (1995).,. 9. (1993)., :. 10. (1994)., 21,, (1988).,. 12., (1985).,, (1994).,. 14., (1987).,. 15. (1987).,,. 16. (1989).,
13 . 17.,,, (1990).,, 20(3), ,, (1990).,, 2, , (1991).,, 3, ,,,, (1992).,, 4 (2), ,, 1992, ,, 1994, Breen, L. B., (1960). H an dbook of S ocial Geront ology, Cicag o, Read M cn ally. 24. Bromly, D. B., (1970). An Approach to theory Con stru ction in the P sy chology of Dev elopm ent and A gin g, Life- span Dev elopm ent P sy chology, In L. R. & P. B. Balt es, Burg ess, Erh est S.,(1961). Retirem ent Villag e, Div ision of Geront ology, Univ ersity of Michigan (E d.) : Ann Arbor. 26. Butler, R. N. & Lew is, M. I., (1973). A gin g an d M ent al H ealth, M osby Co. 27. Com fort, A., (1964). A gin g : the biology of scien ce, New York : Holt, Rin eg art an d W in st on. 28. Diann L Zajac (1983). W om en ' s Health : Problem & Option s an Ov erview, Issu es in H ealth Cure of W om en, 6, F reda L. P alitel, (1987). W om en and M ental H ealth : A P ost Nairobi P er spectiv e, W orld H ealth St atistics, W. H. O., 40(3), Harris, D. K, & Cole W. E., (1985)..,, 24, 129, , Kiv ett, V. R.,(1985). Gran dfather and Gran dm oth er, P att ern of A ssociation Helping and P sy ch ological closen ess, F am ily Relation s, 34, M aclelland, T.,(1982). S elf- Conception s an d Life S atisfaction : Int ergratin g A g ed Subculture an d A ctivity T h eory, Journal of Gerontology, M akinodan, T.,(1977). Im m unity and aging, H an db ook of the Biology of aging, N.Y., V an 34. Neug arten B. L.,(1968). Middel age and aging, T he Univ ersity of Cicag o Pres s, Cicag o. 35. S acher, G. A.,(1966). Abnut zun g stheorie, P er spectiv es in ex perim ent al geront ology, Sprin gfield. 36. Sh ock, N. W., (1960). som e of th e fact s of aging S ocial & biological aspect s, W ashingt on, D. C., Am erican A s sociation for the A dv an cem ent of S cien ce. 37. T hom as, J. L.,(1986). A g e an d S ex Differen ces in P erception of Grandparenting, Journ al of Geront ology, 41(4), T im iras, P. S.,(1972). Dev elopm ent Phy siology an d A gin g, New York, M acm illan.
14 39. Quinn, W. H.,(1983). P er sonal and F am ily adju stm ent in Later Life, Journ al of M arriage and F am illy, A b s t rac t - K ey c on c ept : h e alth s t at u s of ag e d w om en A s tudy on the Phy s ic al, M ent al and S ocial F actors Influencing the H e alth S tatu s of A g ed W om en in K ore a S eun g Ok Ro Seung Ok Ro : Departm ent of Nur sing, Shin Heung Junior College A t ot al health stat e ev aluation of Kor ean fem ale elderlies w as m ade by u sing the qu estionary sch em e m ea suring the phy sical, m ent al an d social function s of the elderlies, in order t o inv estigate the critical factor s for the health m aint en ance of fem ale elderlies and to dev elop their prev entiv e nursin g program. A total of 280 subject s ov er 65 y ear s old living in S eoul an d th e suburban area w ere select ed an d interview ed during th e period of S ept em ber an d October in T he m at erials collected w ere an aly zed statistically by u sin g SA S data proces sin g program, and th e result s and recom m endation s are sum m arized as follow s. 1. T h e phy sical health st at e of Kor ean elderly w om en w as ev alu at ed t o b e satisfactory by show in g an av erage score of in 5.0 full- score scale. But this score w as low er than those ev alu ated for the elderlies com bin ed both sex es (4.054). T h e m ent al health state of the subject s w as als o ev alu at ed as high scorin g 3.484, pos sibly due t o th e fact that 78% of the subject s liv ed t og ether w ith th eir children ' s family. On the oth er h and, the s ocial health st at e of the subject s w a s relativ ely low scoring 2.585, m ainly du e to that 80% of them w a s w idow s w hich w as result ed by th e 6-7 y ear s long er life- ex pectan cy of Korean w om en. 2. A significant differen ces in the phy sical h ealth state scores b etw een different age groups w as ob serv ed, indicating the rapid ag ein g process occurring in this ag e group. T he fam ily stru cture w as appeared to be an im port ant factor influencing the phy sical h ealth st at e of th e fem ale elderlies ; th e phy sical health score of the w om en w ith her hu sband only w as higher th an that of those liv in g w ith children ' s fam ilies, an d the
15 low est score w as obtained from those living alone. 3. T he age was the most important factor determining the mental health state of the subj ect s, w hile the religion, edu cational st atu s, m arriage stat e an d fam ily stru cture did n ot significantly influ en ced the m ent al health st at e of the ag ed w om en. 4. T he social health state of the subject was deeply influenced by the marriage state and fam ily structure, sh ow ing significantly low er scores w ith w idow er s compared t o the m arried couples. T h ose livin g w ith their m arried spou se only obtain ed the highest social health score, w hile those living along sh ow ed the low est score. T he parent an d grandparent ship of those living w ith their children an d the religion, especially Catholic and Protestant, had positiv e influ ence on the social h ealth stat e of the ag ed w om en. 5. T h e m ent al health st at e of ag ed w om en show ed significant correlation w ith the fact or s determ ining the phy sical health, ex cept for digestiv e sy st em r elat ed ability and sex ual ability an d the high est ex tra hom e ability. 6. T h e m ent al health st at e of ag ed w om en show ed significant correlation w ith the fact ors determ ining social h ealth, especially w ith the parent an d gran dparent ship and the fam ily relativ e ' s role. F rom th ese result s, the follow in g recom m endation s are m ade. 1. Sin ce the phy sical, m ental and social health st at es of ag ed people ar e deeply influen ced by the sex an d th e av erag e v alues of the both sex can creat e m isleading figures, th e health ev aluation of the elderlies sh ould be m ade separat ely by sex. 2. Since th e health state of ag ed w om en is highly influ enced by their fam ily stru ctur e, the spou se ' s role an d living w ith m arried couple only should be em ph asized in respect of prev entiv e health care. 3. T h e social activity program s and gran dparent ship t eachin g program s should be prepared in th e nursin g care program for ag ed people.
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