Journal of Korean Gerontological Nursing 2000;2(1):7-21.

입원 노인 환자의 자아존중감과 자가간호역량의 관계

김희경, 강경자

Abstract

As the population over the age of 60 increases, the demand of nurses who care for this age group also continues to grow, so nurses must be interested in gerontological nursing in Korea. This thesis was carried out to identify effective self-care agency in elderly patients by researching the correlation between self- esteem and self-care agency. Therefore, this study was designed to identify the extent of self-esteem and self-care agency of the elderly and look into the relationship between them, and thus contribute to gerontological nursing interventions that maintain and promote life quality of the elderly by helping them adapt themselves to their life and promote their health. The population of this study were 167 persons over the age of 60 years and data were collected from March 7th to April 6th, 1998 by using 60 items questionnaire method. The instrument used for measuring self-esteem was Rosenberg's Self-esteem Scale, and that for self-care agency was Kearnry, B. Y. & Fleisher, B. J.'s Self-care Agency Scale. The reliability of the two instruments were tested by Cronbach's alpha, and showed that those were 0.6250 and 0.9020, each. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe multiple analysis and Pearson's Correlation Coefficient using the spss computer program. The results of this study were as follows: 1. The mean score of the self-esteem was 24.76(SD?5.83). that of self-care agency was 79.57(SD?15.53) and maximum scores were 43 and 120, respectively. 2. Statistically significant factors influencing the self-esteem among sociodemographic variables were education(F=3.47, P<0.01), pocket money (F=3.96. P<0.00), health (F=3.00, P<0.05), and smoking (F=2.57, P<0.05) by Scheffe multiple analysis when it comes to pocket money, for one, this survey showed that the more the amount of money is, the more satisfactory the self-esteem is. And as for health, for another, it revealed that 'The group of the healthy' seemed to be move satisfied than the less healthy. Statistically significant factors affecting the self- care agency among sociodemographic variables were education(F=4.04, P<0.00), pocket money (F=2.60, P<0.03), housing (F=2.65. P<0.02), etc. By Scheffe's analysis as to education, it has been found that in self-care agency the illiterate is on a higher level than the high school educated. 3. There was moderate significant correlation between self-esteem and self-care agency (r=.465 P<0.01). In conclusion, since the self-care agency has much to do with their self-esteem, education, and finance, it must be considered in nursing interventions to improve the elderly patient's health maintenance.

Key words: 노인환자, 자아존중감, 자가간호역량