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Analysis of Factors Affecting Stress in the Elderly Women
Biomed Sci Letters 2018;24:319-328
Published online December 31, 2018;  https://doi.org/10.15616/BSL.2018.24.4.319
© 2018 The Korean Society For Biomedical Laboratory Sciences.

Yun-Jung Kang*, and Gil-Hyun Lee†,*

Department of Clinical Laboratory Science, Kyungwoon University, Gumi 39160, Korea
Correspondence to: Gil-Hyun Lee. Department of Clinical Laboratory Science, Kyungwoon University, Gumi 39160, Korea. Tel: +82-54-479-4114, Fax: +82-54-479-1308, e-mail: rokmagnum@naver.com
Received September 18, 2018; Revised November 12, 2018; Accepted November 13, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract

The purpose of this study is to identify the factors influencing the stress of the elderly women by various tools and to provide basic data for adaptation to the aging women. For this purpose, stress was measured by stress measuring equipment (HRV) and stress measurement questionnaire (SRI) in 31 elderly women over 60 years old. In summary, the results of this study suggest that the worse the subjective health, and when there is a spouse, it predicts a stress. In order to reduce the stress of elderly women based on these results, physical health management and environmental factors that can enhance the intimacy between husband and wife are also necessary.

Keywords : Elderly woman, Stress, Subjective health, Spouse
꽌 濡

넻怨꾩껌뿉 뵲瑜대㈃, 2015뀈 슦由щ굹씪쓽 65꽭 씠긽 씤援щ뒗 657留 紐낆쑝濡 쟾泥 씤援ъ쓽 13.2%瑜 李⑥븯뒗뜲, 씠뒗 2005뀈蹂대떎 빟 220留 4泥 紐 利앷븳 닔移섎떎. 씠 媛숈 異붿꽭씪硫 슦由щ굹씪뒗 2020뀈뿉뒗 끂씤 씤援щ퉬 15.7%濡 怨좊졊궗쉶(aged society), 2030뀈뿉뒗 24.3%濡 珥덇퀬졊궗쉶(hyper aged society), 2040뀈뿉뒗 32.3%濡 끂씤以묒떖궗쉶媛 맆 寃껋쑝濡 삁긽맂떎(Kostat, 2015). 怨좊졊솕媛 떖솕릺뒗 긽솴 슦由ъ궗쉶媛 끂씤씠씪뒗 긽뿉 빐 씠쟾怨쇰뒗 떎瑜 깉濡쒖슫 媛쒕뀗쑝濡 젒洹쇳빐빞 븿쓣 쓽誘명븳떎. 넻怨꾩쟻 삁痢≪튂留 媛吏怨 怨꾩궛븯뜑씪룄 뼢썑 5뀈 씠궡뿉 슦由щ뒗 쑀냼뀈쓽 닔蹂대떎 뜑 留롮 끂씤뱾쓣 遺뼇빐빞 븳떎. 씠윭븳 긽솴뿉꽌 끂씤 留됰븳 궗쉶쟻 鍮꾩슜씠 냼슂맆 吏묐떒쑝濡 씤떇릺硫댁꽌 誘몃━ 以鍮꾨릺怨 愿由щ릺뼱빞 븷 긽쑝濡 쟻洹뱀쟻쑝濡 떎琉꾩쭊떎. 뜑슧씠 끂씤뿬꽦 룊洹좎닔紐낆쓽 뿰옣怨 뜑遺덉뼱 궓꽦蹂대떎 뜑 삤옒 궡寃 맖쑝濡쒖뜥 끂씤뿬꽦씠 李⑥븯뒗 鍮꾩쑉씠 넂쑝硫(Chae and Ha, 1999), 洹몄뿉 뵲씪 끂씤뿬꽦 끂씤臾몄젣뿉꽌 愿떖쓣 媛졇빞 븷 二쇱슂 긽씠 맆 寃껋쑝濡 쟾留앺븳떎.

끂솕怨쇱젙뿉꽌 諛쒖깮븯뒗 끂씤쓽 깮솢뒪듃젅뒪뒗 쓽議댁꽦 利앷 룆由쎌꽦 긽떎씠 二쇱슂 썝씤쑝濡 끂씤쓽 젙떊嫄닿컯뿉 遺젙쟻씤 슂씤쑝濡 옉슜맂떎(Fiksenbaum et al., 2006). 뒪듃젅뒪뒗 떖由ъ쟻 吏덊솚씤 슦슱怨쇰룄 諛젒븳 愿젴씠 엳뼱, 끂씤쓽 슦슱닔以쓣 寃곗젙븯뒗 二쇰맂 썝씤씠 맂떎(Bolger et al., 1989). 끂뀈湲 슦슱 留뚯꽦吏덊솚, 씤吏湲곕뒫 넀긽, 떊泥 湲곕뒫긽떎 諛 쓽븰쟻 긽깭쓽 븙솕瑜 媛졇(Aloxopoulos, 2005), 떇슃媛먰눜굹 닔硫댁옣븷, 솢룞븯 벑쓣 珥덈옒븯뿬 궣쓽 吏덉쓣 뜑슧 븯떆궎寃 맂떎(Seo and Han, 2006). 듅엳 닔硫댁옣븷뒗 留뚯꽦쟻씤 뵾濡쒓컧, 굺긽, 슫룞떎議 諛 媛곸쥌궗怨좊 씪쑝궎硫, 떎떆 슦슱씠굹 遺덉븞怨 媛숈 떖由ъ쟻씤 臾몄젣瑜 쑀諛쒗븯뒗 븙닚솚씠 씪뼱궇 닔 엳떎(Kozier et al., 2004). 끂씤뱾쓽 뒪듃젅뒪뿉 쓽븳 닔硫댁옣븷쓽 寃쎌슦 끂씤뿬꽦씠 궓꽦蹂대떎 떊泥댁쟻, 떖由ъ쟻, 솚寃쎌쟻 紐⑤뱺 슂씤뿉꽌 뜑 留롮 닔硫대갑빐瑜 諛쏄퀬 엳쑝硫, 닔硫댁쓽 吏 삉븳 궙 寃껋쑝濡 굹궗떎(Floyd, 1993). 삉븳 끂씤뿬꽦 떎궛怨 怨쇱쨷븳 媛궗끂룞쑝濡 씤븳 떊泥댁쟻씤 뒪듃젅뒪媛 넂쓣 肉먮쭔 븘땲씪 (Lee and Lee, 2002), 룊깮쓣 媛議깃怨 諛 룎遊꾩옄濡쒖꽌쓽 뿭븷쓣 쑀吏븯떎媛 끂씤씠 릺硫댁꽌 蹂솕맂 긽솴뿉 쟻쓳븯湲곌 옒뱾뼱 궓꽦蹂대떎 뜑 넂 뒪듃젅뒪瑜 寃る뒗 寃껋쑝濡 굹궗떎(Shin and Kim, 2003). 씠泥섎읆 끂씤뿬꽦쓽 뒪듃젅뒪媛 以묒슂븳 쓽誘몃 媛吏怨 엳쓬뿉룄 遺덇뎄븯怨 룓寃쎌쓣 쟾썑븳 以묐뀈뿬꽦뱾쓽 뒪듃젅뒪 愿젴 꽑뻾뿰援ш 떎닔씠怨, 끂씤뿬꽦쓽 뒪듃젅뒪 愿젴 쁺뼢슂씤뿉 愿븳 뿰援щ뒗 誘명씉븳 떎젙씠떎. 삉븳 뿰援ш 엳떎怨 븯뜑씪룄 醫낆냽蹂닔씤 뒪듃젅뒪 痢≪젙쓣 꽕臾몄뿉 援븳븯뿬 뿰援щ릺뼱 솕떎. 蹂 뿰援щ뒗 뒪듃젅뒪 痢≪젙 꽕臾몄(SRI: stress response inventory) 肉먮쭔 븘땲씪 떊猶곗꽦 엳뒗 吏몴 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability)瑜 씠슜븳 뒪듃젅뒪 痢≪젙湲곕줈 뒪듃젅뒪 젏닔瑜 醫낆냽蹂닔濡 遺꾩꽍븯뿬 蹂대떎 媛앷쟻씤 뒪듃젅뒪 젏닔濡 뿰援ы븯떎.

끂씤뿬꽦 끂씤궓꽦뿉 鍮꾪빐 뒪듃젅뒪媛 뜑 넂怨, 끂뀈湲곗쓽 뒪듃젅뒪뒗 젙떊嫄닿컯 肉먮쭔 븘땲씪 떊泥닿굔媛뺤쓽 빟솕瑜 珥덈옒븯뿬 끂뀈湲 궣쓽 吏덉뿉 遺젙쟻씤 寃곌낵瑜 媛졇 삱닔 엳湲 븣臾몄뿉 끂씤쓽 뒪듃젅뒪뿉 븳 씠빐뒗 留뚯”뒪윴 끂뀈깮솢쓣 쐞빐 留ㅼ슦 以묒슂븳 씪씠씪 뙋떒맂떎. 뵲씪꽌 蹂 뿰援щ뒗 끂씤뿬꽦뿉寃 誘몄튂뒗 뒪듃젅뒪 쁺뼢슂씤쓣 떎뼇븳 룄援щ줈 洹쒕챸븯뿬 끂썑쟻쓳쓣 쐞븳 湲곗큹옄猷뚮 젣떆븯怨좎옄 븳떎.

뿰援 諛 諛⑸쾿

뒪듃젅뒪 諛섏쓳 젙룄쓽 룊媛

媛앷쟻 吏몴: 뒪듃젅뒪 痢≪젙 옣鍮, 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability): 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability) 痢≪젙 떖諛뺣씠 痢≪젙슜 留ν뙆怨꾩씤 MAX PULSE (Medicore Co Ltd. Korea)瑜 궗슜븯떎. 떖諛뺣룞닔 蹂씠룄 (HRV: heart rate variability)뒗 씪以 蹂룞쓣 蹂댁씠誘濡, 씠 쁺뼢쓣 넻젣븯湲 쐞빐 痢≪젙 삤쟾 8떆뿉꽌 12떆 궗씠뿉 떎떆븯쑝硫, 痢≪젙 떆 쇅쟻 솚寃쎌뿉 쓽븯뿬 옄쑉떊寃쎄퀎媛 쁺뼢쓣 諛쏆 븡룄濡 븯湲 쐞븯뿬 떎뿕떎쓽 삩룄뒗 20~25°C瑜 쑀吏븯怨, 議곕챸씠 諛앷퀬 議곗슜븳 諛⑹뿉꽌 떎떆븯쑝硫, 뿰援щ긽옄뒗 솚옄슜 쓽옄뿉 렪븞엳 븠 썑 븞젙씠 릺湲곕 湲곕떎由 썑 醫뚯슦 넀紐⑸쐞 醫뚯륫 諛쒕ぉ遺쐞뿉 媛곴컖 쟾洹(eletrodes)쓣 遺李⑺븯뿬 5遺꾧컙 痢≪젙븯떎. 寃곌낵 遺꾩꽍 湲곌린뿉 궡옣맂 옣鍮꾨 씠슜븯뿬 媛곸쥌 吏몴瑜 궛異쒗븯떎.

二쇨쟻 吏몴: 뒪듃젅뒪 痢≪젙 꽕臾몄(SRI: stress response inventory): 뒪듃젅뒪쓽 諛섏쓳 젙룄瑜 룊媛븯湲 쐞븯뿬 怨좉꼍遊됰벑씠 媛쒕컻븳 뒪듃젅뒪 痢≪젙 꽕臾몄(SRI: stress response inventory)瑜 씠슜븯떎(Koh et al., 2000). SRI뒗 珥 39臾명빆 7媛쒖쓽 븯쐞泥숇룄濡 援ъ꽦릺뼱 엳쑝硫, 媛먯젙쟻, 떊泥댁쟻, 씤吏쟻, 뻾룞쟻 뒪듃젅뒪 諛섏쓳뱾쓣 룷븿븯怨 엳떎. 븯쐞泥숇룄뒗 湲댁옣 6臾명빆, 怨듦꺽꽦 4臾명빆, 떊泥댄솕 3臾명빆, 遺꾨끂 6臾명빆, 슦슱 8臾명빆, 뵾濡 5臾명빆, 醫뚯젅 7臾명빆쑝濡 援ъ꽦릺뿀떎. 媛 臾명빆 0~4젏源뚯쓽 5젏 泥숇룄濡 援ъ꽦릺뼱 엳쑝硫, 理쒖 0젏뿉꽌 理쒓퀬 156젏쑝濡 젏닔媛 넂쓣닔濡 뜑 넂 젙꽌쟻, 떊泥댁쟻, 씤吏쟻, 뻾룞쟻 뒪듃젅뒪 諛섏쓳쓣 쓽誘명븳떎(Fig. 1).

Fig. 1.

SRI: stress response inventory



뿰援щ긽옄

蹂 뿰援щ뒗 吏뿭궗쉶뿉 嫄곗<븯뒗 60꽭 씠긽쓽 끂씤뿬꽦 珥 31紐낆쓣 긽쑝濡 씠猷⑥뼱議뚮떎. 떆꽕뿉 엳뒗 끂씤쓣 젣쇅븯怨 씪諛 끂씤쓣 긽쑝濡 븯뿬 寃쎌젣쟻 긽깭굹 嫄닿컯긽깭쓽 닔以씠 怨쇱옣릺吏 븡룄濡 븯怨, 옣鍮 궗슜踰뺤뿉 뒫닕븳 떎뿕옄뱾씠 뒪듃젅뒪 痢≪젙 옣鍮꾨줈 뒪듃젅뒪瑜 痢≪젙쓣 븯쑝硫, 궗쟾뿉 援먯쑁諛쏆 硫댁젒썝뱾씠 씪씪 硫댁젒쓣 넻빐 옄猷뚮 닔吏묓븯떎. 蹂 뿰援щ뒗 寃쎌슫븰援먯뿉꽌 湲곌깮紐낆쑄由ъ쐞썝쉶쓽 옄泥 떖쓽瑜 諛쏆븘 떆뻾릺뿀떎.

옄猷뚮텇꽍 諛⑸쾿

넻怨꾨텇꽍 쟾궛肄붾뵫 썑 AMOS 20.0 봽濡쒓렇옩쓣 씠슜븯쑝硫 궗슜맂 넻怨꾧린踰뺤 떎쓬怨 媛숇떎. 泥レ㎏, 湲곗큹넻怨꾨 쐞빐 鍮덈룄遺꾩꽍 諛 湲곗닠넻怨꾨 떎떆븯떎. 몮吏, 몴蹂 듅꽦뿉 뵲瑜 李⑥씠瑜 븣븘蹂닿린 쐞빐 Wilcoxon test Kruskal-Wallis test瑜 떎떆븯떎. 뀑吏, 蹂닔媛꾩쓽 愿怨꾨 븣븘蹂닿린 쐞빐 긽愿愿怨꾨텇꽍쓣 떎떆븯떎. 꽬吏, 꽕紐낅닔 醫낆냽蹂닔쓽 쁺뼢愿怨꾨 븣븘蹂닿린 쐞빐 step-wise 諛⑹떇 쉶洹遺꾩꽍쓣 떎떆븯떎.

寃 怨

씪諛섏쟻 듅꽦

몴蹂 듅꽦 Table 1怨 媛숇떎. 議곗궗긽옄뒗 珥 31紐낆쑝濡 떎닔 60(77.4%)뿉 빐떦뻽쑝硫, 70꽭 씠긽 怨좊졊옄뒗 7紐(22.6%)쑝濡 굹궗떎. 援먯쑁닔以 떎닔媛 臾댄븰(41.9%)씠嫄곕굹 珥덉「(41.9%)씠뿀쑝硫, 以묒「(6.5%)怨 怨좎「(9.7%)룄 엳뿀쑝굹 洹 씠긽쓽 븰젰옄뒗 뾾뒗 寃껋쑝濡 굹궗떎. 쁽옱 룞嫄곗쨷씤 諛곗슦옄 쑀臾대뒗 뾾쓬(80.6%)씠 媛옣 留롮븯怨, 엳쓬(19.4%) 6紐낆뿉 遺덇낵뻽떎. 二쇨쟻 嫄닿컯뿉 빐꽌뒗 ’굹겏’씠 13紐(41.9%)쑝濡 媛옣 留롮븯怨, 醫뗭쓬(19.4%), 留ㅼ슦 醫뗭쓬(16.1%), 蹂댄넻(12.9%), 留ㅼ슦 굹겏(9.7%) 닚쑝濡 굹궗떎. 吏덈퀝젰 怨좏삁븬(48.4%), 씠긽吏吏덊삁利(45.2%), 뇤議몄쨷(6.5%), 떖洹쇨꼍깋(16.1%), 삊떖利(9.7%) 벑쑝濡 굹궗떎. 嫄닿컯뒿愿쑝濡 쓬二쇱 씉뿰쓣 痢≪젙븯뒗뜲 씉뿰옄뒗 뾾뿀쑝硫, 쓬二쇰퉰룄(理쒓렐 1뀈媛)뒗 쟾 뾾쓬(67.7%)씠 媛옣 留롮븯怨, 븳 떖 1쉶 誘몃쭔(16.1%), 븳 떖 1쉶(9.7%), 븳떖 2~4쉶(6.5%) 벑쑝濡 굹궗떎. 떊泥 솢룞 怨좉컯룄 솢룞(19.4%), 以묐벑룄 솢룞(41.9%), 嫄룰린 솢룞(71.0%). 뿬媛떊泥 솢룞(22.6%) 벑쑝濡 굹궗떎(Table 1).

General characteristics

 Description N (total=31) %
Demographic characteristics Age 60~64 12 38.7
65~69 12 38.7
>70 7 22.6

Education level None 13 41.9
Elementary school 13 41.9
Middle school 2 6.5
High school 3 9.7

Marital status No 25 80.6
Yes 6 19.4

Subjective health Subjective health Very good 5 16.1
Good 6 19.4
Average 4 12.9
Bad 13 41.9
Very bad 3 9.7

Disease history Hypertension No 16 51.6
Yes 15 48.4

Dyslipidemia No 17 54.8
Yes 14 45.2

Stroke No 29 93.5
Yes 2 6.5

Myocardial infarction No 26 83.9
Yes 5 16.1

Angina pectoris No 28 90.3
Yes 3 9.7

Health behavior Alcohol intake (within recent 1 year) Never 21 67.7
< 1/month 5 16.1
1/month 3 9.7
2~4/month 2 6.5

Physical exercise Vigorous activity No 25 80.6
Yes 6 19.4

Moderate activity No 18 58.1
Yes 13 41.9

Walking activity No 9 29.0
Yes 22 71.0

Leisure activity No 24 77.4
Yes 7 22.6


뒪듃젅뒪쓽 쁺뼢슂씤

뒪듃젅뒪쓽 痢≪젙 媛앷쟻 吏몴(HRV (heart rate variability); 씠븯 OM) 二쇨쟻 吏몴(SRI (stress response inventory); 씠븯 SM)瑜 븿猿 痢≪젙븯쑝硫, 媛앷쟻 吏몴뿉뒗 뒪듃젅뒪 젏닔, 떊泥댁쟻 뒪듃젅뒪, 젙떊쟻 뒪듃젅뒪쓽 븯쐞쁺뿭씠 엳쑝硫, 二쇨쟻 吏몴뒗 SRI쓽 7媛 븯쐞쁺뿭(湲댁옣, 怨듦꺽꽦, 떊泥댄솕, 遺꾨끂, 슦슱, 뵾濡, 醫뚯젅)怨 珥앹젏쓣 蹂닔濡 궗슜븯떎. 쟻 닔쓽 몴蹂 궡뿉꽌 媛곴컖쓽 痢≪젙寃곌낵뒗 쓽誘몃 媛뽰 紐삵븯誘濡 蹂닔媛꾩쓽 愿怨꾩뿉꽌 蹂룞웾쓣 넻빐 뒪듃젅뒪쓽 蹂솕瑜 궡렣蹂닿퀬옄 븳떎(Table 2).

Descriptive statistic of stress

Stress N Min. Max. Mean SD
Objective measure Stress score 31 31 88 61.97 14.06
Physical stress 31 1.00 4.00 2.45 0.81
Mental stress 31 1.00 4.00 1.77 0.80

Subjective measure Tension 31 1.00 3.67 1.39 0.64
Aggression 31 1.00 1.75 1.06 0.18
Somatization 31 1.00 3.67 1.66 0.75
Anger 31 1.00 2.83 1.39 0.46
Depression 31 1.00 3.75 1.45 0.70
Fatigue 31 1.00 3.20 1.79 0.71
Frustration 31 1.00 3.86 1.46 0.68
SRI total 31 39.00 128.00 56.61 19.69

Objective Measure: HRV, Subjective measure: SRI



떒蹂웾遺꾩꽍 寃곌낵

씪諛섏쟻 듅꽦뿉 뵲瑜 뒪듃젅뒪 痢≪젙寃곌낵뒗 떎쓬 Table 3怨 媛숇떎. 蹂닔쓽 媛쒖닔媛 留롪린 븣臾몄뿉(14×11) 쑀쓽닔以 P<.05 sm="" sm="" sm="" sri:="" stress="" response="" inventory="" sm="" om="" sm="" sm="" sm="" sm="" sm="" sri="" sm="" om="" sm="" om="" om="" om="" sm="" sm="" span="" class="xref">Table 3).

Stress by general statistics

N M ± SD t/F P-value
By marital status Somatization No 25 1.52±0.68 -2.176 .038
Yes 6 2.22±0.83

Depression No 25 1.32±0.58 -2.281 .030
Yes 6 2.00±0.93

Fatigue No 25 1.65±0.68 -2.389 .024
Yes 6 2.37±0.56

SRI total No 25 52.40±15.01 -2.668 .012
Yes 6 74.17±28.07

By sub. health Stress score Very good 5 47.80±10.48 2.753 .045
Good 6 57.33±15.86
Average 4 72.00±10.49
Bad 13 65.15± 11.82
Very bad 3 67.67±15.31

Tension Very good 5 1.03±0.07 4.540 .006
Good 6 1.17±0.21
Average 4 1.38±0.64
Bad 13 1.37±0.45
Very bad 3 2.56±1.27

Anger Very good 5 1.07±0.15 3.178 .030
Good 6 1.28±0.31
Average 4 1.25±0.40
Bad 13 1.45±0.38
Very bad 3 2.06±0.84

Depression Very good 5 1.20±0.27 3.195 .029
Good 6 1.15±0.23
Average 4 1.28±0.26
Bad 13 1.48±0.68
Very bad 3 2.58±1.34

Fatigue Very good 5 1.16±0.22 6.601 .001
Good 6 1.60±0.55
Average 4 1.30±0.35
Bad 13 2.00±0.66
Very bad 3 2.93±0.31

Frustration Very good 5 1.14±0.25 3.098 .028
Good 6 1.14±0.22
Average 4 1.18±0.14
Bad 13 1.58±0.68
Very bad 3 2.43±1.27

SRI total Very good 5 43.80±5.76 5.253 .003
Good 6 48.33±9.58
Average 4 50.75±6.13
Bad 13 59.00±16.52
Very bad 3 92.00±35.04

By MI Stress score No 26 59.50±12.78 -2.398 .023
Yes 5 74.80±14.70

Depression No 26 1.33±0.58 -2.328 .027
Yes 5 2.08±0.98

By AP Stress score No 28 60.32±13.33 -2.102 .037
Yes 3 77.33±13.28

Phy. stress No 28 2.36±0.73 -2.093 .045
Yes 3 3.33±1.15

By walking activity Mental stress No 9 2.22±0.97 2.092 .045
Yes 22 1.59±0.67

By leisure activity Tension No 24 1.49±0.70 2.754 .010
Yes 7 1.07±0.13

Depression No 24 1.56±0.76 3.031 .005
Yes 7 1.07±0.12


긽愿愿怨 寃곌낵

쐞 떒蹂웾遺꾩꽍 寃곌낵뿉 뵲씪 쑀쓽誘명븯寃 굹삩 꽕紐낅닔뱾怨 뒪듃젅뒪 痢≪젙蹂씤뱾怨쇱쓽 愿怨꾨 긽愿愿怨꾨텇꽍쓣 넻빐 궡렣蹂댁븯쑝硫 洹 寃곌낵뒗 Table 4 媛숇떎. 씠 븣 뿰졊 踰붿<삎씠 븘땶 떎젣 뿰졊(留 굹씠)쓣 닾엯븯뿬 븿猿 궡렣蹂댁븯떎. 癒쇱 뿰졊 젙떊쟻 뒪듃젅뒪(OM) 젙쓽 긽愿씠 엳뒗 寃껋쑝濡 굹궗쑝硫, 諛곗슦옄媛 엳뒗 寃쎌슦 怨듦꺽꽦(SM), 떊泥댄솕(SM), 슦슱(SM), 뵾濡(SM), 醫뚯젅(SM), 뒪듃젅뒪 痢≪젙 꽕臾몄(SRI: stress response inventory) 珥앹젏(SM)쓽 뒪듃젅뒪媛 넂 寃껋쑝濡 굹궗떎. 二쇨쟻 嫄닿컯 굹걯떎怨 씤떇븷닔濡 뒪듃젅뒪 젏닔(OM), 湲댁옣(SM), 遺꾨끂(SM), 슦슱(SM), 뵾濡(SM), 醫뚯젅(SM), SRI 珥앹젏(SM)씠 利앷븯떎. 떖洹쇨꼍깋 뒪듃젅뒪 젏닔(OM), 떊泥댁쟻 뒪듃젅뒪(OM), 슦슱(SM)怨 젙쓽 긽愿씠 엳쑝硫, 삊떖利앹 뒪듃젅뒪 젏닔(OM), 떊泥댁쟻 뒪듃젅뒪(OM), 怨듦꺽꽦(SM)怨 젙쓽 긽愿씠 엳뒗 寃껋쑝濡 굹궗떎. 嫄룰린 슫룞 젙떊쟻 뒪듃젅뒪(OM)瑜 媛먯냼떆궎뒗 寃껋쑝濡 굹궗쑝굹, 뿬媛떊泥 솢룞 뒪듃젅뒪 痢≪젙蹂씤怨 쑀쓽誘명븳 긽愿씠 뾾뒗 寃껋쑝濡 굹궗떎 (Table 4).

Correlations among variables

Age Marital status Subjective health MI AP Walking Leisure activity
Stress score -0.227 0.025 .447* .407* .364* 0.338 0.141
Physical stress -0.248 0.03 0.305 .412* .362* 0.273 0.178
Mental stress .401* 0.14 -0.201 -0.097 -0.044 -.362* -0.041
Tension -0.013 0.301 .469** 0.238 0.288 0.079 -0.276
Aggression -0.24 .422* 0.119 -0.14 .359* 0.205 0.046
Somatization 0.151 .375* 0.353 0.164 0.25 -0.137 -0.201
Anger 0 0.245 .487** 0.273 0.285 0.129 -0.151
Depression 0.116 .390* .422* .397* 0.261 0.161 -0.298
Fatigue -0.184 .406* .614** 0.209 0.037 0.11 0.076
Frustration -0.004 .453* .473** 0.283 0.314 0.011 -0.171
SRI total 0.005 .444* .548** 0.317 0.294 0.094 -0.208

P<.05,

P<.01

MI=myocardial infarction, AP=angina pectoris



Step-wise 쉶洹遺꾩꽍 寃곌낵

Table 3, 4쓽 寃곌낵뿉 뵲씪 媛 뒪듃젅뒪 슂씤뿉 븯뿬 쑀쓽誘명븳 긽愿쓣 媛뽯뒗 꽕紐낅닔뱾쓣 닾엯빐 쉶洹遺꾩꽍쓣 떎떆븯떎. 떎以묓쉶洹遺꾩꽍뿉꽌뒗 닾엯릺뒗 蹂닔쓽 닔굹 꽕紐낅닔媛꾩쓽 쁺뼢젰뿉 뵲씪 遺꾩꽍 寃곌낵媛 떖씪吏誘濡 媛옣 쑀쓽誘명븳 꽕紐낅닔遺꽣 닚李⑥쟻쑝濡 닾엯븯뒗 step-wis 諛⑹떇쓣 梨꾪깮븿쑝濡쒖뜥 以묒슂븯吏 븡 蹂닔瑜 젣嫄고븯떎. 꽑깮맂 슂씤뱾쓣 궡렣蹂대㈃ 二쇨쟻 嫄닿컯怨 嫄닿컯긽깭媛 뒪듃젅뒪瑜 媛옣 옒 꽕紐낇븯뒗 寃껋쑝濡 굹궗떎.

癒쇱 뒪듃젅뒪 젏닔뿉 븯뿬뒗 二쇨쟻 嫄닿컯留뚯씠 쑀쓽誘명븯寃 뒪듃젅뒪瑜 삁痢≫븯뒗 寃껋쑝濡 굹궗쑝硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 뒪듃젅뒪瑜 β=.447留뚰겮 利앷떆궎뒗 寃껋쑝濡 굹궗떎(P<.05). 떊泥댁쟻 뒪듃젅뒪뿉뒗 吏덈퀝젰 以 떖洹쇨꼍깋씠 쑀쓽誘명븯寃 삁痢≫븯怨 엳쑝硫, 떖洹쇨꼍깋 쑀蹂묓솚옄뒗 洹몃젃吏 븡 끂씤뿬꽦뿉 鍮꾪빐 β=.412留뚰겮 뒪듃젅뒪媛 넂 寃껋쑝濡 굹궗떎(P<.05). 젙떊쟻 뒪듃젅뒪뒗 뿰졊쓽 쁺뼢젰씠 媛옣 겕硫, 뿰졊씠 利앷븷닔濡 젙떊쟻 뒪듃젅뒪뒗 β=.401留뚰겮 利앷븯뒗 寃껋쑝濡 굹궗떎(P<.05). 湲댁옣 二쇨쟻 嫄닿컯쓽 쁺뼢쓣 諛쏆쑝硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.469留뚰겮 利앷븯뒗 寃껋쑝濡 굹궗떎(P<.01). 怨듦꺽꽦 寃고샎긽깭쓽 쁺뼢쓣 諛쏆쑝硫, 쁽옱 룞嫄곗쨷씤 諛곗슦옄媛 엳뒗 寃쎌슦 洹몃젃吏 븡 끂씤뿬꽦뱾蹂대떎 β=.422留뚰겮 利앷븯뒗 寃껋쑝濡 굹궗떎(P<.05). 떊泥댄솕 뿭떆 寃고샎긽깭쓽 쁺뼢쓣 諛쏆쑝硫, 룞嫄곗쨷씤 諛곗슦옄媛 엳뒗 寃쎌슦 β=.375留뚰겮 利앷븯떎(P<.05). 遺꾨끂뒗 二쇨쟻 嫄닿컯씠 쑀쓽誘명븯寃 삁痢≫븯怨 엳쑝硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.487留뚰겮 利앷븯뒗 寃껋쑝濡 굹궗떎(P<.01). 슦슱 二쇨쟻 嫄닿컯, 寃고샎 긽깭쓽 닚쑝濡 븿猿 쁺뼢쓣 誘몄튂硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.390留뚰겮(P<.05), 諛곗슦옄媛 엳뒗 寃쎌슦 β=.355留뚰겮(P<.05) 슦슱쓣 利앷떆궎뒗 寃껋쑝濡 굹궗떎. 뵾濡 삉븳 二쇨쟻 嫄닿컯怨 寃고샎긽깭媛 븿猿 쁺뼢쓣 誘몄튂硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.582 留뚰겮(P<.001), 諛곗슦옄媛 엳뒗 寃쎌슦 β=.353留뚰겮(P<.05) 利앷떆궎뒗 寃껋쑝濡 굹궗떎. 醫뚯젅 뿭떆 二쇨쟻 嫄닿컯怨 寃고샎긽깭쓽 쁺뼢쓣 諛쏆쑝硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.436留뚰겮(P<.01), 諛곗슦옄媛 엳뒗 寃쎌슦 β=.413留뚰겮(P<.01) 利앷떆궎뒗 寃껋쑝濡 굹궗떎. SRI 珥앹젏 二쇨쟻 嫄닿컯怨 寃고샎긽깭媛 븿猿 쑀쓽誘명븯寃 삁痢≫븯怨 엳쑝硫, 二쇨쟻 嫄닿컯씠 굹걽닔濡 β=.512留뚰겮(P<.001), 諛곗슦옄媛 엳뒗 寃쎌슦 β=.397留뚰겮(P<.05) 利앷떆궎뒗 寃껋쑝濡 굹궗떎(Table 5).

Determinants of stress

  Dependent variable Independent variable β t P-value Satistics

adj. R2 F
Stress score Sub. health .447 2.690 .012 .172 7.238*
Phs. stress MI .412 2.434 .021 .141 5.926*
Men. stress Age .401 2.355 .025 .132 5.547*
Tension Sub. health .469 2.857 .008 .193 8.163**
Aggression Marital status .422 2.507 .018 .150 6.284*
Somatization Marital status .375 2.176 .038 .111 4.736*
Anger Sub. health .487 3.006 .005 .211 9.034**

Depression Sub. health .390 2.459 .020 .253 6.078**
Marital status .355 2.239 .033

Fatigue Sub. health .582 4.337 <.001 .465 14.014***
Marital status .353 2.630 .014

Frustration Sub. health .436 2.949 .006 .350 9.081***
Marital status .413 2.797 .009

SRI total Sub. health .512 3.665 .001 .419 11.797***
Marital status .397 2.843 .008

P<.05,

P<.01,

P<.001

Analyzed by step-wise regression

MI=myocardial infarction


怨 李

뒪듃젅뒪쓽 諛섏쓳 젙룄瑜 룊媛븯湲 쐞빐꽌뒗 떖諛뺣룞닔 蹂씠(HRV: heart rate variability)瑜 씠슜븳 뒪듃젅뒪 옣鍮 痢≪젙 諛⑸쾿怨 꽕臾몄 삎깭쓽 뒪듃젅뒪 諛섏쓳泥숇룄 諛⑸쾿씠 엳떎. 蹂 뿰援ъ뿉꽌뒗 뒪듃젅뒪쓽 쁺뼢슂씤쓣 떎媛곷룄뿉꽌 뿰援ы븯湲 쐞븯뿬 몢 媛吏 諛⑸쾿쓣 紐⑤몢 솢슜븯떎. 뒪듃젅뒪 옣鍮꾨줈 痢≪젙븳 뒪듃젅뒪瑜 媛앷쟻 뒪듃젅뒪 痢≪젙, OM (Objective Measure)쑝濡 몴湲고븯쑝硫, 꽕臾몄 삎깭쓽 뒪듃젅뒪 痢≪젙쓣 二쇨쟻 뒪듃젅뒪 痢≪젙, SM (Subjective measure)쑝濡 몴湲고븯떎. 뒪듃젅뒪뒗 媛 二쇨쟻씤 利앹긽씠뼱꽌 씠뿉 븳 媛앷쟻씤 룊媛뒗 뼱졄떎. 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability)瑜 씠슜븳 뒪듃젅뒪 옣鍮 痢≪젙 諛⑸쾿 뒪듃젅뒪瑜 媛옣 媛앷쟻쑝濡 룊媛븷 닔 엳뒗 諛⑸쾿씠씪怨 븷 닔 엳떎. 떖諛뺣룞닔 蹂씠 깮由ъ쟻씤 떖諛뺣룞닔 蹂룞씠 뼹留덈굹 옒 굹굹뒗媛 븯뒗 蹂룞 젙룄瑜 굹궡뒗 寃껋쑝濡 옄쑉떊寃쎄퀎쓽 젙긽쟻씤 긽샇옉슜쓣 쓽誘명븳떎. 옄쑉떊寃쎄퀎媛 떖옣吏덊솚뿉 誘몄튂뒗 쁺뼢쓣 룊媛븯湲 쐞빐 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability) 遺꾩꽍쑝濡 솢슜븷 닔 엳떎. 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability)뒗 떖옣쓽 옄쑉떊寃쎄퀎쓽 솢꽦쓣 굹궡뒗 吏몴濡 떖삁愿吏덊솚쓽 씠솚쑉 諛 궗留앸쪧怨 愿젴씠 엳떎(Forslund et al., 2002). 떖諛뺣룞닔 蹂씠룄(HRV: heart rate variability)뿉꽌 굹굹뒗 닔移섏씤 SDNN(standard deviation of all normal R-R intervals) 쟾泥 옄쑉떊寃쎈컲쓳쓣 젣떆븳떎. 洹몃━怨 二쇳뙆닔(low frequency; LF)뒗 援먭컧떊寃쎄낵 遺援먭컧떊寃쎌뿉 쓽븳 옄洹뱀쓣 룞떆뿉 諛섏쁺븯吏留 二쇰줈 援먭컧떊寃쎄퀎쓽 솢꽦룄瑜 諛섏쁺븳떎. 怨좎<뙆닔(high frequency; HF)뒗 遺援먭컧떊寃 옄洹뱀씠 옉슜븯硫 LF/HF 鍮꾨뒗 옄쑉떊寃 솢룞쓽 洹좏삎쓣 굹궦떎(Heartmath research center, 1996). 씪諛섏쟻쑝濡 뒪듃젅뒪媛 넂 援곗뿉꽌 援먭컧떊寃쎄퀎쓽 怨쇰컲쓳뿉 쓽빐 떖諛뺣룞닔 蹂씠媛 媛먯냼븯硫, 떎瑜 쐞뿕씤옄 븿猿 떖옣吏덊솚쓽 삁痢≪몴濡 쑀쓽븯떎怨 븣젮졇 엳떎(Bosner and Kleiger, 1995). 씠젃벏 떎媛곷룄濡 뒪듃젅뒪瑜 痢≪젙븯쑝硫, 媛옣 쑀쓽誘명븳 꽕紐낅닔遺꽣 닚李⑥쟻쑝濡 닾엯븯뒗 step-wise 쉶洹遺꾩꽍 寃곌낵뒗 二쇨쟻 嫄닿컯怨 寃고샎긽깭媛 媛옣 二쇱슂븳 삁痢≪씤옄濡 굹솕떎. 利, 二쇨쟻 嫄닿컯씠 굹걽닔濡 諛곗슦옄媛 엳뒗 寃쎌슦 쑀쓽誘명븯寃 뒪듃젅뒪瑜 삁痢≫븯뒗 寃껋쑝濡 굹궗떎.

泥レ㎏, 二쇨쟻 嫄닿컯씠 굹걽닔濡 쑀쓽誘명븯寃 뒪듃젅뒪瑜 삁痢≫븳 꽑뻾뿰援щ뱾쓣 궡렣蹂대㈃ 洹쇰줈옄瑜 긽쑝濡 二쇨쟻 嫄닿컯怨 吏곷Т뒪듃젅뒪뿉 愿븳 뿰援щ뒗 留롮쑝굹, 끂씤쓣 긽쑝濡 二쇨쟻 嫄닿컯怨 뒪듃젅뒪뿉 愿젴븳 뿰援щ뒗 誘명씉븳 긽깭씠硫, 二쇨쟻 嫄닿컯怨 슦슱쓽 愿젴꽦뿉 愿븳 뿰援щ뒗 솢諛쒗엳 吏꾪뻾릺뼱 솕떎. 끂씤쓽 뒪듃젅뒪 슦슱 젙쟻 긽愿愿怨꾨줈 끂씤깮솢뿉꽌 뒪듃젅뒪뒗 슦슱쓽 옞옱쟻씤 쐞뿕슂씤쑝濡 蹂닿퀬 엳떎(Lee, 2007). 洹몃젃湲 븣臾몄뿉 二쇨쟻 嫄닿컯怨 슦슱뿉 愿젴븳 꽑뻾뿰援щ뱾룄 궡렣蹂대뒗 寃껋씠 떦븯떎. 뿰援щ뱾쓽 寃곌낵瑜 蹂대㈃, 二쇨쟻 嫄닿컯씤떇怨 슦슱怨쇱쓽 愿怨꾨뒗 옄떊쓽 떊泥닿굔媛뺤닔以쓣 넂씠 씤떇븷닔濡 슦슱쓽 젙룄媛 궙 寃껋쑝濡 留ㅼ슦 씪愿맂 寃곌낵瑜 蹂댁씠怨 엳떎(Hur and Yoo, 2002; Kim and Lee, 2010). 끂씤씠 옄떊쓽 嫄닿컯뿉 븳 湲띿젙쟻 씤떇 吏덈퀝쓣 셿솕떆궎怨 궗쉶쟻 吏썝泥닿퀎뿉 븳 젒洹쇱꽦쓣 넂씠뒗 諛섎㈃, 嫄닿컯뿉 븳 遺젙쟻 룊媛뒗 솢룞꽦쓣 媛먯냼떆궎怨, 씤愿怨꾩쓽 뼱젮쑝濡 씤븳 떖由ъ쟻 쐞異 벑쑝濡 뒪듃젅뒪, 슦슱쓽 쑀諛쒖슂씤씠 릺뒗 寃껋쑝濡 蹂댁씤떎. 삉븳 二쇨쟻 嫄닿컯씤떇 떒吏 蹂몄씤쓽 뒓굦씠굹 깮媛곸씠 븘땲怨 떎젣 떊泥댁쟻 嫄닿컯긽깭 씪移섑븳떎뒗 씎誘몃줈슫 뿰援ш껐怨쇨 엳떎. 理쒖쓽(Choi, 2016) 뿰援ш껐怨 二쇨쟻 嫄닿컯긽깭쓽 遺젙쟻씤 쓳떟 뿰졊瑜 遺꾩꽍븯吏 븡 紐⑤뱺 紐⑤뜽뿉꽌 嫄닿컯臾몄젣쓽 遺젙쟻씤 蹂솕瑜 쑀쓽븯寃 삁痢≫븯떎. 二쇨쟻 嫄닿컯씤떇 떎젣 嫄닿컯긽깭쓽 由щ닔濡 솢슜씠 媛뒫븯떎뒗 寃껋씠떎. 利 嫄닿컯씠 굹鍮좎怨 엳떎怨 蹂몄씤씠 二쇨쟻쑝濡 뒓겮뒗 寃껋씠 떎젣 嫄닿컯긽깭瑜 諛섏쁺븳떎뒗 寃껋씠떎. 洹몃윭誘濡 二쇨쟻쑝濡 씤떇븯뒗 嫄닿컯긽깭뒗 떎젣 嫄닿컯긽깭씠硫, 떊泥댁쟻쑝濡 嫄닿컯븷 븣 젙떊쟻쑝濡쒕룄 嫄닿컯쓣 쑀吏븷 닔 엳떎. 2017뀈 쑄 벑(Yoon et al., 2017)쓽 吏뿭궗쉶 二쇰쇰뱾쓽 二쇨쟻 嫄닿컯씤떇怨 뻾蹂듭닔쓽 愿젴꽦 뿰援ъ뿉꽌뒗 二쇨쟻 嫄닿컯닔以씠 넂쓣닔濡, 뻾蹂듭닔媛 넂븘吏뒗 愿젴꽦쓣 룄異쒗븯떎.

몮吏, 諛곗슦옄媛 엳뒗 寃쎌슦 쑀쓽誘명븯寃 뒪듃젅뒪瑜 삁痢≫븯떎. 끂뀈湲곗뿉뒗 諛곗슦옄媛 以묒슂븳 쐞移섎 李⑥븳떎. 끂뀈湲 遺遺媛덈벑 젇 遺遺媛덈벑怨 李⑥씠媛 엳떎. 젇 遺遺뱾씠 媛궗遺꾨떞怨 쓽궗寃곗젙怨쇱젙뿉꽌쓽 沅뚮젰뿉 빐 媛덈벑쓣 寃쏀뿕븯뒗 諛섎㈃뿉 끂뀈湲 遺遺뱾 옄媛 吏묒쓣 뼚궓怨 궓렪쓽 눜吏곸뿉 뵲씪 븿猿 蹂대궡뒗 떆媛꾩씠 留롮븘吏怨 깉濡쒖슫 移쒕꽦쓣 슂援ы븯誘濡 洹몄뿉 쟻쓳븯뒗 怨쇱젙뿉꽌 媛덈벑씠 몴異쒕맂떎怨 븳떎(Yang and Im, 1998). 留롮 뿰援щ뱾(Tower and Kasl, 1996; Townsend and Franks, 1997) 끂뀈湲 遺遺愿怨꾩뿉꽌룄 떎瑜 媛議깆깮솢二쇨린쓽 遺遺뱾泥섎읆 移쒕媛먭낵 븿猿 媛덈벑씠 怨듭〈빐 엳쓬쓣 諛앺엳怨 엳떎. 듅엳 룊洹좎닔紐낆쓽 뿰옣쑝濡 씤빐 怨쇨굅蹂대떎 遺遺 븿猿 蹂대궡뒗 떆湲곌 湲몄뼱吏 끂뀈湲 愿怨꾨뒗 씠쟾뿉 빐寃곕릺吏 븡 媛덈벑씠 떎떆 몴異쒕릺硫댁꽌 愿怨꾧 븙솕릺嫄곕굹 遺遺媛 꽌濡쒖뿉寃뚯꽌 怨좊┰맂 깮솢쓣 쁺쐞븳떎(Yang and Im, 1998). 삉븳 끂뀈湲 遺遺媛꾩뿉 媛덈벑 궗쉶蹂솕뿉 븳 닔슜 諛 뿭븷쟾솚怨 뿭븷쟻쓳怨쇱젙뿉꽌 諛쒖깮븯湲곕룄 븳떎(Kim, 1995). 利 쁽궗쉶뿉꽌 遺遺愿怨꾨뒗 留롮 蹂솕瑜 굹궡怨 엳吏留, 끂씤뱾 븘吏곷룄媛遺옣쟻 媛移섍씠 긽떦엳 궓븘엳怨, 遺遺愿怨꾩쓽 媛쒖꽑쓣 쐞븯뿬 蹂솕瑜 썝븯뒗 遺씤怨 媛遺옣쟻 愿怨꾨 怨좎닔븯뒗 궓렪怨쇱쓽 遺덉씪移섎뒗 遺遺媛꾩쓽 媛덈벑쓣 쑀諛쒗븯뒗 寃껋쑝濡 蹂댁씤떎.

蹂 뿰援ш껐怨 二쇨쟻 嫄닿컯씠 굹걽닔濡, 諛곗슦옄媛 엳뒗 寃쎌슦 쑀쓽誘명븯寃 뒪듃젅뒪瑜 삁痢≫븯뒗 寃곌낵瑜 蹂 븣, 끂씤 뿬꽦쓽 뒪듃젅뒪瑜 媛먯냼븯湲 쐞빐꽌뒗 떊泥댁쟻 嫄닿컯愿由ъ 遺遺媛꾩쓽 移쒕媛먯쓣 넂뿬以 닔 엳뒗 솚寃쎌쟻 슂씤룄 븘슂븳 寃껋쑝濡 깮媛곷맂떎.

ACKNOWLEDGEMENT

This work was supported by research fund from Kyungwoon university.

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

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