농촌지역에 거주하는 노인의 경동맥 내중막 두께 정상유무와 관련요인
Associated risk factors with the carotid intima-media thickness withe the rural elderly
- 주제(키워드) 경동맥 내중막 두께 , 농촌 노인 , 동맥 경화 , 혈압 , 중성지방
- 발행기관 아주대학교
- 지도교수 이은현
- 발행년도 2009
- 학위수여년월 2009. 8
- 학위명 석사
- 학과 및 전공 보건대학원 보건학과
- 실제URI http://www.dcollection.net/handler/ajou/000000010254
- 본문언어 한국어
- 저작권 아주대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
본 연구는 농촌에 거주하는 만 65세 이상 일반 노인들을 대상으로 경동맥 초음파 검사를 하여 경동맥 내중막 두께와 관련된 요인들을 알아보는 서술적 관계연구이다. 자료 수집은 2008년 10월 1일부터 동년 10월 5일까지 검진에 응한 308명의 노인을 임의 표본 추출하였다. 수집된 자료는 SPSS 13.0을 이용하여 전산통계 처리하였다. 본 연구의 결과를 요약하면 다음과 같다. (1) 대상자 중 남자 노인이 118명(38.1%), 여자 노인이 190명(61.9%)으로 여자 노인 인구가 많았다. 나이별로는 60대 노인이 44명(14.1%), 70대 노인이 185명(59.1%), 80대가 76명(24.7%), 90대 노인이 4명(1.3%)으로 70, 80대 노인 수가 많았다. (2) 경동맥 내중막 두께 정상유무에 따른 변수들과의 관계를 알아보기 위해 χ2-test로 분석하였다. 성별(χ2=8.795, p=.003), 연령(χ2=9.754, p=.002), 이완기 혈압(χ2=3.190, p=.048), 중성지방(χ2=10.151, p=.001)에서 경동맥 내중막 두께 정상유무와 통계적으로 유의하였다. (3) 다중 로지스틱 회귀분석 결과는 성별(OR=2.135, p<.004), 연령(OR=1.677, p<.008)이 농촌 노인의 경동맥 내중막 두께의 예측 요인으로 나타났다. 이상의 연구 결과를 통해 농촌 노인의 경동맥 내중막 두께와 관련된 요인은 연령, 성별로 파악되었다. 본 연구가 갖는 의의는 선행 연구와 달리 지역적 특성을 고려하여 일반 농촌 노인을 대상으로 경동맥 내중막 두께를 연구하였다는 것이다. 일반 농촌 노인들에게 경동맥 내중막 두께를 이용한 동맥 경화의 선별검사는 중증으로 진행될 수 있는 혈관 질환의 예방적 지표가 될 수 있을 것이다.
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차 례
차례 ·············································································· ⅱ
표 차례 ·········································································· ⅳ
그림 차례 ······································································ ⅴ
부록 차례 ······································································· ⅵ
국문요약 ······································································· ⅶ
제1장 서론
1. 연구의 필요성 ··························································· 1
2. 연구문제 ·································································· 2
3. 용어의 정의 ······························································ 3
제2장 문헌고찰
1. 농촌 노인의 특성 ······················································· 5
2. 노인 질환 ································································ 6
3. 노인의 동맥 경화증 ···················································· 7
4. 경동맥 내중막 두께 ···················································· 8
5. 경동맥 내중막 두께에 영향을 미치는 변수 ························ 9
제3장 연구방법
1. 연구 설계 ······························································· 12
2. 연구 대상자 및 표집방법 ············································ 12
(1) 대상 ··································································· 12 (2) 방법 및 절차 ························································ 13
3. 자료 분석방법 ························································· 14
제 4장 연구 결과
1. 대상자의 일반적 특성 ················································ 16
2. 경동맥 내중막 두께 및 연구 변수에 대한 서술통계 ··········· 17
3. 경동맥 내중막 두께 정상유무와 변수들과의 관계 ·············· 19
4. 농촌 노인들의 경동맥 내중막 두께 정상유무와 관련요인 ········ 21
제 5장 논의 ···································································· 23
제 6장 결론 ···································································· 26
참고문헌 ········································································ 29
부록 ············································································· 35
Abstract ········································································ 38
표 차례
표 1. 지역별 65세 이상 노인의 만성 질환 유병률 ······················ 7
표 2. 도시와 농촌의 질환율 비교 ·········································· 7
표 3. 경동맥 내중막 두께와 관련된 문헌고찰 ··························· 11
표 4. 대상자의 일반적 특성 ··············································· 16
표 5. 변수들의 서술 통계 ·················································· 18
표 6. 농촌 노인의 경동맥 내중막 두께 정상유무와 변수들과의 관계
·············································································· 20
표 7. 농촌 노인의 경동맥 내중막 두께에 영향을 미치는 요인········ 22
그림 차례
그림1. 좌측 총경동맥 내중막 두께 초음파 이미지···················· 15
그림2. 좌측 총경동맥 내중막 두께 죽상경화······················ 15
