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이영희 ( ) - 광주기독병원 간호전문대학
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Abstract
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Health is human-environment interaction throughout life span. The elderly is everchanging, continuously interacting with their environ-ments.
This study described the health concepts and health behavior of the urban, poor elderly.
The Purpose of-this study was to understand the health concept and health behavior of the urban, poor elderly and contributed to elderly care for quality of life and knowledge development of elderly care.
The research question was What is the health concept and health behavior of the urban, poor elders?, What is the embedded meaning of health concept and health behavior?
This study was conducted an ethnograpic approch. The fieldwork for this study was done from October, 1994 to July, 1995 in K city in Chun Nam Data collected by indepth interview and participant observation.
The result of this study is as follows.
Health concept of the urban, poor elderly was composed health concept of body, mind, spirit.
The health concept of body emerged possibility of Rgvement, Capacity of good eating. ability of working, acceptance and management of the ill. It means that maintenance of elderly´s daily life(especilly without family) requires funtional capacity of body. Elders believed that they could be managed own body and had in the most of awareness of own body. Movable ability is important for the poor elderly, and then the elderly was ill but healthy. It means pursuit of existential life.
The health concept of mind was founded family connection, especilly children(son). It was manifested by solid mind, selfconfidence, comfortness. It emerged when they was respected by one´s life experience and recognized valuable per-son, had decision making, power of control about self and environment, and house.
The health concept of spirit was prior to existence in present world But accepted death, met with good death. Good death means that lived until own life. after death, spirit seperated from body. It is import-ant that spirit located one´s world.
The health behavior of the urban, poor elderly was appeared health behavior for health of body, mind, spirit.
the health behavior for health of body consisted of health maintenance behavior, symptom alleviation behavior, protective behavior of body, Bujung(be subjected to the evil coming) prevention and elimination behavior. Health maintenance and symptom alleviation behavior were premised that the elderly is everchanging, aging. Therefore, they focused health maintenance and protection behavior in order to prevented getting worse. Up to now, what the elderly secretly practiced behavior for Bujung elimination means it is embedded in the elderly´s thought and belief.
The health behavior for health of mind consisted of firmness of mind, establishment one´s identity and self respect as an elder, extention of interpersonal network. In our contry, Familism is based on the male line. Therefore, the elderly with-out children(son) was faced with financial poverty and abscence of interpersonal relations. So, the elderly firmed one´s mind, established one´s identity as an elder. They formed familiar relations with far relatives and maternal relatives. Members of the same age group in same situation supported, exchanged information each other and lived.
The health behavior for health of spirit emerged being of belief life, preparation of death, doing of settling down in spirit world. The elderly wanted continuing life, but they accepted death. They pre-pared for material and psychological death preparation. Especially, the elderly uthout son felt uncertainty after death. They wanted succession of the family name, made secure of familiar member-ship identuty through care of ancestor´s spirit by principle of reciprocity.
Cultural principles of the health behavior for health of body were pursuitness of existential life, and Yeon(interpersonal relationship of Korean such as the ties of relatives, geographic ties, etc. ) relationship.
The principles of the health behavior for health of mind were group membership, harmorny, and reciprocity. The principle of harmony and reciprocity was changed from seperated, alienated, far related life to harmonized, close related life.
The principles of the health behavior for health of spirit were transcendence, group membership, and reciprocity.
This study enhances nurse´s understanding of the health concept and health behavior of the urban, poor elderly. The findings contributed to nursing knowledge development of elderly care by means of continuing research in other situation.
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KeyWords
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건강개념, 건강행위, 도시 빈곤노인
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원문 및 링크아웃 정보
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등재저널 정보
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