노인의 인지기능과 낙상유발 행동요인과의 상관분석
Correlation of Cognitive Function and Fall-risk Related Behavioral Factors
1
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
목적: 본 연구는 노인의 인지수준이 낙상을 유발하는 위험 행동요인과 어떤 상관관계를 갖는지 알아보기 위하여 진행되었다. 연구방법: 2017년 10월부터 12월까지 3개월 간 4개의 도시에 거주하고 있는 65세 이상 인지장애가 있는 노인 및 인지장애가 없는 노인 43명을 대상으로 인지기능 평가(K-MoCA) 및 낙상행동요인척도(FaB)를 실시하여 자료를 수집하였다. 두 평가의 총점 결과간의 상관관계를 SPSS 22를 사용하여 분석하였고, 각각의 낙상행동요인과 인지수준과의 상관관계를 분석하였다. 결과: 노인의 인지수준과 낙상행동요인 간에 통계적으로 유의미한 양의 상관관계가 있는 것으로 나타났다(p<.01). 노인 낙상행동요인 척도의 총 30개의 문항 중 9개의 문항이 K-MoCA의 총점과 통계적으로 유의미한 상관관계를 보였다. 결론 : 노인의 인지수준이 높을수록 낙상위험 행동요인이 적고, 인지수준이 낮을수록 낙상위험 행동요인을 인식하지 못하고 낙상관련 위험행동을 하는 양상을 보인다. 특히 일부 낙상위험 행동요인은 인지수준과 상관관계가 있어 관련 중재를 제공할 시 고려해주는 것이 필요하다.
Abstract
Objective: This study was conducted to investigate the correlation of cognitive function and fall-risk behavioral factors. Methods: The elderly over than 65 year-old with and without cognitive impairment were recruited in four different regional areas. Total 43 data of K-MoCA and FaB were collected. Pearson correlation of total scores of K-MoCA and FaB was analyzed using SPSS 22. Correlation between total score of K-MoCA and each item of FaB which describes the fall-risk behaviors was analyzed as well. Results: The cognitive function was statistically positive correlated with the fall-related behaviors in pearson correlation analysis (p<.01). Nine items of total 30 items of FaB was significantly correlated with total score of K-MoCA. Conclusion: Fall-risk behaviors were decreased as the cognitive level was improved. If the cognitive function was vulnerable, the insight to fall-risk behaviors deficits and various fall-related behavioral factors exits. The high fall-risk behaviors were correlated with cognitive function, so that the cognitive level should be considered in fall prevention intervention in Occupational Therapy.
참고문헌 (16)
- Allen, C. K., "Occupational therapy treatment goals for the physically and cognitively disabled" (1992), American Occupational Therapy Association Inc
- Clemson, L., "The Falls Behavioural (FaB) Scale for the Older Person. Instruction manual", The University of Sydney, ~ (2003)
- Clemson, L., "Validating the Falls Behavioural(FaB) scale for older people: A Rasch analysis", Disability and Rehabilitation, 30(7), pp.498~506 (2008)[DOI]
- Gallagher, B., "A fall prevention program for the home environment", Home Care Provider, 6(5), pp.157~163 (2001)[DOI]
- Grisso, J. A., "Risk factors for falls as a cause of hip fracture in women The Northeast Hip Fracture Study Group", New England Journal of Medicine, 324(19), pp.1326~1331 (1991)[DOI]
- 주유미, "한국어로 번안한 노인 낙상행동요인 척도(The Falls Behavioural (FaB) Scale)의 타당도 및 신뢰도 연구", 예술인문사회 융합 멀티미디어 논문지, 8(4), pp.667~677 (2018), 사단법인 인문사회과학기술융합학회[DOI]
- 강연욱, "혈관성 인지장애 선별검사로서 Korean-Montreal Cognitive Assessment(K-MoCA)의 신뢰도, 타당도 및 규준 연구", Korean Journal of Clinical Psychology, 28(2), pp.549~562 (2009), 한국임상심리학회[DOI]
- "Fall accident frequently occurs nearby bed for the elderly" (2015)[URL]
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", Annals of geriatric medicine and research, 14(1), pp.8~17 (2010), 대한노인병학회
- Miller, C. A., "The connection between drugs and falls in elders", Geriatric Nursing, 23(2), pp.109~110 (2002)[DOI]
- "The survey on the actual conditions of older person in Korea - Falls for older person (over 65 year old)" (2016)[URL]
- Muir, S. W., "The role of cognitive impairment in fall risk among older adults: A systematic review and meta-analysis", Age and Ageing, 41(3), pp.299~308 (2012)[DOI]
- Nikolaus, T., "Preventing falls in community-dwelling frail older people using a home intervention team (HIT): Results from the randomized Falls-HIT trial", Journal of American Geriatrics Society, 51(3), pp.300~305 (2003)[DOI]
- Ramirez, D., "Mini-Mental State Exam domains predict falls in an elderly population: Follow-up from the Hispanic established populations for epidemiologic studies of the Elderly (H-EPESE)", Ethnicity & Disease, 20(1), pp.48~52 (2010)
- Sohng, K. Y., "The survey of activities and fear of falling in the community dwelling elderly", Journal of Korean Public Health Nursing, 15(2), pp.324~333 (2001)
- Tinetti, M. E., "Risk factors for falls among elderly persons living in the community", New England Journal of Medicine, 319(26), pp.1701~1707 (1988)[DOI]