재가노인의 인지기능장애에 영향을 미치는 요인
Factors Influencing Cognitive Impairment of the Elderly Residents
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Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 years in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking,living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 years, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.
Abstract
Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 years in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking,living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 years, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.
참고문헌 (30)
- Bickel, H, "Incidence and relative risk of dementia in an urban elderly population: findings of a prospective field study", Psychological Medicine, 24, pp.179~192 (1994)
- Brands, A. M, "A detailed profile of cognitive dysfunction and its relation to psychological distress in patients with type 2 diabetes mellitus", Journal of International Neuropsychiatric Society, 13, pp.288~297 (2007)
- Choi,H.J, "Depression and cognitive function of the elderly using the welfare facilities for the aged in the community", Korean Society of Public Health Nursing, 20, pp.119~129 (2006)
- Choi, S. H, "Understanding of alzheimer’s disease through illustrative cases", Journal of Korean Medical Association, 45, pp.368~377 (2002)
- Chun, K. A, "Cognitive impairment and some related factors among the elderly residents in an urban area", Journal of Korean Public Health Association, 27, pp.112~119 (2001)
- Erdfelder, E, "GPOWER: A general power analysis program", Behavior Research Methods, Instrument, & Computers, 28, pp.1~11 (1996)
- Fehir,J.S, "Self-rated health status, self efficacy, motivation, and selected demographics as determinants of health-promoting life style", 박사, pp.1989
- Folstein, M. F, "Mini-mental state: a practical method for grading the cognitive state of patients for clinician", Journal of Psychiatric Research, 12, pp.189~198 (1975)
- Fratiglioni, L, "Risk factors for late-onset Alzheimer’s disease: a populationbased, case-control study", Annals of Neurology, 33, pp.258~266 (1993)
- Gatz, J. L, "Do depressive symptoms predict Alzheimer’s disease and dementia?", Journals of Gerontology, 60, pp.744~747 (2005)
- Ha,E.H, "The influencing factors on cognitive impairment of the elderly with dementia at home", 석사, pp.2010
- Jorm, A. F, "The prevalence of dementia: A quantitative integration of the literature", Acta Psychiatric Scandinavica, 76, pp.465~479 (1987)
- Jung, I. K, "A preliminary study on standardization of Korean form of geriatric depression scale (KGDS)", Korean Neuropsychiatric Association, 37, pp.340~351 (1998)
- 정영미, "동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교", Journal of Korean Academy of Nursing, 34(3), pp.495~503 (2004), 한국간호과학회
- Katzman, R, "Education and the prevalence of dementia and Alzheimer’s disease", Neurology, 43, pp.13~20 (1993)
- 김규연, "뇌졸중이 인지기능에 미치는 효과: 노인용 인지검사(CSOA)를 중심으로", 한국심리학회지 임상, 28(2), pp.587~603 (2009), 한국임상심리학회
- Kim,J.Y, "The cognitive function, activities of daily living, anxiety, depression for the elderly people with dementia at residential care facilities", Journal of Nursing Science, 20(2), pp.50~61 (2008)
- Kim,S.Y, "Depression in Dementia", Dementia and Neurocognitive Disorder, 3, pp.18~23 (2004)
- Kwon, Y. C, "Korean Version of Mini-Mental State Examination (MMSE-K) - Part I; Development of the test for the elderly", Journal of Korean Neuropsychiatric Association, 28, pp.125~135 (1989)
- Mayfield, D, "The CAGE questionnaire: validation of a new alcoholism screening instrument", American Journal of Psychiatry, 131, pp.238~246 (1974)
- "Elderly Policy"[URL]
- O’Brien,J.T, "Vascular cognitive impairment", American Journal of Geriatric Psychology, 14, pp.724~733 (2006)
- "National study on the prevalence of dementia in Korean elders"[URL]
- Shim, Y. S, "Clinical characteristics of demented patients in a geriatric institution: focused on behavioral and psychological symptoms", Korea Dementia Association, 4, pp.35~40 (2005)
- Statistics Korea, "Social indicators in Korea" (2009), Statistics Korea
- Stern, Y, "Influence of education and occupation on the incidence of Alzheimer’s disease", Journal of the American Medical Association, 271, pp.1004~1010 (1994)
- Suh, G. H, "Prevalence and risk factors of dementia and depression in the elderly", Journal of Korean Neuropsychiatric Association, 39, pp.809~824 (2000)
- Won, J. S, "Influencing factors on cognitive function and depression in elderly", Journal of Psychiatric Nursing, 12, pp.148~154 (2003)
- 원종순, "방문간호대상노인의인지기능, 우울및생활만족도평가", Journal of Korean Academy of Nursing, 38(1), pp.1~10 (2008), 한국간호과학회
- Yesavage, J. A, "Development and validation of a geriatric depression screening scale: a preliminary report", Journal of Psychiatric Research, 17, pp.37~49 (1983)
