돌봄로봇이 지역사회 노인의 불안/우울 및 약물순응도 개선에 미치는 영향
The Effect of Care-Robots on Improving Anxiety/Depression and Drug Compliance among the Elderly in the Community
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Objectives：Community managements for elderly are changing due to increased social and economic burdens. The purpose of this study was to find out if there is an effect on depression, anxiety, quality of life, and life management by using a care robot, which is a future technology. Methods：For 100 elderly patients who visited the hospital with cognitive impairment or type 2 diabetes, we install a care robot between August 20 and November 14, 2019. The self-report questionnaire was used to measure changes in depression, sleep quality, quality of life, and life management among patients. In this study, 77 patients completed the survey were compared before and after the use of a care robot. Results：It was confirmed that the elderly patients using the care robot improved in terms of depression, sleep quality, anxiety, and life management. When the mean values of the scores before and after the care robot intervention were compared, there was a significant decrease (p≤0.001) in depression scale. In the sleep quality category, there was a significant positive effect (p≤0.001). In quality of life category, anxiety/depression showed a significant decrease (p≤0.001). In the life management category, there was a significant improvement (p=0.004) in the cognitive impairment group, and especially in the drug compliance, patients with the cognitive impairment group had a positive effect (p=0.01). Conclusion：For elderly patients, the use of care robots as a non- pharmacological intervention can help improve depression, anxiety and sleep quality. In particular, in the cognitive impairment group, it is effective in improving life management.
Abstract
Objectives：Community managements for elderly are changing due to increased social and economic burdens. The purpose of this study was to find out if there is an effect on depression, anxiety, quality of life, and life management by using a care robot, which is a future technology. Methods：For 100 elderly patients who visited the hospital with cognitive impairment or type 2 diabetes, we install a care robot between August 20 and November 14, 2019. The self-report questionnaire was used to measure changes in depression, sleep quality, quality of life, and life management among patients. In this study, 77 patients completed the survey were compared before and after the use of a care robot. Results：It was confirmed that the elderly patients using the care robot improved in terms of depression, sleep quality, anxiety, and life management. When the mean values of the scores before and after the care robot intervention were compared, there was a significant decrease (p≤0.001) in depression scale. In the sleep quality category, there was a significant positive effect (p≤0.001). In quality of life category, anxiety/depression showed a significant decrease (p≤0.001). In the life management category, there was a significant improvement (p=0.004) in the cognitive impairment group, and especially in the drug compliance, patients with the cognitive impairment group had a positive effect (p=0.01). Conclusion：For elderly patients, the use of care robots as a non- pharmacological intervention can help improve depression, anxiety and sleep quality. In particular, in the cognitive impairment group, it is effective in improving life management.
참고문헌 (37)
- "The Population Status and Population Prospects of the World and Korea Reflecting the 2019Special Population Estimates" (2019)[URL]
- "2017 National Health Insurance Statistical Yearbook" (2018)[URL]
- "2018 Chronic diseases Factbook" (2018)[URL]
- "Pilot project for chronic disease management by primary care" (2019)[URL]
- 최호진, "치매국가책임제의 현재와 미래", 대한신경과학회지, 36(3), pp.152~158 (2018), 대한신경과학회[DOI]
- 2011 National survey of older Koreans, "Chung KH", Korea Institute for Health and Social Affairs, ~ (2012)
- Teri L, "Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress", Alzheimer Disease and Associated Disorders (1997)
- 이선영, "치매노인의 정신병리와 부양자부담의 연관성", 신경정신의학, 42(1) (2003), 대한신경정신의학회
- Bae JN, "Current clinical practice: depression in late life", The Korean Journal of Medicine, 63, pp.602~609 (2002)
- Demyttenaere K, "Risk factors and predictors of compliance in depression", European Neuropsychopharmacology, 13, pp.69~75 (2003)
- Hein M, "Prevalence and risk factors of type 2 diabetes in major depression : a study on 703 individuals referred for sleep examinations", Psychosomatics, 59, pp.144~157 (2018)
- Robinson DJ, "Diabetes and mental health", Can J Diabetes, 42(Suppl 1), pp.S130~S141 (2018)
- Zubair U, "Sleep abnormalities among patients with and without diabetes using Pittsburg Sleep quality index and Epworth sleepiness scale", Cureus, 10 (2018)
- Wragg RE, "Overview of depression and psychosis in Alzheimer’s disease", The American Journal of psychiatry (1989)
- Moyle W, "The promise of technology in the f uture of dementia care", Nature Reviews Neurology, 15, pp.353~359 (2019)
- 이준식, "사용자 로그 분석에 기반한 노인 돌봄 솔루션 구축 전략: 효돌 제품의 사례를 중심으로", 지능정보연구, 25(3), pp.117~140 (2019), 한국지능정보시스템학회
- Moyle W, "Exploring the effect of companion robots on emotional expression in older adults with dementia : a pilot randomized controlled trial", J Gerontol Nurs, 39, pp.46~53 (2013)
- Kim YS, "Current state and development directions for dementia care technology", Health and Welfare Policy Forum, 2019, pp.42~57 (2019)
- Hu FB, "Diet, lifestyle, and the risk of type 2diabetes mellitus in women", New England Journal of Medicine, 345, pp.790~797 (2001)
- Solfrizzi V, "Lifestyle-related factors in predementia and dementia syndromes", Expert Review of Neurotherapeutics, 8, pp.133~158 (2008)
- Lee JH, "Development of the Korean version of the consortium to establish a registry for Alzheimer’s disease assessment packet (CERAD-K): clinical and neuropsychological assessment batteries", J Gerontol B, Psychol Sci Soc Sci, 57, pp.47~53 (2002)
- Jang Y, "Cross-cultural comparability of the Geriatric Depression Scale : comparison between older Koreans and older Americans", Aging &Mental Health, 5, pp.31~37 (2001)
- Brink TL, "Screening tests for geriatric depression", Clinical Gerontologist, 1, pp.37~43 (1982)
- Group TE, "EuroQol-a new facility for the measurement of health-related quality of life", Health Policy, 16, pp.199~208 (1990)
- Kim MH, "Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases", Quality of Life Research, 14, pp.1401~1406 (2005)
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Backhaus J, "Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia", Journal of Psychosomatic Research, 53, pp.737~740 (2002)
- James IA, "Doll use in care homes for people with dementia", Int J Geriatr Psychiatry, 21, pp.1093~1098 (2006)
- Mitchell G, "The therapeutic use of doll therapy in dementia", Br J Nurs, 22, pp.329~334 (2013)
- Abbott RD, "Walking and dementia in physically capable elderly men", JAMA, 292, pp.1447~1453 (2004)
- Knowler WC, "Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin", The New England Journal of Medicine, 346, pp.393~403 (2002)
- Barat I, "Drug therapy in the elderly : what doctors believe and patients actually do", Br J Clin Pharmacol, 51, pp.615~622 (2001)
- Green L, "Use of dolls as a therapeutic intervention : relationship to previous negative behaviors and pro re nata(prn)haldol use among geropsychiatric inpatients", Archives of Psychiatric Nursing, 25, pp.388~389 (2011)
- Joranson N, "Group activity with Paro in nursing homes : systematic investigation of behaviors in participants", Int Psychogeriatr, 28, pp.1345~1354 (2016)
- Hogan DB, "Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia", CMAJ, 179, pp.1019~1026 (2008)
- Wang PS, "Risk of death in elderly users of conventional vs. atypical antipsychotic medications", New England Journal of Medicine, 353, pp.2335~2341 (2005)
- "2019 Elderly stastics" (2019)[URL]