인지기능장애가 있는 지역사회 거주노인에서 삶의 질의 관련인자
Factors associated with Quality of Life in Community-Dwelling Elderly with Cognitive Impairment
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives：This study aimed to investigate the factors affecting the quality of life(QOL) of community-dwelling elderly with cognitive impairment Methods：This was a community-based, cross-sectional study that included 490 elderly subjects aged ≥60 years. Subjects completed a questionnaire that encompassed sociodemographic characteristics, health behavior, and chronic medical illness. Korean MMSE in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease(CERAD) assessment packet(MMSE-KC), the Korean version of Quality of Life-Alzheimer’s Disease(KQOL-AD) and the Short Form of Geriatric Depression Scale(SGDS) were also evaluated. Cognitive impairment was defined as having a test scores 1.5 SD below MMSE-KC norms adjusted for age, gender, and education. A stepwise multiple linear regression analysis was performed to determine factors associated with QOL. Results：The participants were allocated into cognitive impairment group(mean age=73.07, N=127) and no cognitive impairment group(mean age=72.51, N=363). The mean score for self-rated KQOL-AD was 26.45 in the former and 28.62 in the latter. The SGDS score(β=−0.741, p<0.001) was significantly associated with QOL in the former. SGDS score(β=−0.711, p<0.001), education(β=0.136, p<0.001), and living conditions(β=0.117, p=0.001) were factors significantly associated with QOL in the latter. Conclusion：Self-rated symptoms of depression were significantly associated with QOL in both groups of community- dwelling elderly. Thus, appropriate psychiatric management of depression in elderly is needed to enhance QOL.
Abstract
Objectives：This study aimed to investigate the factors affecting the quality of life(QOL) of community-dwelling elderly with cognitive impairment Methods：This was a community-based, cross-sectional study that included 490 elderly subjects aged ≥60 years. Subjects completed a questionnaire that encompassed sociodemographic characteristics, health behavior, and chronic medical illness. Korean MMSE in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease(CERAD) assessment packet(MMSE-KC), the Korean version of Quality of Life-Alzheimer’s Disease(KQOL-AD) and the Short Form of Geriatric Depression Scale(SGDS) were also evaluated. Cognitive impairment was defined as having a test scores 1.5 SD below MMSE-KC norms adjusted for age, gender, and education. A stepwise multiple linear regression analysis was performed to determine factors associated with QOL. Results：The participants were allocated into cognitive impairment group(mean age=73.07, N=127) and no cognitive impairment group(mean age=72.51, N=363). The mean score for self-rated KQOL-AD was 26.45 in the former and 28.62 in the latter. The SGDS score(β=−0.741, p<0.001) was significantly associated with QOL in the former. SGDS score(β=−0.711, p<0.001), education(β=0.136, p<0.001), and living conditions(β=0.117, p=0.001) were factors significantly associated with QOL in the latter. Conclusion：Self-rated symptoms of depression were significantly associated with QOL in both groups of community- dwelling elderly. Thus, appropriate psychiatric management of depression in elderly is needed to enhance QOL.
참고문헌 (29)
- 조우동, "한국 지역사회 노인의 사회적 활동과 인지기능의 연관성", 노인정신의학, 16(1), pp.38~43 (2012), 대한노인정신의학회
- 서울대학교병원. 치매유병률조사, "보건복지부", ~ (2012)
- Seok-Ju Choi, "Prevalence of Alzheimer’s Dementia and Its Risk Factors in Community-Dwelling Elderly Koreans", PSYCHIATRY INVESTIGATION, 5(2), pp.78~85 (2008), 대한신경정신의학회
- 전진숙, "알쯔하이머치매 환자에서 삶의질의 예측인자", 노인정신의학, 9, pp.63~69 (2005)
- 유성원, "일 지역사회 독거노인의 삶의 질과 관련된 우울 및 인구사회적 요인", 노인정신의학, 18(1), pp.26~31 (2014), 대한노인정신의학회
- 김성완, "알쯔하이머병 환자의 삶의 질 평가에 대한 환자 보고와 부양자 보고", 생물치료정신의학, 12(2), pp.224~230 (2006), 대한생물치료정신의학회
- Naglie G, "Predictors of patient self-ratings of quality of life in Alzheimer disease: cross-sectional results from the Canadian Alzheimer’s Disease Quality of Life Study", Am J Geriatr Psychiatry, 19, pp.881~890 (2011)
- Chan I, "Effects of cognitive function and depressive mood on the quality of life in Chinese Alzheimer’s disease patients in Hong Kong", Geriatr Gerontol Int, 11, pp.69~76 (2011)
- Beerens HC, "Change in quality of life of people with dementia recently admitted to longterm care facilities", J Adv Nurs, 71, pp.1435~1447 (2015)
- Castro-Monteiro E, "Change and predictors of quality of life in institutionalized older adults with dementia", Qual Life Res, 23, pp.2595~2601 (2014)
- Gonzalez-Velez AE, "Quality of life by proxy and mortality in institutionalized older adults with dementia", Geriatr Gerontol Int, 15, pp.38~44 (2015)
- Lyketsos CG, "A follow-up study of change in quality of life among persons with dementia residing in a long-term care facility", Int J Geriatr Psychiatry, 18, pp.275~281 (2003)
- Clare L, "Trajectories of quality of life in early-stage dementia: individual variations and predictors of change", Int J Geriatr Psychiatry, 29, pp.616~623 (2014)
- 이정구, "Decreased Serum Brain-Derived Neurotrophic Factor Levels in Elderly Korean with Dementia", PSYCHIATRY INVESTIGATION, 6(4), pp.299~305 (2009), 대한신경정신의학회
- Logsdon RG, "Quality of life in Alzheimer’s disease: patient and caregiver reports", J Ment Health Aging, 5, pp.21~32 (1999)
- 신희영, "지역사회 거주 치매환자에서 한국판 삶의 질-알쯔하이머병 척도 개발을 위한 예비연구", 예방의학회지, 39(3), pp.243~248 (2006), 대한예방의학회
- 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.P47~ (2002)
- Burns A, "Key Papers in Geriatric Psychiatry: mini-mental state: a practical method for grading the cognitive state of patients for the clinician. M. Folstein, S. Folstein and P. McHugh, Journal of Psychiatric Research, 1975, 12, 189-198", Int J Geriatr Psychiatry, 13, pp.285~294 (1998)
- Cho MJ, "Validation of geriatric depression scale, Korean version(GDS) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 38, pp.48~63 (1999)
- Yesavage JA, "9", Geriatric Depression Scale (GDS), 1986, pp.5, 165~173
- 김석헌, "경도인지장애와 알츠하이머병에서 삶의 질", 생물치료정신의학, 18(2), pp.194~200 (2012), 대한생물치료정신의학회
- 김희진, "알츠하이머병 환자에서의 삶의 질 평가", 대한신경과학회지, 26(4), pp.308~313 (2008), 대한신경과학회
- Muangpaisan W, "Quality of life of the community-based patients with mild cognitive impairment", Geriatr Gerontol Int, 8, pp.80~85 (2008)
- 이민수, "한국 어느 도시지역의노인성 우울증 역학조사", 노인정신의학, 4, pp.154~163 (2000)
- 김윤아, "알츠하이머 치매와 경도인지장애에서 우울증상의 유병률과 특징", 노인정신의학, 17(2), pp.79~85 (2013), 대한노인정신의학회
- 이지민, "기억성 경도인지장애환자의 우울증상 특성", 생물치료정신의학, 23(1), pp.53~61 (2017), 대한생물치료정신의학회
- 김종필, "치매노인의 우울과 자살의도", 석사, 간호학과, pp.2012
- McDermott LM, "A meta-analysis of depression severity and cognitive function", J Affect Disord, 119, pp.1~8 (2009)
- 조충은, "노인에서 우울증과 위험요인 및 인지기능과의 관계", 생물치료정신의학, 21(1), pp.27~35 (2015), 대한생물치료정신의학회