경로당 이용 노인의 인지기능장애 위험요인
Cognitive Impairment Risk Factors in Elders
2
조회
0
다운로드
26
인용
0
참고문헌
키워드
초록
Purpose: This study was done to provide ways to prevent cognitive deterioration by identifying the risk factors for cognitive impairment. Methods: Data were collected by questionnaires from elders using Senior Centers. Participants were 210 people, 105 with suspicious dementia and 105 with normal cognitive function. Measures were MMSE-DS, ADL, IADL, social relationships and SGDS-K. Data were analyzed using descriptive statistics, x2-test, t-test and logistic regression analysis with SPSS/WIN 22.0 program. Results: In logistic regression analysis, the probability of having suspicious dementia was 2.6 times (95% CI 1.02~6.76) higher for elderly women than elderly men. Elders age 80 or over had 2.6 times (95% CI 1.26~5.38) more chance of exposure to suspicious dementia than elders age of 65~79. Also, non-educated elders had 4.2 times (95% CI 2.05~8.62) more probability than elders with elementary school graduation or above, elders and older persons with mild depression had 3.1 times (95% CI 1.09~8.62) more probability of suspicious dementia than elders with major depression. Conclusion: To maintain and promote the cognitive function of older people, it is necessary to consider these cognitive impairment risk factors and develop nursing intervention programs to prevent cognitive deterioration.
Abstract
Purpose: This study was done to provide ways to prevent cognitive deterioration by identifying the risk factors for cognitive impairment. Methods: Data were collected by questionnaires from elders using Senior Centers. Participants were 210 people, 105 with suspicious dementia and 105 with normal cognitive function. Measures were MMSE-DS, ADL, IADL, social relationships and SGDS-K. Data were analyzed using descriptive statistics, x2-test, t-test and logistic regression analysis with SPSS/WIN 22.0 program. Results: In logistic regression analysis, the probability of having suspicious dementia was 2.6 times (95% CI 1.02~6.76) higher for elderly women than elderly men. Elders age 80 or over had 2.6 times (95% CI 1.26~5.38) more chance of exposure to suspicious dementia than elders age of 65~79. Also, non-educated elders had 4.2 times (95% CI 2.05~8.62) more probability than elders with elementary school graduation or above, elders and older persons with mild depression had 3.1 times (95% CI 1.09~8.62) more probability of suspicious dementia than elders with major depression. Conclusion: To maintain and promote the cognitive function of older people, it is necessary to consider these cognitive impairment risk factors and develop nursing intervention programs to prevent cognitive deterioration.
참고문헌 (30)
- "2012 National study on prevalence of dementia in Korean elders" (2013)[URL]
- 추수경, "일지역 여성노인의 우울과 인지기능의 관계에 대한 연구", 동서간호학연구지, 16(2), pp.131~137 (2010), 동서간호학연구소
- Petersen RC, "Practice parameter : early detection of dementia : Mild cognitive impairment", Neurology, 56(9), pp.1133~1142 (2001)[DOI]
- 하은호, "재가치매노인의 인지장애 영향 요인", 기본간호학회지, 18(3), pp.317~327 (2011), 기본간호학회
- 황라일, "노인의 인지 기능 수준에 따른 삶의 만족도 영향 요인 비교", Journal of Korean Academy of Nursing, 39(5), pp.622~631 (2009), 한국간호과학회
- 김은주, "재가노인의 인지기능장애에 영향을 미치는 요인", 동서간호학연구지, 16(2), pp.122~130 (2010), 동서간호학연구소
- Won JS, "Influencing factors on cognitive function and depression in elderly", Journal of Korean Psychiatric and Mental Health Nursing Academic Society, 12(2), pp.148~154 (2003)
- Lee S, "The relation of education and income to cognitive function among professional women", Neuroepidemiology, 26(2), pp.93~101 (2006)[DOI]
- Chodosh J, "Depressive symptoms, chronic diseases, and physical disabilities as predictors of cognitive functioning trajectories in older Americans", J Am Geriatr Soc, 58, pp.2350~2357 (2010)[DOI]
- Luck T, "Mild cognitive impairment : incidence and risk factors : Results of the Leipzig longitudinal study of the aged", J Am Geriatr Soc, 58(10), pp.1903~1910 (2010)[DOI]
- 유문숙, "일부 방문보건대상 여성노인의 일상생활 수행능력, 인지기능 및 우울과의 관계", 한국모자보건학회지, 11(2), pp.224~232 (2007), 한국모자보건학회
- Larson E, "Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older", Ann Intern Med, 144(2), pp.73~81 (2006)[DOI]
- Huang W, "Alcohol consumption and incidence of dementia in a community sample aged 75 years and older", Clinical Epidemiol, 55, pp.959~964 (2002)[DOI]
- Wang C, "Cigarette smoking and cognitive impairment : A 10-year cohort study in Taiwan", Arch Gerontol Geriatr, 51(2), pp.143~148 (2010)[DOI]
- Crooks V, "Social network, cognitive function, and dementia incidence among elderly women", J Am Public Health, 98(7), pp.1221~1227 (2008)[DOI]
- 이현주, "노년기 인지기능과 우울증상의 상호 관계에 관한 연구: 성별 차이를 중심으로", 사회복지연구, 42(2), pp.179~203 (2011), 한국사회복지연구회
- Folstein MF, "Mini-mental state : A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12, pp.189~198 (1975)[DOI]
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- Lee BJ., "Study on the improvement of elderly women's quality of life related to their daily activity level", 석사, pp.2001
- Sheikh JI, "Geriatric depression scale(GDS), recent evidence and development of a shorter version", Clin Gerontol, 5(1-2), pp.165~173 (1986)[DOI]
- Cho MJ, "Validation of geriatric depression scale, Korean version(GDS)in the Assessment of DSM-Ⅲ-R major depression", Psychiatry Investig, 38(1), pp.48~63 (1999)
- 손지현, "배우자 동거 여부가 노인들의 인지기능과 우울증상에 미치는 영향", 노인정신의학, 17(1), pp.14~19 (2013), 대한노인정신의학회
- Yoo JH., "Effects of cognitive-behavioral program on cognitive function, depression, activities of daily living in the community elderly", pp.96~ (2007), Yonsei University
- "2014 statistics on the aged" (2014)[URL]
- 김혜순, "인지건강증진 프로그램이 노인의 인지기능, 우울 및 삶의 질에 미치는 효과", 한국콘텐츠학회 논문지, 10(8), pp.227~239 (2010), 한국콘텐츠학회
- Sun JJ., "Effects of program to prevent dementia on cognitive function, depression and quality of life in the elderly women living alone", pp.67~ (2012), Chonnam University
- 정광석, "우울증 여부에 따른 경도인지장애 환자의 신경심리학적 특징 비교", 노인정신의학, 16(2), pp.104~110 (2012), 대한노인정신의학회
- 김옥수, "여성노인의 여가활동, 인지기능 및 우울에 관한 연구", 성인간호학회지, 19(3), pp.436~446 (2007), 성인간호학회
- Lee WY, "Effects of a music therapy program on depression, balance, flexibility in the elderly", Journal of Korean Academy of Community Health Nursing, 14(1), pp.16~23 (2003)
- 최애나, "집단음악치료가 치매노인의 인지기능, 우울정서, 삶의 질 및 정신행동증상에 미치는 효과", 특수교육재활과학연구, 46(3), pp.143~174 (2007), 특수교육재활과학연구소