노인의 인지기능과 우울의 영향요인
Influencing Factors of Cognitive Function and Depression in Elderly
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Purpose: This study was performed to investigate the influencing factors of cognitive function and depression in elderly. Method: From 3 provinces, 282 elders who resided in community and facilities completed structured questionnaires, including cognitive functions, depression, self-esteem, ADL, and IADL. Data were analyzed by applying χ2-test, ANOVA, partial correlation coefficient, and stepwise multiple regression analysis with SAS 8.12. Results: Community dwelling aged people showed higher scores in MMSE-K, self-esteem, ADL and IADL, and showed lower scores in depression than facility elders. MMSE-K was positively correlated in self-esteem, ADL, and personal cognition of health, except depression. Major factors that affect cognitive function of elderly were residual type, age, and IADL. In addition, major factors that affect depression of elderly were self-esteem, personal cognition of health, and marital status. Conclusions: Based on the results above, it is necessary to identify the status of cognition and depression in the elderly, and to develop nursing intervention programs, which improve cognitive function and reduce depression for aged, especially for the facility admitted aged.
Abstract
Purpose: This study was performed to investigate the influencing factors of cognitive function and depression in elderly. Method: From 3 provinces, 282 elders who resided in community and facilities completed structured questionnaires, including cognitive functions, depression, self-esteem, ADL, and IADL. Data were analyzed by applying χ2-test, ANOVA, partial correlation coefficient, and stepwise multiple regression analysis with SAS 8.12. Results: Community dwelling aged people showed higher scores in MMSE-K, self-esteem, ADL and IADL, and showed lower scores in depression than facility elders. MMSE-K was positively correlated in self-esteem, ADL, and personal cognition of health, except depression. Major factors that affect cognitive function of elderly were residual type, age, and IADL. In addition, major factors that affect depression of elderly were self-esteem, personal cognition of health, and marital status. Conclusions: Based on the results above, it is necessary to identify the status of cognition and depression in the elderly, and to develop nursing intervention programs, which improve cognitive function and reduce depression for aged, especially for the facility admitted aged.
참고문헌 (30)
- 배진희, "고령노인의 일상생활기능 저하가 우울에 미치는 영향 -사회활동참여와 노인학대의 매개효과를 중심으로-*", 한국노년학, 29(1), pp.353~368 (2009), 한국노년학회
- Bae, J. N., "Accuracy of geriatric depression scale, Korean version(GDS) in the assessment of DSM-Ⅲ-R major depression", 석사, pp.1996
- Cho, M. J., "Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community", Journal of Korean Neuropsychiatric Association, 37(2), pp.352~362 (1998)
- Cho, M. J., "Prevalence of cognitive impairment and depressive symptomatology of the elderly in a long-term institution", Journal of Korean Neuropsychiatric Association, 37(5), pp.913~920 (1998)
- 최인, "노인의 자살충동에 영향을 미치는 심리사회적 요인", 보건과 사회과학, 25(25), pp.35~58 (2009), 한국보건사회학회
- Folstein, M. F., "Mini-mental state A practical method for grading thecognitive state of patients for the clinician", Journal ofPsychiatric Research, 12(3), pp.189~198 (1975)
- 허준수, "노인의 우울에 영향을 미치는 요인에 관한 연구", 정신보건과 사회사업, 13(13), pp.7~35 (2002), 한국정신보건사회복지학회
- Jang, M. H., "A structural model for depression and suicidal ideation in elderly", 박사, pp.2006
- Jon, B. J., "Self-esteem: A test of its measurability", Yonsei Journal, 11(1), pp.107~130 (1974)
- Katz, S., "Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function", JAMA, 21(185), pp.914~919 (1963)
- 김동배, "한국노인의 우울 관련변인에 관한 메타분석", 한국노년학, 25(4), pp.167~187 (2005), 한국노년학회
- Kim, M. A., "Cognitive function and depression in the elderly", Journal of Korean Gerontological Nursing, 7(2), pp.176~184 (2005)
- Kim, Y. M., "A comparative study on the activities of daily living, cognitive functions and depression between the elderly residing institution and home", 석사, pp.2011
- Lawton, M. P., "Assessment of older people : self-maintaining and instrumental activities of daily living", Gerontologist, 9(3), pp.179~186 (1969)
- 이소영, "재가노인의 건강행위 관련 특성, 자아존중감, 일상생활 수행능력 및 가족지지가 우울에 미치는 영향", 지역사회간호학회지, 21(4), pp.489~501 (2010), 지역사회간호학회
- Lee, W. J., "The relationships among depression, self-esteem and life satisfaction of elderly institution residents", 석사, pp.2006
- Lee, Y. S., "Relationships among familiarity, depression, cognition, and activity of daily living on elders residing in long term care facilities", 석사, pp.2012
- National elderly living conditions survey, "Ministry of Health and Welfare", Author, ~, pp.11-1351000-000316-12 (2008)
- 2010 National elderly welfare facilities survey, "Ministry of Health and Welfare", Author, ~, pp.11-1352000-000002-10 (2009)
- 오경옥, "일 도시지역 재가 노인의 우울에 영향을 미치는 요인에 관한 연구", 정신간호학회지, 15(4), pp.459~466 (2006), 정신간호학회
- 오미나, "재가노인과 시설노인의 자아존중감, 죽음불안 및 우울에 관한 연구", Family and Environment Research, 43(3), pp.105~118 (2005), 대한가정학회
- Park, G. J., "Self-esteem and depression of elders in welfare facilities", Journal of Korean Gerontological Nursing, 9(1), pp.51~59 (2007)
- Park, J. H., "Standardization of Korean version of the mini-mental state examination(MMSE_K) for use in the elderly. Part Ⅱ", Diagnostic validity. Journal of Korean Neuropsychiatric Association, 28(3), pp.508~513 (1989)
- Rosenberg, M., "Society and adolescent self image" (1965), Princeton University press
- Sohn, S. H., "Differences in cognitive function and activities of daily living between two groups without depression among patients with senile dementia", 석사, pp.1998
- Sohn, S. H., "Differences in cognitive function and activities of daily living between Alzheimer patients with depression and those with depression", Journal of Korean Neuropsychiatric Association, 38(2), pp.278~288 (1999)
- Statistics Korea, "Elderly statistics", ~ (2011)
- 원종순, "방문간호대상노인의인지기능, 우울및생활만족도평가", Journal of Korean Academy of Nursing, 38(1), pp.1~10 (2008), 한국간호과학회
- Yesavege, J. A., "Development and validation of a geriatric depression screening scale: a preliminary report", Journal of Psychiatric Research, 17(1), pp.37~49 (1983)
- Yoon, S. J., "Factors associated with dementiaand depressive symptoms in older persons living in thecommunity", Journal of the Korean Gerontological Society, 21(3), pp.59~73 (2002)
