Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지

A Comparative Study of Cognitive Function, Anxiety, and Quality of Life for the Demented Elderly in Health Facilities

시설이용 치매노인의 인지기능, 불안 및 삶의 질 비교연구

  • 진주연 (이화여자대학교 의과대학 부속 목동병원) ;
  • 강지숙 (건강과학대학 간호과학부)
  • Received : 2009.04.30
  • Accepted : 2009.06.21
  • Published : 2009.06.30
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Abstract

Purpose: We aimed to describe and compare the cognitive function, anxiety, and quality of life for the demented elderly in day care centers or nursing homes. Methods: We selected 44 subjects from day care centers and 63 subjects from nursing homes by performing convenience sampling. The Korean version of Mini Mental Status Examination was used for measuring cognitive status; Rating Anxiety in Dementia, for assessing anxiety; Korean Version of Quality of Life-Alzheimer's Disease, for assessing the quality of life. The data were collected from May to June 2008 and analyzed by SPSS/WIN 14.0. Results: 1) The cognitive function of the subjects in the day care center was higher than that of the subjects in the nursing home. Anxiety in the subjects in the nursing home was higher than that in the subjects in the day care center. 2) The cognitive function and quality of life of the subjects in the day care center showed statistically significant correlation, 3) The anxiety and quality of life of the subjects in the nursing home showed statistically significant correlation. Conclusions: Nursing interventions that improve the quality of life of the demented elderly should be considered and applied according to the degree of cognitive function and anxiety.

Keywords

References

  1. Balasubramanyam, V., Melinda, A., Stanley, & Mark, E., Kunik. (2007). Cognitive behavioral therapy for anxiety in dementia. Dementia, 6(2), 299-307. https://doi.org/10.1177/1471301207080370
  2. Burgener, S., & Twigg, P. (2002). Relationship among caregiver factors and quality of life in care recipients with irreversible dementia. Alzheimer Disease and Associated Disorders, 16(2), 88-102. https://doi.org/10.1097/00002093-200204000-00006
  3. Cho, N. O. (2000). Study on Family Caregiving Burden Scale of Dementia Korea(FCBSD-K). Journal of Korean Academy of Adult Nursing, 12(4), 629-640.
  4. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  5. Hancock, G. A., Woods, B., Challis, D., & Orrell, M. (2006). The needs of older people with dementia in residential care. International Journal of Geriatric Psychiatry, 21(2), 43-49. https://doi.org/10.1002/gps.1421
  6. Hoe, J., Hancock, G., Livingston, G., & Orrell, M. (2006). Quality of life of people with dementia in residential care homes. British Journal of Psyciatry, 188, 460-464. https://doi.org/10.1192/bjp.bp.104.007658
  7. Hoe, J., Katona, C., Orrell, M., & Livingston, G. (2007). Quality of life in dementia. International Journal of Geriatric Psychiatry, 22(10), 1031-1036. https://doi.org/10.1002/gps.1786
  8. Hurt, C., Bhattacharyya, S., Burns, A., Camus, V., Liperoti, R., Marriott, A., Nobili, F., Robert, P., Tsolaki, M., Vellas, B., Verhey, F., & Byrne, E. J. (2008). Patient and Caregiver Perspectives of Quality of life in dementia. Dementia and Geriatric Cognitive Disorders, 26(2), 138-146. https://doi.org/10.1159/000149584
  9. Josep, L. C., Josep, G. O., Oriol, T. G., Secundino, L. P., & Joan, V. F. (2009). Factors related to perceived quality of life in patients with Alzheimer's disease. International Journal of Geriatric Psychiatry, 24(6), 585-594. https://doi.org/10.1002/gps.2161
  10. Karlawish, J. H., Zebrozek, A., Kinosian, B., Gregory, A., Ferguson, A., & Glick, H. A. (2008). Preference-based quality of life in patients Alzheimer's disease. Alzhemer's & dementia, 4(3), 193-202. https://doi.org/10.1016/j.jalz.2007.11.019
  11. Kim, H. S. (2005). A Study on supporting burden and social support of family with demented elderly. Unpublished master's thesis, Myungji University, Seoul.
  12. Korean Neurological Association (2007). Neurology. Seoul: Koonja.
  13. Korea National Statistical Office (2008). The Statistic for elderly. Korea National Statistic Office: Seoul.
  14. Kwon, Y. C., & Park, J. H. (1989). Korean version of Mini-Mental State Examination(MMSE-K). The Korean Journal of Neuropsychiatric Association. 28(1), 125-135.
  15. Lee, Y. W., Park, K. H., & Seong, Y. S.(2008). A study on changes of primary Caregivers' fatigue, depression and life satisfaction by using dementia day care service. Journal of Korean Academy of Adult Nursing, 20(3), 443-451.
  16. Logsdon, R. G., Gibbons, L. E., McCurry, S. M., & Teri, L. (1999). Quality of Life in Alzheimer's Disease: Patient and Caregiver Reports. Journal of Mental Health and Aging, 5(1), 21-32.
  17. Mavall, L., & Malmberg, B. (2007). Day care for person with dementia: An alternative for whom? SAGE publications, 6(1), 27-43.
  18. McAllister, T. W. (1981). Cognitive functioning in the affective disorder. Comprehensive Psychiatry, 22(6), 527-586.
  19. Ministry of Health and Welfare (2008). Current statistics for elderly welfare institutions. Retrieved August 4, 2008, from the ministry of health, welfare and family affairs site: http://www.mw.go.kr/front/jb/sjb0501ls.jsp
  20. Selwood, A., Thorgrimsen, L., & Orrell, M. (2005). Quality of life in dementia-a one year follow up study. International Journal of Geriatric Psychiatry, 20(3), 232-237. https://doi.org/10.1002/gps.1271
  21. Shankar, K. K., Walker, M., Frost D., & Orrell, M. W. (1999). The development of a valid and reliable scale for rating anxiety in dementia(RAID). Aging & Mental Health, 3, 39-49. https://doi.org/10.1080/13607869956424
  22. Shim, Y. S., Kim, B. S., Shon, Y. M., Kim, K. S., Yoon, B., & Yang, D. W. (2005). Clinical characteristics of demented patients in a geriatric institution: Focused on behavioral and psychological symptoms. Dementia and Neurocognitive Disorders, 4(1), 35-40.
  23. Shin, H. Y. (2006). A Preliminary Study on the Korean Version of Quality of Life-Alzheimers Disease(QOL-AD) Scale in Community-dwelling Elderly with Dementia. Journal of Preventive Medicine and Public Health, 39(3), 243-248.
  24. Shin, K. R., Kang, Y. H., Jung, D. Y., Jin, L. H., & Hwang, S. A. (2008). Comparison between perception of dementia patients' and Caregivers' assessment on patients' anxiety, depression, and quality of life. Journal of Korean Academy of Adult Nursing, 20(5), 804-814.
  25. So, H. Y., & Kim, H. Y. (2004). Measurement of cognitive functions of elderly. The Korean Journal of Rehabilitation Nursing, 7(1), 7-14.
  26. Son, H. S., & Park, S. J. (2007). The study on quality of lifedementia. The Journal of Public Welfare and Administration, 17(1), 153-176.
  27. Starkstein, S. E., Jorge, R., Petracca, G., & Robinson, R. G. (2007). The construct of generalized anxiety disorder in Alzheimer disease. American Journal of Geriatric Psychiatry, 15(1), 42-49. https://doi.org/10.1097/01.JGP.0000229664.11306.b9
  28. Spielberger, C. D., O'Neil, H. F. Jr., & Hansen, D. N. (1972). Anxiety, drive theory and computer-assisted learning. Progress in Experimental Personality Research, 6, 109-148.
  29. Twelftree, H., & Qazi, A. (2006). Relationship betweem anxiety and agitation in dementia. Aging & Mental Health, 10(4), 362-367. https://doi.org/10.1080/13607860600638511
  30. Yoo, B. G., Kim, E. G., Kim, J. W., Kim, T. Y., Park, K. W., Sung, S. M., Yoon, S. J., Yoon, S. M., Lee, S. S., Choi, M. S., Hong, T. Y., & Kim, S. Y. (2008). Relationship between behavioral and psychological symptoms of dementia and caregiver burden. Dementia and Neurocognitive Disorders, 7(1), 1-9.