근관절건강학회지 (Journal of muscle and joint health)

  • 제17권2호
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  • Pages.192-202
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  • 2010
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  • 1975-9398(pISSN)
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  • 2288-789X(eISSN)
대한근관절건강학회 (Korean Society of Muscle and Joint Health)
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재가노인의 일상활동 어려움, 악력, 일상생활동작이 주관적 건강에 미치는 영향

The Impacts of Difficulty on Daily Activities, Grip Strength, and Activities of Daily Living on Perceived Health in Community-living Older Adults

  • 홍손귀령 (한양대학교 의과대학 간호학과) ;
  • 이윤경 (적십자간호대학) ;
  • 박영선 (한양대학교 의과대학 간호학과) ;
  • 오은미 (한양대학교 의과대학 간호학과)
  • 투고 : 2008.10.27
  • 심사 : 2010.11.09
  • 발행 : 2010.11.30
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초록

Purpose: The purpose of the study was to examine the predictive relationships between predictors [(difficulty on daily activities due to arthritis, falls, and pain, grip strength, and activities of daily living (ADLs)], and perceived health in community-living older adults in Korea. Method: A descriptive, cross-sectional survey design was used. Data were obtained from Korean Longitudinal Study of Ageing conducted in 2006. A stratified sample was selected of 5,545 older adults who were over 60 years old for analysis of this study. Descriptive statistics, t-test, Pearson's correlations, and multiple regressions were used. Result: Mean age was 70.27 years (SD=7.27) ranged from 60 and 105 years old. Perceived health was significantly associated with grip strength, and ADL. With multiple regression, all main variables explained 22.1% for perceived health. Difficulty on daily activities due to pain was the strongest predictor on perceived health. Grip strength, ADLs, gender, and difficulty on daily activities due to arthritis and falls were also significant predictors on perceived health. Conclusion: When developing nursing intervention to improve perceived health in older adults, their difficulties on daily activities, grip strength, and ADLs should be assessed.

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참고문헌

  1. Al Snih, S., Markides, K. S., Ray, L., Ostir, G. V., & Goodwin, J. S. (2002). Handgrip strength and mortality in older Mexican Americans. Journal of the American Geriatrics Society, 50(7), 1250-1256. https://doi.org/10.1046/j.1532-5415.2002.50312.x
  2. Amstadter, A. B., Begle, A. M., Cisler, J. M., Hernandez, M. A., Muzzy, W., & Acierno, R. (2010). Prevalence and correlates of poor self-rated health in the United States: The national elder mistreatment study. American Journal of Geriatric Psychiatry, 18(7), 615-623. https://doi.org/10.1097/JGP.0b013e3181ca7ef2
  3. Bartlett, S. J., Piedmont, R., Bilderback, A., Matsumoto, A. K., & Bathon, J. M. (2003). Spirituality, well-being, and quality of life in people with rheumatoid arthritis. Arthritis & Rheumatism-Arthritis Care & Research, 49(6), 778-783. https://doi.org/10.1002/art.11456
  4. Chung, K. H., Oh, Y. H., Seok, J. E., Do, S. R., Kim, C. Y., Lee, Y. K., et al. (2005). Survey of living profiles and welfair service needs of older persons in Korea, 2004. Korea Institute for Health and Social Affair.
  5. Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdienere, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. Journal of Gerontology Series A Biological Sciences Medical Sciences, 56(3), M146-M156. https://doi.org/10.1093/gerona/56.3.M146
  6. Idler, E. L., Russell, L. B., & Davis, D. (2000). Survival, functional limitations, and self-rated health in the NHANES I epidemiologic follow-up study, 1992. American Journal of Epidemiology, 152(9), 874-883. https://doi.org/10.1093/aje/152.9.874
  7. Ishizaki, T., Kai, I., & Imanaka, Y. (2006). Self-rated health and social role as predictors for 6-year total mortality among a non-disabled older Japanese population. Archives of Gerontology and Geriatrics, 42(1), 91-99. https://doi.org/10.1016/j.archger.2005.05.002
  8. Kannus, P., Niemi, S., Palvanen, M., & Parkkari, J. (2000). Continuously increasing number and incidence of fall-induced, fracture-associated, spinal cord injuries in elderly persons. Archives of Internal Medicine, 160(14), 2145-2149. https://doi.org/10.1001/archinte.160.14.2145
  9. Kaplan, M. S., Huguet, N., Newsom, J. T., & McFarland, B. H. (2003). Characteristics of physically inactive older adults with arthritis: Results of a population-based study. Preventive Medicine, 37(1), 61-67. https://doi.org/10.1016/S0091-7435(03)00059-8
  10. Korea National Statistical Office (2009). 2009 Statistics for old adults. Seoul: Korea National Statistical Office.
  11. Lee, E. H., Lee, K-S., So, A. Y., Choi, J. S, Lee, I. O., & Lee, J. D. (2007). Effect of self-help Tai Chi for arthritis on the quality of life, health perception, joint flexibility, graping power, and balance. Journal of Muscle and Joint Health, 14(2), 127-136.
  12. Lee, Y. (2000). The predictive value of self assessed general, physical, and mental health on functional decline and mortality in older adults. Journal of Epidemiology and Community Health, 54(2), 123-129. https://doi.org/10.1136/jech.54.2.123
  13. Lee, Y., Lee, K. J., Han, G. S., Yoon, S. J., Lee, Y. K., Kim, C. H., & Kim, J. L. (2002). The development of physical functioning scale for community-dwelling older persons. Korean Journal of Preventive Medicine, 35(4), 359-374.
  14. Lim, J. H., & Lee, J. O. (2001). The relationship between body composition change and muscle strength and endurance depending on aging at the senescence. Journal of Korea Gerontology Society, 21(2), 15-24.
  15. Lunney, J. R., Lynn, J., Foley, D. J., Lipson, S., & Guralnik, J. M. (2003). Patterns of functional decline at the end of life. Journal of the American Medical Association, 289(18), 2387-2392. https://doi.org/10.1001/jama.289.18.2387
  16. Miller, M. D., Giles, L. C., Crotty, M., Harrison, J. E., & Andrews, G. R. (2003). A clinically relevant criterion for grip strength: Relationship with falling in a sample of older adults. Nutrition, 60(4), 248-252.
  17. Moreland, J. D., Richardson, J. A., Goldsmith, C. H., & Clase, C. M. (2004). Muscale weakness and falls in older adults: a systematic review and meta analysis. Journal of American Geriatric Society, 50, 889-896.
  18. Nybo, H., Gaist, D., Jeune, B., McGue, M., Vaupel, J. W., & Christensen, K. (2001). Functional status and self-rated health in 2,262 nonagenarians: The Danish 1905 cohort survey. Journal of the American Geriatrics Society, 49(5), 601-609. https://doi.org/10.1046/j.1532-5415.2001.49121.x
  19. Park, M. W., Ha, J. C., Kim, H. G., Lee, S. Y., Cho, J. H., Kim, H. R., et al. (2009). 2008 National survey on older adults. Report number 11-1351000-000316-12. Ministry for Health, Welfare and Family Affairs.
  20. Park, K. G., Goo, H. S., Park, S. H., & Kang, S. K. (2003). A study on the relationship among the subjective health status, the degree of interest in health status, the personal health management, and the life satisfaction outcomes of the elderly. Communication Disorders, 26(1), 141-162.
  21. Perruccio, A. V., Power, J. D., & Badley, E. M. (2005). Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations. Arthritis & Rheumatism - Arthritis Care & Research, 53(4), 571-577. https://doi.org/10.1002/art.21317
  22. Pluijm, S. M. F., Smit, J. H., Tromp, E. A. M., Stel, V. S., Deeg, D. J. H., Bouter, L. M., et al. (2006). A risk profile for identifying communitydwelling elderly with a high risk of recurrent falling: results of a 3-year prospective study. Osteoporosis International, 17(3), 417-425. https://doi.org/10.1007/s00198-005-0002-0
  23. Rantanen, T., Volpato, S., Ferrucci, L., Heikkinen, E., Fried, L. P., & Guralnik, J. M. (2003). Handgrip strength and cause-specific and total mortality in older disabled women: Exploring the mechanism. Journal of the American Geriatrics Society, 51(5), 636-641. https://doi.org/10.1034/j.1600-0579.2003.00207.x
  24. Reyes-Gibby, C. C., Aday, L., & Cleeland, C. (2002). Impact of pain on self-rated health in the community-dwelling older adults. Pain, 95(1-2), 75-82. https://doi.org/10.1016/S0304-3959(01)00375-X
  25. Sokka, T., Hakkinen, A., Kautiainen, H., Maillefert, J. F., Toloza, S., Hansen, T. M., et al. (2008). Physical inactivity in patients with rheumatoid arthritis: Data from twenty-one countries in a cross-sectional, international study. Arthritis & Rheumatism-Arthritis Care & Research, 59(1), 42-50. https://doi.org/10.1002/art.23255
  26. Shin, H. G,, Boo, K. C., & Lee, H. J. (2007). A summary report of the fieldwork for the 1st Wave of the KLoSA. Monthly Labor Review, June, 66-82.
  27. Song, K. C., & Kim, D. K. (2002). Activities of daily living of elderly in a rural area and study for related factors. Journal of Korean Geriatrics Society, 6(1), 29-40.
  28. Suzuki, T., Yoshida, H., Kim, H., Yukawa, H., Sugiura, M., Furuna, T., Nishizwa, S., et al (2003). Walking speed as a good predictor for maintenance of I-ADL among the rural community elderly in Japan: A 5-year follow-up study from TMIGLISA. Geriatrics Gerontology International, 3(1), S6-S14. https://doi.org/10.1111/j.1444-0594.2003.00090.x
  29. Syddall, H., Cooper, C., Martin, F., Briggs, R., & Sayer, A. A. (2003). Is grip strength a useful single marker of frailty Age and ageing, 32(6), 650-656. https://doi.org/10.1093/ageing/afg111
  30. Sylliaas, H., Idland, G., Sandvik, L., Forsen, L., & Bergland, A. (2009). Does mortality of the aged increase with the number of falls? Results from a nine-year follow-up study. European Journal of Epidemiology, 24(7), 351-355. https://doi.org/10.1007/s10654-009-9348-5

피인용 문헌

  1. Effects of Activities of Daily Living and Self-Esteem on Life Satisfaction in Home-Dwelling Elderly vol.15, pp.2, 2014, https://doi.org/10.5762/KAIS.2014.15.2.952
  2. The Relationship Between Hand Grip Strength and Cognitive Function in Older Adults: The Moderating Effect of Regular Exercise vol.25, pp.1, 2014, https://doi.org/10.7856/kjcls.2014.25.1.29
  3. An Analysis of Grip Strength of Heavy Industry Workers vol.31, pp.1, 2016, https://doi.org/10.14346/JKOSOS.2016.31.1.081
  4. Quality of life and subjective health status according to handgrip strength in the elderly: a cross-sectional study pp.1364-6915, 2017, https://doi.org/10.1080/13607863.2017.1387766
  5. The association of health and multidimensional disability by the types of support systems among adults with developmental disabilities: Using the International Classification of Functioning, disability and health(ICF) vol.35, pp.2, 2018, https://doi.org/10.14367/kjhep.2018.35.2.49
  6. pp.2165-0993, 2018, https://doi.org/10.1080/02185385.2018.1491323