디지털융복합연구 (Journal of Digital Convergence)

  • 제12권2호
  • /
  • Pages.587-594
  • /
  • 2014
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

일 지역사회 노인의 인지기능저하 요인

Factors associated with Cognitive Decline in the Elderly in Community

  • 투고 : 2014.01.10
  • 심사 : 2014.02.20
  • 발행 : 2014.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 지역사회 노인의 인지기능 수준을 파악하고 인기기능저하에 영향하는 요인을 규명함으로써 인기기능을 유지 증진시키기 위한 프로그램을 개발하는데 도움이 될 기초자료를 제공하고자 실시되었다. J시의 65세 이상 노인 481명을 대상으로 2011년 9월 1일부터 9월 7일까지 구조화된 설문지를 이용하여 인구사회학적 특성, 건강관련 특성 및 우울에 대하여 조사하였다. 수집된 자료는 IBM SPSS Statistics V. 20을 사용하여 기술통계, Chi-square test, logistic regression analysis로 분석하였다. 본 연구 결과 대상자의 40.1%가 인지기능저하를 보였으며 인지기능저하와 관련된 요인은 교육수준(p<.001), 연령(p=.000), 우울 및 운동(p<.05)으로 나타났다. 그러므로 운동이나 우울에 대한 중재 프로그램을 집중적으로 시행할 필요가 있으며 특히 교육수준과 연령에 따른 개인차를 고려한 다양한 프로그램이나 교육이 마련되어야 할 것이다.

This study was carried out to look into the cognitive function of the elderly in community and investigate the factors affecting their cognitive decline provide preliminary data so as to help develop a program to maintain and promote cognitive function. With 481 senior citizens aged over 65 in J. city, a survey was conducted on their demographic characteristics, health-related characteristics and depression using structured questionnaires from September 1 through 7, 2011. The collected data were analyzed by descriptive statistics, Chi-square test and logistic regression analysis using IBM SPSS Statistics V. 20. As a result of this study, 40.1% of the subjects showed cognitive decline and the factors related to their cognitive decline turned out to be the level of education (p<.001), age (p=.000), depression and exercise (p<.05). Therefore, intervention programs on depression or exercise should be implemented intensively and in particular, various programs and educations should be provided considering individual differences according to the level of education and age.

키워드

참고문헌

  1. Statistics Korea, Population projections for korea : 2010-2060 (Based on the 2010 census), 2011.
  2. National Assembly Budget Office, The financial analysis of measure to cope with low fertility and ageing trend. 2009.
  3. National Health Insurance Service, An analysis of the medical uses for Dementia in national health insurance data 2011. Annual report of national health insurance data, 2012.
  4. J. W. Yang, I. K. Jung, Y. J. Seo, H. J. Lee, H. I. Kwon, A 6 month follow-up of cognitive function in urban community elderly. Journal of Korean Geriatirc Psychiatry, Vol. 7, No. 2, pp. 143-153, 2003.
  5. Y. E. Kwon, Y. S. Kim, G. H. Suh, Cognitive function and depression of the elderly in a community setting. Journal of Korean Gerontological Nursing, Vol. 8, No. 2, pp. 161-169, 2006.
  6. H. J. Lee, S. K. Kahng, The reciprocal relationship between cognitive functioning and depressive symptom : Group comparison by gender. Korean Journal of Social Welfare Studies, Vol. 42, No. 2, pp. 179-203, 2011. https://doi.org/10.16999/kasws.2011.42.2.179
  7. Rowe, J. W., Kahn, R. L. Successful aging. Gerontologist, Vol. 37, No. 4, pp. 433-440, 1997. https://doi.org/10.1093/geront/37.4.433
  8. Y. R. Han, M. S. Song, J. Y. Lim, The effects of a cognitive enhancement group training program for community-dwelling edlers. Journal of Korean Academic Nursing, Vol. 40, No. 5, pp. 724-735, 2010. https://doi.org/10.4040/jkan.2010.40.5.724
  9. J. S. Kim, J. S. Jung, The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. Journal of Korean Academic Nursing, Vol. 35, No. 6, pp. 1153-1162, 2005. https://doi.org/10.4040/jkan.2005.35.6.1153
  10. E. J. Kim, Factors influencing cognitive impairment of the elderly residents. Journal of East-West Research, Vol. 16, No. 2, pp. 122-130, 2010.
  11. H. J. Lee, S. K. Kahng, Age and gender differences in cognitive functioning among elderly. Mental Health & Social Work, Vol. 37, No. 4, 255-278, 2011.
  12. J. S. Won, K. H. Kim, Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academic Nursing, Vol. 38, No. 1, pp. 1-10, 2008. https://doi.org/10.4040/jkan.2008.38.1.1
  13. K. R. Shin, M. Y. Kim, The relationship between cognitive function and depression in a korean island elderly. Journal of Korean gerontological Nursing Society, Vol. 3, No. 1, pp. 32-41, 2001.
  14. A. R. Joo, H. W. Kim, Effects of health-related characteristics, social support, and depression on cognitive function in elders resident in community health post areas. Journal of Korean Gerontological Nursing, Vol. 13, No. 2, pp. 154-162, 2011.
  15. Folstein, M. F., Folstein, S. E., McHugh, P. R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, Vol. 12, No. 3, pp. 189-198, 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  16. Y. C. Kwon, J. H. Park, Korean version of mini-mental state examination(MMSE-K) Part I : development of the test for the elderly. Journal of Korean Neuropsychiatric Association, Vol. 28, No. 1, pp. 125-135, 1989.
  17. Snyder-Halpern, R., Verran, J. A. Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing & Health, Vol. 10, No. 3, pp. 155-163, 1987. https://doi.org/10.1002/nur.4770100307
  18. J. J. Oh, M. S. Song, S. M. Kim, Development and validation of Korean Sleep Scale A. Journal of Korean Academic Nursing, Vol. 28, No. 3, pp. 563-572, 1998. https://doi.org/10.4040/jkan.1998.28.3.563
  19. B. S. Kee, A preliminary study for the standardization of geriatric depression scale short form-korea version. Journal of Korean Neuropsychiatric Association, Vol. 32, No. 2, pp. 298-307, 1996.
  20. J. S. Won, J. H. Kim, Influencing factors on cognitive function and depression in elderly. Journal of Korean Academic Psychiatric Mental Health Nursing, Vol. 12, No. 2, pp. 148-154, 2003.
  21. Lee S, Buring JE, Cook NR, Grodstein F. The relation of education and income to cognitive function among professional women. Neuroepidemiology. Vol. 26, No. 2, 93-101, 2006. https://doi.org/10.1159/000090254
  22. Joung-Hwan Back, Prediction model for cognitive decline in older adults living in the community. Ph.D. dissertation, Ajou University. 2013.
  23. M. J. Cho, B. J. Hahm, J. H. Jhoo, J. N. Bae, J. S. Kwon, Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community. Journal of Korean Neuropsychiatric Association, Vol. 37, No. 2, pp. 352-362, 1998.
  24. H. J. Choi, Depression and cognitive function of the elderly using the welfare facilities for the aged in the community. Journal of Korea Academy of Public Health Nursing, Vol. 20, No. 2, pp. 119-129, 2006.
  25. Lista, I., Sorrentino, G. Biological mechanism of physical activity in preventing cognitive decline. Cellular and Molecular Neurobiology, Vol. 30, No. 4, pp. 493-503, 2010. https://doi.org/10.1007/s10571-009-9488-x
  26. Carro, E., Trejo, J. L., Gerber, A., Loetscher, H., Torrado, J., Metzger, F., Torres-Aleman, I. Therapeutic actions of insulin-like growth factor I on APP/PS2 mice with severe brain amyloidosis. Neurobiology of Aging, Vol. 27, No. 9, pp. 1250-1257, 2006. https://doi.org/10.1016/j.neurobiolaging.2005.06.015
  27. C. M. Lee, N. H. Lee, Effects of combined exercise on neurotrophic factors and cognitive function in elderly women. Journal of Korean Physical Education Association for Girls and Women, Vol. 26, No. 1, pp. 173-189, 2012.
  28. Nu-Ri Cho, The relation among insomnia, depressive tendency and cognitive function in community-dwelling elderly adults. Unpublished master's thesis, Kyungpook National University. 2009.
  29. M. J. Kim, J. S. Han, M. J. Kwon, Y. H. Kim, The correlation between cognition and depression of urban and rural elderly people. The Journal of Digital Policy & Management , Vol. 11, No. 2, pp. 341-346, 2013.

피인용 문헌

  1. Effects of Participation in Adult Education on Cognitive Function: The Mediating Effect of Relationship with Children among Older Adults vol.27, pp.2, 2016, https://doi.org/10.7856/kjcls.2016.27.2.221