성인간호학회지 (Korean Journal of Adult Nursing)

  • 제29권1호
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  • Pages.98-107
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  • 2017
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
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한국 노인의 노인증후군과 사망: 3년 추적연구

Geriatric Syndrome and Mortality among Community-dwelling Older Adults in Korea: 3-year Follow-up Study

  • 투고 : 2017.01.23
  • 심사 : 2017.02.27
  • 발행 : 2017.02.28
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초록

Purpose: The purpose of this study was to investigate the effect of geriatric syndrome on mortality among community-dwelling older adults in Korea. Methods: Data were obtained from the Actual Living Condition of the Elderly and Welfare Need Survey, with a baseline study in 2008 and a 3-year follow-up of mortality data. The mortality risk was measured using the hierarchical Cox proportional hazard model. Results: In Cox regression analysis, male (Hazard Ratio [HR], 2.53; 95% Confidence Interval [CI], 2.12~3.01), old age (HR, 2.14; 95% CI, 1.82~2.53), low education level (HR, 1.31; 95% CI, 1.04~1.65), limitation in instrumental activities of daily living (HR, 1.91; 95% CI, 1.60~2.28), depressive symptoms (HR, 1.21; 95% CI, 1.01~1.43), and frailty (HR, 2.32; 95% CI, 1.78~3.03) significantly affected mortality risk. Conclusion: Based on the results of this study, nursing intervention programs should be provided to decrease preventable death in older adults.

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참고문헌

  1. Statistics Korea. Cause of death statistics [Internet]. Daejeon: Statistics Korea; 2015 [cited 2016 December 7]. Available from: http://meta.narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?orgId=101&confmNo=101054&kosisYn=Y
  2. Rhee JA, Yoo HJ. Health status of elderly Koreans. In: Choi SJ, editor. Aging in Korea: today and tomorrow. 3rd ed. Seoul: Elderly Information Center; 2013. p. 52-66.
  3. Yoo HJ. Clinical implications of geriatric syndromes. Journal of the Korean Medical Association. 2014;57(9):738-42. https://doi.org/10.5124/jkma.2014.57.9.738
  4. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. Journal of the American Geriatrics Society. 2007;55(5):780-91. https://doi.org/10.1111/j.1532-5415.2007.01156.x
  5. Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence: unifying the approach to geriatric syndromes. Journal of the American Medical Association. 1995;273(17):1348-53. https://doi.org/10.1001/jama.1995.03520410042024
  6. Yeom JH. The effect of falling on the mortality of elderly Koreans. Korean Journal of Gerontological Social Welfare. 2015;68:389-408.
  7. Jeong HG, Lee JJ, Lee SB, Park JH, Huh YS, Han JW, et al. Role of severity and gender in the association between latelife depression and all-cause mortality. International Psychogeriatrics. 2013;25(4):677-84. https://doi.org/10.1017/S1041610212002190
  8. Nam S, Al Snih S, Markides K. Lower body function as a predictor of mortality over 13 years of follow up: findings from Hispanic Established Population for the Epidemiological Study of the Elderly. Geriatrics and Gerontology International. 2016;16(12):1324-31. https://doi.org/10.1111/ggi.12650
  9. The Education Committee Writing Group of the American Geriatrics Society. Core competencies for the care of older patients: recommendations of the American Geriatrics Society. Academic Medicine. 2000;75(3);252-5. https://doi.org/10.1097/00001888-200009001-00073
  10. Seino S, Yabushita N, Kim MJ, Nemoto M, Jung S, Osuka Y, et al. Physical performance measures as a useful indicator of multiple geriatric syndromes in women aged 75 years and older. Geriatrics and Gerontology International. 2013;13(4):901-10. https://doi.org/10.1111/ggi.12029
  11. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 2001;56(3):M146-56. https://doi.org/10.1093/gerona/56.3.M146
  12. Kane RL, Shamliyan T, Talley K, Pacala J. The association between geriatric syndromes and survival. Journal of the American Geriatrics Society. 2012;60(5):896-904. https://doi.org/10.1111/j.1532-5415.2012.03942.x
  13. Carlson C, Merel SE, Yukawa M. Geriatric syndromes and geriatric assessment for the generalist. Medical Clinics of North America. 2015;99(2):263-79. https://doi.org/10.1016/j.mcna.2014.11.003
  14. Lee YH, Kim JH, Han ES, Ryu MK, Cho YY, Chae SI. Frailty and body mass index as predictors of 3-year mortality in older adults living in the community. Gerontology. 2014;60(6):475-82. https://doi.org/10.1159/000362330
  15. Korea Ministry of Health and Welfare. 2008 actual living condition of the elderly and welfare need survey. Policy Report. Seoul: Korea Ministry of Health and Welfare, 2009 February. Report No.: 11-1351000-000316-12.
  16. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: How to practice and teach EBM. 2nd ed. New York: Churchill Livingstone; 2000.
  17. Allison PD. Survival analysis. In: Hancock GR, Mueller RO, editors. The reviewer's guide to quantitative methods in the social sciences. 1st ed. New York: Routledge; 2010. p. 413-24.
  18. Lee SE, Hong GRS. Predictors of suicidal ideation in community-dwelling older men: a comparison between young-old and old-old. Academy of Psychiatric and Mental Health Nursing. 2016;25(3):217-26. https://doi.org/10.12934/jkpmhn.2016.25.3.217
  19. Folstein MF, Folstein SE, McHugh PR. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  20. Lee JH, Lee KU, Lee DY, Kim KW, Jhoo JH, Kim JH, et al. Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. 2002;57(1):47-53. https://doi.org/10.1093/geronb/57.1.P47
  21. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist. 1969;9(3):179-86. https://doi.org/10.1093/geront/9.3_Part_1.179
  22. Won CW, Rho YG, Duk SW, Lee YS. The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) Scale. The Journal of Korean Geriatric Society. 2002;6(4):273-80.
  23. Lee SE, Hong GRS. Predictors of depression among community-dwelling older women living alone in Korea. Archives of Psychiatric Nursing. 2016;30(5):513-20. https://doi.org/10.1016/j.apnu.2016.05.002
  24. Yesavage JA, Sheikh JI. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist. 1986;5(1-2):165-73. https://doi.org/10.1300/J018v05n01_09
  25. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of Geriatric Depression Scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1999;38(1):48-63.
  26. Teng PR, Yeh CJ, Lee MC, Lin HS, Lai TJ. Depressive symptoms as an independent risk factor for mortality in elderly persons: results of a national longitudinal study. Aging and Mental Health. 2013;17(4):470-8. https://doi.org/10.1080/13607863.2012.747081
  27. John G, Bardini C, Combescure C, Dallenbach P. Urinary incontinence as a predictor of death: a systematic review and meta-analysis. Plos One. 2016;11(7):e0158992. https://doi.org/10.1371/journal.pone.0158992
  28. Korea Institute for Health and Social Affairs. 2014 a national survey on the living status and welfare needs of the aged. Policy Report. Sejong: Korea Institute for Health and Social Affairs, 2014 December. Report No.: 11-1352000-001426-12.
  29. Santabarbara J, Lopez-Anton R, Marcos G, De-la-Camara C, Lobo E, Saz P, et al. Degree of cognitive impairment and mortality: a 17-year follow-up in a community study. Epidemiology and Psychiatric Sciences. 2015;24(6):503-11. https://doi.org/10.1017/S2045796014000390
  30. Chang SF, Lin PL. Frail phenotype and mortality prediction: a systematic review and meta-analysis of prospective cohort studies. International Journal of Nursing Studies. 2015;52(8):1362-74. https://doi.org/10.1016/j.ijnurstu.2015.04.005

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