Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Current Status and Factors Related to Physical Activity of Older Nursing Home Residents with and without Dementia: Effects of Individual and Institutional Characteristics

장기요양시설 거주노인의 치매 여부에 따른 신체활동수준과 관련 요인: 개인 및 기관 특성의 영향

  • Chun, Seungyeon (Department of Public Health Sciences, Graduate School of Public Health, Seoul National University) ;
  • Kim, Hongsoo (Department of Public Health Sciences, Graduate School of Public Health, Seoul National University)
  • 전승연 (서울대학교 보건대학원 보건학과) ;
  • 김홍수 (서울대학교 보건대학원 보건학과)
  • Received : 2018.07.31
  • Accepted : 2018.08.21
  • Published : 2018.12.31
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Abstract

Background: Physical activity (PA) is critical for maintaining the health and well-being of older people in community and also institutional settings. The purpose of this study was to examine the current status of PA and related individual and organizational factors among older nursing home residents with and without dementia. Methods: This is a secondary data analysis study of a nationwide survey of 92 long-term care facilities in Korea, and the study sample includes older residents with dementia (n= 753) and without dementia (n= 480). The level of PA was measured by PA time and whether or not residents had an outdoor activity over the past 3 days. Multi-variate, multi-level analyses were conducted. Results: More than half of the sample in both groups had no or less than 1 hour of PA. About one out of four older people in our sample had no outdoor activity over the past 3 days regardless of whether or not they had dementia. Among the people without dementia, several individual-level factors were associated with PA, including dependency for activities of daily living, social activity participation, and caregivers' belief in the functional improvement of residents. Unlike the non-dementia group, individual- and organizationallevel factors including staffing level and having the relevant equipment for PA were associated with PA among those with dementia. Conclusion: Study findings provide evidence on the lack of PA among older nursing home residents, and the importance of institutional capacity with regard to human resources and physical equipment for promoting PA among people with dementia, in particular. Policies and supports are needed to promote the implementation of healthy aging programs including PA for older nursing home residents. Such programs should be person-centered with consideration to the physical and cognitive status of individual residents.

Keywords

Table 1. General characteristics: individual variable

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Table 2. General characteristics: institutional variable

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Table 4. Factors related to physical activity: non-dementia group

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Table 5. Factors related to physical activity: dementia group (n= 735)

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Table 3. Levels of physical activity

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