Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Relationships Among Cognitive Functions, Activities of Daily Living, Participation and Quality of Life in Community-dwelling Elderly

지역사회 거주 노인의 인지기능, 일상생활활동, 참여 및 삶의 질의 관계

  • Choi, Yoo-Im (Dept. of Occupational Therapy, Health improvement institute, Wonkang University)
  • 최유임 (원광대학교 건강증진연구소, 작업치료학과)
  • Received : 2020.02.04
  • Accepted : 2020.02.25
  • Published : 2020.11.30
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Abstract

Objective : The purpose of this study was to identify the relationships among cognitive function, activities of daily living (ADL), participation and quality of life in community-dwelling elderly. Methods : Cognitive function, ADL, participation and quality of life were assessed in the 144 elderly people residing in the community. We used MMSE-K for measuring cognitive function, K-ADL for ADL, K-ACS for participation, and GQOL for quality of life. Results : Cognitive function was significantly correlated with social activity of participation and quality of life (physical health, psychological health, social relations and economic level). ADL was significantly correlated with participation (instrumental ADL, leisure activity) and all sub-areas of quality of life. Social activity of participation were significantly correlated with all subarea of quality of life except physical health. Among the variables, the most relevant variable was leisure activity. Conclusion : It was related to quality of life in the order of participation, ADL, and cognitive function. Among the sub-areas of participation, leisure activity was the most correlated with quality of life. This study, thus, aimed to provide basic data for successful elderly life by examining the correlation between cognitive function, daily life activity, participation and quality of life in community-dwelling elderly.

목적 : 본 연구는 지역사회 거주 노인의 인지기능, 일상생활활동, 참여 및 삶의 질의 관계를 확인하고자 하였다. 연구방법 : 지역사회 거주 노인 144명을 대상으로 인지기능, 일상생활활동, 참여 및 삶의 질을 측정하였다. 인지기능은 한국어판 간이정신상태검사, 일상생활활동은 한국형 일상생활활동 측정도구, 참여는 한국형 활동분류카드, 삶의 질은 노인 삶의 질 척도를 사용하였다. 결과 : 인지기능은 참여의 사회활동과 삶의 질 3개 영역(신체적 건강, 심리적 건강, 사회관계 및 경제수준)과 유의한 상관이 있었다. 일상생활활동은 참여(수단적 일상생활활동, 여가활동)와 삶의 질의 모든 하위영역에서 유의한 상관이 있었다. 참여의 하위영역들 중 수단적 일상생활활동과 여가활동은 삶의 질의 모든 하위영역과 상관이 있었고, 참여의 사회활동은 신체적 건강을 제외한 삶의 질의 모든 영역과 유의한 상관이 있었다. 여러 변인들 중 삶의 질과 가장 상관이 큰 변인은 참여의 여가활동인 것으로 나타났다. 결론 : 참여, 일상생활활동, 인지기능의 순서로 삶의 질과 상관이 있었고, 참여의 하위영역 중 여가활동이 삶의 질과 상관관계가 가장 큰 것으로 나타났다. 본 연구는 지역사회 거주 노인의 인지기능, 일상생활활동, 참여와 삶의 질의 상관관계를 확인하여 성공적인 노년기 삶을 위한 기초자료를 제공하였다는데 의의가 있다.

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