산업융합연구 (Journal of Industrial Convergence)

대한산업경영학회 (DAEHAN Society of Industrial Management)
권호 표지
DOI QR코드

DOI QR Code

지역사회 거주 노인의 우울과 연하장애의 관계

The Relationship between Depression and Dysphagia among Community-Dwelling Older Adults

  • 이영미 (부산가톨릭대학교 노인복지보건학과 )
  • Young-Mi, Lee (Dept. of Aging and Social Work, Catholic University of Pusan)
  • 투고 : 2022.08.16
  • 심사 : 2022.12.20
  • 발행 : 2022.12.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 지역사회 재가노인을 대상으로 우울과 연하장애의 수준과 그 관련성을 확인하기 위한 목적으로 시행한 횡단적 조사연구이다. 연구대상은 2개 도시에서 65세 이상의 노인 159명을 편의추출 방법으로 모집하였다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson's correlation coefficient, Stepwise multiple regression으로 분석하였다. 분석결과에 의하면 대상자의 우울은 평균 4.56점이었고, 우울과 연하장애는 통계적으로 유의미한 정적 상관관계가 있었다. 또한 다중회귀분석을 통해 우울에 영향을 미치는 변수는 주관적 건강상태(𝛽=-.210, p=.019), 연하장애(𝛽=.202, p=.006), 만성질환 수(𝛽 =.188, p=.015), 구강상태(𝛽=-.174, p=.041)인 것으로 밝혀졌고, 이 변수들의 설명력은 23.9%였다. 그러므로 노인의 우울 감소를 위해 주관적 건강상태, 연하장애, 만성질환, 구강상태를 고려한 구체적이고 실질적인 건강관리 전략이 모색되어야 할것이다.

The purpose of this study was to investigate the level of depression and dysphagia among the community-dwelling older adults and to find the relationships between depression and dysphagia. The study was cross-sectional survey and participants were 159 older adults above 65 years of age recruited by convenience sampling in two cities. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. According to results, the average score of participant's depression were 4.56. There was a significant correlation between depression and dysphagia. Multiple regression analysis showed that self-rated health status(𝛽=-.210, p=.019), dysphagia(𝛽=.202, p=.006), number of chronic diseases(𝛽=.188, p=.015), and oral condition(𝛽=-.174, p=.041) were significant factors of depression. These variables explained 23.9% of depression. Therefore, effective health management strategies considering self-rated health status, dysphagia, chronic diseases, and oral condition should be established to reduce depression in the elderly.

키워드

참고문헌

  1. Statistics Korea (2021). Population projections for Korea : 2017~2067. http://kostat.go.kr.
  2. Ministry of Health and Welfare, Korea Institute for Health and Social affairs. (2018). 2017 Korean national survey on older adults. http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1533627270504_20180807163432.pdf&rs=/upload/viewer/result/202209/
  3. L. Cong, P. Dou, D. Chen & L, Cai. (2015). Depression and associated factors in the elderly cadres in Fuzhou, China: A community-based study. International Journal of Gerontology, 9(1), 29-33. DOI : 10.1016/j.ijge.2015.02.001
  4. H. K. Kim & J. M. Sung. (2014). The longitudinal factors related to the depression of the Korean elderly : Comparison of younger-old and older-old. Korean Journal of Gerontological Social Welfare, 66, 427-449.
  5. K. C. Lim & S. Kim. (2012). Prevalence and correlates of depression in older Koreans: Comparison of young-old and old-old. The Korean Academy of Psychiatric and Mental Health Nursing. 21(1), 1-10. https://doi.org/10.12934/jkpmhn.2012.21.1.1
  6. H. S. Lee. (2018). Depression and related risk factors in the elderly with a focused on health habits, mental health, chronic diseases, and nutrient intake status: Data from the 2014 Korea national health and nutrition examination survey. Journal of the Korean Dietic Association, 24(2), 169-180. DOI : 10.14373/JKDA.2018.24.2.169
  7. O. P. Almeida. (2014). Prevention of depression in older age. Maturitas, 79(2), 136-141. DOI : 10.1016/j.maturitas.2014.03.005
  8. Y. Jin, Y. Lee, T. H. Kim, S. Lim & W. Chung. (2020). Associations between chronic diseases and depression in the Korean elderly: A gender-specific analysis. Health Policy and Management, 30(2), 231-244. DOI : 10.4332/KJHPA.2020.30.1.231
  9. A. G. Matias, M. A. Fonseca, M. L. Gomes & M. A. Matos. (2016). Indicators of depression in elderly and different screening methods. Einstein, 14(1), 6-11. DOI : 10.1590/S1679-45082016AO3447
  10. M. Aslam & M. F. Vaezi. (2013). Dysphagia in the elderly. Gastroenterology & Hepatology, 9(12), 784-795.
  11. J. J. Park, H. K. Suh & J. H. Yoon. (2014). Effects of tooth loss on swallowing and quality of life in normal elderly. Journal of the Korean Gerontological Society, 34(3), 581-593.
  12. F. M. Bomfim, B. M. Chiari & F. P. Roque. (2013). Factors associated to suggestive signs of oropharyngeal dysphagia in institutionalized elderly women. CoDAS, 25(2), 154-163. DOI : 10.1590/s2317-17822013000200011
  13. D. Nogueira & E. Reis. (2013). Swallowing disorders in nursing home residents: how can the problem be explained?. Clinical Interventions in Aging, 8, 221-227. DOI : 10.2147/CIA.S39452
  14. T. H. Cha. (2018). Swallowing and quality of life. Swallowing Rehabilitation, 1(1), 21-26. DOI : 10.31115/sr.2018.1.1.21
  15. H. J. Song, Y. T. Yoon, S. Kim, M. Yang & M. Lee. (2021). Depression is associated with chewing and swallowing function among elderly vendors in a conventional market: A preliminary research. Journal of the Korean Dysphagia Society, 11. 121-127. DOI : 10.34160/jkds.2021.11.2.006
  16. M. S. Kim & Y. H. Park. (2014). The risk of dysphagia and dysphagia-specific quality of life among community dwelling older adults in senior center. Korean Journal of Adult Nursing, 26(4), 393-402. DOI : 10.7475/kjan.2014.26.4.393
  17. S. J. Park. (2015). Dysphagia risk and associated factors among community-dwelling elders. Journal of the Korean Society of Food Science and Nutrition, 44(1), 49-56. DOI : 10.3746/jkfn.2015.44.1.049
  18. H. A. Cho, Y. M. Heo, H. J. Kim & E. S. Choi. (2016). Association of self-perceived oral health and depression in the elderly: the sixth Korea national health and nutrition examination survey(the 6th KNHANES). Journal of Korean Society of Dental Hygiene, 16(2), 285-293. DOI : 10.13065/jksdh.2016.16.02.285
  19. H. L. Seo, Y. K. Jung & H. N. Kim. (2013). The effects of physical diseases on elderly depression and moderate effects of the self-care performance. Journal of Welfare for the Aged, 61, 57-84.
  20. J. Kim & J. A. Lee. (2010). Depression and health status in the elderly. Journal of the Korean Gerontological Society, 30(4), 1311-1327.
  21. U. Ha, D. I. Jon, H. J. Hong, M. H. Jung, M. G. Kim & N. Hong. (2015). The distribution of depressive symptoms among the community-dwelling elderly. Journal of Korean Geriatric Psychiatry, 19(2), 1-5. https://doi.org/10.4235/jkgs.2015.19.1.1
  22. S. A. Whang. (2014). Prevalence and influencing factors of dysphagia risk in the community-dwelling elderly. Journal of the Korean Gerontological Society, 34(1), 37-48.
  23. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. Adey & Von Otto Leirer. (1982-1963). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. DOI : 10.1016/0022-3956(82)90033-4
  24. B. S. Kee. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of the Korean Neuropsychiatric Association, 35(2), 298-307.
  25. A. K. Silbergleit, L. Schultz, B. H. Jacobson, T. Beardsley & A. Johnson. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27(1), 46-52. DOI : 10.1007/s00455-011-9336-2
  26. H. K. Kim, H. H. Kim, S. H. Choi & D. Y. Kim. (2019). Analysis of dysphagia handicap index in stroke patients and associated factors. Communication Sciences & Disorders, 24(1), 220-233. DOI : 10.12963/csd.18539
  27. Y. R. Lee & U. J. Cho. (2013). Age-differences in depressive symptoms and screening in late Life. Journal of Korean Geriatric Psychiatry, 17, 3-7.
  28. G. H. Kim, S. H. Choi, K. J. Lee & C. H. Choi. (2014). Dysphagia handicap index and swallowing characteristics based on laryngeal functions in Korean elderly. Phonetics and Speech Sciences, 6(3), 3-12. DOI : 10.13064/KSSS.2014.6.3.003
  29. Y. C. Lin, S. S. Huang, C. W. Yen, Y. Kabasawa, C. H. Lee & H. L. Huang. (2022). Physical frailty and oral frailty associated with late-life depression in community-dwelling older adults. Journal of Personalized Medicine, 12(3), 1-13. DOI : 10.3390/jpm12030459
  30. H. S. Choi & Y. J. Kim. (2019). Current status of the elderly's swallowing disorder and changes in quality of life related to swallowing after swallowing education in the elderly in the community: Around the Gandong-gu area. The Journal of Korea Aging Friendly Industry Association, 11(1), 11-21. https://doi.org/10.34264/jkafa.2019.11.1.11
  31. K. Sakano, K. Ryo1, Y. Tamaki, R. Nakayama, A. Hasaka, A. Takahashi, S. Ebihara, K. Tozuka & I. Saito. (2014). Possible benefits of singing to the mental and physical condition of the elderly. Biopsychosocial Medicine, 8, 1-11. DOI : 10.1186/1751-0759-8-11