한국형 골관절염영향측정척도(KAIMS) 도구개발 - 무릎 및 엉덩관절의 골관절염환자 중심 -

이승주,김진섭,Yi, Seung-Ju,Kim, Jin-Seop 대한물리치료학회 2014 대한물리치료학회지 Vol.26 No.2

Purpose: This study was conducted in order to develop an instrument for the Korean Osteoarthritis Impact Measurement scale (KAIMS) in hip and knee osteoarthritis patients. Methods: A sample of 426 subjects was recruited in Ulsan metropolitan city (six hospitals and clinics) and Andong city (five hospitals and clinics) from June 2010 to May 2011. Item internal consistency and item discriminant validity were analyzed on the item-level, and floor (%) and ceiling (%) effect were analyzed on the scale-level. Exploratory factor analysis was performed for construction of items in the KAIMS instrument; confirmative factor analysis was also performed to test the fit of the model. Results: In 426 respondents, age was 64.3 years. The reliability for r coefficient 0.90 (mobility) and 0.89 (pain and stiffness) (Cronbach's alpha 0.95, 0.95 respectively) was high in the test-retest, and there was no significant difference in paired t-test (p>0.05). Item internal consistency (${\alpha}=0.92$, ${\alpha}=0.87$ respectively) was also high. It was constructed of two factors (mobility, pain and stiffness dimension) and nine items in explanatory factor analysis; results of confirmatory factor analysis also indicated that the dimensional structure model was fitted well in the test of model fit (${\chi}^2=83.83$, df=26, p=0.000; RMR=0.05; GFI=0.96; AGFI=0.83). Conclusion: In conclusion, the results of this study showed that the KAIMS that was developed was a reliable and valid instrument for measurement of osteoarthritis (OA) patients. We recommend further research for additional development of the instrument on OA in Korea.

골관절염영향측정척도(AIMS-SF)의 타당도 및 신뢰도 - 일부 슬관절 골관절염 환자를 대상으로 -

이승주,남태호,Yi, Seung-Ju,Nam, Tae-Ho 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.5

Purpose: The aim of this study was to examine the validity and reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in patients with knee osteoarthritis(OA). Methods: The sample consisted of 62 patients who had received physical therapy at the physical therapy units of the Andong Medical Center, Sungso Hospital, Ahn Orthopedic Surgery Clinic, and St. Luke Clinic in Andong city in June 2006. Questionnaire on the AIMS-SF was recruited by 5 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient: ${\alpha}$), item-discriminant validity, Pearson's relation coefficient. To explore construct validity we conducted a principal component factor analysis with varimax rotation analysis. The criterion for factor extraction was an eigenvalue >1.0. Results: 62 OA patients's an average $age{\pm}standard$ deviation was $53.8{\pm}14.4$ years (range: $40{\sim}81$ yr). The internal consistency reliability of 11 items, as estimated by Cronbach's ${\alpha}$ coefficient, was high ranging $0.60{\sim}0.78$ (except for 0.40 for mobility level and -0.48 for mood). The internal consistency reliability of item-each scale was also high $0.82{\sim}0.93$ (except for 0.48 for mood). Of 11 items, the item-discriminant validity on 6 items was high (${\alpha}$ coefficient range: $0.11{\sim}0.25$), however, others (0.57 for tension level, 0.48 for arthritis pain, 0.41 for walking and bending, and 0.40 for work) were a little low. The construct validity by factor analysis was a little low. Conclusion: In conclusion, the results reported here confirm the validity and reliability of the AIMS-SF in patients with OA of the knee. The Collection of information on health status using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the construct validity.

물리치료적용에 따른 일부 뇌졸중환자의 우울증 변화

이승주,정성영,Yi, Seung-Ju,Jeong, Seong-Young 대한물리치료학회 2001 대한물리치료학회지 Vol.13 No.1

Objectives: This study was to identify the effect of physical therapy and related factors on depression in stroke patients. Methods: Questionnaires were completed by 46 stroke patients at physical therapy room in Busan Dongeui Medical Center from September 1999 to April 2001. The self·rating depression scale(SDS)was used to assess the differences for depression score in patients who had suffered a stroke. The design of this study was follow-up study between initial physical therapy and one month after initial. Results: A little decreased score(-0.17) was seen in patients treated with physical therapy in difference of depress between initial physical therapy and one month after initial, but there was no significant difference. In gender, male had -0.42 decreased score, female. on the contrary, had +0.09 increased score. Depress score for 50 years group was decreased(-2.08), but below 50 years and above 60 were increased in age (+1.25 and +0.27, respectively). There were no significant difference in weight, educational level, religion, side of paresis, and diabetes. Significant variables related to difference of depress in multiple regression analysis were weight(p=0.0082)and diagnosis(cerebral infarction, hemorrhage)(p=0.0473, R2=0.4241). Conclusions: This study was indicated that the more weight was a higher, the higher difference of depress score was. Difference of hemorrhage patients was smaller than that of infarction patients.

한국형 골관절염영향측정도구 개발 - 자료수집에서 1차 문항개발까지 -

이승주,김연주,Yi, Seung-Ju,Kim, Yeon-Ju 대한물리치료과학회 2012 대한물리치료과학회지 Vol.19 No.1

Purpose : The aim of this study was from data collection to item development in the first study before developing a valid and reliable instrument reflecting Korean's own language expression and culture. Methods : The fist survey was 140 osteoarthritis(OA) patients in 2 Cites was studied from November to December 2009. Open-ended questionnaire was decided 39 items from the first open survey. Questionnaire on the Korean Osteoarthritis Impact Measurement Scale(KAIMS) was recruited 2 professors and 5 physical therapists. Second survey was applied to 133 OA patients. Results : OA patients's average age${\pm}$standard deviation was $66.08{\pm}11.10$ years. The internal consistency reliability of 3 items. As estimated by Cronbach's alpha coefficient(${\alpha}$), was high(range, 0.86~0.96). 0.43~0.91 ${\alpha}$ coefficient for the internal consistency reliability of item-each scale was also high. However, item-discriminant validity on 3 items was low(${\alpha}$, 0.92~0.97). The construct validity by factor analysis was a little low. Conclusion : This study revealed that we confirmed a generation for 39 items on KAIMS reflecting Korean's own language expression and culture. Also, those of reliability were a little high. And, we will have to study the last instrument development (3rd study) by more subjects in the future.

일부 요통환자를 대상으로 한 OLBPDI의 신뢰도 및 타당도

이승주,김진섭,Yi, Seung-Ju,Kim, Jin-Seop 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.3

Purpose : his study was to analyze the reliability and validity on Oswestry Low Back Pain Disability Index (OLBPDI) in patients with low back pain. Methods : The sample consisted of 211 patients who had received treatments at the physical therapy units of 3 medical institutions from February to December 2008 in Andong city. Questionnaires on the OLBPDI were recruited by 6 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient:${\alpha}$), item-discriminant validity, Pearson's relation coefficient. Results : An average of patients's age was 41.1 years. The range of OLBPDI subscales were .93~.94 in Cronbach's ${\alpha}$. The internal consistency reliability of total item-each item were also internally consistent with Cronbach's ${\alpha}$ range of .94~.95(Pearson's correlation coefficient range: .62~.89). However, high correlation were obtained among 10 items(.67~.83), therefore the item-discriminant validity was a little low. Conclusion: In conclusion, the results reported here confirm the reliability of the OLBPDI scales in patients with low back pain. The collection of information on the level of disability due to low back pain using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the reliability and validity.

일부 농촌지역 주민들의 수지 이점식별 및 관련요인

이승주,신현욱,Yi, Seung-Ju,Shin, Hyon-Uk 대한물리치료학회 2006 대한물리치료학회지 Vol.18 No.5

Purpose: This study was to investigate two-point discrimination(TPD) and related factors in rural community residents. Methods: The sample consisted of 68 people who have been living in rural community in June 2005 studied. TPD was measured from the tips of the thumb, index, middle, ring, and little finger of each hand with the TPD esthesiometer. The research was designed to be a cross-sectional measured study. SAS statistical software was used for the analysis. The characteristics of the study sample were described by mean and standard deviation(SD) for continuous variables and by frequency and percentage for categorical variables. The Student's t-test and analysis of variance (ANOVA) were used to compare TPD in gender and diabetes mellitus. A Pearson's correlation analysis was conducted for relationship among values of 5 fingers. Multiple regression analysis was performed to determine the factors associated with TPD. Results: A total of 68 residents were measured, their average $age{\pm}SD$ was $54.2{\pm}23.2$ years(range: $12{\sim}88\;yr$). The mean TPD for 5 fingers tips in dominated side was 4.76mm(thumb 3.98mm, index 4.22mm, middle 4.79mm, ring 5.17mm, and little finger 5.65mm, respectively). 4.91mm for thumb finger of women was significantly higher than 3.54mm that of men's in difference between gender(p=.01l4), also women(4.39mm) was higher than men(3.71mm) in median nerver area(p=.0318). There was a statistically significant difference in age(p=.0022), which were under age of 20(3.36mm), 30 years(3.61mm), 40 years(5.38mm), 50 years(4.84mm), 60 years(5.28mm), 70 years(5.18mm), and over age of 80(5.29mm). Factors related to TPD of fiver fingers by multiple regressions were gender(${\beta}=.03$, p=.0001). Conclusions: Taken together, gender and age were significantly associated with TPD. We recommend that further research should measure TPD by using larger sample sizes and more sensitive measurement instruments.

온.냉욕 전신침수욕시 기간에 따른 vital sign의 변화

이승주,Yi, Seung-Ju 대한물리치료과학회 1996 대한물리치료과학회지 Vol.3 No.3

본 연구는 온 냉입욕시 신체의 vital sign(수축기 및 이완기혈압, 맥박수, 호흡수, 체온 등)의 변화를 알아보기 위해 1995년 6월 27일 안동전문대학 물리치료과 2학년 재학생 총 52 명 중 질병을 앓고 있거나 생리 중인 여학생 및 미참가 학생을 제외한 32명(61.5%)명을 대상으로 실시하였다. 그 결과는 다음과 같다. 1. 연구대상자의 안정시 수축기 및 이완기혈압의 평균은 각각 105.3mmHg, 67.3mmHg 였으며, 맥박수는 분당 70.7회였고, 호홉수의 평균은 15.6회였으며, 체온은 $36.6^{\circ}C$였다. <성별과 온 냉욕 적용시 각각의 해당 시간마다 vital sign의 변화> 1. 수축기혈압은 온욕조에 입욕후 3분, 6분, 9분, 그리고 12분 등에서 모두 남자가 여자 보다 높았으며, 냉욕조에서도 남자가 여자 보다 높게 나타났는데, 특히 3분 시점에서 남자가 110.77mmHg로 99.47mmHg인 여자 보다 통계적으로 높게 나타났으며(P=0.0543), 9분에서도 남자가 108.46mm班g로 여자의 96.84 mmHg 보다 높았고(P=0.0200), 역시 12분에서도 남자가 108.46mmHg로 여자의 100.00mmHg 보다 통계적으로 유의하게 높았다(P=0.0165). 2. 이완기혈압은 온 냉욕에서 남자가 여자보다 비교적 높게 나타났는데, 특히 냉욕시의 9분에서 남자가 74.61 mmHg로 여자의 63.68mmHg 보다 높았고(P=0.0051), 12분에서도 남자가 75.38mmHg로 64.21 mmHg의 여자 보다 통계적으로 유의하게 높게 나왔다(P=0.0031). 3. 맥박수는 온욕에 입욕시 모두 남자가 여자 보다 유의하게 높았는데, 3분의 시점에서 남자가 97.76회, 여자가 82.11회 이고(P=0.0024), 6분은 남자 104.23회, 여자 89.42회 이며(P=0.0025), 9분에서도 113.3회가 남자이고, 92.63mmHg는 여자로 남자가 높았다(P=0.0001). 12분도 남자가 115.46mm班g로 여자의 94.21회 보다 통계적으로 유의하게 높았다(P=0.0006). 냉욕에 입욕시 3분과 5분에서는 남자가 여자 보다 높았으나, 9분과 12분 시점에는 여자가 남자 보다 약간 높게 나타났다. 4. 호흡수도 온욕에서 해당 시간에 따라 남자가 여자보다 유의하게 증가하였는데, 남여 각각 3분에서 19.84회와 18.78회이고 (P=0.4815), 6분에서 24.92회 및 20.57회 (P=0.0413), 9분에서 24.92회와 20.57회 (P=0.0413), 그리고 12분에서도 33.31회의 남자가 24.00회의 여자 보다 높았다(P=0.0010). 냉욕에서도 남자가 여자 보다 높았다. 5. 체온은 온욕조에 입욕시 3분에서 여자의 $37.54^{\circ}C$가 남자의 $37.31^{\circ}C$ 보다 높았고(P=0,0175), 6분에서는 남자가 $37.8^{\circ}C$로 여자의 $37.76^{\circ}C$ 보다 약간 높았으며, 9분에서도 남여 각각 $38.30^{\circ}C,\;37.97^{\circ}C$로 남자가 여자 보다 높게 나타났고(P=0.0131), 12분에서도 남자가 $38.55^{\circ}C$로 여자의 $38.14^{\circ}C$ 보다 높게 나타났다(P=0.0008). 냉욕에서는 각각 시점에서 남여가 비슷하였다. <시간에 따른 vital sign의 변화> 1. 수축기혈압은 안정시와 온욕에 입욕후 3분, 5분, 9분, 그리고 12분의 시점에서 각각 105.15 muHg, 104.69 mmHg, 104.24 mmHg, 103.03 mmHg, 그리고 96.69 mmHg로 시간이 지날수록 점점 감소하였다(P=0.3006). 냉욕시에도 100.91mmHg, 103.33 mmHg, 103.33 mmHg, 100.91 mmHg로 감소하였으나 마지막 12분에서는 103.09 mmHg로 약간 증가하였다(P=0.7566). 2. 이완기혈압은 온욕에서 수축기혈압과 비슷하게 시간이 지남에 따라 약간씩 감소하였고, 냉욕은 3분과 6분에서 약간 증가하였으나 9분에서 감소하다가 다시 12분에서 약간 증가하는 추세를 보였다. 3. 맥박수는 온욕에서 시간이 지나감에 따라 분당 70.42회, 86.96회, 93.57회, 99.30회, This study was conducted to see variation of vital sign of hot and cool bath according to time, a questionnair survey and measurement was carried out for 32 students(sophomore) of department of physical therapy Andong Junior College on the 27th of June, 1995. The result were as follows: The average systolic blood pressure(SBP) of stability for 32 college students who were measured was 105.3mmHg, the average diastolic blood pressure(DBP) was 67.3mmHg, the average pulse frequency(PF) was 70.7(frequency/min), the average respiratory frequency (RF) was 15.6 (frequency/min), and the body temperature(BT) was $36.6^{\circ}C$. <Variation of vital sign of hot and cool bath according to time> As time went on, SBP for 32 students who were measured in hot bath according to stability, 3 min, 6 min, 9 min, and 12 min was decreased(105.15 mmHg, 104.69mmHg, 104.24 mmHg, 103.03 mmHg, and 96.69 mmHg)(P=0.3006). SBP was decreased in cool bath, too(105.15 mmHg, 103.33 mmHg, 103.33 mmHg, and 100.91 mmHg), but it at 12 min was a little higher(l03.09 mmHg)(P=0.7566). As time went on, DBP according to stability, 3 min, 6 min, 9 min, and 12 minutes was decreased in hot bath(66.82 mmHg, 65.45 mmHg, 64.54 mmHg, 63.03 mmHg, and 59.39 mmHg)(P=0.0906). It was similar in cool bath(66.82 mmHg, 67.87 mmHg, 68.48 mmHg, 67.87 mmHg, and 68.78)(P=0.9654). As time went on, PF was significantly increased in hot bath(70.42 times, 86.96 times, 93.57 times, 99.30 times, and 101.78 times)(P=0.0001). It was a little increased in cool bath, too (70.42 times, 70.85 times, 71.63 times, 71.06 times, and 71.45 times)(P=0.9803). As time went on, RF was significantly increased in hot bath(15.75 times, 19.09 times, 22.09 times, 24.94 times, and 26.48 times)(P=0.0001). I t in cool bath of stability, 3 min, and 6 min was a little increased(15.75 times, 19.30 times, 19.39 times), but it in 9 min(18.67 times), and 12 min(18.09 times) was a little decreased(P=0.0176). As time went on, BT was significantly increased in hot bath($36.63^{\circ}C,\;37.45^{\circ}C,\;37.81^{\circ}C,\;38.12^{\circ}C,\;38.33^{\circ}C$)(P=0.0001). It was a little increased in cool bath of stability and 3 min($36.63^{\circ}C,\;37.40^{\circ}C$), but others are similar($37.33^{\circ}C,\;37.37^{\circ}C$, and $37.36^{\circ}C$)(P=0.0001). It was revealed by this study, SBP and DBP according to time in hot and cool bath were decreased. PF, RF, and BT in hot bath were higher, RF and BT in cool bath were higher too. but PF was similar.

일부 요통환자들의 오스웨스터리요통장애지수 및 관련요인

이승주,Yi, Seung-Ju 대한물리치료학회 2008 대한물리치료학회지 Vol.20 No.4

Purpose: We measured the Oswestry Low Back Pain Disability Index (OLBPDI) and related factors in patients with low back pain. Methods: The sample consisted of 50 patients who received physical therapy at the physical therapy units of the Andong Seoul Sintong Clinic, St. Luke Clinic, and Yeongju Seoul Sintong Clinic in Andong and Yeongju city from October, 2007, to February, 2008. The OLBPDI questionnaire was administered by 5 physical therapists as a cross-sectional study. Student's t-test and analysis of variance (ANOVA/Tukey and Scheffe) were used to analyze OLBPDI score differences. We also used nonparametric statistic analysis (Wilcoxon rank sum test, Median test). Pearson correlation analysis (Spearman correlation analysis) was used to analyze the relationship between OLBPDI and the visual analogue scale (VAS). Multiple regression analysis was performed to determine the effects of independent variables on pain scores as defined by the OLBPDI. Results: The average patient age was 37.1 years (range: 18$\sim$78 years old), and time from onset was 21.7 months (1$\sim$180). OLBPD and VAS scores were 12.70 (3.0$\sim$28.0) and 5.14 (1$\sim$8), respectively. OLBPDI scores were 14.4 in patients taking medicine and 11.57 in those who did not. There was a statistically significant relationship between OLBPDI and VAS (r=0.54, p=0.0001; r=0.55, p=0.0001 by Spearman coefficient). Gender ($\beta$=6.14, p=0.0124), age ($\beta$=-2.01, p=0.0324), weight ($\beta$=0.31, p=0.0222), time from onset ($\beta$=1.54, p=0.0044), and VAS score ($\beta$=1.59, p=0.0004) were significantly associated with OLBPD by multiple regression analysis. Conclusion: Variables associated with OLBPD were gender, age, weight, time from onset, and VAS score. Collecting information on the pain index using OLBPDI was acceptable to patients with low back pain. Further research should explore the pain index by using larger sample sizes and longer follow-up periods.

일부 철도기관사의 요통경험 및 관련요인

이승주,권진희,Yi Seung-Ju,Kwon Jin-Hee 대한물리치료학회 2002 대한물리치료학회지 Vol.14 No.4

Objectives: The purpose of present study was to investigate the experience and point prevalence rate and factors related with Low Back Pain (LBP) in train egineers. Methods: Questionnaires were completed by 324 train engineers in Daejeon railroad administration from May 2002. The information was used to estimate odds ratio (OR) and 95$\%$ confidence intervals (CI) for factors relation to LBP. A retrospective study design was used. Results: The experience rate for LBP was 67.9$\%$, 54$\%$ in one year interval prevalence, 53.4$\%$ in 6 months interval prevalence, and 47.8$\%$ in a point prevalence rate. Variables significantly associated with LBP experience were age (p=0.0327), train vibration(p=0.0015), labour hour(p=0.0034), and pay(p=0.0534). As subjects got older, the higher experience for LBP was (OR=1.1, 95$\%$ CI 1.0-1.2). LBP experience rate for people who had felt train vibration was a higher than those who did not (OR=2.5, 95$\%$ CI 1.4-4.4, OR=2.3 95$\%$ CI 1.3-4.0 in a point prevalence). The people who worked for long hour was a higher than those who did not (OR=2.8, 95$\%$ CI 1.4-5.6, OR=2.2, 95$\%$ CI 1.1-4.5 in a point prevalence). The people who were not satisfied with pay was a higher than those who were (OR=1.7, 95$\%$ CI 1.0-3.0). Factors related to a point prevalence rate were train vibration(p=0.0027), chair vibration (p=0.0444), and labour hour(p=0.0340). LBP a point prevalence rate for people who had felt the vibration of train chair was a higher than those who did not (OR=1.8 95$\%$ CI 0.7-2.0). Conclusions: Results from present study indicated that a statistically significant factors associated with LBP experience were age, train vibration, labour hour, and pay, Factors related to a point prevalence rate were also train vibration, the vibration of train chair, and labour hour.

일부 중소도시지역 노인들의 우울 및 인지기능장애에 관한 연구

이승주,Yi, Seung-Ju 대한물리치료과학회 1994 대한물리치료과학회지 Vol.1 No.2

본 연구는 일부 중소도시지역 노인들의 우울증 및 인지기능장애의 정도를 분석하기 위해 1944년 8월 29일부터 9월 9일까지 경상북도 안동시 소재 43개 경로당 중 10개 시설에 거주하고 있는 노인의 전체 237명 중 150명을 대상으로 분석 하였는데, 그 결과는 다음과 같다. 1. 우울증의 항목별 평균값의 순위는 자기학대가 2.97점으로 1위, 성욕감퇴가 2.91점으로 2위, 절망감이 2.89점으로 3위 였다. 2. 성별에 따른 인지기능장애의 점수는 여자의 20.66점이 남자의 23.18점 보다 통계적으로 유의하게 낮았다(P<0.01). 3.교육수준과 인지기능장애에서 무학군이 20.41점으로 유학군의 23.05점 보다 유의하게 낮았다(P<0.01). 4. 결혼상태와 인지장애는 홀로사는 경우가 20.75점으로 배우자가 있는 경우의 22.87점 보다 유의하게 낮았다(P<0.01). 5. 일상생활활동 능력의 수준과 인지장애는 3단계(23.67점), 2단계(23.57점), 1단계(20.55점)로 내려갈수록 유의하게 낮은 점수였다(P<0.001). 6. 만성질환과 인지장애에서 질환을 가진군이 21.02점으로 가지고 있지않는 군의 22.52점 보다 유의하게 낮았다(P<0.05). 7. 성별과 우울증의 점수는 여성이 42.17점으로 41.10점인 남성 보다 유의하게 높은 우울점수를 보였으나 통계적 차이는 없었다. 8. 교육수준과 우울점수에서 무학군이 44.27점으로 유학군의 39.74점 보다 유의하게 높았다(P<0.05). 9. 흡연상태와 우울점수는 하루에 한갑이상의 흡연자 47.22점은 비흡연자의 40.34점 보다 높게 나타났다(P<0.05). 10. 신체이상유무와 우울점수는 가진경우가 44.22점으로 가지지 않은 경우의 40.46점 보다 유의하게 높았다(P<0.05). 11. 일상생활 활동능력의 수준과 우울점수는 3, 2, 1단계로 내려갈 수록 27.67, 38.41, 43.68점으로 높은 점수를 보였다(P<0.001). 12. 만성질환의 유무와 우울점수에서는 질환을 가진 군의 43.78점은 가지지않은 군의 37.63점 보다 높은 우울점수를 보였다(P<0.001). 이상의 본 연구결과에 의하면 연령이 높은 여성노인 이면서 교육을 받지못하고 수동적인 일상생활활동의 유지 및 만성질환을 가진 노인들일수록 인지기능장애와 우울증이 높음을 알 수 있다. 이러한 변수들이 직접적인 원인이라고는 할 수 없으며 단지 노인들의 복지정책에 참조사항이며 향후 이런 변수들을 중심으로한 전향적이고 인과적인 역학조사가 요구된다. For the purpose of promotion mental health in the elderly lived small city, a personal interview was conducted for 150 elderlies aged 65 years or more in the Kyungpook Andong city between 29th of August and 9th of September, 1994. The major findings were as follows; 1. The variables related depression were chronic disease, level of physical ability, smoking habits(pack/day) and school education. 2. The variables related cognitive impairment were level of physical ability, age, sex and chronic disease. It was revealed by this study, the female elderlies who had beend not educated and had chronic disease were higher depression or cognitive impairment. so the prospective research with these variables is need.