지역사회 노인 치매 유병율과 위험인자|RISS 상세보기

다국어 초록 (Multilingual Abstract)

Purpose: This study was to estimate the prevalence of dementia in order to estimate the associations of dementia with its risk factors in the community elderly.
Methods: The multistage random cluster sampling method was used to select the subjects. The response rate was 94.3 %. For the 1st stage screening survey, the
Korean-version Mini-Mental State Examination (K-MMSE) and the Bathel Index of activities of daily living (ADL) and instrumental activities of daily living (IADL) were used as primary screening tools. At the 2nd stage, diagnoses were confirmed according to the Clinical Dementia Rating Scale (CDR) and Computer Tomogram (CT). Results: Age-sex adjusted prevalence (%) [95% CI] of dementia was 6.25% [4.47-7.83] (male 4.21% [2.40-6.02]; female 8.28% [5.71-10.85]). Four statistically significant risk factors of the dementia were identified: age 70-74 (OR=1.367), age 75-79 (OR=1.712), age 80-84 (OR=2.465), age 85 over (OR=7.363); illiteracy (OR=3.827); unconsciousness after head injury (OR=3.383), and no exercise (OR=2.188). Hosmer and Lemeshow goodness-of-fit index of dementia risk model was E (logit of dementia)= -4.337+0.312*Age(70~74)+0.538*Age(75~79)+0.902*Age(80~84)+1.996*Age(85over)+1.342*Illiteracy +1.219*Unconsciousness after head trauma+0.783*No exercise. We confirmed that the overall prevalence of dementia in adults aged 65 and older was 94.3%. The risk factors of dementia were explained by age, illiteracy, unconsciousness after head trauma and no exercise.
Conclusion: These data have been used to estimate the incidence of dementia in elderly community population and to manage the possible role of risk factors as predictors of dementia.

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목차 (Table of Contents)

Ⅰ. 서론 1
1. 연구의 필요성 1
2. 연구목적 2
Ⅱ. 연구 방법 2
1. 연구 설계 2

Ⅰ. 서론 1
1. 연구의 필요성 1
2. 연구목적 2
Ⅱ. 연구 방법 2
1. 연구 설계 2
2. 연구 대상 및 자료수집절차 2
1) 표본크기 2
2) 기본 표본조사구와 표본 추출방법 2
3) 조사대상자의 반응률 2
4) 조사요원 훈련 2
(1) 조사요원 선정 3
(2) 조사요원 교육 3
(3) 조사과정 3
3. 연구 도구 2
1) 1차 선별단계 3
(1) 한국어판 간이정신상태검사(Koren-Mini-mental State Examination:K-MMSE) 3
(2) 바텔의 일상생활 활동 및 도구적 일상생활활동 척도(Bathel index of activities of daily livings and instrumental activites of daily living: ADLs & IADLS) 3
(3) 위험요인 조사도구 3
2) 2차 임상진단단계 4
4. 자료 분석 방법 4
Ⅲ. 연구 결과 4
1. 조사대상자의 특성 3
1) 인구사회학적 특성 4
2) 과거력 5
3) 가족력 5
2. 치매의 유병률 및 위험요인 8
1) 치매의 성별-연령별 유별률 8
2) 단변량 로짓회귀분석에서 확인된 치매의 위험요인 5
3) 다변량 로짓회귀 분석에서 확인된 치매의 위험요인 및 치매위험 모형구축 6
4) 치매 위험 모형구축 6
Ⅳ. 논의 6
Ⅴ. 결론 및 제언 8

참고문헌 (Reference)

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