일부 방문보건대상 여성노인의 일상생활 수행능력, 인지기능 및 우울과의 관계 = A Study on Daily Living Activity, Cognitive Function and Depression of Community Dwelling Elderly Women Served Home Visiting Care Service

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of the study was to analyze the relationship of daily living activity, cognitive function and depression of elderly women who are receiving the visiting nurses service in the community.
Methods: Study participant were 1,715 community-dwelling elderly women who live in S City. The data was collected from 5th January to 28th February 2006. The cross- sectional descriptive survey was done using a structured questionnaire through interviews by visiting nurses.
Results: The average scores of daily living activity was high, which indicates a relatively independent daily life. However, the score of cognitive function was 21.04 (normal range is over 23). The average score of depression was 2.02 (normal range is below 5). There was a significantly positive correlation among ADL, IADL and cognitive function with the pearson correlation coefficients. IADL and cognitive function showed a significant negative correlation with depression. Elderly women subjects who are old aged (over 85 years) and low educated showed low daily living activity and cognitive function. Low educated subjects also showed higher score of depression than others.
Conclusions: It is concluded that elderly women subjects who are old aged, and low educated should be watched carefully for the daily living activity, cognitive function and depression. Nurses also should manage elderly women's health considering with the relationship of daily living activity, cognitive function and depression. In addition, the government should apply early detection and management system for cognitive impairment and depression in the community.

참고문헌 (Reference)

1 "지역사회 여성노인의 인지기능, 신체적 건강, 자아존중감 및 사회적 지지와 우울과의 관계" 4 (4): 163-175, 2002

2 유호신, "전국 법정복지대상 노인의 일상생활 수행능력과 치매와의 상관관계" 31 (31): 139-149, 2001

3 "저소득층의 보건 복지 요구 기초조사 분석 보고서" 1999

4 임은실, "저소득 재가노인의 신체적 기능 우울 및 사회적 지지가 삶의 질에 미치는 영향" 5 (5): 38-49, 2003

5 "일부 노인의 건강행동이 건강상태에 미치는 영향" 14 (14): 73-95, 1997

6 "여성의 생애주기별 건강문제와 대책" 2000

7 "신체건강, 인지기능 및 심리사회 건강이 지역사회 노인의 우울에 미치는 영향" 2005

8 "도시지역 저소득노인에 대한 보건복지정책의 방향" 2000

9 이수애, "농촌지역 노인의 우울증 결정요인에 관한 연구" 22 (22): 209-226, 2002

10 "농촌지역 노인들의 인지기능 장애와 사망과의 관련성" 1998

11 이정애, "농촌지역 노인들의 우울 및 인지기능장애에 관한 연구" 26 (26): 412-429, 1993

12 지경희, "농촌지역 노인들의 식품섭취 다양성과 일상생활기능과의 관련성" 2005

13 "노인치매실태 및 치매에 영향을 미치는 사회, 문화, 환경적 요인" 2004

14 통계청, "노인인구 통계" 2005

15 "노인의 인지기능과 우울에 영향을 미치는 요인" 12 (12): 148-154, 2003

16 "노인용 한국판 Mini-Mental State Examination(MMSE-K)의 표준화 연구" 28 (28): 125-135, 1989

17 장하진, "고령화 시대의 여성정책" 2003

18 Sheikh JI, "Recent evidence and development of a shorter version A Guide to assessment and Intervention" Geriatric Depression Scale The Harworth Press 1986

19 Folstein MF, "Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician" 12 : 189-198, 1975

20 Carpenter GI, "Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment" 6 (6): 1471-1479, 2006

21 Wilms HU, Steffi G, "Limitations in activities of daily living and instrumental activities of daily living capacity in a representative sample disentangling dementia- and mobility-related effects" 48 (48): 95-101, 2006

22 Guerrero-Berroa E, "Health care professionals' awareness of the symptoms of geriatric depression" 39 (39): 14-20, 2001

23 Reynold CF, "Geriatric depression diagnosis and treatment" 26 (26): 28-31, 2002

24 Alexopoulos GS, "Disability in geriatric depression" 877-885, 1996

25 Steen JT, "Defining severe dementia with the Minimum Data Set" 21 : 1099-1106, 2006