치매노인의 자조활동에 영향을 미치는 인지요인 분석

다국어 초록 (Multilingual Abstract)

The purpose of this study was to evaluate the cognitive ability in relation to Activities of Daily Living and find cognitive factors affecting self care in dementia elderly. The cognitive abilities were assessed with Lowenstein Occupational Therapy Cognitive Assessment for Geriatric Population(LOTCA-G): orientation, perception, praxis, visuomotor organization, thinking operation, attention/concentration. The Functional Independence Measure(F1M) was used to assess the level of ADL. The population of this study consisted of 37 people aged 60 and older with dementia, living in Seoul and Gyeonggi-do. The result were as follow: 1) Total LOTCAG scores were related to self-care, communication, social cognition in the FIM subtests but there were not statistically related to sphincter control, transfer, locomotion. 2) The cognitive factor affecting self-care was visuomotor organization. 3) Among the components of self-care skills, feeding skill was affected by praxis, grooming skill was affected by especially attention/concentration, memory and orientation, bathing skill was affected by visuomotor organization, toileting skill was affected by memory and orientation, dressing skill for upper body was affected by memory, praxis and orientation, dressing skill for lower body was affected by memory, orientation and visuomotor organization. Consequently, the study showed that cognitive abilities in dementia elderly were correlated with self-care, communication, and social cognition. The visuomotor organization is the most affective cognitive factor in self-care skills. This study also found separately cognitive factors affecting self-care components. Hence, in geriatric rehabilitation, practitioners must plan activities included visuomotor organization as well as orientation and memory for maintaining and improving the functional abilities.