Journal of Korean Gerontological Nursing (노인간호학회지)

Korean Gerontological Nursing (한국노인간호학회)
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Cognitive Impairment Risk Factors in Elders

경로당 이용 노인의 인지기능장애 위험요인

  • Received : 2015.07.15
  • Accepted : 2015.11.24
  • Published : 2015.12.31
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Abstract

Purpose: This study was done to provide ways to prevent cognitive deterioration by identifying the risk factors for cognitive impairment. Methods: Data were collected by questionnaires from elders using Senior Centers. Participants were 210 people, 105 with suspicious dementia and 105 with normal cognitive function. Measures were MMSE-DS, ADL, IADL, social relationships and SGDS-K. Data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test and logistic regression analysis with SPSS/WIN 22.0 program. Results: In logistic regression analysis, the probability of having suspicious dementia was 2.6 times (95% CI 1.02~6.76) higher for elderly women than elderly men. Elders age 80 or over had 2.6 times (95% CI 1.26~5.38) more chance of exposure to suspicious dementia than elders age of 65~79. Also, non-educated elders had 4.2 times (95% CI 2.05~8.62) more probability than elders with elementary school graduation or above, elders and older persons with mild depression had 3.1 times (95% CI 1.09~8.62) more probability of suspicious dementia than elders with major depression. Conclusion: To maintain and promote the cognitive function of older people, it is necessary to consider these cognitive impairment risk factors and develop nursing intervention programs to prevent cognitive deterioration.

Keywords

References

  1. Korea Ministry of Health & Welfare. 2012 National study on prevalence of dementia in Korean elders [Internet]. 2013 May 3[cited 2013 May 2]. Available from: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_ME NU_ID=04&MENU_ID=0403&CONT_SEQ=286138&page=1
  2. Chu SK, Choi HJ, Yoo JH. A study on the relationship between depression and cognition in the community female aged. Journal of East-West Nursing Research. 2010;16(2):131-7.
  3. Petersen RC, Stevens JC, Ganguli M, Tangalos EG, Cummings JG, DeKosky ST. Practice parameter: early detection of dementia: Mild cognitive impairment. Neurology. 2001;56(9): 1133-42. http://dx.doi.org/10.1212/wnl.56.9.1133
  4. Ha EH, Park KS. Factors influencing cognitive impairment in elders with dementia living at home. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):317-27.
  5. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. J Korean Acad Nurs. 2009; 39(5):622-31. http://dx.doi.org/10.4040/jkan.2009.39.5.622
  6. Kim EJ. Factors influencing cognitive impairment of the elderly residents. Journal of East-West Nursing Research. 2010; 16(2):122-30.
  7. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. Journal of Korean Psychiatric and Mental Health Nursing Academic Society. 2003;12(2):148-54.
  8. Lee S, Burning J, Cook N, Grodstein F. The relation of education and income to cognitive function among professional women. Neuroepidemiology. 2006;26(2):93-101. http://dx.doi.org/10.1159/000090254
  9. Chodosh J, Miller-Martinez D, Aneshensel C, Wight R, Karlamangla A. Depressive symptoms, chronic diseases, and physical disabilities as predictors of cognitive functioning trajectories in older Americans. J Am Geriatr Soc. 2010;58:2350-7. http://dx.doi.org/10.1111/j.1532-5415.2010.03171.x
  10. Luck T, Luppa M, Briel S, Matschinger H, Koonig HH, Bleich S, et al. Mild cognitive impairment: incidence and risk factors: Results of the Leipzig longitudinal study of the aged. J Am Geriatr Soc. 2010;58(10):1903-10. http://dx.doi.org/10.1111/j.1532-5415.2010.03066.x
  11. Yoo MS, Jo EM, Kim YS. A study on daily living activity, cognitive function and depression of community dwelling elderly women served home visiting care service. Journal of the Korean Society of Maternal and Child Health. 2007;11(2):224-32. https://doi.org/10.21896/jksmch.2007.11.2.224
  12. Larson E, Wang L, Bowen J, McCormick W, Teri L, Crane P, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med. 2006;144(2):73-81. http://dx.doi.org/10.7326/0003-4819-144-2-200601170-00004
  13. Huang W, Qiu C, Winblad B, Fratiglioni L. Alcohol consumption and incidence of dementia in a community sample aged 75 years and older. Clinical Epidemiol. 2002;55:959-64. http://dx.doi.org/10.1016/s0895-4356(02)00462-6
  14. Wang C, Lu T, Liao W, Yuan S, Kuo P, Chuang H, et al. Cigarette smoking and cognitive impairment: A 10-year cohort study in Taiwan. Arch Gerontol Geriatr. 2010;51(2):143-8. http://dx.doi.org/10.1016/j.archger.2009.09.041
  15. Crooks V, Lubben J, Petitti D, Little D, Chiu V. Social network, cognitive function, and dementia incidence among elderly women. J Am Public Health. 2008;98(7):1221-7. http://dx.doi.org/10.2105/AJPH.2007.115923
  16. Lee HJ, Kahng SK. The reciprocal relationship between cognitive functioning and depressive symptom: group comparison by gender. Korean journal of social welfare studies. 2011;42(2);179-203. http://dx.doi.org/10.16999/kasws.2011.42.2.179
  17. Folstein MF, Folstein SE, McHugh PR. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98. http://dx.doi.org/10.1016/0022-3956(75)90026-6
  18. Kim KW, Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, et al. Korean version of mini mental status examination for dementia screening and Its' short form. Journal of Korean Geriatric Psychiatry. 2010;7(2):102-8. http://dx.doi.org/10.4306/pi.2010.7.2.102
  19. Lee BJ. Study on the improvement of elderly women's quality of life related to their daily activity level [master's thesis]. [Seoul]: Kyunghee University; 2001. 106 p.
  20. Sheikh JI, Yesavage JA. Geriatric depression scale (GDS), recent evidence and development of a shorter version. Clin Gerontol. 1986;5(1-2):165-73. http://dx.doi.org/10.1300/j018v05n01_09
  21. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of geriatric depression scale, Korean version (GDS) in the Assessment of DSM-III-R major depression. Psychiatry Investig. 1999;38(1):48-63.
  22. Son JJ, Han DH, Kee BS. The effect of living with spouse on cognitive decline and depressive symptom in elderly people. Journal of Korean Geriatric Psychiatry. 2013;17:14-9.
  23. Yoo JH. Effects of cognitive-behavioral program on cognitive function, depression, activities of daily living in the community elderly [dissertation]. [Seoul]: Yonsei University; 2007. 96 p.
  24. Statistics Korea. 2014 statistics on the aged [Internet]. 2014 Sep [cited 2014 Nov 26]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board ?bmode=read&aSeq=330349
  25. Kim HS, Yi YS, Park KH, Kang UK, Lee BM. Effects of cognition promoting program on cognitive function, depression and quality of life in elderly. The Journal of the Korea Contents Association. 2010;10(8):228-39. http://dx.doi.org/10.5392/JKCA.2010.10.8.227
  26. Sun JJ. Effects of program to prevent dementia on cognitive function, depression and quality of life in the elderly women living alone[dissertation]. [Gwangju]: Chonnam University; 2012. 67 p.
  27. Jeong KS, Ahn JH, Bhang SY, Choi SH, Kim SY. Neuropsychological characteristics of mild cognitive impairment with late life depression. Journal of Korean Geriatric Psychiatry. 2012;16(2):104-10.
  28. Kim OS, Yang SJ, Kim JH, Kim NY, Jeon HO. Leisure activities, cognitive function and depression in female elderly. Korean Journal of Adult Nursing. 2007;19(3):436-46.
  29. Lee WY, Kwon SS. Effects of a music therapy program on depression, balance, flexibility in the elderly. Journal of Korean Academy of Community Health Nursing. 2003;14(1): 16-23.
  30. Choi AN, Ryu KK. The effect of group music therapy on cognition, depressive mood, quality of life and BPSD (behavioral and psychological symptoms of dementia) in patients with dementia: Institute of Special Education & Rehabilitation Science, Daegu University. 2007;46(3):143-74.

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