DOI QR코드

DOI QR Code

Effects of Dementia Risk Factors on the Cognitive Function Ability decline of the Elderly Living Alone

독거노인의 치매 위험인자 보유상태가 인지기능 저하에 미치는 영향

  • Ham, Min-Joo (Dept. of Occupational Therapy, The Graduate School of Konyang University) ;
  • Cha, Tae-Hyun (Dept. of Occupational Therapy, Konyang University)
  • 함민주 (건양대학교 일반대학원 작업치료학과) ;
  • 차태현 (건양대학교 의과학대학 작업치료학과)
  • Received : 2018.05.31
  • Accepted : 2018.08.20
  • Published : 2018.08.28

Abstract

This study is a descriptive study to investigate the factors influencing the level of cognitive function among elderly living alone according to the presence of dementia risk factors. We conducted a simple questionnaire, GDS-K and MMSE-DS tests to investigate the risk of dementia among 143 elderly people living alone in the community. The results showed that the major factors influencing the cognitive function of the elderly people living alone were education, age, depression status, smoking, leisure activities, and gender. In order to develop strategies for the prevention of dementia in the elderly people living alone, it is necessary to change lifestyle and provide various management methods to identify risk factors that negatively affect cognitive function and to help cognitive health.

본 연구는 독거노인의 치매 위험인자 보유상태가 인지기능 저하에 미치는 영향요인임을 알아보기 위한 서술적 조사 연구이다. 지역사회에 거주하는 독거노인 143명을 대상으로 치매 위험인자를 파악하기 위한 간이 설문지, 노인우울척도, 치매선별용 간이정신상태 검사를 실시하였다. 연구결과, 독거노인의 인지기능에 영향을 미치는 주요 요인은 무학과 초졸 이하의 학력, 연령, 우울상태, 흡연, 여가활동, 성별 순으로 나타났다. 향후 독거노인을 대상으로 치매예방 전략을 마련하기 위해서는 인지기능에 부정적인 영향을 주는 요인을 파악하여 인지건강에 도움을 줄 수 있는 생활습관의 변화와 다각적인 관리방안을 모색해야할 필요성이 있다.

Keywords

References

  1. H. J. Nam, S. H. Hwang, Y. J. Kim, S. J. Byoen & K. W. Kim. (2017). Korean Dementia Observatory 2017. Seongnam-si : National Institute of Dementia.
  2. Statistical Korea, 2017 elderly people statistics, http://kostat.go.kr. 2017.
  3. Eom, E. T. (2007). Elderly suicide and its related factors: Focused on the role of social support and mastery in the effects of hopelessness and depression on suicidal ideation. Korean Journal of Social Welfare, 59, 355-379. https://doi.org/10.20970/kasw.2007.59.2.014
  4. J. N. Sohn. (2012). A Study on Factors Influencing the Suicidal Ideation in Elderly People who Live Alone or Live with Family. Journal of Korean Academy of Psychiatric Mental Health Nursing, 21(2,), 118-126. https://doi.org/10.12934/jkpmhn.2012.21.2.118
  5. Y. M. Jung & J. H. Kim. (2014). Comparison of Cognitive levels, Nutritional Stauts, Depression in the Elderly according to Living Situations. Journal of Korean Academy of Nursing, 34(3), 495-503. DOI: 10.4040/jkan.2004.34.3.495
  6. D. Kitching. (2015). Depression in dementia. Australian Prescriber, 38, 209-211. DOI: 10.18773/austprescr.2015.071
  7. N. Curry, H. Holder & L. Patterson. (2013). Caring for an Older Population - Points to Consider from Reform in Japan. London : Research report. Nuffield Trust Publishing.
  8. OECD. (2015). Addressing Dementia: The OECD Response. Paris : OECD Publishing.
  9. C. N. Lee & K. W. Park. (2012). Risk Factors of Dementia. The Journal of Korean Diabetes, 13(3), 129-132. DOI: 10.4093/jkd.2012.13.3.129
  10. M. Ganguli, C. W. Lee, B. E. Snitz, T. F. Hughes, E. McDade & C. C. Chang. (2015). Rates and risk factors for progression to incident dementia vary by age in a population cohort. Neurology, 84(1), 72-80. DOI: 10.1212/WNL.0000000000001113
  11. M. Prince, E. Albanese, M. Guerchet, & M. Prina. (2014). Dementia and risk reduction - an analysis of protective and modifiable risk factors. London: Alzheimer Disease International Publishing.
  12. M. Prince, G. C. Ali, M. Guerchet, A. M. Prina, E. Albanese & Y. T. Wu. (2016). Recent global trends in the prevalance and incidence of dementia, and survival with dementia. Alzheimer's Research & Therapy, 8(23), 1-13. DOI: 10.1186/s13195-016-0188-8
  13. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. Adey & V. O. Leirer. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  14. I. K. Jung, D. I. Kwak, D. K. Shin, M. S. Lee, H. S. Lee & J. Y. Kim. (1997). A reliability and validity study of Geriatric Depression Scale. Journal of Korean Neuropsychiatric Association, 36, 103-112.
  15. J. N. Bae & M. J. Cho. (2004). Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. Journal of Psychosomatic Research, 57(3), 297-305. DOI: 10.1016/j.jpsychores.2004.01.004
  16. J. W. Han, T. H. Kim, J. H. Jhoo, J. H. Park, J. R. Kim, S. H. Ryu ... & K. W. Kim. (2010). A Normative Study of the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and Its Short form(SMMSE-DS) in the Korean Elderly. Journal of Korean Geriatirc Psychiatry, 14(1), 27-37.
  17. M. Folstein, S. Folstein & P. McHugh. (1975). "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  18. H. W. Kang. (2016). The Factors Influencing Cognitive Impairment in Older Adults Living Alone and Those Living with Others: The Korean Longitudinal Study of Ageing (KLoSA) 2012. Journal of the Korean Data Analysis Society, 18(2), 995-1009.
  19. J. C. Allaire & K. E. Whitfield. (2004). Relationships Among Education, Age, and Cognitive Functioning in Older African Americans: The Impact of Desegregation. Aging Neuropsychology and Cognition, 11(4), 443-449. DOI: 10.1080/13825580490521511
  20. J. W. Choi, M. U. Chun & S. G. Kang. (2017). Cognitive Function, Depression and Quality of Life according to the Demographic Characteristics and Physical Activity Type of the Elderly. Journal of the Korea Convergence Society, 8(12), 431-444. https://doi.org/10.15207/JKCS.2017.8.12.431
  21. G. H. Suh, J. K. Kim, B. K. Yeon, S. K. Park, K. Y. Yoo, B. K. Yang ... & M. J. Cho. (2000). Prevalence and Risk Factors of Dementia and Depression in the Elderly. Journal of Korean Neuropsychiatric Association, 39(5), 809-824.
  22. J. J. Sun & S. H. Oh. (2017). The Development and Effects of The Integrated Dementia Prevention Program for Life in the Elderly Women Living alone. Journal of Convergence for Information Technology, 7(3), 55-64. DOI: 10.22156/CS4SMB.2017.7.3.055
  23. J. Y. Lee, M. J. Ham, J. Y. Pyeon, E. S. Oh, S. H. Jeong, E. H. Sohn ... & A. Y. Lee. (2017). Factors Affecting Cognitive Impairment and Depression in the Elderly Who Live Alone: Cases in Daejeon Metropolitan City. Dementia and Neurocognitive Disorders, 16(1), 12-19. DOI: 10.12779/dnd.2017.16.1.12
  24. C. G. Lyketsos, L. Baker, A. Warren, C. Steele, J. Brandt, M. Steinberg ... & A. Baker. (1997). Major and minor depression in Alzheimer's disease: prevalence and impact. The Journal of Neuropsychiatry and Clinical Neuroscience, 9, 556-561. https://doi.org/10.1176/jnp.9.4.556
  25. E. Duron & O. Hanon. (2008). Vascular risk factors, cognitive decline, and dementia. Vascular Health Risk Management, 4(2), 363-381. https://doi.org/10.2147/VHRM.S1839
  26. L. A. Yates, S. Ziser, A. Spector & M. Orrell. (2016). Cognitive leisure activities and future risk of cognitive impairment and dementia: systematic review and meta-analysis. International Psychogeriatrics, 28(11), 1791-1806. DOI: 10.1017/S1041610216001137
  27. E. J. Lim. (2013). The Relationship between Depression, Cognitive Function and the Instrumental Activities of Daily Living of Elderly Women Living Alone. Journal of the Korea Academia-Industrial cooperation Society, 14(4), 1849-1856. DOI: 10.5762/KAIS.2013.14.4.1849
  28. M. W. Kim & J. M. Park. (2017). Factors affecting cognitive function according to fender in community-dwelling elderly individuals. Epidemiology and Health, 39, 1-20. DOI: 10.4178/epih.e2017054
  29. L. Fratiglioni, S. Paillard-Borg & B. Winblad. (2004). An active and socially integrated lifestyle in late life might protect against dementia. The Lancet Neurology, 3(6), 343-353. https://doi.org/10.1016/S1474-4422(04)00767-7
  30. J. K. Kang & J. Y. Lee. (2015). Status and Tasks of ICT-based Welfare Services for the Elderly Living Alone. The Society of Digital Policy and Management, 13(1), 67-76. DOI: 10.14400/JDC. 2015.13.1.67
  31. J. S. Kim. (2018). The Structural Model Suicidal Ideation in Elderly Living Alone. Journal of Convergence for Information Technology, 8(2), 29-36. DOI: 10.22156/CS4S MB.2018.8.2.029
  32. J. S. Park & Y. J. Yu. (2016). Convergence Factors Influencing the Quality of Life in the Elderly People Living Alone. The Society of Digital Policy and Management, 14(11), 63-70. DOI: 10.14400/JDC.2016.14.11.63
  33. S. M. Kim, H. J. Seo & M. R. Sung. (2014). Factors Affecting Dementia Prevalence in People Aged 60 or Over: A Community based Cross-sectional Study. Journal of Korean Academy of Nursing, 44(4), 391-397. DOI: 10.4040/jkan.2014.44.4.391
  34. B. L. Zhong, S. L. Chen, X. Tu & Y. Conwell. (2017). Loneliness and Cognitive Function in Older Adults: Findings From the Chinese Longitudinal Healthy Longevity Survey. The Journals of Gerontology, 72(1), 120-128. DOI: 10.1093/geronb/gbw037