지역사회간호학회지 (Research in Community and Public Health Nursing)
- 제19권1호
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- Pages.36-45
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- 2008
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- 1225-9594(pISSN)
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- 2288-4203(eISSN)
지역사회 노인 치매 유병율과 위험인자
Prevalence and Risk Factors of Dementia in the Community Elderly
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Park, Nam-Hee
(Department of Nursing, College of Medicine, Inje University) ;
- Lee, Youn-Mee (Department of Nursing, College of Medicine, Inje University) ;
- E, Lu-Rie (Neurology, Inje University Hospital)
- 발행 : 2008.03.31
초록
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 (CBR) 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 (legit of dementia)= -4.337+