Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Quality of Life and Its Association with Physical and Mental Function in the Elderly People Affiliated with Long-term Care Insurance Services

노인 장기요양보험급여 이용자들의 삶의 질과 신체적 및 정신적 기능과의 관련성

  • Kim, Hyeong-Seon (Department of Public Health, Graduate School of Chungnam National University) ;
  • Park, Jae-Young (Department of Physical Therapy, College of Health Welfare, Kyungwoon University) ;
  • Kwon, In-Sun (Department of Preventive Medicine and public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Cho, Young-Chae (Department of Preventive Medicine and public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 김형선 (충남대학교 대학원 보건학과) ;
  • 박재영 (경운대학교 보건복지대학 물리치료학과) ;
  • 권인선 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Received : 2010.08.26
  • Accepted : 2010.10.15
  • Published : 2010.10.31
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Abstract

This study was performed to determine the levels of quality of life(QOL) according to the grade of long-term care service in the elderly people who were judged from long-term care insurance, and to reveal its association with related variables. The interviews were made to 958 elderlies in urban and rural areas from March 1 to May 31, 2009. The mean scores of QOL among all subjects were $55.4{\pm}15.62$(Grade I; $49.7{\pm}14.17$, Grade II; $56.8{\pm}14.62$, Grade III; $59.4{\pm}16.36$), and they were lower according to the higher grade of long-term care insurance. The multiple regression analysis was used to reveal the explanatory powers of factors influencing on the level QOL. Such factors as educational level, monthly income, subjective health status, depression and MMSE-K were shown to affect their QOL in Grade I, Grade II, and Grade III with explanatory powers of 45~62%.

본 연구는 장기요양보험 인정자로 판정받은 노인들의 삶의 질 수준을 알아보고, 삶의 질에 영향을 미치는 관련요인들을 규명해 보고자 시도하였다. 조사대상은 65세 이상 노인 중 2008년 7월부터 실시된 노인장기요양보험제도에 의해 장기요양인정자로 판정받은 노인 958명(1등급 305명, 2등급 323명, 3등급 330명)으로 하였으며, 조사는 2009년 3월 1일부터 5월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시하였다. 연구결과, 전체 조사대상자의 삶의 질 평균점수는 $55.4{\pm}15.62$점이었으며, 장기요양등급별로는 1등급이 $49.7{\pm}14.17$점, 2등급이 $56.8{\pm}14.62$점, 3등급이 $59.4{\pm}16.36$점으로 등급이 높을수록 삶의 질 점수는 유의하게 낮은 것으로 나타났다. 노인들의 장기요양등급별 삶의 질에 영향을 미치는 변수를 알아보기 위해 다중 회귀분석을 실시 한 결과에서는 교육정도, 월수입, 주관적 건강상태, 우울 및 인지기능장애가 1, 2, 3등급에서 공통으로 유의하게 영향을 미치는 것으로 나타났으며 45~62%로 비교적 높은 설명력을 보였다.

Keywords

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