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지역사회 노인들의 한국판 간이 정신상태 판별검사(MMSE-K), 노인용 로웬스타인 작업치료 인지평가(LOTCA-G)에 대한 한국판 몬트리올 인지기능 검사(MoCA-K)의 타당도 연구

Construction validity of the MoCA-K to MMSE-K, LOTCA-G in the Community living Elderly

  • 고효은 (동신대학교 일반대학원 작업치료학과) ;
  • 김정운 (동신대학교 일반대학원 작업치료학과) ;
  • 김희동 (동신대학교 일반대학원 작업치료학과) ;
  • 장연식 (동신대학교 일반대학원 작업치료학과) ;
  • 정현애 (동신대학교 작업치료학과)
  • Ko, Hyo-Eun (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Kim, Jeong-Woon (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Kim, Hee-Dong (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Jang, Yeon-Sik (Department of Occupational Therapy, Graduate School, Dongshin University) ;
  • Chung, Hyun-Ae (Department of Occupational Therapy, DongShin University)
  • 투고 : 2012.12.04
  • 심사 : 2013.01.10
  • 발행 : 2013.01.31

초록

본 연구는 지역사회 노인을 대상으로 국내에서 사용되는 인지기능 검사인 LOTCA-G 및 MMSE-K와 MoCA-K와의 상관관계를 통해 경도인지장애를 탐지하는 데 사용되는 MoCA-K의 유용성을 알아보고자 하였다. 50명을 대상으로 한 각 평가도구들의 인지기능 점수는 MoCA-K가 30점 만점 중 $22.72{\pm}5.85$, LOTCA-G는 104점 만점 중에 $96.28{\pm}6.82$, MMSE-K는 30점 만점 중 $25.08{\pm}3.78$점이었다. 대상자들의 일반적 특성에 따른 각 평가도구들의 점수를 알아본 결과, 세 개의 평가도구 모두 남녀 간에는 유의한 차이가 없었으며, 연령과 교육수준에 따라서는 유의한 차이를 보였다. 노인들의 치매 선별검사로 널리 사용되고 있는 신뢰성과 타당성이 확보된 MMSE-K 및 LOTCA-G의 수행점수와 MoCA-K 수행점수 간에 높은 상관관계가 나타났으므로 MoCA-K는 노인들의 인지기능을 평가하는 데 있어 타당한 인지검사도구라는 것을 확인할 수 있다.

This study was to examine usefulness of MoCA-K by comparing the correlation between LOTCA-G, MMSE-K and MoCA-K, regarding detecting elderly people's mild cognitive function in local community. The experiments in which the three different evaluation methods were employed, of this study were conducted on 50 elderly people. While the score of MoCA-K and MMSE-K was $22.72{\pm}5.85$ out of 30 and $25.08{\pm}3.78$ out of 30 respectively, the result of LOTCA-G was $96.28{\pm}6.82$ out of 104. Observing each result of the three cognitive function assessment tools towards general characteristics showed no significant differences in gender. However, they were at considerable variance with age and education level of the example group. As all the three results of the assessment methods showed high correlation, it is reasonable to believe that MoCA-K is an appropriate evaluation tool to assess the cognitive function of old people.

키워드

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