DOI QR코드

DOI QR Code

구조방정식모형을 이용한 장기요양시설 노인의 신체적·정신적 기능 및 구강건강영향지수가 삶의 질에 미치는 영향 분석

Analysis of the Influence of Physical and Mental Function, and Oral Health Impact Profiles on Quality of Life in the Elderly People in Long-term Care Centers using the Structural Equation Model

  • 신민우 (충북보건과학대학교 치위생과) ;
  • 이영옥 (대전보건대학교 치위생과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Shin, Min-Woo (Department of Dental Hygiene, Chungbuk Health & Science University) ;
  • Lee, Young-Ok (Department of Dental Hygiene, Daejeon Health Science University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 투고 : 2016.01.27
  • 심사 : 2016.04.07
  • 발행 : 2016.04.30

초록

본 연구는 장기요양시설 노인의 신체적 기능(ADL, IADL), 정신적 기능(CES-D, MMSE-K) 및 구강건강영향지수(OHIP-14)가 삶의 질(WHOQOL-BREF)에 미치는 영향을 알아보고자 시도하였다. 조사대상은 장기요양시설에 입소하여 있는 노인 602명으로 하였으며, 조사는 2014년 5월 1일부터 6월 30일까지의 기간 동안에 구조화된 설문지를 이용한 면접조사를 실시하였다. 연구결과, 조사대상자의 정신적 기능(CES-D, MMSE-K)은 신체적 기능(ADL, IADL)이나 구강건강영향지수(OHIP-14)보다 삶의 질에 더 큰 영향을 미쳤으며, 신체적 기능과 구강건강영향지수가 높을수록, 정신적 기능이 높을수록 삶의 질을 증가시키는 효과가 있는 것으로 나타났다. 위와 같은 연구결과를 볼 때, 장기요양시설 노인들의 삶의 질은 신체적 기능, 정신적 기능 및 구강건강영향지수와 유의한 관련성이 있음을 시사하고 있다.

This study examined the effects of the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K) and oral health impact profile (OHIP-14) on the quality of life (WHOQOL-BREF) of the elderly in long-term care facilities. The study subjects were 602 elderly people, who were surveyed at the entrance to the long-term care facilities. The interviews were conducted using a questionnaire during the period from May 1, to June 30, 2014. As a result, the quality of life was affected more by the CES-D and MMSE-K than by the ADL and IADL or by OHIP-14; the quality of life improved with a higher ADL, IADL, and OHIP-14 and a higher CES-D and MMSE-K. A higher OHIP-14, ADL and IADL resulted in a higher CES-D and MMSE-K. These results suggested that the quality of life is correlated significantly with the physical functions (ADL, IADL), mental functions (CES-D, MMSE-K), and the oral health impact profile (OHIP-14).

키워드

참고문헌

  1. Young KJ, Longman AJ. Quality of life and persons with melanoma; a pilot study. Cancer Nursing, 6:219-225, 1983.
  2. Kim JH, Lee TY. The life satisfaction status in lower limb amputee subjects based on amputation level. Journal of Korean Society of Occupational Therapy, 9(1):111-121, 2001.
  3. de Haan R, Aaronson, N, Limburg M, Hewer RL, van Crevel H. Measuring quality of life stroke. stroke, 24(2):320-327, 1993. https://doi.org/10.1161/01.STR.24.2.320
  4. Lee KJ, Park HS. A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean Journal of Women Health Nursing, 12(3):221-230, 2006.
  5. Pendleton HM, Schultz-krohn K. Pedretti's Occupational therapy: practice skills for physical dysfunction(6th Ed.). St. Louis, MO : Mosby. 2006.
  6. Zelinski, E. M., & Gilewski, M. J. A 10 item Rasch modeled memory self efficacy scale. Aging and Mental Health, 8:293-306, 2004. https://doi.org/10.1080/13607860410001709665
  7. Chang SH. A study on the effects of the demential prevention program. Graduate School of Chosun University, Master's Thesis, 2007.
  8. Kim HS, Park JY, Kwon IS, Cho YC. Quality of life and its association with physical and mental function in the elderly people affiliated with long-term care insurance services. Journal of the Korea Academia-Industrial Cooperation Society, 11(10):3808-3819, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.10.3808
  9. Vinkers DJ, Ussekloo J, Stek ML, Westendorp RG, Mast RC. Temporalrelation between depression and cognitive impairment in old age :Prospective population based study, Brain Medication Journal, 329:74-71, 2004.
  10. Na SS. A study on social-welfare demand of low-income senior citizens living alone- based on basic livelihood security recipients of Gyeyang-gu, Incheon Metropolitan City-. Graduate School of Inchon University, Master's Thesis, 2007.
  11. Min KJ, Kim KJ, Cha CK. A study on the factors affecting subjective health index of the aged in Daejon area. Korean Journal of Health Education and Promotion, 18(2):1-26, 2001.
  12. Shin SY. The study on the impact of decision-making process on the adjustment of relocation to a nursing home in the elderly. Journal of Welfare for the Aged, 18:111-129, 2002.
  13. Ryu KJ. The relevance between level of oral health and oral health-related life quality among the elderly. Graduated School of Chungnam University, Doctor's Thesis, 2008.
  14. Hong MH. Impact of physical stress symptoms and psycho-emotional stress symptoms on oral health in adults. Journal of the Korea Academia-Industrial Cooperation Society, 15(3):1663-1670 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.3.1663
  15. Kim GH, Hong MH, Jeong MY. Subjective oral health awareness level and quality of life study. International Conference on Convergence Technology, 1(1):57-67, 2010.
  16. Kung HS, Song EJ, Hwang SJ. Oral health and quality of life of the orphans in Dong-gu, Daejeon. Journal of Dental Hygiene Science, 13(3):223-229, 2013.
  17. Park HR. A study on social efficacy of senior citizens in welfare centers in some areas according to their subjective oral health and their quality of life related to oral health. Journal of the Korea Academia-Industrial Cooperation Society, 15(2):1000-1009, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.2.1000
  18. Faul F, Erdfelder E, Lang AG, Buchner A. G*power 3: A flexible statistical power analysis program for the social, behavioral, and science. Behav Res Methods, 39(2):175-191, 2007. https://doi.org/10.3758/BF03193146
  19. Katz S. Studies of illness in the aged: the Index of ADL: A standardized measure of biological and psychosocial function. J of Am Med Assoc, 185:914-919, 1963. https://doi.org/10.1001/jama.1963.03060120024016
  20. Pfeiffer E. Multidimensional functional assessment: the OARS methodology. A manual. Durham, North Carolina: Duke University, Center for the Study of Aging and Human Development, 1975.
  21. Weissman MM, Locke BZ. Comparison of a self-report symptom rating scale(CES-D) with standardized depression rating scales in psychiatric populations. Am J Epidemiol, 102:430-431, 1975. https://doi.org/10.1093/oxfordjournals.aje.a112183
  22. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Measurement, 1:385-401, 1977. https://doi.org/10.1177/014662167700100306
  23. Folstein MF, Folstein SE & McHugh PR. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12:189-198, 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  24. Park JH, Kwon YC. Part I : Development of the test for the elderly = Korean Version of Mini-Mental State Examination (MMSE-K). Journal of the Korean Neuropsychiatric Association, 28(1):125-131, 1989.
  25. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health, 11(1):3-11, 1994.
  26. The WHOQOL Group. Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28:551-558, 1998. https://doi.org/10.1017/S0033291798006667
  27. Min SK, Lee CI, Kim KI, et al. Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF). Journal of The Korean Neuropsychiatric Association, 39(3):571-579, 2000.
  28. Seo HS, Han YH. Effects of health-related indexes on life satisfaction for the elderly people. Korean journal of research in gerontology, 15:159-170, 2006.
  29. Nam SK, Shim OS. A study on the influence factors on quality of life of elderly with chronic disease. Journal of Welfare for the Aged, 53:239-259, 2011.
  30. Barge-Schaapveld DQ, Nicolson NA, Berkhof J, deVries MW. Quality of life in depression: daily life determinants and variability. Psychiatry Res, 88(3):173-189, 1999. https://doi.org/10.1016/S0165-1781(99)00081-5
  31. Kwon YO, Choi MS, Lee JH, Yun HK. Analysis of structural relationship among geriatric denture-related characteristics, denture satisfaction, and GOHAI. Journal of Digital Convergence. 12(4):399-407, 2014.
  32. Li, Y., Meyer, J.S. & Thornby, J. Depressive symptioms among cognitively normal versus cognitively impaired elderly subjects. International Journal of Geriatric Psychiatry, 16:455-461, 2001. https://doi.org/10.1002/gps.360
  33. Bae JY. The effect of oral health on the quality of life of the elderly. Graduate School of Yeungnam University, Doctor's Thesis, 2008.
  34. Cho ES. Effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure. Journal of Digital Convergence, 11(12):607-614, 2013. https://doi.org/10.14400/JDPM.2013.11.12.607
  35. Locker D, Clarke M, Payne B: Self-reported oral health status, psychological well-being and life satisfaction in an older adult population. J Dental Res, 79: 970-975, 2000. https://doi.org/10.1177/00220345000790041301
  36. Kim JH, Kang SH, Jeong MY. Assessment on quality of life: based on oral health conditions. Journal of the Korea Academia-Industrial Cooperation Society, 11(12):4873-4880, 2010. DOI: http://dx.doi.org/10.1007/s11136-010-9670-0
  37. Chang IJ, Jeong SH, Park YA, et al. Association between denture satisfaction and perceived oral health among the elderly with removable denture. Journal of Korean Academy of Oral Health, 30(3):360-369, 2006.
  38. Park JY. The impact of health status of for the elderly on oral health-related of life quality. Journal of Digital Convergence, 12(5):271-280, 2014.