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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors that affect the frailty of the elderly people Over 70-Year-old in a Local Community

70세 이상 지역사회 거주노인의 허약 영향 요인

  • Kim, Kyung-Hee (Division of Health & Science, Yeungnam College of Science & Technology) ;
  • Yoon, Hee-Jung (Department of Preventive Medicine, Kyungpook National University)
  • 김경희 (영남이공대 보건과학부) ;
  • 윤희정 (경북대학교 의학전문대학원 예방의학교실)
  • Received : 2016.12.05
  • Accepted : 2017.02.03
  • Published : 2017.02.28
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Abstract

This study is a descriptive study that investigates the factors that affect the frailty of the elderly in the late period. The data were collected using a questionnaire during the period from 1 to 31 of December 2013. The subjects were 301 elderly people aged 70 years living in M city. The data were analyzed using a $x^2$ test, t-test, and ANOVA with the SPSS Statistics 18.0 program. Hierarchical regression analysis was performed to examine the factors that affect the weakness of elderly people. The results showed that 15.3% of the elderly living at home were frail. The factors that affect the frailty of the elderly were sex (p<0.01), nutritional status (p<0.01), cognition function (p<0.01), ADL (p<0.01), IADL (p<0.05), visual acuity (p<0.05), and chewing discomfort (p<0.05). A higher the degree of frailty was associated with women, poorer nutritional status, higher impairments to perform the daily activities (ADL and IADL), poorer hearing, and more feeling of chewing discomfort. These results can explain the frailty of elderly people over 70 years of age in a local community and the variables of health. The results suggest that the development of a comprehensive program for the elderly with weak physical, emotional, and functional health should be given priority.

본 연구는 후기 노인의 허약정도에 영향을 미치는 요인을 알아보기 위하여 시행된 서술적 조사연구이다. 연구는 구조화된 설문지를 이용하여 2013년 12월 1일부터 31일까지 경상북도 M시에 거주하는 70세 이상 후기 노인 301명으로부터 자료를 수집하였으며, $x^2$ test, t-test, ANOVA를 이용하여 자료를 분석하였고, 노인의 허약에 영향을 미치는 요인을 살펴보기 위하여 위계적 회귀분석을 실시하였다. 70세 이상 지역사회 거주 노인들 중 허약노인으로 분류된 노인은 15.3%이었다. 노인의 허약정도에 영향을 미치는 요인은 성별(p<.01), 영양상태(p<.01), 인지기능(p<.01), ADL(p<.01), IADL(p<.05), 청력(p<.05), 저작불편감(p<.05)이었으며, 남자보다 여자일 경우, 영양상태가 불량할수록, 일상생활수행능력에 장애가 있을수록, 수단적 일상생활수행능력에 장애가 있을수록, 청력이 나쁠수록, 저작불편감을 느낄수록 허약점수가 높았다. 본 연구를 통하여 70세 이상 지역사회 거주노인의 허약수준을 파악하고, 이에 영향을 미치는 건강차원의 변수를 파악할 수 있었다. 이를 근거로 향후 허약으로의 진행을 예방하기 위한 포괄적인 건강증진 방법이 모색되어야 할 것이다.

Keywords

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