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

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Cognitive Function Affecting Self-reported Driving Test of Mild Cognitive Impaired Elderly Driver in The Community

지역사회 거주 경도인지장애 노인 운전자의 자가-보고식 평가 수행에 영향을 미치는 인지기능

  • Choi, Seong-Youl (Department of Occupational Therapy, Kwangju Women's University)
  • 최성열 (광주여자대학교 작업치료학과)
  • Received : 2018.09.20
  • Accepted : 2018.12.07
  • Published : 2018.12.31
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Abstract

A self-report evaluation is used to prevent driving accidents by elderly drivers. The majority of normal older adults may have mild cognitive impairment with reduced cognitive function. These depressed cognitive functions may be variables that affect the performance of elderly drivers. This study confirmed the cognitive functions that affect the self-reported evaluation for elderly drivers with mild cognitive impairment. Based on the results of the Korean Version of the Montreal Cognitive Assessment, 103 elderly drivers were classified into mild cognitive impairment and normal groups of elderly drivers. The Korean-Drivers 65 plus scores used in the self-reported evaluation of the two groups were compared, and the cognitive functions affecting the evaluation were analyzed. Results found the mild cognitive impairment group showed a significantly lower evaluation performance compared to the normal group, and the self-reported evaluation results of the elderly driver with mild cognitive impairment showed a significant correlation between visuoconstructional skills and delayed recall. As a result of regression analysis, the visuoconstructional skill was identified as the cognitive function with the strongest influence on the self-reported evaluation performance. Delayed recall was also found to have a partial effect but not at the level of altering the self-reported evaluation results of the elderly driver with mild cognitive impairment.

노인 운전자가 스스로 운전능력을 점검하는 자가-보고식 평가는 운전 중 사고 또는 사고위험성을 사전에 대비할 목적으로 사용된다. 지역사회에 거주하는 정상노인의 다수가 경도인지장애로 인해 인지기능 저하를 경험할 수 있으며, 이들의 저하된 인지기능은 노인 운전자용 자가-보고식 평가 수행에 영향을 미치는 변수가 될 수 있다. 따라서 본 연구를 통해 지역사회에 거주하는 경도인지장애 노인 운전자가 자가-보고식 평가를 수행하는 데 있어 영향을 미치는 인지기능을 확인하였다. 지역사회에 거주하는 노인 운전자 103명의 Korean Version of the Montreal Cognitive Assessment 평가결과를 바탕으로 경도인지장애와 정상 노인을 분류하였다. 그리고 두 집단의 자가-보고식 평가인 Korean-Drivers 65 plus 점수를 비교하였고, 이 평가 결과에 영향을 미치는 인지기능을 분석하였다. 그 결과 경도인지장애 그룹이 정상 그룹과 비교하여 유의하게 낮은 평가수행 결과를 보였으며, 경도인지장애 노인 운전자의 자가-보고식 평가 결과는 시공간 실행력 및 지연 회상력과 유의한 상관성이 확인되었다. 회귀분석을 통해 자가-보고식 평가 수행에 영향을 미치는 인지기능을 확인한 결과 시공간 실행력이 가장 영향력인 높은 변수로 확인되었다. 지연 회상력 또한 부분적 영향이 확인되었지만 경도인지장애 노인 운전자의 자가-보고식 평가 결과를 변질 시키는 수준은 아닌 것으로 확인되었다.

Keywords

Table 1. Driving & general characteristics

SHGSCZ_2018_v19n12_178_t0001.png 이미지

Table 3. The Correlation between K-Driver 65 Plus and Cognitive Functions with MCI Elderly Drivers

SHGSCZ_2018_v19n12_178_t0002.png 이미지

Table 2. Comparison of K-Driver 65 plus within normal and MCI

SHGSCZ_2018_v19n12_178_t0003.png 이미지

Table 4. Regression Analysis of Cognitive Function Affecting K-Driver 65 Plus with MCI Elderly Drivers

SHGSCZ_2018_v19n12_178_t0004.png 이미지

Table 5. Moderated Regression Analysis of Delayed Recall on Effect of Visuoconstructional Skill on K-Driver 65 Plus

SHGSCZ_2018_v19n12_178_t0005.png 이미지

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