재활치료과학 (Therapeutic Science for Rehabilitation)

  • 제7권2호
  • /
  • Pages.41-50
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  • 2018
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  • 2635-9340(pISSN)
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  • 2671-4329(eISSN)
대한신경계작업치료학회 (Korean Society of Neurological Occupational Therapy)
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노인의 인지기능과 낙상유발 행동요인과의 상관분석

Correlation of Cognitive Function and Fall-risk Related Behavioral Factors

  • 주유미 (극동대학교 의료보건과학대학 작업치료학과) ;
  • 이헌주 (극동대학교 의료보건과학대학 작업치료학과)
  • Ju, Yumi (Dept. of Occupational Therapy, College of Health Science, Far-East University) ;
  • Lee, Heon-Joo (Dept. of Occupational Therapy, College of Health Science, Far-East University)
  • 투고 : 2018.05.01
  • 심사 : 2018.05.16
  • 발행 : 2018.05.31
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초록

목적: 본 연구는 노인의 인지수준이 낙상을 유발하는 위험 행동요인과 어떤 상관관계를 갖는지 알아보기 위하여 진행되었다. 연구방법: 2017년 10월부터 12월까지 3개월 간 4개의 도시에 거주하고 있는 65세 이상 인지장애가 있는 노인 및 인지장애가 없는 노인 43명을 대상으로 인지기능 평가(K-MoCA) 및 낙상행동요인척도(FaB)를 실시하여 자료를 수집하였다. 두 평가의 총점 결과간의 상관관계를 SPSS 22를 사용하여 분석하였고, 각각의 낙상행동요인과 인지수준과의 상관관계를 분석하였다. 결과: 노인의 인지수준과 낙상행동요인 간에 통계적으로 유의미한 양의 상관관계가 있는 것으로 나타났다(p<.01). 노인 낙상행동요인 척도의 총 30개의 문항 중 9개의 문항이 K-MoCA의 총점과 통계적으로 유의미한 상관관계를 보였다. 결론 : 노인의 인지수준이 높을수록 낙상위험 행동요인이 적고, 인지수준이 낮을수록 낙상위험 행동요인을 인식하지 못하고 낙상관련 위험행동을 하는 양상을 보인다. 특히 일부 낙상위험 행동요인은 인지수준과 상관관계가 있어 관련 중재를 제공할 시 고려해주는 것이 필요하다.

Objective: This study was conducted to investigate the correlation of cognitive function and fall-risk behavioral factors. Methods: The elderly over than 65 year-old with and without cognitive impairment were recruited in four different regional areas. Total 43 data of K-MoCA and FaB were collected. Pearson correlation of total scores of K-MoCA and FaB was analyzed using SPSS 22. Correlation between total score of K-MoCA and each item of FaB which describes the fall-risk behaviors was analyzed as well. Results: The cognitive function was statistically positive correlated with the fall-related behaviors in pearson correlation analysis (p<.01). Nine items of total 30 items of FaB was significantly correlated with total score of K-MoCA. Conclusion: Fall-risk behaviors were decreased as the cognitive level was improved. If the cognitive function was vulnerable, the insight to fall-risk behaviors deficits and various fall-related behavioral factors exits. The high fall-risk behaviors were correlated with cognitive function, so that the cognitive level should be considered in fall prevention intervention in Occupational Therapy.

키워드

참고문헌

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피인용 문헌

  1. 재가노인 방문요양보호사의 낙상관련 대처 경험에 관한 연구 vol.9, pp.3, 2018, https://doi.org/10.15268/ksim.2021.9.3.99