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치매노인의 삶의 질에 영향을 미치는 요인

Factors Influencing Quality of Life of Elderly People with Dementia

  • 투고 : 2018.01.10
  • 심사 : 2018.05.11
  • 발행 : 2018.05.31

초록

Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

키워드

과제정보

연구 과제 주관 기관 : national research foundation of Korea

참고문헌

  1. Korean Statistical Information Service. Trend in population and aging index by age hierarchy [Internet]. Seoul: Korean Statistics; 2017[cited 2017 November 23]. Available from:http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A#SubCont.
  2. Diener E, Suh E. Measuring quality of life: Economic, social, and subjective indicators. Social Indicators Research. 1997;40:189-216. https://doi.org/10.1023/A:1006859511756
  3. Sung MR, Lee DY. Effects of community based group validation therapy on depression, quality of life, behavioral problems, and cognitive function in patients with dementia. Journal of Korean Gerontological Nursing. 2016;18(1):22-31. https://doi.org/10.17079/jkgn.2016.18.1.22
  4. Lee HS, Kim JH, Ko HJ, Ku HM, Kwon EJ, Shin JY, et al. The standardization of the geriatric quality of life scale dementia (GQOL-D). Journal of the Korean Geriatrics Society. 2004;8(3):151-164.
  5. Lee YM, Park NH. The effects of dementia prevention program on cognition, depression, self-esteem and quality of life in the elderly with mild cognitive disorder. Korean Journal of Adult Nursing. 2007;19(5):104-114.
  6. Choi YJ, Lee MY, Cho MJ, Moon JS. The experience of the elderly women with dementia. Journal of the Korea Gerontological Society. 2003;23(1):113-128.
  7. Jolley DJ, Benbow SM. Stigma and Alzheimer's disease: causes, consequences and a constructive approach. International Journal of Clinical Practice. 2000;54(2):117-119.
  8. Yeon BK, Suh GH, Ryu SG, Lim JW, Bang HS, Shin YS, et al. Comparison study of quality of life in depressed, demented and normal elderly. Journal of Korean Geriatric Psychiatry. 1993;3(2):157-164.
  9. Gwon YJ. The cognitive state and behavioral and psychological symptoms and affecting quality of life in dementia: The moderating effects of care giver's dementia attitudes. [master's thesis]. Seoul: Seoul National University; 2017.
  10. Jeon, MS. The effect of cognitive functions enhancement program on the improvement of lifes' quality and stress for elderly with dementia: Focusing on older adults on day care center. Korean Society of Gerontological Social Welfare: Conference Proceedings. 2016;1:505-523.
  11. Lee G, Lee K, Yang S, Jun W. Quality of life and the associated factors in dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2008;17(3):273-280.
  12. Oh IS, Kang DH, Lee JH, Jeon JK. A comparative study of the cognition, ADL and quality of life according to general and pathological characteristics of the elderly with dementia. Journal of Rehabilitation Research. 2016;20(3):163-178. https://doi.org/10.16884/jrr.2016.20.3.163
  13. Missotten P, Ylieff M, De Notte D, Paquay L, De Lepeleire J, Buntinx F, et al. Quality of life in dementia: A 2 year follow up study. International Journal of Geriatric Psychiatry. 2007;22 (12):1201-1207. https://doi.org/10.1002/gps.1814
  14. Zimmerman S, Sloane PD, Heck E, Maslow K, Schulz R. Dementia care and quality of life in assisted living and nursing homes. The Gerontologist. 2005;45(suppl 1):5-7. https://doi.org/10.1093/geront/45.suppl_1.5
  15. Shin SH, Park JS. Factors influencing quality of life of elderly residents in long-term care facilities. Journal of Korean Gerontological Nursing. 2017;19(2):113-124. https://doi.org/10.17079/jkgn.2017.19.2.113
  16. Kim EH, Lee JW. Factors influencing health-related quality of life in elderly who visited a senior center: With activity of daily living, quality of sleep and depression. Journal of the Korean Gerontological Society. 2009;29(2):425-440.
  17. Park SJ, Ko SH. The study on the rise in quality of life-dementia. Journal of Public Welfare Administration. 2008;18(2):115-142.
  18. Yoon KA. Effects of caregiving burden on gain and family quality of life among dementia family caregivers: The moderating role of coping strategies. Korean Journal of Gerontological Social Welfare. 2017;72(1):257-282.
  19. Jin JY, Kang JS. A comparative study of cognitive function, anxiety, and quality of life for the demented elderly in health facilities. Korean Journal of Adult Nursing. 2009;21(3):339-348.
  20. Lee HS, Kim JH, Ko HJ, Ku HM, Kwon EJ, Shin JY, et al. The standardization of the geriatric quality of life scale-Dementia (QOL-D). Journal of the Korean Geriatrics Society. 2004;8(3):151-164.
  21. Kim KW, Kim MH, Kim BJ, Kim JR, Kim TH, Moon SW, et al. Standardization of dementia diagnosis tool. Research Report. Seongnam: Seoul National University Bundang Hospital; 2009 December. Report No.: 11-1351000-000589-01.
  22. Yesavage JA, Brink TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatry Research. 1983;17(1):37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  23. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1999;38(1):48-62.
  24. Won CW, Rho YG, Kim SY, Cho BR, Lee YS. The validity and reliability of Korean activities of daily living (K-ADL) scale. Journal of Korean Geriatrics Society. 2002;6(2):98-106.
  25. Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean instrumental activities of daily living (K-IADL) scale. Journal of Korean Geriatrics Society. 2002;6(4):273-280.
  26. Woo JS. The study on the quality of life of elderly patients with mild dementia based on the types of care services-focused on senior people with grade III of the long term care insurance. [master's thesis]. Seoul: Seoul National University; 2013.
  27. Kim JK. The effects of home-based rehabilitation services on activities of daily living and quality of life of the elderly according to dementia. The Journal of Occupational Therapy for the Aged and Dementia. 2012;6(2):1-10.
  28. Lee BH, Park JS, Kim NR. The effect of physical activity program on cognitive function, physical performance, gait, quality of life and depression in the elderly with dementia. Journal of Special Education & Rehabilitation Science. 2011;50(2):307-328.
  29. Fukushima T, Nagahata K, Ishibashi N, Takahashi Y, Moriyama M. Quality of life from the viewpoint of patients with dementia in Japan: Nurturing through an acceptance of dementia by patients, their families and care professionals. Health and Social Care in the Community. 2005;13(1):30-37. https://doi.org/10.1111/j.1365-2524.2005.00534.x
  30. Trigg R, Watts S, Jones R, Tod A. Predictors of quality of life ratings from persons with dementia: The role of insight. International Journal of Geriatric Psychiatry. 2011;26(1):83-91. https://doi.org/10.1002/gps.2494

피인용 문헌

  1. Path analysis from physical activity to quality of life among dementia patients: A dual‐path mediating model vol.76, pp.2, 2020, https://doi.org/10.1111/jan.14260
  2. Validity and Reliability of the Korean Version of the Apathy Evaluation Scale Short form for Patients with Dementia vol.27, pp.2, 2018, https://doi.org/10.7739/jkafn.2020.27.2.164
  3. Behavioural and psychological symptoms of dementia in patients with Alzheimer’s disease and family caregiver burden: a path analysis vol.21, pp.1, 2018, https://doi.org/10.1186/s12877-021-02109-w