치매 환자와 함께 거주하는 성인과 일반 성인 사이의 인구사회학적 특성, 건강 및 삶의 질 비교 : 2016년 지역사회건강조사 원시자료를 이용하여

Comparison of Demographic Characteristics, Health and Quality of Life between General Adults and Adults Living with Dementia Patients : The 2016 Community Health Survey

  • 문종훈 (국립재활원 재활연구소 건강보건연구과) ;
  • 김예순 (국립재활원 재활연구소 건강보건연구과)
  • Moon, Jong-Hoon (Dept. of Healthcare and Pubic Health Research, National Rehabilitation Research Institute, National Rehabilitation Center) ;
  • Kim, Ye-Soon (Dept. of Healthcare and Pubic Health Research, National Rehabilitation Research Institute, National Rehabilitation Center)
  • 투고 : 2018.08.22
  • 심사 : 2018.11.14
  • 발행 : 2018.12.30

초록

목적 본 연구는 치매 환자와 함께 거주하는 성인과 일반 성인 사이의 인구사회학적 특성, 건강 및 삶의 질을 비교하고자 하였다. 연구방법 자료수집은 2016년 지역사회건강조사 원시자료를 이용하였으며, 치매진단을 받은 환자와 함께 거주하는 성인 2,592명과 일반 성인 225,840명을 비교분석하였다. 건강은 수면시간, 스트레스 수준, 우울감 여부, 주관적 건강수준이 평가되었으며, 삶의 질은 EQ-5D로 측정하였다. 연구결과 인구사회학적 특성 비교에서 치매 환자와 함께 거주하는 성인은 일반 성인보다 나이와 가구원수가 유의하게 많았으며(p<.001), 소득과 교육수준이 낮았고(p<.001), 혼인상태는 배우자와 함께 거주하는 비율이 더 높았다(p<.05). 건강에 대한 비교에서 치매 환자와 함께 거주하는 성인은 일반 성인보다 수면시간이 길었고(p<.001), 스트레스 수준이 높았으며(p<.001), 우울감 경험의 비율이 높았고(p<.001), 주관적 건강수준이 나빴다(p<.001). 치매 환자와 함께 거주하는 성인은 일반 성인보다 삶의 질 총점과 모든 하위영역이 유의하게 낮았다(p<.001). 결론 본 연구의 결과를 토대로 치매 환자 가족의 건강 및 삶의 질 향상을 위한 방안을 모색해야 할 것이다.

Objective : The purpose of this study was to compare the demographic characteristics, health and quality of life between general adults and adults living with dementia. Method : The data were collected using raw data of the 2016 community health survey and compared between 2,592 adults living with dementia patients and 225,840 general adults. health were assessed for sleep time, stress level, depression, and subjective health status, and quality of life was measured by EQ-5D. Result : In comparison of demographic characteristics, age and family number of adults living with dementia patients were significantly higher than general adults (p<.001), income and eduation levels were low (p<.001), and marital status was higher rate of living with spouse (p<.05). In comparison of health status, adults living with dementia patients were significantly longer in sleep time than the general adults (p<.001), and stress level was higher (p<.001), the percentage of experience of depression was higher (p<.001), and the subjective health status was worse (p<.001). Adults living with dementia patients were significantly lower in quality of life total score and all sub-domain than general adults (p<.001). Conclusion : Based on the results of this study, it is necessary to seek ways to improve the health and quality of life of dementia patients' families.

키워드

참고문헌

  1. Armstrong, N. M., Gitlin, L. N., Parisi, J. M., Roth, D. L., & Gross, A. L. (2018). Association of physical functioning of persons with dementia with caregiver burden and depression in dementia caregivers: an integrative data analysis. Aging & mental health, 22(1), 1-8. https://doi.org/10.1080/13607863.2017.1286453
  2. Black, B. S., Taylor, H. A., Rabins, P. V., & Karlawish, J. (2018). Study partners perform essential tasks in dementia research and can experience burdens and benefits in this role. Dementia, 17(4), 494-514. https://doi.org/10.1177/1471301216648796
  3. Du, N. H., & Han, S. J. (2018). Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community. Journal of the Korea Convergence Society, 9(6), 241-250. https://doi.org/10.15207/JKCS.2018.9.6.241
  4. Jo, H. S., & Jo, Y. H. (2018). 2017 Central Dementia Center Annual Report. Seoul: Central Dementia Center.
  5. Jung, J. H. (2013). Stress and psychological status between the demented and the nondemented elderly person's caregivers. Journal of Special Education & Rehabilitation Science, 52(4), 51-65.
  6. Kang, E. J., Shin, H. S., Park, H., J., Cho, M., W., & Kim, N. Y. (2006). A Valuation of Health Status Using EQ-5D. The Korean Journal of Health Economics and Policy, 12(2), 19-43.
  7. Kang, S. K. (2009). The Study of Factors on Life Satisfaction of Caregivers of Dementia: Focus on Care Burden, Stress Coping, and Social Support. Social Science Studies, 17(2), 286-317.
  8. Kim, J. S., & Lee, E. H. (2001). A review of the effects of respite care for patients with dementia and caregivers. Journal of Korean Academy of Nursing, 31(6), 1077-1087. https://doi.org/10.4040/jkan.2001.31.6.1077
  9. Kim, J. S., Kim, M. S., Kim, S. O., Yoo, Y. J., & Won, D. Y. (2007). Factors influencing dementia caregivers' health-related quality of life. Journal of Korean Academy of Community Health Nursing, 18(2), 232-241.
  10. Kim, J. Y., Kim, J. B., & Song, I. H. (2016). A Study on the Effect of Caregiver Burden on Suicidal Ideation among Caregiver for the Elderly with Dementia. Journal of the Korean Gerontological Society, 36(3), 883-903.
  11. Kim, S. Y. (2003). Factors affecting on the QOL of the demented elderly caregivers: suggestions of political alternatives. Soc Welf Policy, 17, 77-105.
  12. Kim, S. Y., Kim, J. S., & Youn, H. S. (2004). Predictors of depression and life satisfaction among family caregivers for demented elderly. Journal of the Korea Gerontological Society, 24(2), 111-128.
  13. Kwon, O. D., Kim, T. W., Park, M. Y., Yi, S. D., Yi, H. A., Lee, H. W., & Daegu-Kyungpook Dementia Association. (2013). Factors affecting caregiver burden in family caregivers of patients with dementia. Dementia and Neurocognitive Disorders, 12(4), 107- 113. https://doi.org/10.12779/dnd.2013.12.4.107
  14. Kwon, S. Y., Lee, H. J., & Lee, J. Y. (2015). The effects of care hours on family caregiver's burden for the elderly with dementia: Focusing on the moderating effects of the attachment. Social Science Studies, 31(2), 317-337.
  15. Lee, H. J., Lee, J. W., & Lee, J. Y. (2015). Family caregiver's burden for the elderly with dementia: moderating effects of social support. Social Science Studies, 26(1), 345-367.
  16. Lee, K. J., Lee, K. R., Yang, S., & Jeon, W. H. (2008). Quality of Life and the Associated Factors Dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 17(3), 273-280.
  17. Lee, S. H. (2013). Gender Difference in Influencing Factors on Health related Quality of Life among the Elderly in Community. Journal of Digital Convergence, 11(12), 523-535. https://doi.org/10.14400/JDPM.2013.11.12.523
  18. Lyons, K. S., & Sayer, A. G. (2005). Using multilevel modeling in caregiving research. Aging & mental health, 9(3), 189-195. https://doi.org/10.1080/13607860500089831
  19. Park, K. W., Kim, S. Y., Kim, E. G., Kim, J. W., Kim, T. Y., Sung, S. M., ... Lee, S. C. (2005). Factors affecting depression and life satisfaction in family caregivers of patients with dementia. Journal of the Korean Neurological Association, 23(6), 776-783.
  20. Popa-Wagner, A., Buga, A. M., Popescu, B., & Muresanu, D. (2015). Vascular cognitive impairment, dementia, aging and energy demand. A vicious cycle. Journal of neural transmission, 122(1), 47-54. https://doi.org/10.1007/s00702-013-1129-3
  21. Suh, K. H., & Chun, K. I. (2009). The moderate effect of social support on family caregivers' burdens and health and quality of life with demented patients. Korean Journal of Psychological and Social Issues, 15(3), 339-357.
  22. Sung, M. R., Yi, M., Lee, D. Y., & Jang, H. Y. (2013). Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home. Journal of Korean Academy of Nursing, 43(3), 389-398. https://doi.org/10.4040/jkan.2013.43.3.389
  23. Thomas, P., Lalloue, F., Preux, P. M., Hazif-Thomas, C., Pariel, S., Inscale, R., ... Clement, J. P. (2006). Dementia patients caregivers quality of life: the PIXEL study. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences, 21(1), 50-56. https://doi.org/10.1002/gps.1422
  24. Truzzi, A., Valente, L., Ulstein, I., Engelhardt, E., Laks, J., & Engedal, K. (2012). Burnout in familial caregivers of patients with dementia. Revista Brasileira de Psiquiatria, 34(4), 405-412.
  25. Yoon, K. A. (2017). 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, 72(1), 257-282. https://doi.org/10.21194/kjgsw.72.1.201703.257
  26. Yoon, Y. O., & Lee, K. M. (2005). Study on art therapy case on the stress reduction of caregiving burden of a caregiver of elderly with dementia. Art Therapy Study, 12(1), 307-32.