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The Health and Caregiving Needs of Community-dwelling Elderly Individuals with Cognitive Impairment in Early and Late Stages -Using the 2020 National Survey of Older Koreans-

지역사회 인지저하 전·후기 노인의 건강 및 돌봄 요구 실태 -2020년 노인실태조사를 이용하여-

  • Ji-On Kim (Department of HCM Catholic University of Pusan)
  • 김지온 (부산카톨릭대학교 병원경영학과)
  • Received : 2023.09.15
  • Accepted : 2023.10.19
  • Published : 2023.12.31

Abstract

This study was conducted using data from the '2020 National Survey of Older Koreans' to investigate the sociodemographic characteristics, health status, health management practices, and caregiving needs that influence cognitive impairment in early and late-stage elderly individuals. The research targeted 9,885 individuals aged 65 and above. Statistical analyses included descriptive statistics, Chi-square, t-tests, and logistic regression. The study found that cognitive decline in elderly individuals was influenced by age, education, income, location, health status, and depressive symptoms. Those with cognitive decline showed lower health management practices, functional status, and overall health and social satisfaction. There was a high demand for home residency services and assistance with daily activities among cognitively impaired individuals, indicating the need for diverse support and policies within local communities for safe caregiving in the future.

본 연구는 '2020년 노인실태조사' 자료를 기초로 전·후기 노인의 인지 저하에 영향을 미치는 인구사회학적 특성 및 건강 상태 특성을 살펴보며, 건강관리 행태 및 돌봄 요구도의 실태를 파악하기 위해 실시하였다. 연구방법은 인지저하 조사도구에 직접 응답한 65세 이상 노인 9,885명을 연구대상으로 하였다. 분석은 기술통계, Chi-square, t-test, 로지스틱 회귀분석을 실시하였다. 연구결과 인지저하에는 연령, 교육수준, 소득, 거주지역, 건강수준, 우울증상이 영향을 주고 있었고, 인지저하 노인의 건강관리 행태 및 기능상태, 건강 및 사회만족도가 낮았으며, 집 거주를 위한 필요서비스가 높았다. 또한 인지저하 노인의 일상생활 수행 도움 요구도가 높았으나 충분히 충족되지 못해 향후 지역사회 내에서 돌봄을 안전하게 받을 수 있는 다양한 도움과 정책이 시행되어야 할 것이다.

Keywords

Acknowledgement

이 논문은 2022년도 부산카톡릭대학교 교내연구비에 의하여 연구되었음

References

  1. National Institute of Dementia, "Korean Dementia Observatory" 2021.
  2. National Institute of Dementia, "Korean Dementia Observatory" 2022.
  3. Korea Institute for Health and Social Affairs, "National Survey of Older Koreans" 2020.
  4. N-Y. You, 'Study of risk factors on depression in cognitive impairment based on ICF model: Comparison of the Young-old and Old-old', Master's Thesis, Kyung Hee University, 2021.
  5. Y-O. Choi and H-S. Woo, 'The effect of cognitive decline of elderly on activity participation and social network', The Journal of Korean Society of Community Based Occupational Therapy, Vol.9, no.1, pp.25-34, 2019.
  6. S-K. Kim, Y-S. Hwang, J-W. Jang, H-S. JO, 'Evaluation of the effectiveness of social robot by family caregivers nursing for the older adult with cognitive impairment: A randomized controlled trial', Journal of Korean Gerontol Nursing, Vol.24, no.2, pp.142-150, 2022.
  7. N-Y. You, S-R. Um, S-K. Kim, H-S. Lim, H-R. Shin, 'The relationship between nutritional status and depression in the older adults with cognitive impairment group: Focusing on the moderating effect of social support', Journal of the Korean Gerontological Society, Vol.43, no.5, pp.745-762. 2023.
  8. https://www.korea.kr/special/policyCurationView.do?newsId=148862221
  9. https://www.nid.or.kr/sub/sub.aspx?seq=001001000
  10. C-H. Kim, 'Factor affecting socioeconomic status and the mental health status of old-old elderly living alone', Journal of The Health Care and Life Science, Vol.5, no.1, pp.55-65, 2017.
  11. D-H. Han, 'The effectiveness of a program for improving cognitive function, physical efficacy, and emotional intelligence in community-dwelling older adults', Korean Journal of Research in Gerontology, Vol.32, no.2, pp. 65-77, 2022.
  12. M-S. Jung, E-Y. Oh, K-I, Cha, 'A comparative study of changes in cognitive function, depression and activities of daily living in patients with dementia, mild cognitive impairment and ischemic stroke', Journal of Digital Convergence, Vol.20, no.3, pp.517-527, 2022.
  13. Y-S. Hwang and E-Y. Cho, 'Research trends in intervention programs affecting ADL/IADL in the elderly with cognitive impairment: Focused on academic journal from 2010-2021', Culture and Convergence, Vol.44, no.12, pp.1223-1236, 2022.
  14. K-H. Park, H-S. Kim, Y-J. Yi, 'Comparison on risk factors in cognitive impairment between non-depressive elderly and depressive elderly', Journal of Contents, Vol.13, no.7, pp. 301-310, 2013.
  15. Neugarten, B. L, 'Age groups in American society and the rise of the young-old', The annals of the American academy of political and social science, Vol. 415, no.1, pp. 187-198, 1974.
  16. H-W. Lee, 'Risk factors for cognitive decline of the old adults', Master's Thesis, Kyung Hee University, 2019.
  17. J-O. Kim, 'Factors related to cognitive impairment experience and health care behaviors of elders aged 65 years or older: Using 2019 community health survey', Korean Public Health Research, Vol.47, no.4, pp.121-134, 2021.
  18. H-J. Jeong and E-K. Han, ' Effects of a cognitive enhancement program combined Silbot on cognitive function, depression, and dementia prevention behavior in elderly: A pilot study', Journal of the Korean Applied Science and Technology, Vol.40, no.3, pp.402-411, 2023.
  19. H-M. CHa, S-H. Lee, Y-J. Lee, K-Y. Kang, E-S. Kim, K-W. Yoo, A-R. Lee, H-J. Yoon, H-J. Lee, N-Y. You, S-R.Um, H-R.Shin, Y-S. Kim, 'The Effect of senior welfare center's program using robots on social health of older adults', Journal of the Korean Gerontological Society, Vol.23, no.4, pp531-546, 2023.
  20. E-H. Roh, 'Characteristics and factors associated with cognitive decline of elderly with mild cognitive impairment', Journal of health informatics and statics, Vol.48, no.3, pp.179-187, 2023.
  21. W-Y. Kim, C-H. Han, E-J. Heo, H-W. Kang, W-K. Jeon, 'A review of non-pharmacological intervention efficacy in patients with mild cognitive impairment', Journal of Oriental Neuropsychiatry, Vol.22, no.3, pp.1-11, 2011.
  22. H-A. Park and H-J. Song, 'Comparison risk factors of cognitive decline between aged living alone and with a spouse', The Journal of Korean Society for School & Community Health Education' Vol.22, no.3, pp.83-96, 2021.
  23. J-Y. Kim and J-T. Lee, 'Living arrangements and cognitive function among Korean older adults', Survey research, Vol.19, no.1, pp.97-127, 2018.
  24. J-Y. Song, 'The Effect of family conflict on depression in the elderly in the pre-and late period: focusing on the mediating effect of self-esteem', GRI review, Vol.25, no.2, pp.157-176, 2023.
  25. C-H. Kim, 'A study on active aging activities of elderly lives alone and elder lives with family', Journal of The Health Care and Life Science, Vol.7, no.1, pp.11-20, 2019.