한국 노인의 복합만성질환 유무에 따른 인지기능 저하 영향요인 - 2020년 노인실태조사를 바탕으로 -

• 영문명: Factors Affecting Cognitive Dysfunction According to the Presence of Multimorbidity in Korean Older Adults - Based on the 2020 National Survey of Older Koreans -
• 발행기관: 위기관리 이론과 실천
• 저자명: 김미연(Mi Yeon Kim) 김은하(Eun Ha Kim) Young Mi Lee
• 간행물 정보: 『한국위기관리논집』Vol.21 No.1, 189~207쪽, 전체 19쪽
• 주제분류: 사회과학 > 행정학
• 파일형태: PDF
• 발행일자: 2025.01.31

국문 초록

본 연구는 2020년 노인실태조사 자료를 활용하여 노인의 복합만성질환 유무별 인지기능 저하의 영향 요인을 규명하기 위한 이차자료를 분석한 서술적 조사연구이다. 본 연구는 2020년 노인실태조사 자료를 활용하여 총 조사대상 10,097명 중 대리응답자 및 인지기능 문항의 무응답자 212명을 제외한 9,885명 중에서 의사의 진단을 받은 치매로 응답한 노인 143명을 제외하여 9,742명을 최종 연구대상으로 하였다. 복합만성질환 유무에 따라 SPSS/WIN 29.0 프로그램을 이용하여 카이제곱 검정과 이항로지스틱 회귀분 석을 적용하였다. 연구 결과 인지기능 저하 노인의 비율은 비복합만성질환군 23%에 비해 복합만성질환 군27.7%로 복합만성질환 노인의 인지기능 저하 발생율이 더 높은 것으로 나타났다. 인지기능 저하의 영향요인으로 비복합만성질환군과 복합만성질환군에서 공통으로 교육수준, 사회활동 및 도구적 일상생 활수행능력이 나타난 반면, 비복합만성질환군에서 가구소득과 주관적 건강상태가 나타났고, 복합만성 질환군에서 음주, 운동, 기본적 일상생활수행능력 및 우울증이 나타났다. 이 결과는 복합만성질환 유무에 따라 노인의 인지저하 예방을 위한 간호 중재가 차별되어야 함을 시사한다.

영문 초록

This descriptive study analyzes secondary data from the 2020 National Survey of Older Koreans to identify factors influencing cognitive dysfunction based on multimorbidity in older adults. From 10,097 participants, 212 proxy respondents and non-respondents to cognitive items were excluded, resulting in a final sample of 9,742 after also removing 143 diagnosed with dementia. Chi-square tests and binary logistic regression were conducted using SPSS/WIN 29.0 by multimorbidity status. Findings showed that the prevalence of cognitive dysfunction was higher in the multimorbidity group (27.7%) than the non-multimorbidity group (23%). Common influencing factors were educational status, social participation, and instrumental activities of daily living (IADL) in both groups. However, household income and self-rated health were significant in the non-multimorbidity group, while alcohol consumption, physical activity, basic activities of daily living (ADL), and depression were significant in the multimorbidity group. These findings suggest the need for tailored nursing interventions to prevent cognitive dysfunction in older adults with multimorbidity.

목차

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 연구결과

Ⅳ. 논의

Ⅴ. 결론 및 제언

References

키워드

복합만성질환 인지기능 노인 multimorbidity cognitive dysfunction aged

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