Factors Affecting on the Quality of Life of the Elderly with Mild Dementia Living in Some Rural Community in Korea

일 농촌지역 경증 치매노인의 삶의 질 영향요인

  • Kim, Min kyoung (Graduate School, Chungnam National University) ;
  • Kim, Hyunli (College of Nursing, Chungnam National University)
  • Received : 2018.09.17
  • Accepted : 2018.09.28
  • Published : 2018.09.30


Objectives: The purpose of this study is to investigate the influencing factor of the quality of life of the elderly with mild dementia in rural community. Methods: A total of 123 elderly who were managed by public health center participated. They were diagnosed as mild dementia by MMSE-DS and CDR. Data were collected during the period from May to September in 2017 by a structured questionnaire that included general characteristics, depression, dependence, comorbidity, sleep scale. Data were analyzed by t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The quality of life was correlated significantly with depression. Depression was the factor affecting the quality of life of the elderly with mild dementia in rural community. Depression accounted for 54.0% as a variable of quality of life. Conclusion: This study was meaningful in that it directly measured the quality of life of the elderly with mild dementia is known to be difficult to measure and found meaningful results. it is necessary to identify the cause of depression and establish a linkage system between public health centers and health related organizations in the community. We suggest the need for individualized preventive intervention program and integrated psychological health service considering depression.


Rural community;Mild dementia;Quality of life


  1. Brickman AM, Riba A, Bell K, Marder, K, Albert M, Brandt J, et al. Longitudinal assessment of patient dependence in alzheimer disease. Archives of Neurology Journal 2002;59(8):1304-1308
  2. Marrelli M, Tanner K. Recognizing late-life depression: Why is this important for nurse in the setting. Geriatric Nursing Journal 2005;26(3):145-149
  3. Song MS, Choi CH. Study of difference on activities of daily living and quality of life of dementia patients reported by dementia patients and caregivers. Korean J Oriental Physiology & Pathology 2012;26(3):386-391 (Korean)
  4. Shin SI, Kim YH. A meta-analysis on related variables of elders' quality of life. Korean J Counseling 2013;14(6):3673-3690 (Korean)
  5. Campbell A. Subjective measures of well-being. American Psychologist 1976;31(2):117-124
  6. Lee SY. The effect of aromatherapy hand massage on cognitive function, sleep disturbance and problematic behaviors of elderly with dementia. J Korean Clinical Nurs Research 2008;14(2):115-126 (Korean)
  7. Kang LJ. The effects of related factors on quality of life for the elderly. J Korean Home Management Association 2008;26(5):129-142 (Korean)
  8. Kim HR, Oh K, Oh KO, Lee SO, Lee SJ, Kim JA, et al. Quality of life in low income korean aged. J Korean Society of Nurs Science 2008;38(5):694-703 (Korean)
  9. Wegner C, Luy M. Determinants of general health status and specific diseases of elderly women and men: A longitudinal analysis for Western and Eastern Germany. Vienna Institute of Demography Working Paper 2009;05
  10. Cockerham WC, Rutten A, Abel T. Conceptualizing contemporary health lifestyles. The Sociological Quarterly Journal 1997;38(2):321-342
  11. Kim KW, Kim HN, Ahn HY, Kim YJ, Hwang JE, Kim BN, et al. Korean dementia observatory 2016. Research Report. Sejong: National Institute of Dementia. Ministry of Health and Welfare. 2016 December. Report No.:NIDR-1603-0015 (Korean)
  12. Jeon MS. A study on the effects of an integrative cognitive training program on the aged with mild dementia: Targeting elders in daycare. Korean J of Geron Social Welfare 2017;72(1):209-232 (Korean)
  13. Song MS, Kim SK, Kim NC. A study on the correlation between elderly women's depression and physical fitness. J Korean Bio Nur Science 2011;13(1):37-43 (Korean)
  14. Chun JD, Ryu SY, Han MA. Comparisons of health status and health behaviors among the elderly between urban and rural areas. J Agric Med Community Health 2013;38(3):182-194 (Korean)
  15. Son HS, Park SJ. The study on quality of life-dementia. J Public Welfare Admin 2007;17(1):153-176 (Korean)
  16. Shin HY. A preliminary study on korean version of the quality of life-alzheimer's disease (QOL-AD) in community-dwelling elderly with dementia. J Prev Medicine and Public Health 2006;39(3):242-248 (Korean)
  17. Park SJ, Ko SH. The study on the rise in quality of life-dementia. Korean J of Pub Admin 2008;18(2):115-142 (Korean)
  18. Berwig M, Leicht H, Gertz H. Critical evaluation of self-rated quality of life in mild cognitive impairment and alzheimer’s disease-further evidence for the impact of anosognosia and global cognitive impairment. J Nutrition, Health & Aging 2009;13(3):226-230
  19. Kang JS, Jeong IH, Yang JH. Effects on senior fitness, cognitive function and daily living activity of female elderly with light dementia by continuous and intermittent exercises. J the Korea Acad Industrial Cooperation Society 2010;11(11):4234-4243 (Korean)
  20. Kim HJ, Moon SY, Kim SY. Assessment of the quality of life in patients with alzheimer's disease. J the Korean Neur Association 2008;26(4):308-313 (Korean)
  21. Kim YO, Shim MS. Cognitive functions, instrumental activities of daily living, depression and quality of life in the elderly with mild cognitive impairment. J Korean Pubilc Health Nurs 2015;29(2):219-230 (Korean)
  22. Stern Y, Albert SM, Sano M, Richards M, Miller L, Folstein M, et al. Assessing patient dependence in alzheimer's disease. J Gerontology 1994;49(5):M216-M222
  23. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. International J Chronic Diseases 1987;40(5):373-383
  24. Buysse DJ, Reynolds CF, Monk TH, et al. The pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research 1989;28(2):193-213
  25. Kim EJ. Factors influencing care dependency in patients with dementia. J Korean Society of Nurs Science 2003;33(6):705-712 (Korean)
  26. Scocco P, Fantoni G, Caon F. Role of depressive and cognitive status in self-reported evaluation of quality of life in older people: Comparing proxy and physician perspectives. J Age and Ageing 2006;35(2):166-171
  27. Kim CH, Jung JE, Chang MS, et al. The effect of sleep on quality of life in cognitively impaired elder. J Sleep Medicine 2008;5(2):82-88 (Korean)
  28. Logsdon RG, Gibbons LE, McCurry SM, Teri L. Assessing quality of life in older adults with cognitive impairment. Jf Psych Medicine 2002;64(3):510-519
  29. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psych Research 1983;17(1):37-49
  30. 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. J Korean Neuropsych Association 1999;38(1):48-63 (Korean)