DOI QR코드

DOI QR Code

Physical Function(ADL, IADL) and Related Factors in the Elderly People Institutionalized in Long-term Care Facilities

장기요양시설 노인들의 신체적 기능(ADL, IADL) 수준 및 관련요인

  • Ahn, Kwon-Suk (Department of Dental Hygiene, Chodang University) ;
  • Park, Sung-Kyeong (Department of Beauty Art & Skin Care, Daejeon Health Science University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 안권숙 (초당대학교 치위생과) ;
  • 박승경 (대전보건대학교 피부미용과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2016.01.08
  • Accepted : 2016.03.03
  • Published : 2016.03.31

Abstract

This study examined the levels of ADL and IADL among elderly people who were institutionalized in long-term care facilities and determined their association with socio-demographic characteristics, health status, and health related behaviors. Interviews were performed, during the period from June 1 to July 31, 2015, to 205 elderlies received from long-term care service. As a results, the total mean score was $16.67{\pm}2.11$ for ADL (range: 6~8) and $15.13{\pm}3.79$ for IADL (range: 7~21). The selected factors associated with ADL were with or without a spouse, frequency of going out, subjective health status, and mastication ability. The factors associated with ADL were selected, such as gender, with or without a spouse, frequency of going out, subjective health status, disability of body, and amnesia. In conclusion, the level of ADL and IADL in the elderly people selected from long-term care insurance were influenced by the socio-demographic characteristics, health status and health-related behaviors.

본 연구는 요양시설에 입소하여 생활하고 있는 노인들을 대상으로 ADL과 IADL을 측정하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 장기요양시설에 입소하여 장기요양급여를 받고 있는 노인 205명으로 하였으며, 조사는 2015년 6월 1일부터 7월 31일까지의 기간 동안에 면접조사를 통해 이루어 졌다. 연구결과, 전체 조사대상자의 ADL 수준은 $16.67{\pm}2.11$점(총득점 합계 범위: 6~18점)이었으며, IADL 수준은 $15.13{\pm}3.79$점(총득점 합계 범위: 7~21점)이었다. ADL에 관련된 요인으로는 배우자 유무, 외출 빈도, 주관적인 건강상태, 치아의 부자유 유무가 선정되었으며, IADL에 관련된 요인으로는 성별, 배우자 유무, 외출 빈도, 주관적인 건강상태, 신체의 부자유 유무, 건망증 유무가 선정되었다. 위와 같은 결과는 요양시설 입소 노인들의 신체적 기능은 인구사회학적 특성, 건강관련행위 및 건강상태 등 여러 요인들이 관련되어 있음을 시사한다.

Keywords

References

  1. Chong KH, Cho YJ, Oh YH, Byeon JK, Byeon YC, Moon HS. A national wide survey on living condition and welfare need of old ages in 1998. Korea Institute for Health and Social Affairs, 1998
  2. National Health Insurance Corporation. National health interview survey on the long-term care insurance services. 2008.
  3. Stein RK, Gortmaker SL, Perrin EC. Perrin MJ, Pless IB, Walker DK, Wertzman: Severity of illness: concept and measurements. Lancet, 12;1506, 1987. DOI: http://dx.doi.org/10.1016/S0140-6736(87)92633-X
  4. Katz, S.: Studies of illness in the aged : the Index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185;914-919, 1963. DOI: http://dx.doi.org/10.1001/jama.1963.03060120024016
  5. Duke University, Center for the Study of Aging and Humam Development, Multidimensional functional assessment: the OARS methodology. A manual. 2nd ed. urham, North Carolina, 1978.
  6. Cohen J. Statistical power analysis for the behavioral sciences(2nd ed.). New Jersey: Lawrence Erlbaum Associates, Publishers, 1998.
  7. Pfeiffer E: Multidimensional functional assessment: the OARS mrthodology. A manual. Durham, North Carolina: Duke University, Center for the Study of Aging and Humam Development, 1975.
  8. Association of Preventive Medicine and Public Health, Evidence-based clinical preventive service. 2011.
  9. Gurlanik JM, Simonsick EM: Physical disability in older Americans. J. Gerontol, 48;3-10, 1993. DOI: http://dx.doi.org/10.1093/geronj/48.Special_Issue.3
  10. Donaldson LJ, Clyton DG, Clarke M: The elderly in residential care : mortality in relation to functional capacity. J. Epidemiol Community Health, 34;96-10, 1980. DOI: http://dx.doi.org/10.1136/jech.34.2.96
  11. Park JH. Assessment of Functional Status in the Elderly. J Korean Neuropsychiatr assoc, 34(3):636-641. 1995.
  12. Sung KW. Comparison of ADL and Satisfaction state of the Elderly in Institution and Home. J Korea Gerontological Society, 19(1); 105-117, 1999.
  13. Lee YS, Chun BY, Kim SS, Lee SS. Degree of Daily Living Activity and Depression in the Rural Elderly. J Korea Rural Med, 24(1); 197-207, 1996.
  14. Suh SR. Functional Health Status and Activity of Daily living among Elderly. Kyungpook Univ Med J, 31(2);156-168, 1990.
  15. Park JY. Assessment of instrumental ability of daily living in the urban elderly. Graduate School of Public Health Chungnam National University, 2001.
  16. Kim JS. A Study on Self-Esteem, IADL, and Life Satisfaction in the Elderly. J Korean Acad of Nurs, 28(1):148-158, 1998. https://doi.org/10.4040/jkan.1998.28.1.148
  17. Kim CH, Lee JS, Shin SC, Lee HY, Yoo KJ. A Sociopsychiatric study of Activities of Daily Living and Mental Health Among the Elderly in a Korean Rural Community. J Korean Neuropsychiatr Assoc. 31(6);1063-1071, 1992.
  18. Kim HS, Bae NK, Kwon IS, Cho YC. Relationship between status of physical and mental function and quality of life among the elderly people admitted from long-term care insurance. Journal of Preventive Medicine and Public Health, 43(4):319-329, 2010. DOI: http://dx.doi.org/10.3961/jpmph.2010.43.4.319
  19. Shin ES, Kwon IS, Cho YC. Analysis of the influence of physical function and social support on depressive symptom in the community elderly using the structural equation model. Journal of the Korea Academia-Industrial Cooperation Society, 12(11):4995-5004, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.11.4995
  20. Shin ES, Cho YC. Relationship between depressive symptoms and physical function(ADL, IADL) among the rural elderlies. Journal of the Korea Academia-Industrial Cooperation Society, 13(1):201-210, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.1.201
  21. Bae NK, Song YS, Shin ES, Cho YC. Status of physical and mental function and, its related factors among the elderly people using from long-term care insurance service. Journal of the Korea Academia-Industrial Cooperation Society, 13(12):5976-5985, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.12.5976
  22. Yoon SH, Lee KS, Cho YC. Physical functioning and related factors in the elderly people admitted long-term home care insurance. Journal of the Korea Academia-Industrial Cooperation Society, 14(5):2338-2348, 2013. https://doi.org/10.5762/KAIS.2013.14.5.2338
  23. Fugita T, Hatano S. Prevalence of disability in activities of daily living and its correlatives among the elderly at home. Japanese Journal of Public Health, 36(2); 76-87, 1989.
  24. Kobayashi Y, Kai I, OHi G, Kiuchi M. A study on instrumental activities of daily living and its related factors in the elderly in the farming community. Japanese Journal of Public Health, 36(4);243-249, 1989.