Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

Correlation of Cognitive Function and Fall-risk Related Behavioral Factors

노인의 인지기능과 낙상유발 행동요인과의 상관분석

  • Ju, Yumi (Dept. of Occupational Therapy, College of Health Science, Far-East University) ;
  • Lee, Heon-Joo (Dept. of Occupational Therapy, College of Health Science, Far-East University)
  • 주유미 (극동대학교 의료보건과학대학 작업치료학과) ;
  • 이헌주 (극동대학교 의료보건과학대학 작업치료학과)
  • Received : 2018.05.01
  • Accepted : 2018.05.16
  • Published : 2018.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study was conducted to investigate the correlation of cognitive function and fall-risk behavioral factors. Methods: The elderly over than 65 year-old with and without cognitive impairment were recruited in four different regional areas. Total 43 data of K-MoCA and FaB were collected. Pearson correlation of total scores of K-MoCA and FaB was analyzed using SPSS 22. Correlation between total score of K-MoCA and each item of FaB which describes the fall-risk behaviors was analyzed as well. Results: The cognitive function was statistically positive correlated with the fall-related behaviors in pearson correlation analysis (p<.01). Nine items of total 30 items of FaB was significantly correlated with total score of K-MoCA. Conclusion: Fall-risk behaviors were decreased as the cognitive level was improved. If the cognitive function was vulnerable, the insight to fall-risk behaviors deficits and various fall-related behavioral factors exits. The high fall-risk behaviors were correlated with cognitive function, so that the cognitive level should be considered in fall prevention intervention in Occupational Therapy.

목적: 본 연구는 노인의 인지수준이 낙상을 유발하는 위험 행동요인과 어떤 상관관계를 갖는지 알아보기 위하여 진행되었다. 연구방법: 2017년 10월부터 12월까지 3개월 간 4개의 도시에 거주하고 있는 65세 이상 인지장애가 있는 노인 및 인지장애가 없는 노인 43명을 대상으로 인지기능 평가(K-MoCA) 및 낙상행동요인척도(FaB)를 실시하여 자료를 수집하였다. 두 평가의 총점 결과간의 상관관계를 SPSS 22를 사용하여 분석하였고, 각각의 낙상행동요인과 인지수준과의 상관관계를 분석하였다. 결과: 노인의 인지수준과 낙상행동요인 간에 통계적으로 유의미한 양의 상관관계가 있는 것으로 나타났다(p<.01). 노인 낙상행동요인 척도의 총 30개의 문항 중 9개의 문항이 K-MoCA의 총점과 통계적으로 유의미한 상관관계를 보였다. 결론 : 노인의 인지수준이 높을수록 낙상위험 행동요인이 적고, 인지수준이 낮을수록 낙상위험 행동요인을 인식하지 못하고 낙상관련 위험행동을 하는 양상을 보인다. 특히 일부 낙상위험 행동요인은 인지수준과 상관관계가 있어 관련 중재를 제공할 시 고려해주는 것이 필요하다.

Keywords

References

  1. Allen, C. K., Earhart, C. A., & Blue, T. (1992). Occupational therapy treatment goals for the physically and cognitively disabled. Rockville, MD: American Occupational Therapy Association Inc.
  2. Clemson, L., Cumming, R. G., & Heard, R. (2003). The Falls Behavioural (FaB) Scale for the Older Person. Instruction manual. Lidcombe, NSW: The University of Sydney.
  3. Clemson, L., Bundy, A. C., Cumming, R. G., Kay, L., & Luckett, T.(2008). Validating the Falls Behavioural(FaB) scale for older people: A Rasch analysis. Disability and Rehabilitation, 30(7), 498-506. doi: 10.1080/09638280701355546
  4. Gallagher, B., Corbett, E., Freeman, L., Riddoch-Kennedy, A., Miller, S., Smith, C., & Zarrow, A. (2001). A fall prevention program for the home environment. Home Care Provider, 6(5), 157-63. https://doi.org/10.1067/mhc.2001.119263
  5. Grisso, J. A., Kelsey, J. L., Strom, B. L., Chiu, G. Y., Maislin, G., O'Brien, L. A., & Kaplan, F. (1991). Risk factors for falls as a cause of hip fracture in women. The Northeast Hip Fracture Study Group. New England Journal of Medicine, 324(19), 1326-31. doi: 10.1056/nejm199105093241905
  6. Ju, Y. M., & Jang, J. S. (2018). The validity and reliability on Korean version of the Falls Behavioral(FaB) Scale for the older person. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(4), 667-677.
  7. Kang, Y. W., Park, J. S., Yu, K. H. & Lee, B. C. (2009). A Reliability Validity, and Normative Study of the Korean-Montreal Cognitive Assessment(K-MoCA) as an Instrument for Screening of Vascular Cognitive Impairment(VCI). Korean Journal of Clinical Psychology, 28(2), 549-562. https://doi.org/10.15842/kjcp.2009.28.2.013
  8. Korea Consumer Agency. (2015). Fall accident frequently occurs nearby bed for the elderly. Retrieved from http://kca.go.kr
  9. Lim, J. Y., Park, W. B., Oh, M. K., Kang, E. K., & Paik, N. J. (2010). Falls in a proportional region population in Korean elderly: Incidence, consequences, and risk factors. Journal of Korean Geriatric Society, 14(1), 8-17. https://doi.org/10.4235/jkgs.2010.14.1.8
  10. Miller, C. A. (2002). The connection between drugs and falls in elders. Geriatric Nursing, 23(2), 109-110. https://doi.org/10.1067/mgn.2002.123794
  11. Ministry of Health and Welfare. (2016). The survey on the actual conditions of older person in Korea - Falls for older person (over 65 year old). Retrieved from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11771_2011N040
  12. Muir, S. W. (2012) The role of cognitive impairment in fall risk among older adults: A systematic review and meta-analysis. Age and Ageing, 41(3), 299-308. doi: 10.1093/ageing/afs012
  13. Nikolaus, T., & Bach, M. (2003). Preventing falls in community-dwelling frail older people using a home intervention team (HIT): Results from the randomized Falls-HIT trial. Journal of American Geriatrics Society, 51(3), 300-5. https://doi.org/10.1046/j.1532-5415.2003.51102.x
  14. Ramirez, D., Wood, R. C., Becho, J., Owings K., & Espino, D. V. (2010). Mini-Mental State Exam domains predict falls in an elderly population: Follow-up from the Hispanic established populations for epidemiologic studies of the Elderly (H-EPESE). Ethnicity & Disease, 20(1), 48-52.
  15. Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi, J. H. (2001). The survey of activities and fear of falling in the community dwelling elderly. Journal of Korean Public Health Nursing, 15(2), 324-333.
  16. Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319(26), 1701-7. doi: 10.1056/nejm198812293192604

Cited by

  1. 재가노인 방문요양보호사의 낙상관련 대처 경험에 관한 연구 vol.9, pp.3, 2018, https://doi.org/10.15268/ksim.2021.9.3.99