한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제20권8호
  • /
  • Pages.83-92
  • /
  • 2019
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

노인의 주관적 기억장애로 인한 건망증 경험 분석

Analysis of Experiences of Forgetfulness due to Subjective Memory Impairment in The Elderly

  • 투고 : 2019.07.09
  • 심사 : 2019.08.02
  • 발행 : 2019.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 주관적 기억장애를 호소하는 65세 이상 노인을 대상으로 스스로 경험하는 깜빡 잊어버리는 건망증에 대한 경험을 분석하기 위한 포커스그룹 면담을 적용한 질적연구이다. 본 연구 대상자는 D시의 일개 노인복지관에서 인지기능향상 프로그램에 참여하는 65세 이상 노인 남녀 10명을 대상으로 수행하였다. 연구대상자는 주관적 기억장애를 호소하며, 건망증을 경험한 노인으로 자신의 의사표현을 자유롭게 잘 할 수 있는 노인으로 하였으며, 총 3-4명 씩 3그룹으로 나누어 진행하였고 각 그룹 당 40~60분의 면담을 진행하였다. 본 연구 결과 '인간관계에서의 곤란함', '일상생활에서의 불편감/안전위험성 노출', '표현할 수 없는 양가감정', '건망증을 이겨내기 위한 가족의 노력', '자신만의 건망증 예방 노하우' 5개의 주제어가 도출되었다. 본 연구에 참여한 주관적 기억장애를 호소하는 노인들은 치매가 아닌 것에 대한 안도감과 치매로의 이환에 대한 불안감을 동시에 가지고 있었고, 건망증을 스스로 이겨내기 위한 각자의 방법을 수행하고 있었다. 본 연구를 바탕으로 추후, 주관적 기억장애를 호소하는 노인들의 각자의 방법과 요구도를 반영한 기억력 향상 중재개발이 이루어져야 할 것으로 사료된다.

This qualitative study employed focused group interviews to collect data on the forgetfulness experienced by elderly persons (over the age of 65) who suffer with subjective memory impairment. The participants were ten elderly persons who participated in the cognitive function improvement program at an elderly welfare center in D city. They were divided into three groups that were comprised of three/four people each, and each group was interviewed for 40~60 minutes. The results showed that "difficulties in human relations", "feeling uncomfortable in daily life", "exposure to a safety risk", "inexpressible ambivalence" and "family effort to overcome forgetfulness" were all expressed in the interviews. The elderly who participated in this study and who complained of subjective memory impairment had both feelings of anxiety and anxiety about non-dementia, and they were making efforts to overcome forgetfulness themselves. Based on this study, we suggest that interventions should be developed that reflect the individual needs of elderly people with subjective memory impairment.

키워드

참고문헌

  1. M. J. Song, Y. W. Kang, "Characteristics of Memory Complaints, Cognitive Function, and Emotion in Subjective Memory Impairment", Dementia and Neurocognitive Disorders, Vol.10, No.0, pp.125-136, 2011. DOI: https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001624680
  2. J. M. Kim, I. S. Shin, L. J. Kim, J. S. Yoon, H. Y. Lee, "Subjective memory impairment, cognitive function, and depression", JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION, Vol.41, No.0, pp.706-712, 2002. DOI: https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART000854121
  3. A. F. Jorm, H. Christensen, A. E. Korten, A. P. A. Jacomb, A. S. Henderson, " Memory complaints as a precursor of memory impairment in older people: alongitudinal analysis over 7-8 years", Psychol Med, Vol. 31, No.0, pp.441-449, 2001. DOI: https://www.cambridge.org/core/journals/psychological-medicine/article/memory-complaints-as-a-precursor-of-memory-impairment-in-older-people-a-longitudinal-analysis-over-78-years/4CE8CB6276744345C62201A8460C7EC9 https://doi.org/10.1017/S0033291701003245
  4. T. A. Treves, R. Verchovsky, S. Klimovitzky, A. D. Korczyn, "Incidence of dementia in patients with subjective memory complaints", Int Psychogeriatr, Vol.17, No.0, pp.265-273, 2005. DOI: https://doi.org/10.1017/S1041610205001596
  5. K. K. Choi, "Early detection and management of senile dementia", Korean journal of clinical geriatrics, Vol.5, No.3, pp.289-299, 2004. DOI: http://webcache.googleusercontent.com/search?q=cache:tYlytSUBAtEJ:www.ekjcg.org/journal/download_pdf.php%3Fspage%3D289%26volume%3D5%26number%3D3+&cd=1&hl=ko&ct=clnk&gl=kr
  6. J. C. Yoon, "Association between Subjective Memory Complaint and Objective Cognitive Decline in the Elderly", The Korean Journal of Psychopathology, Vol.12, No.1, pp.17-23,2003. DOI: http://kiss.kstudy.com/thesis/thesis-view.asp?key=2831395
  7. I. O. Kang, S. Y. Lee, S. Y. Kim, C. Y. Park, "Economic cost of dementia patients according to the limitation of the activities of daily living in Korea", Int J Geriatr Psychiatry, Vol.22, No.0, pp.675-681, 2007. DOI: https://doi.org/10.1002/gps.1729
  8. R. Brookmeyer, S. Gray, C. Kawas, "Projections of Alzheimer's disease in the United States and the public health impact of delaying disease onset", Am J Pub Health, Vol.88, No.0, pp.1337-1342, 1998. DOI: https://doi.org/10.2105/AJPH.88.9.1337
  9. J. H. Barnett, C. H. Salmond, P. B. Jones, B. J. Sahakian, "Cognitive reserve in neuropsychiatry", Psychol Med, Vol.36, No.0, pp.1053-1064, 2006. DOI: https://doi.org/10.1017/S0033291706007501
  10. M. Y. Lee, D. Y. Jung, "A Concept Analysis of Fear of Dementia", Journal of korean academy of community health nursing, Vol.29, No.2, pp.206-219, 2018. DOI: https://doi.org/10.12799/jkachn.2018.29.2.206
  11. Y.S. Lincoln, E. G. Guba, Naturalistic inquiry, pp. 1 - 416, CA: Sage Publications, pp. 1 - 416 DOI: https://doi.org/10.1002/9781405165518.wbeosn006
  12. J. C. Youn, K. W. Kim, D. Y. Lee, J. H. Jhoo, S. B. Lee, J. H. Park, E. A. Choi, J. Y. Choe, J. W. Jeong, I. H. Choo, "Development of the subjective memory complaints questionnaire", Dementia and geriatric cognitive disorders, Vol27, No.4, pp.310-317,2009. DOI: https://doi.org/10.1159/000205512
  13. M. Y. Moon, B. S. Kim, H. L. Choi, J. W. Won, S. Y. Kim, R. Y. Kang, "Effect of Social Participation on Cognitive Function among Aged people in Korea", Korean Journal of Fmaily Practice, Vol.2, No.3, pp.708-713, 2015. DOI: http://webcache.googleusercontent.com/search?q=cache:lADkfBuriZcJ:www.kjfp.or.kr/journal/download_pdf.php%3Fspage%3D708%26volume%3D5%26number%3D3%26suppl%3DY+&cd=1&hl=ko&ct=clnk&gl=kr
  14. D. R. Kim, Development and evaluation of uncertainty management program for mild cognitive impairment in elderly people, Doctor's thesis, Yonsei University of Dept. of Nursing, Seoul, Korea, pp.1-147
  15. S. Kim, K. A. Sargent-Cox, K. J. Anstey, "A qualitative study of older and middle aged adults' perception and attitudes towards dementia and dementia risk reduction", Journal of Advanced Nursing, Vol.71, No.7, pp.1694-1703, 2015. DOI: https://doi.org/10.1111/jan.12641
  16. Ministry of Health and Welfare, 2012 aged health and welfare service information, Seoul: Ministry of Health and Welfare, 2012.
  17. J. H. Jung, Social Service Information for Dementia Patients, The Journal of Korean Diabetes, Vol.13, No.3, pp.157-161, 2012. DOI: http://dx.doi.org/10.4093/jkd.2012.13.3.157
  18. Central Dental Center https://www.nid.or.kr/notification/prevention.aspx