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A Study of Activity Participation Level and Functional Disability for The Elderly Aged Over 65 years

65세 이상 노인의 참여활동수준과 기능장애에 관한 연구

  • Park, Kyoung-Young (Dept. Occupational Therapy, College of Health Science, Jung-won University) ;
  • Shin, Su-Jung (Dept. Occupational Therapy, College of Health Science, Jung-won University)
  • 박경영 (중원대학교 작업치료학과) ;
  • 신수정 (중원대학교 작업치료학과)
  • Received : 2020.08.10
  • Accepted : 2020.09.20
  • Published : 2020.09.28

Abstract

The purpose of this study was to investigate activity participation level and functional disability based on ICF for the elderly aged over 65 years. Subjects were 100 senior citizens. We performed data collection using Korean Activity Card Sorting(KACS) and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Data were analyzed using descriptive statistics, Pearson's correlation, multiple regression. As a result of the survey of activity participation levels, retained level of activity participation of instrumental activity was highest at 75.06%. Among the WHODAS 2.0 sub-domain, 'getting along with people', 'participation in society' had the most difficulties and 'self-care', 'life activities' were the lowest. An analysis of the correlation between the activity retention rate and functional disability showed that there was a significant negative correlation. Significant factors influencing functional disability were activity participation level of social activity, instrumental activity and main work(retirement). We confirmed that activity participation level was important factor on functional disability. Further, we need standardization study for generalization.

본 연구의 목적은 65세 이상 노인들의 참여활동수준과 ICF에 기반한 기능장애에 대해 조사하는 것이다. 도시에 거주하고 있는 노인 100명을 대상으로 하였으며, 한국형 활동분류카드(KACS)와 세계보건기구 장애평가척도 2.0(WHODAS 2.0)를 통해 자료를 수집하였다. 수집된 자료는 기술통계 및 상관분석, 다중회귀분석을 이용하여 분석하였다. 참여활동수준에 대한 조사결과, 도구적 일상생활 영역이 75.06%로 가장 높게 나타났다. WHODAS 2.0 하위영역 중 사람들과 어울리기, 사회참여 영역에 어려움이 가장 많았고, 자기관리와 일상생활활동에서의 어려움이 가장 낮게 나타났다. 참여활동 보유율과 기능장애에 대한 상관성을 분석한 결과, 모두 유의한 음의 상관관계가 있는 것으로 나타났다. 기능장애에 영향을 미치는 요인들로는 사회활동과 도구적 일상생활의 참여활동수준, 직업상태(은퇴)가 유의미한 것으로 나타났다. 연구를 통하여 참여활동수준이 기능장애를 설명하는 중요한 요인임을 확인할 수 있었다. 추후 연구결과의 일반화를 위한 표준화 연구가 이뤄질 필요가 있다.

Keywords

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