본 연구는 지역사회 거주 당뇨노인의 인지기능의 변화궤적 양상을 확인하고자 하였다. 한국복지패널 1차년도부터 6차년도 자료를 활용하여, 당뇨진단을 받은 65세 이상의 노인 672명의 자료를 분석하였 다. 성장혼합모형 분석 결과, 당뇨노인의 인지기능의 변화양상은 ‘정상-유지형’ (41.5%), ‘정상-저하형’ (23.8%), ‘경도인지장애-유지형’ (17.1%), ‘경도인지장애-저하형’ (11.2%), ‘중증인지장애-저하형’ (6.4%) 의 5가지 유형으로 확인되었고, 연령, 성별, 가계소득, 자기보고 건강상태가 영향 요인으로 확인되었다. 본 연구 결과를 통해 당뇨노인의 인지기능의 변화 양상은 이질적이며, 당뇨노인의 인지기능 저하를 예방 하기 위해 대상자에 대한 개별적인 이해와 맞춤형 중재가 필요함을 확인할 수 있었다.
Citations
The purpose of this study was to identify the risk factors influencing cognitive function and life satisfaction in elderly living alone.
It was cross-sectional descriptive study by using secondary data from the 2014 national survey of Korean elderly. The study sample consisted of 2,249 subjects who live alone, aged 65 years old and over. Data were analyzed frequency analysis, χ2-test, t-test, ANOVA and Logistic regression analysis.
The risk factors that significantly influenced cognitive function were old age, bereavement, lack of education, no regular exercise and low socio-cultural activity satisfaction. The risk factors that significantly influenced life satisfaction were no bereavement, lack of education, no work, negative evaluation of health status, diagnosis of depression and no regular exercise. Also experience of emotional and economical abuse, neglect of financial support and low cognitive function were identified risk factors of life satisfaction.
The elderly living alone with risk factors of cognitive decline should be interested. To prevent or delay cognitive impairment, regular exercise and socio-cultural activities were recommended. It was suggested that the promotion of cognitive function, appropriate work and exercise, and social efforts to prevent abuse and neglect can contribute to improving life satisfaction of elderly living alone
Citations
The population of the aged has been rapidly increasing worldwide, and about 50% of them are under chronic pain by irreversible degenerative diseases. This study aimed to verify the effectiveness of ACT (Acceptance and Commitment Therapy) on pain, pain interference, and life satisfaction in people with chronic pain. In addition, this study proposed that anxiety, depression, self-efficacy, psychological inflexibility in pain, pain catastrophizing and kinesiophobia are mediating the effectiveness of ACT.
Participants of ACT program for this study comprised the elderly aged 65 and over who had been suffering from chronic pain for at least 6 months and reported their pain intensity of at least five on the VAS (Visual Analogue Scale, 0-10). During the sessions, experimental group participated in the ACT program designed by Stoddard and Wetherell(2011) and the control group received health education. After finishing eight sessions of each program, data from 25 participants in the experimental group and 27 in the control group were used for the final analysis.
The results showed that the ACT program is significantly more effective on relieving pain, pain interference, anxiety, and psychological inflexibility in pain than health education program. However, anxiety and psychological inflexibility did not have significant mediating effects on pain and pain interference.
Finally, this study has verified the curative effect of ACT for elderly people suffering from chronic pain. Therefore, Acceptance and Commitment Therapy can be used for supplementary treatment for patients with degenerative disease.