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임경춘 ( Lim Kyung-Choon ) - Sungshin Women’s University College of Nursing
김명숙 ( Kim Myoung-Suk ) - Kangwon National University College of Nursing
고하나 ( Ko Ha-Na ) - Gachon University College of Nursing
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Abstract
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본 연구는 지역사회 노인복지관을 이용하는 65세 이상 노인을 대상으로 치매예방행위에 영향을 미치는 요인을 포괄적으로 확인하고자 하였다. 치매예방행위는 우울 증상, 노인복지관 프로그램 이용 정도, 치매에 대한 태도, 수면장애가 영향을 미치는 것으로 나타났다. 이러한 결과를 근거로 노인복지관을 이용하는 노인의 치매예방행위 증진을 위해 심리적인 우울 증상 감소뿐만 아니라 치매태도의 변화를 위한 교육과 인식개선, 생활습관을 개선하도록 다양한 활동을 포함하는 통합적이고 포괄적인 중재를 개발하고 치매예방행위 실천에 대한 효과를 검증하는 연구를 제언한다.
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Purpose: This study aimed to explore factors influencing on the preventive behaviors of dementia in older Koreans enrolled in senior welfare centers to provide basic information on dementia prevention.
Methods: A total of 182 older Koreans participated in this study, which employed a cross-sectional design. Data were collectedusing questionnaires with items related to general characteristics, depression, self-esteem, knowledge and attitudes about dementia, preventive behaviors of dementia, dementia management self-efficacy, and anxiety about dementia. Using SPSS WIN 23.0, data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe? test, Pearson's correlation coefficient, and multiple regression.
Results: Living with a spouse (p=.013), a higher monthly income (p=.018), better nutrition (p=.010), not having a sleep disorder (p<.001), and higher number of participating programs (p=.001) were associated with better dementia prevention behaviors. Attitudes about dementia (β=.18, p=.006) and the number of programs older Koreans were participating in (β=.17, p=.006) influenced positively on the preventive behaviors of dementia, while depression (β=-.41, p<.001) and sleep disorders (β=-.17, p=.006) influenced negatively on dementia preventive behaviors. Overall, approximately 35% of the variability in dementia preventive behaviors was explained by these four variables in this study (F=24.97, p<.001).
Conclusion: The findings of this study suggest that depression reduction, good attitudes about dementia, program participation, and good sleep should be encouraged to promote dementia prevention. In addition, effective and structured educational programs should be developed for older Koreans to encourage dementia preventive behaviors to reduce the risk of dementia.
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KeyWords
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치매, 태도, 행위, 노인복지관, 노인
Dementia, Attitude, Behavior, Senior centers, Aged
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원문 및 링크아웃 정보
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등재저널 정보
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