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보건소 방문건강관리사업 등록 노인의 내재적 역량 저하와 신체기능의 관련성 KCI 등재후보

Association of Intrinsic Capacity Impairment with Physical Function in Older Adult Participants of a Public Health Center-based Visiting Healthcare Program

부선주
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한국방문건강관리학회지 (Journal of Korean Academy of Customized Visiting Health Care)
한국방문건강관리학회 (The Korean Society for Customized Visiting Health Care)
초록

Purpose: This study aimed to examine the distribution and combination patterns of intrinsic capacity impairment and analyze its association with physical function among vulnerable older adults who participated in a visiting healthcare program at a public health center. Methods: This cross-sectional secondary analysis used data from older adult participants of a visiting healthcare program that was conducted at four public health centers. Intrinsic capacity impairment was assessed across six domains: cognition, mobility, depressive symptoms, sensory function, nutritional status, and oral function. Physical function was measured using the grip strength, balance, timed up and go (TUG) test, and instrumental activities of daily living (IADL). The data were analyzed to identify the prevalence and combinations of intrinsic capacity impairment and examine its association with physical function. Results: In total, 87.6% of the participants showed impairment in at least one domain of intrinsic capacity. Impairment of oral function was the most prevalent (42.6%), followed by depressive symptoms (34.9%); cognitive (33.1%), mobility (24.3%), and sensory (18.3%) impairments; and malnutrition (8.3%). Impairment of oral function frequently co-occurs with cognitive, psychological, and mobility impairments. Intrinsic capacity impairment was significantly associated with the grip strength, balance, TUG test, and IADL, and higher levels of intrinsic capacity impairment were associated with lower physical function. Conclusion: Intrinsic capacity impairment is closely associated with physical function in community-dwelling older adults. Comprehensive assessment and integrated management of intrinsic capacity, including oral health, are necessary to prevent functional decline and support aging in place.

키워드
구강건강내재적 역량노인방문건강관리신체기능 Oral HealthIntrinsic CapacityAgedHome Care ServicesPhysical Function
목차
Abstract
서 론
    1. 연구의 필요성
    2. 연구 목적
연구방법
    1. 연구 설계
    2. 연구대상
    3. 연구도구
    4. 자료분석방법
    5. 윤리적 고려
연구결과
    1. 대상자의 일반적 특성
    2. 내재적 역량 저하의 분포 및 조합 양상
    3. 대상자의 신체기능 수준
    4. 일반적 특성에 따른 내재적 역량 저하 수준의차이
    5. 내재적 역량 저하 수준과 신체기능 간의 상관관계
논 의
결론 및 제언
참고문헌
저자
  • 부선주(아주대학교 간호대학, 간호과학연구소, 교수) | Boo Sunjoo (Professor, College of Nursing, Research Institute of Nursing Science, Ajou University) Corresponding author