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The Effects of the Urinary Incontinence and Quality of Sleep on Fall Efficacy of the Community Dwelling Elderly

지역사회 노인의 요실금과 수면의 질이 낙상 효능감에 미치는 영향

  • Received : 2013.12.12
  • Accepted : 2014.04.10
  • Published : 2014.04.30

Abstract

This study was to find out urinary incontinence, quality of sleep and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Data were collected between January 3rd and 30th, 2013 from 112 elderly people who aged 65 or older. They agreed to participate in this study sampled among elders assistants in a way of responding to the questionnaire after being read. The study scales were composed of demographic characteristics, urinary incontinence, quality of sleep and efficacy of fall. A total of 45(40.2%) subjects were reported fall experienced. The results showed a positive correlation with urinary incontinence, quality of sleep and efficacy of fall. Multiple linear regression analysis revealed that predictor of efficacy of fall was quality of sleep. A combination of the urinary incontinence and quality of sleep accounted for 9.6% of the efficacy of fall.

지역사회 노인의 요실금과 수면의 질이 낙상 효능감에 미치는 영향을 살펴보고자 하였다. 도시에 거주하는 65세 이상 노인 112명을 대상으로, 인구사회학적 특성과 낙상에 관한 정보, 요실금 증상, 수면의 질과 낙상 효능감에 대하여 조사하였고 연구기간은 2013년 1월 3일부터 1월 30일까지였다. 지난 1년동안 낙상 발생률은 40.2%였고, 2회 이상 낙상을 경험한 노인은 낙상 경험자의 26.7%로 나타났다. 주로 겨울(53.3%)과 오후(53.3%)에 거리(44.4%)에서 많이 넘어졌으며, 낙상의 원인은 미끄러진 경우가 37. 8%로 가장 높게 나타났다. 본 연구 변수의 회귀모형을 분석한 결과 유의한 것으로 나타났으며(F=5.71, p<.01), 모형의 설명력은 9. 6%이고 낙상 효능감에 가장 큰 영향을 미치는 요인은 수면의 질(${\beta}$=.24, p<.05)인 것으로 나타났다. 노인에게서 낙상은 건강한 생활을 유지하고 각종 안전사고와 밀접한 연관이 있다는 것을 고려하여 지역사회 노인의 낙상 효능감을 사정하는 것은 낙상을 예방하는데 필요할 것으로 사료된다.

Keywords

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