노인에게 흔한 낙상,요실금,수면장애가 우울증에 미치는 영향

Abstract

Background : Falling, urinary incontinence, and sleep desturbance are common physical problems in elderly. These conditions are generally assumed to negatively influence overall health and functio-ning and tend to be interrelated with depression. The purpose of this study is to investigate the prevalence of falling, urinary incontinence, sleep disturbance, and depression in nursing home residing older persons aged 65 or above and to determine the interelations between these conditions. Method: Subjects were 90 older adults residing in 2 nursing home including 35 Sakhalin immigra-nts who had different sociocultiral background from others. Seven investigators interviewed the subjects by questionnaires about recent history of falling, urinary incontinence, and sleep disturbance, geriatric depression scale(GDS), and 'Barthel Activities of Daily Living(BADL)'. Dependent variable was depression defined by GDS, and independent airiables were 3 physical conditions and other convariants. Result: Failling occured in 32.2% during last 1 year, urinary incontinence affected 21.1%, and 81.1% of the subjects experienced sleep disturbance. Prevalence of depression defined by GDS score above 11 was 50.0%. Sakhalin immigrants were more vulnerable to depression that Korean old people(p<0.0005). In multiple and logistics regression procedure, sociocultural factor and urinary incon-tinence were significant predictors of depression in elderly. And the relative risk for depression was 5.5 in Sakhalin immigrants, and 5.1 in elderly affected by urinary incontinenece. Though most older adults reported urinary incontinence to family or friends, none of them discussed this condition to health providers including doctors or nurses.

Conclusion : Urinary incontinence was an important risk factor for depression in elderly, and health providers should have more concerns to this condition.