대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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치매환자의 간호의존도 영향요인

Factors Influencing Care Dependency in Patients with Dementia

  • 발행 : 2003.10.01
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초록

Purpose: The purpose of this study was to explore factors that influence care dependency of institutionalized patients with dementia. Method: This study utilized descriptive correlational design. The convenience sample was composed of 110 residents with dementia of two long-term care facilities in Korea. Stepwise multiple regression was used to identify significant factors influencing care dependency in patients with dementia. Care dependency was measured using the Care Dependency Scale, Korean version(CDS-K). Cognition was measured by the MMSE-K. Functional disability was measured by the PULSES Profile. Behavioral dysfunction was measured by the modified E-BEHAVE AD. Result: Care dependency was significantly influenced by cognition, functional disability, behavioral dysfunction, and duration of dementia. This regression model explained 61 % of the variances in care dependency. Cognition explained 37% of the variances, and functional disability explained 21% of the variances. Conclusion: Results of this study suggest that professional caregivers intervene more effectively in caring for their patients with dementia by recognizing the patients cognitive, functional, behavioral disability, and its periodic change. Individually, remaining abilities-focused intervention should be applied to enhance patient to be dependent and to prevent unnecessary independency.

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참고문헌

  1. Auer, S. R., Monteiro, I. M., & Reisberg, B. (1996). The empirical behavioral pathology in Alzheimer's disease(E-BEHAVE-AD) rating scale. Int Psychogeriatr, 8(2), 247-266
  2. Beeri, M. S., Werner, P., Davidson, M., & Noy, S. (2002). The cost of behavioral and psychological symptoms of dementia (BPSD) in community dwelling Alzheimer's disease patients. Int J Geriatr Psychiatry, 17, 403-408 https://doi.org/10.1002/gps.490
  3. Bess, F. H., Lichtenstein, M. J., Logan, S.A., Burger, M. C., Nelson, E. (1989). Hearing impairment as a determinant of function in the elderly. J Am Geriatr Soc, 37, 123-128
  4. Brickman, A. M., Riba, A., Bell, K., Marder, K., Albert, M., Brandt, J., & Stern, Y. (2002). Longitudinal assessment of patient dependence in Alzheimer Disease. Arch Neuro, 59(8), 1304-1308
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.), Hillsdale, NJ.: Lawrence Eribaum Associates, Inc
  6. Dijkstra, A., Brown, L., Havens, B., Romeren, T. I., Zanotti, R., Dassen, T., & Heuvel, W. (2000). An international psychometric testing of the care dependency scale. J Adv Nurs, 31(4), 944-952
  7. Dijkstra, A., Buist, G., & Dassen, Th.W.N. (1998). A criterion-reliability study of the nursing-caredependency(NCD) scale. Int J Nurs Stud, 35(3), 163-170
  8. Dijkstra, A., Buist, G., Moorer, P., & Dassen, Th.W.N. (1999). Construct validity of the nursing care dependency scale, J of Clin Nurs 8(4), 380-388
  9. Dijkstra, A., Sipsma, D., & Dassen, T. (1999). Predictors of care dependency in Alzheimer's disease after a two-year period. Int J Nurs Stud, 36, 487-495 https://doi.org/10.1016/S0020-7489(99)00044-9
  10. Gignac, M. A. M., & Cott C. (1998). A conceptual model of independency and dependency for adults with chronic physical illness and disability. Soc. Sci. Med, 47(6), 739-753
  11. Granger, C. V., Albrecht, G. L., & Hamilton, B. B. (1979). Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel index. Arch Phys Med Rehabil, 60, 145-154
  12. Felson, D. T., Anderson, J. J., Hannan, M. T. Milton, R. C. Wilson, P. W. F., Kiel, D. P. (1989). Impaired vision and hip fracture: the Framingham study. J Am Geriatr Soc, 37, 495-500
  13. Folstein, M. F., & Bylsma, F. W. (1994). Noncognitive symptoms of Alzheimer disease. In R. D. Terry, R. Katzman & K. L. Bick (Eds.), Alzheimer disease (pp. 27-40). New York: Raven Press
  14. Folstein, M. F., & Folstein, S. E. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12, 189-198 https://doi.org/10.1016/0022-3956(75)90026-6
  15. Jirovec M. M., & Kasno, J. (1993). Predictors of self-care abilities among the institutionalized elderly. West J Nurs Res, 15(3), 314-326
  16. Kim, E. J. (2000). The Dysfunctional behavior and physical touch in patients with dementia, J Korean Acad psychiatr Ment Health Nurs, 9(2), 134-144
  17. Kim, E. J. (2000). Psychometric testing of the care dependency scale for the institutionalized Korean demented patients. J Korean Acad psychiatr Ment Health Nurs, 9(3), 303-314
  18. Kim, T., Kim, S., Lim, B. H., Kwon, O., & Choi, N. (2002). Geriatr Disease, 6(4), 293-298
  19. Kim, N. C., Yoo, Y. S., & Hahn, S. W. (2000). The effect of reminiscence with audio-visual stimulation on senile dementia. J Korean Acad Nurs, 30(1), 98-109
  20. Kwon, Y. C., & Park, J. H. (19890. Korean version of Mini-Mental State Examination(MMSE-K): Development of the test for the elderly. J Korean Neuropsychiatr Assoc, 28(1), 125-135
  21. Lee Y., & Choi, K. (2002). Functional disability of older persons in long-term care facilities in Korea. Arch Gerontal Geriatr, 34, 93-106 https://doi.org/10.1016/S0167-4943(01)00201-1
  22. Maghid, S., Rhys Hearn, C. (1981). Characteristics of geriatric patients as related to nursing needs. Int J Nurs Stud, 18, 97-106 https://doi.org/10.1016/0020-7489(81)90020-1
  23. Moye, J. (1996). Theoretical frameworks for competency in cognitively impaired elderly adults. J Aging Stud, 10(1), 27-42
  24. Palmore, E. B., Nowlin, J. B., & Wang, H. S. (1985). Predictors of function among the old-old: A 10-year follow-up, J Gerontal, 40(2), 244-250
  25. Stern, Y., Albert, S. M., Sano., M. R., Miller, L., Folstein, M., Albert, M., Bylsma, F. W., & Lafleche, G. (1994). Assessing patient dependence in Alzheimer's disease. J of Gerontal, 49 (5), 216-222
  26. Teri, L., Borson, S., Kiyak, A., & Yamagishi, M. (1989). Behavioral disturbance, cognition and function skill : Prevalence and relationship in Alzheimer's disease. JAGS, 37, 109-116
  27. Teri, L., Rabins, P., Whitehouse, P., Berg, L., Reisberg, B., Sunderland, T., Eichelman, B., & Phelps, C. (1992). Management of behavior disturbance in Alzheimer disease: Current knowledge and future directions. Alzheimer Dis Assoc Disord, 6(2), 77-88
  28. Volicer, B. J. (1984) Multivariate statistics for nursing research. San Francisco: Grune & Stratton, Inc
  29. Volicer, L., Hurley, A., Lathi, D., & Kowall, N. (1994). Measurement of severity in advanced Alzheimers disease. J Gerontal: Med Sci, 49, 223-226
  30. Wells, D., & Dawson, P. (2000). Description of retained abilities in older persons with dementia, Res Nurs Health, 23, 158-166