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A Study of Knowledge about Dementia, Empathy and Attitudes toward Dementia in Caregivers of Older Adults with Dementia

치매전문요양보호사의 치매 지식, 공감 및 치매에 대한 태도

  • Received : 2017.11.26
  • Accepted : 2018.01.20
  • Published : 2018.01.28

Abstract

The purpose of this study was to examine the relationships among dementia knowledge, empathy, attitudes toward to dementia in caregivers of older adults with dementia. Data were collected 147 caregivers who worked in long term care centers. The self-report questionnaire was used for data analysis. SPSS Win. 21.0 was used to analyze data via descriptive statistics, Pearson correlation coefficient, and multiple regression. The mean score of dementia knowledge was $20.18{\pm}3.58$ out of 30, and the means of empathy was $82.12{\pm}9.68$ out of 105 and the means of dementia attitudes was $96.45{\pm}13.72$ out of 140. Attitudes toward dementia in caregivers differed significantly depending on their age, motivation of job. Attitudes also had a positive correlation with dementia knowledge and empathy. The most significant preditors of attitudes were empathy, job of motivation and age. These factors explained 33.0% of the variance for attitudes toward dementia. Above results suggest that dementia education programs depending on age, job of motivation, and empathy level is needed.

본 연구는 치매전문요양보호사의 치매에 대한 태도에 영향을 미치는 요인을 확인하여 치매돌봄서비스 질을 향상시킬 수 있는 근거자료를 마련하기 위한 서술적 조사연구이다. G시와 J도에 소재한 요양센터에 근무하는 치매전문요양보호사 147명을 대상으로 하였으며, 구조화된 설문지로 설문을 수집하였다. 수집된 자료는 SPSS Win 21.0을 이용하여, 기술통계, Pearson correlation coefficient, Multiple linear regression 등의 방법으로 분석하였다. 연구결과 치매지식 점수는 30점 만점에 평균 $20.18{\pm}3.58$점, 공감은 105점 만점에 평균 $83.12{\pm}9.68$점, 치매에 대한 태도는 140점 만점에 평균 $96.45{\pm}13.72$점이었다. 치매에 대한 태도는 연령, 직업동기에서 유의한 차이를 나타내었으며, 지식 및 공감과 모두 양의 상관관계가 있었다. 태도에 영향을 미치는 주요변인은 공감으로 설명력은 28.6%였다. 연구결과를 토대로 요양보호사의 연령, 동기, 공감에 따른 치매전문교육프로그램을 실시할 것을 제언한다.

Keywords

References

  1. Ministry of Health & Welfare, "National Instituteof Dementia", The status of dementia. https://www.nid.or.kr/info/today_list.aspx. (October 10, 2017)
  2. National Institute of Dementia, "Koerean Dementia Observatory 2016, Seongnam: National Institute of Dementia Press", 2016.
  3. D. H. Kim, K. W. Um, "A study on care experience of family members of the elderly with dementia after policy implementation of dementia special rating-Focusing on difficulty of care and necessary social services-", Korean Journal of Gerontological Social Welfare, Vol. 70, pp.349-371, 2015.
  4. M. S. Kwon, J. H. Lee, "Analysis of Knowledge, Attitude and Service Requirement about Dementia among Nursing Students", Journal of the Korea Academia-Industrial Cooperation Society, Vol.18, No.9, pp.177-185, 2017. https://doi.org/10.5762/KAIS.2017.18.1.177
  5. Alzheimer's Disease International(ADI). "Women and Dementia: A global research review, London: ADI Press", 2015.
  6. E. H. Ha, J. Y. Cho, "Analysis knowledge about attitude toward and educational needs for dementia in certified caregivers", Journal of Korean Academic Society Nursing Education, Vol.21, No.1, pp.108-118, 2015. https://doi.org/10.5977/jkasne.2015.21.1.108
  7. M. R. Lee, "The Relationship among Dementia care Knowledge, Attitudes toward to dementia and Approach to dementia care of Nurses", Journal of Digital Convergence, Vol.14, No.12, pp.357-367, 2016. https://doi.org/10.14400/JDC.2016.14.12.357
  8. H. J. Kim, J. S. Yang, "Study on relationships among Care Givers' Job-Relation Feature, the Attitude Toward Dementia and Confidence of Dementia Care", Journal of Korean Gerontological Society, Vol.36, No.1, pp.137-149, 2016.
  9. S. Y. Hwang, K, S, Jang, "A Study on the Levels of Dementia-related Knowledge, Attitude, and Practice among Nursing assistants Caring for Institutionalized elders with dementia", Korean Journal of Adult Nursing, Vol.11, No.3, pp.378-388, 1999.
  10. J. H. Noh, E. J. Lim, J. Hur, "The Factors Influencing Careworker's Care Performance for Elders with Dementia", The Korean Journal of Health Service Management, Vol.6, No.3, pp.75-84, 2012. https://doi.org/10.12811/kshsm.2012.6.3.075
  11. K. H. Kim, D. S. Son, H. J. Kim, J. W. Song, "A Study on the relationships between family strengths of Elderly and Attitude toward Dementia", Journal of Community Welfacre, Vol.53, No.6, pp.341-365, 2015. https://doi.org/10.15300/jcw.2015.53.2.341
  12. J. H. Lee, "Attitudes Toward General Elders and Elder with Dementia Among Baccalcureate Junior Nursing Students", Journal of Korean Academic of Community Health Nursing, Vol.18, No.4, pp.601-610, 2007.
  13. J. Y. Choi, H. Jeong, J. Y. Park, T.H. Kim, D. Y. Lee, D. W. Lee, et al, "Factors Associated with the Attitudes toward Dementia in Community Caregivers : Results from the Nationwide Survey on Dementia Care in Korea", Journal of Korean Geriatric Psychiatry, Vol.19, No.1, pp24-31, 2015.
  14. Ministry of Health and Welfare, "The National Survey of Dementia Care in Korea", Sejong: Ministry of Health and Welfare Press, 2011.
  15. Mausbach BT, Coon DW, Depp C, Rabinowitz YG, Wilson-Arias E, Kraemer HC, et al. "Ethnicity and time to institutionalization of dementia patients: a comparison of Latina and Caucasian female family caregivers", Journal of American Geriatrics Society, Vol.52, pp.1077-1084, 2004. https://doi.org/10.1111/j.1532-5415.2004.52306.x
  16. K. A. Kim, K. A. Kim, M. R. Sung, "A Study on the Level of Dementia-related Knowledge and Attitude among Care Workers-Focusing on the Care Workers who got education on dementia in Seoul Dementia Center", Korean Journal of Care Management, Vol.6, pp. 23-51, 2011.
  17. S. H. Kim, O. H. Ahn, D. H. Park, "Nursing Students and Social Welfare Student's Knowledge and Attitudes toward Dementia", Journal of the Korea Convergence Society, Vol.6, No.3, pp.111-117, 2015. https://doi.org/10.15207/JKCS.2015.6.3.111
  18. J. Y. Cho, "Analysis of Knowledge, Attitude, and Educational Needs toward Dementia in University Student", Journal of Digital Convergence, Vol.14, No.12, pp.257-265, 2016. https://doi.org/10.14400/JDC.2016.14.12.257
  19. J. Kang, "A study on the individual differences in empathy: Using emotional priming", [master's thesis]. [Seoul]: Korea University, 2013.
  20. Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M. "The Alzheimer's disease knowledge scale: Development and psychometric properties", The Gerontologist. Vol.49, No. 2, pp.236-247, 2009. https://doi.org/10.1093/geront/gnp023
  21. E. J. Kim, J. Y. Jung, "Psychometric Properties of the Alzheimer's Disease Knowledge Scale-Korean Version", Journal of Korean Academic Nursing. Vol.45, No.1, pp.107-117, 2015. https://doi.org/10.4040/jkan.2015.45.1.107
  22. O'Connor ML, McFadden SH. "Development and Psychometric Validation of the Dementia Attitudes Scale", International Journal of Alzheimer's Disease, Vol.2010, pp. 1-10, 2010.
  23. Kiersma M, Chen A, Yehle K, Plake K, (2013). "Validation of an empathy scale in pharmacy and nursing students", American Journal of Pharmaceutical Education, Vol.77, No.5, p. 94, 2013. https://doi.org/10.5688/ajpe77594
  24. M. J. Cho, K. Y. Kim, M. H. Kim, M. D. Kim, B. J. Kim, S. K. Kim, J. R. Kim, et al, "Nationwide Study on the Prevalence of Dementia in Korean Elders: Ministry of Health and Welfare Press", 2008.
  25. S. W. Yun, S. A. Ryu, "Impact of Dementia Knowledge, Burden from Behavioral Psychological Symptoms of Dementia and Empathy in the Caring Behavior of Certified Caregivers in Nursing Homes", Journal of Korean Gerontological Nursing, Vol.17, No.3, pp.131-141, 2015. https://doi.org/10.17079/jkgn.2015.17.3.131
  26. D. S. Son, "A Study on the Influence Factors the Attitude toward Human Rights of Certified Caregivers", Korean Journal of Gerontological Social Welfare, Vol.48, pp. 299-322, 2010.
  27. K. M. Baek, "Empathy for Dementia Patients and Knowledge to Dementia Care in Nursing Geriatirc Hostipal Nurses", [master's thesis.] [Kongju]: Kongju University, 2017.