DOI QR코드

DOI QR Code

경증치매노인의 치매안심센터 이용만족도에 관한 연구

A Study on the Satisfaction of the Elderly with Mild Dementia using the Dementia Care Center

  • Kim, In-Ok (College of Nursing, Graduated School, Sahmyook University)
  • 투고 : 2020.03.20
  • 심사 : 2020.05.20
  • 발행 : 2020.05.28

초록

본 연구는 S시 25개 자치구에 소재하는 치매안심센터 서비스에 대해 치매노인의 이용만족도를 조사함으로써 새로운 정책이 효과적으로 운영되고 있는지에 대한 기초자료를 제공하기 위한 것이다. 절차는 2019년 7월 1일부터 9월 30일까지 치매안심센터를 이용하는 217명의 치매노인에게 설문지를 통한 자가기입식 설문조사이다. 이용만족도 도구는 일직선 양끝에 부정-긍정표현을 표시한 도표평점척도이다. 연구결과, 이용만족도는 기관 신뢰가 불신보다(t=9.74, p<.001), 치매진단은 인지장애가 치매보다(t=0.13, p=.034), 우울은 경증이 중증에 비해(t=2.31, p=.022) 유의하게 높았다. 로지스틱 회귀분석으로 분석한 만족도 비(比)는 성별, 연령, 교육, 걷기 요인에서 유의한 차이를 보였다. 결론적으로 새로 도입된 치매안심센터의 만족도 개선을 위해 이용자의 특성을 고려한 건강지원 프로그램을 운영하는 것이 중요하다.

This study is done to provide basic data on the effective operation of the new policies by examining the satisfaction level of the elderly with dementia visiting dementia care centers located in 25 autonomous districts of S city. Self-administered questionnaires were distributed to 217 elderly with dementia who visited the above dementia care center from July 1 to September 30, 2019. The satisfaction tool is a chart score scale that displays negative-positive expressions at both ends of a straight line. The result shows that satisfaction level is significantly higher in the group with trust in the visiting institutions than in the group with distrust (t=9.74, p<.001), higher in cognitive impairment group than in dementia group (t=0.13, p=.034), and higher in mild depression group than in more severe depression group (t=2.31, p=.022). Satisfaction ratios analyzed by logistic regression shows significant differences in factors like gender, age, education, and walking pattern. In conclusion, it is important to run health support programs that consider user characteristics to improve the satisfaction of newly introduced dementia care centers.

키워드

참고문헌

  1. Statistics Korea. (2019). http://kosis.kr/conts/nsportalStats/nsportalStats_0101Body.jsp?menuId=all
  2. J. L. Cumming & D. F. Benson. (1988). Psychological dysfunction accompanying subcortical dementia. Ann. Rev. Med. 39, 53-61. https://doi.org/10.1146/annurev.me.39.020188.000413
  3. G H. Suh et al. (2000). Prevalence and Risk Factors of Dementia and Depression in the Elderly. J Korean Neuropsychiatr Assoc. 39(5), 809-824.
  4. Ministry of Health and Welfare. (2019). Institute of Dementia, Sejong : Ministry of Health and Welfare.
  5. D. Y. An, K. D. Suh, & I. K. Choi. (2017). A Study on the Usage Behavior of Elderly Welfare Facilities for the Elderly with Moderate Dementia: Focusing on Satisfaction with Memory School Users. Journal of the Korea Convergence Society, 8(11), 353-361. https://doi.org/10.15207/JKCS.2017.8.11.353
  6. Statistics Korea. (2017). Prevalence of dementia. Daejeon : Statistics Korea.
  7. S. U. Lee, S. J. Han, B. R. Ahn, J. G. Park, & D. B. Jin. (2018). Analysis of medical use of dementia patients. Wonju : Health insurance review & assessment service.
  8. K. H. Kim & Y. C. Kim. (2019). A Study on Depression and Life Satisfaction in Patients with Dementia, Asia-pacific Journal of Multimedia Services Convergent with Art. Humanities and Sociology. 9(11), 831-839. DOI : 10.35873/ajmahs.2019.9.11.0075
  9. K. P. Kwak. (2018). Korean Dementia Observatory and National Responsibility for Dementia. Evidence and Values in Healthcare, 4(1), 1-9.
  10. K. K. Park. (2016). A Study on the Satisfaction of Home Visiting Care Service Users. J Korean Academy of Social Work Practice and Research. 7(1), 154-186.
  11. R. A. Kane et al. (2003). Quality of life measures for nursing home residents. The Journals of Gerontology: Series A. 58(3), 240-248. DOI : 10.1093/gerona/58.3.M240
  12. H. S. Kim, Y. W. Lee, D. W. Jung, & J. Y. Lee. (2019). Satisfaction and Experience of the Elderly with Dementia for the Service Provided by the Dementia Day Care Center. Journal of KoCon. 19(7), 609-627 DOI : 10.5392/JKCA.2019.19.07.609
  13. C. G. Kim, Y. H. Lee, & M. S. Kwon. (2019). Dementia Care Workers' Caring Competence, Job Satisfaction, and Effective Operation of Dementia Care Centers in Seoul and Gangwon-do. J Korean Gerontol Nurs, 21(2), 112-124. DOI : 10.17079/jkgn.2019.21.2.112
  14. C. W. Son & J. A. Kim. (2018). A Study on Current Status and Future Directions for Dementia Management of Seoul. Seoul : The Seoul Institut.
  15. S. H. Hong. (1999). A Comparative Study of Social Support Network among the Elderly groups with and without Dementia or Depression. Journal of the Korea Gerontological Society, 19(2), 113-128.
  16. J. K. Lee. (2009). A Study on the factors for user satisfaction of visiting recuperation service by long term care insurance for the elderly : Focusing on the visiting recuperation service users of GyeongGi province. Doctoral dissertation. Kangnam University, Yongin.
  17. S. H. Cho & S. J. Kim. (2010). The Effects 12 Weeks of Combined Exercise Programs on Activities of Daily Living and Quality of Living Index in the Vascular Dementia Elders. Journal of the Korean Society of Physical Medicine. 5(4), 633-644.
  18. H. N. Jang & M. S. Lee. (2016). An Analysis on Strategic Priority of the Dementia Policy. Korean Public Administration Quarterly 28(3), 491-515.
  19. H. S. Kang & E. G. Ma. (2008). The relationship between socialization of welfare facilities for seniors and Life satisfaction & depression of seniors in facilities. International Journal of Welfare for the Aged, 10(39), 303-322.
  20. J. M. Park & M. K. Sim. (2004). A study on the physical health status, depression and health behaviors of the elderly. Journal of Korean Academy of Community Health Nursing, 15(3), 438-449.
  21. Y. W. Kim. (2005). Study about the Determinant Factor of Client Satisfaction of the Senile Dementia Patient's Supporter with the Dementia Consulting Center. Doctoral dissertation. Kyonggi University, Suwon.
  22. H. H. Lee. (2011). An Empirical study on the Satisfaction of the Recipients of the National Long-Term Care Insurance Service for the Aged : focused on the demographic Characteristics of both Care-Givers and Aged Recipients. Doctoral dissertation. Seoul Venture University, Seoul.
  23. H. J. Cho. (2002). Factors that Impact Life Satisfaction of Caregivers of Dementia Parents. Master's Thesis. Ewha Womans University, Seoul.
  24. K. H. Jeon et. al. (2005). The 2004 Survey on the Living Profile and Welfare Service Needs of Older Persons: Results and Policy Implications. Health Welfare Forum. 101(1), 50-63.
  25. Y. H. Jeong. (2008). (A) study on the factors affecting user's satisfaction of the aged welfare service : focused on the social welfare centers in Chungbuk(province). Doctoral dissertation. Chongju University, Chongju.
  26. Y. M. Lim. (2002). Effects of movement/Exercise on physical and emotional functioning in elders with cognitive impairments. Journal of the Korea Gerontological Society. 21(3), 197-211.
  27. S. L. Kang & J. H. Moon. (2018). Comparison of sociodemographic characteristics, depression, quality of life, and unmet medical need between elders with and without limitation of activity by aging or dementia : Using seventh Korea national health and nutrition examination survey. The Journal of Occupational Therapy for the Aged and Dementia. 12(2), 1-11.