Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

The Development and Effect of a Dementia Care Support Program among Community Dwelling Older Adult Men

지역사회 거주 남성노인을 위한 치매 돌봄 프로그램 효과

  • Ko, Hana (College of Nursing, Gachon University) ;
  • Park, Yeon-Hwan (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 고하나 (가천대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2020.07.02
  • Accepted : 2020.08.03
  • Published : 2020.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: We developed and tested the effects of a care program for dementia patients among community- dwelling older adult men. Methods: This study used a non-equivalent control group pre-and post-test design. To verify the effectiveness of the care program for dementia patients, 26 community dwelling older adult men participated in this study. We used multiple intervention strategies including improving understanding of dementia through education, activities for dementia prevention, and promoting psychological change. In particular, based on the current understanding of the care of the men older adults, we used strategies to promote motivation and reinforce strengths. Results: After completing the 6-week intervention program, when compared with the control group, older adult men in the care program intervention group showed significant differences in scores for the following: cognitive functions (p=.035), attitude toward dementia (p=.026), preventive behavior (p=.007), geriatric depression (p=.013), caring confidence (p=.018), and self-esteem (p=.013). Conclusion: These results indicate that the care program for dementia patients has positive effects on increasing their cognitive function, attitude toward dementia, preventive behavior, caring confidence, self-efficacy, and on decreasing depression rates in this population. Based on this, we can recommend this program to men caregivers for the improved care of dementia in community centers.

Keywords

References

  1. Boots, L. M., de Vugt, M. E., Kempen, G. I., & Verhey, F. R. (2018). Effectiveness of a blended care self-management program for caregivers of people with early-stage dementia (partner in balance): Randomized controlled trial. Journal of Medical Internet Research, 20(7), e10017. https://doi.org/10.2196/10017
  2. Boulton-Lewis, G. M., Buys, L., & Lovie-Kitchin, J. (2006). Learning and active aging. Educational Gerontology, 32(4), 271-282. https://doi.org/10.1080/03601270500494030
  3. Cho, H. O. (1999). A study on public's knowledge of and attitude towards dementia. Unpublished master's thesis, Hanyang University, Seoul.
  4. Choi, H. K. (2012). A ground theory study on elderly male caregivers of spouse, focused on the structure and types of care. Family and Culture, 24(4), 45-81. https://doi.org/10.21478/family.24.4.201212.002
  5. Choi, I., Song, H., Jee, E., & Jung, D. (2016). Male caregivers' experience of elderly caregiving: Focusing on the burden and transition to a caregiver role. Seoul: Korean Women's Development Institute.
  6. Conway, E. R., & Chenery, H. J. (2016). Evaluating the MESSAGE communication strategies in dementia training for use with community-based aged care staff working with people with dementia: A controlled pretest-post-test study. Journal of Clinical Nursing, 25(7-8), 1145-1155. https://doi.org/10.1111/jocn.13134
  7. Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111(3), 455. https://doi.org/10.1037/0033-2909.111.3.455
  8. Ha, J. H., Kwak, M., Han, J. W., Lee, H. J., Ingersoll-Dayton, B., Spencer, B., et al. (2018). The effectiveness of a couple-based intervention for mild Alzheimer's disease patients and their spousal caregivers in Korea. Dementia, 1471301218811547. https://doi.org./10.1177/1471301218811547
  9. Jang, H. Y., & Yi, M. (2017). Hermeneutic phenomenological study on caring experience of spouses of elderly people with dementia at home. Jornal of Korean Academy of Nursing, 47(3), 367-379. https://doi.org/10.4040/jkan.2017.47.3.367
  10. Jon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11(1), 107-130.
  11. Kee, B. S. (1996). A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea version. Journal of the Korean Neuropsychiatric Association, 35(2), 298-307.
  12. Kim, M., & Lim, K. (2016). Effects of dongsasub training for family caregivers of patients with dementia on their burden, depression, and self-esteem. Journal of Muscle and Joint Health, 23(1), 9-18. https://doi.org/10.5953/JMJH.2016.23.1.9
  13. Kim, S. Y., & Jeong, S. (2019). The effect of a support program for family caregivers of elderly with dementia on empowerment and attitudes toward dementia. The Journal of Korean Academic Society of Nursing Education, 25(1), 103-114. https://doi.org/10.5977/jkasne.2019.25.1.103
  14. Kim, Y. J. (2014). A systematic review on the effects of intervention for caregivers of people with dementia to reduce their burden. Therapeutic Science for Rehabilitation, 3(1), 19-29. https://doi.org/10.22683/TSNR.2014.3.1.019
  15. Kong, E. H., & Jeong, Y. S. (2011). The effects of dementia education program for the aged. Journal of Korean Academic Community Health Nursing, 22(3), 252-261. https://doi.org/10.12799/jkachn.2011.22.3.252
  16. Korea Institute for Health and Social Affairs. (2017, November 30). Survey of Korea older adults 2017. Retrieved June 12, 2018, from http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do?pageIndex=1&research_id=1351000-201700250&leftMenuLevel=160&cond_research_name=%EB%85%B8%EC%9D%B8%EC%8B%A4%ED%83%9C%EC%A1%B0%EC%82%AC&cond_research_start_date=&cond_research_end_date=&pageUnit=10&cond_order=3
  17. Korea Labor Force Development Institue for the aged. (2019, August 20). Support for senior employment and social activites report 2018. Retrieved October 20, 2019, from https://www.kordi.or.kr/content.do?bid=248&mode=view&page=&cid=278294&sf_category=N107_2&cmsId=174
  18. Lee, S. M., & Kim, H. K. (2009). Elerly hubands' caregiving for their sick wives: Narratives of husbands and wives. Family and Culture, 21(4), 63-94. https://doi.org/10.21478/family.21.4.200912.004
  19. Lee, Y. W., Woo, S. M., Kim, O. R., Lee, S. Y., & Im, H. B. (2009). Relationships between dementia Knowledge, attitude, selfefficacy, and preventive behavior among low income middle-aged women. Korean Journal of Adult Nursing, 21(6), 617-627.
  20. Liddle, J., Smith-Conway, E. R., Baker, R., Angwin, A. J., Gallois, C., Copland, D. A., et al. (2012). Memory and communication support strategies in dementia: Effect of a training program for informal caregivers. International Psychogeriatrics, 24(12), 1927-1942. https://doi.org/10.1017/S1041610212001366
  21. Marim, C. M., Silva, V., Taminato, M., & Barbosa, D. A. (2013). Effectiveness of educational programs on reducing the burden of caregivers of elderly individuals with dementia: A systematic review. Revista Llatino-Americana de Enfermagem, 21(SPE), 267-275. https://doi.org/10.1590/S0104-11692013000700033
  22. National Institute of Dementia. (2020, March 4). Korean dementia annual report 2019. Retrieved March 12, 2020, from https://www.nid.or.kr/info/dataroom_view.aspx?bid=208
  23. Park, J. H., & Kwon, Y. C. (1989). Standardization of Korean version of mini-mental state examination (MMSE-K). Journal of the Korean Neuropsyciatric Association, 28(3), 508-513.
  24. Park, S., & Park, M. (2015). Effect of family support program for cargivers of people with dementia cargiving burden, depression, and stress: Systematic review and meta-analysis. Jornal of Korean Academy of Nursing, 45(5), 627-640. https://doi.org/10.4040/jkan.2015.45.5.627
  25. Rosenberg, M. (2015). Society and the adolescent self-image. Princeton university press.
  26. Russell, R. (2001). In sickness and in health: A qualitative study of elderly men who care for wives with dementia. Journal of Aging Studies, 15(4), 351-367. https://doi.org/10.1016/S0890-4065(01)00028-7
  27. Schoenmakers, B., Buntinx, F., & DeLepeleire, J. (2010). Supporting the dementia family caregiver: The effect of home care intervention on general well-being. Aging and Mental Health, 14(1), 44-56. https://doi.org/10.1080/13607860902845533
  28. Song, J., Park, J., Cheon, H., & Park, M. (2015). Development of web-based educational program for familly caregivers in management behavioral and psychological symptoms of dementia. Journal of the Korean Gerontological Society, 35(2), 411-432.
  29. Statistics Korea. (2019, September 27). 2019 Elderly Statistic. Retrieved February 19, 2020, from https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=377701
  30. Surr, C. A., Gates, C., Irving, D., Oyebode, J., Smith, S. J., Parveen, S., et al. (2017). Effective dementia education and training for the health and social care workforce: A systematic review of the literature. Review of Educational Research, 87(5), 966-1002. https://doi.org/10.3102/0034654317723305