DOI QR코드

DOI QR Code

Qualitative Case Study on the Experiences of Care Givers with Dementia Patients after using the Care Farm Program

치매환자의 치유농장 프로그램 이용 후 환자보호자의 경험에 대한 질적 사례연구

  • 홍보균 (경북과학대학교 작업치료과) ;
  • 정민예 (연세대학교 작업치료학과)
  • Received : 2022.09.19
  • Accepted : 2022.11.01
  • Published : 2022.11.30

Abstract

In this study, we conducted a care farm program that is currently being operated as a pilot in a care farm in Korea, interviewed the experiences and feelings of dementia patients who experienced this as a patient care-giver, and confirmed the strengths and weaknesses of the care farm program. Accordingly, we investigated the points for improvement and the characteristics of the program in the care farm program and operation. In particular, opinions are gathered on the use of a care farm in the early stages of dementia, accessibility issues from residence to the care farm, continuity of various programs and programs, and development of seasonal content. In order to develop a program related to care agriculture for dementia patients by using healing agriculture in future care farms, it is necessary to consider factors such as use problems, accessibility, diversity, continuity, and seasonality of early dementia patients.

우리는 본 연구에서 현재 우리나라 치유농장에서 시범적으로 운영되고 있는 치유농업 프로그램을 시행하고 이를 경험한 치매 대상자의 환자보호자로서의 경험과 느낌을 인터뷰하고 치유농업 프로그램의 장점 및 단점을 확인 하였다. 이에 우리는 치유농장 프로그램 및 운영에 있어서 개선점과 프로그램의 특징 등에 대해서 알아 보았다. 특히, 치매 초기 단계의 치유농장 이용, 거주지에서 치유농장으로 이동하는 접근성문제, 다양한 프로그램과 프로그램의 연속성, 그리고 계절에 맞는 콘텐츠 개발에 의견을 모으고 있다. 앞으로의 치유농장에서 치유농업을 활용하여 치매환자에게 치유농업 관련 프로그램을 개발하기 위해 초기 치매 환자의 이용문제, 접근성, 다양성, 연속성, 계절성 등의 요소를 고려해야 할 것으로 보여진다.

Keywords

References

  1. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/dementia
  2. National Institute of Dementia, Korea Dementia Observatory, 2019.
  3. K. S. Santacruz and D. Swagerty, "Signs and Symptoms That May Indicate the Need for Evaluation for Dementia," American Family Physician, Vol. 63, Iss. 4, pp. 703-13, 717-8, Feb 2001.
  4. Rural Development. National Institute of Horticultural and Herbal Science. Understanding of AgroHealing(Care Farm), 2016.
  5. H. Elsey, T. Farragher, S. Tubeuf, R. Bragg, M. Elings, C. Brennan, R. Gold, D. Shickle, N. Wickramasekera, Z. Richardson, J. Cade, and J. Murray, "Assessing the Impact of Care Farms on Quality of Life and Offending: A Pilot Study Among Probation Service Users in England," British Medical Journal Open, Vol. 8, pp. e01929, Jan2017. http://dx.doi.org/10.1136/bmjopen-2017-019286
  6. R. E. Hine, J. Peacock, and & J. Pretty, "'Care Farming in UK : Evidence and Opportunities," University of Essex, Colchester, UK, Jan 2008.
  7. Natural England, "A Review of Nature-based Interventions for Mental Health Care," Feb 2016.
  8. B. Berget and B. O. Braastad, "Animal-assisted therapy with farm animals for persons with psychiatric disorders," Annali dell'Istituto Superiore di Sanita, Vol. 7, No. 4, pp. 384-390, 2011. https://doi.org/10.4415/ANN_11_04_10
  9. I. Pedersen, E. W. Martinesen, B. Berget, and B. O. Braastad, "Farm Animal-Assisted Intervention for People with Clinical Depression: A Randomized Controlled Trial," Anthrozoos A Multidisciplinary Journal of The Interactions of People & Animals, Vol. 25, No. 2, pp. 149-160, Apr 2015. https://doi.org/10.2752/175303712X13316289505260
  10. T. L. Ibsen, O. Kirkevold, G. G. Patil and S. Eriksen, "Dropout from Farm-Based Day Care for People with Dementia in Norway: A Follow-Up Study," BioMed Central Geriatrics, Vol. 20, pp. 428, Oct 2020. http://dx.doi.org/10.1186/s12877-020-01826-y
  11. D. K. Haubenhofer, M. Elingsir, J. Hassink, and R. E. Hine, "The development of green care in western European countries," Explore, Vol. 6, No. 2, pp. 106-11, Mar/Apr 2010. https://doi.org.10.1016/j.explore.2009.12.002
  12. J. Hassink, R. Simone, B. de Boer, B. Berget, and M. Elings, "Exploring the Role of FarmAnimals in Providing Care at Care Farms," Animals, Vol. 7, pp. 45, Jun 2017. https://doi.org/10.3390/ani7060045
  13. B. de Boer, J. P. H. Hamers, H. C. Beerens, S. M. G. Zwakhalen, F. E. S. Tan, and H. Verbeek, "Green Care Farms as Innovative Nursing Homes, Promoting Activities and Social Interaction for People With Dementia," Journal of the American Medical Directors Association, Vol. 18, pp. 40-46, Jan 2017. http://dx.doi.org/10.1016/j.jamda.2016.10.013
  14. K. Hong, H. Jin, and H. Lee, "Gardening Program As Cognitive Rehabilitation ProgramFor Mild Cognitive Impairment," The Journal of the Convergence on Culture Technology (JCCT), Vol. 8, No. 2, pp. 59-67, Mar, 2022. http://dx.doi.org/10.17703/JCCT.2022.8.2.59
  15. V. Braun and V. Clarke, "Using Thematic Analysis in Psychology," Qualitative Research in Psychology, Vol. 3, No. 2, pp. 77-101, Jul 2008. https://doi.org/10.1191/1478088706qp063oa
  16. C. Leck, D. Upton, and N. Evans, "Growing well-beings: the positive experience of care farms," British Journal Health Psychol. Vol. 20, pp. 745-762, Mar 2015. http://dx.doi.org/10.1111/bjhp.12138.
  17. J. Hassink, M. Elings, M. Zweekhorst, N. van den Nieuwenhuizen, and A. Smit, "Care farms in the Netherlands: Attractive empowerment oriented and strengths-based practices in the community," Health and Place, Vol. 16, No. 3, pp. 423-430. May 2010,https://doi.org/10.1016/j.healthplace.2009.10.016
  18. P. Wahrborg, I. F. Petersson, and P. Grahn, "Nature-assisted rehabilitation for reactions to severe stress and/or depression in a rehabilitation garden: Long-term follow-up including comparisons with a matched population-based reference cohort," Journal Rehabilitation Medcine, Vol. 46, pp. 271-276, 2014. https://doi.org/10.2340/16501977-1259
  19. L. L. Lee, A. Arthur, and M. Avis, "Using self efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: A discussion paper," International Journal of Nursing Studies, Vol. 45, No. 11, 1690-1699, Nov 2008. https://doi.org/10.1016/j.ijnurstu.2008.02.012
  20. D. Laurin, R. Verreault, J. Lindsay, K. Mac Pherson, and K. Rockwood, "Physical activity and risk of cognitive impairment and dementia in elderly persons," Archives of Neurology, Vol. 58, pp. 498-504, Mar 2001. https://doi.org/10.1001/archneur.58.3.498
  21. J. Verghese, R. B. Lipton, M. J. Katz, C. B. Hall, C. A. Derby, G. Kuslansky, A. F. Ambrose, M. Sliwinski and H. Buschke, "Leisure activities and the risk of dementia in the elderly," New England Journal of Medicine, Vol. 348, pp. 2508-2516, Jun 2003.https://doi.org/10.1056/NEJMoa022252
  22. C. Gagliardi, S. Santini, F. Piccinini, P. Fabbietti, and M. Rosa, "A Pilot Programme Evaluation of Social Farming Horticultural and Occupational Activities for Older People in Italy," Health Social Care in the Community, Vol. 27, No. 1, pp. 207-214, Aug 2018. https://doi.org.10.1111/hsc.12641