• Title/Summary/Keyword: 노인치매

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노인의 사망요인 분석: 치매와 타 원인간의 비교

  • Kim, Han-Gon;Poston Jr., Dudley L.;Min, Hosik
    • Korea journal of population studies
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    • v.30 no.1
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    • pp.49-66
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    • 2007
  • 본 연구는 2001년 한국에서 사망한 60세 이상 노인들 62,000명의 사망기록 자료를 이용하여 사망원인의 다양성을 보여주는 한편 치매에 의한 사망원인을 가장 잘 예측할 수 있는 변수를 경험적으로 규명하고자 실시하였다. 이와 같은 목적을 위한 연구내용은 다음과 같다. 첫째, 노인들의 주요 사망원인에 해당하는 악성종양, 뇌혈관 질환, 심장병, 당뇨, 만성 호흡기 질환, 치매, 고혈압, 간 질환, 사고, 결핵 및 기타 질병 등 11개 사망원인에 대하여 빈도분석을 실시하였다. 둘째, 60세 이상 사망자들 가운데 치매에 의한 사망원인과 나머지 19개의 사망원인을 비교하여 치매에 의한 사망에 영향을 미치는 요인들을 다항로지스틱회귀분석을 통해 분석하였다. 그 결과, 한국의 노인인구 가운데 연령이 높을수록 치매로 인하여 사망할 가능성(우도비)이 높으며 여성이 남성에 비해 치매에 의하여 사망할 가능성이 높은 것으로 밝혀졌다. 그러나 교육수준이 높을수록 치매에 의하여 사망할 가능성이 낮은 것으로 나타났으며 거주지역은 치매에 의한 사망과 통계적으로 유의미한 관계가 있었으나 일관성은 없는 것으로 밝혀졌다. 한편 결혼지위는 치매에 의한 사망과 통계적으로 유의미한 관계가 없는 것으로 나타났다.

Dementia Strategies using Welfare-technology (복지기술을 활용한 치매전략 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.357-363
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    • 2022
  • South Korea faces elderly care crisis with both low fertility rate and rapid ageing rate. Long-term care insurance in 2008 has taken care burden from family to nation. However, few options, lack of tailored services, and unstable community care plan caused blankness of care in some areas. Especially, increasing dementia rate has become an emergent social issue. Welfare technology could be a useful alternative to fill out the gap between demand and supply. Using FGI method on two groups(high-risk dementia group and MCI group), intimacy, accessibility and preventive way of dementia with welfare technology are analysed in this paper. Despites of a few differences of dementia progress, interests towards technology are expressed. More suggestions using TV and normal telephone to improve daily independence are presented as well. Amongst MCI group, help-service for technology-use at ADS and linkage ways of in-home services are also suggested.

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 (노령 또는 치매로 활동제한이 있는 노인과 활동제한이 없는 노인의 사회인 구학적 특성, 우울, 삶의 질, 미충족 의료의 비교 : 제 7차 국민건강영양조사(2016) 원시자료를 이용하여)

  • Kang, So-La;Moon, Jong-Hoon
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.1-11
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    • 2018
  • Objective : The aim of this study was to compare the sociodemographic characteristics, depression, quality of life, and unmet medical need in elders with and without limitation of activity by aging or dementia. Method : The data were used for raw data of seventh national health and nutrition examination survey (2016). We compared sociodemographic characteristics, depression, quality of life, and unmet medical needs between elders with limitation of activity by aging or dementia (n = 32) and elders without limitation of activity (n = 1201). Result : Elders with limitation of activity were significantly older than elders without limitation of activity (p<.001), income was lower (p<.05) and married status had more bereavement (p<.001). The elders with limitation of activity had higher depression (p<.001) and lower quality of life (p<.001) than elders without limitation of activity. Unmet medical need was greater than elders without limitation of activity (p<.001). Conclusion : Elders with limitation of activity showed that they did not receive enough medical services than elders without limitation of activity. These results suggest that the welfare system for the health care of population with aging or dementia needs to be improved.

The Effect of Group Validation Therapy(V/T) in the Elderly with Dementia (집단인정치료(Group validation therapy)가 치매노인에게 미치는 영향에 관한 연구)

  • Chang, Woo-Shim
    • 한국노년학
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    • v.28 no.4
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    • pp.1023-1039
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    • 2008
  • The purpose of this study was to develop a group validation therapy(V/T) which could be implemented for the elderly with dementia in nursing home, and to evaluate the effectiveness of the program on cognition, ADL(Activity of Daily Living), depression, problematic behavior and QOL(Quality of Life). Subjects were recruited from 4 nursing homes in D city. The sample comprised forty elderly with dementia, capable of verbal communication. Each twenty were in an experimental and control groups. However, four elders with dementia dropped out in experimental and control groups due to personal affairs. Experimental group completed twelve consecutive group validation therapy sessions that combined centering, asking factual questions, rephrasing, identifying and using the preferred sense, asking the extreme, imagining the opposite, reminiscing, touching, maintaining eye contact and a caring tone of voice, observing, matching and expressing the emotion with emotion, using ambiguity, linking behavior with a basic human need, using music and mirroring techniques. Following the intervention, experimental group experienced a significant improvement in cognition, ADL, depression, and QOL. But it is a nonsignificant in problematic behavior on statistically. As a result, a group validation therapy should be applied as an effective and practical psychosocial intervention for the elderly with dementia.

The Effect of Social Isolation on Dementia in rural elderly: Comparison Between Young-old and Old-old Group (농촌 노인의 사회적 고립이 치매에 미치는 영향 : 전기노인과 후기노인 비교 분석)

  • Lee, Sangchul
    • Korean Journal of Social Welfare Studies
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    • v.48 no.2
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    • pp.143-171
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    • 2017
  • Along with the well-established evidence on the negative effect of social isolation on physical mental health and mortality, increasing attention has been paid to multi-dimensional nature of social isolation. In this study, the main effect and interaction effect of objective and subjective social isolation on heterogeneous age cohort related to the onset of dementia, which is becoming a social problem due to rapid aging of health issues, was examined through binary logistic regression analysis. Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) in the young-old, objective isolation was a significant on the incidence of dementia, 2) in the old-old, subjective isolation increased the risk of dementia. In summary, the relative influence of objective and subjective social isolation related to the incidence of dementia varies depending on the young-old and old-old. On the other hand, the interaction effect of objective and subjective social isolation on dementia was not significant in both the young-old and old-old. Based on the findings, we discussed implications and suggestions for future research and relevant policy and program development(dementia-friendly communities) for ameliorating objective and subjective social isolation.

Domestic Research Trends of The Dementia Prevention Programs for The Elderly (노인 대상 치매예방프로그램 국내 연구동향)

  • Yang, Su-Kyung;Ko, Bo-Suk;Park, Jung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.131-143
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    • 2019
  • The purpose of this study is to analyze the research trend of the dementia prevention program in the elderly. Between 2000 and 2018, the Korean Research Information Service (Riss), Google Scholar Search, DBpia, Korea Academy of Science Information (Dissemination Prevention), Dementia Prevention Program, Dementia, The purpose of this study was to investigate the dementia prevention program for the elderly. Based on the analysis criteria and methods of the 404 papers, 36 papers were finally selected. The results of this study are as follows: First, as a result of analysis of the basic structure of the research data and program implementation structure, And, when applied quantitative research method, 25 cases showed a much higher tendency. As a result of analyzing trends of the implementation structure of dementia prevention program for the elderly, 11 were the most in the nursing home (elderly welfare hospital), and the proportion of elderly women was higher than that of male elderly. 65 years of age or older. Second, as a result of analyzing the type of intervention program for dementia prevention program, Third, the Korean version of the MMSE-K tool, which measures cognitive function, is the most frequently used dementia prevention program measurement tool and the result of analysis of effectiveness, Significant improvement in cognitive function. The results of this study suggest that the prevention of dementia for the elderly should be avoided from a fragmentary program and improve the cognitive function, mental behavior and lifestyle of the elderly, improve the healthy aging and quality of life, Suggesting that a program is required.

Effects on the Bibliotherapy for Depressed and Remark of Dotard Dementias Old Adults (독서치료가 경증 치매노인의 인지도와 우울증에 미치는 효과 - S 독서치료연구회 임상사례를 중심으로 -)

  • Hwang, In-Dam;Park, Joon-Shik
    • Journal of Korean Library and Information Science Society
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    • v.39 no.4
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    • pp.505-522
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    • 2008
  • This research aimed at the investigation of the effectiveness of bibliotherapy for depressed older adults from 90 to 65 years of age and older. For implementing the research, 12 subjects, aged 65 or over, were recruited from the community on a volunteer basis to participate in a bibliotherapy program. The score of MMSE-K, while there was no statistical significance in the score of SDS. Experiment results were analyzed via t-ananlysis. The analysis of hypothesis was revealed that the Depressed effectiveness of interactive Remark bibliotherapy was superior to that of reading bibliotherapy.

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Effects of Bibliotherapy of Dotard Dementias Old Adults (독서요법이 경증 치매노인에게 미치는 효과)

  • Hwang, In-Dam;Park, Joon-Shik
    • Journal of Korean Library and Information Science Society
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    • v.41 no.4
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    • pp.383-402
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    • 2010
  • This study was conducted to investigate the effectiveness of bibliotherapy on the levels of cognitive function, depression, and social behavior in the elderly with mild dementia. For this quasi-experimental research, a total of 166 subjects the age of from 90 to 65 were selected of the 166, were divided into the experimental group and control group for six months. These findings confirmed that the dementia Bibliotherapy program made a contribution to improve cognitive function and social behavior, and to reduce depression in the elderly with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective Bibliotherapy program for the elderly with mild dementia.

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Effect of Aromatherapy on Behavioral and Psychological Symptoms of Dementia (아로마요법이 치매행동심리증상에 미치는 효과)

  • Choi, Seung Wan
    • 한국노년학
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    • v.28 no.4
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    • pp.1069-1087
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    • 2008
  • The purpose of this study was to closely examine the effects of aromatherapy on Behavioral and Psychological Symptoms of Dementia(BPSD) to the elderly in a nursing home, and to help the application of aromatherapy is expected to be conducive to managing the quality life in the dementia and the care-giver, and to provide a base of the aromatherapy application as an elderly program in geriatric institutions. This is an one group pre-post test design and the research subjects were the dementia in a nursing home those were totally 15 available for communication or intention observation. Aromatherapy was offered for 3 weeks totally 15 times by once a day in each with aroma hand massage and inhalation, by blending essential oils, Lavender, Chamomile Roman and Grapefruit. The results are as follows. Given examining a change in the whole about whether there are effects of aromatherapy on BPSD, there was significant difference in a change depending on the experimental period with 1.47 for the pre-measurement value, 1.09 for the post 1-measurement value, 1.01 for the post 2-measurement value and 0.71 for the post 3-measurement value. And, even the difference in experimental period was indicated to have significant difference(F=11.501, p<0.001). As an itemized results, the effect of aromatherapy were indicated to have significant difference on easing the anxiety, anguish, fear, dreadful feeling, depressed feeling, and outstandingly bustling movement, and outstandingly inactive behavior, and sleep disturbance and behavior of wandering about at night. On the basis of the result in this study, the application of aromatherapy is expected to lead the quality life in the dementia, and to contribute to health of mind and body in the dementia as an program in geriatric institutions.

Predictable Effect and Usability of Smart-Phone Application for Elderly Dementia Prevention (노인치매예방 스마트폰 앱의 기대효과 및 유용성)

  • Kim, Soo-Jung;Choi, Yun-Jin
    • Journal of Industrial Convergence
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    • v.17 no.4
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    • pp.87-94
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    • 2019
  • The purpose of this study is to predict the usefulness and predictable effects of the use of dementia prevention games and dementia management applications provided in smart-phones for the elderly. First, 6 dementia diagnostic tools used to verify the effectiveness of the dementia prevention program were selected and the cognitive domains tested by each diagnostic tool were extracted. Second, 29 smart-phone dementia prevention game applications and dementia management applications were selected and the expected effects after using these applications were analyzed in connection with the cognitive domain extracted from the dementia diagnosis tool. As a result, it was expected that it would be helpful to manage dementia prevention by improving cognitive function in certain areas when playing games or managing dementia continuously using smart-phone dementia prevention applications. Smart-phone dementia prevention applications will be useful in improving the cognitive ability of the elderly and preventing dementia by supplementing the limitations of the dementia prevention program that is operated offline through time-space ease of use, continuous usability and economic feasibility.