• 지역사회간호학회지
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• 제14권2호
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• pp.351-361
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• 2003

Purpose: The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly: to grasp the coping strategies used for resolving this problem: and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Strauss and Corbin (1990). The data was collected through in-depth interviews with participants using open-ended and descriptive questions about their coping experiences. All data were were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support', 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for individual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

• 재활치료과학
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• 제2권1호
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• pp.66-76
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• 2013

목적 : 본 연구는 주간보호시설을 이용하는 치매노인의 욕구 및 제한점을 파악하고 목표 설정을 하고자 함이다. 연구방법 : 주간보호시설 이용 치매노인 1명을 대상으로 2012년 5월 1일부터 5주에 걸쳐 주 2회 정기적으로 30여 분간 심층 면담 및 평가를 실시하였다. 인간작업모델을 기반으로 한 작업질문지(Occupational Questionnaire; OQ)와 여가활동평가(Interest checklist; IC), 의욕조사표(Volitional Questionnaire; VQ), 의사소통과 상호작용기술평가(The Assessment of Communication and Interaction Skills ACIS), 작업수행 일생 면담II(Occupational Performance History Interview-II OPHI-II), 자가작업평가(Occupational Self Assessment OSA), 작업환경 평가면담과 등급화(The Occupational Circumstances Assessment Interview and Rating; OCAIR)를 대상자에게 실시하였다. 또한 대상자의 사례관리자와 보호자 각 1명씩을 대상으로 직 간접적인 면담을 시행하였다. 결과 : 인간작업모델을 적용하여 면담 및 평가를 실시한 결과 사회와 가족관계형성과 재 정 문제, 전반적인 행복에 제한이 있는 것으로 파악되었다. 결론 : 본 연구의 결과를 통해 치매노인을 대상으로 인간작업모델을 적용하여 전인적으로 판단 할 수 있었으며 대상자를 바라보는 새로운 관점과 해결방안을 제시가능 하였다. 이를 통해 작업치료의 질 향상과 서비스의 영역을 확대하는데 기여할 것이다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 추계학술대회
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• pp.370-372
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• 2021

보건복지부 노인성 치매 임상 연구센터에 따르면 2020년 65세 이상의 한국 노인 중 치매환자 수는 84만 명으로 치매 유병률은 10.39%에 달한다. 노인 10명 중 1명이 걸릴 정도의 유병률이지만 가족이 하루 종일 돌보기에는 어려움이 있다. 일정 관리가 저장된 AI 스피커 시스템을 활용하면 독거 노인의 상태 및 일정을 관리할 수 있다고 판단된다. 본 논문은 치매환자의 AI 스케쥴러를 위한 모듈을 구현하였다. 라즈베리 파이의 내부에 원격 IoT인 AWS를 연동하고, 구글 API의 캘린더를 활용하여 일정을 스피커로 출력하도록 구성되었다. 본 연구를 통해, 일정관리의 용이함으로 치매 환자 관리 및 일정 조정에 도움 될 것으로 판단된다.

• 생명과학회지
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• 제16권7호
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• pp.1188-1194
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• 2006

노년에 나타나는 정신병적 증상의 가장 흔한 원인 질환으로 만성적이고 서서히 악화되는 진행성이면, 기억력, 사고력, 학습능력 및 판단력 등의 손상을 포함한 인지기능의 장애이다. 고령화 사회가 도래하면서 노인성 치매환자가 매년 급격히 늘고 있으며 매년 수만 명이 노인성치매에 걸려 본인뿐 아니라 가족까지도 많은 고통에 시달리고 있다. 특히 노인성 치매의 경우는 환자 본인의 문제가 아니라 젊은 노동력을 환자의 보호자로 필요함으로 국가적 노동력의 손실로 이어지고 있다. 현재 연구에서 우리는 노인성 치매와 transposable elements와의 상호관계를 밝히기 위하여 공개된 유전자 데이터베이스에서 EST (expressed sequence tags)를 이용하여 생물정보학적 인 분석방법과 프로그램을 이용하여 치매의 원인으로 추정되는 후보유전자들을 찾아내었다. 이러한 분석을 통하여 치매환자에서 transposable elements의 발현으로 인해 유전자의 발현에 변화를 가지는 98개의 후보 유전자를 찾아내었다. 노인성질환인 치매와 transposable elements의 분석방법을 이용하면 치매의 원인을 규명하는데 많은 도움이 될 것이다.

• 기본간호학회지
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• 제18권3호
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• pp.337-347
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• 2011

Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.

• 월간당뇨
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• 통권216호
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• pp.14-18
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• 2007

국내의 질환별 사망률에 대한 보고를 참조하면, 뇌졸중은 암에 이어서 높은 사망률을 보이는 질환이며, 단일 질환으로는 가장 높은 사망률을 보인다. 뇌졸중은 높은 사망률을 나타내는 문제 외에도 후유증으로 심한 장애를 남길 수 있다. 그러므로 고령화 사회로 접어들고 있는 우리나라의 상황을 고려할때 뇌졸중은 치매와 더불어서 주요한 노인 질환일 뿐만 아니라, 뇌졸중이 발생하게 되면 후유증으로 장애가 남는 경우가 많으므로 지속적으로 환자의 가족과 주변에 대한 사회적 부담을 가중 시키는 문제를 불러온다.

• 대한간호학회지
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• 제40권4호
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• pp.482-492
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• 2010

Purpose: This study was a qualitative research study in which focus group interviews were used to collect data on the meaning of respite for family caregivers who are taking care of elders with dementia. Methods: The focus group interviews and participants consisted of 2 family caregiver groups, for a total of 8 people taking care of their elders and 5 professional caregivers working in a geriatrics hospital or social welfare institutions. Content analysis was used and debriefing notes were referred in order to analyze the data. Results: The meaning of respite in this research was measured using 4 main categories: 'Temporary break from routine', 'direct help', 'psychological comfort', 'valuables which cannot be taken easily' and 9 subcategories: 'Temporary diversion of attention', 'temporarily free from my duty', 'taking care of oneself', 'receiving economic help', 'empathize with others', 'comfort based on trust', 'resting together with the elder', 'no time to rest', 'cannot get out of one's obligatory duty'. Conclusion: The findings of the study show that rest means not only a temporary relief from caretaking, but also a real respite based on the patients' stable state and comfort. These results indicate a new meaning for respite, that the first step of respite program has to begin even when the caregivers do not recognize the need for respite.

• 한국노년학
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• 제38권4호
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• pp.1107-1125
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• 2018

본 연구는 치매환자와 동거하는 가족의 자살생각 위험요인과 보호요인에 따라 유형화를 하고, 각 유형집단이 자살생각에 미치는 영향을 분석하여 자살예방을 위한 실증적 기초 자료를 제시하는데 목적이 있다. 본 연구는 2013년 지역사회건강조사를 활용하여 치매환자와 동거하고 있는 가족 2,715명의 자료를 분석대상으로 하였고, 잠재계층모형분석과 이항로지스틱분석을 실시하였다. 주요분석내용은 (1) 자살생각의 위험요인과 보호요인의 유형화 (2) 유형화된 집단이 자살생각에 미치는 영향을 규명하고자 한다. 총24개의 자살생각 위험요인과 보호요인의 지표를 활용하여 잠재적 집단분석을 실시하여 '고위험-저보호요인'집단, '고위험-고보호요인'집단, '저위험-고보호요인'집단, '저위험-저보호요인'집단으로 유형화하였다. 분석 결과, '고위험-저보호요인'집단인 경우 자살생각이 가장 높았고, 유의하게 자살생각을 가지는 것으로 나타났다. 결과에 기반한 실천적 함의와 과제를 제시하였다.

• 성인간호학회지
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• 제25권6호
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• pp.725-735
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• 2013

Purpose: The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation. Methods: A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance. Conclusion: The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

• 가정간호학회지
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• 제2권
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• pp.60-76
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• 1995

The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).