• 지역사회간호학회지
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• 제27권3호
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• pp.193-201
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• 2016

Purpose: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. Methods: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. Results: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. Conclusion: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.

• 지역사회간호학회지
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• 제31권2호
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• pp.156-165
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• 2020

Purpose: This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults. Methods: Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%. Conclusion: The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제7권1호
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• pp.110-119
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• 1996

1908년에 Heller는 일정한 기간 동안 정상적인 발달 과정을 밟다가 발달적 퇴행을 하는 소아를 관찰한 후 '유아기 치매'라고 명명하여 보고하였다. 그러나 후속 연구가 부족하여 정확한 개념 정립이 안된 상태에서 그 명칭도 유아기 치매, Heller 증후군, 붕괴성 정신병, 붕괴성 장애, 소아기 붕괴성 장애 등 여러가지로 사용되어 왔다. 최근에 DSM-IV및 ICD-10에 의해 소아기 붕괴성 장애라는 독립된 진단명으로 자리잡게 되면서 이에 대한 관심이 증가하고 있지만, 지금까지 이에 대한 연구가 부족하여 그 개념, 특성, 자폐증 및 유사한 다른 병들과의 관련성, 그리고 병의 치료 및 예후 등에 대한 지식이 충분하지 못한 상태다. 따라서 국내에서는 아직 이 병에 대한공식적인 보고가 없는 실정이다. 본 저자들은 소아기 붕괴성 장애로 생각되는 1례를 경험하였기에 이것을 문헌 고찰과 함께 보고하고자 한다.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 대한통합의학회지
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• 제9권2호
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• pp.75-82
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• 2021

Purpose : This study was conducted to examine the knowledge of, attitude toward, and education requirements for dementia that students majoring in occupational therapy have and to determine the correlations between knowledge of and attitude toward dementia according to the degree of dementia education provided in a university. Methods : From January 2021 to February 2021, 150 students majoring in occupational therapy in Daejeon, Jeollanam-do, and Gyeongsangnam-do were enrolled in this study and surveyed using a questionnaire. The students who participated understood the purpose of this study and agreed to participate. For data analysis, SPSS version 20.0 was used. Results : The subjects scored, on average, 18.64 ± 3.23 of 30 points Knowledge of dementia. The subjects had many correct answers in the items on dementia assessment, diagnosis, and treatment and care, whereas they had few correct answers in the items on the risk factors of dementia. In terms of attitude toward dementia, the subjects scored 37.38 ± 8.32 on the stability subscale and 48.26 ± 9.11 on the knowledge subscale; thus, they had higher scores on the knowledge subscale. The subjects had high educational requirements regarding the cognitive activity and activities of daily living of occupational therapy for dementia. The subjects' knowledge of dementia had a positive correlation with their attitude toward dementia according to the degree of dementia education (p<.05). Conclusion : The students majoring in occupational therapy had high educational requirements of the cognitive activity and activity of daily living for dementia. When they had more education of dementia, their attitude toward dementia had a positive correlation with their knowledge of dementia. Therefore, it is considered that students majoring in occupational therapy need to have professional education in their university curriculum.

• 대한통합의학회지
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• 제12권1호
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• pp.171-182
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• 2024

Purpose : The purpose of this study was to investigate health college students' awareness and knowledge of the dementia policy and their attitudes toward dementia. Methods : In this study, 294 questionnaires were collected from 301 college students in the Department of Health of K College in Busan from November 7 to 29, 2022. The questionnaire consisted of 59 items, including 9 items on general characteristics, 10 on awareness of the dementia policy, 15 on attitudes toward dementia, and 25 on knowledge about dementia. The collected data were analyzed using descriptive statistics, independent t test, and one-way analysis of variance with SPSS version 25. A post-analysis was performed using the Scheffe test. Dementia policy awareness, knowledge of dementia, and attitude toward dementia were analyzed with the Pearson correlation coefficient by factor. Results : The health students' dementia policy awareness and knowledge of dementia were high, and their attitudes toward dementia were positive. High knowledge of dementia was influenced by sex, interest in dementia, presence of dementia information, and related volunteer work experience. Positive attitudes toward dementia were related to sex, department, and mode of receiving dementia information. High dementia policy perceptions were associated with interest in dementia and the presence or absence of information on dementia. Positive correlations were found between dementia policy perception and knowledge and attitude toward dementia. Conclusion : According to our study, interest in dementia is increasing owing to the recent dementia safety system. As a result, the dementia policy awareness and knowledge of dementia among college students pursuing health studies were high, and their attitude toward dementia was positive. From these results, we can infer that systematic and continuous education on dementia should be conducted in universities.

• 보건의료산업학회지
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• 제12권4호
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• pp.155-172
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• 2018

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

• 대한지역사회작업치료학회지
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• 제11권1호
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• pp.23-43
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• 2021

목적 : 본 연구의 목적은 작업치료사가 전문역량을 강화하기 위한 수단으로 보수교육을 잘 활용할 수 있도록 전문가 의견을 수렴하여 체계적인 교육운영 플랫폼을 마련하는 것이었다. 연구방법 : 2019년과 2020년에 시행한 공통영역, 노인치매, 지역사회, 신체재활, 발달장애 영역의 보수교육 강좌에 대하여 전문가 23명을 대상으로 델파이 연구를 시행하였다. 1차 델파이에서는 해당 강좌의 전문 보수교육으로서의 적합성 여부와 적절한 교육 수준에 대하여 조사하였다. 2차 델파이에서는 내용타당도를 검증하였고 최종 플랫폼을 도출하였다. 결과 : 최종적으로 공통영역은 87항목, 노인치매는 53항목, 지역사회는 66항목, 신체재활은 66항목, 발달장애는 85항목을 도출하였다. 주요 내용은 작업치료사들에게 필요한 전문지식, 다양한 분야에서의 역할과 임상에서 많이 겪는 어려움에 대한 해결, 미래를 준비하는 주제 등이 있었다. 결론 : 본 연구는 기초연구로서 전문적 작업치료사 양성을 위한 교육운영 플랫폼을 제시한데 의미가 있다. 추후 연구를 통하여 작업치료사들이 전문역량을 효율적으로 강화할 수 있는 최적의 교육운영 플랫폼이 개발되기를 기대한다.

• 의료법학
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• 제24권3호
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• pp.125-153
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• 2023

대법원 2022. 12. 22. 선고 2016도21314 전원합의체 판결은 한의사의 진단용 의료기기 사용이 면허된 것 이외의 의료행위에 해당하는지를 판단하는 새로운 기준을 제시하고, 이 기준에 따라 한의사의 초음파 사용을 무면허 의료행위가 아니라고 판단하였다. 대법원 2023. 8. 18. 선고 2016두51405 판결은 새로운 판단기준을 적용하여 뇌파계를 파킨슨병과 치매 진단에 사용한 행위가 한의사로서 면허된 것 이외의 의료행위에 해당하지 않는다고 판단한 첫 번째 사안이다. 대법원은 판례변경을 통해 의료기기 사용에 서양 의학적 지식과 기술이 필요하지 않아야 한다는 종전 기준을 폐기하였지만, 진단용 의료기기를 사용한 한의사의 서양 의학적 진단행위를 진단의 보조수단으로 볼 것인지는 불투명한 상태였다. 이에 대법원은 뇌파계를 활용하여 파킨슨병과 치매, 즉 서양 의학적 진단을 한 한의사의 행위를 면허된 것 이외의 의료행위가 아니라고 판단함으로써 진단의 보조수단이 가지는 의미를 명확히 정리하였다. 이외에도 대상 판결은 뇌파계의 개발, 제작 원리와 뇌파계 검사 결과의 자동 추출 및 자동 판독 여부 또한 판단기준에서 배제함으로써 한방의료행위의 의미가 수범자인 한의사의 관점에서 명확하고 엄격하게 해석되어야 한다는 죄형법정주의 관점을 더욱 투철하게 적용하고 진단용 의료기기가 한의학적 의료행위 원리와 관련 없음이 명백한 경우가 아닌 한 형사처벌 대상에서 제외됨을 분명히 하였다.

• 한국보건간호학회지
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• 제13권2호
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• pp.1-11
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• 1999

The purpose of this study was to provide the elderly and their family kowledge about senile dementia and to get them to have positive attitude about senile dementia. The subjects were 204 elderly who lived in the whole country. The data were collected from Sep. to Dec., 1998, using a 36 items questionnaire and analyzed by SAS program for t-test, ANOVA. Scheffe test, Pearson Correlation Coefficients. The results were as follows: 1. The mean score of knowledge about senile dementia was $9.33\pm2.68$(range 0-15), The elderly who was unschooled, lived in Kyung Sang province, didn't have any hobby or interest, didn't access to informations about senile dementia got lower score than the others. 2. The examples of knowledge test items about senile dementia that the subjects above fifty percents answered uncorrectly were 'the patient of senile dementia doesn't die soon', 'senile dementia is uncurable disease', 'the symptoms of senile dementia is apparent in new and strange circumstances', 'the pood and lonely elderly is apt to have senile dementia'. 3. The mean score of attitude about senile dementia was $15.87\pm2.25$(range 0-20) and attitude about senile dementia was relatively positve. Attitude about senile dementia by general characteristic was not significantly different. 4. The examples of attitude test items about senile dementia to which the majority of subjects agreed were 'It is a pity to see the patient suffered from senile dementia', 'It is difficult to take care of senile dementia patient' and so on. 5. The correlation between kowledge and attitude about senile dementia was very low. Therefore this study suggests that it is crucial to educate the elderly and their family to induce positive attitude about senile dementia.