• Journal of Hospice and Palliative Care
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• v.16 no.3
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• pp.145-154
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• 2013

This study was performed to evaluate the existing pain assessment methods including the tools developed for use with nonverbal older adults with dementia, and to suggest recommendations to clinicians based on the evaluations. Computerized literature searches published after year 2000 using databases - Google scholar, RISS, KoreaMed, Medline, ScienceDirect, CINAHL - were done. Searching keywords were 'pain', 'pain assessment', and 'cognitive impairment/dementia'. The pain assessments for non-communicative dementia patients who are unable to self-report their pains are often made using the assessment tools relying on the observation of behavioral indicators or alternatively the strategy of surrogate reporting. While several tools in English version and only one in Korean are suggested for the pain assessments based on the observation of behavioral indicators, none are commonly used. In this review, we selectively evaluated those tools known to show relatively higher degree of validity and reliability for nonverbal older adults with dementia, namely, CNPI, DOLOPLUS 2, PACSLAC, PAINAD, and DS-DAT. It is hoped that the present review of selected tools for assessing pain in those vulnerable population and the general recommendations given be useful for clinicians in their palliative care practice. And future studies should focus on enriching the validation of the useful tools used to observe the nonverbal patient's behavioral indicators for pain in Korean.

• Journal of Digital Convergence
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• v.19 no.3
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• pp.195-202
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• 2021

This study is a systematic review study to confirm the characteristics, effects, and application strategies of domestic and foreign virtual reality programs provided by dementia education. This study is based on the literature published up to July 2020, CINAHL, Cochrane, EMBASE, and Pubmed electronic databases were used overseas, and RISS, KISS, and DBpia were searched in Korea. Based on the selection criteria and exclusion criteria, the final six papers were used for analysis. As a result of the analysis, the subjects of the selected literature were two informal caregivers (33.3%), one general (16.7%), and three students (50.0%) including nursing students and medical and pharmacy students. The virtual reality program was effective in a total of five areas(empathy ability, dementia attitude including knowledge and comfort of dementia, trust in own abilities, dyadic relationship scale), of which 75% of the studies measured empathy ability had significant effects. The results of this study confirm that virtual reality technology can be used for human-centered nursing based on empathy.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.1
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• pp.108-118
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• 2015

Purpose: The purpose of this study was first to identify knowledge about, attitude toward, and educational needs for dementia in certified caregivers; secondly, to understand the relationships among those variables; and thirdly, to provide base-line data for education program development. Methods: The participants in this study were 670 certified caregivers who were working in nursing homes or care hospitals throughout the whole of the country and engaged in education programs for improvement of their professional abilities. Collected data were analyzed using t-tests, ANOVA, Duncan, and Pearson's correlation coefficients with the SPSS 18.0 for Windows Program. Results: The scores for knowledge about, attitude toward, and educational needs for dementia were $14.12{\pm}2.83$ out of 20, $42.27{\pm}5.54$ out of 50 (item mean 4.22), and $121.51{\pm}22.13$ out of 160 (item mean 3.79) respectively. There were statistically significant positive correlations between knowledge and attitude (r=.238, p<.001), educational needs (r=.083, p=.032), and attitude and educational needs (r=.244, p<.001). Conclusion: Tailored and continuous educational programs for certified caregivers that can improve knowledge about the causes and symptoms of dementia should be developed. Nurses and professors who are experts in dementia should be on the front lines of education for caregivers.

• The Korean Journal of Rehabilitation Nursing
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• v.16 no.2
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• pp.133-140
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• 2013

Purpose: The purpose of this study is to examine adolescents' knowledge and attitudes towards dementia and to provide basic data for educating about knowledge of dementia and strengthening positive attitudes towards dementia. Methods: This study used a descriptive research design. The subjects were 502 middle and high school students. A questionnaire organized by 16 questions of knowledge and 10 questions of attitudes towards dementia was used. Results: The subjects' knowledge level of dementia was low, and average score was $8.89{\pm}2.95$. The questions with low rate of correct answer were "Dementia is caused by several dozens of diseases such as internal medicine, neurology, psychiatry, etc.", "In spite of the dementia, patients can enjoy their favorite things." The subjects' average score of attitudes towards dementia was $3.72{\pm}0.58$. Questions of negative attitudes were "I don't want to be closed to patients of dementia.", "I watch information or prevention about dementia in mass communications media." The relationship between dementia-related knowledge and attitudes showed positive correlation. Conclusion: The result means the mediation is necessary for improving dementia-related knowledge and strengthening positive attitudes in adolescents. The education programs should be proceeded to provide adolescents with correct information about dementia.

• Journal of Korean society of Dental Hygiene
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• v.18 no.4
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• pp.571-584
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• 2018

Objectives: The purpose of this study was to contribute to develope dental health intervention standard curriculum for dementia patients by identifying the extent of knowledge, attitudes and educational needs toward dementia in the dental hygiene department students. Methods: The study was conducted in the students of the dental hygiene department in colleges and universities, nationwide (from the first year students to the 3rd or 4th year students) for approximately 2 months from March to April, 2018. Among them, 545 students were selected as the subjects for the final analysis. Results: 91.0% of the subjects were not currently receiving education on dementia. The research on the factors to impact the dementia education needs of the subjects showed that the dementia education necessity (p<0.001) and the dementia attitude (p<0.001) had statistically significant effects on the educational needs on dementia. Conclusions: It is considered that the standard education curriculum for the dental health intervention for dementia patients in the department of dental hygiene should be developed and disseminated. This will provide a basis for the dental hygienists to be equipped with the relevant expertise in the intervention in the dental health of dementia patients in the future.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.1
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• pp.3-11
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• 2017

Objectives : The aim of this study was to draw attention toward so called 'behavioral variant frontotemporal dementia(bvFTD) phenocopy syndrome', which is difficult to discriminate with the primary psychiatric disorders, showing poor response to conventional therapeutic drugs, leading to higher risk to misdiagnoses and legal problems. Furthermore, the author insisted that our interest and study on them must be continued. Methods : English articles published during 2000 thru 2016 had been searched by internet with the combination of words such as 'frontotemporal', 'phenocopy' and 'behavioral', and reviewed. Besides, two clinical vignettes were described. Results : Precise diagnosis is important because patients' behavioral symptoms can influence on their families and community. However, disease-modifying treatment for bvFTD are not developed until now, and recent therapeutic drugs are only good for specific symptoms, while deterioration progresses in spite of proper psychiatric management. The possible bvFTD patients are not progressed into probable bvFTD clinically, showing no decline of cogntive and social function, no decrease of activity function, longer survival time, and normal neuroimaging for several years. Conclusions : Rather than expected, there are much more patients having clinical symptoms, course and diagnostic findings including neuroimaging, which are atypical to classical frontotemporal dementia and primary psychiatric disorders. If our knowledge and discriminating ability is improved, discovery rate of that cases will be increased. However, the identity of these atypical features are not clarified until now, it must be further actively investigated.

• Research in Community and Public Health Nursing
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• v.32 no.3
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• pp.233-242
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• 2021

Purpose: The purpose of this study was to verify influencing factors affecting service quality provided by caregivers working for the elderly with dementia. Methods: Data were collected using a self-reported questionnaire from 214 caregivers in a long-term care facility in D city. The data were analyzed with service quality, dementia knowledge, work value, and job performance confidence. For data analysis, the descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were performed using SPSS/WIN 21.0 program. Results: There were significant differences in service quality depending on the health status. Factors influencing service quality were work value, and job performance confidence with R² value of 38%. The highly influencing factors were work value, and job performance confidence. Conclusion: The results of this study indicate that the effort to improve the service quality of caregivers should focus on work value and job performance confidence.

• Korean Journal of Adult Nursing
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• v.21 no.6
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• pp.617-627
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• 2009

Purpose: This correlational study was to examine the relationships between dementia knowledge, attitude, self-efficacy and preventive behavior of low income middled-aged women. Methods: The subjects for this study were 125 low income middle aged women living in I city. The data were collected using the questionnaires for dementia knowledge, attitude, self-efficacy and preventive behavior. The data analysis was done by descriptive statistics, t-test, ANOVA, Pearson product moment correlation and stepwise multiple regression analysis. Results: The mean of dementia knowledge was 13.96 out of 20, attitude was 43.98 out of 60, self-efficacy was 54.07 out of 75 and preventive behavior was 25.98 out of 36. The positive correlations were revealed between dementia knowledge (r=.458, p=.000), attitude (r=.498, p=.000), self-efficacy (r=.573, p=.000) and preventive behavior. The influencing factors for dementia preventive behavior were self-efficacy, belief in Buddhism and attitude which accounted for 42.5% of the total variance. Conclusion: Dementia knowledge, attitude and self-efficacy were identified as variables that correlate dementia preventive behavior. Also, self-efficacy is the most influential factor affecting dementia preventive behavior. On the basis of these results, it is necessary for nurses to consider using dementia knowledge and mode of efficacy expectation in order to improve dementia preventive behavior.

• Journal of Korean society of Dental Hygiene
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• v.18 no.4
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• pp.547-560
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• 2018

Objectives: The purpose of this study was to contribute to the development of standard curriculum on oral health intervention on dementia patients for dental hygienists and dental hygiene professors by identifying the extent of knowledge, attitudes and educational needs on dementia among dental hygienists and dental hygiene professors. Methods: We performed survey to dental hygienists and dental hygiene professors for about 2 months from April to May, 2018. Among them, 325 copies were used for final analysis. Frequencies and percentages were calculated to identify general characteristics of respondents and their dementia-related characteristics, and means and standard deviations were calculated to find out the extent of knowledge, attitudes, and educational needs on dementia among subjects. Multiple regression analysis was performed to investigate the effects on the educational needs on dementia. Results: The analysis on the factors that affect the dementia education needs of the subjects showed that the dementia education necessity (p<0.001) and the dementia attitude (p<0.001) had statistically significant effects on the educational needs on dementia. Conclusions: As a result, dental hygienists who are responsible for oral health intervention of dementia patients need to have proper knowledge about dementia and positive attitude toward dementia patients, so professional education is needed to improve knowledge and positive attitude. This will provide a basis for the dental hygienists to be equipped with the relevant expertise in the intervention in the oral health of dementia patients in the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.1
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• pp.69-77
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• 2013

Purpose: This study was done to evaluate the effects of dementia education program on knowledge and attitude toward dementia among nursing students. Methods: A non-equivalent control group pre-post test design with an experimental group (n=35) and a control group (n=32) was used. The experimental group participated in the program three times a week for two weeks. The program is composed of lectures, preparation and practice for running the program, The effect of program was evaluated using measures of knowledge and attitude toward dementia. Data were analyzed using the PASW 18.0 program. Results: The knowledge score toward dementia was significantly higher in the experimental group than in the control group. The attitude toward dementia was significantly more positive in the experimental group than in the control group. Conclusions: The study findings indicate that dementia education program had beneficial effects on knowledge and attitude toward dementia in nursing students.