• 생물정신의학
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• 제23권3호
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• pp.80-88
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• 2016

Vascular dementia is a very frequent form of dementia. Debates over classification and diagnostic criteria, and controversy over identifiable treatment targets will continue until distinct pathophysiological mechanism of vascular dementia is found. Clinical diagnostic criteria are sufficiently strong to be useful for clinical trials, but need further refinement. Cognitive changes in vascular dementia are more variable than other disorders, and are dependent on the vascular pathology. Accurate diagnosis of vascular dementia is known to need the presence of reliable cerebrovascular disease on brain imaging. Although it seems obvious that cerebrovascular disease causes pathological damage and impaired cognition, it is very difficult to find the accurate contribution of cerebrovascular pathology to cognitive decline. Most studies have shown a small but significant benefit of cholinesterase inhibitors on cognition, the significance of this effect has been slight and benefits on global functioning, activities of daily living, and behaviour have not been consistently reported. Management of vascular dementia should focus on identifying and managing vascular risk factors.

• 한국주거학회논문집
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• 제15권1호
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• pp.141-152
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• 2004

Most elderly victims of senile dementia in Korea are cared for at home. This creates hardship for their families. Recent research suggests that the physical environment can affect the treatment of dementia. In light of these findings, a prudent approach to the design of the housing environment of family with dementia sufferers is advisable. This study aims to determine the design factors that need to be considered for the housing environment of dementia, particularly for those suffering from Alzheimer's or Cerebrovascular dementia. For this study, and in-depth qualitative investigation method was employed. Principal caregivers were interviewed using various investigative tools, including objective measures, structured and non-structured questionnaires. The investigation results suggest that the need for housing environment improvement varies with the severity and type of dementia. The housing needs in this study, is expected to promote a focus on improved design management for the environment and housing of dementia and their families. The results also suggest the establishment of a welfare policy for senile dementia victims and their families.

• 지역사회간호학회지
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• 제28권3호
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• pp.260-270
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• 2017

Purpose: The purpose of this study was to examine the effects of the motivational interviewing (MI) dementia preventive intervention on dementia preventive behaviors, depression and cognitive function among elderly over 75 years of age in nursing homes. Methods: A nonequivalent control group pretest-posttest design was used. A total of 57 participants were divided into three groups; 18 in the MI dementia preventive intervention (Group A), 20 in the dementia preventive program (Group B) and 19 in the control group. Dementia preventive behaviors, depression, and cognitive function were assessed at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, t-test, ANOVA and repeated measure ANOVA. Results: The results reported that there were significant differences in dementia preventive behaviors and depression among Group A, B, and C. Also, there were significant differences in dementia preventive behaviors and cognitive function during time periods. There was a significant interaction between groups and times in relation to depression. Results suggested that the effects of MI dementia preventive program was persistent after 1 month following the intervention. Conclusion: Further research needs to develop dementia preventive programs considering physical and mental traits of the elderly in late years staying at nursing homes.

• 가정과삶의질연구
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• 제20권2호
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• pp.97-111
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• 2002

Despite the substantial increase of the elderly population in Korea, welfare policies such as housing programs have not been developed enough to meet the diverse needs of the aging people. Particularly, caring for elderly dementia patients is becoming a serious social problem in Korean society. Families are still primarily responsible for taking care of the elderly dementia patients, and thus are suffering from tremendous caregiving burdens. In many Western countries, group homes, which are small-scale care facilities with home-like atmosphere, have become common housing alternatives for elderly dementia patients. Group homes effectively create a therapeutic environment while helping reduce the elder care burdens for the families. This article proposes to review group homes as a housing option for the elderly with dementia in Korea. The purpose of this article is to make suggestions for housing policies, separately or as a part of more general welfare policies. Based on the questionnaire survey conducted on 912 persons currently residing in Seoul and five different provinces, various possible policies and suggestions to promote establishing group homes and other facilities for elderly dementia patients are discussed in this article.

• 패션비즈니스
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• 제11권1호
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• pp.75-85
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• 2007

This study aims to develop the hospital clothing for dementia patient, which can bring them higher quality of life by giving them psychological and emotional satisfaction. As for the research method and contents, the authors searched the characteristics of aging society and dementia patient, mainly concentering on the related researches and publications. In addition, the characteristics of current domestic clothes design trend for dementia patient and design preference were studied by looking into previous studies. Also, on the characteristics of overseas design was examed by looking into sites on dementia, actual clothes and related catalogues. The development and evaluation of the design of clothes for dementia patient was conducted and which was based on the above researches. Then, the patients hospital clothing was designed and made. And also the discussion was followed with related field experts such as medical doctor and nurses, carer-givers, patient clothing manufacturers and professors of clothing textiles. Finally the authors designed and manufactured six patient clothes including one for male, one for female, two for common use in hospital, one for disable male dementia and one for disable female dementia. The developted clothes got high marks on beauty and symbolism in the evaluation by the experts. The design development of dementia patient clothes in this research will help the dementia patients' psychological comfortness and social protection.

• 한국간호교육학회지
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• 제26권2호
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• pp.146-156
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• 2020

Purpose: The purpose of this study was to investigate the experience of nursing students who volunteered as dementia partners for elderly persons with dementia. Methods: This qualitative study utilized focus group interviews to investigate the experiences of 20 nursing students who performed dementia partner activities for more than one year. Data were analysed using an inductive content analysis approach based on Elo & Kyngäs. Results: The analysis yielded the following four major themes: "becoming a dementia expert," "becoming an evangelist for prevention of dementia," "overcoming prejudices against aged with dementia," and "acquiring motivation and skills of geriatric nursing" That means the experience as a dementia partner serves as an opportunity to broaden human understanding and shows its potential as a means to complement the effectiveness of practical nursing education. Conclusion: Dementia partner experiences have changed the perception, attitude and behavior of nursing students about the aged with dementia, so there is a need to extend this kind of experience to other students in nursing. Moreover, educational policy support should be continuously provided for this purpose.

• 한국임상약학회지
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• 제27권3호
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• pp.136-142
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• 2017

Background: Dementia is one of important social and economic healthcare issues in the aging age. Therefore, it signifies to analyze the relationship between chronic disease or cardiovascular drug use and the incidence of dementia to establish a basis for increasing or preventing the risk of dementia. The purpose of this study was to investigate the correlation between the prevalence of chronic diseases and the use of cardiovascular drugs in patients diagnosed with dementia. Methods: In this study, we used data from sample of elderly patients from the Health Insurance Review and Assessment Service. We analyzed by logistic regression analysis with age, gender, and medication as covariates. KCD-7 was used to diagnosis of the disease, and drugs were analyzed using ATC codes and Korean standardized drug classification codes. Results: A total of 1,276,331 patients were analyzed in the sample of the elderly population, of which 532,075 (41.7%) were male and 744,256 (58.3%) were female. The patients have the higher risk of dementia in the older, women, and lower socioeconomically status. Cerebral infarction and ischemic heart disease increases risk of dementia. Patients taking statins, angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonists (ARB) showed low incidence of dementia. Conclusion: This study has been shown that ACEI, ARB, and statin drugs may associate with lower incidence of Alzheimer's and other dementia except vascular dementia.

• 대한가정학회지
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• 제44권4호
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• pp.123-131
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• 2006

The goal of this research was to investigate the actual wearing conditions of dementia inpatients in order to improve their clothes. The development of comfortable, functional and well-designed clothing for dementia inpatients can improve their clinical care environment and also provide dementia inpatients and their caregivers with a promoted quality of life. The data were collected through field research and interview survey on the inpatient's clothing being used at 10 dementia hospitals and 11 dementia nursing care facilities. The results were as follows, First, the uniforms of light dementia inpatients were the pajamas styles those of the general inpatient's uniforms. The uniforms of severe dementia inpatients were jump suits or pajamas styles. Second, the top styles of pajamas were shirts of front opening style with buttons, round neckline, full length sleeves and over armholes. Their bottoms were the pants of no opening style with elastic band and full length. The design of the jump suits had back and under opening styles with zippers. Third, dementia inpatient clothes have to be improved in the areas of sizing systems, structure for putting on and taking off, fasteners and open styles and clothing material, as well as the aesthetic approach.

• 한국의류산업학회지
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• 제8권6호
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• pp.618-626
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• 2006

This research explored the actual conditions, problems and design preferences of dementia inpatient clothing. Data were collected by surveying 21 dementia hospitals and nursing care facilities and 87 caregivers and nurses of dementia hospitals. The collected data were analysed through frequency analysis, descriptive analysis and factor analysis. The results were as follows, First, the inpatient clothes of dementia hospitals were two-piece styles, the shirts of front opening with buttons and pants of no opening with elastic band. Those of dementia care facilities were two piece styles of shirts and pants, training suits or private plain clothes not uniform. Severe dementia inpatient dressed uniforms of the jump suits or two piece styles in some dementia care facilities. Second, the problems of dementia inpatient clothing were composed of suitability of raw and subsidiary clothing material, diversity of design and size, durability and form stability of clothes and elastic bands. Third, the design elements similar to those of existing inpatient clothing were preferred with regard to improving dementia inpatient clothing. That is, the design preferences of shirts showed front opening style with buttons, round neckline and a three-quarter-length sleeves. Those of pants came out no opening style with elastic band and full length. Also, pink color and natural patterns were preferred, and the private plain clothing of inpatient and fusion Han-bok style were somewhat preferred.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.165-181
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• 2000

Even though enormous governmental expenses and scientists' efforts to find out definite causes and treatment methods of senile dementia have been investigated, little has been known in this area. Along with knowledge development of the etiology and treatment of the dementia, researchers have started to focus on improving the quality of life of the older adults with dementia through psychosocial intervention. This study was designed to propose a theoretical framework for establishing therapeutic environment for the older adults with dementia and for developing principles and strategies of caring. The results of this study were expected to help family members of the older adults with dementia to understand behavioral problems of the demented persons. The results can be utilized for health professionals to provide nursing interventions to reduce family caregivers' burden and to improve the quality of life of the older adults with dementia and their family. Caring principles developed from this study were as follows: 1. To minimize the stressors that can stimulate older adults with dementia. 2. To assess demented person's needs for safety and provide intervention based on the assessment. 3. To provide therapeutic environment for older adults with dementia to reduce confusion and to improve orientation. 4. To organize simple regular daily activities that older adults can anticipate. 5. To enhance demented person's self-esteem and self-confidence by providing supportive care. 6. To promote social interaction of the older adults with dementia by utilizing adequate activity programs.