• 대한가정학회지
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• 제40권5호
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.609-627
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• 2019

본 연구의 목적은 치매주간보호센터를 이용하는 치매노인의 서비스 만족도와 서비스 경험의 의미를 탐색하는 것이다. 본 연구는 방법론적 트라이앵귤레이션 연구로, 1:1 면접조사를 위한 대상자는 67명의 치매노인이었고 포커스 그룹 인터뷰 대상자는 15명의 치매노인이었으며 모든 대상자는 치매주간보호센터 이용자 였다. 서비스이용 만족도 조사 노인들의 평균 연령은 $79.95{\pm}5.90$세 였고, 포커스 그룹 인터뷰 조사 대상 노인들의 평균 연령은 $80.07{\pm}5.78$세 였다. 서비스영역별 서비스 만족도의 평균 점수는 $2.86{\pm}0.41{\sim}2.96{\pm}0.30$였다. 최저 점수 영역은 '도움과 보조'였고, 가장 만족도 점수가 높았던 영역은 '음식과 환경'이었다. 57개 서비스 관련 질문 중 14개 질문 영역에서 만족도 점수는 3점 만점이었다. 질적 자료의 내용분석결과에 따르면, 치매주간 보호센터의 경험은 '상호존중과 이해', '참여의 즐거움과 속상함' 등 20개 주제와 35개 하위 주제로 서술되었다. 전체 만족도 점수는 높았고 치매주간보호센터에 대한 경험은 대부분이 긍정적으로 서술되었다. 따라서 경증 치매노인을 위한 치매전문주간보호센터 이용 확대와 확충이 적극적으로 권장되어야한다.

• 대한간호학회지
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• 제47권3호
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• pp.367-379
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• 2017

Purpose: This study aimed to understand and describe the caring experiences of spouses of elderly people with dementia. Methods: The hermeneutic phenomenological method was used and participants were 12 spouses aged 65 and over who were taking care of their husbands or wives with dementia at home. Data were collected from individual in-depth interviews on participants' actual caring experiences. Additionally, novels, movies, and memoirs on elderly couples with partner who had dementia were included as data for the analysis. The qualitative data analysis software program was used to manage and process the collected qualitative data. Data were analyzed using hermeneutic phenomenological analysis based on four fundamental existentials including lived body, lived space, lived time, and lived others. Results: Five essential themes emerged from the analysis: 1) body moving like an old machine, 2) swamp of despair filling with hope, 3) sweet time after bitterness, 4) disappointed elderly couple in the empty nest, and 5) unappreciation vs. empathetic feelings. These essential themes were comprehensively summarized as "the road leading to the maturation of life with dedication and hope while bearing the weight of caring based on the couple's relationship." Conclusion: The findings indicate that the nature of the caring experience of spouses of elderly individuals with dementia is filled with many dynamic and paradoxical dimensions. Thus, results of the study would help with developing interventions tailored specifically for elderly spouse caregivers to support their role adaptation and ultimately improving their quality of life.

• 문화기술의 융합
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• 제6권4호
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• pp.301-309
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• 2020

본 연구는 요양병원 간호사의 치매태도, 치매행동심리증상 부담감, 간호전문직관의 관계를 파악하고, 치매간호 수행에 영향을 미치는 요인을 파악하기 위해 실시되었다. 자료수집은 구조화된 설문지를 이용하여 요양병원 간호사 161명을 대상으로 2019년 11월 4일부터 12월 13일까지 시행하였으며, 자료분석은 SPSS/WIN 21.0프로그램을 이용하여 t-test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression으로 하였다. 치매간호수행에 영향을 미치는 주요 요인은 치매태도(β=.280, p=.001), 간호전문직관(β=.237, p=.006), 치매행동심리증상 부담감(β=-.175, p=.012), 치매교육경험(β=.166, p=.014)이었다. 따라서 요양병원간호사의 치매간호수행도 향상을 위해서는 긍정적인 치매태도와 간호전문직관의 확립, 치매행동심리증상 부담감 감소를 위해 다양한 중재프로그램 개발과 치매교육의 적용이 필요하다.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

• 한국임상약학회지
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• 제28권4호
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• pp.285-292
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• 2018

Background: Long-term levodopa therapy relieves the motor dysfunction associated with Parkinson's disease (PD), but has various effects on non-motor symptoms, including cognitive dysfunction, hallucinations, and affective disorders, and can exacerbate certain aspects of dementia-like cognitive dysfunction. Here, we investigated the relationship between levodopa treatment and development of dementia in patients with PD. Methods: This retrospective study analyzed 76 consecutive patients with PD who had taken levodopa between 2011 and 2015. The participants were initially free of dementia and had initial daily levodopa doses of below 600 mg. Patients who did and did not develop comorbid dementia were compared in terms of potential predictor variables, including PD onset age, sex, levodopa doses, and non-dementia comorbidities. Results: Of the 76 patients, 21 (27.6%) developed dementia, which was followed by hallucinations and insomnia. The independent predictors of incident dementia were PD onset age and second-year and third-year average levodopa doses that were higher than the first-year average levodopa dose. Patients who developed dementia had significantly higher average daily levodopa doses and levodopa dose increases over the 6-year treatment period than those who did not develop dementia. In addition, patients with higher levodopa doses were more likely to experience hallucinations. Conclusion: These results suggest that increases in levodopa doses may be associated with a greater risk of cognitive impairment in patients with PD. Therefore, motor and cognitive functions and levodopa dose increases should be evaluated regularly during long-term levodopa therapy in patients with PD.

• 대한간호학회지
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• 제30권2호
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• pp.293-306
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• 2000

Providing care to the dementia elderly with behavioral problem is a major issue in nursing homes today. This study was aimed to explore the nursing staffs′ response to aggressive dementia patients, and the effect that the aggressive behavior had on Nsgstaff. The interviews used a semi-structured questionnaire are were carried out from May to July, 1999. The subjects were 23 nursing personnel working in the nursing homes for dementia elderly. The result are as follows; 1. The types of aggressive behavior cited by the subjects was "physical", "linguistic", and "sexual". 2. The factors that caused the behavior were "symptoms of disease", "under- conditioning", "context of nursing care", "unsatisfied need", "relationship to other patients", "change of outer environment", and "invasion of one′s own privacy". 3. The response of the subjects were "unhappiness", "stress", "anger", "exaggeration", "anxiety", and "fear". 4. The management strategies listed by nursing personnel used to alleviate aggressive behavior were "ignorance" "patience" "leaving the area" "soothing sounds" "verbal punishment" "restriction and isolation" and "various management skill appliance" "adaptation". 5. The effect that aggressive behavior and were "disturbance of relationship to elderly" "decline in the amount and quality of nursing care" "interruption of task performance" "job exhaustion" "desire to leave the job" "physical impact" "stress on the cognition of others" "anxiety about health and one own future" "interference to family life′. The findings of this study will be useful in understanding the difficulties of nursing personnel when confronting the aggressive behavior of dementia partients. It also is useful as basic data in preparing efficient intervention program for these difficulties.

• 정신신체의학
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• 제21권2호
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• pp.140-146
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• 2013

연구목적 본 연구는 치매 군과 비치매 군의 통증 역치 및 통증 경험의 특성을 비교 하고자 한다. 방 법 2010년 강원 조기치매 검진사업의 일환으로 시행된 것으로, 연구 대상은 지역사회 거주중인 65세 이상 노인 8,302명이었다. 이 중, 한국판 간이정신상태검사(MMSE-KC) 점수가 저하 된 1259명을 선별했고, 이중 365명이 한국형 치매 진단평가 도구(CERAD-K)를 이용한 정밀검진을 받았다. 검사 결과 및 전문의의 판단 하에 정상, 경도인지장애, 치매 군으로 진단 후, 최종 비치매 군 90명, 치매 군 57명이(경도-중등도 알츠하이머형 치매) 분석되었다. 압통각계(Pressure algometer)를 이용하여 실험적으로 통증 역치를 측정했고, 자가보고식 검사인 Brief pain inventory(BPI)를 이용하여 통증 경험(통증 심도, 통증 방해도)을 조사했다. 집단 간 차이 분석은 Pearson Chi-Square와, 혼란변인(성별, 나이, 교육수준, GDS, 당뇨)을 보정한 ANCOVA검정을 시행했다. 결 과 인구학적 특성상 치매 환자 군에서 여성이 많고, 연령이 높고, 교육 연수가 낮았다. 통증 역치는 두 군에서 통계적으로 의미 있는 차이가 발견되지 않았다. BPI결과에서 비치매 군이 어깨 통증, 전체 통증 개수, '통상적 일'의 통증으로 인한 방해를 의미 있게 더 많이 호소했다(p<0.05). 그러나 두 군에서 통증 유병률 및 치료는 차이가 없었다. 결 론 치매 군은 비치매 군보다 통증을 더 적게 경험했다. 이는 치매 환자의 통증 역치는 보존되었으나, 내성이 증가한다는 선행 연구를 뒷받침 하는 증거로 여겨진다. 따라서, 치매 환자를 위한 적극적인 통증 사정 및 치료를 제안한다.

• 디지털융복합연구
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• 제17권11호
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• pp.419-426
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• 2019

본 연구 목적은 간호대학생의 치매에 대한 지식, 태도, 노인부양의식정도를 알아보고 이들의 관계를 규명하고자 시도하였다. 연구대상자는 일개 대학교의 재학생 288명을 대상으로 자료수집은 2019년 5월 7일 부터 5월 14일까지 실시하였다. 자료분석방법은 SPSS 20,0을 이용하여 t-test, one-way ANOVA, pearson's correlation coefficient, stepwise regression으로 분석하였다. 연구결과는 일반적 특성에 따른 치매에 대한 지식은 학년, 종교, 치매교육유무에서, 치매에 대한 태도와 노인부양의식은 치매봉사경험과 치매교육경험에서 통계적으로 유의한 차이를 보였다. 치매에 대한 지식과 노인부양의식은(r=.105, p=0.38), 치매에 대한 태도와 노인부양의식은(r=.556, p=.000)은 통계적으로 유의한 정의 상관관계를 보였고, 대상자들의 치매에 대한 태도가 노인부양의식을 31.3% 설명하는 것으로 나타났다. 이상의 결과로 간호대학생들의 개별적, 집단적 특성을 고려한 구조화되고 체계화된 맞춤형 치매교육프로그램이 개발, 적용되어 지속적인 교육과 피드백이 이루어져야 할 것이다.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.970-980
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• 2021

본 연구는 농촌노인의 우울, 수면, 자아존중감이 치매예방행위에 미치는 영향을 파악하기 위한 목적으로 시도되었다. 연구 대상은 J도 J군에 거주하는 60세 이상 노인 235명이며 구조화된 설문지를 사용하여 데이터를 수집하고 SPSS/WIN 25.0 프로그램을 사용하여 t-검정, 일원 분산 분석, Scheffe 검정, 피어슨 상관계수, 단계적 다중회귀분석을 분석하였다. 치매예방행위는 종교, 교육수준, 동거형태, 경제수준, 치매교육경험에서 유의한 차이가 있었으며 자아존중감(r=.52, p<.001)과 수면(r=.31, p<.001)과는 정적상관관계, 우울과는 부적상관관계가 있는 것으로 나타났다(r=-.57, p<.001). 치매예방행위에 미치는 요인은 우울, 자아존중감, 종교로 설명력은 37%로 나타났다. 연구 결과 농촌노인의 치매예방행위를 높이기 위해 우울 감소와 자아존중감을 향상 시킬 수 있는 치매예방프로그램 개발과 종교 활동 등 다양한 사회 참여 여건 조성 마련이 필요하다.