• 대한간호학회지
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• 제34권8호
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• pp.1402-1408
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• 2004

Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

• 한국농촌건축학회논문집
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• 제24권4호
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• pp.49-58
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• 2022

The purpose of this study is to present the basic direction of a desirable space plan for the elderly with dementia by examining the characteristics of the development of daily living behavior of the elderly with dementia. As a research method, First, the literature survey identified the increase in the elderly population in gyeongnam-province and the basic status of 197 elderly care facilities installed and operated in gyeongnam-province, and second, the development of daily living behaviors of eight dementia elderly people in two facilities in the form of overlapping-shaped nursing homes. The results of the survey and analysis are as follows. First, on average, it was found that the elderly with dementia in nursing facilities spend 98.3% of their work hours in the bedroom and the residents' control room. Second, it was found that the elderly with dementia accounted for 57.2% of sleep and idleness, 21.3% of leisure and hobby, and 10.7% of basic behavior. Third, in the development of the daily living behaviors of the elderly with dementia, the time to develop daily living behaviors related to identity and sociality is prominent in the living zone, and the time to develop daily living behaviors related to identity, safety, and family atmosphere is prominent in the public zone.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.485-492
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• 2016

본 연구는 도시와 농촌지역의 지역별 치매에 대한 지식, 태도 및 예방활동을 파악하기 위해 시도하였다. 연구대상은 1개 도농복합시의 복지관과 보건소를 이용하는 노인 483명이었다. 자료수집은 치매에 대한 지식, 태도 및 예방활동에 대한 설문지를 사용하여 조사하였다. 수집된 자료는 SPSS 19.0을 이용하여 빈도와 백분율, 평균과 표준편차, t-test와 일원변량분석을 실시하였다. 연구결과를 보면, 도시와 농촌지역에서 70세 이상, 배우자가 없고 교육 수준이 낮고 수입이 적은 노인이 치매태도 점수가 더 높았다, 또한 자신의 건강이 나쁘다고 인지하는 노인이 치매 태도 점수가 더 높았다. 그러므로 치매 예방활동을 강화하기 위하여 노년기 초기에 배우자나 가족을 동반한 치매지식, 태도, 예방활동을 위한 교육 및 프로그램 운영을 강화 할 필요가 있다.

• 한국주거학회논문집
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• 제16권5호
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• pp.39-48
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• 2005

The purpose of this study was to analyze environment-behavior concepts included in environmental design characteristics of facilities for elderly with dementia. Major method was contents analysis of actual environmental designs. For comparison between the environment-behavior concepts and actual cases, an analytical framework was developed. Eleven cases of facilities designed for people with dementia were analyzed. Those were published ones in periodicals in USA. The analytical data used included floor plans, texts, and visual materials including photographs. Under the framework for analysis, a total of 296 criteria were used to analyze the actual cases of environmental design. This study was expected to offer a knowledge base for better environmental design for elderly with dementia and to help establish guidelines for designing such facilities which can meet the cultural characteristics and traditional conditions of Korea.

• Toxicological Research
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• 제17권
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• pp.257-261
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• 2001

Recently, a traditional medicine called Gouteng-san, which consists of eleven herbs, was reported to be effective in treating vascular dementia with a double-blind, placebo-controlled study. Gout-eng-san is also used for patients with vascular dementia in combination with Si-Wu-Tang. The effect of Gouteng-san and Si-Wu-Tang on deficit of learning behavior was investigated using step-down passive avoidance task in mice. Hot-water extract of Gouteng-san (1.5 and 6 g/kg, p.o.) significantly prolonged the step-down latency shortened by scopolamine. The extract of Uncaria hook (150 mg/kg, p.o.), one of the component herb of Gouteng-san, significantly prevented the decrease in the latency after scopolamine. Hot-water extract of Si-Wu-Tang (1.5 and 6 g/kg of dried herbs, p.o.) prevented dose-dependently scopola-mine-induced disruption qf learning behavior. Si-Wu-Tang also prevented the ischemia-induced deficit of learning behavior. Both hot water extract of peony and angelica (1.5 g/kg, p.o.), which are component herbs qf Si-Wu-Tang, prevented the scopolamine-induced learning behavior deficit. Scopolamine (10 uM) suppressed long-term potentiation (LTP) of population spike in the CA1 region of the rat hippocampal slices. Peoniflorin (0.1~ 1uM) extracted from paeony root significantly ameliorated scopolamine-induced inhibition of LTR These results suggest that improvement of deficit of learning behavior by Gouteng-san and Si-Wu-Tang is mediated by direct and/or indirect activation of the cholinergic system in the brain.

• 한국주거학회논문집
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• 제15권5호
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• pp.59-67
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• 2004

This study was intended to suggest the design guidelines of the space for the elderly with dementia. To achieve this, the behavioral characteristics of the elderly with dementia were grasped, and the design cases which were considered and reflected of the behavioral characteristics of the elderly with dementia were examined. Then, the effective space design guidelines which met the behavioral characteristcs of the elderly with dementia were suggested. The behaviors of the elderly with dementia were categorized into cognitive, emotional, and functional behavior. The positive influences of space design on dementia symptom were founded in the planned living environments, accessible and visible location of common space such as living room, soft and homelike interior finishes and lighting, and healing garden. Therefore, the space design for the elderly with dementia should be done on the basis of the dementia symptoms and healing effects.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4805-4815
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• 2015

치매노인과 부양가족, 간호제공자를 대상으로 치매노인의 문제행동의 유형과 이에 따른 간호제공자의 대처방법과의 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA, discrete variable를 이용하여 상관 분석하였다. 연구결과는 부양가족 및 간호제공자가 경험한 치매노인 문제행동으로 초조행동이 가장 높게 나타났고, 세부영역별로는 '같은 질문을 반복하거나 같은 요구를 반복한다.' 와, '이상한 소리를 내거나 소음을 낸다.' 그리고 '.간호제공자의 말을 안 듣고 고집을 부린다.'등으로 나타났다. 또한 본 연구에서 나타난 치매노인의 문제행동에 따른 대처행동으로는 '언어적토론', '발생요인제거', '행동제한'이 순 상관관계가 있는 것으로 나타났다. 이에 본 연구자는 치매노인을 돌보는 관련 기관 및 재가에서는 간호제공자에게 치매노인의 문제행동 중 빈번하게 나타나는 문제행동별로 대처 할 수 있도록 정기적인 교육이 필요하다고 사료되고, 치매노인의 문제행동에 대한 개별화된 간호중재프로그램이 개발되는데 기초자료로 제공될 것이다.

• 지역사회간호학회지
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• 제19권2호
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• pp.300-309
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• 2008

Purpose: The purpose of this study was to review research trends and show the developmental direction of studies on dementia and nursing interventions for demented elders. Methods: This study analyzed 104 articles on dementia and 23 on nursing interventions for demented elders published until 2007. Results: These dementia studies increased in quantity after 1996, mainly in studies on demented elders and their families and in quantitative studies, Nursing intervention methods were music, light, horticultural therapy, reminiscence and complex therapeutic program, etc. There were experimental studies after 1996, but non-equivalent control group pretest-posttest design was 8(34.8%) of 23(100,0%). The medium sample size was 16.6 for experimental groups, 13 for control groups. The experimental time range was 10-120 minutes a day, frequency was 1-18 a week, and the total frequency was 4-72. The result variables were cognitive function, dementia behavior, emotion, depression, ADL, social behavior, etc. Conclusion: The findings of this review suggest that studies on dementia have been improved in quantity since 1996, but various and effective research methods should be developed as a way to further improve the quality of studies.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.89-92
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• 2005

The purpose of this study was to clarify the space use pattern and the daily living activities of the elderly with dementia in the common space (living room) of nursing home. The subjects were 2 units(living room) of the nursing home. For this, researcher visited from June 20 to July 2 and collected data by observations of behavior of the elderly with dementia in common space(living room) and interviews with staff for the information about basic characteristics of the elderly with dementia and administration and operation of the facilities. The data were analyzed using the frequency and percentage. The results revealed as follows: first, the daily living activities of the elderly with dementia in common space tended to focus on self-concentration type and physical environment-interest type. Second, physical environmental -interest type. Second, physical environmental characteristics of common space affected space usage pattern of the elderly with dementia. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day corner as semi-public space.

• 대한한방내과학회지
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• 제13권2호
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• pp.57-69
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• 1992

The study has been carried out to investigate of the senile dementia by referring to 35 literratures. The results were as follows ; 1. In oriental medical science, senile dementia is belong to the category of dullness(매病), insanity(癲狂證), weak(虛勞), amnesia(健忘), etc. 2. The cause of senile dementia summarize the phlegm preventid-heart hole(痰迷心竅), marrow lack(髓海不足), aged follow weaking of body and disfunction of the internal organs(年老體弱과 臟腑機能 失調), the bad blood with vatal block(氣滯血瘀), feeling inharmony, etc in the view of oriental medical science and make the vanishment of the cerebral atrophy and the cerebral cell but havn't indicated the remarkable cause in that of western medical science. The diseases with cause make a point of Alzheimer's dementia, frequent infarction dementia, etc and psychological and environmental factor too. The marrow lack is related to Alzheimer's dementia, the feeling inharmony, psychologic and environmental factor, the phlegm prevented-heart hole and bad blood with vatal block, frequent infarction dementia. 3. The senile dementia is related cleary to the function of the internal organs in oriental medical sciences respect Especially in relation to kidney and marrow, it is presented new cause view to solve the cure problem of western medical science is studying its cause only the anatomic pathology with cerebrum and is thinking to solve cure possibility. 4. The symptom of senile dementia is as follows. The obstacle of a aspect of the Language, Emotion, Behavior. mute, speech inversion, sometimes a laugh sometimes a cry, behavior strange, failure of memory etc. 5. The treatment of senile dementia is follows. The methodes of cure apply phlegm changed-mud(豁痰化濁), self-kidney and added marrow(補腎益髓), self-energy and nutritive blood(益氣補血), vital blood(祛瘀活血), peace of mind and relief(安神情志). The medicines of cure make the most of (sesimtang, jwagui-hwan, tonggwuhwalhuel tang) add and subtract, daeboweonjeon, guibitang, and so on.