• Title/Summary/Keyword: Dementia patient

검색결과 248건 처리시간 0.027초

증례를 통해 본 치매의 한양방 협진 모델 연구 (A Study on the System of Collaborative Practice between Korean Traditional Medicine and Western Medicine for Dementia based on a Case Study)

  • 이고은;양현덕;전원경;강형원
    • 동의신경정신과학회지
    • /
    • 제24권3호
    • /
    • pp.211-228
    • /
    • 2013
  • Objectives : This report describes the diagnostic and therapeutic procedures of Collaborative Practice between Korean Traditional Medicine and Western Medicine for two dementia patients. Furthermore, through these cases, we suggest a model of collaborative practice between Korean traditional medicine and western medicine for the treatment of dementia. Methods : Two patients suffering from several symptoms related to dementia received collaborative practice between Korean traditional medicine and western medicine. Physicians of deparment which paient first visit interviewed patient and patient's guardians, discussed the symptoms and the status of the patient. Since then, the medical team made a differential diagnosis based on the results of brain imaging, hematology, urine test. and apprehended the status of dementia by the neuropsychological test. Korean traditional physicians examined the physical symptoms and identified the pattern of dementia in Korean traditional medicine. Following this, they decided on the method of acupuncture, moxibustion, cupping and herbal treatment. Western physicians decided on the type of medication after consideration of the patient's other medical conditions. Every intervention was decided by both Korean traditional physicians and western physicians after discussion. The medical team provided education on dementia and counseled the guardians. They also wrote the paper for using the long-term care insurance for the aged. Results : Two patients showed no improvement on the neuropsychologic and activity of daily living tests. However, the patients' subjective physical symptoms were improved. The collaborative practice between Korean traditional medicine and western medicine improved the patients' and guardians' satisfaction. Conclusions : Through these cases, we propose a model of collaborative practice between Korean traditional medicine and western medicine for dementia categorized diagnosis-test, treatment, prevention, management. More specifically, we supplement qigong and psychotherapy which was inadequate in these cases.

Dialog System Using Multimedia Techniques for the Elderly with Dementia

  • Kim, Sung-Ill;Chung, Hyun-Yeol
    • The Journal of the Acoustical Society of Korea
    • /
    • 제21권4E호
    • /
    • pp.170-177
    • /
    • 2002
  • The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.

Dialog System Using Multimedia Techniques for the Elderly with Dementia

  • 김성일;정현열
    • 한국음향학회지
    • /
    • 제21권4호
    • /
    • pp.170-170
    • /
    • 2002
  • The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.

루이소체 치매 환자 1례 (A Case Report of Dementia with Lewy bodies)

  • 고재상;황정현;김승현;구병수
    • 동의신경정신과학회지
    • /
    • 제22권4호
    • /
    • pp.157-168
    • /
    • 2011
  • Objectives : In this case report, we will present a patient with dementia with Lewy bodies improved by application of oriental medical treatments. Methods : A 82 year-old female patient has been suffered by dementia with Lewy bodies for 7~8 years. We treated the patient with Herbal medication and acupuncture. The effects of treatment were measured by MMSE-K (Mini-Mental State Examination-K). Results : As a result of oriental treatments, the quality of sleep was improved, also the level of cognition was improved. Conclusions : These results suggest that oriental treatments have an effect on Dementia with Lewy bodies.

일부 농촌 지역 치매노인 가족의 부양부담에 관한 연구 (A Study of the Family Caregiver's Burden for the Senile Dementia in a Rural Area)

  • 장인순
    • 가정간호학회지
    • /
    • 제2권
    • /
    • pp.60-76
    • /
    • 1995
  • The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).

  • PDF

불면을 호소하는 Lewy's body dementia 환자 치험 1례 (A Case Report of a Patient with Lewy's Body Dementia and Insomnia Treated with Korean Medicine)

  • 박민정;이미림;김경묵;조기호;문상관;권승원;정우상
    • 대한한방내과학회지
    • /
    • 제38권2호
    • /
    • pp.146-151
    • /
    • 2017
  • The patient was a 69-year-old Korean male with Lewy's body dementia and insomnia. He was treated with acupuncture and a herbal medicine, Ukan-san. To evaluate insomnia, the patient's total sleeping time was recorded. The patient's sleeping time increased after the administration of the Korean medicine treatments. Treatment with Korean medicine may be effective in treating insomnia in cases of Lewy's body dementia.

미만성 축삭 손상으로 유발된 속발성 치매 환자 1례에 대한 증례 보고 (A Case Report of Secondary Dementia Patient Caused by Diffuse Axonal Injury)

  • 송창훈;정종진;오성원;김수연;이상민;정명숙;백태현;이슬희
    • 대한한방내과학회지
    • /
    • 제28권3호
    • /
    • pp.645-654
    • /
    • 2007
  • The purpose of this study is to present a case of secondary dementia caused by diffuse axonal injury. We diagnosed this patient with diffuse axonal injury by using brain computerized tomography(CT) and magnetic resonance imaging(MRI), and also diagnosed secondary dementia based on DSM-IV. To evaluate prognosis of the patient, we used K-DRS(Korean-Dementia Rating Scale) and gave him a written test. As a result of treating this patient with oriental medicine, the K-DRS score increased and the overall clinical symptoms improved. In oriental medicine, case studies of diffuse axonal injury are yet insufficient, hence more clinical studies and researches will be needed.

  • PDF

안드로이드 플랫폼에서 치매환자를 위한 스마트 서비스 모델 (Smart Service Model for Dementia Patients in Android Platform)

  • 조영복;우성희;이상호;이영성
    • 한국정보통신학회:학술대회논문집
    • /
    • 한국정보통신학회 2014년도 추계학술대회
    • /
    • pp.711-714
    • /
    • 2014
  • 현재 우리나라는 노인성 치매 환자를 위한 사회복지정책이 미비한 상태이기 때문에 환자 가출 및 실종 사건이 증가하고 있어 사회적으로 심각한 문제를 초래될 수 있다. 통신 기술의 발달 및 스마트 기기의 보급과 함께 모바일 어플리에케션을 통한 치매의 진단은 모바일 기기와의 상호작용이 검사자를 대신하여 치매 자가 진단의 가능성과 그 기능을 충족시켜줄 수 있을 것이다. 따라서 보급 화된 스마트 폰을 이용해 치매환자의 뇌파 분석법을 이용해 치매환자를 위한 서비스 모델을 제시한다. 제안 논문의 스마트 서비스 모델은 안드로이드 플랫폼에서 치매환자의 증상을 파악하고 주변인에게 알림으로 환자의 관리가 편리해 질수 있다.

  • PDF

치매환자 가족부담감의 한국형 도구개발 (Study on Family Caregiving Burden Scale of Dementia-Korea(FCBSD-K))

  • 조남옥
    • 성인간호학회지
    • /
    • 제12권4호
    • /
    • pp.629-640
    • /
    • 2000
  • The purpose of this study was to develop and validate the scale to measure dementia patient's caregiver burden of Korea. In the first phase of the study, 15 caregivers of dementia patients were interviewed to provide narrative data from which items were developed. Initially 65 items were generated from the interview data of 15 caregivers. Content validity was judged by two separate panels of experts with 27 professionals and 30 family caregivers. These items were analyzed through the Index of Content Validity and 33 items were selected which met .80 or more of the CVI. This preliminary FCBSD-K was tested with 207 adult caregivers for reliability and construct validity including item analysis and orthogonal(Varimax) factor analysis. Eight items were deleted because of high or low item-item correlation. The result of the second factor analysis produced six factors that coincided with the conceptual framework posed for the scale developed. The six factors were labeled as 'physio social factor' 'emotional factor' 'family cultural factor' 'role obligation' 'guilt feeling' and 'financial & supportive system factor'. The alpha coefficient relating to internal consistency was .9264 for reliability. In conclusion, cultural factor is related to dementia patient's caregiver burden and FCBSD-K was useful in assessing the dementia patient's caregiver burden in Korea.

  • PDF

요양시설 치매환자복 디자인 개발을 위한 치매환자의 유형 분석 (Analysis of the Types of Dementia Patients for Development of Clothes for Dementia Patient in Nursing Homes)

  • 박광애;양정은;이재향;김희정
    • 한국의류학회지
    • /
    • 제45권5호
    • /
    • pp.788-803
    • /
    • 2021
  • This study aims to obtain basic data to develop clothes for dementia patients by classifying types of dementia patients. Data was collected from those dementia patients who entered a nursing home. This study analyzed a total of 221 sheets. Furthermore, descriptive statistics, cross-tabulation, and K-means clustering were performed for statistical processing using Minitab 14. As a result, dementia patients were classified into four types: inactive-dependent, active-problematic behavior, activity-autonomy, and inactive-offensive. Inactive-dependent type was a group with the most severe disability in cognitive and daily activity functions; however, they lacked behavioral and psychological symptoms and problematic behavior with clothes. Active-problematic behavior type showed the most behavioral and psychological problems and problematic behavior with clothes. Activity-autonomy type was a group without any problematic behaviors. Moreover, the inactive-offensive type had very good cognitive function toward humans. The study imply that it is necessary to provide clothes with proper functions based on the types of patients rather than providing them uniform clothes because clinical and clothes behaviors differ significantly depending on the types of dementia patients.