• Title/Summary/Keyword: Dementia-related factor

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

  • Cho, Nam Ok
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.629-640
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    • 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.

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A Study on the Dementia Policy Awareness and Dementia Knowledge and Attitudes of Health College Students (보건계열 대학생의 치매 정책 인식과 치매 지식 및 태도에 관한 연구)

  • Cheul Jang;Dae-Hee Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.1
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    • pp.171-182
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    • 2024
  • Purpose : The purpose of this study was to investigate health college students' awareness and knowledge of the dementia policy and their attitudes toward dementia. Methods : In this study, 294 questionnaires were collected from 301 college students in the Department of Health of K College in Busan from November 7 to 29, 2022. The questionnaire consisted of 59 items, including 9 items on general characteristics, 10 on awareness of the dementia policy, 15 on attitudes toward dementia, and 25 on knowledge about dementia. The collected data were analyzed using descriptive statistics, independent t test, and one-way analysis of variance with SPSS version 25. A post-analysis was performed using the Scheffe test. Dementia policy awareness, knowledge of dementia, and attitude toward dementia were analyzed with the Pearson correlation coefficient by factor. Results : The health students' dementia policy awareness and knowledge of dementia were high, and their attitudes toward dementia were positive. High knowledge of dementia was influenced by sex, interest in dementia, presence of dementia information, and related volunteer work experience. Positive attitudes toward dementia were related to sex, department, and mode of receiving dementia information. High dementia policy perceptions were associated with interest in dementia and the presence or absence of information on dementia. Positive correlations were found between dementia policy perception and knowledge and attitude toward dementia. Conclusion : According to our study, interest in dementia is increasing owing to the recent dementia safety system. As a result, the dementia policy awareness and knowledge of dementia among college students pursuing health studies were high, and their attitude toward dementia was positive. From these results, we can infer that systematic and continuous education on dementia should be conducted in universities.

The bibliographical study on the senile dementia (노인성치매(老人性痴呆)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Kim, Hyun-Ah;Jeong, Ji-Cheon;Lee, Won-Chel
    • The Journal of Internal Korean Medicine
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    • v.13 no.2
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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.

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Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia (치매대상자를 돌보는 간호사의 의사소통행위 측정도구 개발 및 평가)

  • Lee, Jihye;Gang, Moonhee
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.1-13
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    • 2019
  • Purpose: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). Methods: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. Results: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88. Conclusion: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Review on Wandering Behavior in Persons with Dementia (치매 노인의 배회행동에 관한 문헌 조사)

  • HongSon, Gwi-Ryung
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.35-45
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    • 2006
  • In Korea, about 8.3% over aged 65 are suffering from Alzheimer's disease or other type of dementia. Among dementia-related behaviors, wandering is the one of strongest factors on burden and stress of caregivers. On Lee and Kwon's report with community living persons with dementia, upto 85% of caregivers reported wandering as a problem. Wandering is a frequently encountered problem in communities and long-term care facilities, but it is among least understood dementia. related behavior. Despite the prevalence of wandering, its significant adverse outcomes, and the increase in persons with dementia in Korea, no systematic research has been conducted in Korea. The purpose of this study is to review on literature related to wandering behavior among persons with dementia. The specific topics related to wandering are included: definition, the prevalence of dementia and wandering behavior, the influencing factor on wandering, outcomes of wandering behavior, and the measurement method. Wandering is defined as "aimless walking" and "Meandering, aimless or repetitive locomotion that exposes one to harm and is incongruent with boundaries, limits, or obstacles". Wandering is viewed as a problematic behavior, however, it has to be understood as need-driven compromised behavior. For example, wandering may be an expression of searching for familiar person and/or place. Recently, in Korea, there is an effort for establishing the therapeutic environment for elders who are wanderers in long-term-care facilities. Cognitive impairment of persons with dementia is found to be a consistent factor on wandering behavior through many national and international studies. The adverse outcomes of wandering are serious problem in persons with dementia as well as their caregivers. The adverse outcomes include falls, fractures, getting lost, use of restraints, or even death. In fact, wandering is one of the major reasons for a patient to be institutionalized. For measurement of wandering behavior, two methods are broadly used: observation using stop watch, and survey form. A revised instrument of the Korean version of Algase wandering scale (K_RAWS) is established the psychometric properties (Son, Song, & Lim, 2006) demonstrating valid and reliable instrument in measuring wandering behavior among persons with dementia who are residing in communities. K_RAWS has a 39 items with six subscales including persistent walking, repetitive walking, spatial disorientation, eloping behavior, negative outcome, and mealtime impulsivity. In conclusion, studies including the prevalence of wandering behavior and predictive factors on wandering should be conducted to understand wandering clearly before developing any types of intervention.

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Oral Care and Considerations for Dental Treatment in Dementia Patients (치매 환자의 구강관리와 치과치료 시 고려사항)

  • Park, Moon-Soo
    • The Journal of the Korean dental association
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    • v.56 no.4
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    • pp.231-237
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    • 2018
  • The number of patients with dementia in Korea is estimated to be 576,000 in 2013 and 648,000 in 2015, and 840,000 in 2020 and 2,710,000 in 2050. Therefore, it can be expected that the number of patients with dementia will increase among the elderly patients who are looking for dentistry. Dementia and oral hygiene are closely related, so the future role of the dentist is very important. In order to treat effectively the patients with cognitive disorders, we should consider effective communication methods with them. Xerostomia is another important factor affecting oral health of dementia patients. In establishing the dental treatment plan, the most appropriate treatment method should be selected considering the characteristics of individual dementia patients and all possible efforts should be made for successful treatment results.

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Analyzing Hand Geometry to Develop Safety Gloves for Dementia People (치매 환자용 안전 장갑 개발을 위한 손 형태 분석)

  • Sujoung Cha
    • Journal of Fashion Business
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    • v.27 no.3
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    • pp.19-34
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    • 2023
  • The purpose of this study was to analyze the three-dimensional hand-related dimensions of elderly women aged 70 to 84 years and to characterize them to develop safety gloves for dementia patients. The 3D data from the 8th Human Size Survey of the National Institute of Standards and Technology, Size Korea, were analyzed using the SPSS 26.0 program. The straight thumb length was longer in elderly women aged 70-74 than in those aged 80-84. To analyze the hand type of elderly women, four factors were categorized: hand and finger horizontal factor, hand vertical factor, finger digit V thickness factor, and finger length factor. Elderly women's hand types were categorized as 'long hands and thin fingers', 'thick hands with long fingers', and 'short hands and thick little fingers'. Elderly women aged 70-74 years and 80-84 years were analyzed as having the most 'long hands and thin fingers' type, while older women aged 75-79 years were analyzed as having the most 'thick hands and long fingers' type. It is known that the fingers get thicker and the size of hands increase as age advances, but by the age 80, there is a change in the size of hands again. In future research, it would be worth expanding to other age groups to explore differences between age groups and to develop safety gloves for real-world dementia patients based on the hand types analyzed.

Factors Influencing Care Behavior of Certified Care Assistants for Older Adults with Dementia

  • Kim, Ji-yeon;Tak, Sunghee H
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.185-192
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    • 2018
  • Purpose: Korea is one of the most rapidly aging countries, accompanied by an increasing number of older adults with dementia. Certified-care-assistants are the primary care workers for these older adults. This cross-sectional descriptive study compared the factors influencing care behaviors among Korean and non-Korean certified-care-assistants in Korea. Methods: Participants, 113 Korean certified-care-assistants and 71 non-Korean certified-care-assistants, completed a survey questionnaire. The questionnaire was designed to assess dementia knowledge, attitude and care behaviors toward older adults with dementia. To determine the differences in these two groups, t-test was used. A stepwise multiple regression was performed to identify factors related to care behavior. Results: Significant differences in dementia knowledge, attitude and care behavior toward older adults with dementia emerged between Korean and non-Korean certified-care-assistants. Factors influencing care behavior varied by group. Dementia knowledge and education level were the significant factors of care behaviors in Korean certified-care-assistants, whereas attitude toward older adults with dementia was the significant factor in non-Korean certified-care-assistants. Conclusion: Findings indicate that different factors influence the care behavior of two groups. These findings can be utilized to develop certified-care-assistants' training curriculum that needs to be tailored by nationality to improve the quality of care for older adults with dementia.

Effect of Aerobic Exercise Program Participation on the Dementia-related Factor and Cognitive Function in Elderly Women with Dementia (유산소운동프로그램 참여가 경증치매 여성 노인의 치매관련 인자 및 인지기능에 미치는 영향)

  • Jeong, Jin Hyup
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.227-234
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    • 2019
  • This study aimed to investigate the effects of participating in an aerobic exercise program three days a week and 50 minutes a day on dementia related factors and cognitive function in elderly women with mild dementia. For this, among 17 elderly women aged 65 and above, 10 elderly women were randomly assigned to the experimental group and 7 elderly wonmen to the control group. As a result of comparative analysis, conclusions were drawn as follows: There was a significant difference (p<.05) in the DHEA-s change between the two groups according to whether or not the aerobic exercise program was performed. Changes in cognitive function did not show any significant difference in the interaction effects of group, period, period${\times}$group. These results suggest that the aerobic exercise program did not show statistically significant effects on the dementia related factors and cognitive function changes of the elderly women with mild dementia. The reason for this is that the followings should be analyzed in more detail, but the lack of control on the daily life (diet) of the study subjects, which was considered as a limitation in this study, seems to be the biggest cause. Based on the results of this study, we hope that this study will be used as a basic data for improving the quality of dementia.

Prevalence and Related Factors of Dementia in Elderly People in Jeju Island (제주도 노인들의 치매유병률과 관련요인)

  • Hong, Seong-Chul;Lee, Chang-In;Ko, Keum-Ja;Kang, Moon-Jung;Hyun, In-Sook;Jung, Min;Chu, Min-Sun;Chae, Soo-Gyung;Lee, Hye-Sook;Park, Eun-Ok
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.221-237
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    • 2003
  • As the population ages, health problems of the elderly, including functional disorders and cognitive impairment, have become some of the most important social issues in Korea. The purpose of this study is to discover the rate of prevalence and factors related to dementia among the elderly in Jeju Province. 2405 elderly in Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics: health behavior, quality of life, and MMSE-K. Prevalence of dementia was 9.4%(11.7% of females, 4.1% of males). Factors related to dementia, analyzed by multiple logistic regression, were age, working status, subjective health status, social support, and subjective economic status. In community health care for the elderly, factors relating to dementia have to be considered. When planning community health care, priority should be given to the elderly who: need care but live alone; lack social support; have a low standard of living; believe they are not in a good state of health; or whose life satisfaction is low.