• 지역사회간호학회지
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• 제16권3호
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• pp.260-269
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• 2005

Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.45-55
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• 2017

본 연구의 목적은 시설에 거주하는 치매노인의 활동 참여, 정서, 문제행동을 파악하는 것이다. 본 연구는 관찰조사연구이며, 치매노인 81명을 대상으로 활동참여 여부와 정서, 문제행동을 각 대상자 당 20분 간격으로 1일 12회 4시간 관찰 측정하여 총 7일간 6,804회 자료를 분석하였다. 연구 결과 대상자들의 인지기능은 중증이 90.1%이었다. 정서는 7점 만점 중 4.0점이었다. 활동 참여는 주로 앉아있거나 누워있는 등의 목적 없는 활동을 대부분 하고 있었으며, 사회적 활동을 할 때 대상자의 정서는 가장 긍정적으로 나타났다. 문제행동은 반복적인 행동과 소음발생 행동의 빈도가 가장 높았고, 시간대별 문제행동 유형의 발생빈도는 다소 달랐다. 대상자의 인지기능과 정서, 문제행동의 상관관계는 유의하였다. 따라서 시설 거주 치매노인의 활동참여를 높이고, 긍정적인 정서를 보이는 활동에 참여할 수 있도록 유도하고, 시간대별로 가장 두드러지게 나타나는 문제행동을 낮추기 위한 효과적인 방법이 모색되어야 한다.

• 대한간호학회지
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• 제29권4호
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• pp.766-779
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• 1999

The purpose of this study was to investigate the relationship between the burden on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patient at home, and another 300 participants left 100 patient at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit (1980) tool was employed to measure the degree of burden and Zung's(1965) “Self-Rating Depression Scale” was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA and Person's Correlation Coefficient were calculated. The results are as follows : 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that care -giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F＝2.48, P＜.05), and the socio-economic status of the family(F＝5.17, P＜.05). Its also affected by the patient's educational status(F＝2.17, P＜.05). 4. The degree of depression of the family was significantly dependent on sex(t＝-2.05, P＜.05), age (F＝2.99, P＜.05), the relationship with the patient(F＝3.65, P＜.01), socio-economic status (F＝7.74, P＜.001), occupation(t＝2.82, P＜.01), health status(F＝4.42, P＜.01), and the place of residence(F＝4.30, P＜.01), The patient characteristics was significantly dependent on his/her educational status(F＝3.85, P＜.01), the period of suffering from senile dementia(F＝2.47, P＜.05), and smoking habit(F＝6.17, P＜.001). 5. The relationship between the degree of burden and that of depression reads r＝0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-givers for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must be developed, and its clinical effect also has to be examined.

• 문화기술의 융합
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• 제4권4호
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• pp.95-100
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• 2018

본 연구의 목적은 경증치매 환자를 대상으로 인지프로그램의 적용이 인지기능 개선에 미치는 효과를 알아보고자 하였다. 대상자는 경증치매를 가진 환자를 30명을 대상으로 실험을 하였다. 실험대상자들은 6주간 주3회 인지기능 재활프로그램을 적용하였고, 한국형 간이 정신상태검사(MMSE-K) 를 통해 실험전과 실험 후의 값을 평가하여 분석 하였다. 결과는 실험대상자들에서 한국형 간이 정신상태 검사의 평균이 증가하였으며 통계적 유의성이 있었다. 따라서, 경증치매 환자를 대상으로 하는 인지기능재활 프로그램은 치매환자의 인지기능을 개선하기위한 효과적인 중재이다.

• 한국노년학
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• 제38권4호
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• pp.1127-1148
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• 2018

본 연구는 치매환자가 보여주는 다양한 증상의 정도가 주부양자의 케어스트레스에 미치는 영향을 살펴보고, 이에 대한 보호요인으로써 전문가지지 및 가족지지의 영향을 검증하는 것을 목적으로 한다. 이를 위해 서울, 경기, 부산 3개 지역의 주간보호센터 및 병원, 요양시설 10곳을 대상으로 한 설문조사를 활용하였다. 연구대상으로 치매 진단기간 5년 이내인 치매환자의 배우자 및 자녀부양자 191명을 선정하였고, 다중회귀분석을 통해 연구모형 검증에 대한 분석을 진행하였다. 연구결과 치매환자의 증상정도는 주부양자가 느끼는 정신적 고통인 케어스트레스에 정적인 영향을 나타냈다. 전문가지지와 가족지지의 보호효과를 검증한 결과, 전문가지지는 치매환자의 증상으로 인한 주부양자의 케어스트레스를 완화시켜주는 것으로 나타난 반면, 가족지지의 보호효과는 유의미한 영향을 나타내지 않았다. 본 연구결과는 의료진 및 사회복지사와 같은 전문가지지는 주부양자의 케어스트레스 완화에 효과적이지만 친척과 같은 가족들의 지지는 케어스트레스 완화에 효과적이지 않았음을 보여준다. 분석결과를 바탕으로 본 연구는 치매환자의 부양가족을 대상으로 한 정기적인 치매 증상에 관한 교육의 필요성, 주부양자의 케어스트레스 감소를 위한 지원 정책의 확대, 치매전문인력 구성의 확대 및 협업 시스템의 구축, 치매환자 부양가족구성원 간의 기능 증진을 위한 개입 필요성을 제언하였다.

• 대한간호학회지
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• 제39권2호
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• pp.166-176
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• 2009

Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

• 가정∙방문간호학회지
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• 제24권1호
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• pp.34-43
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• 2017

Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

• 한국콘텐츠학회논문지
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• 제17권1호
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• pp.222-232
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• 2017

본 연구는 국악장단을 이용한 음악치료가 치매노인의 상지기능 향상에 미치는 영향을 살펴보고자 하였다. 연구 참여자는 B시에 소재하는 요양원의 장기요양보호 적용을 받고 있는 만 65세 이상의 치매진단 환자 13명이며, 상지기능평가(MFT), 일상생활동작, 인지기능검사(관리기능)에 대해 음악치료 전 후의 점수차이를 분석하였다. 연구결과 국악장단의 청각적 자극은 치매노인의 상지기능 향상에 유의한 변화를 가져왔으며, 일상생활은 물론 치매평가의 관리기능까지 증진시킬 수 있다는 것을 확인하였다. 이는 임상현장에서 치매노인을 대상으로 국악장단을 활용한 음악중재의 타당성을 제시하는 기초자료로 활용 될 수 있으며, 또한 치매노인을 위한 음악치료프로그램의 개발 시 국악장단이 이들의 신체기능 뿐만 아니라 인지기능에도 영향을 줄 수 있다는 것을 시사한다.

• 대한간호학회지
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• 제36권7호
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• pp.1253-1264
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• 2006

Purpose: The purpose of this study was to understand conversations and to identify typical conversational problems between nurses and patients with dementia. Method: A conversation analysis method was used. The data was collected in a geriatric institutional setting, using a videotape recorder, and transcribed. The transcribed data was analyzed in terms of expressions, contents, and relationships to identify communicative problems and their resolutions, Results: Among a total of 532 episodes, 440(82.7%) we're identified as nurse-involved episodes. In addition, 66 of the 440 episodes were selected based on the significance of the conversation. The communicative problems between nurses and patients in terms of expressions were identified as 'directive and authoritative expressions', 'emotional and competitive expressions', 'evasive and on-looking expressions', and 'excessive use of title only', such as calling them granny or grandpa without proper names. In terms of content and relationships, 'lack of themes in psychosocial areas' and 'nurse-led relations' were identified respectively as communicative problems. Conclusion: The results of this study will provide substantial guidelines for nurses in caring for elderly patients with dementia by deeply understanding linguistic structures and problems of everyday conversations between nurses and patients with dementia.

• 한국치위생학회지
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• 제17권1호
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• pp.155-168
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• 2017

Objectives: The purpose of this research is to examine oral pathogen distribution among elderly with dementia in a care facility to understand the importance of preventively managing oral diseases in terms of preventively managing senile diseases. Methods: From 11th August 2015 to 11th October 2015, gingival crevicular fluid was collected from 130 subjects consisting of demented/non-demented elderly people aged above 65 in care facilities located in the regions of Busan/Gyeonggnam. Based on collected data, real-time PCR analysis on oral pathogen was conducted. Results: The demented elderly group consisting of female patients aged from 0 to 79 indicated higher ratios of T. denticola in comparison to the non-demented elderly group, and the demented elderly group consisting of female patients aged above 80 indicated a high ratio of S. mutans. It was confirmed that P. gingivalis and T. forsythensis categorized under the red complex are correlated, and that bacterial species categorized under the orange complex and bacterial species categorized under the red complex are correlated. Conclusions: Because eldery people with demntia are exposed to periodontal disease and dental caries, their oral environments are more vulnerable. In order to improve such environments, it is necessary to provide care facility personnel with an opportunity to receive education to become aware of the importance of oral health, and it is also necessary to compulsorily assign dental hygienists to care facilities so that they can serve as personnel specializing in oral health management.