• Title/Summary/Keyword: Elderly with Dementia

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Factors Affecting the Care Burden of Nurses Caring Elderly Patients with Dementia

  • Kim, Doo Ree;Han, Eun-Kyoung
    • Research in Community and Public Health Nursing
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    • v.30 no.3
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    • pp.368-376
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    • 2019
  • Purpose: In Korea, the prevalence of dementia patients has increased, which makes the care burden of nurses important. The purpose of this study is to identify factors affecting the care burden of nurses caring elderly patients with dementia. Methods: A cross-sectional design was conducted using a convenience sample of 127 nurses from two hospitals and a nursing home in Korea. Participants completed questionnaires on knowledge of and attitudes toward dementia, social support, self-esteem, dementia problematic behavior (DPB), and professional caregiver burden index. The data were analyzed by using the t-test, ANOVA, Pearson correlation, and multiple regression with the SPSS/windows version 21.0 program. Results: The influencing factors for nurse burden include day shift, DPB, self-esteem, social support, which explain 28.0% of care burden of nurses. Conclusion: To reduce the burden of the nurses, there needs to be an administrative system that focuses on enhancing their self-esteem and social support. Active institutional support may be necessary for the nurses taking care of elderly patients with dementia.

Contents Analysis on the Characteristics of Living Environmental Design in Facilities for the Elderly with Dementia, USA (미국 치매노인시설의 거주환경디자인 특성의 내용분석)

  • Byun Hea-Ryung;Yoon Young-Sun
    • Journal of the Korean housing association
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    • v.16 no.5
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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.

Behavioral and Psychological Symptoms of the Elderly with Mild Dementia in Local Communities and Care-giving Stress and Self-efficacy of Family Members (지역사회 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감)

  • Lim, Dong-Young;Jang, Hyun-Jung
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.651-662
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    • 2019
  • The purpose of this study is to provide a basic data for reducing care-giving stress of family members of the elderly with mild dementia by determining the relationship between the behavioral and psychological symptoms of the elderly with dementia and their family members' care-giving stress and self-efficacy. The descriptive statistics, t-test, and ANOVA were used for analysis in order to investigate the relationship. The behavioral and psychological symptoms of the elderly with mild dementia and their family members' care-giving stress had a positive correlation (r=.655, p<.001), and as their family members' care-giving stress and the members' self-efficacy had a negative correlation (r=-.334, p<.001). Based on the result of this study, it is necessary to reduce the care-giving stress of family members of the elderly with mild dementia and improve the self-efficacy of family members by developing proper measures to cope with the behavioral and psychological symptoms of the elderly with mild dementia.

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.260-269
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    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

The Evaluation of the effect to the Program for Preventing Dementia on Korean Medicine for Elderly in Community (지역사회 노인 대상 한의약 치매예방 프로그램의 효과 평가†)

  • Jeong, Heon-Young;Park, Kum-Sook;Kim, Young-Hee
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.31-39
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    • 2017
  • Objectives : This study was conducted to identify the effects of the program for preventing dementia on Korean medicine on the Knowledge of dementia, Preventive behavior, Depression and Hwa-Byung for elderly. Methods : A non-equivalent control group pretest-posttest design was used with 41 elderly who were assigned to the experimental and control group. Study outcomes were measured by structured questionnaires from August to November 2016. For data analysis, the Chi-square test, the Fisher's exact probability test, t-test, the Mann-Whitney U test, were performed using SPSS version 20.0. Results : There were significant differences in Knowledge of dementia(U=112.500, p <.010), Preventive behavior (U=124.000, p =<.024), and Hwa-Byung (U=129.000, p =<.034) between the two groups in pretest and posttest. Conclusions : The findings have confirmed that the program for preventing dementia on Korean medicine is effective to improve Knowledge of dementia, Preventive behavior, and Hwa-Byung of community elderly. It can be recommended as a public health program for the elderly in communities.

Effects of Dual-Task Training with Cognitive Tasks on Cognitive Function and β-amyloid Levels in the Elderly with Mild Dementia

  • Lee, Do-Youn;Nam, Seung-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.2
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    • pp.23-30
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    • 2020
  • PURPOSE: The purpose of this study was to examine the effects of dual-task training with cognitive tasks on cognitive functions and β-amyloid levels in the elderly with mild dementia. METHODS: The subjects were 36 elderly inpatients diagnosed with mild dementia at S Hospital located in Gyeongsangbuk-do, South Korea. The patients were randomly divided into a dual-task training group (DTG; n = 18) or a single-task training group (STG; n = 18). DTG performed dual-task training with cognitive tasks while STG performed only exercise tasks. These groups performed their respective exercises during a 30-minute session occurring three times a week over an 8-week period. MMSE-K and GDS were used to measure the subjects' cognitive function. To assess the subjects' dementia-related factors, their β-amyloid levels were measured by blood analysis. RESULTS: The results of the experiment were as follows: DTG showed statistically significant differences between their MMSE-K scores and β-amyloid levels before and after training (p < .05), whereas they exhibited no statistically significant differences in their GDS scores. MMSE-K scores and β-amyloid levels were significantly different between DTG and STG after training. CONCLUSION: The present study's overall results indicate that dual-task training with cognitive tasks is more effective than single-task training in improving cognitive functions and β-amyloid levels in the elderly with mild dementia. In other words, regular dual-task training can be considered as effective in improving cognitive function and dementia-related factors in the elderly with mild dementia and thus may be suggested as an effective exercise method for the treatment and early prevention of dementia.

Socio-psychological Process of Families with Institutionalized Dementia Elderly (치매노인 시설의탁 가족의 사회심리적 과정)

  • Joung, Eun-Ok;Hyun, Mi-Young;Seo, Yun-Jin;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.122-131
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    • 2004
  • Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

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A Study on the Architectural Planning of the Hospital for the Elderly with Dementia (치매노인전문병원의 건축계획에 관한 연구)

  • Lee, Jung Min;Yu, Young Min
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.7 no.1
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    • pp.85-92
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    • 2001
  • Facing the aging society in Korea, the necessity of the facility for the elderly is arising as a substitute to cut down the cost and to provide suitable and skillful medical services for the aged and chronical. Among there, health care facilities for the elderly with dementia are considered a essential facility. Therefore, it is necessary to prepare the guidelines for planning and design of the facility. On the bases of survey and analysis, the basic data for planning and design the hospital for the elderly with dementia has been proposed.

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Factors Affecting the Social Distance from Elderly with Dementia of Social Welfare Students (사회복지전공 대학생의 치매노인에 대한 사회적 거리감의 영향요인)

  • Kim, Bo-Mi;Kim, Ji-Hyun
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.667-677
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    • 2022
  • This research is a descriptive study that aimed to identify the knowledge and attitude of dementia, empathy, and social distance from elderly with dementia of social welfare students and the effect these had on their social distance from elderly with dementia. This study was conducted by collecting 191 social welfare students in three universities in C and D cities. Data were analyzed using descriptive analysis, ANOVA, t-test, Pearson's correlation coefficients and multiple regression with the SPSS 23.0 program. The average social distance from elderly with dementia was 3.40 points. The social distance from elderly with dementia of the study participants showed a positive correlation between the attitude of dementia(r=.47, p=.001) and empathy(r= .27, p<.001). According to the results of multiple regression analysis, attitude of dementia(β=.21, p=.001), and empathy(β=.37, p<.001) were shown to be significant factors that affected the social distance from elderly with dementia. These variables explained 36.5%. Therefore, an education program to improve the ocial distance from elderly with dementia of social welfare students should be considered as a way to enhance positive attitude of dementia and empathy.

The Effect of Reminiscence Therapy on Communication Ability of Elderly Patient With Alzheimer's Dementia (회상하기 프로그램이 알츠하이머 노인의 의사소통 능력에 미치는 영향)

  • Kim, Soo-Jung;Chang, Hyun-Jin
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.21-31
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    • 2020
  • Objective : Reminiscence program is a method to restore psychological stability for the elderly having dementia, and at the same time it makes the aged with dementia express themselves correctly by helping them to recollect their past life memories. The purpose of this study was to investigate the effects on communication ability in applying the reminiscence program to elderly patients with Alzheimer's dementia. Methods : The subject were 4 patients whose Alzheimer's dementia of moderate. This experiment was designed with pre-stage, treatment-stage, post-stage. The reminiscence therapy was compose of reminiscence activities of their live; in their childhood, adolescence, adulthood, and senescence. The therapy was delivered 30 times for 15 weeks. Results : The result of the study were as follows. First, after reminiscence therapy, recognition ability was improved. Second, after reminiscence therapy, emotional side was improved. Third, after reminiscence therapy, communication ability was improved. Conclusion : In this study, the reminiscence therapy had a positive effect on the improvement of communication skills among the elderly with Alzheimer's dementia. Based on the reminiscence therapy, it is thought to be very helpful in improving the communication ability of the elderly with dementia in the future.