• 가정간호학회지
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• 제25권2호
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• pp.184-196
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• 2018

Purpose: This study explored the adjustment experiences of spouses of elderly people with dementia in Korea. Methods: A grounded theory method was used. The data were collected by individual in-depth interviews with 11 spouses of elderly people with dementia. Results: In the analysis, 17 categories were derived. A core category emerged: Adjusting to daily life of providing love-based care. Eight major strategies for dealing with the psychosocial problems faced by spouses of elderly people with dementia: Feeling one's own responsibility in caring; halting personal activities; adopting a spouse-oriented daily lifestyle; caring with love; efforts for maintaining one's own health; efforts for maintaining spouse's health; depending on religious belief; and trying to have time for oneself. The consequences that resulted from applying these strategies were identified as "feeling worthwhile for caring," "maintaining a peaceful life," and "being grateful of the present." Conclusions: This study presents a holistic view of the adjustment experiences of spouses of elderly people with dementia. This study can also provide directions for developing interventions for enhancing the quality of life of spouses of elderly people with dementia.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2005년도 춘계학술발표대회 논문집
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• pp.217-222
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• 2005

The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

• 한국실내디자인학회논문집
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• 제14권4호
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• pp.70-78
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• 2005

The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

• 한국임상보건과학회지
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• 제5권1호
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• pp.816-824
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• 2017

Purpose. This study was classified into normal and demented elderly through K-MMSE. The purpose of this study was to analyze gait characteristics of normal elderly and demented peoples using GAITRite walking system. Methods. The subjects of this study were selected as elderly people receiving home visit physical therapy. An independent t-test was conducted to verify the statistical significance of the time-space variables of the elderly with dementia. Results. Step time(p=0.041), cycle time(p=0.037), distance(p=0.024), and cadence(p=0.048) were significantly shorter in the normal elderly than in the demented elderly on flat place. The mean age was significantly longer in normal elderly than in elderly persons with dementia. Step time(p=0.022), cycle time(p=0.023), distance(p=0.019), and cadence(p=0.015) were significantly shorter in the mat walking. The mean age was significantly longer in normal elderly than in elderly patients with dementia. Stretch time, cycle time, distance, and hair support time were significantly shorter in the mat walking. The mean age of the elderly was significantly longer than that of the elderly with dementia. The spinal support time, which is a spatial variable, was significantly shorter in the normal elderly than in the demented elderly. Conclusions. It compares the various gait characteristics of the normal and demented elderly people, thereby increasing the walking ability of the elderly person more effectively. This study should be utilized as basic data for preventing fall-down.

• 한국실내디자인학회논문집
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• 제14권2호
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• pp.153-160
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• 2005

The purpose of this study was to clarify residential satisfaction of the Living Environment according to responses of staffs in the Horsing Homes. For this, the data about residential satisfaction of the Living Environment of elderly with dementia were taken from the staffs in 2 nursing homes in Tokyo by the questionnaire. Additional information was collected by interviews and observation. It was impossible that the elderly with dementia answered their satisfaction and needs of spaces. For this reason, staffs who care the elderly with dementia during 24 hours and interact with the elderly with dementia were selected the subjects of this survey. Survey question asked for the general features of the staffs, satisfaction, dissatisfactory spaces and the reasons about dissatisfaction of the elderly with dementia. The data were analyzed using the frequency, percentage, crosstab, paired t-test with SPSS 11 program. The result of this study was as follows. First, most of the elderly with dementia were unsatisfied with their bedrooms and bathrooms in bedrooms. Second, the unsatisfied spaces among the living environment were bedroom, bathroom in bedroom, dining room, day corner, special activity room, common bathroom with mechanical bath, and dressing room. The reasons of the unsatisfied spaces were size, comfort, non-existence of the space, and noise in the space.

• 대한가정학회지
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• 제40권4호
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• pp.1-12
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• 2002

This study aimed to examine the needs for the planning of group homes for the elderly with dementia in lower income class, who have more economic burden on the caring the demented aged. The survey was conducted by questionnaires collected from 300 respondents from December 2000 to March 2001. Methods of analysis were frequency distribution, mean and chi-square test. The results of this study were as follows: 1) The respondents perceived that the responsibility to take care of the elderly with dementia belonged to their family, not to society or the government, and the sons and daughters had to share the burden placed on care-givers. 2) The awareness of group homes for dementia was relatively low. 3) The respondents' needs for the group homes with dementia could be summarized as follows; small scale plan with homelike atmosphere, a total of 6-8 residents, structural type of detached house or three-storied town house, 2-3 persons per individual room, and management system by non-profit organization or the government. There were no big differences between the respondents of this study and upper and middle class studies conducted by other research, except for some details. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if poetical assistance combined with economic support were provided.

• 한국가족관계학회지
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• 제21권3호
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• pp.3-23
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• 2016

Objectives: The purpose of this study is to examine the effects of symptoms of dementia elderly on the primary caregiver's depression. In addition, moderating effect of family support was examined. Based on the results, the necessity for intervention in the level of social welfare as a way to mitigate primary caregiver's depression was suggested. Method: In order to accomplish these purposes, a total of 197 who are spouse and adult-children of dementia elderly using day care facilities or services in Seoul, Gyeonggi, Busan province, South Korea were utilized. Data were analyzed by frequency analysis and descriptive statistics, regression model analysis with SPSS 18.0. Results: In case of analysis results, the mean value was reported 0.9 out of four point about primary caregiver's depression and the mean value of family support was reported 3.34 out of five point. And besides, the analysis result of dementia elderly's symptoms showed that prevalence of depression/dysphoria were 62.2%, prevalence of aberrant motor were 61.3%, prevalence of apathy/indifference were 56.6%. Crucial findings are as follows: the symptoms of dementia elderly was significantly associated with the primary caregiver's depression. At the same time, family support significantly influenced lower level of the primary caregiver's depression. While, in the relationship between the symptoms of dementia elderly and the primary caregiver's depression, family support has a moderation effect by important protection factor. Conclusions: From these findings, the necessities to provide the care service for dementia elderly to help improve symptoms of dementia as well as the policy and service to manage the mental health of the family as primary caregiver were suggested. Also, the necessities to provide the family therapy program to improve the relationship with family members were suggested.

• KIEAE Journal
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• 제11권6호
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• pp.109-115
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• 2011

Recently the Elderly with dementia is increasing in Korea with rapid aging of the population. In addition to increasing a number of nuclear family and women's advancement in society, people are less capable of supporting family with dementia. In response, the Seoul city increased welfare facilities for the elderly with dementia about two times for one year. I think that the quantitative portion of facility get to meet the requirements but it is lack of qualitative one in fact. Therefore, the space for the elderly can keep up with the falloff of mental and physical functions, dementia and geriatric diseases according to aging and careful consideration about the space considering stability and convenience is required. At this point, this study has the purpose to plan a daycare center which reflects the characteristics of the elderly to protect them within the community safely and comfortably. As for the research method, case study was conducted to understand the overall situation on the space plan of the daycare center for 3 daycare centers located in Seoul and found out problems. From the generalization of the above study, a space plan for a daycare center considering the characteristics of the elderly was provided. The composition of Dementia welfare facility should be carefully planned to fit characteristics of the patient's behaviors.

• 대한간호학회지
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• 제31권1호
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• pp.139-149
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• 2001

The purpose of this study was to analyze characteristics related to the activity of Daily Living (ADL) and dementia among the elderly people who have Medicaid. The cross-sectional descriptive survey study was a nationwide randomization sampling among the population of elderly families who have Medicaid. The data were collected during the month of October, 1999 and total sample was 1,027 elderly people. There were major findings according to the studies. In the results of the ADL assessment most of elderly people were within the 24 to 45 point range. Also, 63.3% of elderly people who made 45 points do not need help when performing daily activities according to the 15 areas of activity components, and 4.9% of these people couldn't do their daily activities. The results of the Dementia assessment were 70.6% of elderly people were in the normal range, 21.7% have a mild case, and 2.8% have severe case of dementia. These were found by using instruments for mental states, which simplified to items of detection of early dementia. In the result of these tests, there was a significantly positive correlation between ADL and degree of dementia with the pearson correlation coefficients. As a result of these studies, the author recommend to strengthen function and organization of public health like a visiting nurse center for elderly people who are over 65 years old. In addition, the government should apply early detection and management system for dementia in the community continuously and cost-effectively, especially for elderly people who live alone and are vulnerable elderly as our priority.

• 한국생활과학회지
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• 제12권1호
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• pp.15-24
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• 2003

The purpose of this study was to investigate the family care-givers' perceptions of welfare facility for the elderly people with dementia, to analyze the related variables, and to provide the suggestions from the perspectives of the well-being of family care-givers. The survey was done using questionnaires in 1999, and the subjects were 198 primary care-givers for senile dementia patients. Frequency distribution, mean, t-test, and one way ANOVA were used to analyze the data. The major findings of this study were as follows: The family care-givers' perceptions of the welfare facility for elderly people with dementia was relatively low. The variables associated were sex, education level, occupation and relationship with the demented elderly. The conclusion suggested from this study was that the social welfare facilities and services were necessary for both the demented elderly people themselves and their family care-givers.