• 한국노년학
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• 제36권4호
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• pp.1089-1108
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• 2016

본 연구의 목적은 재가 치매노인 가족이 치매노인의 배회를 효과적으로 관리하기 위한 지침을 개발하고 평가하는데 있다. 연구의 절차는 총 3단계로 구성되어 있으며 첫째, 배회관리 지침 개발 준비 단계에서는 치매노인을 돌보는 가족 10인을 대상으로 포커스 그룹 및 개별 인터뷰를 시행하여 치매노인의 배회 관련 경험을 분석하였다. 둘째, 지침 개발 단계에서는 문헌 고찰을 통해 예비 항목을 작성하고 전문가 8인의 내용타당도 검증과정을 거쳐 최종안을 완성하였다. 셋째, 지침의 평가 단계에서는 치매노인 가족 13인을 대상으로 지침에 대해 교육하고 제공된 배회관리 지침 소책자를 이용하여 일주일 간 적용하도록 한 후 배회 관련 지식, 지침 적용정도, 사용자 만족도를 설문지를 통해 평가하였다. 본 연구에서 최종적으로 개발된 지침은 '배회의 정의', '배회의 원인', '배회 가능성이 높은 경우', '배회 예방', '실종 예방', '배회 발생 시 대처 방법', '실종 발생 시 대처 방법'의 7가지 주제, 총 86항목으로 구성되었다. 배회관리 지침 사용 교육 전 후 가족의 배회 관련 지식 점수가 유의하게 향상하였고(p=0.014), 지침 적용 정도 9문항의 평균은 2.69~3.46(range: 1~4)점이었으며 사용자 만족도의 7개 항목 평균은 2.85~3.38(range: 1~4)점이었다. 본 연구에서 개발된 배회관리 지침은 국내 지역사회거주 치매노인의 배회 특성과 가족의 요구를 반영하여 개발되었으며, 개발된 지침을 가족들에게 시범 적용하고 평가를 시도하였다는 점에서 의의가 있다. 본 배회관리 지침은 가족들이 치매노인의 배회에 대해 보다 잘 이해하고 대처하며 배회로 인한 부정적 결과를 예방하는데 도움이 될 것으로 사료된다.

• 한국산업융합학회 논문집
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• 제24권6_2호
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• pp.809-818
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• 2021

The purpose of this study was to identify the influence of oral health knowledge and awareness of caregivers in charge on the oral health-related quality of life of the elderly in nursing homes. Data were collected from 115 elderly without dementia and their 115 caregivers in nursing facilities in S and C cities. The data were analyzed using SPSS/WIN 22.0 program. The average score for oral health knowledge and awareness of the caregivers were 11.62, 39.22 points each and the oral health-related quality of life of the elderly was 40.62 points. Oral health knowledge, awareness of caregivers and oral health-related quality of life of the elderly showed a difference according to oral health education experience of the caregivers (𝜌<.001), the nursing facility evaluation grade (𝜌=.016), and the oral health education experience (𝜌=.008), working hours of 40 hours or less per week of caregivers (𝜌=.008) each in order. The influencing factors on the oral health-related quality of life of the elderly were the oral health education experience, the working hours per week of the caregivers and the facility evaluation grade. This findings imply that developing customized program and the work environment improvement for caregivers should be considered to improve the oral health-related quality of life of the elderly in nursing homes.

• 전자공학회논문지CI
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• 제48권4호
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• pp.21-26
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• 2011

특징 순위 방법은 데이터에 대한 정보와 관련된 특징을 구별하는데 유용하게 사용된다. 본 논문에서는 혈소판으로부터 측정된 라만 스펙트럼에서 퇴행성 뇌신경질환과 혈관성 인지증의 분류에 특징 순위를 이용하는 방법을 제안하였다. 퇴행성 뇌신경 질환인 알츠하이머병(Alzheimer's disease)과 파킨슨병(Parkinson's disease) 그리고 혈관성 인지증(vascular dementia)을 유도한 실험용 쥐의 혈소판에서 측정한 스펙트럼은 가우시안 모델을 이용한 커브 피팅으로 노이즈를 제거하고 로컬 최저점에 선형 보간법(linear interpolation)으로 배경 잡음을 제거한다. 전처리 과정을 수행한 스펙트럼에서 분류정확도와 계산복잡도를 개선하기 위해 특징 순위 방법을 이용하여 주요 특징을 선택하였다. 선택된 특징들은 PCA(principal component analysis) 방법으로 변환하여 주성분의 수를 변화시키며 MAP(maximum a posteriori)으로 분류하고 전체 특징을 사용한 경우의 분류 결과와 비교하였다. 실험 결과에서 제안한 방법을 적용한 모든 실험에서 분류 시스템의 계산복잡도를 현저하게 감소시키고 분류정확도는 부분적으로 증가하였다. 특히 파킨슨병과 정상을 분류하는 실험에서 제안한 방법이 전체 특징을 사용한 경우보다 모든 주성분의 수에서 분류정확도가 높았으며 평균 1.7 %의 성능이 향상되었다. 이 결과에서 분류정확도와 계산복잡도의 개선을 고려하면 제안한 방법이 혈소판 라만 스펙트럼에서 퇴행성 뇌신경질환과 혈관성 인지증의 분류 시스템에 효율적으로 사용될 수 있음을 확인하였다.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.73-85
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• 2002

This study was conducted to examine community residents' knowledge level and related factor on electronic wave in order to provide basic data for development of education and publicity program. 2,000 people, who lived in five big cities and five small and medium cities, were selected ad subjects of this study. The data were collected from May 1, 200 I to August 31, 2001. The results of this study are as follows. According to the average knowledge level of harmful affect of electronic wave on health in general characteristics, female was higher(37.40 ± 5.24 points) than male; ‘forties’ was highest(37.77 ± 5.69 points); ‘married spouse’ was high(36.84 ± 5.59 points); ‘living in small-ta-medium city’ was high(36.84 ± 5.32 points). ‘university graduate’ was highest(37.41 ± 5.32 points) in education level, ‘middle class’ was high(36.61 ± 4.96 points) in economic status, ‘professional technician’ was higher(36.68 ± 6.55 points) than other occupations in occupational type. According to the knowledge level of harmful affect of electronic wave on health in health condition by self-judgment, ‘good health condition’ was highest(36.77 ± 4.99 points). In the case of the knowledge level of those who visited medical institutions for last one year, ‘never visited’ was highest(37.19 ± 5.02 points). In the kind of medical institutions, ‘those who visited general hospital’ was highest(36.58 ± 5.63 points). In the way of knowledge obtainments of electronic wave through education and publicity media, ‘school education’ was highest(37.55 ± 5.19 points). According to the score of awareness level of disease incidence related to electronic wave, allergy and erethism was highest(57.8 points on the basis of 100 points). It appeared in order of leukemia, skin disease or skin cancer, dementia, various cancers, cataract, and brain tumor. The variables which significantly influenced knowledge level of harm of electronic wave were knowledge obtainments of electronic wave, age, economic status, daily TV watching period, sex, period of daily cellular phone use, period of working with computer, and daily VTR watching period. The knowledge of community residents concerning harmful affect of electronic wave on health is needed because people's opportunity of exposing to electronic wave is increasing. Especially, it is the demands of the times to provide information on knowledge of each equipment which generate electronic wave. The government, the product manufacturing companies, related social organizations, and education institutions must make efforts to develop the education program which is needed to make people have right knowledge and attitude.

• 지역사회간호학회지
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• 제29권4호
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• pp.429-439
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• 2018

Purpose: The aim of this study is to identify core keyword of frailty research in the past 35 years to understand the structure of knowledge of frailty. Methods: 10,367 frailty articles published between 1981 and April 2016 were retrieved from Web of Science. Keywords from these articles were extracted using Bibexcel and social network analysis was conducted with the occurrence network using NetMiner program. Results: The top five keywords with a high frequency of occurrence include 'disability', 'nursing home', 'sarcopenia', 'exercise', and 'dementia'. Keywords were classified by subheadings of MeSH and the majority of them were included under the healthcare and physical dimensions. The degree centralities of the keywords were arranged in the order of 'long term care' (0.55), 'gait' (0.42), 'physical activity' (0.42), 'quality of life' (0.42), and 'physical performance' (0.38). The betweenness centralities of the keywords were listed in the order of depression' (0.32), 'quality of life' (0.28), 'home care' (0.28), 'geriatric assessment' (0.28), and 'fall' (0.27). The cluster analysis shows that the frailty research field is divided into seven clusters: aging, sarcopenia, inflammation, mortality, frailty index, older people, and physical activity. Conclusion: After reviewing previous research in the 35 years, it has been found that only physical frailty and frailty related to medicine have been emphasized. Further research in psychological, cognitive, social, and environmental frailty is needed to understand frailty in a multifaceted and integrative manner.

• 한국지역사회생활과학회지
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• 제19권2호
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• pp.223-234
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• 2008

This study aimed to develop the elderly care program for seniors in rural areas and to evaluate its efficacy through pre- and post-tests. For them, this study carried out a total of 8 sessions that includes 4 aims, such as understanding rural elderly, volunteer activities, psychological help, and aids to daily living, on 36 persons over the age of 60 years in rural areas. The data was analyzed by paired t-test to 36 elderly. The results of the study are as follows. First, looking at changes in knowledge about aging, objective evaluation of knowledge showed significant differences (t=-2.22, p<.05), but evaluation of elderly's perception-change didn't show significant differences between before and after. Second, volunteer attitude didn't show significant differences between before and after, but after the training, 75% of them answered 'yes' to question that asked whether they'd like to participate in elderly's volunteer caring activity for other elderly within the town in the future, which gave us certain expectation that the attitude towards volunteer activities might change positively in the future. Third, objective evaluation of knowledge for psychological help didn't show significant differences between before and after. But elderly's subjective perception showed significant differences (t=-2.82, p<.01). Fourth, evaluating changes in knowledge for elderly's aiding daily life, both the objective evaluation and subjective evaluation didn't show significant differences between before and after. Fifth, satisfaction of the program showed high scores over 4 points: contents, education methods, education place, education time. The most helpful topics for them were counseling (27.8%) and dementia (27.8%), followed by elderly and aging (16.7%), elderly's residential environment (13.9%), elderly's dietary life (9.3%) and volunteer activities (5.6%).

• 생물정신의학
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• 제2권2호
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• pp.157-168
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• 1995

The neuropsychiatric sequelae of traumatic brain unjury(TBI) are effects on complex aspect of behavior, cognition and emotional expression. They include psychiatric disorders such as depression, psychosis, personality change, dementia, and postconcussion syndrome. The damage is done not only to the cortex of the brain but also to subcortical and axial structures. The diffuse degeneration of cerebral white mailer is axonal damage that is caused by mechanical forces shearing the neuronal fiber at the moment of impact(diffuse axonal injury, DAI). The DAI and the changed receptor-agonist mechanism ore the most important mechanisms in genesis of neuropsychiatric sequalae by mild TBI. The most important instrument for diagnosis of neuropsychiatric sequalae of TBI is a physician or psychiatrist with experience and knowledge. The most effective therapeutic tool is a professional who understands the nature of the problem.

• International Journal of Advanced Culture Technology
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• 제7권3호
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• pp.70-78
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• 2019

This paper outlines an intervention protocol used to educate nurses in a project that implemented and evaluated a delirium educational program in one general hospital. It outlines an evaluation of the content of the education and processes used to deliver the intervention through an analysis of reflective notes. The educational protocol was designed for adult learners and grounded in the six assumptions of Knowles' learning theory. Results suggest the educational program positively impacted on participating nurses' knowledge, attitudes and family caregiver involvement in delirium care of hospitalized older adults with and without dementia. This paper also acknowledges the challenges involved in sustaining a practice change through an educational intervention.

• The Journal of Korean Physical Therapy
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• 제20권4호
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• pp.61-69
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• 2008

Purpose: We evaluated caregivers' understanding of patients' diseases and disuse syndrome, the understanding of exercise and massage related to rehabilitation and the necessity of education about these, the difference in education and realities of the care-giving field, and the extra services needed in the field. Methods: The survey using questionnaires was performed from June 2008 to August 2008 with 220 people participated in caregive education programme in daegu city and area near dagu city. Among the 220 submitted questionnaires, 184 which were faithfully answered were selected and they were analyzed by i-STATistics statistical program. Results: The educational focus of the first and second level caregivers, as defined by the second clause of the 29th article of the Elderly Welfare law, is on basic knowledge of diseases such as dementia, stroke, and depression. However, other diseases are not covered and the information does not include information on decreased function, complications, functional rehabilitating exercises, or preventing disuse syndrome for long term patients. The most common diseases, in order of prevalence, are stroke, dementia, diabetes mellitus, Parkinson disease, arthritis, and geriatric inertness. The general level of awareness about disuse syndrome was low, and patients, while understanding the need for massage and rehabilitative exercise, receive little education about the proper methods and therefore cannot use them. Patients also did not understand how participating in these activities could reduce medical fees, indicating that further education on massage and rehabilitative exercise is needed. Caregivers desired to include positive rehabilitation, massage, and exercise-related services in their services. Finally, differences in caregiver education and reality resulted from a lack of diversity in education. Conclusion: We suggest providing education on disuse atrophy and improving the lack of diversity in the care-giving education system.

• 한국중재학회지:중재연구
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• 제31권1호
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• pp.83-105
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• 2021

If aggrieving consumers or employees cannot prove both substantive and procedural unconscionability, many U.S. state courts will enforce arbitration agreements. Additionally, U.S. courts weigh a variety of factors to determine whether an arbitration agreement is substantively unconscionable. For example, U.S. courts have considered one or a combination of the following factors: (1) the fairness of contractual terms; (2) the severity of contractual terms' deviation from prevailing standards, customs, or practices within a particular industry; (3) the reasonableness of goods-and-services contract prices; (4) the commercial reasonableness of the contract terms; (5) the purpose and effect of the terms and (6) "the allocation of risks between the parties." Further, procedural unconscionability characterized by surprise or lack of knowledge focuses on terms that are deceptively hidden in a mass of contract language, the object of another concealment, or imposed in the circumstances involving haste or high-pressure tactics so that they are not likely to be read or understood. This unconscionability doctrine can be applied to a situation where an alcoholic dementia-afflicted older adult is admitted to a nursing home. At that time, because she had alcoholic dementia, which precluded her reading, comprehending, writing, negotiating, or signing of any legal document, her son, who did not understand the adhesion contract, signed the standardized residential contract and the arbitration agreement.