• 한국노년학
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• v.38 no.4
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• pp.1107-1125
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• 2018

The purpose of this study was to present the empirical data for the prevention of suicide by analyzing the group differences according to the types of risk factors and protective factors of family members living with dementia patients and the effects of each type on suicidal ideation. This study investigated the characteristics of suicidal ideation among family members of people living with dementia by using a community health survey. It then investigated the effect of each latent group on the suicidal ideation of family members of people living with dementia. Twenty-four risk and protective factors on suicide ideation were analyzed by using Mplus. The four latent classes were high risk - low protective, high risk - high protective, low risk - high protective and low risk - low protective. Multivariate logistic regression analysis showed that the high risk-low protective factor group had the highest suicidal ideation. Based on these results, practical implications and challenges were presented.

• Journal of the Korean Medical Association
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• v.61 no.12
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• pp.758-764
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• 2018

Dementia is a clinical syndrome characterized by a cluster of symptoms and signs that manifest as difficulties in cognitive functions such as memory, psychological and psychiatric changes, and impairments in activities of daily living. As a result of worldwide trends of population aging, dementia has had a huge impact on public health in almost all countries. Disease modification therapies for dementia have not yet been developed. However, pharmacotherapy is essential in patients with dementia to combat delays in their cognitive and functional decline. In this article, we review the current pharmacotherapy for dementia. Three acetylcholinesterase inhibitors-donepezil, rivastigmine, galantamine-and memantine are the only medications that have been approved for the treatment of dementia. We present the indications, dose recommendations, side effects, and criteria for National Health Insurance coverage in Korea of these medications for dementia treatment. Although the Ministry of Food and Drug Safety in Korea has not approved any medications for managing the behavioral and psychological symptoms of dementia, some antipsychotics and antidepressants have been studied and used clinically for those purposes. Clinicians may consider vitamin E, Ginkgo biloba extract, choline alfoscerate, or omega-3 fatty acids as additional treatment options. Non-steroid anti-inflammatory drugs, estrogen hormone therapy, and statins are not generally recommended for dementia treatment. We believe that our findings will aid clinicians in the treatment of patients with cognitive decline.

• The Journal of the Korea Contents Association
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• v.22 no.5
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• pp.746-764
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• 2022

Communication breakdown has been mentioned causing a heavy burden for dementia caregivers. This study aims to inspect and structure the process and results of communication between people with dementia and their caregivers. The impeding/facilitating elements of communication are also extracted. Interviews with 21 of dementia care experts about the direct and indirect experiences of communication with people with dementia were analyzed based on the grounded theory. Results show that combination of the cognitive and communication decline of the people with dementia, confusing environment and caregivers' inappropriate attitude and lack of communication skills leads to communication breakdown and relations severance. Minimal contacts and task-oriented conversation results in conflicts and people with dementia's increasing agitation, anxiety and violent behaviors while understanding of individuality and listening with heart lead to recovered lucidity in the state of serious dementia, recovered pleasure and voluntary participation in the daily activities for people with dementia. Core paradigm was defined as 'Person Centered Care through relation formation'. There are 4 types of communication with people with dementia : partnering, patronizing, conflicting, avoiding types. Researchers suggest that Person Centered based communication skills be educated and trained for dementia caregivers.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.1
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• pp.23-34
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• 2012

Purpose: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. Method: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. Results: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.2
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• pp.246-256
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• 2002

Purpose: This study was conducted to investigate correlations between environmental characteristics and disturbing behaviors in elderly people with dementia living in institutions. Method: A random sample of 107 subjects in three institutions for people with dementia in the Gyeongnam Province was tested between May 29 and June 5, 2002. Data was collected through a questionnaire and analyzed using SPSS/PC Win 10.0 Result: The major findings of the study are as follows. 1) the mean score on physical environment was $3.55{\pm}0.47$, and on psychosocial environment, $3.55{\pm}3.08$. 2) the mean score on disturbing behaviors showed that nonaggressive psychomotor behavior was the highest, and aggressive psychomotor behavior was the lowest. 3) the disturbing behaviors. in 5 the domains correlated with the environment and influencing factors included environment, family, level of dementia and level of ADL. Conclusion: Both the present physical environment and psychosocial environment influence the type of disturbing behavior in elderly people with dementia. Therefore, nursing can reduce the disturbing behaviors through maintenance of both the psychosocial environment and the physical environment. Furthermore, nurses must consider disturbing behaviors of elderly people with dementia by being aware of the level of dementia and ADL.

• Journal of dental hygiene science
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• v.20 no.2
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• pp.82-88
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• 2020

Background: The incidence of dementia in Korea is a serious social problem, as the number of patients with dementia is increasing with a decrease in the age of dementia onset dementia is associated with oral disease among various causes, but there is very low awareness of the relationship between dementia and oral health. Therefore, in view of the above, we aimed to check oral health promotion and dementia prevention behaviors and use them as basic data for preventing dementia. Methods: In this study, we conducted a month-long survey of people aged 40 years and above living in South Korea, and reclaimed 140 survey questionnaires. Frequency analysis was performed for the perception level of the relationship between dementia and oral health, and the demographic characteristics assessed according to the perception level. Independent t-tests were performed for the mean comparison between oral health promotion and dementia prevention behaviors. Correlation analysis was performed for the relationship between the three variables (oral health promotion and dementia prevention behaviors, the perception level of the relationship between them). Results: The results showed that groups with a high level of awareness of the relationship between dementia and oral health were more likely to develop oral health promotion and dementia prevention behaviors (p<0.01). In addition, the higher the level of awareness related to dementia and oral health, the greater the likelihood of oral health and dementia prevention behaviors (p<0.01). Conclusion: Therefore, we should try to improve dementia prevention and oral health promotion by providing accurate knowledge and awareness of the relevance between dementia and oral health.

• Journal of the Korean housing association
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• v.11 no.3
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• pp.109-124
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• 2000

The major purpose of this study was to assess the physical living environment of two dementia care facilities to provide the guidelines and/or basic data for planning the facility. The instrument used in this study was a 17 page-checklist including 10 dimensions with 183 specific items developed by the researcher. The results of the study revealed that the overall mean score for 10 dimensions was 1.13(JK facility: 1.16 and BL facility: 1.10) explaining a little higher than average level in physical features. Among 10 dimensions, toilet & bathroom arrangements showed the highest mean assessment score(1.28), while common area showed the lowest mean score(0.8). The general conclusions and implications were made based on the results of the assessment.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.11 no.2
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• pp.166-176
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• 2004

Purpose: The purpose of this study was to identify the factors that affect depression among elderly people with, and without, dementia. Method: The participants were 903 people who were 65 or older and resided in Sungnam City. Data were collected from April to July 2002 using a questionnaire. The collected data were analyzed using descriptive statistics and hierarchical multiple regression aided by SPSS/PC. Result: The variables at the final step of the regression equation accounted for 28.2% of variance in the dementia group, 21.4% in the group with suspicious dementia, and 18.9% in the normal group. The multiple regression analysis revealed that ADL and instrumental support were related significantly to depression in the dementia group. Self-rated health, IADL, social activity support, and instrumental support were significantly related to depression in the group with suspicious dementia. In the normal group, education, self-rated health, and living arrangement with family were significantly related to depression. Conclusion: Social support and health condition are important to decrease depression in elderly people with dementia.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.4
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• pp.7-20
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• 2022

Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of environment-related factors on behavioral health and quality of life for people with dementia who reside in long-term care facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve behavioral health and quality of life for people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies and that link the design of dementia care facilities to health- and QOL-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, to nursing. Results: The review identified a growing body of literature that articulates environment-related factors that improve health and quality of life for people with dementia living long-term care facilities Implications: The findings of the review can be translated to design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

• The Journal of Korean Physical Therapy
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• v.22 no.1
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• pp.53-60
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• 2010

Purpose: The purpose of our study was to evaluate the effects of an exercise program on activities of daily living (ADL), balance and cognition in elderly individuals with Alzheimer’s disease and vascular dementia. Methods: Thirty-two patients with mild to moderate cognitive impairment were assigned to one of two groups: an exercise group (n=16) and a control group (n=16). The exercise group carried on regular exercise for 60 minutes a day, 4-5 times per week for 8 weeks. The exercise group participated in an exercise program (treadmill training and physical training). ADL, balance and cognitive function were evaluated before and at the end of the program using the Korean modified Bathel Index (K-MBI), the Functional independence measure (FIM), the Berg balance scale (BBS), the Balance performance monitor (BPM), and the Mini mental state examination (MMSE) in both groups. Results: There were significant exercise-induced improvements in ADL and Balance from pre to post tests; but not in MMSE. Conclusion: Exercise programs can improve ADL and balance in elderly with Alzheimer’s disease and vascular dementia.