• Journal of Preventive Medicine and Public Health
• /
• 제36권1호
• /
• pp.63-70
• /
• 2003

Objectives : To investigate the prevalence of cognitive impairment and dementia in elderly people, aged 65 or above, residing in Busan Metropolitan City. Methods : Total of 1,101 old people, aged 65 or above, living in Busan as of December 31, 2001 were selected using stratified three-stage cluster sampling. Cognitive impairment was determined from the MMSE-K score, and dementia confirmed from five psychometric measures and the Barthel index. The crude prevalence, sex-age adjusted for the Korean population, were obtained. Results : With the cut-off point for cognitive impairment was set at 24 points, or below, on the MMSE-K scale, the crude rate of cognitive impairment was 29.3% (15.7% for men and 37.5% for women), and the sex-age adjusted prevalence was 30.5% (17.5% for men and 37.0% for women). When the cut-off point for cognitive impairment was set at 20 points, or below, on the MMSE-K scale, the crude rate of cognitive impairments were 10.0% (4.1% for men and 13.5% for women), and 10.6% (4.7% for men and 13.1% for women), respectively. The crude dementia, and the sex-age adjusted rates were 7.4% (2.4% for men and 10.5% for women), and 8.0% (2.7% for men and 10.0% for women), respectively. Conclusions : The prevalence of dementia in this study was somewhat lower than that reported by other domestic and foreign studies. Our results related to the difference in time and space, diagnostic tools, response rates, and distribution of male and female subjects, etc.

• 한국노년학
• /
• 제36권3호
• /
• pp.883-903
• /
• 2016

본 연구는 부양자가 인지한 치매노인의 증상 정도와 치매노인 부양자의 자살생각의 관계에서 부양부담의 하위 요인을 세분화하여 매개효과를 검증하고, 치매노인 부양자를 위한 사회복지적 개입 방안 제시를 목적으로 한다. 이를 위해 2015년 현재 서울시, 경기도와 부산의 각 지역에서 데이케어센터 및 요양기관을 이용하는 치매노인 부양자를 대상으로 설문을 진행하였고 총 428부의 자료를 수집하였으며, 이들 중 응답이 부실한 13부을 제외한 415부의 설문지를 최종분석에 사용하였다. SPSS 21.0을 사용하여 매개효과와 그 유의성을 검증하였고 그 결과는 다음과 같다. 첫째, 치매노인 부양자 중 최근 1년간 자살에 대한 생각을 해본 적이 있다고 응답한 부양자는 21%로 나타냈다. 둘째, 치매노인의 증상 정도는 부양부담에 정적인 영향을 미치는 것으로 나타났다. 셋째, 부양자의 부양부담은 부양자가 인지한 치매 노인의 증상정도와 부양자의 자살생각과의 관계를 부분적으로 매개하고 있었고 이 매개효과는 통계적으로 유의미한 결과를 보여주었다. 이를 통해 부양자의 자살생각에 정적인 영향을 미치는 부양부담을 낮추기 위한 방안으로서 치매노인과 부양자에 대한 접근이 개선되어야 한다는 점을 제시하였고 이를 달성하기 위한 사회복지 중심의 프로그램 도입을 제안하였다.

• 지역사회간호학회지
• /
• 제31권2호
• /
• pp.130-142
• /
• 2020

Purpose: The purpose of this study was to verify the validity and reliability of the Korean version of the Pain in Older Adults Knowledge Survey (K-POAKS) to assess knowledge of pain in older adults including people with dementia for use in long-term care hospital nurses. Methods: Survey data were collected from a convenience sample of 179 nurses who have worked in long-term care hospitals in B, D and U cities. The Kuder-Richardson Formula 20 for internal consistency for test reliability was conducted. The content, criterion-related and construct validity were evaluated using SPSS/WIN 22.0. Results: The KR 20 was .75 and Content Validity Ratio (CVR) was a range of 0.84~1.00. The criterion-related validity was positively correlated with attitudes (r=.28, p<.001) and performance (r=.21, p=.004). The construct validity of K-POAKS was analyzed by conducting the principal component method using the exploratory factor analysis varimax rotation, and seven factors were derived above the eigenvalue of 1.0. The seven factors explained 58.5% of the total variation. Conclusion: The Korean version of the POAKS showed satisfactory internal reliability, content validity, criterion-related validity and construct validity. These results suggest that the K-POAKS could be used as a suitable tool to measure the knowledge of the aged people's pain, including that of dementia patients for long-term care hospital nurses.

• 인간식물환경학회지
• /
• 제24권1호
• /
• pp.107-117
• /
• 2021

Background and objective: The purpose of this study is to investigate the effect of a forest healing program in terms of depression, neuropsychological and physiological benefits for the elderly. Methods: For this purpose, we developed a forest therapy program for the elderly who are vulnerable to dementia and conducted a total of 11 sessions of forest therapy activities in a forest once a week. We measured the changes in depression, resting-state Electroencephalography(EEG) and heart rate variability (HRV) before and after the program. There were 60 subjects aged over 65 yesrs old. 30 subjects participated in the forest therapy program, and the other were in the control group. The Geriatric Depression Scale was used to measure the level of depression, neuroNicle FX2 (Laxtha, Korea) was used to measure the resting-state EEG, and photoplethymogram (ubpulse T1, Laxtha, Korea) was used to measure the HRV. Results: The results showed that the depression index of the experimental group improved with statistical significance after the program (experiment group = 3.267 decrease of the mean). In the EEG measurement, the alpha-peak frequency at rest (experimental group = 0.227 Hz increase of the mean) was improved (mean increase = 0.23 in the experimental group, p < .05). The high frequency of HRV, which represents the parasympathetic nerve activity of the body's autonomous response, was also significantly improved (mean increase = 0.396 in the experimental group, p < .05). Conclusion: The results suggest that the forest therapy program can reduce the cognitive, psychological and physical risk factors of dementia for the elderly at risk of cognitive decline. Therefore, forest therapy activities may be suitable for the prevention of dementia in the elderly.

• 지역사회간호학회지
• /
• 제11권2호
• /
• pp.423-440
• /
• 2000

This research was conducted to identify the following: the home care needs of patients with dementia and the burden on the primary family care giver: to provide basic data required to develop nursing intervention for the care giver: and to suggest recommendations for medical institutions and social services that could reduce the burden on the families of people suffering from dementia. subjects of this research were 53 patients of the two Public Health Centers of Cheju Province who are suffering from dementia and their families. The instrument used in the research was Kuen. Jung Don (1994)' s assessment tool of burden in the primary family care giver who has parents with senile dementia and Yoo. Young Mi(1998)'s assessment tool of home care need. modified by the researcher in the questionnaire by a Likert rating scale. The period of data collection was from February 8. 2000 to March 10. 2000. Collected data was analyzed by SPSS, using mean, standard deviation. ANOVA, t-test and Pearson correlation coefficient. The result of this research was that there was not a significant correlation between the burden on the care giver and the level of dementia, its duration, the patient's ability to perform daily tasks, the period of care giving. and the use of social services, although the lower the patient's ability to perform daily tasks. and the worse the care giver's own health situation, the higher the burden on the primary family care giver. The following suggestions are made based on the results of this research. 1. More than half of the subjects don't use social facilities and services. More publicity and referral efforts are needed about medical institutions. nursing institutions and other facilities that specialize in services for dementia sufferers and their families. 2. Nursing services should include intensive education for the primary care giver in the most important aspects of home care. 3. Further research should be done, and should include data from all parts of Cheju Province.

• 대한의용생체공학회:의공학회지
• /
• 제35권6호
• /
• pp.185-191
• /
• 2014

Mild cognitive impairment is status between healthy people and dementia patients. In order to prevent dementia or slow its progression, cognitive interventions could be effective. In this paper, review of the cognitive intervention with computer software was undertaken. Previous reports showed that the cognitive intervention with additional equipment could practical to the mild cognitive impairment.

• 한국산학기술학회논문지
• /
• 제16권3호
• /
• pp.2055-2063
• /
• 2015

본 연구는 지역사회 주간보호시설을 이용하는 경도치매환자에게 집단작업치료프로그램을 제공하고 이에 따른 시지각과 작업수행기술의 변화를 알아보고자 예비연구를 실시하였다. 65세 이상 치매진단을 받은 9명을 대상으로 주 3회, 60분씩, 총 4주간 감각적, 신체적, 창의적 활동을 포함한 집단작업치료프로그램을 실시하였다, 치료전 후 시지각 기능, 작업수행기술에 미치는 효과를 검증하기 위한 유사실험연구로서 단일군 전후실험설계를 적용하였으며, 수집한 자료는 빈도분석과 기술통계를 사용하여 분석하였다. 집단작업치료프로그램 전과 실시 후에 대한 분석 결과 시지각 기능과 작업수행에서는 기초선과 프로그램 종결 후 통계적으로 매우 유의한 차이(p<0.01, p<0.05)가 있었지만 작업수행기술 중 운동기술에서는 프로그램 전 후의 차이는 통계적으로 유의하지 않았다. 본 연구를 통해 집단작업치료프로그램이 주간보호시설을 이용하는 치매환자의 시지각과 작업수행기술 관리에 기여할 수 있을 것으로 사료된다.

• 대한영양사협회학술지
• /
• 제27권4호
• /
• pp.248-262
• /
• 2021

This study examined the effect of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet of the Korean multi-domain dementia prevention program on the cognitive functions of the elderly with dementia risk factors. We developed the program including nutrition, exercise, cognitive training, vascular disease prevention, and motivation. One- hundred and fifty-three participants aged 60~79 years with at least 1 dementia risk factor were randomly assigned in a 1:1:1 ratio to the facility-based intervention (FMI), home-based intervention (HMI), and the control group. The nutrition education program consisted of 10 classes over 24 weeks: the FMI received 7 group sessions and three 1:1 sessions, the HMI received 4 group sessions and three 1:1 sessions with 3 homework sessions. The Nutrition Quotient for Elderly (NQ-E) and the Mini Nutritional Assessment (MNA) were used to evaluate nutritional status. The Repeatable Battery for the Assessment Neuropsychological Status (RBANS), Korean Mini-Mental State Examination (K-MMSE), and the Cognitive Complaint Interview (CCI) were used to evaluate cognitive functions. A total of 136 people completed the program with an 11.1% dropout rate. The NQ-E (P=0.009) and RBANS (P=0.001) scores significantly increased in the FMI (N=45) and HMI (N=49) groups compared to the control group (N=42) after the study. The changes in the score of MNA and CCI did not differ significantly between groups. In conclusion, the nutritional intervention which focused on the MIND diet as a part of a multi-domain intervention program had a positive effect on the improvement of healthy eating habits and cognitive function scores in the high-risk dementia group.

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

• 한국건강관리협회지
• /
• 제2권2호
• /
• pp.160-166
• /
• 2004

The aging of population in Korea is proceeding in such a fast speed that other developed countries kaven't experienced. Korea already emerged in the aging society in 2000, and expected to become an aged society in 2019.There(ore, making effort to improve the quality of life of the aged people tv prolonging their social, economic activity, resulting in retrenchment of expenditure on health is very important. Developing nutrition and exercise programs to improve the quality of life of the elderly people, resulting in prolonged independent life is as important as medical care after onset of diseases. As a national preventive measure to save elderly people from becoming in need of assist, comprehensive program including teaching computer to prevent senile dementia, nutritional and exercise programs, along with programs of everyday life activity for the risk-group people should be carried out,