• Title/Summary/Keyword: People with Dementia

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A Q-methodology Study on Subjective Attitudes toward Dementia in Nursing Students (간호대학생의 치매에 대한 주관적 태도: Q 방법론적 연구)

  • Ha, Eun Ho
    • Research in Community and Public Health Nursing
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    • v.31 no.1
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    • pp.107-118
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    • 2020
  • Purpose: Nursing students are key personnel to take care of people with dementia in the nursing field in future. The purpose of this study was to identify subjective attitudes toward dementia in nursing students. Methods: Q methodology, which is a research method to study people's subjective points of views, was used. Thirty seven Q-statements (Q-sample) were derived from the Q population (Concourse) and were arranged in rank order by each of 42 participants into a normal distribution grid (from -4 to +4). A QUANL program was used to analyze the collected data. Results: Three types of attitudes toward dementia were identified: 'self-guided dementia management', 'national-guided dementia management' and 'facility-guided dementia management.' Conclusion: The results of this study suggest that nursing strategies to improve understanding of dementia and actively cope with dementia should be considered.

A Study on Guiding Principles for Designing Interior Space of Long-Term Care Facilities for The Elderly with Dementia in Korea - Focused on the analysis of living Conditions of the elderly with dementia - (한국 치매노인을 위한 전문요양시설 실내공간디자인 지침에 관한 연구 - 치매노인의 생활행태분석을 중심으로 -)

  • Joung, Yeo-Ju;Choi, Sang-Hun
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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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.

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A Study on the Design Guidance for the Residential Space in the Specialized Caring Facilities for Elderly Dementia Patients - Centering on the actual cases in the capital area (치매노인 전문요양시설 거주공간디자인 지침에 관한 연구 - 수도권지역 사례를 중심으로 -)

  • Joung Yeo-Ju;Choi Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.14 no.4 s.51
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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.

Family Care-givers' Perceptions of Welfare Facility for Elderly People with Dementia (치매노인 주부양자의 노인복지시설에 대한 인식)

  • Cho, Myoung-Hee
    • Korean Journal of Human Ecology
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    • v.12 no.1
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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.

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A Study on the development therapeutic environmental rating scales for the elderly people with dementia in nursing homes - Focused on the TESS-NH environmental rating scale Analysis (치매성 고령자를 위한 노인요양시설의 치료적 환경평가척도 개발에 관한 연구 - TESS-NH 환경평가척도 분석을 중심으로)

  • Lee, Young Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.49-55
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    • 2014
  • Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia (치매대상자를 돌보는 간호사의 의사소통행위 측정도구 개발 및 평가)

  • Lee, Jihye;Gang, Moonhee
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.1-13
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    • 2019
  • Purpose: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). Methods: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. Results: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88. Conclusion: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Effects of Depression, Sleep and Self-Esteem on Dementia Preventive Behavior in Rural Elderly People (농촌노인의 우울, 수면, 자아존중감이 치매예방행위에 미치는 영향)

  • Choi, Hye-jin;Kim, Hee-young
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.970-980
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    • 2021
  • The purpose of this study was to examine the effects of depression, sleep, and self-esteem on a dementia preventive behavior in rural elderly people. The participants were 235 elderly people aged 60 or older who lived in J-Gun, J-Do. Data were collected using structured questionnaires and analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 25.0 program. There were significant differences in the dementia preventive behavior according to religion, the level of education, a cohabitation type, an economic level, and dementia education experience. Participants' dementia preventive behavior was positively correlated with self-esteem (r=.52, p<.001) and sleep (r=.31, p<.001). However, it was negatively correlated with depression (r=-.57, p<.001). Factors affecting the dementia preventive behavior were depression, self-esteem, and religion. The explanatory power of variables was 37%. To increase a dementia prevention behavior in rural elderly people, it is necessary to develop dementia prevention programs to reduce depression and improve self-esteem and to create social conditions to facilitate various social participations such as a religious activity.

Application of the Development Model of Day Care Center for Dementia (치매주간보호사업 개발모형의 적용)

  • Chung, Yeun-Gang;Baik, Kyung-A;Hyun, Hye-Young;Yeoum, Soon-Gyo;Kim, Kyung-Hee;Choi, Mi-Hye;Han, Sung-Hee
    • Research in Community and Public Health Nursing
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    • v.14 no.1
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    • pp.106-119
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    • 2003
  • This study was executed to develop the model of the format of the day care center which supplies the total service on the health care in the day time and social program related with the work and to evaluate the processing courses which was adjusted for 3 years from March 1999 to December 2001 in order to improve the quality of life of the family who experience dementia, dementia prevention, and the old and the burden of daily activities. The processing courses of this business model were evaluated to the confirmation on the health condition, application of the nursing processes, and the precise medical examination, and 20 sorts of social programs. The methods used in this model were the simplified MMSE-K, Ability for ,Daily Life(ADL), Instrumental Activities of Daily Living(IADL), and nursing process, and so on. The execution effects of this model are as follows. 1. It can contribute to the delay in the dementia process of the old people who are related with the dementia and maintenance and improvement of the health by confirming the stopping of the process of the dementia as the objective estimation method while the dementia symptom is maintained as the current condition through the medical and social total services. 2. The reduction of the burden for the daily care of the subject people and their families for the old people who are concerned with the dementia helped to improve the quality of life of the subject people and their family by enabling them to have jobs. 3. It enabled them to positively cope with the demand for the health and nursing of the local residents related to the old people. 4. It enabled them to enhance the recognition for the socialization of the local social organization and residents for the old people. 5. It enabled them to reinforce the related system among the local social organizations, and develop and provide the various social programs which are proper for the old people.

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Factors Influencing Quality of Life of Elderly People with Dementia (치매노인의 삶의 질에 영향을 미치는 요인)

  • Kim, Hwasoon;Lee, Young Whee;Choi, Sung Hee;Ham, Youn Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.79-88
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    • 2018
  • Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

A Study on the Quality of Life of Elderly People with Dementia and the Environmental Factor of Facilities (치매노인의 삶의 질과 시설 환경 요인에 관한 연구)

  • Park, Sejeong;Kim, Hangon
    • 한국노년학
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    • v.29 no.4
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    • pp.1361-1381
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    • 2009
  • There have lately been a variety of social issues in our society due to rapid social changes. Specifically, how to approach elderly people who suffer from dementia is never an easy task, and few in-depth studies have ever focused on their quality of life due to that. The purpose of this study was to examine the quality of life of elderly people with dementia and the relationship between their quality of life and the environments of facilities for them in an attempt to lay the foundation for the development of compatible programs tailored to the environments of the facilities and for relevant policy setting. It's ultimately meant to improve the quality of life of the elderly with dementia and the environments of facilities for them. The subjects in this study were elderly people with dementia who were housed in senior residential and medical welfare facilities in Daegu and Gyeongsangbukdo. The collected data were analyzed with a SPSS 12.0 program, and frequency analysis, cross-tabs and multiple logistic regression analysis were utilized. As a result, facility environments were identified as one of the variables that had a significant impact on the quality of life of the elderly people with dementia. There are some suggestions about how to boost their quality of life: First, good environments should be prepared in consideration of the characteristics of elderly people with dementia in order for themto be satisfied with their own quality of life, and the way of looking at their potentials should be changed. Second, it's found that main caregivers affected the quality of life of the elderly people with dementia, and the kind of programs that focus on the improvement of the relationship between elderly people with dementia and their main caregivers is required. Third, there should be a change in the environments of the facilities. The facilities should be well equipped to successfully respond to the symptoms of elderly people with dementia. To redress their poor accessibility to the facilities, infrastructure involving nursing homes and professional personnels should be built by utilizing the Internet, and the facilities and local community should make concerted efforts to provide quality care to elderly people in want of it.