• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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• pp.17-28
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• 2010

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. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

• 한국노년학
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• 제29권3호
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• pp.1123-1140
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• 2009

본 연구는 주간보호센터의 중풍노인이 이야기치료 집단상담을 통해 치매노인과의 갈등을 해결하는 과정을 탐색하는 연구이다. 중풍노인에 대한 이야기치료 집단상담을 7회 동안 실시한 과정을 사례연구방법을 통해 분석하였다. 분석결과 첫째, 중풍 노인들이 집단상담을 통해 치매노인을 '문제'가 아니라 '치매로 고통받는 사람'으로 보고, 치매노인을 비난하는 대신 도와줄 방법을 적극적으로 찾게 되었으며, 둘째, 자신들을 '치매노인의 피해자'가 아니라 '유능한 사람 으로 규정하게 되었고, 셋째, 중풍노인들끼리 협력적이고 친밀한 관계가 되었으며, 넷째, 중풍노인들이 주간보호센터 운영에 적극적으로 참여하게 된 것으로 나타났다. 이러한 변화에 이야기치료의 문제와 사람을 분리시키기, 클라이언트를 자기 문제의 전문가로 존중하기, 독특한 결과 찾기 등이 도움이 된 것으로 분석되었다. 이러한 결과를 바탕으로 장기요양보호대상자에게 보호를 제공할 뿐만 아니라 참여 기회를 확대하고, 이야기치료를 노인에게 적용할 것을 제안하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권1호
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• pp.25-33
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• 2010

This study is to realize the importance of the therapeutic environment of nursing facilities for elderly people; to comparatively analyze the therapeutic environment elements of the facilities in Gwangju, Jeonnam area, Seoul, and Japan by classifying the therapeutic environment elements according to two aspects on the basis of preceding studies; and to find out the differences among the three regional groupsnaFirst, all therapeutic elements were put together on the basis of two preceding studies based on the two aspects. Second, an expert group was organized primarily with architects and care-givers to find out the therapeutic environment elements of nursing facilities for elderly people with dementia, and to draw up an evaluation standard. Third, the regional differences were analyzed, by comparing the distribution of therapeutic elements of the facilities in Gwangju-Jeonnam area, Seoul, and Japan, through the found therapeutic environment elements. Consequently, eighteen therapeutic environment elements were found out of total 32 elements, and the elements were classified into nine factors based on the meaning of each element. The therapeutic environment elements were showed highest in Japan, and lowest in Gwangju-Chonnam area according to the comparative case analysis based on the nine factors. Especially, there were great regional differences in terms of awareness, safety, orientation, privacy, and freedom of choice.

• 한국컴퓨터정보학회논문지
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• 제21권12호
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• pp.51-58
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• 2016

Recently, with various developments made to smart-phones and other digital devices in the IoT environment, modern people tend to pursue comfort in their own lifestyles. These environment has helped us to obtain any information or data in despite of location and time. But it has caused them to be overly reliant on digital devices in doing any kind of daily work, trusting the digital devices more than oneself. As a result of this over reliance, modern people's memorizing and calculating ability have deteriorated critically. This symptom is known as the Digital Dementia. In this paper, we study the phenomenon of digital dementia caused by smart-phones, and we suggest a method of developing "memorize the phone number" game applications in IoT environment to the problem of digital dementia. Test results show that, through the use of application, not only the users were able to have fun memorizing the numbers, but also, to show improvement in their memorizing ability. Thus, we expect that the application suggested above will help in preventing digital dementia and maintain brain health.

• 재활간호학회지
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• 제19권2호
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• pp.128-137
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• 2016

Purpose: This study was designed to describe the experiences of dementia prevention program for older adults in nursing homes. Methods: Four focus group interviews (FGI) after the program were conducted with 35 participants. All interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed by Colaizzi's phenomenological method. Results: Four themes emerged as a result of analysis. Participants without dementia reported "I don't have dementia yet." This statement probably reflects ignoring potential dementia. Motivation for participating the dementia prevention program were to reduce boredom, to enjoy exercising and communicating with others, and to follow group activities. Participants reported the positive effects of the program; (a) benefits from the repeating learned activities; (b) improvements of memory and emotional stability. A few participants reported their inability to follow the program due to physical and environmental limits. However, other participants reported their efforts to overcome physical limits and perform the activities regardless their limits. People who performed the activities with physical limits reported that their self-satisfaction was increased. Conclusion: Results of this study showed that participants without dementia were able to actively participate in dementia prevention programs and showed memory, emotional and behavioral improvements. Therefore, these findings can be used for developing customized dementia prevention programs in nursing homes.

• 한국콘텐츠학회논문지
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• 제18권4호
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• pp.653-663
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• 2018

본 연구는 중장년층의 치매관련 태도 및 치매예방행위의 정도, 그리고 상관관계를 확인하기 위한 서술적 조사연구이다. 본 연구에서는 2017년 10월 1일부터 9일까지 국내의 40~60대 중장년층을 대상으로 온라인 설문조사를 통해 자료를 수집하였으며 최종 220부의 설문지가 수거되었다. 자료는 t-test, One way ANOVA, Pearson's correlation coefficient 등을 통해 분석되었다. 연구결과는 다음과 같다. 첫째, 연구대상자 중 52.7%가 치매예방에 대한 관심이 높았으나 단지 5.9%만이 치매와 관련된 교육을 받은 경험이 있었다. 둘째, 암, 뇌혈관질환, 심혈관질환에 비해 치매 발병에 대한 두려움은 높았으나, 질병극복에 대한 자신감, 일상생활 유지 가능성에 대한 기대감, 가족 및 주변인의 도움에 대한 기대감, 국가의 의료 및 경제적 지원에 대한 기대감은 유의하게 낮았다. 셋째, 치매예방행위를 실천할수록 질병극복에 대한 자신감, 일상생활 유지가능성에 대한 기대감, 가족 및 주변인의 도움에 대한 기대감, 국가의 의료 및 경제적 지원에 대한 기대감이 높아졌으며, 치료비의 부담감이 낮아졌다. 본 연구결과를 통해 노인질환으로만 생각하였던 치매에 대해 중장년층의 인식 변화와 조기예방을 위한 사회적 제도 마련 및 교육, 홍보 활동이 필요하다는 것을 확인하였다. 결과적으로 이러한 개인적, 사회적 노력은 치매로 인한 신체적, 심리적, 사회 경제적인 문제를 감소시켜 국민의 삶의 질을 향상시킬 것이라 사료된다.

• 치위생과학회지
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• 제20권2호
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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.

• 대한간호학회지
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• 제46권4호
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• pp.475-489
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• 2016

Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.

• 한국농촌건축학회논문집
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• 제14권4호
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• pp.19-26
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• 2012

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in skilled nursing facilities. The thorough investigation and observation works were made from the view points of daily living behaviors and behavioral places of the recuperating elderly with dementia in skilled nursing facilities. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 3 skilled nursing facilities. The results of this study are summarized as follows; There is no wide difference between skilled nursing facilities on the characteristic of living behaviors of the elderly with dementia. Daily living activities and the use of spaces are largely influenced by the daily program and the operation policy of each skilled nursing facilities in addition to human relationship of the elderly with dementia. Common spaces such as day room, dining room plays an important role for their daily living activities, because that most of the elderly with dementia stay long during daytime. Layout of each private room and common space seems very crucial point in designing these facilities, in order to enable demented people to live their lives more independently.

• 한국농촌건축학회논문집
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• 제10권1호
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• pp.93-100
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• 2008

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in skilled nursing facilities. The thorough investigation and observation works were made from the view points of daily living behaviors and behavioral places of the recuperating elderly with dementia. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 skilled nursing facilities. The results of this study are summarized as follows; There is no wide difference between skilled nursing facilities on the characteristic of living behaviors of the elderly with dementia. Daily living activities and the use of spaces are largely influenced by the daily program and the operation policy of each skilled nursing facilities in addition to human relationship of the elderly with dementia. Common spaces such as day room, dining room plays an important role for their daily living activities, because that most of the elderly with dementia stay long during daytime. Layout of each private room and common space seems very crucial point in designing these facilities, in order to enable demented people to live their lives more independently.