• 한국농촌간호학회지
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• 제18권2호
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• pp.73-79
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• 2023

Purpose: This study describes how public health officials running clinic-centered around "Our Village's Pretty Dementia Shelter" improved their ability to cope with dementia and health by implementing early dementia screening and cognitive intervention programs. Methods: This study targeted 11 hopeful seniors from 6 villages, who were residents of the area under the jurisdiction of Health Clinic B located in County A, were over 65 years of age, and had not experienced Our Village's Pretty dementia shelters. Results: The results of the Cognitive Screening Test (CIST) showed that scores improved on all evaluation items and depression decreased. Through the dementia prevention program, health improved, vitality increased through leisure activities and cultural experiences in daily life, and the quality of life improved. Aadditionally, participating with close neighbors has become an activity that can make dementia prevention activities a habit and widespread practice. Conclusion: This case demonstrate the need for continued implementation of dementia prevention and health promotion programs for rural residents. Accordingly, it is necessary to continuously operate dementia prevention programs by diversifying them and securing expertise from rural nurses.

• 한국간호교육학회지
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• 제27권1호
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• pp.39-48
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• 2021

Purpose: This study aimed to explore factors influencing on the preventive behaviors of dementia in older Koreans enrolled in senior welfare centers to provide basic information on dementia prevention. Methods: A total of 182 older Koreans participated in this study, which employed a cross-sectional design. Data were collected using questionnaires with items related to general characteristics, depression, self-esteem, knowledge and attitudes about dementia, preventive behaviors of dementia, dementia management self-efficacy, and anxiety about dementia. Using SPSS WIN 23.0, data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression. Results: Living with a spouse (p=.013), a higher monthly income (p=.018), better nutrition (p=.010), not having a sleep disorder (p<.001), and higher number of participating programs (p=.001) were associated with better dementia prevention behaviors. Attitudes about dementia (��=.18, p=.006) and the number of programs older Koreans were participating in (��=.17, p=.006) influenced positively on the preventive behaviors of dementia, while depression (��=-.41, p<.001) and sleep disorders (��=-.17, p=.006) influenced negatively on dementia preventive behaviors. Overall, approximately 35% of the variability in dementia preventive behaviors was explained by these four variables in this study (F=24.97, p<.001). Conclusion: The findings of this study suggest that depression reduction, good attitudes about dementia, program participation, and good sleep should be encouraged to promote dementia prevention. In addition, effective and structured educational programs should be developed for older Koreans to encourage dementia preventive behaviors to reduce the risk of dementia.

• 한국엔터테인먼트산업학회논문지
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• 제14권5호
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• pp.245-253
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• 2020

본 연구는 중년층의 치매지식, 태도 및 치매예방교육 요구도를 파악하여 중년층의 치매예방을 위한 지식 향상과 긍정적 태도 강화를 통한 교육프로그램 개발과 지역사회 적용에 기초자료로 제공하고자 시도하였다. N시에 거주하는 40세~64세의 중년층 218명을 대상으로 2018년 10월 15일부터 11월 30일까지 자료를 수집하였다. 자료분석 방법은 빈도와 백분율, t-test, ANOVA, 사후검증은 Scheffé 검정, Pearson's correlation coefficients로 분석하였다. 연구결과 중년층의 치매지식 평균점수는 중간이상 수준(9.13±2.20)이었다. 치매에 대한 정답률이 가장 높은 문항은 '치매는 병이다' 88.1%이었고 '치매는 내과, 신경과, 정신과 질환 등의 병에 의해 걸린다' 30.3%은 가장 낮게 나타났다. 치매에 대한 태도(34.33±5.69), 치매예방교육 요구도(23.58±3.46)는 중간 이상 수준으로 나타났다. 치매에 대한 태도와 치매예방교육 요구도((r=.275, p<.000) 간의 통계적으로 유의한 양적 상관관계를 나타냈다. 결론적으로 치매에 대한 긍정적인 태도는 치매예방 교육요구와 밀접한 관계가 있음을 알 수 있었다. 본 연구결과를 바탕으로 중년층의 치매관련 체계화된 교육 프로그램 개발과 지역사회와 국가가 함께 상호 협력하여 치매에 대한 바람직한 정책 개선방안이 필요할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제18권4호
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• pp.89-98
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• 2018

알츠하이머와 같은 치매 유병률의 세계적인 증가추세로 치매예방에 대한 정부의 관심이 증가하고 있다. 본 연구의 목적은 최근 국내에서 발표된 치매예방프로그램 논문을 수집, 분석, 종합하여 체계적으로 문헌고찰하기 위한 것이다. 체계적인 문헌고찰을 위하여, 자료검색은 KoreaMed, Riss4u 및 9개의 간호학회지에 게재된 논문을 대상으로 하였고 '치매예방'과 '인지기능'을 키워드로 전체검색 하였다. 2000년부터 2014년 사이에 게재된 치매예방 연구논문을 대상으로 하였다. 총 250편의 연구 논문이 검색되었고 자료선정기준에 따라 최종 29편의 논문이 선별되었다. 치매예방프로그램의 종류를 분석한 결과, 운동프로그램이 전체 29편 중 11편(37.9%), 통합프로그램 9편(31.0%), 그리고 인지강화프로그램 4편(13.8%)이었다. 대부분의 연구(19편, 65.5%)는 65세 이상 노인을 대상으로 하였고 75세 이상 노인을 대상으로 한 연구는 2편이었다. 본 연구결과를 토대로 후기노인에 대한 효과적인 치매예방과 적절한 중재를 제공하기 위한 치매예방프로그램의 개발이 필요하다.

• 한국응용과학기술학회지
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• 제40권6호
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• pp.1403-1412
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• 2023

본 연구는 경로당을 이용하는 노인들을 대상으로 ICT기반 치매예방 통합프로그램을 적용하여 활력, 치매두려움 및 치매예방행위에 미치는 영향을 파악하고자 시도되었다. 프로그램 구성은 주 2회, 6주, 회기당 30분 분량으로 총 12회차이며 단일군 전후 실험설계이다. 자료분석은 기술통계, Paired t-test, Pearson's correlation coefficient를 이용하였다. ICT기반 치매예방 통합프로그램은 경로당 노인의 활력과 치매예방행위를 증가시키고, 치매두려움은 감소시키는 것으로 나타났다. 이러한 연구결과를 통해 ICT기반 치매예방 통합프로그램을 경로당 이용노인의 치매예방를 위해 실무현장에서 활용할 것을 권장한다.

• PNF and Movement
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• 제18권2호
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• pp.275-286
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• 2020

Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.295-303
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• 2020

본 연구의 목적은 경도인지장애를 가진 노인을 대상으로 치매예방프로그램과 더불어 일상생활관리프로그램을 접목하여 적용 하였을 때, 치매예방프로그램을 통한 인지기능, 우울, 건강증진생활양식의 변화가 유지되거나 향상되는지 알아보고자 연구를 진행하였다. 연구 진행은 2019년 4월 1일부터 8월 9일까지 진행되었으며, 서울특별시에 위치한 치매안심센터에서 치매예방프로그램에 참여한 경도인지장애 노인 30명을 대상으로 하였다. 연구결과 일상생활관리프로그램을 자발적으로 꾸준히 실천한 실험군에서 대조군과 비교해 인지기능(MMSE-DS), 건강증진생활양식(HPLP-II)이 유지 및 향상됨을 보였으며, 우울감(SF-GDS)은 감소한 것을 알 수 있었다. 본 연구 결과를 바탕으로 향후 연구에서는 치매예방프로그램의 효과를 장시간 유지 및 향상시키기 위한 일상생활관리 프로그램이 다양하게 개발되길 바라며, 경도인지 장애를 가진 노인들에 독립적인 일상생활을 유지하기 위한 전향적 연구가 다양하게 이루어지길 바란다.

• PNF and Movement
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• 제15권2호
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• pp.209-216
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• 2017

Purpose: The purpose of this study was to compare the status of the dementia prevention programs, dementia support centers, and elderly welfare centers in major metropolitan cities to acquire data for future program development and dissemination and the specialization of dementia prevention personnel. Methods: Data were gathered through internet surveys and telephone questionnaires from 15 special demented elderly care centers and elderly welfare centers registered in five metropolitan cities from June 27 to Oct 25, 2016. Results: Dementia care programs were available at 15 centers. Seoul City was running the most diverse dementia programs, and all five cities were spending a significant amount of time on the cognitive therapy program within several dementia programs. In addition, many social workers hosted the program and the frequency of social welfare work was three times a week. Conclusion: To increase the dementia prevention policies' efficiency, an understanding of dementia has already been established. Experts who can provide client-centered, problem-solving programs will play the role of physical therapists and occupational therapists. However, more research is needed.

• 보건의료산업학회지
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• 제12권4호
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• pp.155-172
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• 2018

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

• 대한간호학회지
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• 제52권3호
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• pp.341-358
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• 2022

Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.