• Title/Summary/Keyword: Prevention of Dementia

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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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A Study on Dementia Related Attitudes of the Middle Aged and Their Dementia Preventive Behaviors (중장년층의 치매관련 태도와 치매예방행위에 관한 연구)

  • Park, MiJeong;Oh, Doonam;Moon, Heakyung
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.653-663
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    • 2018
  • This study is a descriptive survey to examine the dementia related attitudes and dementia preventive behaviors in middle aged and to determine the relationships between the both sides. In this study, between October 1st and 9th, 2017, data were collected from the middle aged people in their 40s~60s in Korea through online questionnaires. Finally, 220 questionnaires were analyzed by t-test One way ANOVA, Pearson's correlation coefficient, and etc. The results of the study are as follows. First, 52.7% of the subjects were interested in prevention of dementia, but only 5.9% of them had experience of receiving education related to dementia. Second, fear of dementia was higher than cancer, cerebrovascular disease, and cardiovascular disease, but confidence in coping with the disease, expectation of the possibility of maintaining the daily life, expectation of the help of the family and the surrounding people, expectation of the national medical and economic support were significantly lower. Third, as the dementia preventive behaviors were implemented, the confidence in overcoming the disease, the expectation of the possibility of maintaining the daily life, the expectation of the help of the family and the surrounding people, the expectation of the medical and economic support of the country increased and the burden of the treatment cost was lowered. As a result, it is thought that this personal and social effort will improve the quality of life of the people by reducing physical, psychological, social and economic problems caused by dementia.

Effects of home-based cognitive and physico - occupational therapy program on cognitive function, depression and quality of life in dementia patients of a community (가정방문 인지 및 신체활동 작업치료 프로그램이 재가 치매환자의 인지, 우울 및 삶의 질에 미치는 효과)

  • Yoon, Hyun-Sung;Lee, Kang-Sook;Jeong, Won-Mee;Park, Yong-Jun;Park, Hanul
    • Korean Journal of Health Education and Promotion
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    • v.33 no.1
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    • pp.23-32
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    • 2016
  • Objectives: The aim of this study was to examine the effects of home-based cognitive physico-occupational therapy(HBCPOT) on cognitive function, depression, and quality of life in dementia patients, using a cognitive impairment model. Methods: The data was analysed for Mini-Mental State Examination-Korean version (MMSE-KC) for assessing cognitive function, Quality of life-Alzheimer's Disease (QOL-AD) and Geriatric Depression Scale (GDS) in 31 dementia patients who received home-based cognitive physico-occupational therapy for one hour once a week for 12 weeks by a trained occupational therapist at the Dementia Prevention and Management Center of Y-city during 20111-2013. Results: Among these 31 patients, 18(58.1%) were female, and 25(80.6%) had Alzheimer's Disease. After HBCPOT, the mean scores of MMSE-KC and QOL-AD were significantly improved, but GDS score was not significantly decreased. Conclusions: It was suggested that HBCPOT was effective in improving cognitive function and quality of life.

Comparison of Demographic Characteristics, Comorbidity, and Health Habits of Older Adults with Mild Cognitive Impairment and Older Adults with Normal Cognitive Function (경도인지장애노인과 정상노인의 인구학적 특성, 동반질환 및 건강습관 비교)

  • Park, Myonghwa;Sung, Mi Ra;Kim, Sun Kyung;Lee, Dong Young
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.351-360
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    • 2014
  • Purpose: This study was done to compare demographic characteristics, comorbidity, and health habits of elders with mild cognitive impairment (MCI) and elders with cognitively normal function (CNF). Methods: Secondary data analysis was conducted using data from the Database of the Seoul Dementia Management Project for 5,773 adults age 60 and above. Results: The MCI group showed an older age distribution, but there was no significant education difference between the two groups. Elders with MCI had more diabetes and stroke than elders with CNF. In subgroups, the same findings were observed in women, but not in men. While more men with MCI had hypertension compared to men with CNF, there was no significant difference in hypertension between the two groups for women. Elders with MCI, men in particular, had a lower prevalence of obesity than men with CNF. MCI individuals did less exercise compared to individuals with CNF. While there were no significant differences in alcohol consumption and smoking between MCI and CNF groups, the over 80's subgroup with MCI reported more alcohol consumption. Conclusion: Findings from this study could be helpful in designing community-based dementia prevention programs and health policies to reduce the prevalence of dementia or related cognitive impairments.

Effects of Dementia Risk Factors on the Cognitive Function Ability decline of the Elderly Living Alone (독거노인의 치매 위험인자 보유상태가 인지기능 저하에 미치는 영향)

  • Ham, Min-Joo;Cha, Tae-Hyun
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.265-272
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    • 2018
  • This study is a descriptive study to investigate the factors influencing the level of cognitive function among elderly living alone according to the presence of dementia risk factors. We conducted a simple questionnaire, GDS-K and MMSE-DS tests to investigate the risk of dementia among 143 elderly people living alone in the community. The results showed that the major factors influencing the cognitive function of the elderly people living alone were education, age, depression status, smoking, leisure activities, and gender. In order to develop strategies for the prevention of dementia in the elderly people living alone, it is necessary to change lifestyle and provide various management methods to identify risk factors that negatively affect cognitive function and to help cognitive health.

Analysis of Correlations among β-amyloid, Serum Lipid Levels, and Cognitive Function in the Elderly with Mild Alzheimer's Dementia (경증 알츠하이머 치매노인에서 베타 아밀로이드 및 혈중 지질 수준과 인지기능과의 상관관계 분석)

  • Nam, Seung-Min;Lee, Do-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.115-120
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    • 2019
  • This study was undertaken to determine the correlation between β-amyloid, serum lipid levels, and cognitive function in the elderly with mild Alzheimer's dementia. The study was conducted in December 2018, enrolling 45 elderly people with mild Alzheimer's disease. Blood analysis measured the β-amyloid and serum lipid levels, and cognitive function was measured using MMSE-K. The correlation between β-amyloid, serum lipid levels and cognitive function was determined using Pearson's correlation analysis. A significantly negative correlation was observed between the β-amyloid level and cognitive function (p<0.05). Furthermore, serum lipid levels and cognitive function also revealed a significantly negative correlation between TC and LDL levels (p<0.05). These results indicate that increasing levels of β-amyloid, TC, and LDL augments a negative correlation that decreases the cognitive function, signifying that management of pathologic factors related to dementia is important for the prevention and improvement of cognitive function in dementia patients.

A Study of Dementia Patient Care Monitoring System Based on Indoor Location Using Bluetooth Beacon (블루투스 비콘을 활용한 실내위치기반 치매환자 모니터링 시스템에 관한 연구)

  • Kwon, Dae-Won
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.217-225
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    • 2016
  • In this study, a dementia patient care monitoring system is suggested that uses a wearable type bluetooth beacon to prevent them from going missing. This system shows whether the patients stay within the manageable area and sends a warning message to their monitoring managers' or guardians' smart devices when they leave it. The feature of the system is that it provides the service based on indoor location that makes the beacon worn by dementia patients continuously transmit their location information to the managing server through the smart terminal installed indoors or in hospitals and that enables the monitoring managers or the guardians to receive messages sent from the server that tell the patients' whereabouts through their smart devices. The system suggested in this paper is believed to be a system that effectively contributes to the prevention of the dementia patients' going astray from the hospitals and facilities where they are taking care.

Systematic Review of Evidence-Based Intervention for Gait in Dementia Patient (치매환자의 보행에 관한 근거기반 중재에 대한 체계적 고찰)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.667-675
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    • 2021
  • This study conducted a systematic review of evidence-based interventions to confirm the importance of gait in dementia patients and to inform the necessity of various interventions necessary for gait. Based on PRISMA's guidelines and evidence-based intervention, a systematic review were conducted, and papers published in domestic journals for the past 10years were collected, and the dependent variables measured along with the intervention type and gait were analyzed. For data search, research papers from January 2011 to June 2020 were collected through RISS, KISS, the National Library of Korea, and the Library of Congress. The main search terms were 'dementia patient', 'walking', and 'walking ability'. Searched 57 papers on dementia patients and gait that meet the literature selection criteria. Among them, papers overlapping with papers before 2010, papers whose dependent variable is not related to gait ability were excluded, and finally, other than dementia diseases. As for the type of gait intervention, there were many programs related to exercise such as fall prevention and physical activity, and the dependent variables measured along with gait were physically and psychologically diverse. Although domestic studies for dementia patients are conducted in a variety of directions and methods, there are few studies on the improvement of function and gait of the lower extremity part of the body. Therefore, it is necessary to study the multifaceted and various intervention methods for walking in dementia patients.

Effects of Vitamin E and Vitamin C Supplementation on the Decrease in Cognitive Function Induced by Scopolamin (비타민 E와 비타민 C 첨가가 Scopolamine에 의한 인지능력 감퇴에 미치는 영향)

  • 안향숙
    • Journal of Nutrition and Health
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    • v.32 no.3
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    • pp.239-247
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    • 1999
  • With the increasing elderly population in Korea, dementia has become a mojor health problem in Korea. Several studies have been conducted on the association between dementia and dietary intake, especially vitamin E and vitamin C. The purpose of this study was to investigate the effect of vitamin E and vitamin C supplementation on the decrease in cognitive function induced by scopolamine(300mg/kg) in rats. Rats were divided into three groups : control, vitamin C, and vitamin E supplementation(2.4g Vit C or Vit E /100g diet) and fed the diets for 6 weeks. There were significant decreases in active avoidance response and brain acetylcholinesterase activity in the control group, but no significant differences were observed in the vitamin E and C groups after scopolamine treatment. Brain dopamine concentration of vitamin E and C groups was significantly higher than those of control group after scopolamine injection. The concentrations of brain norepinephrine also showed similar tendence, even though it was not statistically significant. These results indicate that vitamin E and vitamin C may protect against the cognitive function decrease induced by scopolamine. However, it is still unclear how vitamin E and C influence brain neurotransmitters and improve cognitive function. Further study is need to elucidate the role of vitamin E and C supplementation in the prevention of dementia.

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Mental Exercises for Cognitive Function: Clinical Evidence

  • Kawashima, Ryuta
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.sup1
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    • pp.22-27
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    • 2013
  • The purpose of this study was to examine the beneficial effects of a new cognitive intervention program designed for the care and prevention of dementia, namely Learning Therapy. The training program used systematized basic problems in arithmetic and Japanese language as training tasks. In study 1, 16 individuals in the experimental group and 16 in the control group were recruited from a nursing home. In both groups, all individuals were clinically diagnosed with senile dementia of the Alzheimer type. In study 2, we performed a single-blind, randomized controlled trial in our cognitive intervention program of 124 community-dwelling seniors. In both studies, the daily training program using reading and arithmetic tasks was carried out approximately 5 days a week, for 15 to 20 minutes a day in the intervention groups. Neuropsychological measures were determined simultaneously in the groups both prior to and after six months of the intervention. The results of our investigations indicate that our cognitive intervention using reading and arithmetic problems demonstrated a transfer effect and they provide convincing evidence that cognitive training maintains and improves the cognitive functions of dementia patients and healthy seniors.