• Title/Summary/Keyword: The Elderly of dementia

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A Basic Study on The Architectural Characteristic of the Group Home in Japan (일본 그룹 홈의 건축적 특징에 관한 기초연구)

  • Yang, Yoon-Sil;Kim, Tae-Il
    • Korean Institute of Interior Design Journal
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    • v.23 no.4
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    • pp.248-256
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    • 2014
  • According to data from the national office of Statistics Korea and Ministry of Health and Welfare, as the elderly population increases, the dementia elderly population continues to increase and its future population growth rate is expected to be even faster. In particular, the Dementia Management Act has been in effect since February 2012, and active efforts has been made for a policy for the dementia management. The purpose of this study is to establish standards on building plans based on the appropriate scale and spatial configuration on facilities planning for the elderly with dementia. Specifically, the basic data were collected with a request for a total of 103 points on the basis of a database of group homes in the survey managed by the Japan Association of Group Homes. Specific information of the research includes the management body of facilities operation, scale of the facilities, number of units and configuration of personal living space, and the collected survey data and drawings were statistically proceed and analyzed using the SPSS WIN 20.0. analysis results are summarized as follows. first, most of the group homes come to the small size of the 1-2 story home ; the approximate number of units is one or two per home, and each unit consists of nine rooms. second, a number of group homes with the building area of $300m^2$ have the U-shaped arrangement which is advantageous in the extension and facilities maintenance. In conclusion, this study is to be the fundamental data for judgments that can be used to establish standards for the facilities for the dementia elderly whose population continues to increase. In addition, further study is necessary to establish suitable design conditions of our country.

The Effects of a Folk Play Program on Cognition, ADL, and Problematic Behavior in the Elderly with Dementia (민속놀이 프로그램이 치매노인의 인지기능, 일상생활수행능력 및 문제행동에 미치는 효과)

  • Kim, Jung-Soon;Jung, Jeong-Sim
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1153-1162
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    • 2005
  • Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.

Effect of Aerobic Exercise Program Participation on the Dementia-related Factor and Cognitive Function in Elderly Women with Dementia (유산소운동프로그램 참여가 경증치매 여성 노인의 치매관련 인자 및 인지기능에 미치는 영향)

  • Jeong, Jin Hyup
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.227-234
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    • 2019
  • This study aimed to investigate the effects of participating in an aerobic exercise program three days a week and 50 minutes a day on dementia related factors and cognitive function in elderly women with mild dementia. For this, among 17 elderly women aged 65 and above, 10 elderly women were randomly assigned to the experimental group and 7 elderly wonmen to the control group. As a result of comparative analysis, conclusions were drawn as follows: There was a significant difference (p<.05) in the DHEA-s change between the two groups according to whether or not the aerobic exercise program was performed. Changes in cognitive function did not show any significant difference in the interaction effects of group, period, period${\times}$group. These results suggest that the aerobic exercise program did not show statistically significant effects on the dementia related factors and cognitive function changes of the elderly women with mild dementia. The reason for this is that the followings should be analyzed in more detail, but the lack of control on the daily life (diet) of the study subjects, which was considered as a limitation in this study, seems to be the biggest cause. Based on the results of this study, we hope that this study will be used as a basic data for improving the quality of dementia.

A Study about Health related Quality of Life, Burden and Coping Ability for Family Caregivers caring for Dementia Elderly (치매노인 가족의 부담감, 대처능력과 건강관련 삶의 질과의 관계)

  • Yoo, Moon Sook;Kim, Yong Soon;Kim, Ki Sook
    • 한국노년학
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    • v.30 no.4
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    • pp.1117-1127
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    • 2010
  • The aims of the study is to identify levels of burden, coping ability and health related quality of life and relationships among family caregivers who care dementia elderly using daycare center. Subjects were all major caregivers from conveniently selected 8 daycare center for dementia in a middle size city in Korea and final analyzed sample was 93. Data were collected through self-reported questionnaire from April to June, 2010. This study's results include the followings. First, the result indicated that mean score of health related quality of life among respondents was 69.34(SD 12.04). Secondly, there were significant differences in caregiver burden by age, education level, occupation and coping ability by education level and monthly income, health related quality of life by age, type of marriage, relation with dementia elderly. Finally, we can found significant negative relationships health related quality of life with caregiver burden and coping ability. Therefore, the findings of this study suggest that the program about development of intervention to reduce caregiver burden and to improve coping ability should consider for advanced health related quality of life of dementia elderly's caregiver.

A Study on the Effect of Collective Art Treatment based on Reminiscence Therapy on the Depression, Interpersonal, Relationships, and the Subjective Sense of Happiness among the Elderly with Dementia (회상요법을 활용한 집단미술치료가 치매노인의 우울, 대인관계, 주관적 행복감에 미치는 영향)

  • Kim, Gyoung-Hwa
    • Industry Promotion Research
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    • v.6 no.4
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    • pp.47-58
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    • 2021
  • The purpose of this study is to analyze the effect of reminiscence-based collective art therapy on the depression, interpersonal relationships, and the subjective sense of happiness among the elderly with dementia. The study was conducted on 30 volunteers with dementia aged 65 or older attending the S Weekly Care Center located in S-gun as subjects during the period between November 7, 2020 and January 2, 2021 with one session week for a total of 12 sessions. The SPSS 24.0 statistics program has been used for various data analyses, including confidence verification, cross tabulation analysis, independent sample T-test, 3×2 multi-variant analysis. The study findings are as follows. First, the collective art therapy based on reminiscence therapy is effective in reducing the depression among the elderly with dementia. Second, the collective art therapy based on reminiscence therapy is effective in promoting interpersonal relationships among the elderly with dementia. Third, the collective art therapy based on reminiscence therapy is effective in improving the subjective sense of happiness among the elderly with dementia. Therefore, the reminiscence-based collective art therapy is found to serve as an effective means to relieve depression, improve interpersonal relationships and to promote a subjective sense of happiness among elderly people witn dementia.

Satisfaction and Experience of the Elderly with Dementia for the Service Provided by the Dementia Day Care Center (치매주간보호센터에서 제공하는 서비스에 대한 치매노인의 만족도와 경험)

  • Kim, Hwasoon;Lee, Young-Whee;Jung, Da-Woe;Lee, Jee-Yeon
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.609-627
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    • 2019
  • The purpose of this study was to explore service satisfaction of the elderly using dementia day care center and the meaning of day care experience. The subjects for this methodological triangulation study were 67 dementia elderly for 1:1 interview and 15 dementia elderly for focus group interview. All subjects were using dementia day care center. The mean age was $79.95{\pm}5.90$ for quantitative study and $80.07{\pm}5.78$ for qualitative study subjects. The mean scores of service satisfaction were ranged from $2.86{\pm}0.41$ to $2.96{\pm}0.30$. The lowest score domain was 'help and assistance', and the highest score domain was 'food and environment'. In 14 questions, satisfaction score was 3 point. According to content analysis, the experiences of dementia day care center were described with 20 themes such as 'mutual respect and understanding', 'pleasure and upset feelings about participation', etc. and 35 sub-themes. The overall satisfaction scores were high and in most cases the positive experiences with dementia day care service were described. Therefore it is recommended for mild dementia elderly to use dementia day care service and to be expanded.

A Study on the Leisure Clothing Design for Elderly with Mild Dementia (경증(輕症) 치매노인人)을 위한 여가복(閭家服) 디자인 연구(硏究))

  • Park, Hye-Won;Lee, Hyun-Young
    • Journal of Fashion Business
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    • v.11 no.4
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    • pp.42-51
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    • 2007
  • The purpose of this study is to develop clothing design for mild dementia patients who display positive action in clothing for the improvement of the quality of life of the dementia patients following the symptoms of patients in accordance with the clinical classification to provide the functional assistance for ordinary living as well as emotional stability and aesthetic functions for the dementia elderly. The method of research is performed for theories through the advanced research and documentary data, and interpreted in functional and aesthetic level on the basis of the result of advance survey related to the characteristics of the mild dementia patients and clothing conduct of elderly with light dementia to select the material, color, decoration and functional design with four pairs for women and two pairs for men. Designs for the total of six have been actually produced by making the map, including the material swatch, color and others. The questionnaire as the measuring tool is used and the assessment category is made for the adaptability of design on each category. On the six clothes that are produced for the mild dementia patients, the statistics package SPSS Ver 12.0 is used for the data analysis on questions 8-10 for the frequency analysis. In overall, the leisure clothing for mild dementia patients developed from this research are generally satisfied, and overall type, material, color, detail and arrangement are generally evaluated highly, and have the assessment of normal or better in the color size and type.

The Prescribing Patterns of Antipsychotic Drugs and Antiparkinsonian Drugs in Elderly Patients with Dementia (노인 치매 환자의 항정신병약물 및 항파킨슨약물 처방 현황)

  • Yoon, Soo Mi;Lee, Sungwon;Chang, Ji-Eun;Lee, Young Sook;Rhew, Kiyon
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.2
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    • pp.81-86
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    • 2020
  • Background: The number of patients with dementia continues to increase as the age of aging continues to grow. Psychiatric symptoms caused by senile dementia are controlled using antipsychotics. However, these antipsychotics can lead to Parkinson's disease, and abuse of dopamine derivatives such as levodopa among Parkinsonian drugs can lead to psychosis. Therefore, we evaluated the patterns of prescribed antipsychotics and antiparkinsonian drugs in patients with senile dementia. Methods: We used data from the sample of elderly patients from the Health Insurance Review and Assessment Service (HIRA-APS-2016). We analyzed the patterns of prescribing antipsychotics and antiparkinsonian drugs including prescribed daily dosage, period of prescription, and number of patients with both antipsychotics and antiparkinsonian drugs for senile dementia. Results: Among the 159,391 patients with dementia included in this analysis, 4,963 patients (3.1%) and 16,499 patients (10.4%) were prescribed typical and atypical antipsychotic drugs, respectively. The most frequently prescribed typical antipsychotic was haloperidol (4,351 patients with dementia), whereas the atypical agent was quetiapine (12,719 patients). The most frequently prescribed antiparkinsonian drugs were in the order of levodopa/carbidopa, benztropine, and ropinirole. In addition, 1,103 and 3,508 patients prescribed typical and atypical antipsychotics, respectively, were co-prescribed antiparkinsonian drugs. Conclusions: Atypical antipsychotics were the preferred prescription in patients with senile dementia. The prescription dose was relatively low; however, the average treatment duration was mostly long-term. Selection of antipsychotics and/or antiparkinsonian drugs should be made carefully in senile dementia and the causal relationship of adverse drug reactions needs further study.

Comorbidity and Health Habits of Seoul City Elders with Dementia (서울시 치매노인의 동반질환 및 건강습관)

  • Lee, Yoon-Kyoung;Sung, Mi-Ra;Lee, Dong-Young
    • Journal of Korean Academy of Nursing
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    • v.41 no.3
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    • pp.411-422
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    • 2011
  • Purpose: The aim of this study was to clarify the actual condition of elders with dementia who were registered in the Seoul Dementia Management Project. Methods: Data were collected from 5,312 elderly patients with dementia. Demographic included characteristics, comorbidity, and healthy lifestyle habits; data from the Seoul Dementia Management Project. Results: First, demographic characteristics were as follows; mean age at the time of definite diagnosis was 78.0 yr. There were slightly more women (69.3%), and 4.55 yr was the average length of education with 41.4% being illiterate or uneducated patients. Second, there were several comorbidities including hypertension (61.7%), diabetes mellitus (31.8%), hypercholesterolemia (10.2%), heart disease (11.1%), obesity (4.2%), and stroke (21.4%). Third, alcoholic history was found in 11.8% of the patients, and smoking in 9.8%. Regular exercise was done by only 29.1% of the patients with dementia. Finally, significant differences between men and women were found for the following; age, education, medical security, hypertension, diabetes mellitus, stroke, alcoholic consumption, smoking, and regular exercise. Conclusion: Authors expect that the present data will be used for establishment of dementia associated projects and policies.