• 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.

• 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.

• 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.

• Korean Journal of Clinical Pharmacy
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• v.27 no.3
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• pp.136-142
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• 2017

Background: Dementia is one of important social and economic healthcare issues in the aging age. Therefore, it signifies to analyze the relationship between chronic disease or cardiovascular drug use and the incidence of dementia to establish a basis for increasing or preventing the risk of dementia. The purpose of this study was to investigate the correlation between the prevalence of chronic diseases and the use of cardiovascular drugs in patients diagnosed with dementia. Methods: In this study, we used data from sample of elderly patients from the Health Insurance Review and Assessment Service. We analyzed by logistic regression analysis with age, gender, and medication as covariates. KCD-7 was used to diagnosis of the disease, and drugs were analyzed using ATC codes and Korean standardized drug classification codes. Results: A total of 1,276,331 patients were analyzed in the sample of the elderly population, of which 532,075 (41.7%) were male and 744,256 (58.3%) were female. The patients have the higher risk of dementia in the older, women, and lower socioeconomically status. Cerebral infarction and ischemic heart disease increases risk of dementia. Patients taking statins, angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonists (ARB) showed low incidence of dementia. Conclusion: This study has been shown that ACEI, ARB, and statin drugs may associate with lower incidence of Alzheimer's and other dementia except vascular dementia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5218-5228
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• 2012

The aim of this study is to classify the social network types among elderly people with dementia, and to examine the relationship of network type to quality of life. This is to identify influence of social network on quality of life of elderly people with dementia. And the study seeks to identify the differences of quality of life among types of social network. The data of 222 elderly people used in this study were collected from the health center and elderly people with dementia living in the community. The interview was conducted from July 17 to August 31 in 2012 using a structured questionnaire. Descriptive statistics, one way ANOVA, multiple regression analysis and also cluster analysis with the SPSS 18.0 program were used to analyze the data. As a results, three network types were classified.:(1) inactive isolated, (2) active independent (3) inactive dependent networks. Respondents in the different network type are found to have different degrees of quality of life. Respondents inactive independent network is reported to have the highest quality of life, while those with inactive isolated network are the lowest. The results of the study suggest that the classification of network types allows consideration of the interpersonal environments of elderly people with dementia. The relative effects on quality of life for elderly people with dementia, evident in the current analysis, are the case in point. Therefore Social service programs should focus on different groups based on social network type.

• Journal of Digital Convergence
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• v.14 no.2
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• pp.279-286
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• 2016

Recently, with the population growth of elderly people, concerns about oral health related to the quality of life of the elderly are increasing. The purpose of this study is to assess the association between the elderly women divided into dementia, suspected dementia, healthy groups and the remaining teeth of them. Total 177 elderly women of over 60 years old, visiting on senior center in some community dwelling, were assessed for oral condition and their cognitive function with MMSE score. All the collected data were analyzed by chi-square test, t-test, and multiful logistic regression using SPSS. Multiful logistic regression was used to analyze the relationship of dementia according to MMSE score and remaining teeth, and 95% confidence intervals were computed. Odds ratio(OR) of the number of remaining teeth 0-10 was 3.43 (95% confidence interval: 1.382-8.997). This study showed significant difference and the relationship between dementia according to MMSE score and the number of remaining teeth of the elderly women.

• Journal of Digital Convergence
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• v.18 no.5
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• pp.505-512
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• 2020

This study is done to provide basic data on the effective operation of the new policies by examining the satisfaction level of the elderly with dementia visiting dementia care centers located in 25 autonomous districts of S city. Self-administered questionnaires were distributed to 217 elderly with dementia who visited the above dementia care center from July 1 to September 30, 2019. The satisfaction tool is a chart score scale that displays negative-positive expressions at both ends of a straight line. The result shows that satisfaction level is significantly higher in the group with trust in the visiting institutions than in the group with distrust (t=9.74, p<.001), higher in cognitive impairment group than in dementia group (t=0.13, p=.034), and higher in mild depression group than in more severe depression group (t=2.31, p=.022). Satisfaction ratios analyzed by logistic regression shows significant differences in factors like gender, age, education, and walking pattern. In conclusion, it is important to run health support programs that consider user characteristics to improve the satisfaction of newly introduced dementia care centers.

• 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.

• Journal of Korean Clinical Nursing Research
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• v.14 no.2
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• pp.115-126
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• 2008

Purpose: This study was aimed to develop an aromatherapy hand massage program, and evaluate the effects of aromatherapy hand massage on cognitive function, sleep disturbance and problematic behaviors of elderly with dementia. Method: The research design was a nonequivalent control group non-synchronized quasiexperimental study. Aromatherapy hand massage was administrated to experimental groupI for 2 weeks, jojoba oil massage were administrated to experimental groupII for 2 weeks, and no treatment for control group for 2 weeks. Data were analyzed using the $x^2-test$, ANOVA, ANCOVA and $Scheff{\acute{e}}$ test in the SPSS 12.0 program. Results: Experimental group I showed significant changes in sleep disturbance and problematic behaviors compared to those in experimental groupII or control group. Conclusion: Aromatherapy hand massage program is found effective on sleep disturbance and problematic behaviors of elderly with dementia.

• 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.