• 대한치과의사협회지
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• 제56권4호
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• pp.231-237
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• 2018

The number of patients with dementia in Korea is estimated to be 576,000 in 2013 and 648,000 in 2015, and 840,000 in 2020 and 2,710,000 in 2050. Therefore, it can be expected that the number of patients with dementia will increase among the elderly patients who are looking for dentistry. Dementia and oral hygiene are closely related, so the future role of the dentist is very important. In order to treat effectively the patients with cognitive disorders, we should consider effective communication methods with them. Xerostomia is another important factor affecting oral health of dementia patients. In establishing the dental treatment plan, the most appropriate treatment method should be selected considering the characteristics of individual dementia patients and all possible efforts should be made for successful treatment results.

• 한국식생활문화학회지
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• 제34권4호
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• pp.389-400
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• 2019

In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

• 한국식생활문화학회지
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• 제32권6호
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• pp.534-548
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• 2017

Elderly with dementia in geriatric hospitals (EDGH) are highly dependent on hospital meals. This study evaluated the foodservices satisfaction and food preference of the EDGH. The survey was conducted on 104 elderly with dementia (21 males and 83 females) in 4 geriatric hospitals in Seoul and Incheon in November, 2016. Data were collected from interviews using a questionnaire that consisted of 6 questions for foodservice satisfaction and 24 questions (10 categories) for food preference. The data were analyzed using SPSS ver. 20.0. The satisfaction with taste, saltiness, texture, and variety in foodservices was good, but the satisfaction with the amount was not, and the reason for leaving food was its large serving size. The subjects preferred soft boiled rice, noodles, porridges, meats, fish, seafood, vegetables, and fruits. Among them, they preferred more janchiguksu, red bean porridge, beef, croaker, oyster, spinach, and banana. Regarding the cooking methods, they preferred soup, grill, and boiling, but not frying. The also preferred Chinese cabbage kimchi, but they did not prefer hard kkakdugi. They did not prefer milk because of diarrhea, but they preferred yogurt. Therefore, to provide a satisfying meal for EDGH, it is necessary to develop a friendly diet considering their food preferences.

• 동의신경정신과학회지
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• 제24권4호
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• pp.353-362
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• 2013

Objectives: This study is conducted to identify the effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Methods: A non-equivalent control group with pretest-posttest design was used on 50 elderly who were assigned to the experimental and control group (25 for each group). Results: Cognitive function was significantly different between the two groups of the pretest and posttest (Z=4.217, p<.001). There were significant differences between the two groups of the pretest and posttest (Z=-2.324, p=.020) for the quality of life on the EQ-5D index. Conclusions: These findings confirmed that the activity program for preventing dementia was effective for improving cognitive functions and quality of life for the elderly. Therefore, it is further encouraged to perform the activity programs for preventing dementia within other community health posts and community centers. It is necessary to study the emotional supports from community health posts in the future.

• 농촌의학ㆍ지역보건
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• 제43권3호
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• pp.180-190
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• 2018

본 연구는 농촌지역 경증 치매노인의 삶의 질을 측정하고, 이들의 인구사회학적 특성, 주관적 건강인식, 동반질환, 의존성, 수면, 우울 등 대상자의 삶의 질에 관련된 요인들을 살펴본 상관연구로써, 대상자의 삶의 질 향상을 위한 여러 대안들을 위한 기초자료를 제공하고자 본 연구를 시행하였다. 본 연구의 대상자는 본 연구의 수행에 동의한 충청북도 ${\bigcirc}{\bigcirc}$군 보건소에 등록된 65세 이상의 경증 치매노인으로, 대상자로부터 동의서를 받은 후 설문지를 이용하여 자료 수집을 하였다. 본 연구결과 농촌지역 경증 치매노인의 주관적 건강인식과 의존성, 수면, 우울이 삶의 질과 상관성을 보이는 것으로 나타났고, 우울은 삶의 질의 변인으로써 54%를 설명하는 것으로 나타났다. 결론적으로 삶의 질에 유의한 예측변수는 우울이었다. 위의 결과로 다음과 같은 제언을 하고자 한다. 첫째, 대상자의 삶의 질에 영향을 미치는 우울의 원인을 파악하고, 그에 따른 지원정책을 분류하여 제공할 필요가 있다고 생각된다. 둘째, 대상자의 우울이 삶의 질에 영향을 주는 것으로 볼 때, 치매노인들의 정신적 건강상태에 따른 의료적 환경과 접근에 있어서 보다 더 용이한 환경이 되도록 보건소와 병원, 노인전문요양시설간의 지역사회내의 연계체계 구축을 통해 통합적 정신건강서비스를 제공할 필요가 있다고 생각된다. 특히 지역 간 보건의료자원의 불균형이 심한 농촌지역의 특성을 고려하여 보건소를 기점으로 보건지소나 보건진료소와 같은 공공보건의료체계를 포괄적이고 효율적으로 보강할 것을 제언한다. 셋째, 본 연구는 일개 농촌지역에 국한되어 선정 기준에 맞는 대상자들만 연구에 포함시켰기 때문에 연구결과를 우리나라 전체 경증 치매노인에게 일반화시키는데 제한적이므로 연구지역을 확대할 것을 제언한다. 또한 경증치매 노인을 위해 개발되는 간결한 검증된 도구의 사용이 필요하다고 본다. 넷째, 경증 치매노인이 평균적으로 어느 정도의 우울을 동반하는지에 대한 후속 연구를 통해 치매정도를 고려한 인지향상 프로그램 외에 우울의 정도에 따른 개별화된 예방 중재 프로그램이 개발되어 장기적인 효과를 확인할 것을 제언한다.

• 한국농촌간호학회지
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• 제17권2호
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• pp.67-74
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• 2022

Purpose: This study aimed to describe a non-face-to-face dementia prevention and physical activity program in small rural villages during the COVID-19 pandemic. Methods: The study used a case report provided by a primary healthcare post in Gyeonggi-do in 2020. Results: The program was "From head to toe, stay healthy", which was largely divided into dementia prevention ("Dementia Zero Zone") and physical activity ("The less fat, The healthier body"). Five elderly people aged 75 and over participated for preventing dementia, and 13 residents joined the health promoting programs over 80 times in total. This program was designed one-to-one customized and person-centered program, including counseling, education, and health services. The program participants responded that the amount of physical activities was increased even under strict social distancing and they felt less isolated and less depressed. Moreover, the number of screening for dementia was increased with this program. Conclusion: This case has shown the applicability of a new approach to sustain health promotion programs in the context of limited interaction with rural nurses. Under the challenging environment that requires adaptation to information and communication technologies (ICTs), it will be necessary to solve not only technical problems but also digital literacy issues of rural residents.

• 한국농촌간호학회지
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• 제15권2호
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• pp.41-48
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• 2020

Purpose: This study was a descriptive study to identify the factors affecting the dementia prevention behavior of elders in rural communities. Methods: The participants in this study were 125 elders aged 60 or older who lived in Eup or Myeon areas of P city. For data analysis, SPSS/WIN 22.0 was used to perform descriptive statistics, t-test, ANOVA, Pearson correlation, and linear multiple regression and mediated effects. Results: Scores for dementia recognition, dementia attitude and dementia prevention behavior averaged 5.6±2.50 points in the 0~11 range, 38.8±4.59 in 14~56 and 20.2±3.59 in 10~30 respectively. Dementia recognition (a), dementia attitude (b), dementia prevention behavior (c) and the number of chronic diseases of the elders (d) were positively or negatively correlated with each other (rab=.29, p<.01; rbc=.26, p<.01; rac=.36, p<.01; rad=-.29, p<.01; rcd=.19, p<.05). Factors affecting dementia prevention behavior were dementia recognition, dementia attitude, and degree of dementia interest. When the number of chronic diseases affects dementia prevention behavior, dementia recognition has a mediating effect. Conclusion: In order to prevent dementia among elders in rural areas, appropriate management of chronic diseases and provision of appropriate dementia-related education and information to enhance dementia recognition should be provided.

• 센서학회지
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• 제28권6호
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• pp.385-389
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• 2019

As we become an aging society, the number of dementia patients increases every year (an estimated 10% of the elderly, equating to 1.27 million in 30 years). In addition, 17,000 cases of missing people with disabilities and dementia are reported annually, indicating that more than one person per hour goes missing. More than 50% of those who are lost suffer injuries (some of which are fatal) within 24 hours after going missing. This is why measures are urgently required to ensure safety of the elderly. The core function of the disappearances prevention system proposed by this research group is to identify and respond early to deviations of dementia patients from their homes or facilities by identifying the location of the occurrence of disappearance, so that real-time notifications occur when a they leave the protected area. In addition, multiple receivers and public transportation integrated terminals share information when a patient leaves and uses public transportation to ensure their safe return. Most existing beacon-based positioning service models have fixed signal transmitters and are serviced in the form of transport receivers, but the proposed service model has users wearing the BLE beacon and receivers fixed.

• 국제물리치료학회지
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• 제5권2호
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• pp.730-737
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• 2014

The aim of this study is to examine the effects of virtual reality cognitive rehabilitation program on cognitive function, physical function and depression of long-term care insurance nongrading elderly dementia using Daytime protection service. For achieve this purpose, 30 dementia elderly were randomly assigned in to the experimental group(n=15)and control group(n=15). All subjects performed a general therapeutic exercise and 20- 30minutes takes virtual reality cognitive rehabilitation program were conducted with experimental group 2 times a week for 8 weeks. The intervention effects were measured by using cognitive function is mini-mental states examination-Korean version(MMSE-K), visual perception is MVPT(Motor-Free Visual Perception Test), Berg's balance scales(BBS), depression test GDS-K and lower limb strength. The results of study represented that the training group showed significant improvement in MMSEK( p<.05), visual perception(p<.05), balance(p<.05), lower limb strength(p<.05) and depression (p<.05). In conclusion, the virtual reality cognitive rehabilitation training using improves visual perception included cognitive function, physical function included balance, and lower limb strength and depression. These results suggest that virtual reality training using virtual reality cognitive rehabilitation program is feasible and suitable for mild dementia.

• 인간식물환경학회지
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• 제23권1호
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• pp.35-46
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• 2020

The purpose of this study was to investigate the effects of the horticultural therapy program on patients with mild cognitive impairment and mild dementia depending on the frequency and duration of the interventions. We developed the same 15-session program to improve cognitive functions and life satisfaction and alleviate depression of the elderly women with mild cognitive impairment or mild dementia. Subjects in Longer Treatment group participated in the program once a week for 15 weeks and subjects in Shorter Tratmet group participated twice a week for 7½ weeks. This study conducted pretest-posttest verification of both groups using quasi-experimental design involving 21 subjects. Elderly life satisfaction, Geriatric Depression Scale (short form), and the Korean Version of Consortium to Establish a Registry of Alzheimer's Disease (CERAD-K) were used in the evaluation. As a result, both groups showed an increase in life satisfaction, and a decrease in depression. However, there was a significant difference in the changes of the CERAD-K scores between the two groups (p < .05). In Longer Treatment group, life satisfaction increased significantly (p < .001), and depression decreased at a marginally significant level (p = .068), but no statistically significant change was observed in neurocognitive function. In Shorter Treatment group, life satisfaction increased at a marginally significant level (p = .059), and depression and CERAD-K scores decreased significantly (p < .05). However, in the case of Mini-Mental State Examination (MMSE-K), there was no significant change in both groups. According to these results, when planning a horticultural therapy program for persons with mild cognitive impairment or mild dementia, it is effective to organize and execute the program by determining the duration of intervention as 3 to 4 months or longer, even if this reduces the number of interventions per week.