• Journal of Korean society of Dental Hygiene
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• v.19 no.1
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• pp.65-78
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• 2019

Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

• Journal of the Korea Society of Computer and Information
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• v.28 no.12
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• pp.155-166
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• 2023

This study was conducted with 50 elderly people each (5) participating in the cognitive rehabilitation treatment program at the Dementia Care Center in D City to derive the development direction and contents of a multidimensional therapeutic recreation program and a revitalization plan through analysis of the current status and actual conditions of the cognitive rehabilitation program at the Dementia Care Center. aperture) was selected, and 9 people were selected as the subject of expert group opinion collection. The collected data was SPSS ver. Using the 18.0 statistical program, descriptive statistics and the importance and priority of each component were analyzed by hierarchical structure analysis. First, unlike the needs of users, the cognitive rehabilitation support programs currently being provided are not sufficient and require considerable experience. It was found to be low, and the areas for improvement were the expansion of care and protection facilities and the development of various programs to meet the needs of users. Second, the importance and priority of each component of therapeutic recreation were categorized into 6 major categories: exercise therapy , middle category (16 items) behavior-centered approach to exercise therapy, small category (47 items) strength and brain gymnastics, and silver health gymnastics were the highest. This result shows that a multidimensional program plan that considers the priorities of each area must be made when developing a therapeutic recreation program.

• Journal of the Korea Society of Computer and Information
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• v.22 no.5
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• pp.51-56
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• 2017

The purpose of this study was to identify differences in cognitive function according to the presence or absence of apraxia and the tasks most relevant to the cognitive function among the various types of tasks in the apraxia test. The subjects were 42 community residents who participated in a cognitive rehabilitation program related to dementia in a Chungbuk area. MMSE-K and BCoS(Birmingham Cognitive Screen) apraxia test were administered to all subjects. The apraxia test includes three types of tasks, gesture production tasks that make meaningful movements according to verbal instructions, gesture recognition tasks that display behavior after make sense of meanings, and meaningless imitation task. Apraxia group(n=30, MMSE-K mean score: 25) showed lower cognitive function than group without apraxia(n=12, MMSE-K mean score: 28). All tasks in the apraxia test showed a significant correlation with cognitive function, but the meaningless imitation task had a negligible correlation. The apraxia test is a good way to assess cognitive function, and it may be more effective to use meaningful behavior to replace cognitive testing.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.9 no.4
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• pp.428-438
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• 2016

The aim of this study, in order to reduce the support burden of dementia primary caregiver, within the framework of long-term care insurance system to present its founding model for the development of new services. Previous research as analytical materials and based on the CARE study between 2012 to 2013. Primary caregiver burden of patient are both physical, psychological and economic aspects as well as difficulties in many aspects and had influence on many factors such as age, care burden, economic, health, and social support. It also came high-risk primary caregiver suffer from depression. This primary caregiver to take advantage of the elderly long-term care insurance system implemented at the time of the institutional support necessary for since 2008, presented additional services in this study. Of increasing the small sizes day care center (tentative name) to open an as established in the settlements at a scale of less than nine, within 5 minutes from the residence, limited dementia by expertise in the disease home care services scale model of the current system service It was to improve the quality of existing shares, small group sizes for day care centers and community life apart.

• Journal of The Korea Institute of Healthcare Architecture
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• v.7 no.2
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• pp.59-69
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• 2001

The purpose of this study is to provide a basic data for architectural planning on the wards and special quality of physical remedy spaces of geriatrics hospital. This research, to analyse dependency degree of inpatients in geriatric hospital, shows relativeness between remedy space and wards, and to show behavior of each patients reaction to there space. Result of interviewed inpatients who were sorted by age, sex, dependency degree, and days in hospital, suitable space programming is to need for physical and mental state. On the bases of survey and analysis, the basic data for planning and design the hospital for the elderly with dementia has been proposed.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.153-162
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• 2015

A descriptive research is studied to identify the physical factors affecting to cognitive function among elderly residents over 65 years old in a community. The data were collected from 352 participants as part of a health-related survey by home visits in Seoul in 2010-2012. Their cognitive function was measured using the Korean form of Hasegawa Dementia Scale(HDS-K) and the collected data were analyzed by using t-test, ANOVA, and multiple regression analysis. From the analysis, the prevalence rate of cognitive impairment was 13.6%. Elderly residents in a community showed different cognition levels by the status of age, change of weight, change of BMI, walking and flexibility exercise. Especially, the lowest cognition level was found in the normal BMI group with decreased BMI change by over 3. The factors influencing on cognition level of the elderly with normal BMI were age, change of weight, change of BMI, and walking exercise. The variance indicated 12.2% as their cognition level. Therefore, for preventing the cognitive impairment of the elderly that were rapidly decreased of BMI, we need the program to manage their nutrition and walking exercise.

• 한국노년학
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• v.30 no.1
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• pp.81-91
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• 2010

The purpose of this study was to test a validity and reliability of Cognitive Performance Scale(CPS), a cognitive measure generated from 5 items(comatose status, decision making, short-term memory, making self understood, and eating). Method: 393 patients in 2 hospitals for the elderly with dementia were measured with CPS by two nurses independently. The inter-rater agreement was tested by comparing two scores. The CPS score was compared with GDS, which was measured by doctors and nurses, and MMSE score which was drawn from the claim data of Health Insurance Review & Assessment Service. Result: The correlation coefficient between CPS and GDS was 0.742(p<0.0001), CPS and MMSE was -0.794(p<0.0001). The Cronbach's coefficient alpha of CPS was 0.742, Kappa value was 0.772~1.000. The CPS showed high validity and reliability in long term care hospitals of Korea.

• Proceedings of the Korea Contents Association Conference
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• 2017.05a
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• pp.87-88
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• 2017

인권에 기반을 둔 사회복지 실천은 사회복지사의 존재 이유라고 해도 과언이 아닐 것이다. 사회복지사는 사회적 약자의 인권을 옹호하고, 사회의 문제를 해결하며, 사회정의를 실현하는 전문가이기에 인권과는 불가분의 관계에 있다. 최근 한국 사회에서 인권에 대해 많은 논의가 이루어지고 있다. 특히 고령화 사회 속에서 2008년 9월 치매와의 전쟁을 선포한 이후치매관리종합대책을 수립하여 정부가 주도적으로 추진해 오고 있는 시점에서 인권 관점에 근거한 치매노인 돌봄을 이해하기 위해, 인권 관점이 치매노인 돌봄을 위한 사회복지 실천 현장에 주는 장점과 과정은 무엇인지 검토해 볼 필요가 있다. 이에 본 연구에서는 노인의 보호와 치매의 정의, 원인과 치매노인 돌봄을 위한 기술과 장점을 살펴보고, 인권 관점에 근거한 치매노인 돌봄을 위한 방안을 제언하고자 한다.

• Proceedings of the Korea Institute of Convergence Signal Processing
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• 2003.06a
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• pp.137-140
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• 2003

본 연구는 치매노인환자의 생활의 질을 향상시키기 위한 대화시스템의 개발에 목표를 둔다. 제안된 시스템은 주로 세 가지 모듈, 즉, 음성인식, 시간테이블에 의해 구분된 대화 데이터베이스의 자동검색, 그리고 간호사의 녹음음성에 의한 응답 등으로 구성되어 있다. 우선 치매환자가 요양시설에서 자주 발화하는 대화의 내용을 조사하고, 그들의 발화 음성을 인식하고 적절히 응답하도록 구성하였다. 시스템의 평가를 위해서 시스템이 도입되었을 때와 도입되지 않았을 때를 비교, 조사하였다. 시스템이 도입되지 않았을 때는 간호사가 자유로이 케어서비스를 행할 수 있도록 하였다. 비디오 촬영을 통해서 대상자의 행동 및 반응을 조사한 결과, 치매환자의 요구를 충족시키는데 있어서 대화 시스템이 간호사들보다 더 응답적이었다는 것을 알 수 있었다. 게다가, 제안된 시스템은 상호 대화에 있어서 환자가 더 많이 말하도록 유도함을 알 수 있었다.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.36 no.5
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• pp.41-51
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• 2020

As there are the elderly who have difficulty in evacuating themselves, it is necessary to develop architectural and institutional planning for nursing homes that can minimize disaster damage. The purpose of this study was to suggest the improvement plan by grasping the current status of nursing homes on planning aspects such as floor plan type, spatial layout, and evacuation route through 14 case studies in Cheongju city in terms of disaster safety. The results of this study were as follows; the most common plan type was the grouped-corridor type difficulty in securing evacuation routes. The circulation corridor type is need to be considered because it is possible not only to secure evacuation and nursing routes, but also to create a hanging around corridor for the elderly with dementia. Second, if there is a risk of flooding due to the location, the living room should be placed on the 2nd floor or more. In particular, a kitchen should be placed not adjacent to the entrance and the vertical evacuation route. Third, the horizontal evacuation route should be arranged differently depending on the floor plan type. For vertical evacuation routes, it is necessary to install outdoor stairs or ramps considering the evacuation characteristics of the elderly. In addition, the institutional aspects should be considered to ensure the safety of disasters.