• 제목/요약/키워드: The Elderly with Dementia

검색결과 585건 처리시간 0.039초

치매노인을 위한 자동대화시스템 (Automatic Dialog System for the Elderly with Dementia)

  • Kim, Sung-ill;Joo, Chang-bok;Shin, Wee-jae
    • 융합신호처리학회 학술대회논문집
    • /
    • 한국신호처리시스템학회 2003년도 하계학술대회 논문집
    • /
    • pp.137-140
    • /
    • 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.

  • PDF

재난안전 관점의 노인요양시설 사례연구를 통한 현황 및 개선방안 - 충북 청주시 사례를 중심으로 - (Current Status and Planning Improvement through Case Studies of Nursing Homes in the View of Disaster Safety - Focused on the Cases of Cheongju City, Chungbuk -)

  • 최유라;김미경
    • 대한건축학회논문집:계획계
    • /
    • 제36권5호
    • /
    • pp.41-51
    • /
    • 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.

ICT 기반 실버케어를 고려한 웨어러블 디바이스 설계 (Design of The Wearable Device considering ICT-based Silver-care)

  • 이민혜;신성윤
    • 한국정보통신학회논문지
    • /
    • 제22권10호
    • /
    • pp.1347-1354
    • /
    • 2018
  • 의료기관에서 특별 관리 대상이 되는 와상환자, 고령자, 치매 환자들은 대소변을 스스로 처리할 수 없어 보호자나 간병인의 도움이 필요하다. 특히 대변에는 독성물질이 포함되어있어 습진이나 피부염, 두드러기의 발병 요인이 되므로 기저귀의 교체는 중요하다. 본 논문에서는 이러한 문제에 대하여 편의를 제공하고자 고령자의 다양한 배설 요건을 고려한 대소변 감지용 웨어러블 디바이스 설계를 제안하였다. 구현된 웨어러블 디바이스는 요양병원에서 사용되는 성인용 기저귀에 대소변을 감지할 수 있는 센서와 모듈을 부착한 형태로서 착용자의 배설유무를 LED로 확인할 수 있다. 측정된 데이터는 모듈 내 블루투스를 통해 스마트폰 앱에 실시간으로 전송되며 팝업알림으로도 배설 유무를 확인할 수 있다. 설계한 모듈을 통해 수집된 데이터와 실제 배설 유무를 비교하여 본 연구의 유효성을 검증하였다.

간호사의 노인간호학 계속교육프로그램 모형개발을 위한 기초연구 (A Study on Development of an Continuing Education Program Model in Relation to Gerontology and Geriatrics for Nurse Caring for the Elderly)

  • 강영실
    • 한국간호교육학회지
    • /
    • 제10권1호
    • /
    • pp.7-19
    • /
    • 2004
  • This study has a purpose to devise an education program in relation to Gerontology and geriatrics applicable to Korean nurses through literature review and analysis of education programs utilized by the Geriatric Education Centers (GECs) of USA. Educational contents on gerontology and geriatrics are very diverse in precedent literatures. The education programs of GECs for health care personnel are equally very diverse. Among educational contents, subjects considered important are age-related changes, health problems of the aged, pharmacology, death, fall and osteoporosis, delirium, dementia, depression, urinary incontinence, communication with elderly. Methods used in education program are mainly seminar, workshop and lecture through internet. In addition, case study, small-group discussion and conference are also adopted. The program proposed in this study for nurses in relation to gerontology and geriatrics consists of 32 hours' education; 6 hours for age-related changes, 10 hours for health problems of the elderly, 14 hours for health problems in old age and 2 hours of communication technique. Educational method proposed is to utilize lecture through internet, direct education, workshop, practical exercise, case study and role play in parallel. This study proposed an education program on the basis of precedent literature and the program of GECs. Therefore, it is desirable to develop in the future more practical education program applicable to and required in practicing fields. Of course, this development needs to be based on nurses' educational needs by field in relation to gerontology and geriatrics.

  • PDF

알츠하이머병 및 경도인지장애 환자에서 인지기능 및 행동심리증상과 백질고강도신호와의 연관성 (Association between Cognitive Function, Behavioral and Psychological Symptoms of Dementia and White Matter Hyperintensities in Patients with Alzheimer's Disease and Mild Cognitive Impairment)

  • 권지웅;김현;이강준
    • 정신신체의학
    • /
    • 제26권2호
    • /
    • pp.119-126
    • /
    • 2018
  • 연구목적 본 연구의 목적은 알츠하이머병 및 경도인지장애 환자에서 백질고강도신호 차이에 따른 신경인지 기능 및 행동심리증상(BPSD)을 비교하는 것이다. 방 법 본 연구는 후향적 연구로서, 알츠하이머병 및 경도인지장애로 진단받은 115명을 대상으로 하였다. 뇌 자기공명영상의 백질 고강도 신호(white matter hyperintensity, WMH)는 표준화된 시각 기반 척도(Fazekas scales)에 의해 평가되었으며, 참가자들은 Fazekas 척도에 따라 두 그룹으로 분류되었다. 신경인지기능은 임상치매평가척도(CERAD-K)에 의해, BPSD는 한국형 신경정신행동검사(K-NPI)로 평가되었다. WMH의 심각도에 따른 신경인지기능 및 BPSD의 차이를 분석하기 위해 독립표본 t-test를 시행하였다. 결 과 WMH의 중증도가 높은 군은 유의하게 낮은 언어 유창성을 나타내었다(p<0.05). 또한 WMH의 중증도가 높은 군은 유의하게 높은 K-NPI 점수를 보였다(p<0.01). 결 론 WMH와 실행기능과 관련된 신경인지검사 간에는 유의한 연관이 있었다. 또한 WMH는 BPSD의 중증도에 영향을 미치는 것으로 보인다. 임상실제에서 WMH를 알츠하이머 병(Alzheimer's disease, AD)및 경도인지장애(Mild cognitive impairment, MCI)환자를 치료하는데 유용한 정보를 제공할 것이다.

장기요양서비스 수요의 결정요인 (Determinants of Demand for Long-Term Care)

  • 정완교
    • KDI Journal of Economic Policy
    • /
    • 제31권1호
    • /
    • pp.139-167
    • /
    • 2009
  • 본 논문은 65세 이상 고령인구의 수와 노인들의 건강상태 등만을 중심으로 한 기존의 연구에 더하여, 노인장기요양보험제도 제2차 시범사업의 자료를 이용한 계량분석을 통해 장기요양서비스 수요의 결정요인을 분석하였다. 분석 결과에 따르면, 우선 노인장기요양보험제도상 장기요양서비스 이용에 대한 보험 적용 대상자를 정하는 등급판정에 일상생활활동에서의 장애가 노인들이 많이 앓고 있는 고혈압, 관절염, 치매 등의 질환을 통제하고서도 통계적으로 유의한 영향을 미쳤다. 또한 노인들의 건강상태, 여성, 기초생활수급자 여부, 노인가구 형태, 노인가구의 월평균 소득 등이 장기요양서비스이용 및 이용 양태에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 특히, 노인가구의 월평균 소득을 통제하고서도 장기요양서비스를 무료로 이용할 수 있는 기초생활수급 대상 노인들의 재가서비스 이용확률이 높게 나타나는데, 이는 소득과 더불어 장기요양서비스의 가격도 장기요양서비스 이용을 결정하는 중요한 요인임을 의미한다.

  • PDF

노인장기요양보험제도의 문제점 및 개선방안에 관한 고찰 (A Study on the Problems and Improvement of Long-Term Care Insurance for the Elderly)

  • 안명선;박주현
    • 한국콘텐츠학회논문지
    • /
    • 제19권8호
    • /
    • pp.525-534
    • /
    • 2019
  • 우리나라는 경제발전과 보건의료의 발달로 인한 평균수명의 연장과 저출산 등으로 세계에서 가장 급속도로 인구구조의 고령화 문제에 직면하고 있다. 정부는 이러한 사회적 구조 및 노인문제를 해결하기 위하여 장기요양대상 노인의 삶의 질 향상과 가족부양 부담의 완화 등을 목적으로 노인장기요양보험법을 제정 시행 중에 있다. 하지만, 노인장기요양보험제도의 시행결과, 시설의 민영화와 난립으로 서비스의 공적 책임과 시설의 질 제고에 대한 요청이 확산되고 있다. 이 밖에, 저임금 요양인력의 양산, 질 개선에 관한 과제, 재원조달 방식에 관한 문제, 등의 대비가 다각도로 필요하다. 이에 노인장기요양보험제도가 장기 지속적으로 유지 발전하기 위해서는 시대적인 사회환경의 변화에 따라 법 제도적 측면의 개선방안의 모색과 더불어 노인복지서비스가 신체적 건강뿐만 아니라 노후 생활의 안정을 위한 정신적 심리적 조치를 강구하는 방안을 검토한다.

요양시설 거주 노인의 에너지와 영양소 섭취 실태 및 식품선호도 조사 (Study on Energy and Nutrient Intake and Food Preference of the Elderly in Care Facilities)

  • 권종숙;이승희;이강민;이윤나
    • 대한지역사회영양학회지
    • /
    • 제21권2호
    • /
    • pp.200-217
    • /
    • 2016
  • Objectives: The purpose of this study was to assess energy and nutritional intake and investigate the preference for food and cooking methods of the residents in elderly care facilities. Methods: Data were collected from 72 residents (10 males and 62 females) aged ${\geq}70$ years in elderly care facilities using questionnaires, food photographs for estimating dietary intake and records for daily physical activity. Results: Average age of the study participants was 85.0 years and 41, 36 and 8 had dementia, hypertension and diabetes mellitus, respectively. 15%, 65% and 19% of subjects were physically mobile, enervated, and immobile, respectively. Daily energy intake was 1360.2 kcal in men and 1378.0 kcal in women, which were 68.0% and 86.1% of the estimated energy requirement (EER) of dietary reference intake for Koreans (KDRI) for ${\geq}75$ year old individuals, respectively. Estimated energy expenditure (EEE) of subjects calculated using formula from KDRI was 1361.9 kcal and EER calculated using estimated daily physical activity (EDPA) was 1232.9 kcal. Energy intake and EEE from KDRI were higher than EER from EDPA. Dietary intake of dietary fiber, calcium, potassium, zinc, vitamin $B_2$, niacin, vitamin C were lower, and protein, phosphorous, iron, sodium, vitamin A, vitamin $B_1$, vitamin $B_6$, vitamin E were higher than the corresponding ones of KDRI. Subjects liked meats, fishes and shellfish, and fruits, while subjects disliked milk, seaweeds and salted fish and salted vegetables. Cooked rice, soybean paste soup, beef, cooked sliced radish strip, and yogurt were favorite foods, with steam being a favorite cooking method. Subjects considered nutrition as the most important factor for improving food service quality. Conclusions: Results of this study could be utilized for improving food-service for the residents in elderly care facilities, and provide a basis for setting reference intake of energy and nutrients of the elderly having very low activity levels.

Barthel's Index: A Better Predictor for COVID-19 Mortality Than Comorbidities

  • da Costa, Joao Cordeiro;Manso, Maria Conceicao;Gregorio Susana;Leite, Marcia;Pinto, Joao Moreira
    • Tuberculosis and Respiratory Diseases
    • /
    • 제85권4호
    • /
    • pp.349-357
    • /
    • 2022
  • Background: The most consistently identified mortality determinants for the new coronavirus 2019 (COVID-19) infection are aging, male sex, cardiovascular/respiratory diseases, and cancer. They were determined from heterogeneous cohorts that included patients with different disease severity and previous conditions. The main goal of this study was to determine if activities of daily living (ADL) dependence measured by Barthel's index could be a predictor for COVID-19 mortality. Methods: A prospective cohort study was performed with a consecutive sample of 340 COVID-19 patients representing patients from all over the northern region of Portugal from October 2020 to March 2021. Mortality risk factors were determined after controlling for demographics, ADL dependence, admission time, comorbidities, clinical manifestations, and delay-time for diagnosis. Central tendency measures were used to analyze continuous variables and absolute numbers (proportions) for categorical variables. For univariable analysis, we used t test, chi-square test, or Fisher exact test as appropriate (α=0.05). Multivariable analysis was performed using logistic regression. IBM SPSS version 27 statistical software was used for data analysis. Results: The cohort included 340 patients (55.3% females) with a mean age of 80.6±11.0 years. The mortality rate was 19.7%. Univariate analysis revealed that aging, ADL dependence, pneumonia, and dementia were associated with mortality and that dyslipidemia and obesity were associated with survival. In multivariable analysis, dyslipidemia (odds ratio [OR], 0.35; 95% confidence interval [CI], 0.17-0.71) was independently associated with survival. Age ≥86 years (pooled OR, 2.239; 95% CI, 1.100-4.559), pneumonia (pooled OR, 3.00; 95% CI, 1.362-6.606), and ADL dependence (pooled OR, 6.296; 95% CI, 1.795-22.088) were significantly related to mortality (receiver operating characteristic area under the curve, 82.1%; p<0.001). Conclusion: ADL dependence, aging, and pneumonia are three main predictors for COVID-19 mortality in an elderly population.

운동과 음악을 이용한 노래부르기가 노인의 생리적 변화, 인지기능 및 우울에 미치는 효과 (The Effects of Singing Program Combined with Physical Exercise of Physiologic Changes, Perception Function and Degree of Depression in the Elderly Women)

  • 정영주;민순
    • Journal of Korean Biological Nursing Science
    • /
    • 제3권2호
    • /
    • pp.35-50
    • /
    • 2001
  • This study was conducted for the evaluation of the effects of singing program combined with physical exercise on the physiologic changes, perception function and degree of depression. The subjects were the members of elderly women's glee club in D care center for the elderly, who have been singing for more than 6 months. 30 members were allocated to study group and 30 to control group. The singing program designed for both physical therapy and music therapy was consisted of initial physical exercise, singing art songs and classical song and the finishing physical exercise. This program was performed twice a week and about forth minutes was consumed for one session. We checked the heart rate, peripheral arterial oxygen saturation, perception function and degree of depression before and after the program. We used a pulse oxymeter to check the heart rate to oxygen saturation and a questionnaire for the evaluation of perception function and degree of depression. We need SPSS program for data analysis. The results of the investigated personnel complying with general characteristics were analyzed by frequency, two groups by t-test, data before and after the program by paired t-test, respectively. The results were as follows. 1) Heart rate after the program was significantly lower than that before program in test group(p<0.05). 2) Peripheral oxygen saturation after the program was significantly higher than that before the program(p<0.05). 3) Ability to match the right sign with a certain predetermined number was improved after the program. The frequency of wrong matching the sign with number before program was 30. But the frequency was decreased to 8 after the program. 4) Ability to calculate was improved after the program. The frequency of wrong calculation before the program was $1.10{\pm}1.94$. But the frequency after the program was decreased to $0.97{\pm}1.84$. 5) The degree of depression after the program($2.07{\pm}0.49$) was significantly lower than that before program(p<0.001). These results show that singing program combined with physical exercise improves the oxygen delivery to peripheral circulation, stability of heart function, the perception function(calculating and matching ability) and decreases the degree of depression. In conclusion, singing program combined with physical exercise can be used for the effective measure to improve the health of elderly and prevent dementia.

  • PDF