• 보건교육건강증진학회지
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• 제17권2호
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• pp.165-181
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• 2000

Even though enormous governmental expenses and scientists' efforts to find out definite causes and treatment methods of senile dementia have been investigated, little has been known in this area. Along with knowledge development of the etiology and treatment of the dementia, researchers have started to focus on improving the quality of life of the older adults with dementia through psychosocial intervention. This study was designed to propose a theoretical framework for establishing therapeutic environment for the older adults with dementia and for developing principles and strategies of caring. The results of this study were expected to help family members of the older adults with dementia to understand behavioral problems of the demented persons. The results can be utilized for health professionals to provide nursing interventions to reduce family caregivers' burden and to improve the quality of life of the older adults with dementia and their family. Caring principles developed from this study were as follows: 1. To minimize the stressors that can stimulate older adults with dementia. 2. To assess demented person's needs for safety and provide intervention based on the assessment. 3. To provide therapeutic environment for older adults with dementia to reduce confusion and to improve orientation. 4. To organize simple regular daily activities that older adults can anticipate. 5. To enhance demented person's self-esteem and self-confidence by providing supportive care. 6. To promote social interaction of the older adults with dementia by utilizing adequate activity programs.

• 대한간호학회지
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• 제24권3호
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• pp.448-460
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• 1994

This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.746-764
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• 2022

커뮤니케이션 장애는 치매 돌봄 부담의 주된 원인으로 지적되고 있다. 본 연구는 케어자와 치매노인 간의 커뮤니케이션 과정 및 결과를 구조화하여 커뮤니케이션의 촉진요인을 찾는 것을 목적으로 한다. 시설의 치매 케어자 21명을 대상으로 커뮤니케이션 직·간접 경험을 인터뷰해, 수집된 자료를 근거이론에 따라 분석하였다. 연구 결과, 치매인과의 커뮤니케이션 과정은 치매인의 인지·언어기능 저하가 원인으로 작용하지만, 소란스러운 환경이나 커뮤니케이션 기술 부족 등이 맥락적 조건으로 작용하여 커뮤니케이션 실패 현상이 이루어진다. 이때, 최소한의 접촉, 업무중심의 대화로 대응하는 경우, 갈등과 회피로 나아가는 부정적 커뮤니케이션이 이루어지는 반면, '개인에 대한 이해', '경청', '마음으로 이해' 등의 중재를 통해 긍정적 커뮤니케이션이 가능하다는 것을 확인했다. 중재적 조건에 따라 치매노인의 배회, 폭력적 행동이 악화되기도 하지만 반대로 치매인의 인지 능력이 개선되거나 즐거움 회복, 일상생활에의 참여 등 긍정적 결과가 나타났다. 본 연구에서의 핵심범주는 '관계 맺음을 통한 사람중심케어'이며 범주유형은 갈등형, 무시형, 보호형, 파트너형으로 나뉘어진다. 본 연구결과를 토대로 사람중심케어에 입각한 치매 커뮤니케이션 교육 및 훈련을 제언한다

• 가정과삶의질연구
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• 제14권2호
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• pp.77-96
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• 1996

The purposes of this study were to understand caregiving situation and to develop education program for families with the demented elderly,. Family caregivers of elderly patients with dementia clearly experience high levels of stress which often leads to such negative caregiver outcomes as depression interference with social activities and health difficulties. That is providing care is stressful for caregivers because the demands of the caregiving situation threaten to overwhelm the caregivers' coping resources. Therfore the families with demented elderly persons need assistances in order to alleviated burden of caregiving, In this study the educational program was designed to increase caregivers' confidence in problem-solving, And it was designed to provided information to demented elderly. The educational program of this study was given 5 session. And it was included the understanding of dementia the family caregiving experiences of the demented elderly persons the time for elf-care the search for helping the improving of interpersonal relations and communications.

• 디지털융복합연구
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• 제16권12호
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• pp.427-440
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• 2018

본 연구는 치매환자를 돌보고 있는 요양보호사의 케어부담감을 알아보고, 케어부담감이 신체증상과 건강지각에 미치는 영향을 파악하기 위한 서술적 상관관계연구이다. 연구대상자는 요양보호사 174명이었으며, 자료수집은 2018년 4월 1일부터 30일까지 였다. 자료분석은 t-test 및 One-way ANOVA, Pearson's correlation coefficient, Multiple regression analysis을 활용하였으며, 사후분석은 Scheffe를 사용하였다. 연구결과 케어부담감은 "중상", 신체증상은 "중간"수준으로 나타났고, 건강은 좋지 않은 것으로 인식하고 있었으며, 주관적 안녕감은 낮게 나타났다. 케어부담감은 신체증상(r=.157, p<.05), 신체증상은 지각된 건강과 양의 상관관계(r=.220, p<.01)를 보였고, 신체증상과 주관적 안녕에 미치는 영향 요인은 요양보호사 근무동기로 나타났다. 연구결과 요양보호사의 케어부담감은 신체적, 정신적 건강상태에 영향을 미치는 요인으로 확인되었으며, 연구결과를 근거로 요양보호사의 근무지에 따른 케어 부담감에 차이가 있는지를 파악해보는 연구를 수행할 것을 제언한다. 또한 요양보호사의 케어부담감을 측정할 수 있는 도구를 개발하여 반복연구를 수행해 볼 필요가 있겠다.

• 한국멀티미디어학회논문지
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• 제23권1호
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• pp.15-23
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• 2020

Recently, the increase in the elderly population due to an aging society has led to a relative increase in senile diseases such as vascular dementia or Alzheimer's disease, and the social burden for rehabilitation has increased. In addition, studies have been conducted for the risk assessment and prevention of musculoskeletal disorders. The purpose of this study is to suggest a system that can be used to help with dementia prevention training by tracking the movement of motion and virtual reality contents for the risk factors of musculoskeletal disorders of the elderly. We propose a training method for preventing dementia through musculoskeletal motion analysis algorithm and virtual reality content. Through motion recognition algorithm based on motion region design, we will track and analyze the moving radius of the target joint. The purpose of this study is to calculate and evaluate scores based on the time to accomplish the goals on virtual reality contents for the prevention of musculoskeletal disorders and the support of dementia prevention training, and the degree of difficulty, and to analyze the correlation between the results of performing K-MMSE and VR contents.

• 인터넷정보학회논문지
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• 제21권3호
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• pp.133-144
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• 2020

고령화로 인해 증가하는 노인 비율만큼이나 치매를 앓는 노인 수 또한 빠르게 늘고 있는데 이는 사회적, 경제적 부담을 발생시킨다. 특히, 간병인의 근무 시간 손실 및 간호 부담으로 인한 의료 비용 증가와 같은 간접비용을 포함하는 치매 관리 비용은 수년에 걸쳐 기하급수적으로 증가하고 있다. 이러한 비용을 줄이기 위해 치매 환자를 돌보기 위한 관리 시스템 도입이 시급하다. 따라서 본 연구는 항상 치매 환자를 돌볼 수 없는 환경이나 독거노인을 관리하기 위한 센서 기반 이상 행동 탐지 시스템을 제안한다. 기존 연구들은 단지 행동을 인지하거나 정상 행동 여부를 평가하는 정도였고 센서로부터 받은 데이터가 아닌 이미지를 처리하여 행동을 인지한 연구도 있었다. 본 연구에서는 실데이터 수집에 한계가 있음을 인지하여 비지도 학습 모델인 오토인코더와 지도 학습 모델인 장·단기 기억 모형을 동시에 사용했다. 비지도 학습 모델인 오토인코더는 정상 행동 데이터를 학습하여 정상적인 행동에 대한 패턴을 학습시켰고 장·단기 기억 모형은 센서로 인지 가능한 행동을 학습시켜 분류를 좀 더 세분화했다. 테스트 결과 각각의 모델은 약 96%, 98% 이상의 정확도를 도출하였고 오토인코더의 이상치가 3% 이상을 갖는 경우 장·단기 기억 모형을 통과하도록 설계했다. 이 시스템을 통해 혼자 사는 노인이나 치매 환자를 효율적으로 관리할 수 있으며 돌보기 위한 비용 또한 절감할 수 있을 것으로 전망된다.

• 한국융합학회논문지
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• 제9권8호
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• pp.319-330
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• 2018

본 연구의 목적은 노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄경험에 대한 평가와 가족기능과의 관계를 파악하기 위함이다. 본 연구의 대상자는 경기도 I병원 치매예방센터에서 DSM-IV기준에 의해 치매를 진단받고 노인장기요양보험 재가보호서비스를 이용하고 있는 65세 이상의 노인성 치매환자 가족구성원 121명을 대상으로 하였다. 연구결과 대상자의 평균 연령은 $53.80{\pm}10.86$세로 여성이 75.2%이었고 그 중 딸이 37.2%로 가장 많았다. 대상자의 돌봄평가는 중립적 인식의 요구감이 가장 높았고 긍정적 인식인 숙련감, 만족감이 그 다음으로 높았다. 대상자의 가족기능은 보통정도였고 영역별로 정서적 기능이 가장 높았던 반면, 의사소통이 가장 낮았다. 대상자의 돌봄평가 중 긍정적 인식의 만족감이 높고 중립적 인식의 요구감이 낮을수록 가족기능이 높았다. 추후 노인성 치매환자 가족의 돌봄에 대한 요구감을 줄이고 만족감을 향상시키며 가족의 정서적 기능과 의사소통을 증진시키기 위한 간호중재개발이 필요하다.

• 대한안전경영과학회지
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• 제15권2호
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• pp.135-141
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• 2013

As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

• Perspectives in Nursing Science
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• 제3권1호
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• pp.35-45
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• 2006

In Korea, about 8.3% over aged 65 are suffering from Alzheimer's disease or other type of dementia. Among dementia-related behaviors, wandering is the one of strongest factors on burden and stress of caregivers. On Lee and Kwon's report with community living persons with dementia, upto 85% of caregivers reported wandering as a problem. Wandering is a frequently encountered problem in communities and long-term care facilities, but it is among least understood dementia. related behavior. Despite the prevalence of wandering, its significant adverse outcomes, and the increase in persons with dementia in Korea, no systematic research has been conducted in Korea. The purpose of this study is to review on literature related to wandering behavior among persons with dementia. The specific topics related to wandering are included: definition, the prevalence of dementia and wandering behavior, the influencing factor on wandering, outcomes of wandering behavior, and the measurement method. Wandering is defined as "aimless walking" and "Meandering, aimless or repetitive locomotion that exposes one to harm and is incongruent with boundaries, limits, or obstacles". Wandering is viewed as a problematic behavior, however, it has to be understood as need-driven compromised behavior. For example, wandering may be an expression of searching for familiar person and/or place. Recently, in Korea, there is an effort for establishing the therapeutic environment for elders who are wanderers in long-term-care facilities. Cognitive impairment of persons with dementia is found to be a consistent factor on wandering behavior through many national and international studies. The adverse outcomes of wandering are serious problem in persons with dementia as well as their caregivers. The adverse outcomes include falls, fractures, getting lost, use of restraints, or even death. In fact, wandering is one of the major reasons for a patient to be institutionalized. For measurement of wandering behavior, two methods are broadly used: observation using stop watch, and survey form. A revised instrument of the Korean version of Algase wandering scale (K_RAWS) is established the psychometric properties (Son, Song, & Lim, 2006) demonstrating valid and reliable instrument in measuring wandering behavior among persons with dementia who are residing in communities. K_RAWS has a 39 items with six subscales including persistent walking, repetitive walking, spatial disorientation, eloping behavior, negative outcome, and mealtime impulsivity. In conclusion, studies including the prevalence of wandering behavior and predictive factors on wandering should be conducted to understand wandering clearly before developing any types of intervention.