• 한국엔터테인먼트산업학회논문지
• /
• 제14권5호
• /
• pp.245-253
• /
• 2020

본 연구는 중년층의 치매지식, 태도 및 치매예방교육 요구도를 파악하여 중년층의 치매예방을 위한 지식 향상과 긍정적 태도 강화를 통한 교육프로그램 개발과 지역사회 적용에 기초자료로 제공하고자 시도하였다. N시에 거주하는 40세~64세의 중년층 218명을 대상으로 2018년 10월 15일부터 11월 30일까지 자료를 수집하였다. 자료분석 방법은 빈도와 백분율, t-test, ANOVA, 사후검증은 Scheffé 검정, Pearson's correlation coefficients로 분석하였다. 연구결과 중년층의 치매지식 평균점수는 중간이상 수준(9.13±2.20)이었다. 치매에 대한 정답률이 가장 높은 문항은 '치매는 병이다' 88.1%이었고 '치매는 내과, 신경과, 정신과 질환 등의 병에 의해 걸린다' 30.3%은 가장 낮게 나타났다. 치매에 대한 태도(34.33±5.69), 치매예방교육 요구도(23.58±3.46)는 중간 이상 수준으로 나타났다. 치매에 대한 태도와 치매예방교육 요구도((r=.275, p<.000) 간의 통계적으로 유의한 양적 상관관계를 나타냈다. 결론적으로 치매에 대한 긍정적인 태도는 치매예방 교육요구와 밀접한 관계가 있음을 알 수 있었다. 본 연구결과를 바탕으로 중년층의 치매관련 체계화된 교육 프로그램 개발과 지역사회와 국가가 함께 상호 협력하여 치매에 대한 바람직한 정책 개선방안이 필요할 것으로 사료된다.

• 성인간호학회지
• /
• 제21권6호
• /
• pp.617-627
• /
• 2009

Purpose: This correlational study was to examine the relationships between dementia knowledge, attitude, self-efficacy and preventive behavior of low income middled-aged women. Methods: The subjects for this study were 125 low income middle aged women living in I city. The data were collected using the questionnaires for dementia knowledge, attitude, self-efficacy and preventive behavior. The data analysis was done by descriptive statistics, t-test, ANOVA, Pearson product moment correlation and stepwise multiple regression analysis. Results: The mean of dementia knowledge was 13.96 out of 20, attitude was 43.98 out of 60, self-efficacy was 54.07 out of 75 and preventive behavior was 25.98 out of 36. The positive correlations were revealed between dementia knowledge (r=.458, p=.000), attitude (r=.498, p=.000), self-efficacy (r=.573, p=.000) and preventive behavior. The influencing factors for dementia preventive behavior were self-efficacy, belief in Buddhism and attitude which accounted for 42.5% of the total variance. Conclusion: Dementia knowledge, attitude and self-efficacy were identified as variables that correlate dementia preventive behavior. Also, self-efficacy is the most influential factor affecting dementia preventive behavior. On the basis of these results, it is necessary for nurses to consider using dementia knowledge and mode of efficacy expectation in order to improve dementia preventive behavior.

• Journal of Acupuncture Research
• /
• 제34권3호
• /
• pp.49-58
• /
• 2017

Objectives : The purpose of this study is to provide data to guide dementia health-care policy in Korea and to establish the position of Korean medical specialists in long-term care hospitals by analyzing the data of dementia inpatients. We analyzed the actual condition of dementia patients in care hospital and the effect of Western-Korean cooperative medicine on the progress of dementia. Methods : From January 1, 2016 to December 31, 2016, inpatients who were diagnosed with dementia at Mungyeong municipal long-term care hospital and admitted for more than 3 months were enrolled. Their medical records and simple tests were analyzed retrospectively. Results : We examined the detailed diagnosis, including both main and sub diagnosis, and Alzheimer disease dementia, at 97%, was the most common. At the time of admission, Korean Version of the Mini-Mental State Exam (K-MMSE) analysis showed that severe dementia affected 52%, and most were rated as Geriatric Depression Scale (GDS) 6. Based on the admission date, the results of a simplified test applied to the dementia patients every 6 months showed an maintain in the K-MMSE and GDS scores in 83%. Conclusion : The results of this study show that the rate of progression of dementia is somewhat lower in inpatients with moderate to severe Alzheimer's who have received Western-Korean cooperative treatment. However, due to institutional limitations, long-term inpatients such as those with dementia do not receive active traditional Korean medical treatment; hence, it is necessary to improve the national institution of traditional Korean medicine in long-term care hospitals.

• 한국치위생학회지
• /
• 제19권6호
• /
• pp.891-905
• /
• 2019

Objectives: The objective of this study was to examine the current state of dementia-related education for dental hygiene degree programs in Korea, as well as to develop a dementia-related curriculum for dental hygiene programs suitable for the social characteristics of Korea. Methods: The study was conducted between April and November 2018. First, the current state of dementia-related education for dental hygiene programs in colleges throughout Korea and dementia-related education for other health care-related fields were investigated. Based on the initial findings, the basic content of the preliminary curriculum was constructed. Second, based on the opinion of the dementia-related curriculum development committee comprising 10 professors of dental hygiene, the operations of dementia-related courses and relevant details were constructed. Third, these operations and relevant details were assessed and revised based on focus-group interviews. Fourth, the dementia-related curriculum was developed based on the study findings and literature review. Results: The name of the course in the developed curriculum was set as "Elderly Dental Hygiene and Practicum." The course was established as a "major elective," and was offered as two units with two instructional sessions of two hours each. The learning goal for this course was acquiring the methods for understanding and managing the characteristics of the elderly. A consensus was reached regarding conducting the theoretical and practical lessons on some of the dementia-related content. The dementia-related curriculum comprised 10 "required contents" which is to be conducted over three weeks of theoretical lessons and two weeks of practical lessons. Conclusions: With the growing elderly population, the development and operation of the curriculum for geriatric oral health interventions are warranted in dental hygiene education. However, continued discussions and improvements are needed on the extent of educational content, considering various dementia-related symptoms and general geriatric systemic diseases.

• 대한한방내과학회지
• /
• 제19권2호
• /
• pp.50-59
• /
• 1998

Background : Vascular dementia occurs mainly due to cerebral vascular disease. So we performed this clinical study to investigate the incidence and characteristics of vascular dementia in stroke patients. Methods : This study was performed on the patients hospitalized from April 1, 1998 to August 31, 1998 at the department of circulatory internal medicine, hospital of Oriental medicine, Kyung-Hee University, and diagnosed cerebral infarction or hemorrhage by Brain CT or MRI. we devided the patients into two groups; vascular dementia group and non dementia group according to MMSE-K(Mini Mental State Examination Korean version), Hasegawa dementia scale. Patients were diagnosed dementia using DSM-IV. We compared general characteristics, stoke types and laboratory findings between the two groups and investigated the correlationship between MMSE-K and Hasegawa dementia scale. Results : Results showed that the incidence of vascular dementia was about 27.8% in stroke patients. The greater number of subjects with dementia were women in the lower educational classes and had lower MBI(Moderfied Bathel Index) scores. Vascular dementia were more common in patients with large brain lesion size($>20cm^3$). There was a positive correlationship between Hasegawa scores and MMSE-K.

• 한국융합학회논문지
• /
• 제9권7호
• /
• pp.317-323
• /
• 2018

본 연구의 목적은 치매파트너로서 활동을 경험한 간호학생의 치매에 대한 지식과 태도의 정도를 파악하여 치매예방교육 및 프로그램 개발과 적용에 대한 기초자료를 제공하기 위함이다. 치매파트너로서 활동을 경험한 간호학생 157명을 대상으로 하였고, 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였다. 대상자들은 치매에 대한 지식수준이($9.77{\pm}2.55$점, 범위 0~15점), 치매에 대한 태도가($39.76{\pm}4.00$, 범위 0~60점)으로 나타났고, 치매 지식과 치매 태도간의 상관관계에서는 양의 상관관계를 보였다(r=.213, p=.001). 결론적으로 치매에 대한 지식과 태도를 함양하기 위해 다양한 프로그램 개발과 국가 차원의 다양한 정책이 이루어질 필요가 있을 것으로 사료된다.

• 대한통합의학회지
• /
• 제2권2호
• /
• pp.21-29
• /
• 2014

Purpose : This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Method : We investigated 181 physical therapists and 225 university students by using questionnaires from August 12 to September 19 2013. The questionnaire that used in this study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Result : Attitude scores for dementia, Physical therapist was 41.66. Physical Therapy student was 40.34. Non-student Department of Health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion : The study has revealed that the following factors of the therapists influence their attitudes towards dementia: their age; educational level; whether or not they have a family member with dementia; whether or not they have obtained information on dementia. Based on the finding, it is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy.

• 융합정보논문지
• /
• 제7권3호
• /
• pp.1-12
• /
• 2017

본 연구는 15년간 치매에 대한 연구 동향을 살펴보고 이에 따른 시사점을 논의하여 치매 관련 연구 및 정책수립 등에 기여하고자 한다. 연구방법으로 정량적 데이터 분석을 사용하고 자료 조사는 구글 스칼라 사이트에서 15년간 12,588편의 치매 관련 연구 자료를 사용 하였다. 연구 분석 결과, 첫째, 치매에 관한 연구가 지속적으로 증가하고 있다는 사실을 확인했다. 둘째, 정부 지원과 같은 사회적 영향에 따라 치매 연구가 증가한다는 것이다. 셋째, 치매를 시설보호 및 치료적 관점에서 경증환자관리, 지역사회 참여중심의 사전예방 관점으로 패러다임으로 변화하고 있다는 것에 대한 근거를 제시하였다. 넷째, 치매는 중증으로 부정적인 인식으로 외부에 공개를 꺼리는 분위기에서 느리지만 관리가 되는 질환으로 수용하는 사회적 분위기로 전환되고 있다는 것으로 판단된다. 이는 치매 친화적 사회환경으로 변화하고 있어서 매우 긍정적인 환경 변화가 이루어지고 있다. 본 연구는 치매에 대한 국내 연구동향을 제시하여 치매 관련 분야 연구에 기여한다.

• 대한통합의학회지
• /
• 제8권2호
• /
• pp.187-198
• /
• 2020

Purpose : This study was conducted to provide basic data for the association's policy management and to improve the activity areas by investigating Gyeonggi-do physical therapists' recognition of the national responsibility for dementia. Methods : A total of 1,839 physical therapists participated in this survey, and the data from a total of 29 questionnaires were analyzed using SPSS 22.0 windows. Results : Among the physical therapists in Gyeonggi-do, 61.1 % had low awareness of the national responsibility for dementia, and the recognition of the center for dementia was also low. On the other hand, there was a remarkably high opinion that the physical therapist was a necessary workforce, and positive responses to dementia-related work and education participation were also high, 51.9 % and 68.5 %, respectively. Those with a high educational background, annual salary, clinical experience, or dementia-related institutions, such as nursing homes and physical therapy, had a high awareness of "dementia national responsibility", awareness of "center for dementia" and "participation in dementia-related work and education". On the other hand, "work participation" and "education participation" were found to be inversely related to age and clinical experience. Conclusion : Physical therapists based in Gyeonggi-do showed an awareness of dementia policy. This result will help the association's policy management and protect the physical therapist's rights and interests.

• 가정∙방문간호학회지
• /
• 제2권
• /
• pp.60-76
• /
• 1995

The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).