• Title/Summary/Keyword: family with dementia

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Association between caregiving activities and care burden among caregivers of people with dementia

  • Park, Eun-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.4
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    • pp.346-354
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    • 2018
  • The purpose of this study was to examine the difference in the association between caregiver's activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer's Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.

A Study on Guiding Principles for Designing Interior Space of Long-Term Care Facilities for The Elderly with Dementia in Korea - Focused on the analysis of living Conditions of the elderly with dementia - (한국 치매노인을 위한 전문요양시설 실내공간디자인 지침에 관한 연구 - 치매노인의 생활행태분석을 중심으로 -)

  • Joung, Yeo-Ju;Choi, Sang-Hun
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.217-222
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    • 2005
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

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A Study on the Design Guidance for the Residential Space in the Specialized Caring Facilities for Elderly Dementia Patients - Centering on the actual cases in the capital area (치매노인 전문요양시설 거주공간디자인 지침에 관한 연구 - 수도권지역 사례를 중심으로 -)

  • Joung Yeo-Ju;Choi Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.14 no.4 s.51
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    • pp.70-78
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    • 2005
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients' Care Givers (치매노인부양자의 자아분화와 적응변인 간의 관계에 대한 연구)

  • Hyeong, Seong-Hun
    • Journal of the Korean Home Economics Association
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    • v.49 no.5
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    • pp.97-115
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    • 2011
  • The focus of this study was on the self-differentiation level of families with an elderly member suffering from dementia. Based on 340 questionnaires collected in Seoul and Gyeonggi, the study intended to explain the adaptation issues of those families. The variables of interest, which might be related to the self-differentiation, were chronic anxiety(i.e. stress), the family function, psychosomatic symptoms and the family's adaptation to care-giving. As a result of analyzing the effects of the variables potentially related to the self-differentiation level of care-giving families, the findings from this study were as follow. With decreasing self-differentiation level of the family caring for an elderly member suffering from dementia, the levels of stress and psychosomatic symptoms were significantly increased, but the family function and the adaptation to care-giving tended to decrease. Conversely, with increasing self-differentiation, the levels of stress and psychosomatic symptoms were significantly decreased, while the family function and adaptation to care-giving were promoted.

Nursing Service Needs of Caregivers for Demented Elderly in the Community (지역사회 치매가족의 간호요구도)

  • Oh, Jin-Joo
    • Research in Community and Public Health Nursing
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    • v.14 no.1
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    • pp.120-131
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    • 2003
  • Purpose: to investigate nursing service needs of dementia caregivers in the community, and, also to provide basic data that is helpful in developing nursing intervention for them. Method: MMSE-K exam was administered on 15,216 men more than 65years old who live in Gu, Seoul city, and the subject of this study were caregivers of 792 demented elderly who were below 20 points in the MMSE-K exam. Result: Total score of nursing service needs of family appeared lower than average. By specific area, information nursing needs was the highest(M=3.29), and therapeutic nursing needs (M=3.31), welfare service nursing needs(M=3.32), emotional support nursing needs (M=3.34) followed in order. The factors which increased the total score of nursing service needs of dementia caregivers as general and physical characteristics were man (p=.04), lower ADL (p=.00) and IADL(p=.00), longer length of sick days(p=.01), having diseases(p=.03), decline of cognition(p=.00), existence of dementia symptom(p=.00). And. high economic status(p=.03), good caring attitude(p=.00) were family characteristics which increased the nursing service needs of caregivers. As predicting variables dementia symptom (10.4%), caring attitude(1.9%), existence of economic activity (1.5%), and length of sick days(1.2%) exhibited explanation power in order. Conclusion: In future, active intervention methods that correspond to family nursing service needs have to be developed, and it is also needed to develop nursing intervention strategy on specific problem with dementia problematic behavior, exercise etc.. Also, it is needed to do research on the caring attitude of dementia family because active caring attitude of family was significant influencing factor on nursing service needs of family.

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Family Member's Caregiving Stress and Satisfaction of Care for Patients with Dementia in Long Term Care Facilities and Day Care Centers (주간보호시설과 요양시설 치매 환자 가족의 부양 스트레스와 시설간호서비스 만족도)

  • Lim, Dong-Young;Park, Myong-Hwa
    • Korean Journal of Adult Nursing
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    • v.22 no.4
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    • pp.384-394
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    • 2010
  • Purpose: This study was to explore family member's caregiving stress and satisfaction of care for patients with dementia in long term care facilities and day care centers. Methods: The subjects were 129 family members of elders with dementia from ten long term care facilities and eight day care centers in Daegu and Kyungsangbukdo. Data were collected from August to October, 2007. The instruments were self administered questionnaires and included. The Family Perceptions of Caregiving Role (FPCR) and the Family Perceptions of Care Tool (FPCT) which were developed by Maas and Buckwalter (1990) and translated by Park (2002). Results: Family member's care giving stress in day care centers were higher than that of long term care facilities (t=-2.89, p=.005) especially in the categories of captivity (t=-3.27, p=.001), guilty (t=-2.93, p=.004), and loss (t=-2.44, p=.016). Family member's satisfaction of care in day care centers was higher than that of long term care facilities (t=-3.21, p=.002) in the (use - categories or measures since you are referring to the instrument and delete aspects) aspects of effective management (t=-3.69, p=.000) and activity (t=-2.00, p=.045). Conclusion: The results of this study showed that family members' perceptions toward their care giving roles and satisfaction of care differ whether the facilities are long term care or day care centers. This study provides baseline data that could be used for improving the quality of long term care services.

A systematic review of interventions for family caregivers of the elderly with dementia in Korea (국내 치매노인 가족 부양자 중재에 대한 체계적 고찰)

  • Jeong, Seonghee;Hwang, Jeonghae;Oh, Doonam
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.306-320
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    • 2021
  • Purpose: This study was a systematic review to assess the contents and effects of an intervention program for family caregivers of the elderly with dementia in Korea. Methods: A literature search was done using Medline, CINAHL, RISS, KISS, and DBpia to identify studies reported in English or Korean from 2000 to 2021. Results: A total of 1,162 articles were searched; finally, 23 articles were used in the analysis based on the inclusion and exclusion criteria. The most applied intervention contents were knowledge provision and emotional support. Fourteen articles (60.9%) reported on complex interventions, including emotional, social support, relaxation, and various activities. The most frequently measured outcome variable in the reviewed literature was "burden," followed by "depression" and "coping strategy." Conclusion: The review results can provide basic data for establishing evidence and suggesting directions of interventions for family caregivers of the elderly with dementia.

A Concept Analysis of Caregiving Satisfaction in Family Caregivers of Patients with Dementia (치매환자 가족돌봄자의 돌봄만족감 개념분석)

  • Choi, Sora
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.506-517
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    • 2022
  • The study was conducted to identify and clarify the conceptual definitions and attributes of caregiving satisfaction in family caregivers of patients with dementia. The hybird model was used to perform the concept analysis of caregiving satisfaction. Results from both the theoretical review and a field study including 7 participants were included in final process. The concept of caregiving satisfaction was found to have three dimensions with seven attributes. Caregiving satisfaction by family caregivers of patients with dementia was defined as positive of aspects of caregiving usually experienced in three dimensions such as interpersonal dimensions (accomplishing a duty, reciprocity, strengthening of the relationship), role performance dimensions (feeling of accomplishment, emotional reward, emotional comfort) and meaning of role dimensions (positive meaning-making). Based on the results, a tool for measuring caregiving satisfaction among Koreans family caregivers of patients with dementia and effective programs for enhancing caregiving satisfaction should be developed in future studies.

Agitation in Home-dwelling Persons with Dementia and Coping Behaviors in Primary Care-givers to the Agitation (치매 환자의 격앙행동과 주간호자의 대처행동)

  • Kim, Hye Suk;Park, Heeok
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.256-265
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    • 2012
  • Purpose: The purpose of this study was to investigate agitation in home-dwelling persons with dementia and coping behaviors of primary family care-givers to agitation. Methods: The research was designed as a descriptive study. A total of two hundred and five subjects had participated in this study. To measure agitation in persons with dementia, Cohen-Mansfield Agitation Inventory was used. To measure coping behaviors of primary family care-givers to the agitation, a questionnaire was used. Descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ test were used to answer the research objectives. Results: 'Repetitive mannerisms' and 'repeating sentences' were the most commonly occurred agitation in home-dwelling persons with dementia. 'Leaving the situation', 'allowing certain time', and 'soothing by talking' were the most common coping behaviors occurred in primary care-givers. Conclusion: The findings of the current study would provide meaningful data to develop nursing programs to control agitation for home-dwelling persons with dementia and education programs for primary care-givers to cope with persons' agitation.

Influencing Factors on File-up Stress in the Caregivers of Patients with Dementia (치매노인 가족의 누적스트레스 영향요인)

  • Seomun, Gyeong-Ae
    • 한국노년학
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    • v.25 no.2
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    • pp.195-209
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    • 2005
  • The purpose of this study was to identify the factors influencing file-up family stress in the caregivers of patients with dementia. Data was collected by questionnaires from 102 families with a member having a dementia, at neurology departments of hospitals, temporary shelter for dementia patient, and nursing homes for the elderly. The data was analyzed using descriptive statistics, pearson correlation coefficients, and multiple regression. In results, the score of file-up stress showed a significantly negative correlation with the score of level of family hardiness(r=-.200, p=.026), social support(r=-.361, p=.004), relative and friend support(r=-.416, p=.001), and F-COPES(r=-.345, p=.048). The multiple regression analysis revealed that the most powerful predictor of file-up family stress was family cost for patients with dementia. The results contribute to the understanding of Korean family caregivers' perceptions of caregiveing. Further researches should be conducted with the consideration of Korean traditional custom that family should take care of the elderly family members.