• The Korean Journal of Food & Health Convergence
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• v.6 no.3
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• pp.31-41
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• 2020

The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

• The Journal of Korean Society for School & Community Health Education
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• v.8 no.2
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• pp.19-34
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• 2007

Background & Objectives: The current study aims to convey correct knowledge of dementia that is be on the rise as the most significant social problem and provide basic data for implementing immediate school health education for dementia which is the basis of improving quality of life for patients with dementia, their family and the society by analyzing recognition level for dementia among male and female students in the 2nd grade of middle school and the necessity of school health education for dementia. Methods: The current study conducted a survey with a total of 150 students. 25 male and female students respectively selected from three middle school taking into account regional characteristics. The study also processed the survey results using SPSS-PC Program 12.0 and gained the following results by implementing Frequency Analysis. Cross-tabulation Analysis and ANOVA Analysis. Results: As for respect for grandparents, 55.3% of the respondents said they respect their grandparents. while 39.3% answered so-so and 5.3% said they don't respect their grandparents. As for the number of they meet grandparents, 36.0% of the respondents said they meet grandparents once or twice a month, which was the most frequent answer. On the other hand, 24.7% are once or twice every six months, 13.3% are once or twice a year and a week, respectively, and 6.7% said that they seldom meet their grandparents. In a question about whether they had recognized dementia after explaining dementia in detail, 82.7% said' yes' while 17.3% said' no'. But few students recognized it when they were asked using a terminology' dementia' first. The average score of knowledge level integrating the most fundamental 16 questions about dementia was $11.20{\pm}1.73$. Also 83.3% of the respondents answered that they had no experience in health education about dementia while 16.7% said presented positive answers. In the necessity of health education about dementia, 73.3% of them said' necessary' while 21.3% said' so-so' and 5.3% said 'not necessary. Conclusions: From the above study results, it was found that it is time to emphasize the necessity and importance of school health education for improving respect for the old and a sense of responsibility for support and converting recognition for dementia in Korea that has social structure of the trend toward the nuclear family and heads for an aged society. However, the fact that the above things are not implemented at all in reality can expand disparate views among family members in the future and further can cause even more serious problem by neglecting senior problems. Therefore, the government, social organizations, especially school organizers should recognize the necessity and importance of school health education and actively begin cultivations of students' character by implementing the education about dementia at the early stage.

• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.627-640
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• 2015

Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.

• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.45-60
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• 1995

This study investigated the effects of education program conducted through individual home visit by CHPs, which was developed ,by the operational re-search technique for families of dementia patients. (Yeo Shin Hong et at,1994) The study was conducted in the form of a primary experimental design with 43 people as subjects, including dementia patients and family member in several Myon areas of Chungcheong Namdo between June 10 and August 20, 1994. The data was collected by questionnaires through the home visit by the CHPs. The results of study are as follows. 1. There is no difference in the quality of life between before and after the education program. 2. Role stress 'before the education program' was significantly different than 'after the education program'. 3. There was no difference in the feeling of burden between before and after the education program. 4. There was a significant difference in the abnormal behaviors of patients between before and after the education program. 5. The knowledge of dementia by the patient's family increased significantly after the education program, compared to that of 'before the education program'. 6. There was a significant difference in the attitude of family members toward the education program on dementia between before and after the education program. 7. The results of analysis on the coefficient relationship of various variables showed that the age of patients and family members have a significant correlation with role stress(p=.01). 8. In the subjective evaluation of family members on changes in actual nursing actions and the improvement of knowledge and technique in terms of daily living, (including abnormal behavior of patients, adjustment of environment for patients, activity programs for patients, communication technique with patients, ensuring the safety of patients, clothing, meals and elimination, 60-65% of family members responded that their knowledge had increased. As for improvement in techniques for each item, the technique for communication with patients showed the greatest improvement while the action program method for patients showed the least change. As for the nursing service provided to patients, most respondents showed a positive change. The specific items for which more than 80% respondents answered positively were as follows : recognizing the demand of patients, getting patients to do simple house works, talking softly and gently, removing dangerous things, preparing comfortable clothes that are easy to put on and take off, and limiting water consumption at night. As a result of study, the following suggestions can be made. The purpose of the study was to examine the effect of an education program developed and applied for dementia patients and family members in the community. This needs to be compared with a similar study conducted in the urban setting. In addition, a community service program (ex : nursing hem and shelter) including the application of the education program should be developed and the study done to investigate its effect.

• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.423-440
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• 2000

This research was conducted to identify the following: the home care needs of patients with dementia and the burden on the primary family care giver: to provide basic data required to develop nursing intervention for the care giver: and to suggest recommendations for medical institutions and social services that could reduce the burden on the families of people suffering from dementia. subjects of this research were 53 patients of the two Public Health Centers of Cheju Province who are suffering from dementia and their families. The instrument used in the research was Kuen. Jung Don (1994)' s assessment tool of burden in the primary family care giver who has parents with senile dementia and Yoo. Young Mi(1998)'s assessment tool of home care need. modified by the researcher in the questionnaire by a Likert rating scale. The period of data collection was from February 8. 2000 to March 10. 2000. Collected data was analyzed by SPSS, using mean, standard deviation. ANOVA, t-test and Pearson correlation coefficient. The result of this research was that there was not a significant correlation between the burden on the care giver and the level of dementia, its duration, the patient's ability to perform daily tasks, the period of care giving. and the use of social services, although the lower the patient's ability to perform daily tasks. and the worse the care giver's own health situation, the higher the burden on the primary family care giver. The following suggestions are made based on the results of this research. 1. More than half of the subjects don't use social facilities and services. More publicity and referral efforts are needed about medical institutions. nursing institutions and other facilities that specialize in services for dementia sufferers and their families. 2. Nursing services should include intensive education for the primary care giver in the most important aspects of home care. 3. Further research should be done, and should include data from all parts of Cheju Province.

• Journal of Korean Public Health Nursing
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• v.11 no.2
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• pp.141-151
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• 1997

As concerns about dementia patients increase gradually in society, the nursing of them becomes more and more important. For intervening in dementia patients effectively, the most fundamental thing is to understand their characteristics and to increase the ability of assessing them. The assessment data supply us with the foundations of Nursing diagnosis and nursing plan. The reaseons why the assessment data are especially important to dementia patients are as follows; First, dementia patients have great differences among them in intellectual, physical ability. And their condition varies from time to time. Second, the intervention without planning results in the deficiency of consistence, and it rather embarrasses and makes dementia patients uneasy. Third, nursing of dementia patients requires participation of multi-disciplinary team because of characteristics of that disease. The development of an unitary assessment tool is essential for all members of the team to have close relations between them and care for dementia patients. Fully understanding the importance of assessment data, this study investigate the content to be included in the assessment before developing assessment tools to be used in community. It points out that the assessment should include the informations about patients, their family, and main care-giver. And it sets up items that can supply with detailed information on each person. In the future it is necessary to transform the contents of this study to more concrete items and develope the assessment tools for dementia patients. And recording paper for follow up should be supplemented to check any changes in family caring for dementia patients and describe the changes in detail. To make assessment tools is one of the fundamental works in controlling dementia patients. Therefore the official assessment tools should be provided as soon as possible. This study aimed at presenting the guiding principles for developing that assessment tools.

• Journal of the Korean Home Economics Association
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• v.38 no.5
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• pp.153-166
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• 2000

The purpose of this study was to determine the extent to which Swedish group home for elderly people with dementia coed be applied to the situation in Korea. One hundred and ninety six Korean subjects, responsible for supporting a member of their family afflicted with such an illness in their own homes, comprised the sample population for this study. Data was collected using questionnaires. frequency distribution, mean, and chi-square tests were used to analyze the data. The results of this study indicated a great possibility for adapting these kinds of group home in Korea. The respondents showed positive opinions with the basic concepts and space plans of Swedish group homes excepts for some details, like the number of residents per room. The respondents felt that a group home for dementia with the fellowing features was desirable : smart scale, single-family detached house,3-4 rooms, a total of 6-8 residents, managed by non-profit organizations or the government at a monthly cost of 530,000-1,000,000 won. In order to develope these group homes for dementia people in Korea, political assistance, combined with economic support, are strongly needed. The successful establishment of a group home will contribute not only to the welfare of elderly people with dementia but to their families as well.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.629-638
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• 2002

The impact of chronic diseases on patients and their families depends on how well the family members cope with it. Therefore, research on strategies for facilitating the coping of the families in a desirable manner is very important. Dementia management strategies refer to specific means families of dementia patients use to cope with dementing illness of their family members. This study was designed to examine type of dementia management strategies utilized by families and to identify factors influencing them. The subjects in this study were 103 conveniently selected demented patients and their primary caregivers who were registered to a public health center located in Chungcheong Province. The subjects were visited by 20 home visiting nurses, and the data were collected using a structured questionnaire. The data were collected form May 2, 2001 to June 2, 2001. The findings of this study were as follows. 1. The most frequently used types of dementia management strategies were active management (M=3.36, S.D=.96), and encouragement (M=2.94, S.D=.99). Criticism was least used type of dementia management strategy (M=2.71, S.D=.99). 2. The factors influencing each management strategy were as follows; 1) The criticism management strategy was most frequently used by the primary caregivers who graduated elementary school (F=3.21, p<.05). 2) The encouragement strategy was most frequently used by the primary caregivers in a case when the patients were in the mild stage of dementia (F=2.76, p<.05), when the patients never had any treatment experiences (F=2.01, p<.05), when the family could afford the provision of treatment for the patients (F=-2.44, p<.050), and when the primary caregiver had a job (t=2.90, p<.01). 3) The active management strategy was most widely used by the primary caregivers who could afford the provision of treatment for the patients (F=-2.31, p<.05) and were in their 70s (F=3.04, p<.05). This type of management strategy was significantly more used by those who discussed the difficulties of caring with their family members (F=3.46, p<.05). 3. The use of criticism management strategies was significantly correlated with the total level of burden of the primary caregivers. But the types of encouragement and active management strategies had negative correlations with the caregivers' burden although they were not significant. Since the findings of this study showed that the criticism management strategy had a significant positive relationship with caregivers' burden, those who are more likely to use the negative management strategy should be identified in future studies. The primary caregivers who are more likely to use negative strategy should be more closely monitored and be focused as the group who should be intervened in future studies.

• Research in Community and Public Health Nursing
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• v.25 no.2
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• pp.97-108
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• 2014

Purpose: This study attempted to identify the effectiveness and substantiality of a dementia education program for family caregivers of the demented elderly. Methods: This quasi-experimental study using a nonequivalent control pretest-posttest design was carried out from April 15 to July 29 in 2012 with 137 subjects divided into an experimental group (n=70) and a control group (n=67). This study examined the subjects' general characteristics, and evaluated their nursing method four times, respectively, before the intervention, right after the intervention, and 2 and 4 weeks after the intervention, and then analyzed collected data through t-test and $x^2$-test. Results: In the experimental group that had received the dementia education, the nursing method score was significantly higher right after the intervention (t=8.33, p<.001) and 2 weeks after the intervention (t=8.01, p<.001) than before the intervention, but their score 4 weeks after the intervention was not significantly different from that of the control group (t=1.08, p=.28). Conclusion: The dementia education was found to be effective in improving the nursing method of family caregivers of the demented elderly. This study implies that further follow-up dementia education is necessary between 2 and 4 weeks to maintain the effectiveness.

• Journal of Korean Public Health Nursing
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• v.6 no.2
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• pp.108-132
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• 1992

The purpose of this study· is to identify sources of the caregiving burden, thereby suggesting social welfare alternetives for supporting family caregivers of the elderly with dementia. 23 family caregivers who participated in self-help group of family caregivers of dementia elderly at a welfare facility for the elderly in Seoul were seleted as the study sample. Zarit caregiving burden scale and Zarit functional impairment measurement for the elderly were adapted for this study and a number of additional variables were included in this study. Correlational analysis was utilized. The results of the study were summarized as follows : 1) The impairment of activities of daily living of the elderly was significantly related to the negative elderly. caregiver-family relationship(PADL:r=.6032 IADL : r=.5930 p<.05). 2) The impact on caregiver's health was very significantly related to the impact on the caregiver's task(r=.6233 p<.001). 3) The Impact on caregiver's health was very significantly related to the impact on the caregiver's social activity restriction(r=.6851 p<.001). 4) The impact on the caregiver's social activity was very significantly related to the impact on the caregiver's task(r=.6969 p<.001). 5) Caregiver's income was significantly related to the impact on the caregiver's task(r=.5252 p<.05). 6) Compensation(interpersonal relationship between the elderly and the caregivers, social praise and appreciation of the elderly) was important variables which affect to the feeling of the caregiving burden.