• International Journal of Advanced Culture Technology
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• 제10권2호
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• pp.34-42
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• 2022

This study is a cross-sectional survey study aimed at collecting basic data for the development of a program to cultivate a positive attitude toward dementia among people caring for dementia patients. For this study, data were collected from March 1 to March 7, 2022 as a structured questionnaire, and 232 study participants were in their 20s to 60s. The collected data were derived from chi-square test, t-test, and simple regression analysis using the spss 18.0 program. As a result of the analysis, women had higher treatment knowledge for dementia than men, men had higher attitudes toward dementia than women (p<0.01), and people living with dementia patients had higher attitudes than those who gave birth (p<0.01). Attitudes toward dementia were more positive in the family than those with dementia patients (p<0.01). Dementia-related knowledge consists of disease knowledge, treatment knowledge, and nursing knowledge, of which only positive dementia attitude affects dementia treatment knowledge (t=5.29, p<0.01). Based on these results, it is suggested that the provision of accurate knowledge about dementia treatment should be planned first as a nursing program for dementia patients.

• KIEAE Journal
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• 제11권6호
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• pp.109-115
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• 2011

Recently the Elderly with dementia is increasing in Korea with rapid aging of the population. In addition to increasing a number of nuclear family and women's advancement in society, people are less capable of supporting family with dementia. In response, the Seoul city increased welfare facilities for the elderly with dementia about two times for one year. I think that the quantitative portion of facility get to meet the requirements but it is lack of qualitative one in fact. Therefore, the space for the elderly can keep up with the falloff of mental and physical functions, dementia and geriatric diseases according to aging and careful consideration about the space considering stability and convenience is required. At this point, this study has the purpose to plan a daycare center which reflects the characteristics of the elderly to protect them within the community safely and comfortably. As for the research method, case study was conducted to understand the overall situation on the space plan of the daycare center for 3 daycare centers located in Seoul and found out problems. From the generalization of the above study, a space plan for a daycare center considering the characteristics of the elderly was provided. The composition of Dementia welfare facility should be carefully planned to fit characteristics of the patient's behaviors.

• 한국노년학
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• 제38권4호
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• pp.1107-1125
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• 2018

본 연구는 치매환자와 동거하는 가족의 자살생각 위험요인과 보호요인에 따라 유형화를 하고, 각 유형집단이 자살생각에 미치는 영향을 분석하여 자살예방을 위한 실증적 기초 자료를 제시하는데 목적이 있다. 본 연구는 2013년 지역사회건강조사를 활용하여 치매환자와 동거하고 있는 가족 2,715명의 자료를 분석대상으로 하였고, 잠재계층모형분석과 이항로지스틱분석을 실시하였다. 주요분석내용은 (1) 자살생각의 위험요인과 보호요인의 유형화 (2) 유형화된 집단이 자살생각에 미치는 영향을 규명하고자 한다. 총24개의 자살생각 위험요인과 보호요인의 지표를 활용하여 잠재적 집단분석을 실시하여 '고위험-저보호요인'집단, '고위험-고보호요인'집단, '저위험-고보호요인'집단, '저위험-저보호요인'집단으로 유형화하였다. 분석 결과, '고위험-저보호요인'집단인 경우 자살생각이 가장 높았고, 유의하게 자살생각을 가지는 것으로 나타났다. 결과에 기반한 실천적 함의와 과제를 제시하였다.

• 국제물리치료학회지
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• 제9권4호
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• pp.1636-1641
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• 2018

The purpose of this study was to investigate the relationship between the needs for environmental improvement and dementia patients' activity of daily living (ADL) and behavior and psychological symptoms of dementia (BPSD) in dementia patients living in urban type dementia care villages. The subjects of this study were 70 households with cognitive impairment and dementia among residents of dementia care village in Gunsan City. The survey was conducted with the permission of their family. Frequency analysis and descriptive statistical analysis were performed on the main variables to analyze the characteristics of the subjects. Bivariate correlation analysis was performed to verify the relationship between the two variables. According to the analysis results, the order of environment improvement was in the order of entrance (51.4%), toilet and stairs (48.6%), kitchen (11.4%), bedroom and laundry room (10.0%). In the relationship between the variables, The ADL was correlated with age (r=.315, p <.01), BPSD (r=.322, p<.01) and living environment inconvenience (r=.640, p<.01) while, living environment inconvenience correlated with environment improvement need (r=.669, p<.01). This study suggests that improvement of the residential environment of dwellers in dementia care villages, especially the stairway and entrance hall is necessary.

• 한국노년학
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• 제38권3호
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• pp.501-519
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• 2018

본 연구의 목적은 초기 치매환자 가족 돌봄제공자의 공유 의사결정에 대한 인식을 탐색하는 데 있다. 이를 위해 서울시 3개 치매지원센터에 등록된 초기 치매환자를 돌보는 가족 돌봄제공자 12명(여성 8명, 평균연령=$71.4{\pm}10.4$세)을 대상으로 반 구조화된 개별 심층면담을 이용하여 수집된 자료에 대해 질적 내용분석을 시행하였다. 본 연구를 내용 분석한 결과 6개 범주, 17개의 하위 범주가 도출되었는데 구체적인 연구결과는 다음과 같다. 초기 치매환자 가족 돌봄제공자의 공유 의사결정에 관한 인식은 치매환자와의 의사소통 촉진 수단과 치매환자의 자율성 보장 수단, 치료 촉진 기회, 가족 돌봄제공자의 부담감 증가 원인, 치매환자와의 관계 악화 원인, 우선순위 변화에 따른 선택 사항의 여섯 가지 범주로 나타났다. 또한, 공유 의사결정의 상황과 시기 및 공유 의사결정에 대한 인식이 가족 돌봄제공자의 경험을 통해 만들어졌다는 점을 알 수 있었다. 따라서 치매 관련 교육 시 간접경험을 통해 공유 의사결정을 선택 사항으로 생각하는 가족 돌봄제공자들에게 공유 의사결정을 경험할 수 있는 기회 등을 제공하는 것이 공유 의사결정에 대한 인식 제고에 도움이 될 수 있을 것으로 사료된다. 이상 결과에 근거하여 초기 치매환자의 자기결정권 존중과 가족 돌봄제공자들의 부담감을 감소시키기 위해 공유 의사결정을 성공적으로 할 수 있는 실제적이고 총체적인 교육 프로그램의 개발 및 평가 연구를 제언한다.

• 동서간호학연구지
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• 제23권2호
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• pp.180-189
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• 2017

Purpose: This study was conducted to identify the perception of and attitude toward dementia and depression among residents in a community. Methods: Data were collected using the questionnaire from 226 residents in Incheon city from February to May, 2017. The data were analyzed using t-test, ANOVA and Scheffe's test to identify differences in perception of and attitude toward dementia and depression. Pearson correlation coefficients were used to identify the correlation between the study variables, and multiple regression was used to identify factors affecting depression. Results: There were significant differences in perception of dementia according to age, education, marital status, and exercise. Also, significant differences in attitude toward dementia were found in occupation, family history of dementia and education about dementia. Depression was significantly different depending on the type of health insurance coverage and alcohol drinking. The scores of perception of dementia and depression were 11.09, 2.37, respectively on a 2-point scale and for attitude toward dementia was 85.94 on a 7-point Likert scale. The perception of dementia was positively correlated with the attitude toward dementia and there were negative correlations between perception of dementia and age and between depression and attitude toward dementia. Conclusion: The results of this study suggest that we should improve perception of and attitude toward dementia and reduce depression to prevent and manage dementia effectively.

• 한국전자통신학회논문지
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• 제8권10호
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• pp.1601-1608
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• 2013

의학계는 2020년 국내노인성 치매환자가 60만명을 넘을 것으로 예상하고 있다. 현재 연령별 치매 환자 비율은 70대 3%, 85~89세 23%, 95세 이상이 58%로 나이에 따라 급격히 증가한다는 것도 주목해야 할 일이다. "21세기의 병"이라 불리우고 있는 치매는 환자 자신뿐 아니라 가족들의 삶까지도 심각한 영향을 미치고 있으며 삶의 질을 떨어뜨려 결국은 가족을 황폐화시킬 정도로 많은 부담과 고통을 동반하고 사회적으로도 심각한 문제가 되고 있다는 지적도 있다. 본 논문은 치매예방센터를 운영하는 대학의 치매예방센터의 프로그램에 참여하여 일정기간 노인들과 함께 프로그램에 참여하며 치매예방 프로그램에 대한 적극적인 개발과 치매예방 인력의 전문화를 위해 노인들과 함께 했다.

• 한국보건간호학회지
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• 제16권1호
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• pp.13-29
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• 2002

The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.

• Journal of Audiology & Otology
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• 제24권1호
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• pp.40-47
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• 2020

Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

• 대한청각학회지
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• 제24권1호
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• pp.40-47
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• 2020

Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.