• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.40-48
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• 2006

Purpose: This study was done to identify the experience of stress and burn-out in caregivers of patients with senile dementia. Method: To evaluate the degree of stress and burn-out in caregivers of patients with senile dementia, 64 caregivers and matched to 64 patients with senile dementia at a Primary Health Care Post in South Kyung Sung Province were selected. The study was carried out from March 6 to March 30, 2001. Data on the degree of dementia in the patients was measured by the MMSE-K (Mini-Mental State Examination-Korea) and caregiver characteristics such as, sex, age, marital status, educational level, job, socioeconomic status, religion, number in family, relationship with patient, duration of care, and chronic disease in caregiver were collected by direct interview with a questionnaire. Results: Of 64 patients with senile dementia, 15.6% were classified as mild dementia (MMSE score 20-24) and 84.4%, as severe dementia. There were no significant characteristics of caregivers associated with the degree of stress and burn-out experience. The degree of burn-out in these caregivers of patients with severe dementia (mean value 94.3) was significantly higher than the 81.4 for those caring for patients with mild dementia (p<0.05). However, the degree of stress was not significantly related with the degree of dementia. The proportion experiencing severe burn-out (above score 4) was 54.7% in the physical domain, 90.6% in the emotional domain, and 73.4% in psychiatric domain, respectively. Conclusion: The above findings suggest that the degree of stress and burn-out experienced by caregivers of patients with senile dementia are high. Also the degree of burn-out experienced by in caregivers of patients with severe dementia was higher than for those caring for patients with mild dementia.

• 한국노년학
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• v.39 no.4
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• pp.723-739
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• 2019

This study is to verify the mediated effects of attitudes toward old people and dementia in the influence of elderly couples in the aging society amid the rapidly changing family structure and functions due to the combination of individualization, marital status and divorce rate. In order to carry out such research purposes, data were collected from students of elementary, middle and high schools in Gwangju, through self-subscribed questionnaire. For statistical analysis, the SPSS 20.0 and AMOS 18.0 programs were used and frequency, percentages, technical statistics, correlation, factor analysis, structural model validation, and the Sobel-Test were performed. The results of this study are as follows. First, family intimacy, elderly awareness, and elderly care were the highest among elementary school students, followed by middle school and high school students (P.<.001). Also, in religion, the family intimacy of teenagers with religion was higher than those without religion (p.001). Second, family intimacy directly affected elderly people's attitudes toward dementia and elderly care, old people's attitudes toward dementia and attitudes toward dementia directly affected elderly care. Third, family intimacy (parent-child) was found to be 7.8% for older adults, 20.2% for family intimacy and attitudes toward dementia, and 34.1% for elderly care (p.<.001). Fourth, it has been verified that the absolute value of attitudes toward dementia and elderly people's awareness of elderly people and attitudes between family intimacy and elderly care has been higher than 1.96 and thus acts as a mediating role. These findings are intended to contribute to the welfare of senior citizens' education to improve the quality of life for senior citizens through the resolution of conflicts between generations, as well as the resolution of positive stimulus, by developing various programs such as family friendship, elderly awareness, culture with parents, and various experiences to improve attitudes toward dementia in early adolescence.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.2
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• pp.246-256
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• 2002

Purpose: This study was conducted to investigate correlations between environmental characteristics and disturbing behaviors in elderly people with dementia living in institutions. Method: A random sample of 107 subjects in three institutions for people with dementia in the Gyeongnam Province was tested between May 29 and June 5, 2002. Data was collected through a questionnaire and analyzed using SPSS/PC Win 10.0 Result: The major findings of the study are as follows. 1) the mean score on physical environment was $3.55{\pm}0.47$, and on psychosocial environment, $3.55{\pm}3.08$. 2) the mean score on disturbing behaviors showed that nonaggressive psychomotor behavior was the highest, and aggressive psychomotor behavior was the lowest. 3) the disturbing behaviors. in 5 the domains correlated with the environment and influencing factors included environment, family, level of dementia and level of ADL. Conclusion: Both the present physical environment and psychosocial environment influence the type of disturbing behavior in elderly people with dementia. Therefore, nursing can reduce the disturbing behaviors through maintenance of both the psychosocial environment and the physical environment. Furthermore, nurses must consider disturbing behaviors of elderly people with dementia by being aware of the level of dementia and ADL.

• Journal of the Korean Institute of Rural Architecture
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• v.24 no.4
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• pp.49-58
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• 2022

The purpose of this study is to present the basic direction of a desirable space plan for the elderly with dementia by examining the characteristics of the development of daily living behavior of the elderly with dementia. As a research method, First, the literature survey identified the increase in the elderly population in gyeongnam-province and the basic status of 197 elderly care facilities installed and operated in gyeongnam-province, and second, the development of daily living behaviors of eight dementia elderly people in two facilities in the form of overlapping-shaped nursing homes. The results of the survey and analysis are as follows. First, on average, it was found that the elderly with dementia in nursing facilities spend 98.3% of their work hours in the bedroom and the residents' control room. Second, it was found that the elderly with dementia accounted for 57.2% of sleep and idleness, 21.3% of leisure and hobby, and 10.7% of basic behavior. Third, in the development of the daily living behaviors of the elderly with dementia, the time to develop daily living behaviors related to identity and sociality is prominent in the living zone, and the time to develop daily living behaviors related to identity, safety, and family atmosphere is prominent in the public zone.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.11 no.2
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• pp.166-176
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• 2004

Purpose: The purpose of this study was to identify the factors that affect depression among elderly people with, and without, dementia. Method: The participants were 903 people who were 65 or older and resided in Sungnam City. Data were collected from April to July 2002 using a questionnaire. The collected data were analyzed using descriptive statistics and hierarchical multiple regression aided by SPSS/PC. Result: The variables at the final step of the regression equation accounted for 28.2% of variance in the dementia group, 21.4% in the group with suspicious dementia, and 18.9% in the normal group. The multiple regression analysis revealed that ADL and instrumental support were related significantly to depression in the dementia group. Self-rated health, IADL, social activity support, and instrumental support were significantly related to depression in the group with suspicious dementia. In the normal group, education, self-rated health, and living arrangement with family were significantly related to depression. Conclusion: Social support and health condition are important to decrease depression in elderly people with dementia.

• Journal of Korean Academy of Nursing
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• v.45 no.4
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• pp.495-500
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• 2015

Purpose: The purpose of this paper was to discuss the need for translation studies in dementia care and current translational endeavors, and to provide recommendations for evolving evidence-based dementia care. Methods: A literature review yielded current evidence and translational efforts. Results: Dementia care interventions need to be implemented at various service levels. Barriers to translation include evidence gaps, lack of the use of a conceptual framework to explain the implementation process, and unsupportive funding mechanisms for applying innovations. Conclusion: There is clear evidence of the need for and benefits of evidence-based dementia care for patients with dementia, family caregivers, and care professionals. The urgent need now is finding ways to advance translational activities and facilitate future research into translation science.

• Journal of Korean Academy of Nursing
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• v.24 no.3
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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.

• Journal of the Korean Home Economics Association
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• v.40 no.5
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• Journal of the Korean Home Economics Association
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• v.40 no.4
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• pp.1-12
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• 2002

This study aimed to examine the needs for the planning of group homes for the elderly with dementia in lower income class, who have more economic burden on the caring the demented aged. The survey was conducted by questionnaires collected from 300 respondents from December 2000 to March 2001. Methods of analysis were frequency distribution, mean and chi-square test. The results of this study were as follows: 1) The respondents perceived that the responsibility to take care of the elderly with dementia belonged to their family, not to society or the government, and the sons and daughters had to share the burden placed on care-givers. 2) The awareness of group homes for dementia was relatively low. 3) The respondents' needs for the group homes with dementia could be summarized as follows; small scale plan with homelike atmosphere, a total of 6-8 residents, structural type of detached house or three-storied town house, 2-3 persons per individual room, and management system by non-profit organization or the government. There were no big differences between the respondents of this study and upper and middle class studies conducted by other research, except for some details. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if poetical assistance combined with economic support were provided.

• The Journal of the Korea Contents Association
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• v.19 no.7
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• pp.598-608
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• 2019

This study aimed to investigate the role of social support to enhance posttraumatic growth in the Family Caregivers focusing on their trauma by development of the elderly with dementia. The study subjects were 204 family Caregivers for the elderly with dementia and the data were analyzed by the gender. This study utilized IBM SPSS Statistics ver. 20.0 for analysis, and the main results of this study were as follows. First, female group of the family Caregivers showed significantly higher in the level of trauma while male group showed significantly higher in the informal areas of social support and posttraumatic growth. Second, female group showed the protective effect in the formal area of social support and male group did the effect in the formal and informal area of social support. As such, this study investigated the level of trauma by gender of family Caregivers for the elderly with dementia and suggested the implementation strategies to enhance posttraumatic growth. Moreover, this study has the meaning to provide the required fundamental data to establish proper community care upon demonstrating the practical analysis results considering the characteristics of social support.