Cognitive Function, Physical Function, Problematic Behaviors of Elders using Dementia Daycare Service and Reasons for Stopping Daycare

치매주간보호센터 이용 노인의 인지·신체기능, 문제행동 및 이용중단 이유

  • Received : 2015.11.19
  • Accepted : 2016.02.21
  • Published : 2016.02.28


Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.


Daycare center;Dementia;Aged;Retrospective study


  1. Korean Statistical Information Service. Trend in population and aging index by age hierarchy [Internet]. Seoul: Korean Statistics; 2012 [cited 2015 November 17]. Available from:
  2. Ministry for Health, Welfare and Family Affairs. Nationwide study on the prevalence of dementia in Korean elders [Internet]. Seoul: Ministry for Health, Welfare and Family Affairs; 2009 [Cited 2015 November 17]. Available from
  3. The Korean Geriatric Society. Textbook of geriatric medicine. Seoul: Panmuneducation; 2015. p. 579-587.
  4. Kim SY. Suggestions of political alternatives: Factors affecting on the QOL of the demented elderly caregivers. Social Welfare Policy. 2003;17:77-105.
  5. Sim HM, Chung SH. The effect of music therapy on cognitive function, behavior and emotion of dementia elderly. Korean Journal of Adult Nursing. 2001;13(4):591-600.
  6. Oh BH, Kim YK, Shin YS, Kim JH. The effects of cognitive rehabilitation training on cognitive function of elderly dementia patients. Journal of the Korean Neuropsychiatric Association. 2003;42(4):514-519.
  7. Ji HR, Choi SH, Cho MS. The effects of a dementia nursing intervention program on cognitive function, depression, and social behavior in elderly people with mild dementia. Journal of Korean Gerontological Nursing. 2003;5(2):205-217.
  8. Song MY, Choe GG. Buffering effects community-based service on primary care-giver's burden for senile dementia elderly. Journal of the Korean Gerontological Society. 2007; 27(4):987-1014.
  9. Lee SJ, Park HR, Kim NC. Life satisfaction and burden for primary caregivers of patients with dementia in day care centers and in their homes. Journal of Korean Gerontological Nursing. 2005;7(1):37-46.
  10. Lee HJ. The effect of caregiver's burden for the dementia elderly by the use of daycare center. Journal of the Korean Gerontological Society. 2006;26(2):329-346.
  11. Gaugler JE, Kane RL, Kane RA, Clay T, Newcomer R. Caregiving and institutionalization of cognitively impaired older people: Utilizing dynamic predictors of change. Gerontologist. 2003;43(2):221-229.
  12. Kosloski K, Montgomery RJ. The impact of respite use on nursing home placement. Gerontologist. 1995;35(1):67-74.
  13. Park C. Analysing the costs by types of family caregiving for the demented elderly. Journal of the Korean Gerontological Society. 2004;24(4):1-17.
  14. Park CJ. The cost-effectiveness of day care services for the demented elderly. Journal of Welfare for the Aged Institute. 2005;28:317-340.
  15. Jang JS, Lee JS, Kim SK, Jeon BJ. The change in spaced retrieval training (SRT) combined with errorless learning on cognitive function and depression in dementia sufferers. Journal of Korean Society of Occupational Therapy. 2012;20(4):43-55.
  16. McCann JJ, Hebert LE, Li Y, Wolinsky FD, Gilley DW, Aggarwal NT, et al. The effect of adult day care services on time to nursing home placement in older adults with Alzheimer's disease. Gerontologist. 2005;45(6):754-763.
  17. Wattmo C, Wallin AK, Londos E, Minthon L. Risk factors for nursing home placement in Alzheimer's disease: A longitudinal study of cognition, ADL, service utilization, and cholinesterase inhibitor treatment. Gerontologist. 2011;51(1): 17-27.
  18. Lee HH. A comparative study on the difference between demented seniles in day care center and demented senile-impatients in nursing facility by analysing several indexes such as the performance status of daily activities, cognitive function and depressive symptoms [master's thesis]. Seoul: Ewha Womens University; 2008.
  19. Seoul National University Bundang Hospital. Standardization of dementia diagnosis scale. Seoul: Ministry for Health, Welfare and Family Affairs, 2009 December. Report No.: 11-1351000-000589-01.
  20. Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean instrumental activities of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society. 2002;6(4):273-280.
  21. Ga H, Won CW. Medical guideline for Geriatric hospitals. Seoul: Koonja; 2013. p. 215-216.
  22. Jin JY, Kang JS. A comparative study of cognitive function, anxiety, and quality of life for the demented elderly in health facilities. Korean Journal of Adult Nursing. 2009; 21(3):339-348.
  23. Wilson RS, MaCann JJ, Li Y, Aggarwal NT, Gilley DW, Evans DA. Nursing home placement, day care use, and cognitive decline in Alzheimer's disease. American Journal of Psychiatry. 2007;164(6):910-915.
  24. Cohen-Mansfield J, Creedon MA, Malone T, Parpura-Gill A, Dakheel-Ali M, Heasly C. Dressing of cognitively impaired nursing home residents: Descriptive and analysis. Gerontologist. 2006;46(1):89-96.
  25. Gaugler JE, Yu F, Krichbaum K, Wyman JF. Predictors of nursing home admission for persons with dementia. Medical Care. 2009;47(2):191-198.
  26. Ahn SY. Care for dementia person. Seoul: Pacific Books; 2011.
  27. Lovheim H, Sandman PO, Karlsson S, Gustafson Y. Behavioral and psychological symptoms of dementia in relation to level of cognitive impairment. International Psychogeriatrics. 2008;20(4):777-789.
  28. Devanand DP, Jacobs DM, Tang MX, Del Castillo-Castaneda C, Sano M, Marder K, et al. The course of psychopathologic features in mild to moderate Alzheimer disease. Archives of General Psychiatry. 1997;54(3):257-263.
  29. Ono T, Tamai A, Takeuchi D, Tamai Y, Hasegawa Y. Longitudinal study of the cognitive, behavioral and physical status of day care service users with dementia: Factors associated with long-term day care use. Geriatrics and Gerontology International. 2014;14(1):138-145.

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  1. Day care vs home care: Effects on functional health outcomes among long-term care beneficiaries with dementia in Korea pp.08856230, 2018,


Supported by : National Research Foundation of Korea