• Title, Summary, Keyword: 치매대상자

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Converged Study on the Validity and Reliability of the Communication Behavioral Scale of nurses caring for people with dementia (치매대상자를 돌보는 간호사의 의사소통행위 측정도구의 타당도 및 신뢰도 융합 연구)

  • Gang, Moon-Hee;Lee, Ji-Hye
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.327-333
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    • 2020
  • The aims of this study was to verify the validity using group comparison method and test/retest reliability of the Communication Behavior Scale for Nurses Caring for People with Dementia(CBS-D). The subjects were nurses who have worked at elderly care facilities in D, U and Y cities(n = 67), and nurses who have worked at general hospitals in D and U cities. The scores of the communication behaviors of nurses working in elderly care facilities were significantly higher than those of nurses working in general hospitals(t=2.49, p=.014). The Intraclass Correlation Coefficients for the test-retest reliability test was .813. Therefore, it was confirmed that CBS-D is an appropriate evaluation tool for evaluating the level of the nurse's communication behavior through various logical analyzes, and it is expected that it can be used in various ways for nursing care for people with dementia.

Activity Pattern Recognition Algorithm Using a Tri-axial Accelerometer for Dementia Symptoms Detection (치매 증상 판별을 위한 3축 가속도 센서를 이용한 행위 패턴 매칭 알고리즘 설계)

  • Kim, Kyu-Jin;Na, Sang-ho;Lee, Ga-Won;Huh, Eui-Nam
    • Proceedings of the Korea Information Processing Society Conference
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    • pp.1336-1339
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    • 2009
  • 산업화가 진행된 세계 주요 선진국들은 의학의 발달과 평균 수명의 증가로 고령화의 위기를 겪고 있다. 인구 고령화에 따라 치매 인구도 크게 증가하였다. 치매 인구의 증가는 국가와 가정의 물질적, 인적 비용을 증가시키고 있다. 이와 같은 사회문제를 해결하고 효율적인 치매 환자 관리를 위한 방법이 필요하다. 관찰 대상자가 치매 증상과 비슷하게 행동한다면 치매를 의심해 볼 수 있다. 본 논문에서는 3축 가속도 센서를 사용하여 대상자의 행위 정보를 수집하고 디지털화한다. 디지털화 된 행위정보를 치매 증상의 행동 패턴과 비교하여 관찰 대상자의 행동이 치매 증상인지 정상적인 활동인지 판단할 수 있는 방법을 소개한다.

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Critical Analysis of Conceptual Model of Touch (신체 접촉 모형의 비평 분석)

  • Kim, Eun-Joo
    • Journal of Korean Academy of Community Health Nursing
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    • v.8 no.2
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    • pp.395-402
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    • 1997
  • 인지능력 손상으로 인해 치매환자의 정상 언어 사용은 점차 감소되고 좌절감과 스트레스는 상승된다. 신체접촉은 비언어적 의사소통의 한 형태로서 치매환자를 지지하고 스트레스 상황에서 겪는 불안을 완화한다. Hollinger와 Buschmann은 1993년 신체 접촉 모형을 개발하였으며, 그 모형을 적용하여 신체접촉 인지도와 우울과의 관계와 신체 접촉의 우울증감소 효과를 정상 노인과 우울증 노인을 대상으로 연구했다. 그러나, 모형을 치매환자 연구에 적용시켜 검토한 연구는 언다. 본 연구의 목적은 신체 접촉 모형을 비평 분석하는 것이다. 또한, 분석을 기초로 하여 모형을 치매 환자 연구에 적용하도록 변형시켰다. 치매 환자의 인지, 언어 능력은 손상되었지만, 환경에 반응하는 감정과 접촉 감각은 유지되고 있다는 것은 신체 접촉 모형을 치매환자에게 적용할 때 반드시 고려해야 할 점이다. 개인의 문화 차이는 신체 접촉에 대한 인지와 반응에 영향을 준다. 따라서, 연구대상자 선택시 대상자가 신체 접촉을 긍정적으로 받아들이고 있는지를 확인해야 할 것이다. 대상자는 인지 능력 손상으로 면담이나 질문지에 적당히 반응할 수 없으므로 연구시 관찰 방법의 이용을 제언한다.

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Factors Influencing the Communication Behavior of nurses caring for people with Dementia: Focused on the compassionate competence and Burnout (치매대상자를 돌보는 간호사의 의사소통행위 영향요인: 공감역량과 소진을 중심으로)

  • Lee, Jihye;Gang, Moonhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.498-505
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    • 2018
  • The purpose of this study was to investigate the influence of nurse's compassionate competence and burnout on their communication behavior with dementia patients. The subjects of this study were 190 nurses who were taking care of patients with dementia at long-term care hospitals and who agreed with the survey. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and multiple regression. The communication behavior of nurses caring for dementia patients was found to have a significant correlation with compassionate competence and burnout. Multiple regression analysis showed that nurses' compassionate competence and burnout affected communication behavior, and the total explanatory power was 31%. It is suggested that the results of this study can be used as basic data for developing programs to improve communication behavior with patients with dementia.

The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients' Families using In-home Services for the Long-Term Care Insurance (노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄평가와 가족기능과의 관계)

  • Lee, Jungeun;Ko, Il Sun
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.319-330
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    • 2018
  • The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.260-269
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    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

Factors Affecting on the Quality of Life of the Elderly with Mild Dementia Living in Some Rural Community in Korea (일 농촌지역 경증 치매노인의 삶의 질 영향요인)

  • Kim, Min kyoung;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.43 no.3
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    • pp.180-190
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    • 2018
  • Objectives: The purpose of this study is to investigate the influencing factor of the quality of life of the elderly with mild dementia in rural community. Methods: A total of 123 elderly who were managed by public health center participated. They were diagnosed as mild dementia by MMSE-DS and CDR. Data were collected during the period from May to September in 2017 by a structured questionnaire that included general characteristics, depression, dependence, comorbidity, sleep scale. Data were analyzed by t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The quality of life was correlated significantly with depression. Depression was the factor affecting the quality of life of the elderly with mild dementia in rural community. Depression accounted for 54.0% as a variable of quality of life. Conclusion: This study was meaningful in that it directly measured the quality of life of the elderly with mild dementia is known to be difficult to measure and found meaningful results. it is necessary to identify the cause of depression and establish a linkage system between public health centers and health related organizations in the community. We suggest the need for individualized preventive intervention program and integrated psychological health service considering depression.

An Analysis of Factors Influencing the Dementia Patient Home Care Intention of Family Caregivers (치매가족의 치매대상자 재가돌봄의사에 대한 영향요인분석)

  • Cho, Bum-Hun;Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.320-331
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    • 2016
  • This study was conducted to find a practical implication regarding efficient and smooth service utilization including care burden reduction of family caregivers by empirically analyzing the factors influencing the dementia patient home care intention of family caregivers, based on Anderson's behavior model. For this study, the subjects and characteristics suitable for the study purpose were selected using the source data of "A Survey on the Dementia Recognition and Needs" targeting 26 cities and countries in Gyeonggi-do and then secondary analysis was conducted. This study targeted 539 dementia families, and based on Anderson's behavior model, variables related to predisposing factors, enabling factors and need factors were inserted, and hierarchical regression analysis was applied. The analysis result showed that at a significance level of 5%, the home care intention was high when family caregivers were not living in cities, they were spouses or children and their economic level was high as predisposing factors, and the dementia-related attitude was positive as a enabling factor, and the degree of dementia was mild and care burden was low as need factors. Moreover, need factors were relatively important variables among the three factors mentioned above. These findings demonstrate that for improving the home care intention, there is a need to construct a support strategy, which considers the degree of dementia and economic characteristics and develop diverse counseling and education programs for a positive attitude towards dementia and a differentiated strategy depending on regional and family characteristics.

A Study on the Knowledge, Attitude of Dementia, and Awareness of care giving for Elderly among of Nursing student (간호대학생의 치매에 대한 지식, 태도와 노인부양의식에 관한 연구)

  • Yun, Mi-Jin
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.419-426
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    • 2019
  • The purpose of this study was to examine the effects on nursing students' knowledge, attitude towards dementia and about awareness of elderly care. The study participants were 288 nursing students from K' university on May 7 to 14, 2019.The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression using SPSS 20,0 program. The results revealed that students acquired knowledge of dementia by grade and religion as per general characteristics. The knowledge, attitude towards dementia and awareness of elderly care showed statistically significant differences in experience of care and education about dementia. There was a statistically significant positive correlation between the awareness of elderly care with knowledge (r = .105, p = 038) and attitude towards dementia (r = .556, p = 000). The students' attitude was explained about 31.3% in awareness of elderly care. As a findings, there is need to develop and apply a structured education program on dementia based on individual and group characteristics of nursing students. Also, it is recommended to provide continuous education and feedback.

Participation in Activities, Emotions, and Problem Behaviors of Elderly with Dementia Residing in Nursing Homes (시설 거주 치매노인의 활동 참여, 정서, 문제행동에 관한 연구)

  • Ko, In-Soon;Kang, Hee-Sun
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.45-55
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    • 2017
  • The purpose of this study was to identify the participation in activities, emotions, and problem behaviors of elderly people residing in nursing homes. In this observational study targeting 81 elderly patients with dementia, each patient's participation in activities, emotion, and problem behaviors were observed for 4 hours per day with 20 minutes interval, which leads to 6,804 data based on 12 times a day for 7 days. According to this study, 90.1% of the participants were suffering from severe cognitive impairment. Their emotions were scored 4 out of 7. They mainly participated in activities such as sitting or lying down, which had no specific purpose, but they showed the most positive emotion when involved in social activities. The most frequent types of problem behaviors were repetitive behaviors and making noises, and the frequency of their behaviors were different depending on the time. There were significant correlation between cognitive functions, emotions, and problematic behaviors. Therefore, it is necessary to find effective ways to increase participation in activities, induce participation in positive emotional activities, and reduce problem behaviors manifested most prominently each hour of the elderly patients with dementia residing in nursing homes.