• Title, Summary, Keyword: Dementia

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A Study on the Clothing Behavior of Dementia Inpatient (치매환자의 의복행동에 관한 연구)

  • Ryou, Eun-Jeon;Park, Hye-Won;Bae, Hyun-Sook;Kwon, Jay-Cheol
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.8
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    • pp.1253-1262
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    • 2006
  • This research explored the clothing behavior of dementia inpatient according to the dementia severity, dementia type and demographic characteristics. Data were collected by surveying 149 dementia inpatients and their caregivers. The collected data were analysed through frequency analysis, $X^2$-test, one way ANOVA, Duncan's multiple range test and t-test. The results were as follows: First, the dementia severity was classified into the severe, moderate and mild dementia by K-MMSE and the dementia types were composed of Alzheimer's disease, vascular dementia and the others. The severe dementia group and Alzheimer's disease group included the more aged and more female inpatients. And the severe dementia group was lower self-support of the basic activities of daily living than the mild dementia group. Second, the change motions of the dementia inpatient's clothing differed from the clothing item and dementia severity. That is, the motions for pants were more difficult than those for upper garment. And the motions for severe dementia group were more difficult than those for the mild dementia group. Third, there were significant differences among the three groups by dementia severity and between the male and female dementia inpatient in the clothing behavior. Most of abnormal clothing behaviors were found in the severe dementia group. The positive clothing behaviors appeared in the mild dementia group. And interests of clothing and appearance appeared in the female inpatients.

What is needed for the success of national responsibility for dementia (치매국가책임제가 성공하려면)

  • Lee, Dong Woo
    • Journal of the Korean Medical Association
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    • v.60 no.8
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    • pp.618-621
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    • 2017
  • Dementia is a chronic, disabling illness which is most feared by elderly people. Dementia causes heavy caregiver burden on the family. Dementia also imposes much burden on the society, making it one of the major public health problem in many countries. Actually, Organization for Economic Cooperation and Development recommended to pose a priority to dementia management as a public health task. As the Korean population is rapidly aging, there is a rapid increase of people with dementia in Korea. In Korea, the people with dementia doubles every 15 years, and the economic burden of care for dementia doubles every 10 years. To cope with this rapidly increasing burden of dementia, Korean government has launched: plan for national responsibility for dementia. The plan is composed of distributing dementia reassuring center nationwide, setting up dementia reassuring hospital, and decreasing the burden of paid money for medical treatment and long-term care for dementia. The major hurdles in implementing the plan and the strategies to overcome such hurdles by public-private collaboration are suggested.

A Study on Perception of and Attitude toward Dementia and Depression of Residents in a Community (지역주민의 치매 인식도, 치매 태도 및 우울에 대한 조사연구)

  • Lee, Eun Ja;Jo, Mi Kyoung
    • Journal of East-West Nursing Research
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    • v.23 no.2
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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.

Effects of a Dementia Family Education Program for Dementia Recognition, Burden, and Depression in Caregivers of Elders with Dementia (치매가족교육 프로그램이 치매 환자 주부양자의 치매 인식도, 부양부담감 및 우울에 미치는 효과)

  • Lee, Sun-A;Kim, Hee-Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.26 no.1
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    • pp.14-23
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    • 2017
  • Purpose: This study was to investigate effects of the dementia family education program on dementia recognition, burden, and depression in caregivers of elders with dementia. Methods: Aquasi-experimental research with a nonequivalent control group non-synchronized pre and post design was used with 52 caregivers of elders with dementia living in D city. Data were collected from August 12 to December 12, 2013. The dementia family education program was provided to the experimental group once a week over 8 weeks, for 90 minutes per session. Data were analyzed using $x^2$ test, Fisher exact probability test, t-test. Results: Experimental group participants who took part in the dementia family education program had higher dementia recognition scores than the control group that did not participate (t=3.79, p<.001). Experimental group participants who took part in the dementia family education program had lower burden and depression scores than the control group that did not participate (t=-2.90, p=.006) (t=-2.22, p=.034). Conclusion: The findings indicate that the dementia family education program enhances dementia recognition by caregivers of elders with dementia and lowers burden and depression in these caregivers. Use of the dementia family education program is recommended as an effective nursing intervention for caregivers of elders with dementia.

FDG PET Imaging For Dementia (치매의 FDG PET 영상)

  • Ahn, Byeong-Cheol
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.2
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    • pp.102-111
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    • 2007
  • Dementia is a major burden for many countries including South Korea, where life expectancy is continuously growing and the proportion of aged people is rapidly growing. Neurodegenerative disorders, such as, Alzheimer disease, dementia with Lewy bodies, frontotemporal dementia, Parkinson disease, progressive supranuclear palsy, corticobasal degeneration, Huntington disease, can cause dementia, and cerebrovascular disease also can cause dementia. Depression or hypothyroidism also can cause cognitive deficits, but they are reversible by management of underlying cause unlike the forementioned dementias. Therefore these are called pseudodementia. We are entering an era of dementia care that will be based upon the identification of potentially modifiable risk factors and early disease markers, and the application of new drugs postpone progression of dementias or target specific proteins that cause dementia. Efficient pharmacologic treatment of dementia needs not only to distinguish underlying causes of dementia but also to be installed as soon as possible. Therefore, differential diagnosis and early diagnosis of dementia are utmost importance. F-18 FDG PET is useful for clarifying dementing diseases and is also useful for early detection of the diseases. Purpose of this article is to review the current value of FDG PET for dementing diseases including differential diagnosis of dementia and prediction of evolving dementia.

Analysis of the Difference between Dementia Policy Perception, Dementia Knowledge, Dementia Attitude and Dementia Prevention Behavior according to the General Characteristics of Middle-aged (중년층의 일반적 특성에 따른 치매정책인식, 치매지식, 치매태도 및 치매예방행위 차이분석)

  • Choi, HeeJung;Kim, JiSuk
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.125-133
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    • 2020
  • The purpose of this study is to analysis of the difference between dementia policy perception, dementia knowledge, dementia attitude and dementia prevention behavior of middle-aged. The subjects were 217 middle-aged in their 40 to 64 years old who lived in D and G cities. The mean sore of were dementia policy perception 75.42±8.52, dementia knowledge 8.71±1.90, dementia attitude 28.55±5.10, dementia prevention behavior 27.04±3.35. Dementia knowledge were significant differences in gender, number of diseases, source of dementia information. Dementia attitudes were significant differences in gender, age, education, dementia in family, dementia living together, job status, early examination, source of dementia information. Dementia prevention behavior were significant difference in dementia living together and early examination. The most category of dementia prevention behavior was 'cigarette smoking(Inverse question)', and blood pressure and diabetes management' were the lowest. Therefore, development of a professional and systematic dementia education program to raise the awareness of dementia policy among middle-aged adults and form the right dementia knowledge and positive dementia attitude. Development of customized dementia prevention behavior programs to maintain cognitive activities, social activities, proper eating habits, and health care is needed.

Future policy directions for planning of national responsibility for dementia care (치매국가책임제 어떻게 추진하여야 하나)

  • Kim, Seung Hyun
    • Journal of the Korean Medical Association
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    • v.60 no.8
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    • pp.622-626
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    • 2017
  • Dementia is one of the biggest global public health challenges facing our generation today. By 2030, Korea is projected to have the highest life expectancy in the world. The government's new plans regarding national responsibility for dementia care are well-timed strategies for patients and family members suffering from dementia and should be welcomed. The newly designed national dementia strategy of Korea may set new standards for dementia welfare policies. However, these plans should be modified after careful consideration of following aspects: financial sustainability, issues related with long-term care systems for other critical diseases, and instantaneous nationwide implementation without a period of trial-and-error learning. More gradual and steady policy initiatives is preferred. Through consensus we should strategically develop the optimal quality control system for dementia care and education program for training physicians, dementia-care professionals, and workers to be deployed in both specialized 72 public dementia care hospitals and nationwide 252 regional dementia centers. In addition, these care plans should also include health policy aiming the primary prevention to reduce future dementia prevalence while creating dementia-friendly communities and emphasizing clinical and basic research for dementia. Modifying the current plans for the Korean national dementia strategy using stepwise, well-integrated, and systematic approaches will lead to successful dementia welfare policy.

Effects of Knowledge and Attitudes towards Dementia on Social Distance from Senile Dementia among University Students (대학생의 치매 지식 및 태도가 치매노인에 대한 사회적 거리감에 미치는 영향)

  • Park, Mijeong;Moon, Heakyung;Oh, Doonam
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.554-566
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    • 2017
  • Purpose: The study was conducted to investigate the effects of knowledge and attitude towards dementia on social distance from senile dementia among university students. Methods: The study was a descriptive study based on 235 university students. Data were collected from September 1 to 15, 2017 using a structured self-report questionnaire. Dementia knowledge, dementia attitude, and social distance from senile dementia were measured. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Mann-Whitney U-test, Kruskal-Wallis test, Pearson's correlation coefficients and hierarchical multiple regression. Results: After adjusting for the general and dementia-related characteristics of the participants, the significant predictors of social distance from senile dementia among university students were dementia attitude. Moreover, knowledge and attitude towards dementia explained 27.8% of the variance in social distance from senile dementia among university students. Conclusion: The results indicate that educators need to make efforts to improve dementia attitude and to develop plans to increase dementia knowledge in order to reduce university students' prejudice against senile dementia.

Dementia Response Technology Development Strategy through PEST-SWOT Analysis

  • Yu, Tae Gyu
    • International journal of advanced smart convergence
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    • v.9 no.1
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    • pp.185-192
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    • 2020
  • The number of dementia patients in Korea is expected to increase to 3.30 million in 2050, and the cost of dementia management will increase sharply to KRW 106.5 trillion of GDP. In August 2017, the Moon Jae-in government announced the 'Dementia National Responsibility System' through a five-year plan for government operation and expanded the Dementia Peace Center nationwide. However, for this, strategic dementia-related technology development strategies should be established and given the role of government and the role of the private sector. Therefore, in order to derive the corresponding strategy, this study developed the government's 'dementia' response technology development strategy through the situation analysis from the political, economic, social, and technological perspective and the environmental (PEST) analysis of the strengths, weaknesses, opportunities, and threats (SWOT). As a result, the direction of technology development in the dementia-related medical device market is expected to become a trend of developing dementia self-measurement by developing low-cost and high-efficiency diagnostic technology products. It has been shown that the development of various products for consumers should begin. As a result, the dementia market approach strategy should be premised, the related technical support and legal restrictions should be minimized, and the education of related experts should be strengthened to solve the government's development of dementia technology and the social problems of dementia. In addition, by developing joint projects with major companies around the world and actively participating in the technology platform, it is important to naturally build up skills accumulation for the development of dementia technology and competence skills of dementia technology experts in the long term.

Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis (치매지식, 자기효능감 및 우울이 노인부부의 치매예방행위에 미치는 영향: 커플관계자료 분석방법적용)

  • Ko, Suk Jeong;Shin, Sung Hee
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.276-286
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    • 2013
  • Purpose: This study was done to examine actor and partner effect of dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples. Methods: Participants were 115 couples aged 60 years or over who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. Results: Dementia knowledge in elderly couples showed actor and partner effect on dementia preventive behavior. Self-efficacy in the wife did not have direct effects on dementia preventive behavior, but showed indirect effects through dementia knowledge. Self-efficacy in the husband showed direct effects on dementia preventive behavior and indirect effects through dementia knowledge. Wife's depression had direct actor effect on dementia preventive behavior and indirect effect through self-efficacy and dementia knowledge. Husband's depression did not have direct actor effect on dementia preventive behavior, but indirect effect through self-efficacy and dementia knowledge. Effect size of wives' dementia knowledge, self-efficacy and depression on dementia preventive behavior was larger than that of husbands'. Dementia preventive behavior, dementia knowledge and depression had a mutual effect. Conclusion: Results indicate that to promote dementia preventive activity in elderly couples, programs should be conducted for both of the couple, but focused differently for wife and husband.