재활간호학회지 (The Korean Journal of Rehabilitation Nursing)

  • 제19권2호
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  • Pages.128-137
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  • 2016
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  • 1229-294X(pISSN)
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  • 2288-3002(eISSN)
한국재활간호학회 (Korean Academic Society of Rehabilitation Nursing)
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요양시설노인의 치매예방 프로그램 참여 경험

Experiences of Participation in Dementia Prevention Program for Older Adults in Nursing Homes

  • 임선옥 (국립강릉원주대학교 원주캠퍼스 간호학과) ;
  • 조현미 (전주비전대학교 간호학부)
  • Lim, Sun Ok (Department of Nursing, Gangneung-Wonju National University) ;
  • Jo, Hyun Mi (College of Nursing, Jeonju Vision College)
  • 투고 : 2016.11.14
  • 심사 : 2016.12.19
  • 발행 : 2016.12.31
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초록

Purpose: This study was designed to describe the experiences of dementia prevention program for older adults in nursing homes. Methods: Four focus group interviews (FGI) after the program were conducted with 35 participants. All interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed by Colaizzi's phenomenological method. Results: Four themes emerged as a result of analysis. Participants without dementia reported "I don't have dementia yet." This statement probably reflects ignoring potential dementia. Motivation for participating the dementia prevention program were to reduce boredom, to enjoy exercising and communicating with others, and to follow group activities. Participants reported the positive effects of the program; (a) benefits from the repeating learned activities; (b) improvements of memory and emotional stability. A few participants reported their inability to follow the program due to physical and environmental limits. However, other participants reported their efforts to overcome physical limits and perform the activities regardless their limits. People who performed the activities with physical limits reported that their self-satisfaction was increased. Conclusion: Results of this study showed that participants without dementia were able to actively participate in dementia prevention programs and showed memory, emotional and behavioral improvements. Therefore, these findings can be used for developing customized dementia prevention programs in nursing homes.

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참고문헌

  1. Bang, E. J., & Yun, S. Y. (2010). Health needs of the elderly in longterm care facilities: Using RAI-MDS-FC. Journal of Korean Academy Community Health Nursing, 21(2), 263-272. https://dx.doi.org/10.12799/jkachn.2010.21.2.263
  2. Choi, A. N., Kim, Y. H., & Jung, G. J. (2010) A study on the effects of music therapy activity on day-care elders cognitive function and depression. Journal of Arts Psychotherapy, 6(1), 103-121.
  3. Choi, Y. H., & Kim, N. Y. (2013). The effects of an exercise program using a resident volunteer as a lay health leader for elders' physical fitness, cognitive function, depression, and quality of life. Journal of Korean Academy Community Health Nursing, 24(3), 346-357. https://doi.org/10.12799/jkachn.2013.24.3.346
  4. Colaizzi, F. U. (1978). Psychological research as the phenomenologist views it, In R. S. Valle and M. King (Eds.), Existential-phenomenological alternatives for psychology, New York: Oxford University Press.
  5. Deborah, E. B., Kristine, Y., Amy, L. B., Mark, M., Catherine, S., & Rachel, A. W. (2012). Midlife vs late-life depressive symptoms and risk of dementia: differential effects for Alzheimer disease and vascular dementia. Archives of General Psychiatry, 69(5), 493-498. https://dx.doi.org/10.1001/archgenpsychiatry.2011.1481
  6. Han, Y. C., & Son, C. T. (2009). Case study on the aged's subjective experience of rehabilitation recreation exercises. Journal of Exercise Rehabilitation, 5(2), 87-98.
  7. Han, Y. R., Song, M. S., & Lim, J. Y. (2010). The effects of a cognitive enhancement group training program for community-dwelling elders. Journal of Korean Academy Nursing, 40(5), 724-735. https://dx.doi.org/10.4040/jkan.2010.40.5.724
  8. Haver, D. (2010). Health promotion and aging: Practitional application for health professionals. New York: Springer Publishing Company, Inc.
  9. He, G. F., Park, J. W., Kang, S. K., & Jung, S. T. (2011). Development of gesture recognition-based 3D serious games. Journal of Korea Game Society, 11(6), 103-113.
  10. Kim, J. S. (2011). Experiences of the elderly with chronic diseases in a health management program. Korean Journal of Health Education and Promotion, 28(3), 17-29.
  11. Kim, J. Y., Jung, J. B., Park, M. H., Park, K. W., & Choi, M. G. (2010). A study on the types of attitude toward senile dementia. Journal of Korea Academia-Industrial Cooperation Society, 11(10), 3700-3706. https://dx.doi.org/10.5762/KAIS.2010.11.10.3700
  12. Kim, S. M., Choi, E. Y., & Kim, H. R. (2011). Effects of rhythmic exercise program on the perceived health status, depression, life satisfaction and physical strength in elderly. Korean Journal Rehabilitation Nursing, 14(1), 47-53.
  13. Kim, S. M., Song, H. J., & Kim, N. C. (2003). The study on exercise behaviors in elders using an exercise program based on the transtheoretical model. Journal of Korean Gerontological Nursing, 5(1), 73-81.
  14. Kim, S. O., & Kim, Y. J. (2012). Effect of individual silverrobic exercise on activities of daily living, powerlessness, and self-esteem of older residents in nursing homes. Journal of Korean Gerontological Nursing, 14(1), 50-57.
  15. Lee, G. S., & Choi, G. (2015). Phenomenological study on the experiences of latter-aged elderly suicide attempt. Journal of the Korea Contents Association, 15(7), 244-254. https://dx.doi.org/10.5392/JKCA.2015.15.07.244
  16. Lee, S. E. (2015). Factors associated with awareness of services for dementia prevention among community-dwelling elderly. Journal of Community Welfare, 53, 143-171. https://dx.doi.org/10.15300/jcw.2015.53.2.143
  17. Lim, N. Y., Kang, H. S., Park, Y. S., Ahn, D. H., Oh, J. H., & Song, J. H. (2009). Cognitive function, mood, problematic behavior and response to interaction with robot pet by elders with dementia. Journal of Korean Academy of Fundamentals of Nursing, 16(2), 223-231.
  18. Lim, Y. M. (2002). Effects of movement/exercise on physical and emotional functioning in elders with cognitive impairments. The Korean Gerontological Society, 21(3), 197-211.
  19. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
  20. Ministry of Health and Welfare. (2013). 2012. Dementia prevalence rate 9.18%. Retrieved May 2. 2013, from http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=286138&SEARCHKEY=TITLE&SEARCHVALUE=20
  21. National Statistical Office. (2015). 2015 Aging statistics. Retrieved September 29, 2015, from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.-board?bmode=read&aSeq=330349
  22. Park, M. J., Suh, E. Y., & Lee, J. M. (2013). Nursing staffs' experiences of managing medical needs of the elderly in Korean longterm care facilities. Korean Journal of Adult Nursing, 25(4), 409-421. https://dx.doi.org/10.7475/kjan.2013.25.4.409
  23. Park, Y. S., & Hong, G. R. Son. (2013). Effects of intervention using Korean traditional familiarity on cognitive and physical functions among persons with dementia. Journal of Korean Gerontological Nursing, 15(3). 257-266.
  24. Richard, E., Andrieu, S., Solomon, A., Mangialasche, F., Ahtiluoto, S., Charante, E., et al. (2012). Methodological challenges in designing dementia prevention trials-The European dementia prevention initiative (EDPI). Journal of the Neurological Science, 322, 64-70. https://doi.org/10.1016/j.jns.2012.06.012
  25. Rojas, G. J., Villar, V., Iturry, M., Harris, P., Serrano, C. M., Herrera, J. A., et al. (2013). Efficacy of a cognitive intervention program in patients with mild cognitive impairment. International Psychogeriatrics, 25(5). 825-831. https://doi.org/10.1017/S1041610213000045
  26. Sink, K. M., Espeland, M. A., Castro, C. M., Cohen, R., Dodson, R., Guralnik, J., et al. (2015). Effect of a 24-month physical activity intervention vs health education on cognitive outcomes in sedentary older adults the LIFE randomized trial. The Journal of the American Medical Assocition, 314(8), 781-790. https://dx.doi.org/10.1001/jama.2015.9617
  27. Sohn, Y. J. (2015). The effect of suicidal ideation, self-esteem, and family life satisfaction on depression among the young-old, middle-old and old-old elderly Korean. Health and Social Welfare Review, 33(4), 185-217.
  28. Son, Y. H., Park, J. O., & Hwang, H. S. (2013). Research on the effects of the dementia prevention program on the retired seniors in the industrial age. The Journal of Korea Institute of Electronic Communication Sciences, 8(10), 1601-1608. https://dx.doi.org/10.13067/JKIECS.2013.8.10.1601
  29. Song, J. A., Park, J. W., & Kim, H. J. (2013). Impact of behavioral and psychological symptoms of dementia on caregiver burden in nursing homes. Journal of Korean Gerontological Nursing, 15(2), 62-74.
  30. Steenland, K., Karnes, C., Seals, R., Carnevale, C., Hermida, A., & Levey, A. (2012). Late-life depression as a risk factor for mild cognitive impairment or Alzheimer's disease in 30 US Alzheimer's disease centers. Journal of Alzheimer's Disease, 31(2), 265-275. https://dx.doi.org/10.3233/JAD-2012-111922