DOI QR코드

DOI QR Code

A Study on Unmet Dementia Information of Dementia Caregiver Using Dementia Relief Center and Program Effect Recognition of Workers

치매안심센터 이용 보호자의 미충족 치매정보와 종사자의 프로그램 효과성 인식에 관한 연구

  • Kim, In-Ok (College of Nursing, Graduated School of Sahmyook University) ;
  • Koh, Myung-Suk (College of Nursing, Sahmyook University)
  • Received : 2020.04.06
  • Accepted : 2020.05.20
  • Published : 2020.05.28

Abstract

This study is a descriptive research study to identify Unmet Dementia Information Needs (UDIN) for caregivers of dementia patients at Dementia Relief Center and to understand the effectiveness of the program for workers. The subjects were 114 caregivers and 217 practitioners from dementia relief centers in 25 autonomous districts of S city from November 1, 2019 to January 31, 2020. The UDIN questionnaire is a 7-point Likert scale. The Crisis Management Questionnaire is a Likert 5-point scale consisting of 10 questions from 6 categories. As a result of the study, the proportion of depressed caregivers experiencing UDIN was 12.3times higher than those who did not (p<.001). The program effectiveness was 8.98times better than those who perceived the lack of risk management as good (p=.004), and social workers were 2.81times better than nurses (p=.091). It is necessary to conduct interactive operations to meet the needs of the community residents by listening to their diverse opinions rather than simply implementing a one-sided policy to raise the service of a dementia relief center to the highest level in a short period of time.

본 연구는 치매안심센터의 치매환자 보호자에게 미충족 치매정보를, 종사자에게는 프로그램에 대한 효과성을 파악하기 위한 서술적 조사연구이다. 대상자는 S시 25개 자치구의 치매안심센터에서 보호자 114명, 종사자 217명을 대상으로 하였으며, 기간은 2019년 11월 1일부터 2020월 1월 30일까지이다. 연구도구 중 미충족 치매정보는 7문항의 Likert 5점 척도, 위기관리수준은 6항목, 10문항의 Likert 5점 척도로 구성된 설문지를 사용하였다. 연구결과 우울한 보호자가 그렇지 않은 보호자에 비해 미충족 치매정보를 경험할 비율이 12.3배 높은 것으로 나타났다(p<.001). 위기관리수준이 미흡하다고 인식한 종사자일수록 프로그램 효과성이 8.98배 높게인식하였으며(p=.004), 사회복지사가 간호사에 비해 2.81배나 높게인식하였다(p=.091). 결론적으로, 치매안심센터 서비스 수준을 단기간에 최고로 만들기 위한 일방적 정책보다 지역사회 주민들과 다양한 의견교환을 통해 그들의 필요를 충족해 나가는 쌍방향 운영이 필요하다.

Keywords

References

  1. Ministry of Health and Welfare. (2008). National dementia plan. Seoul: Ministry of Health and Welfare.
  2. M. K. Kim & K. H. Seo. (2017). A comparative study on the national dementia policy. A National Policy Study, 31(1), 233-60.
  3. National Institute of Dementia. (2018). National Institute of Dementia annual report 2017. Seongnam: National Institute of Dementia.
  4. D. W. Lee & S. J. Seong. (2018). Korean national dementia plans: from 1st to 3rd. Journal of the Korean Medical Association, 61(5), 298-303. https://doi.org/10.5124/jkma.2018.61.5.298
  5. K. P. Kwak. (2018). Korean Dementia Observatory and National Responsibility for Dementia. Evidence and Values in Healthcare, 4(1), 1-9.
  6. C. W. Son & J. A. Kim. (2018). A Study on Current Status and Future Directions for Dementia Management of Seoul. Seoul : The Seoul Institut.
  7. Y. J. Shin. (2015). A Study on the Status and Policy of Unmet Medical Services, Healthcare Policy Forum, 12(4), 71-77.
  8. Y. K. Park. (2019). Measurement and redefinition of unmet healthcare need : A people-centered view, Doctoral dissertation. Seoul National University, Seoul.
  9. T. M. Song. (2013). An Anderson Model Approach to the Mediation Effect of Stress-Vulnerability Factors on the Use of Outpatient Care by the Elderly, Health and Social Welfare Review, 33(1), 547-576 https://doi.org/10.15709/HSWR.2013.33.1.547
  10. J. G. Kim. (2008). Factors Affectiong the Choice of Medical Care Use by the Poor, Journal of Social Welfare Studies, 37(37), 5-33.
  11. H. J. Kim, J. E. Jang, E. C. Park & S. I. Jang. (2019). Unmet Healthcare Needs Status and Trend of Korea in 2017. Health Policy and Management, 29(1), 82-85. https://doi.org/10.4332/KJHPA.2019.29.1.82
  12. T. Yamada et al. (2015). Aces disparity and health inequality of the elderly: Unmet neds and delayed healthcare. Int J Environ Res Public Health, 12(2), 1745-1772. https://doi.org/10.3390/ijerph120201745
  13. S. L. Kang & J. H. Moon. (2018). Comparison of sociodemographic characteristics, depression, quality of life, and unmet medical need between elders with and without limitation of activity by aging or dementia : Using seventh Korea national health and nutrition examination survey, The Journal of Occupational Therapy for the Aged and Dementia, 12(2), 1-11.
  14. H. Y. Choi & S. Y. Ryu. (2017). Factors Associated with the Types of Unmet Health Care Needs among the Elderly in Korea. The Korean Journal of Health Service Management, 11(2), 65-79.
  15. H. J. Lee & S. I. Heo. (2017). Unmet Health Care Needs and Impact of Type of Household among the Elderly in Korea. The Korean Journal of Health Economics and Policy, 23(2), 85-108.
  16. The Korean Society for Preventive Medicine (2019). Preventive medicine and public health. Seoul: Gyechuk.
  17. S. H. Hong. (1999). A Comparative Study of Social Support Network among the Elderly groups with and without Dementia or Depression. Journal of the Korea Gerontological Society, 19(2), 113-128.
  18. M. J. Park. (2014). The Factors Affecting Unmet Medical Needs in Elderly by using Korea Health Panel Data 2011. Journal of the Korean Data Analysis Society, 16(2), 1017-1030.
  19. J. M. Park & M. K. Sim. (2004). A study on the physical health status, depression and health behaviors of the elderly. Journal of Korean Academy of Community Health Nursing, 15(3), 438-449.
  20. J. H. Lee. (2016). Unmet needs and caregiver burden among the family caregivers of hospice patients. Master theses, Ewha Womans University, Seoul.
  21. K. S. Song, J. H. Lee & K. H. Rhim. (2011). Factors associated with unmet needs for health care. Korean Public Health Res, 37(1), 131-140. https://doi.org/10.22900/KPHR.2011.37.1.011
  22. C. W. Shon, S. J. Lee & J. N. Hwang. (2019). Understanding Factors Associated with Unmet Ned for Outreach Community Health Service among Older Adults in Seoul. Journal of the Korean Gerontological Society, 39(2), 21-29. https://doi.org/10.31888/JKGS.2019.39.1.21
  23. L. A. Aday & Andersen, R. (1974). A framework for the study of aces to medical care. Health Services Research, 9(3), 208.
  24. H. S. Jung & E. H. Choi. (2017). A qualitative research on the characterization of visiting healthcare in public health centers: identification of characteristics, service process and recipient change 2017, Korean J Health Educ Promot, 34(5), 107-19. https://doi.org/10.14367/kjhep.2017.34.5.107
  25. C. Y. Kwak, E. H. Lee & H. J. Kim. (2017). Factors related to satisfaction with long-term care services among low-income Korean elderly adults: A national cross-sectional survey. Arch Gerontol Geriatr, 69, 97-104. https://doi.org/10.1016/j.archger.2016.11.013
  26. C. G. Kim, Y. H. Lee & M. S. Kwon. (2019). Dementia Care Workers' Caring Competence, Job Satisfaction, and Effective Operation of Dementia Care Centers in Seoul and Gangwon-do. J Korean Gerontol Nurs, 21(2), 112-124. https://doi.org/10.17079/jkgn.2019.21.2.112