융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
권호 표지
DOI QR코드

DOI QR Code

여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과

The Development and Effects of The Integrated Dementia Prevention Program for Life in the Elderly Women Living alone

  • 선정주 (청암대학교 간호학과) ;
  • 오숙희 (전북과학대학교 간호학과)
  • 투고 : 2017.05.19
  • 심사 : 2017.06.20
  • 발행 : 2017.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 여성독거노인을 위한 치매예방 통합프로그램의 개발 및 효과를 확인하기 위한 비동등성 대조군 전-후 설계의 유사 실험연구이다. 연구 대상은 J군 여성독거노인 56명(실험군 28명, 대조군 28명)을 대상으로 실험군은 12주 동안 집단학습과 개별학습의 치매예방통합프로그램을 제공받았다. 치매예방 통합교육프로그램은 교수체계설계의 주요 개발단계인 ADDIE모형에 근거하여 개발하였다. 연구결과, 실험군은 대조군에 비해 인지기능이 향상되었고, 우울이 완화 되었으며, 삶의 질도 향상되었다. 이에 본 프로그램은 자가 실천이 가능한 치매예방 통합프로그램으로 사료되며 향후 이 프로그램을 수정 보완하여 지역사회에 확대하여 대상자들이 지속적으로 자가 실천할 수 있는 간호중재 전략 모색이 필요하다고 생각된다.

This study was to develop a dementia prevention integration program and apply to elderly women living alone to evaluate the applicability of the program. Fifty-six participants who enrolled at local public health centers were assigned. The control and experimental groups were assigned to 28 subjects. As a result of the study, the integrated program for prevention of dementia showed that the experimental group was more effective as the self-practice program than the control group. Therefore, This program is considered to be a self-practice integrated dementia prevention program. In the future, this program should be revised and supplemented and extended to the local community, So it is necessary to seek a nursing intervention strategy that subjects can continuously practice.

키워드

참고문헌

  1. Statistics Korea, Korea of Social Indicators in 2015, Statistics Korea, 2015.
  2. E. J. Seo and N. H. Cha, “The Relation- ships between Stress and ADL in Elderly Living Alone,” Journal of digital Convergence, Vol. 14, No. 7, pp. 251-258, 2016. DOI : 10.14400/jdc.2016. 14.7.251
  3. Ministry of Health & Welfare, The 3rd national dementia plan, Ministry of Health & Welfare, 2015.
  4. Seoul National University Hospital, Survey on Dementia Elderly Prevalence, Seoul National University, 2013.
  5. E. H. Kong and Y. S. Jeong, “The effects of a dementia education program for the aged,” Journal of Korean Academy of Community Health Nursing, Vol. 22, No. 3, pp. 252-261, 2011. DOI : 10.12799/jkachn.2011.22.3.252
  6. H. Cho and Z. K. Ko, "Current State of Senile Dementia and Improvement of the Long Term Care Insurance for Elderly People," Journal of the Korean Academia-Industrial cooperation Society, Vol. 13, No. 12, pp. 5816-5825, 2012. DOI : 10.5762/kais.2012.13.12.5816
  7. L. J. Fitten, “Editorial: management of behavioral and psychiatric symptoms in dementia,” The Journal of Nutrition Health & Aging, Vol. 10, No. 5, pp. 409, 2006.
  8. S. S. Jun and G. J. Jo, “Experiences of Family Caregivers in the Process Leading up to the Diagnosis of Elderly Dementia,” Global Health Nurs, Vol. 1, No. 1, pp. 42-53, 2017.
  9. S. H. Bae, Study of the female elderly persons who live alone in the farm and fishing village on the relationship between their exchange degree of social support and depression, Department of Elderly Welfare Graduate School of Information and Industry Hanseo University, 2007.
  10. N. H. Park, Y. M. Lee and R. L. E, “Prevalence and risk factors of dementia in the community elderly,” Journal of Korean Academy of Community Health Nursing, Vol. 19, No. 1, pp. 36-45, Jun. 2008. DOI : 10.4306/pi.2008.5.2.78
  11. H. K. Kim, Q. L. Lin and J. S. Ann, “Relationship between depression and quality of life in elderly women living alone : the moderating and mediating effects of social support and social activity,” Journal of Gerontology, Vol. 31, No. 1, pp. 33-47, Mar. 2011.
  12. M. K. Kim, D. H. Park and O. H. Ahn, “The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade,” Journal of the Korea Convergence Society, Vol. 5, No. 3, pp. 7-16, 2014. DOI : 10.15207/jkcs.2014.5.3.007
  13. Y. R. Han, M. S. Song and J. Y. Lim, “The effects of a cognitive enhancement group training program for community -dwelling elders,” Journal of Korean Academy Nursing, Vol. 40, No. 5, pp. 724-735, 2010. DOI : 10.4040/jkan.2010.40.5.724
  14. H. S. Kim, Y. J. Yi, K. H. Park, U. K. Kang and B. M. Lee, “Effects of cognition promoting program on cognitive function, depression and quality of life in elderly,” Journal of Contents, Vol. 10, No. 8, pp. 228-239, Aug. 2010. DOI : 10.5392/jkca.2010.10.8.227
  15. M. F. Folstein, S. E. Folstein and P. R. McHugh, "Mini Mental State: A practical method for grading the cognitive state of patients for the clinician," Journal of Psychiatric Research, Vol. 12, No. 3, pp. 189-198. Nov. 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  16. D. Y. Lee, K. U. Lee, J. H. Lee, K. W. Kim, J. H. Jhoo, J. C. Youn, S. Y. Kim, S. I. Woo and J. I. Woo, “A normative study of the Mini-Mental State Examination in the Korean elderly,” Journal of Korean Neuropsychatric Association, Vol. 41, No. 3, pp. 508-525, May. 2002.
  17. J. A. Yesavage and J. I. Sheikh, “Geriatric Depression Scale(GDS): Recent evidence and development of shorter version,” Clinical Gerontology, Vol. 5, No. 1-2, pp. 165-173, Dec. 1986. DOI : 10.1300/j018v05n01_09
  18. B. S. Kee, “A preliminary study for the standardization of geriatric depression scale short form-Korea version,” Journal of Korean Neuropsychiatric Association, Vol. 35, No. 2, pp. 298-307, 1996.
  19. S. K. Min, K. I. Kim and I. H. Park, "Measurement of Korean version of World Health Organization Quality of Life Scale (WHOQOL)," Seoul, Hana Corporation, 2002.
  20. J. J. Sun, The Effects of Program to prevent Dementia on Cognitive Function, Depression and Quality lf life in the Elderly Women Living alone, Department of Nursing Graduate School, Chonnam National University, 2012.
  21. S. K. Chu, J. H. Yoo and C. Y. Lee, "The effects of a cognitive behavior program on cognition, depression and activities of daily living in elderly with cognitive impairment," Journal of Korean Academy of Nursing, Vol. 37, pp. 1049-1060, Dec. 2007. DOI : 10.4040/jkan.2007.37.7.1049
  22. K. S. Park, H. Y. Jeong, S. Y. So, Y. H. Park, H. J. Yang, K. R. Jung, S. J. Moon, H. K. Kim, J. H. Cho and K. H. Yang, “The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly,” Journal of Oriental Neuropsychiatry, Vol. 24, No. 4, pp. 353-362, 2013. DOI : 10.7231/jon.2013.24.4.353
  23. S. H. Jang, A study on the effects of the dementia prevention program, Department of Public Administration Graduate School of Chosun National University, 2007.
  24. Y. H. Cho, Care of elderly with dementia, Seoul, Jipmoon, 2006.
  25. E. Y. Jeon, S. Y. Kim and H. S. Yoo, “Effects of music therapy and rhythmic exercise on quality of life, blood pressure and upper extremity muscle strength in institution-dwelling elderly women,” Journal of Korean Academy of Nursing, Vol. 39, No. 6, pp. 829-839, Dec. 2009. DOI : 10.4040/jkan.2009.39.6.829
  26. J. A. Sorrell and J. M. Sorrell, “Music as a healing art for older adults,” Journal of Psychosocial Nursing and Mental Health Services, Vol. 46, No. 3, pp. 21-24, Mar. 2008. https://doi.org/10.3928/02793695-20081001-05
  27. S. C. Choi, J. S. Lee, S. Y. Sim, J. H. Lee and J. H. Park, “The Effect of Job Stress and Depression on Job Satisfaction among Workers in Small and Medium Sized Enterprises,” Journal of Convergence for Information Technology, Vol. 7, No. 1, pp. 1-9, Feb. 2017. DOI : 10.22156/cs4smb.2017.7.1.001
  28. A. R. Lee, The effects of cognition function improvement program on cognition function, depression and self-esteem of elderly women, Department of Public Health Graduate School of Kyungpook National University, 2010.
  29. J. S. Won and K. H. Kim, “Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services,” Journal of korean Academy of Nursing, Vol. 38, No. 1, pp. 1-10, Feb. 2008. DOI : 10.4040/jkan.2008.38.1.1
  30. M. J. Kwon, “Convergence Study on the Relation between Cognition, Depression and Aggression in the Elderly,” Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 171-176, Jun. 2015. DOI : 10.15207/jkcs.2015.6.6.171
  31. S. H. Cho, “Factors affecting the Health Promotion Behaviors of the Low-Income Elderly Living Alone- Focusing on the Mediating Effect of Social Support,” Journal of digital Convergence, Vol. 13, No. 12, pp. 423-431, Dec. 2015. DOI : 10.14400/jdc.2015.13.12.423
  32. S. Y. Sohn, “A comparative study on the quality of life of the elderly and its' affecting factors between rural and urban areas,” Journal of the Korean Gerontological Society, Vol. 26, No. 3, pp. 601-615, 2009.
  33. M. H. Kim, J. R. Chun, S. A. Hong, "Factors of Family Function and Self-efficasy Influencing Old Patient's Decision of Advance Directives Attitude," Journal of IT Convergence Society for SMB, Vol. 6, No. 4, pp. 123-129, Dec. 2016. DOI : 10.22156/cs4smb.2016.6.4.123