The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Satisfaction and Experience of the Elderly with Dementia for the Service Provided by the Dementia Day Care Center

치매주간보호센터에서 제공하는 서비스에 대한 치매노인의 만족도와 경험

  • Received : 2019.04.18
  • Accepted : 2019.07.20
  • Published : 2019.07.28
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Abstract

The purpose of this study was to explore service satisfaction of the elderly using dementia day care center and the meaning of day care experience. The subjects for this methodological triangulation study were 67 dementia elderly for 1:1 interview and 15 dementia elderly for focus group interview. All subjects were using dementia day care center. The mean age was $79.95{\pm}5.90$ for quantitative study and $80.07{\pm}5.78$ for qualitative study subjects. The mean scores of service satisfaction were ranged from $2.86{\pm}0.41$ to $2.96{\pm}0.30$. The lowest score domain was 'help and assistance', and the highest score domain was 'food and environment'. In 14 questions, satisfaction score was 3 point. According to content analysis, the experiences of dementia day care center were described with 20 themes such as 'mutual respect and understanding', 'pleasure and upset feelings about participation', etc. and 35 sub-themes. The overall satisfaction scores were high and in most cases the positive experiences with dementia day care service were described. Therefore it is recommended for mild dementia elderly to use dementia day care service and to be expanded.

본 연구의 목적은 치매주간보호센터를 이용하는 치매노인의 서비스 만족도와 서비스 경험의 의미를 탐색하는 것이다. 본 연구는 방법론적 트라이앵귤레이션 연구로, 1:1 면접조사를 위한 대상자는 67명의 치매노인이었고 포커스 그룹 인터뷰 대상자는 15명의 치매노인이었으며 모든 대상자는 치매주간보호센터 이용자 였다. 서비스이용 만족도 조사 노인들의 평균 연령은 $79.95{\pm}5.90$세 였고, 포커스 그룹 인터뷰 조사 대상 노인들의 평균 연령은 $80.07{\pm}5.78$세 였다. 서비스영역별 서비스 만족도의 평균 점수는 $2.86{\pm}0.41{\sim}2.96{\pm}0.30$였다. 최저 점수 영역은 '도움과 보조'였고, 가장 만족도 점수가 높았던 영역은 '음식과 환경'이었다. 57개 서비스 관련 질문 중 14개 질문 영역에서 만족도 점수는 3점 만점이었다. 질적 자료의 내용분석결과에 따르면, 치매주간 보호센터의 경험은 '상호존중과 이해', '참여의 즐거움과 속상함' 등 20개 주제와 35개 하위 주제로 서술되었다. 전체 만족도 점수는 높았고 치매주간보호센터에 대한 경험은 대부분이 긍정적으로 서술되었다. 따라서 경증 치매노인을 위한 치매전문주간보호센터 이용 확대와 확충이 적극적으로 권장되어야한다.

Keywords

Table 1. Example of Services Provided to Demented Elders by the Day Care Centers

CCTHCV_2019_v19n7_609_t0001.png 이미지

Table 2. Contents and Progression of Focus Interview

CCTHCV_2019_v19n7_609_t0002.png 이미지

Table 3. Satisfaction by General Characteristics of the Elderly

CCTHCV_2019_v19n7_609_t0003.png 이미지

Table 4. Satisfaction Scores on the Day Care Services

CCTHCV_2019_v19n7_609_t0004.png 이미지

Table 5. Day Care Service Experience: A Summary of Themes and Sub-themes

CCTHCV_2019_v19n7_609_t0005.png 이미지

References

  1. Korean Statistical Information Service, "KOSIS 100 major indicators: population-household-pop ulation in old age, Seoul: Statistics Korea, 2019," http://kosis.kr/index/index.do, 2019.02.19.
  2. Ministry of Health and Welfare, 2016 Nationwide survey on the dementia epidemiology of Korea, Report No: NIDR-1603-0015, 2017.
  3. Y. S. Kim, K. S. Kim, and M. S. Yoo, "A study about health related quality of life, burden and coping ability for family caregivers caring for dementia elderly," Journal of the Korea Gerontological Society, Vol.30, No.4, pp.1117-1127, 2010.
  4. K. W. Paik, A study on the satisfaction of the elderly people's day care center utilization, Yonsei University, master's thesis, 1999.
  5. B. K. Park and M. S. Jung, "The effect of the service quality of the day care center on the intention of reuse," Korean Journal of Converging Humanities, Vol.6, No.1, pp.7-29, 2018. http://dx.doi.org/10.14729/converging.k.2018.6.17.
  6. J. Y. Lee, "The effects of the perceived quality of day care services on customary satisfaction and post behavior," Journal of Welfare for the Aged, Vol.59, pp.139-158, 2013.
  7. E. J. Cho, S. Lee, and H. Jeon, "Satisfaction wth day-care center for the elderly and their life satisfaction," Yonsei Educational Science, Vol.50, pp.105-122, 2002.
  8. R. A. Kane, K. C. Kling, B. Bershadsky, R. L. Kane, K. Gilis, H. B. Degenhlotz, and L. J. Cultler, "Quality of life measures for nursing home residents," The Journals of Gerontology: Series A, Vol.58, No.3, pp.240-248, 2003. https://doi.org/10.1093/gerona/58.3.M240
  9. A. M. Carroll, K. Vetor, S. Holmes, and K. P. Supiano, "Ask the consumer: An innovative approach to dementia-related adult day service evaluation," American Journal of Alzheimer's Disease and Other Dementias, Vol.20, No.5, pp.290-294, 2005. https://doi.org/10.1177/153331750502000504
  10. G. C. Uman, D. Hocevar, H. N. Urman, R. Young, M. Hirsch, and S. Kohler, "Satisfaction surveys with the cognitively impaired," In J. Cohen-Mansfield, F. K. Ejaz, and P. Werner, ed., Satisfaction survey in long-term care, New York: Springer, pp.166-186, 2000.
  11. M. S. Richards and G. C. Uman, "Resident and family satisfaction with nursing home care in Rhode Island: prioritizing improvement," Medicine & Health Rhode Island, Vol.90, pp.223-224, 2007.
  12. J. P. Park, "A study on satisfaction and utilization desire of the eldeerly day care service," Journal of Welfare for the Aged, Vol.31, pp.250-281, 2006.
  13. C. H. Back, A study on the need and satisfaction of the elderly in day-care service, Gyeongbuk University, master's thesis, 2007.
  14. E. J. Cho, S. Lee, and H. Jeon, "Satisfaction with day-care center for the elderly and their life satisfaction," Yonsei Education Science, Vol.50, pp.105-122, 2002.
  15. D. W. Ju, A study on the actual service utilization and satisfaction of old people with the day care centers, Daegu University, master's thesis, p.18-24, 2003.
  16. J. Han, The actual profile of the elders who use day care center and their satisfaction, Cheongju University, master's thesis, 2004.
  17. S. Yeasmin and K. F. Rahman, "Triangulation research method as the tool of social science research, BUP Journal, Vol.1, No.1, pp.154-163, 2012.
  18. B. Wood, "The person in dementia care," Generations, Vol.23, No.3, pp.35-39, 1999.
  19. Ministry of Health and Welfare, Revised guideline of 2010 elderly care service (Day care service added), Research/Investigation/Publication, 2012. http://www.mohw.go.kr/react/jb/sjb030301ls.jsp?PAR_MENU_ID=03&MENU_ID=032903, 2019.06.16.
  20. H. J. Kim and C. N Kim, "Review of literatures on focus group method in qualitative study," Keimyung Journal of Nursing Science, Vol.5, No.1, pp.1-21, 2001.
  21. S. H. Lee and T. M. Yoo, "Focus group interview for the development of an in-service educational program on the practical problem focused home economics curriculum," Journal of Korean Home Economics Education Association, Vol.20, No.3, pp.107-129, 2008.
  22. R. A. Kreuger and M. A. Casey, Focus groups: A practical guide for applied research. 3rd ed., B. O. Min and D. H. Cho, tr., Thousand Oaks, CA: Sage, pp.203-236, 2000.
  23. S. Choi, J. H. Jung, and S. W. Jung, "Concept and procedures of qualitative content analysis," Journal of Qualitative Inquiry, Vol.2, No.1, pp.127-155, 2016.
  24. S. Cavanagh, "Content analysis: Concepts, methods and applications," Nurse Researcher, Vol.4, No.3, pp.5-16, 1997. https://doi.org/10.7748/nr.4.3.5.s2
  25. M. Lee, J. H. Oh, H. M. Hwang, E. J. Kwon, J. Lee, and E. Y. Park, "Hospital worker's experience with hospital evaluation program: A focus group study," Journal of Korean Academy of Nursing, Vol.41, No.4, pp.568-579, 2011. http://dx.doi.org/10.4040/jkan.2011.41.4.568.
  26. U. H. Graneheim and B. Lundman, "Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness," Nurse Education Today, Vol.24, pp.105-112, 2004. https://doi.org/10.1016/j.nedt.2003.10.001
  27. D. Y. An, K. D. Suh, and I. K. Choi, "A study on the usuage behavior of elderly welfare facilities for the elderly with moderate dementia: Focusing on satisfaction with memory school user," Journal of the Korea Convergence Society, Vol.8, No.1, pp.353-361, 2017. https://doi.org/10.15207/JKCS.2017.8.11.353
  28. A. Van den Pol-Grevelink, J. S. Jukema, and C. H. Smits, "Person-centered care and job satisfaction of caregivers in nursing homes: a systematic review of the impact of different forms of person-centred care on various dimensions of job satisfaction," International Journal of Geriatric Psychiatry, Vol.27, No.3, pp.219-229, 2012. https://doi.org/10.1002/gps.2719.
  29. H. Choi, "A study on experiences of elderly women with early-stage dementia using day care services," Korean Journal of Social Welfare Research, Vol.54, pp139-165, 2017. https://doi.org/10.17997/SWRY.54.1.6.
  30. B. Y. Shin and E. Y. Hwang, "A research on the effects of music activities adopting visual supportive stragegies on cognitive rehavilitation of elderly dementia patients," Journal of Arts Psychotherapy, Vol.11, No.2, pp.41-62, 2015.
  31. H. S. Choi, "A concept mapping study of good service experience among the elderly residents of long-term care facilities," Korean Journal of Adult Nursing, Vol.28, No.6, pp.669-679, 2016. https://dx.doi.org/10.7475/kjan.2016.28.6.669