DOI QR코드

DOI QR Code

A Study on Therapeutic Recreation Program Development for Reinforcement of Family Function for Family Supporting Senior with Dementia

치매노인 부양 가족기능 강화를 위한 치료레크리에이션 프로그램 개발 연구

  • Lee, Moon-Sook (Dept. of Sports Science, Chungnam National Univ.) ;
  • Kim, Jung-Dong (Institution of Sport Science, Chungnam National Univ.) ;
  • Han, Gun-Soo (Dept. of Sports and Leisure Studies, Daegu University)
  • 이문숙 (충남대학교 스포츠과학과) ;
  • 김정동 (충남대학교 체육과학연구소) ;
  • 한건수 (대구대학교 스포츠레저학과)
  • Received : 2019.07.24
  • Accepted : 2019.09.20
  • Published : 2019.09.28

Abstract

The purpose of this study was to provide the customized-service program for the family of dementia patients as an family-function reinforcement program. This study was designed to develop the therapeutic recreation program for the family supporting senior with dementia. The therapeutic program consisted of assessment, planning, implementation, evaluation. This study found the followings. First, this study shows the possibility of implication of the therapeutic recreation for the family supporting senior with dementia. Second, the therapeutic recreation program has a strong theoretical background. Third, the therapeutic recreation program has the clear goal, performing activity, intervention strategy. The therapeutic recreation program for the family supporting senior with dementia that this study provides would be valuable basic data for future studies.

본 연구는 치매노인 부양가족을 대상으로 치료레크리에이션의 과정 절차에 맞춰서 맞춤형 프로그램을 개발하였다. 프로그램은 사정, 기획, 실행, 평가의 체계적 과정을 통해 구성하였으며, 치매노인 부양가족의 여가욕구를 구체적으로 조사하여 프로그램 내용의 실현 가능성을 높였다. 본 연구를 통해서 얻어 낸 이론적, 실천적 의미로 제시할 수 있는 결론은 첫째, 가족지원서비스 철학과 치료레크리에이션 프로그램의 구체적인 모형을 제시함으로써 치매노인 부양가족을 위한 가족지원서비스 프로그램의 가능성을 제시하였다. 둘째, 치료레크리에이션의 이론을 적용하여 프로그램을 구성함으로써 치료레크리에이션의 학문적 정체성을 확립하는데 기여하였다. 셋째, 가족기능 강화를 위한 프로그램의 구체적인 목적과 목표에 따른 구체적인 개입 내용을 제시함으로써 직접적인 실천에 적용할 수 있는 모형을 제시하였다. 앞으로 본 프로그램은 치매노인 부양가족을 대상으로 실제 현장에서 구체적으로 검증하고 평가받음으로써 후속 연구를 위한 기초 자료로서 역할을 하게 될 것이다.

Keywords

References

  1. U. Bronferenner. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.
  2. National Institute of Special Education. (2013). A study report on the support of families with disabled infants and babies. 1-135.
  3. J. Garbarino. (1990). The human ecology of early risk. In S.J. Meisels & J.P. Shonkoff(Eds.), Handbookofearly childhood intervention(78-96). Cambridge : Cambridge University Press.
  4. J. H. Yoon. (2004). A Review of Literature on Family-Based Early Intervention: An Ecological Approach. Journal of life science studies, 9, 79-94.
  5. Y. R Bak, G. R. Kim, Y. Y. Yu, M. H. Lee & B. C. Choi. (2010). Family Support for the Disabled. Seoul : Yangseowon.
  6. H. I. Jun. (2010). Parent to parent program. Gyeonggido : Korean Academic Information.
  7. B. I. Lee. (2003). Considerations for the Development & Implementation of the Individualized Family Service Plans for Young Children with Developmental Delays. Journal of Emotional & Behavioral Disorders, 19(4), 91-120.
  8. National Institute of Dementia. (2016). 2016 Korea Dementia Observatory.
  9. J. D. Kwon. (2012). Patients with dementia and family welfare: reduction and consecration. Seoul : Hagjisa.
  10. Ministry of Health and Welfare. (2008). 2008 Prevalence of dementia.
  11. I. Y. Yu & M. H. Kim. (2006). Influencing Factors on Care Burden in the Caregivers of Demented Elderly. Journal of Korean Gerontological Nursing, 8(1), 47-57.
  12. V. E. Mattei, A. Prunas, L. Novella, A. Marcone, S. F. Cappa & L. Sarno. (2008). The burden of distress in care givers of elderly demented patients and its relationship with coping strategies. Neurological Sciences, 29(6), 383-389. https://doi.org/10.1007/s10072-008-1047-6
  13. K. H. Suh & K. I. Chun. (2009). The Moderate Effect of Social Support on Family Caregiver's Burdens and Health and Quality of Life with Demented Patients. The Korean Psychological Association, 15(3), 339-357.
  14. K. S. Lee. (1996). A Study on the Family's Caregiving Experience in the Dementia. Psychiatric Nursing, 5(2), 50-58.
  15. Y. S. Yoo. (2007). The study on factors affecting adaption of the family with the elderly dementia. Journal of Welfare for the Aged, 38, 31-50.
  16. M. R. Sung, M. S. Lee, D. Y. Lee & H. Y. Jang. (2013). Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home. Journal of Korean Academy of Nursing, 43(3), 389-398. https://doi.org/10.4040/jkan.2013.43.3.389
  17. K. E. Elliott, J. L. Scott, C. Stirling, A. J. Martin & A. Robinson. (2012). Building capacity and resilience in the dementia care work force: a systematic review of interventions targeting worker and organizational outcomes. International Psychogeriatrics, 24(6), 882-894. https://doi.org/10.1017/S1041610211002651
  18. A. S. Kim. (2014). A Narrative Inquiry of the Caregiving-Stress Experience of the Senile Dementia Family. Master's thesis, Shinhan University, Gyeonggido.
  19. J. H. Kim, N. C. Kim & Y. M. Lim. (2005). Effects of Short-term Home Visiting Program on Family Caregivers of Demented Elders. Journal of Korean Gerontological Nursing, 7(1), 79-87.
  20. S. Y. Kim, J. W. Kim, S. Y. Son & S. Y. Min. (2007). The Effectiveness of the Group Education Program among the Family Caregivers of the Demented Elderly. Jouranal of Welfare for the Aged, 36, 7-34.
  21. M. Broughton et al. (2011). Evaluation of a care giver education program to support memory and communication in dementia : A controlled pretest-posttest study with nursing home staff. International journal of nursing studies, 48(11), 1436-1444. https://doi.org/10.1016/j.ijnurstu.2011.05.007
  22. F. C, Ducharme et al. (2011). ‘Learning to Become a Family Care giver’ Efficacy of an Intervention Program for Care givers Following Diagnosis of Dementia in a Relative. The Gerontologist, 51(4), 484-494 https://doi.org/10.1093/geront/gnr014
  23. J. H. Kang. (2010). Effect of a Social Support Program on Caregivers of Elders with Dementia. Journal of Korean Gerontological Nursing, 12(2), 142-153.
  24. S, H. Cheon, S. O. Jang, G. S. Kong, M. R. Song. (2011). Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia. The Korean journal of fundamentals of nursing, 18(3), 337-347.
  25. C. J. Dunst, C. M. Trivette & A. G. Deal. (1988). Enabling & empowering families: Principles & guidences for practice. Cambridege: Brooks, Inc.
  26. National Therapeutic Recreation Society. (2004). NTRS Code of ethics and interpretive Guidelines. Available online http://www.nrpa.org/department
  27. M. J. Carte, G. E. Van Andel & G. M. Robb. (1985). Therapeutic recreation-A practical approach. Prospect Heights, IL: Waveland Press, Inc.
  28. Y. H. Kim. (2005). Suggestions for the Comprehensive Family-Support Program for Early Childhood Special Education. Korean Journal of early childhood special education, 5(2), 26-4.
  29. D. Y. Song. (2005). The Search for New Model of Delivery System for Family Welfare Service. Korean journal of social welfare, 57(4), 225-251.
  30. J. A. Chae. (2000). Introduction to therapeutic recreation. Human and welfare, Seoul.
  31. J. A. Chae & B. H. Lee. (1995). Understanding Therapeutic Recreation. Hongikje, Seoul.
  32. Davis. (1936). Therapeutic Recreation An Introducion Third Edition. M A: Allyn & Bacon Inc.Allyn and Bacon.
  33. V. Frye & M. Peters. (1972). Therapeutic Recreation: It's theory, Philosophy and Practice. Harrisbury: Stackpole Books.
  34. G. S. O'Morrow. (1976). Therapeutic Recreation- A Helping Profession Virginia. Reston Publishing Company Inc. 94-112.
  35. S. E. Iso-Ahola. (1981). The social psychology of leisure and recreation. Dubuque, IA Wm. C. Brown
  36. R. Kraus & J. Shank. (1992). Therapeutic Recreation Service. Debuque : Wm C. Brown Publishers. 28-33.
  37. J. H. Moon. (1996). Burden and social support of mental retarded mother. Master's theis, Yonsei University. Seoul.
  38. M. S. Lee. (2019). A Study of Intervention Strategy and Efficiency of Therapeutic Recreation Program for Family Supporting Senior with Dementia. Research Journal of Pharmacy and Technology, 12(3), 1251-1254. https://doi.org/10.5958/0974-360X.2019.00208.7
  39. C. A. Petersen & N. J. Stumbo. (2000). Therapeutic Recreation Program Desing-Principles and Procedures(3nd). Boston, M A: Allyn & Bacon Inc.
  40. H. S. Yoon, H. B. Cha, S. H. Cho. (2000). The Impact of Social Support on the Family Caregivers' Burden and Depression. Joural of the Korea Gerontological society. 20(1), 1-19.
  41. G. H. Jung. (2002). The Status of Caregiving for Frail Older Persons and Family Caregiving Burden. Health and welfare policy forum, 66, 33-43.
  42. Y. M. Lee & I. Y. Yoo. (2005). Care Burden, Depression and Social Welfare Service Utilization among Family Caregiver for Demented Elderly. Joural of the Korea Gerontological society, 25(3), 111-121.
  43. H. Y. Jang & M. S. Yi. (2013). Effects of burden and family resilience on the family adaptation caregivers of elderly with dementia. Korean Journal of Adult Nursing, 25(6). 725-735. https://doi.org/10.7475/kjan.2012.24.6.725
  44. A, Amirkhanyan & D. Wolf. (2003). Caregiver stress and noncaregiver stress: exploring the pathways of phychiatric morbidity. The Gerontologist, 43(6), 817-827, https://doi.org/10.1093/geront/43.6.817
  45. E. Rosa, F. Lussignoli, A. Chiappa, S. Di. Cesare, L. Lamanna & O. l. Zanetti. (2010). Needs of caregivers of the patients with dementia. Archives of Gerontology and Geriatrics, 51(1), 54-58, https://doi.org/10.1016/j.archger.2009.07.008
  46. R. Burns, L. O. Nichols, A. J. Martindale, M. J. Graney & A. Lummus. (2003). Primary care interventions for dementia caregivers: 2-year outcomes from the reach study, The Gerontologist, 43(4), 547-555. https://doi.org/10.1093/geront/43.4.547
  47. U. R. Lee. (2007). Social work services for the demented elderly. Hagjisa. Seoul.
  48. H. J. Kim. (2011). efficacy of the combined program of exercise and cognitive rehabilitation for the elderly people with mild dementia. Ph D. Korea University, Seoul.
  49. H. Oh & S. H. Suk. (2009). Health Condition, Burden of Caring, and the Quality of Life among Family Members of the Elderly with Senile Dementia. Psychiatric Nursing, 18(2), 157-166.
  50. Y. J. Song, Y. T. Kim, J. H. Yook & B. I. Lee. (2007). Survey and support for special education needs. National Institute of Special Education.