DOI QR코드

DOI QR Code

Analysis of the Current Status of Dementia Rehabilitation in Busan, South Korea

부산지역 치매 재활의 현황 분석

  • Shin, Jae-Wook (Busan Research Institute of Public Health and Service) ;
  • Han, Hye-Kyung (Busan Research Institute of Public Health and Service) ;
  • Shin, Sang-Hwa (Busan Research Institute of Public Health and Service) ;
  • Park, Chan-Hyo (Busan Research Institute of Public Health and Service) ;
  • Kim, Hye-Jin (Busan Research Institute of Public Health and Service) ;
  • Kim, Dong-In (Busan Research Institute of Public Health and Service)
  • Received : 2020.05.19
  • Accepted : 2020.07.20
  • Published : 2020.08.31

Abstract

Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.

Keywords

References

  1. Bang HM. Analysis of the medicare policy for elderly with Dementia in Korea. The Journal of Humanities and Social Sciences 21. 2018;9(2):917-929. https://doi.org/10.22143/hss21.9.2.73
  2. Carney N, Chesnut RM, Maynard H, et al. Effect of cognitive rehabilitation on outcomes for persons with traumatic brain injury: a systematic review. Journal of Head Trauma Rehabilitation. 1999;14(3):277-307. https://doi.org/10.1097/00001199-199906000-00008
  3. Graff MJ, Bernooij-Dassen MJ, Thijssen M, et al. Community based occupational therapy for patients with dementia and their caregiver: randomized controlled trial. The British Medical Journal. 2006;333(7):1196-1204. https://doi.org/10.1136/bmj.39001.688843.BE
  4. Graff MJ, Bernooij-Dassen MJ, Thijssen M, et al., Effect of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial. The journal of Gerontology. 2007;62(9):1002-1009. https://doi.org/10.1093/gerona/62.9.1002
  5. Ha JH, Chung EK, Jeong ES. "Gender differences in the impact of a cognitive decline on older adults social participation in Korea". Social Welfare Studies. 2015;46(1):5-30.
  6. Hallahan & Kauffman. Exceptional learners: introduction to special education, 6th ed. Boston. Allyn & Bacon. 2000.
  7. Hwang BS, Kim SJ. Conceptual foundations of relative service delivery systems for students with disabilities. Communication Sciences and Disorders. 2002;7(3):233-251.
  8. Hwang ON, Yoon SR, Hwang HY, et al. "A study on the application of a dementia prevention program and it's effect test". Journal of Korean Rehabilitation Nursing. 2002;5(2):156-165.
  9. Jeong WM, Lee JS. Development of curriculums for training elderly dementia occupational therapists. Journal of the Korean Society of Occupational Therapist. 2006;14(2):92-104.
  10. Jeong WM, Park CS, Whang YJ. A study on job competency of community-based occupational therapists: focusing on job analysis in dementia care centers. Journal of the Korean Society of Occupational Therapist. 2013;21(3):15-29.
  11. Kang EY, Chong BH. The effect of a cognitive occupational therapy program on cognition and hand functions in patients with dementia living in a community. Journal of Korea Academy Industrial Cooperation Society. 2015;16(7):4798-4804. https://doi.org/10.5762/KAIS.2015.16.7.4798
  12. Kim EJ, Hur JG, Ko JY, et al. The effect of progressive task-oriented group exercise remedy on the balance and gait of stroke patients. The Journal of Korean Academy of Medicine & Therapy Science. 2009;1(1):23-31.
  13. Kim JR, Kil JH, Cho A, et al. Factors associated with activities of daily living (ADL) in elderly with mild cognitive impairment (MCI) and early dementia. Journal of Korean Geriatric Psychiatry. 2011;15:61-69.
  14. Kim KH, Son DS, Kim HJ, et al. A study on the relationships between family strengths of elderly and attitude toward dementia. Korea Association of Community Welfare Studies. 2015;53:341-365.
  15. Kim YE. A study of support policy for families having elderly dementia. The Journal of Long Term Care. 2016;4(1):80-100.
  16. Kim YO, Shim MS. Cognitive functions, instrumental activities of daily living, depression and quality of life in the elderly with mild cognitive impairment. Journal of Korean Public Health Nursing. 2015;29(2):219-230. https://doi.org/10.5932/JKPHN.2015.29.2.219
  17. Ko HI, Lee SB, Lee JY, et al. Analysis and current state of dementia prevention program. Journal of Korea Proprioceptive Neuromuscular Facilitation association. 2017;15(2):209-216.
  18. Lee HK, Yoon SC, Kim MD, et al. Past, and here-and-now of group therapy in Korea. Journal of Korean Neuropsychiatric association. 2000;39(1):142-155.
  19. Lee KH, Kim KE, Son MO. The occupational therapist's present conditions and ways of improvement of the whole community health center. Journal of the Korean Society of Occupational Therapist. 2003;11(2):31-42.
  20. Lee MS. The effect of therapeutic recreation program reinforcing the family function among the caregiver of elders with dementia. Journal of Korean Society of Leisure, Recreation & Park. 2019;43(4):59-75. https://doi.org/10.26446/kjlrp.2019.12.43.4.59
  21. Lee SA, Kim HS. Effects of a dementia family education program for dementia recognition, burden, and depression in caregivers of elders with dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2017;26(1):14-23. https://doi.org/10.12934/jkpmhn.2017.26.1.14
  22. Lee SW. Dementia care pathway building case in the England. Health insurance review assessment service. 2018;12(6):78-94.
  23. Moon JH. Dementia current status and support projects for family caregiver in Busan. Busan women and family development institute. 2019;39:1-8.
  24. OECD Indicators. Health at a Glance 2017. OECD. 2017.
  25. Oh JJ. A comparative study on the effects of an individual intervention program on the demented elderly and their families. Journal of Korean Academy of Community Health Nursing. 2008;19(2):205-215.
  26. Park KS, Jeong HY, So SY, et al. The effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. The Korean Society of Oriental Neuropsychiatry. 2013;24(4):353-362. https://doi.org/10.7231/jon.2013.24.4.353
  27. Park SH, Yang YA. A systematic review about intervention of dementia patient of cognition. The Journal of Occupational Therapy for the Aged and Dementia. 2011;5(2):9-15.
  28. Park SY, Park MH. Effects of family support programs for caregivers of people with dementia - caregiving burden, depression, and stress: systematic review and meta-analysis. Journal of Korean Academy of Nursing. 2015;45(5):627-640. https://doi.org/10.4040/jkan.2015.45.5.627
  29. Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock's synopsis of psychiatry behavioral sciences/clinical psychiatry, 11th ed. Philadelphia. Wolters Kluwer. 2015.
  30. Suh KH, Chun KI. The moderate effect of social support on family caregivers' burdens and health and quality of life with demented patients. The Korean Journal of Culture and Social Issues. 2009;15(3):339-357.
  31. Yang SK, Ko BS, Park JH. Domestic research trends of the dementia prevention programs for the elderly. Journal of Korea Academia-Industrial cooperation Society. 2019;20(1):131-143. https://doi.org/10.5762/KAIS.2019.20.1.131
  32. Yoon SJ, Lee YH, Son TY, et al. Factors associated with dementia and depressive symptoms in older persons living in the community. Journal of the Korea Gerontological Society. 2002;21(3):59-73.