DOI QR코드

DOI QR Code

The Effects of Dementia Attitude, Burden of Behavioral and Psychological Symptom in Dementia(BPSD), and Nursing Professionalism on Dementia Nursing Performance among Long-term Care Hospitals Nurses

요양병원 간호사의 치매태도, 치매행동심리증상 부담감, 간호전문직관이 치매간호수행에 미치는 영향

  • Received : 2020.09.23
  • Accepted : 2020.10.14
  • Published : 2020.11.30

Abstract

The purpose of this study was identify factors influencing dementia nursing performance among long-term hospitals nurses. Participants were 161 long-term hospitals nurses. Data were collected with structured qustionnaires from November 4 from December 13, 2019. Data were analyzed SPSS/WIN 21 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The significant factors of the dementia nursing performance among long-term hospitals nurses were dementia attitude (β=.280, p=.001), nursing professionalism(β=.237, p=.006), burden form BPSD(β=-.174, p=.012), and dementia education experience(β=.166, p=.014). Therefore, in order to improve dementia nursing performance among long-term care hospital nurses, it is necessary to develop program and apply dementia education to establish a positive dementia attitude and nursing professionalism, and to reduce the burden of dementia behavioral and psychological symptoms.

본 연구는 요양병원 간호사의 치매태도, 치매행동심리증상 부담감, 간호전문직관의 관계를 파악하고, 치매간호 수행에 영향을 미치는 요인을 파악하기 위해 실시되었다. 자료수집은 구조화된 설문지를 이용하여 요양병원 간호사 161명을 대상으로 2019년 11월 4일부터 12월 13일까지 시행하였으며, 자료분석은 SPSS/WIN 21.0프로그램을 이용하여 t-test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression으로 하였다. 치매간호수행에 영향을 미치는 주요 요인은 치매태도(β=.280, p=.001), 간호전문직관(β=.237, p=.006), 치매행동심리증상 부담감(β=-.175, p=.012), 치매교육경험(β=.166, p=.014)이었다. 따라서 요양병원간호사의 치매간호수행도 향상을 위해서는 긍정적인 치매태도와 간호전문직관의 확립, 치매행동심리증상 부담감 감소를 위해 다양한 중재프로그램 개발과 치매교육의 적용이 필요하다.

Keywords

References

  1. M.A. Akyol, L, Zehirlioglu, M. Erunal, H. Mert, N.S. Hatipoglu and O. Kucukguclu, "Determining middle-aged and older adults' health beliefs to change lifestyle and health behavior for dementia risk reduction," American Journal of Alzheimer's Disease & Other Dementias, Vol. 30, pp. 1-7, 2020. https://doi.org/10.1177/1533317519898996
  2. J.S. Lee, M.J. Kang, H.J. Nam, Y.J. Kim, O.J. Lee and K. W, "Korean Dementia Observatory 2019," Seongnam: National Institute of Dementia, 2020
  3. Y.H. Kim and Y.C. Kwon, "The effect dementia knowledge and attitude on dementia preventive behavior of adults", The Journal of the Convergence on Culture Technology, Vol. 6, No. 3, pp. 9-17, 2020. https://doi.org/10.17703/JCCT.2020.6.3.9
  4. I.S. Ko, E.K. Han and D.R. Kim, "Relationship among dementia knowledge, attitude, and care burden of nurses in center for dementia", Journal of the Korea Convergence Society, Vol. 8, No. 9, pp. 67-75, 2019. https://doi.org/10.15207/JKCS.2017.8.9.067
  5. E.K. Suh and H.R. Kim, "Experiences of long-term care hospital nurses caring for elders with dementia", Journal Korean Gerontological Nursing, Vol. 21, No. 2, pp. 99-111, 2019. https://doi.org/10.17079/jkgn.2019.21.2.99
  6. Y.K. Kim and S.H. Kwon, "Effects of empathy and attitude in caring for elders by nurses in geriatric nursing practice in long-term care hospitals", Journal Korean Gerontological Nursing, Vol. 19, No. 3, pp. 203-213, 2017. https://doi.org/10.17079/jkgn.2017.19.3.203
  7. R.M. McCloskey, "Caring for patients with dementia in an acute care environment", Geriatric Nursing, Vol. 25, No. 3, pp. 139-144, 2004. https://doi.org/10.1016/j.gerinurse.2004.04.006
  8. M.J. Kim, "Geriatric Hospital Nurses' Dementia Care Knowledge, Attitude, Professionalism Affecting Care of Patient with Dementia", Master's thesis, Kyungpook National University, 2018.
  9. J.E. Lee and Y.J. Jang. "A comparative study of factors affecting adolescents' attitudes towards dementia", Health and Social Welfare Review, Vol. 36, No. 1, pp. 233-260, 2016. https://doi.org/10.15709/hswr.2016.36.1.233
  10. Y.J. Jang, "A Comparative study on the factors that determine the attitude toward dementia in Korea and Japan: focusing on the care workers who work in nursing homes", Journal of the Korean Gerontological Society, Vol. 34, No. 2, pp. 333-348, 2014.
  11. S.J. Lee, "Relationships among Knowledge, Attitude of Dementia and Burden of the Behavioral and Ppsychological Symptoms of Dementia: Focused on General Hospital Nurses", Master's thesis, Hanyang University, 2017.
  12. J. Cerejeira, L. Lagarto and E.B. NukaetovaLadinska. "Behavioral and psychological symptoms of dementia", Fraotiers in Neuroloy, Vol. 3, pp. 1-21, 2012. https://doi.org/10.3389/fneur.2012.00073
  13. K.A. Kim, "Development of an Assessment Tool of Problematic Behaviors for Institutionalized Old People with Dementia", Doctoral thesis, Seoul National University, 2003.
  14. E.F. McCarty and C. Drebing, "Burden and professional caregivers: tracking the impact", Journal for Nurses in Staff Development, Vol. 18, No. 5, pp. 11-30, 2002.
  15. T. Goergen, "Stress, conflict, elder abuse and neglect in German nursing homes: a pilot study among professional caregivers", Journal of Elder Abuse, Vol. 13, pp. 1-26, 2008. https://doi.org/10.1300/J084v13n01_01
  16. J.J. Oh, "The experience of nursing Staff on the dementia patients' aggressive behavior", Journal of Korean Academy of Nursing, Vol. 30, No. 2, pp. 293-306, 2000. https://doi.org/10.4040/jkan.2000.30.2.293
  17. E.J. Yeun, Y.M. Kwon and O.H. Ahn, "development of a nursing professional value scale", Journal of Korean Academy of Nursing, Vol. 35, No. 6, pp. 1091-1100, 2005. https://doi.org/10.4040/jkan.2005.35.6.1091
  18. C.G. Kim, "Importance of and influencing factors on nurses' caring behaviors for elders with dementia", Korean Journal Adult Nursing, Vol. 23, No. 1, pp. 160-169, 2011.
  19. J.H. Park, "Influencing Factors on Dementia Nursing Performance of Nurses in Long-term Care Hospital", Master's thesis, Catholic University of Daegu, 2017.
  20. S.M. Baek, "Effects of the nursing Hospital Nurses'Burden of the BPSD on their Nursing Services for the Dementia People", Journal of Learner-Centered Curriculum and Instruction, Vol. 20, No. 15, pp. 877-897, 2020. https://doi.org/10.22251/jlcci.2020.20.15.877
  21. S.Y. Hwang and K.S. Jang, "A study on the levels of dementia-related knowledge, attitude, and practice among nursing assistants caring for institutionalized elders with dementia", Korean Journal Adult Nursing, Vol. 11, No. 3, pp. 378-388, 1999.
  22. M.L. O'Connor and S.H. McFadden, "Development and psychometric validation of the dementia attitudes scale. International Journal of Alzheimer's Disease, Vol. 2010, pp. 1-10, 2010. https://doi.org/10.4061/2010/454218
  23. J.Y. Choi, H. Jeong, J.Y. Park, T.H. Kim, D.Y. Lee and D.W. Lee et al., "Factors associated with the attitudes toward dementia in community caregivers: results from the nationwide survey on dementia care in Korea", Journal of Korean Geriatirc Psychiatry, Vol.19, No. 1, pp. 24-31, 2015.
  24. J.S. Kim, "Knowledge and Care Burden for the Patients with Dementia in Acute Hospital Nurses", Master's thesis, Soonchunhyang University, 2012.
  25. T. Ryan, C. Gardiner, G., Bellamy, M. Gott and C. Ingleton, "Barriers and facilitators to the receipt of palliative care for people with dementia: the views of medical and nursing staff", Palliat Medicine, Vol. 26, No. 7, pp. 879-886, 2012. https://doi.org/10.1177/0269216311423443
  26. E. J. Jang & S. H. Kim. (2017). Delegation of nursing activities in long-term care hospitals. Journal Korean Gerontological Nursing, 19(2) 101-112. https://doi.org/10.17079/jkgn.2017.19.2.101
  27. Y. M. Kim, J. Y. Lee & H. C. Kang. (2014). Impact of nurse, nurses' aid staffing and turnover rate on inpatient health outcomes in long term care hospitals. Journal of Korean Academy of Nursing. 44 (1):21-30. https://doi.org/10.4040/jkan.2014.44.1.21
  28. D. Weis and M..J. Schank, "An Instrument to Measure Professional Nursing Values", Journal of Nursing Scholarship, Vol. 32, No. 2, pp. 201-204, 2000. https://doi.org/10.1111/j.1547-5069.2000.00201.x
  29. K.J. Kwon, K.H. Ko, K.W. Kim and A.J. Kim, "The impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses", Journal of Korean Academy of Nursing Administration. Vol. 16, No. 3, pp. 229-39, 2010. https://doi.org/10.11111/jkana.2010.16.3.229
  30. J.Y. Ha, "Roles and Tasks of Nurses Caring People with Dementia", Journal of Korean Korean Journal Adult Nursing, Vol. 19, No. 2, pp. 305-317, 2007.