• Proceedings of the KAIS Fall Conference
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• 2009.05a
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• pp.382-385
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• 2009

본 논문에서는 최근 정보통신의 다양한 분야에서 응용되고 있는 USN과 LBS 기술을 이용하여 사회복지 인프라를 위한 서비스 체계화, 상대적 소외계층을 위한 안전체계 구축, 첨단 IT 기술 접목의 복지통신정책 실현, 공공 u-Wellbeing 서비스 시스템 구축을 목적으로 u-Care 서비스 시스템을 설계 구현하였다. 이 서비스는 독거 또는 치매노인, 장애인을 위한 사회복지 서비스로 거주지 실내 활동 현황 모니터링이 가능하며, 초소형 GPS 기반의 위치추적 단말기를 이용하여 실시간 위치정보 및 상태 정보에 이상이 생겼을 시에는 사회복지 관련 기관, 경찰, 119, 가족 등에게 SMS로 자동 발송하는 서비스 방식이다.

• Journal of the Korean Home Economics Association
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• v.34 no.4
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• pp.145-160
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• 1996

The purpose of this study was to identify caregiving situations and to examine resources for adjustment among family caregivers of the elderly with dementia. Thereby the study can provide the basic information for the development of education programs for family caregivers through in-depth interview. The main result of this study was as follows : 1) The major problems identified by family caregivers I caring for the elderly with dementia were related to care recipient's toileting and to care recipient's confusion and wandering. 2) The family caregiver expressed feelings of burden including chronic fatigue, depression, guilt and frustration. 3) The factors influencing the adjustment of family caregivers for demented elderly were quality of relationship, motivation for caregiving, circumstances of caregiving, social support and coping strategies.

• Journal of Families and Better Life
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• v.14 no.2
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• pp.77-96
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• 1996

The purposes of this study were to understand caregiving situation and to develop education program for families with the demented elderly,. Family caregivers of elderly patients with dementia clearly experience high levels of stress which often leads to such negative caregiver outcomes as depression interference with social activities and health difficulties. That is providing care is stressful for caregivers because the demands of the caregiving situation threaten to overwhelm the caregivers' coping resources. Therfore the families with demented elderly persons need assistances in order to alleviated burden of caregiving, In this study the educational program was designed to increase caregivers' confidence in problem-solving, And it was designed to provided information to demented elderly. The educational program of this study was given 5 session. And it was included the understanding of dementia the family caregiving experiences of the demented elderly persons the time for elf-care the search for helping the improving of interpersonal relations and communications.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.83-92
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• 2019

This qualitative study employed focused group interviews to collect data on the forgetfulness experienced by elderly persons (over the age of 65) who suffer with subjective memory impairment. The participants were ten elderly persons who participated in the cognitive function improvement program at an elderly welfare center in D city. They were divided into three groups that were comprised of three/four people each, and each group was interviewed for 40~60 minutes. The results showed that "difficulties in human relations", "feeling uncomfortable in daily life", "exposure to a safety risk", "inexpressible ambivalence" and "family effort to overcome forgetfulness" were all expressed in the interviews. The elderly who participated in this study and who complained of subjective memory impairment had both feelings of anxiety and anxiety about non-dementia, and they were making efforts to overcome forgetfulness themselves. Based on this study, we suggest that interventions should be developed that reflect the individual needs of elderly people with subjective memory impairment.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.648-667
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• 2002

This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.

• The Journal of the Korea Contents Association
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• v.18 no.4
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• pp.653-663
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• 2018

This study is a descriptive survey to examine the dementia related attitudes and dementia preventive behaviors in middle aged and to determine the relationships between the both sides. In this study, between October 1st and 9th, 2017, data were collected from the middle aged people in their 40s~60s in Korea through online questionnaires. Finally, 220 questionnaires were analyzed by t-test One way ANOVA, Pearson's correlation coefficient, and etc. The results of the study are as follows. First, 52.7% of the subjects were interested in prevention of dementia, but only 5.9% of them had experience of receiving education related to dementia. Second, fear of dementia was higher than cancer, cerebrovascular disease, and cardiovascular disease, but confidence in coping with the disease, expectation of the possibility of maintaining the daily life, expectation of the help of the family and the surrounding people, expectation of the national medical and economic support were significantly lower. Third, as the dementia preventive behaviors were implemented, the confidence in overcoming the disease, the expectation of the possibility of maintaining the daily life, the expectation of the help of the family and the surrounding people, the expectation of the medical and economic support of the country increased and the burden of the treatment cost was lowered. As a result, it is thought that this personal and social effort will improve the quality of life of the people by reducing physical, psychological, social and economic problems caused by dementia.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.482-490
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• 2016

The adult guardianship system has taken into effect in Korea 3 years ago, but as the system settlement is comparatively late than other countries, there is a need for specific countermeasure to actualize the optimized system. Therefore, this study has analyzed factors influencing the adult guardianship system subjecting the dependent family members of the disabled and dotard by applying the behavioral model suggested by Anderson & Newman. This study utilized SPSS 18.0 for analysis, and the study results are as follows. First, the level of intention to use adult guardianship system was average. Second, the most influential factors of using adult guardianship system were social stigma among need factors, financial status among enabling factors, and the relationship with the caregivers, and academic level among the predisposing factors. Based on such empirical analysis results, this study provides with the fundamental references for early settlement and proper management of adult guardianship system, and proposed specific practical strategy necessary for the guardian and dependent family.

• Research in Community and Public Health Nursing
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• v.16 no.3
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• pp.260-269
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• 2005

Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.1
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• pp.81-90
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• 2005

Purpose: The purpose of this study was to identify family resiliency, ADL in elders with dementia, and symptom for families with an elder with dementia. Method: The participants were 102 people who were caregivers to elders with dementia and who visited the out-patient department at S. hospital for follow up care. Data were collected from August to October 2003 using a questionnaire. The collected data were analyzed using descriptive statistics and t-test aided by the SPSS/PC. Result: Family resiliency for the whole sample was within normal limits but when the sample was quarter-divided by good and poor family resiliency, based on established cut-off scores, there were differences for some characteristics according to good/poor family resiliency. These differences were for perceived health state of caregivers (t=-2.78, p=.008), economic state of family (t=-3.34, p=.002), and ADL (t=-2.56, p=.014). Conclusion: Future research should focus on the way in which family resiliency can be enhanced and on the effects of interventions for those caregivers who report poor family resiliency.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.122-131
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• 2004

Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.