• Title/Summary/Keyword: 치매

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Behavioral and Psychological Symptoms of the Elderly with Mild Dementia in Local Communities and Care-giving Stress and Self-efficacy of Family Members (지역사회 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감)

  • Lim, Dong-Young;Jang, Hyun-Jung
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.651-662
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    • 2019
  • The purpose of this study is to provide a basic data for reducing care-giving stress of family members of the elderly with mild dementia by determining the relationship between the behavioral and psychological symptoms of the elderly with dementia and their family members' care-giving stress and self-efficacy. The descriptive statistics, t-test, and ANOVA were used for analysis in order to investigate the relationship. The behavioral and psychological symptoms of the elderly with mild dementia and their family members' care-giving stress had a positive correlation (r=.655, p<.001), and as their family members' care-giving stress and the members' self-efficacy had a negative correlation (r=-.334, p<.001). Based on the result of this study, it is necessary to reduce the care-giving stress of family members of the elderly with mild dementia and improve the self-efficacy of family members by developing proper measures to cope with the behavioral and psychological symptoms of the elderly with mild dementia.

A systematic review of the sleep intervention for dementia (체계적 분석 기법을 적용한 치매 환자의 수면 중재에 관한 연구)

  • Park, Soohee
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.13-18
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    • 2018
  • Objective : The purpose of this study is to confirm the basis for the effectiveness of sleep intervention for dementia progression. Method : PsycINFO, CINAHL, MEDLINE, PubMed, Science Direct, PEDro, Cochrane library was used to search for published papers from 2000 to 2017 using dementia, sleep, and randomized controlled trials (RCTs). Based on the results, author analyzed the papers that met the selection criteria. Result : Finally, five papers were selected. Among them, there were four papers showing that the effectiveness of the sleep intervention was not proven to be one. Conclusion : The results of this study can provide a basis for the sleep intervention effect of dementia patients. A program to actively intervene to prevent patients' behavior control and disease progression through solving sleep problems of dementia patients is needed.

The Effect of Group Validation Therapy(V/T) in the Elderly with Dementia (집단인정치료(Group validation therapy)가 치매노인에게 미치는 영향에 관한 연구)

  • Chang, Woo-Shim
    • 한국노년학
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    • v.28 no.4
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    • pp.1023-1039
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    • 2008
  • The purpose of this study was to develop a group validation therapy(V/T) which could be implemented for the elderly with dementia in nursing home, and to evaluate the effectiveness of the program on cognition, ADL(Activity of Daily Living), depression, problematic behavior and QOL(Quality of Life). Subjects were recruited from 4 nursing homes in D city. The sample comprised forty elderly with dementia, capable of verbal communication. Each twenty were in an experimental and control groups. However, four elders with dementia dropped out in experimental and control groups due to personal affairs. Experimental group completed twelve consecutive group validation therapy sessions that combined centering, asking factual questions, rephrasing, identifying and using the preferred sense, asking the extreme, imagining the opposite, reminiscing, touching, maintaining eye contact and a caring tone of voice, observing, matching and expressing the emotion with emotion, using ambiguity, linking behavior with a basic human need, using music and mirroring techniques. Following the intervention, experimental group experienced a significant improvement in cognition, ADL, depression, and QOL. But it is a nonsignificant in problematic behavior on statistically. As a result, a group validation therapy should be applied as an effective and practical psychosocial intervention for the elderly with dementia.

Development of Dementia Treatment VR System (치매 치료 VR 시스템 개발)

  • Lee, Ki-Suk;Kim, Sang-Won;Kim, Young-Wan;Kim, Min-Young;Choi, Jin-Sung
    • Proceedings of the Korea Information Processing Society Conference
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    • 2002.11a
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    • pp.835-838
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    • 2002
  • 사회고령화 추세에 따라 노인들이 증가하고 있으며 자연적으로 발생률이 높아지고 있는 치매에 대한 사회적 문제가 대두되고 있다. 본 논문에서는 경증 치매나 치매에 걸릴 확률이 높은 사람들에게 치매 치료의 효과를 주는 VR기반의 의료시스템을 개발하여 치매 치료에 대한 새로운 방법을 제시하려고 한다. 제시하는 치료 요법은 사용자에게 일상생활과 유사하게 VR 환경을 제공하고 일상적인 문제에 대처하여 올바르게 수행하도록 하는 방법을 가진다. 개발되어진 다양한 시나리오의 반복 수행을 통하여 치매의 치료는 수행되게 된다. 본 시스템의 효과를 판단하기 위해 실험군과 대조군 각 15명을 통하여 임상실험을 수행하였으며 그 결과를 보였다.

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Factors Influencing Educational Needs for Dementia in Nursing students (간호대학생의 치매 교육요구도 영향요인)

  • Ha, Eun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.353-363
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    • 2018
  • This study was conducted to identify the level of knowledge, attitude, and educational needs toward dementia, as well as to understand factors influencing educational needs for dementia among nursing students. A total of 213 nursing students at three universities in C province were invited to this study from September to November in 2015. Collected data were analyzed using an independent t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression. All analyses were conducted with SPSS 20.0 for Windows. The level of knowledge, attitude and educational needs for dementia were $12.33{\pm}4.54$ out of 20, $35.53{\pm}8.92$ out of 50 (Item mean 3.56), and $116.46{\pm}32.06$ out of 160 (Item mean 3.63), respectively. There were significant positive correlations between attitude and educational needs (r=0.79, p=<0.01). Moreover, the factors influencing educational needs for dementia in nursing students were attitude (${\beta}=0.73$, p<0.001) and grade (${\beta}=0.19$, p=0.001). Development of diverse educational programs for dementia based on this study can be a cornerstone to improve knowledge and attitudes toward dementia in nursing students. Developing nursing curriculum considering students' attitudes toward dementia and grade may also help increase knowledge of dementia.

Abnormal Eye Movements in Patients with Dementia (치매 환자에서 나타나는 비정상적인 안구운동)

  • Kim, Hyun;Lee, Kang-Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.2
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    • pp.73-80
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    • 2007
  • Anumber of prior studies have reported eye movement dysfunction in patients with dementia. The eye movement test which is non-invasive can evaluate the local brain function quantitatively. Therefore, it can be a useful method for characterizing regional brain abnormalities of patients with dementia. The aim of this paper is to review the literatures on eye movement abnormalities in dementia patients. Saccade system dysfunctions in Alzheimer disease include increased latency, reduced accuracy, and increased antisaccade error rates. Patients with frontotemporal dementia showed impaired reflexive saccade inhibition and increased latency and errors of antisaccade task. And delayed initiation of voluntary saccades, slow saccades, and increased errors and latency on antisaccade task were found in Huntington's disease. Patients with Parkinson’s disease dementia and dementia with Lewy bodies have characteristics of impaired in both reflexive saccade execution and complex saccade performance. However, there were few reports of abnormal eye movements in Creutzfeldt-Jakob disease; they could be found at the later stages after symptoms of dementia came to be evident, and secondary to cerebellar and vestibular involvement. Slowing of saccades and hypometric saccades might precede the supranuclear limitation of vertical gaze in PSP. Dysfunction of voluntary eyelid movements was a characteristic finding of PSP as well. In conclusion, patients with dementia can show various abnormal eye movements and they are related with cortial and subcortical brain dysfunctions. The research on localization of brain relevant to each symptom can promise more clinical implications of eye movement of dementia.

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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)

  • Kim, Hwasoon;Lee, Young-Whee;Jung, Da-Woe;Lee, Jee-Yeon
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.609-627
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    • 2019
  • 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.

Factors Affecting Social Distance between Nursing Students and Older Adults with Dementia: Focusing on Dementia Knowledge, Attitude and Ageism (간호대학생의 치매노인에 대한 사회적 거리감에 미치는 영향요인: 치매지식 및 태도와 연령주의 중심으로)

  • Kim, Doo Ree;Lee, Seo Young;Lee, Song Hee;Lee, Ye Ju;Lee, Young Jae;Lee, Won Kyeong;Lee, Yoo Jeong
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.373-381
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    • 2019
  • The purpose of this study is to investigate the factors that affect the social distance between the demented elderly and nursing college students. In this study, responses from 158 nursing college students in city D were collected using structured questionnaires and analyzed. As a result, the correlation between variables, social distance, and dementia attitude towards the demented elderly (r = .53, p<.001) showed a statistically correlated relationship, while ageism (r = -.41, p<.001) showed a negative correlation. The results of this study are as follows: first, the interactions between the elderly with dementia and the nursing college students were more frequent (${\beta}=.29$ p=.012), and second, attention to early prevention of dementia (${\beta}=.32$ p=.002) was significant. The explanatory power of these influential factors on the social distance toward the demented elderly was 41.0%.

Design of Remote Early Dementia Diagnosis Systems (원격 치매 조기 진단 시스템 설계)

  • Choi, Jongmyung;Jeon, Gyeong-Suk;Kim, Sunkyung;Choi, Jungmin;Rhyu, Dong Young;Yoon, Sook
    • Journal of Internet of Things and Convergence
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    • v.6 no.4
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    • pp.27-32
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    • 2020
  • Along with the aging of the population, the number of dementia patients is increasing, and the social and economic burden is also increasing. Currently, the effective way to manage dementia patients is to identify patients with dementia early. However, in rural and island areas where medical staff are scarce, there is a problem that it is difficult to visit a hospital and get an early examination. Therefore, we propose a remote early detection system for dementia to solve the problems. The remote dementia early diagnosis system is a system that allows a patient to receive examination and treatment from a remote dementia expert using remote medical technology based on real-time image communication. The remote early diagnosis system for dementia consists of a local client system used by medical staff at health centers in the island, an image server that transmits, stores and manages images, and an expert client used by remote dementia experts. The local client subsystem satisfies the current medical law's remote collaboration by allowing the patient to use it with the health center's medical staff. In addition, expert clients are used by dementia experts, and can store/manage patient information, analyze patient history information, and predict the degree of dementia progression in the future.

Factors Affecting the Social Distance from Elderly with Dementia of Social Welfare Students (사회복지전공 대학생의 치매노인에 대한 사회적 거리감의 영향요인)

  • Kim, Bo-Mi;Kim, Ji-Hyun
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.667-677
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    • 2022
  • This research is a descriptive study that aimed to identify the knowledge and attitude of dementia, empathy, and social distance from elderly with dementia of social welfare students and the effect these had on their social distance from elderly with dementia. This study was conducted by collecting 191 social welfare students in three universities in C and D cities. Data were analyzed using descriptive analysis, ANOVA, t-test, Pearson's correlation coefficients and multiple regression with the SPSS 23.0 program. The average social distance from elderly with dementia was 3.40 points. The social distance from elderly with dementia of the study participants showed a positive correlation between the attitude of dementia(r=.47, p=.001) and empathy(r= .27, p<.001). According to the results of multiple regression analysis, attitude of dementia(β=.21, p=.001), and empathy(β=.37, p<.001) were shown to be significant factors that affected the social distance from elderly with dementia. These variables explained 36.5%. Therefore, an education program to improve the ocial distance from elderly with dementia of social welfare students should be considered as a way to enhance positive attitude of dementia and empathy.