• 한국노년학
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• v.29 no.4
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• pp.1361-1381
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• 2009

There have lately been a variety of social issues in our society due to rapid social changes. Specifically, how to approach elderly people who suffer from dementia is never an easy task, and few in-depth studies have ever focused on their quality of life due to that. The purpose of this study was to examine the quality of life of elderly people with dementia and the relationship between their quality of life and the environments of facilities for them in an attempt to lay the foundation for the development of compatible programs tailored to the environments of the facilities and for relevant policy setting. It's ultimately meant to improve the quality of life of the elderly with dementia and the environments of facilities for them. The subjects in this study were elderly people with dementia who were housed in senior residential and medical welfare facilities in Daegu and Gyeongsangbukdo. The collected data were analyzed with a SPSS 12.0 program, and frequency analysis, cross-tabs and multiple logistic regression analysis were utilized. As a result, facility environments were identified as one of the variables that had a significant impact on the quality of life of the elderly people with dementia. There are some suggestions about how to boost their quality of life: First, good environments should be prepared in consideration of the characteristics of elderly people with dementia in order for themto be satisfied with their own quality of life, and the way of looking at their potentials should be changed. Second, it's found that main caregivers affected the quality of life of the elderly people with dementia, and the kind of programs that focus on the improvement of the relationship between elderly people with dementia and their main caregivers is required. Third, there should be a change in the environments of the facilities. The facilities should be well equipped to successfully respond to the symptoms of elderly people with dementia. To redress their poor accessibility to the facilities, infrastructure involving nursing homes and professional personnels should be built by utilizing the Internet, and the facilities and local community should make concerted efforts to provide quality care to elderly people in want of it.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.701-714
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• 2020

The current study examines whether the dementia experience and social support is associated with dementia attitude and whether health literacy moderates the relationship between these variables. We used data from the 2016 Dementia Literacy Survey collected by K University. We conducted our analysis with 522 community-dwelling older Koreans aged 60 to 79. Findings of the multivariate regression analyses showed belows. First, dementia experience and dementia attitude were related in cognitive and behavioral aspects. Second, social support was also related negatively with dementia attitude in cognitive part. However, social support was also related positively with dementia attitude in behavior part. Third, health literacy was positively related with dementia attitude in cognitive part. However, health literacy was negatively related with dementia attitude in behavior part. Lastly, health literacy had significant moderating effects with social support and dementia attitude in cognitive part. Our findings suggest that health literacy plays an important role in fostering a positive dementia attitude.

• 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.

• Journal of Convergence for Information Technology
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• v.10 no.5
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• pp.75-82
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• 2020

This study is a descriptive research study to identify Unmet Dementia Information Needs (UDIN) for caregivers of dementia patients at Dementia Relief Center and to understand the effectiveness of the program for workers. The subjects were 114 caregivers and 217 practitioners from dementia relief centers in 25 autonomous districts of S city from November 1, 2019 to January 31, 2020. The UDIN questionnaire is a 7-point Likert scale. The Crisis Management Questionnaire is a Likert 5-point scale consisting of 10 questions from 6 categories. As a result of the study, the proportion of depressed caregivers experiencing UDIN was 12.3times higher than those who did not (p<.001). The program effectiveness was 8.98times better than those who perceived the lack of risk management as good (p=.004), and social workers were 2.81times better than nurses (p=.091). It is necessary to conduct interactive operations to meet the needs of the community residents by listening to their diverse opinions rather than simply implementing a one-sided policy to raise the service of a dementia relief center to the highest level in a short period of time.

• Korea journal of population studies
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• v.28 no.2
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• pp.165-182
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• 2005

The main purposes of this study are to describe the elderly dementia, and to explore characteristics of the elderly dementia among the aged 65 and over in Daegu area. In this study, 1,120 subjects which were 0.6 percent of the population were selected and face-to-face interviews were conducted. The face-to-face interviews were conducted from July 1, 2004 to August 31, 2004. KMMSE was introduced to measure the status of the interviewees' dementia. The findings of this study are as follows: 8.9 percent of respondents turns out to be dementia patients. Among the dementia patients, 52.5 percent are mild dementia patients, 35.0 percent are mid-level symptoms and 12.5 percent are severe symptoms of dementia patients. Cross-tabulation analyses and logistic regression analysis were introduced to explore the demographic, living, and behavioral differentials of the elderly's dementia. According to the logistic regression analysis, it turns out that white educational attainment, participating in the leisure activities for both physical exercise and mental activities, having meals regularly, adequate amount of meals, and high economic status decrease the odds ratio of elder dementia among the elderly who are 65 and above in Daegu area and are statistically significant. On the other hand, age increases the odds ratio of the elder dementia of the elder among Koreans above 65 in Daegu area. Finally, policy implications and some suggestions for the improvement of the elder dementia are introduced and discussed.

• Korean Journal of Social Welfare Studies
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• v.48 no.2
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• pp.143-171
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• 2017

Along with the well-established evidence on the negative effect of social isolation on physical mental health and mortality, increasing attention has been paid to multi-dimensional nature of social isolation. In this study, the main effect and interaction effect of objective and subjective social isolation on heterogeneous age cohort related to the onset of dementia, which is becoming a social problem due to rapid aging of health issues, was examined through binary logistic regression analysis. Data came from the first wave of Korean Social Life, Health and Aging Project (KSHAP) (N= 814). Findings showed 1) in the young-old, objective isolation was a significant on the incidence of dementia, 2) in the old-old, subjective isolation increased the risk of dementia. In summary, the relative influence of objective and subjective social isolation related to the incidence of dementia varies depending on the young-old and old-old. On the other hand, the interaction effect of objective and subjective social isolation on dementia was not significant in both the young-old and old-old. Based on the findings, we discussed implications and suggestions for future research and relevant policy and program development(dementia-friendly communities) for ameliorating objective and subjective social isolation.

• Journal of agricultural medicine and community health
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• v.46 no.4
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• pp.230-241
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• 2021

Objectives: The purpose of this study was to identify the level of quality of life and related factors in the elderly with dementia living in their houses of rural area who are receiving dementia partners' supporting activities. Methods: The study participants were 55 elderly people with dementia living in their houses who were participating in the dementia partner pilot project among those registered in the public health center in one area and 55 dementia partners. Data were analyzed by independent t-test, ANOVA, Pearson correlation analysis and multiple regression analysis. Results: The factors that had a significant effect on quality of life included depression to predict the quality of life in the elderly with dementia. And its explanatory power was 46.8%. Conclusions: Based on these results, it is crucial not only to maintain physical functions but also to decrease depression by emotional support activities so as to enhance their quality of life, therefore, it is required to develop and apply the integrative supporting programs in rural area. From the result that dementia partner's self-compassion would lower the depression in the elderly with dementia significantly, it is considered to develop the programs to enhance dementia partners' self-compassion.

• 한국노년학
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• v.38 no.3
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• pp.501-519
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• 2018

The purpose of this study was to explore perception about shared decision making of family caregivers of patients with early dementia (PWED). This study was conducted with a sample of 12 family caregivers (mean age = $71.4{\pm}10.4$) of PWED from three dementia safety centers in Seoul. In-depth interviews were done for each participant about shared decision making and data were analyzed using qualitative content analysis. Six categories and 17 sub-categories identified for participants' perception about shared decision making: means to facilitate communication with patients with dementia, means to secure autonomy of patients, opportunity to facilitate treatment, cause of increasing family caregivers' burden, cause of worsening relationship with patients, and option for choices depending on priority change. The findings of this study can provide a knowledge basis for health care professionals and policy makers to understand how family caregivers of PWED think about shared decision making. It would be of great value to develop educational programs and practical guidelines about shared decision making for PWED and their family, which may contribute to respecting PWED's self-determination right as well as reducing burden of their family.

• 한국노년학
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• v.38 no.4
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• pp.1127-1148
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• 2018

Care-stress among the dementia caregivers has been an important issue. The purpose of this study is to examine the effects of the dementia elderly's symptoms on the primary caregivers'care -stress. In addition, the moderators, the expert support and the family support, were used to examine the moderating effects between the symptoms and the care-stress. The data was obtained at 10 day-care facilities and services in Seoul, Gyeonggi and Busan province in South Korea. A total of 191 participants were analyzed. They were the spouses or the adult children of the dementia elderly who were diagnosed with dementia within five years. This study was conducted in multiple regression analysis. The main findings are as follows. First of all, the symptoms that the dementia elderly show were significantly associated with the primary caregivers' care-stress. Also, the interactive variable with the expert support was statistically significant. However, it was not significant with the family support. This means that only the expert support from doctors, nurses or social workers decreased the caregivers' care-stress. The implications of this study are 1) the necessities of the education that covers the specific symptoms of the dementia patients', 2) the extension of the supportive policies for caregivers' care-stress, 3) the necessities of more allocation of the dementia specialists in the practical settings and cooperative systems among the dementia specialists in various fields, and 4) the enhancement of the family function among families who have a dementia elderly as a family member.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.1
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• pp.131-143
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• 2019

The purpose of this study is to analyze the research trend of the dementia prevention program in the elderly. Between 2000 and 2018, the Korean Research Information Service (Riss), Google Scholar Search, DBpia, Korea Academy of Science Information (Dissemination Prevention), Dementia Prevention Program, Dementia, The purpose of this study was to investigate the dementia prevention program for the elderly. Based on the analysis criteria and methods of the 404 papers, 36 papers were finally selected. The results of this study are as follows: First, as a result of analysis of the basic structure of the research data and program implementation structure, And, when applied quantitative research method, 25 cases showed a much higher tendency. As a result of analyzing trends of the implementation structure of dementia prevention program for the elderly, 11 were the most in the nursing home (elderly welfare hospital), and the proportion of elderly women was higher than that of male elderly. 65 years of age or older. Second, as a result of analyzing the type of intervention program for dementia prevention program, Third, the Korean version of the MMSE-K tool, which measures cognitive function, is the most frequently used dementia prevention program measurement tool and the result of analysis of effectiveness, Significant improvement in cognitive function. The results of this study suggest that the prevention of dementia for the elderly should be avoided from a fragmentary program and improve the cognitive function, mental behavior and lifestyle of the elderly, improve the healthy aging and quality of life, Suggesting that a program is required.