• 제목/요약/키워드: Care for the elderly with dementia

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치매노인의 문제행동이 종사자 소진에 미치는 영향 (Effect of problem behaviors in the elderly with dementia on burnout of workers)

  • 손명동
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2022년도 제65차 동계학술대회논문집 30권1호
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    • pp.189-190
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    • 2022
  • 최근 노인관련 요양 문제는 이미 사회적 이슈로 떠오르면서 각 가정에서의 돌봄이 곤란한 어르신들이 요양원, 재가복지센터, 주간보호센터, 노인전문병원 등에서 요양보호사의 도움이 절대적으로 필요한 일상이 되었다. 무엇보다도 장기요양서비스를 이용하는 어르신 대부분은 노인성 질환 또는 치매를 앓고 있다. 이는 각 가정에서의 돌봄이 어려운 어르신들에게 직접서비스를 제공 하는 종사자인 요양보호사들은 다양한 치매어르신들의 문제행동을 안고 현장에서의 돌봄을 제공한다. 따라서, 요양보호사의 직무 관련 스트레스에 미치는 영향력 파악과 이와 더불어 직무스트레스가 치매어르신의 문제행동과 종사자의 소진 간의 매개 효과가 있는 지 규명하는 연구들이 활발하게 이루어 짐으로 이를 규명한 내용을 토대로 대안 마련을 위한 유익한 제언들이 필요하다.

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치매노인 주부양자의 돌봄수준의 영향요인 (Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia)

  • 강찬미;김정순;정정희
    • 지역사회간호학회지
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    • 제27권3호
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    • pp.193-201
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    • 2016
  • Purpose: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. Methods: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. Results: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. Conclusion: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.

근골격계 동작 추적 기반 VR 콘텐츠 치매 예방 훈련 평가 및 분석 (Evaluation and Analysis of VR Content Dementia Prevention Training based on Musculoskeletal Motion Tracking)

  • 이민태;윤재홍;김은석
    • 한국멀티미디어학회논문지
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    • 제23권1호
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    • pp.15-23
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    • 2020
  • Recently, the increase in the elderly population due to an aging society has led to a relative increase in senile diseases such as vascular dementia or Alzheimer's disease, and the social burden for rehabilitation has increased. In addition, studies have been conducted for the risk assessment and prevention of musculoskeletal disorders. The purpose of this study is to suggest a system that can be used to help with dementia prevention training by tracking the movement of motion and virtual reality contents for the risk factors of musculoskeletal disorders of the elderly. We propose a training method for preventing dementia through musculoskeletal motion analysis algorithm and virtual reality content. Through motion recognition algorithm based on motion region design, we will track and analyze the moving radius of the target joint. The purpose of this study is to calculate and evaluate scores based on the time to accomplish the goals on virtual reality contents for the prevention of musculoskeletal disorders and the support of dementia prevention training, and the degree of difficulty, and to analyze the correlation between the results of performing K-MMSE and VR contents.

치매노인을 돌보는 주가족간호제공자의 스트레스원과 우울간의 관계에서 사회적 지지의 역할 (The Role of Social Support in the Relationship between Stress and Depression and Depression among Family Caregivers of Older Adults with Dementia)

  • 이해정;서지민;안숙희
    • 대한간호학회지
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    • 제33권6호
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    • pp.713-721
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    • 2003
  • Purpose: This study was to determine the mediator or moderator role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. Method: Sixty nine family caregivers were randomly selected from health care centers in P city and a face-to-face interview was conducted using questionnaires from January to May of 2002. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical multiple regression using SPSS program. Result: Family caregivers of older adults with higher dependency in ADLs and higher problematic behaviors, provided care to the older adults for a longer period of time, and perceived less social support reported higher depression. Social support showed mediating effects between stress and depression, while did not show moderating effects. Elderly dependency on ADLs and caregiving duration decreased perceived social support and decreased social support increased depression. Conclusion: To increase family and social support to the caregivers of more functionally impaired elderly, family education to increase emotional support and physical assistance to the caregivers and broader and flexible application of social support such as increasing accessibility to the elderly daycare service with lower price may prove beneficial.

재가복지서비스 신청 치매노인 주부양자의 부양부담감 영향 요인 (Factors Influencing Care Burdens of Caregivers of Elders with Dementia who Request Dementia Domiciliary Welfare Services)

  • 이영휘;김화순;조인숙
    • 기본간호학회지
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    • 제15권3호
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    • pp.274-283
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    • 2008
  • Purpose. The purpose of the study was to identify the factors, which predict care burden perceived by caregivers of elders with dementia. Methods: The participants in this descriptive survey were 92 caregivers who used one of six daycare centers located in Incheon. The data were collected by questionnaires composed of items on general characteristics of the elders and caregivers, care burden, caregiver fatigue, and functional status of the elders. Results: General characteristics of the elders associated with care burden were age, gender, religion, and the presence of a spouse. Features of caregivers related to care burden were education, relationship with elderly, amount of rest, intention to care, monthly family income, and perceived family economic status. There were significant correlations among care burden, fatigue of caregiver and functional status of the elders. In stepwised multiple regression analysis, significant influencing factors were identified as caregiver fatigue, functional status of the elders, intention to care, relationship with the elders, amount of rest and elder's gender. Those variables explained 46% of variance of care burden. Conclusion: Functional status of elders and amount of rest were significant predictors and are supported by other previous studies. Future interventions for caregivers need to be focused on the slowing down of functional status of elders and increasing of number and length of caregiver's rest periods.

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일부 지역 노인의 전신건강과 구강건강상태가 치매에 미치는 영향 (Effects of general and oral health status on dementia in the elderly in some areas)

  • 김유린;허성은;장경애;강현경
    • 한국치위생학회지
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    • 제21권2호
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    • pp.151-158
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    • 2021
  • Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

재가 치매노인의 주 수발자와 환경 실태 (A Study on Community-dwelling Elders with Dementia, their Primary Caregiver, and Living Environments)

  • 김남초;김정희;임영미
    • 한국보건간호학회지
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    • 제16권1호
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    • pp.13-29
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    • 2002
  • The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.

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회상요법을 적용한 집단미술치료가 치매노인의 우울, 의사소통, 자기효능감, 주관적 행복감에 미치는 영향 (Effects Of Collective Art Therapy on The Depression, Communication, Self-Efficacy, and the Subjective Happiness of the Elderly with Dementia)

  • 김경화
    • 산업진흥연구
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    • 제6권4호
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    • pp.59-68
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    • 2021
  • 본 연구는 회상요법을 적용한 집단미술치료가 치매노인의 우울, 의사소통, 자기효능감, 주관적 행복감에 미치는 영향을 확인하였다. 연구대상은 S군 S노인요양시설에 입소 중인 65세 이상의 치매노인 총 28명을 대상(실험군 14명, 대조군 14명)으로 2020년 11월 14일 부터 2021년 3월 6일 까지 주1회씩 16회기를 걸쳐 진행하였다. 자료 분석은 SPSS 24.0통계프로그램을 이용해서 신뢰도 검증, 빈도분석, 독립표본 T-test, 2×2 혼합변량분석, 대응표본 T-test, 집단 간 독립표본 T-test를 실시하였다. 본 연구결과는 다음과 같다. 회상요법을 적용한 집단미술치료는 치매노인들의 우울과 의사소통에 대한 부정적인 인식을 감소시키고, 자기효능감과 주관적 행복감을 증진시키는 효과가 있는 것을 확인할 수 있었다. 이러한 연구결과는 회상요법을 적용한 집단미술치료의 기초자료를 제공하였다는 점에서 의의가 있다.

가족, 간병인, 간호사가 인지하는 노인요양보호사 교육의 중요도 (The Level of Importance on Education of long Term Care Nursing Assistants Perceived by Caregivers of the Elderly)

  • 조남옥;고성희;김춘길;양수;오경옥;이숙자;정유진
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.127-137
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    • 2008
  • Purpose: This study aimed to explore the level of importance perceived by caregivers of elderly on the education of long term care nursing assistants (LTCNAs) taking care of elders with dementia or stroke. Method: Data was collected from 296 participants (112 families, 98 NAs, and 86 RNs) from October 2006 to February 2007. A structured questionnaire was used for data collection. Result: The item of 'attitude while caring for the aged' was identified as most important. The family group reported that 'position change' and 'understanding of geriatric diseases' were the most important for education, while LTCNAs, highly identified, 'bathing', and 'bed sheet change'. The RNs group regarded 'position change', and 'bathing' as most important. Institutions demanding LTCNAs' activities were special facilities for elderly care and special hospitals for the aged, and the need was also high in families with an elder incapacitated by illness. Conclusion: Nurses need to take an interest in education for enhancing the quality of LTCNAs and thus advance the quality of nursing care as well as the quality of life for the aged.

A Study on Emotional Labor of Home Elderly Welfare Center Certified Nursing Assistants

  • Jung Seo, Lee
    • 한국컴퓨터정보학회논문지
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    • 제28권1호
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    • pp.103-110
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    • 2023
  • 재가노인복지센터 요양보호사들의 감정노동에 관한 연구를 통해 복지센터의 운영과 요양보호사의 근무환경을 개선하고자 한다. 본 연구를 위해 K시와 J도 소재 재가노인복지센터 소속 요양보호사 138명을 대상으로 연구하였다. 통계적 분석을 위해 수집된 자료는 SPSS/WIN 17.0을 이용하여 신뢰도 Cronbach's α 계수산출, t-test, 분산분석, Pearson 적률상관계수와 다중회귀분석을 시행하였다. 연구 결과 첫째, 재가노인복지센터 요양보호사들의 감정노동 차이는 치매 교육, 근무경력, 고용 형태, 학력, 나이순으로 감정노동 정도가 더 높았다. 둘째, 조사대상의 소진 정도는 근무경력, 치매 교육, 고용 형태, 나이순으로 높았다. 마지막으로 업무 스트레스, 감정노동은 업무소진에 유의미한 정적인 영향을 미치는 것으로 나타났다. 결론적으로 요양보호사들의 업무소진 방지를 위한 체계적인 감정조절 경험사례와 치매 교육, 서비스 대처 방법에 관한 업무 환류와 업무 스트레스 완화를 근무 여건 개선 대책 연구가 필요하다.