• Title/Summary/Keyword: Care for the elderly with dementia

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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.

The Factors Influencing Careworker's Care Performance for Elders with Dementia (요양보호사의 치매노인 돌봄 이행에 영향을 미치는 요인)

  • Noh, Jun-Hee;Lim, Eun-Ju;Hur, Jung
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.75-84
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    • 2012
  • The purpose of this study was to identify factors that have impact on taking care of dementia elderly people by careworkers. 212 careworkers participated in the survey. The data was analyzed by SPSS/WIN 18.0 program. The mean score of knowledge of dementia was 16.19, and attitude was 34.42, and the level of care performance for elders with dementia was 102.18. It was shown that the more positive attitude the careworkers had, the higher level of care performance occurred(r=.41, p<.001). As a result of analyzing the main factors affecting the level of care performance for dementia elderly people, attitude toward dementia(${\beta}$=.41, p<.001) and the level of education(${\beta}$=.27, p<.001) appeared to be significant explanatory variables, and this model's explanatory power was 27%. To settle a long-term care insurance successfully, the qualifications for careworkers are needed to be reinforced, and the ways to improve a positive attitude towards dementia elderly are also required to be come up with.

A Qualitative Case Study of the Narrative therapy group work on the elderly with palsy to solve conflict with the elderly with dementia (치매노인과의 관계개선을 위한 중풍노인 이야기치료 집단상담 사례 연구)

  • Lee, Gyeonguk
    • 한국노년학
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    • v.29 no.3
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    • pp.1123-1140
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    • 2009
  • The purpose of this study is to explore the process for the elderly with palsy to solve conflicts with the elderly with dementia in day care center through the narrative therapy group work. For this, the researcher enacted the Narrative therapy group work on the 12 elderly with palsy for seven sessions, and analysed these data through qualitative case study method. The results of this study are as follows. First, the elderly with palsy became to recognize the elderly with dementia as 'the people suffering from dementia' rather than 'the problem', and tried to care them rather than to blame. Second, they became to recognize themselves as 'component people' rather than 'the victim'. Third, they grew intimate and collaborated with themselves. Fourth, they participated actively in day care center. It was discussed connection between these changes and narrative therapy skills, such as to separate problem from people, to respect client as expert for one's problem, to seek unique outcome. The recommendation is suggested that it is important to enlarge choice to participate for long-term care service consumer and to apply narrative therapy on the elderly.

Care of the Elderly with Dementia and the Need for Group Homes from Middle and Upper Class Families in Korea

  • Choi Jung-Shin;Kim Dae-Nyun;Kwon Oh-Jung
    • International Journal of Human Ecology
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    • v.2 no.1
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    • pp.39-55
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    • 2001
  • Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.

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Space Design Based on the Behavioral Characteristics of the Elderly with Dementia (치매노인의 행동특성을 고려한 공간디자인)

  • Oh Chan-Ohk
    • Journal of the Korean housing association
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    • v.15 no.5
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    • pp.59-67
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    • 2004
  • This study was intended to suggest the design guidelines of the space for the elderly with dementia. To achieve this, the behavioral characteristics of the elderly with dementia were grasped, and the design cases which were considered and reflected of the behavioral characteristics of the elderly with dementia were examined. Then, the effective space design guidelines which met the behavioral characteristcs of the elderly with dementia were suggested. The behaviors of the elderly with dementia were categorized into cognitive, emotional, and functional behavior. The positive influences of space design on dementia symptom were founded in the planned living environments, accessible and visible location of common space such as living room, soft and homelike interior finishes and lighting, and healing garden. Therefore, the space design for the elderly with dementia should be done on the basis of the dementia symptoms and healing effects.

A Study on the development therapeutic environmental rating scales for the elderly people with dementia in nursing homes - Focused on the TESS-NH environmental rating scale Analysis (치매성 고령자를 위한 노인요양시설의 치료적 환경평가척도 개발에 관한 연구 - TESS-NH 환경평가척도 분석을 중심으로)

  • Lee, Young Chang
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.3
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    • pp.49-55
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    • 2014
  • Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

A Study on the Knowledge, Attitude of Dementia, and Awareness of care giving for Elderly among of Nursing student (간호대학생의 치매에 대한 지식, 태도와 노인부양의식에 관한 연구)

  • Yun, Mi-Jin
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.419-426
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    • 2019
  • The purpose of this study was to examine the effects on nursing students' knowledge, attitude towards dementia and about awareness of elderly care. The study participants were 288 nursing students from K' university on May 7 to 14, 2019.The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and stepwise multiple regression using SPSS 20,0 program. The results revealed that students acquired knowledge of dementia by grade and religion as per general characteristics. The knowledge, attitude towards dementia and awareness of elderly care showed statistically significant differences in experience of care and education about dementia. There was a statistically significant positive correlation between the awareness of elderly care with knowledge (r = .105, p = 038) and attitude towards dementia (r = .556, p = 000). The students' attitude was explained about 31.3% in awareness of elderly care. As a findings, there is need to develop and apply a structured education program on dementia based on individual and group characteristics of nursing students. Also, it is recommended to provide continuous education and feedback.

Oral care practices for dementia patients and social support and depression in family caregivers of dementia patients (치매환자 부양가족의 치매환자 구강관리 실태 및 우울과 사회적지지)

  • Nam, Young-Ok;Lee, Kyeong-Hee;Park, Il-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.845-858
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    • 2019
  • Objectives: This study aims to contribute to devising systems for family caregivers of dementia patients by examining the state of oral care of dementia patients, and depression and social support among family caregivers of dementia patients. Methods: Family caregivers of dementia patients in the metropolitan area were selected in this study. The inclusion criteria were individuals who have provided care for a dementia patient at home for at least six months and those who come in contact (including phone calls) with the patient at least twice a week. Results: Oral health knowledge of the elderly, caregiving burden, depression, and social support were examined. The mean scores for oral health knowledge of the elderly and caregiving burden were $57.11{\pm}16.94$ out of 100 and $17.33{\pm}8.61$ out of 48, respectively. Further, the mean caregiving behavior score, depression score, and social support score were $8.49{\pm}13.71$ out of 100, $5.11{\pm}3.05$ out of 10, and $72.75{\pm}17.03$ out of 100, respectively. Factors affecting oral health knowledge of the elderly were examined. The results showed that the level of oral health knowledge of the elderly increased with an increasing perception of a need for oral health education (p<0.05), caregiving burden (p<0.01), and social support (p<0.01). Conclusions: These findings suggest that developing and popularizing oral care intervention programs for family caregivers of dementia patients are necessary to ensure systematic oral care for dementia patients.

A Study on the Design Guidance for the Residential Space in the Specialized Caring Facilities for Elderly Dementia Patients - Centering on the actual cases in the capital area (치매노인 전문요양시설 거주공간디자인 지침에 관한 연구 - 수도권지역 사례를 중심으로 -)

  • Joung Yeo-Ju;Choi Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.14 no.4 s.51
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    • pp.70-78
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    • 2005
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia (치매노인을 돌보는 가족부양자 부양부담의 영향 요인: 치매지원센터 이용자를 중심으로)

  • Lim, Kyung Choon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.136-147
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    • 2019
  • Purpose: This study aimed to explore influencing factors on care burden among family caregivers for elders with dementia living at home. Methods: Participants in this study were 211 family caregivers who were taking care of elders registered at a support center for dementia located in S-gu, Seoul. Data were collected using a structured questionnaire. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression in SPSS WIN 23.0. Results: The care burden of family caregivers was mild to moderate ($40.31{\pm}21.50$) in this study. The factors influencing care burden among family caregivers for elders with dementia were the age, behavioral problems, and dependency in instrumental activities of daily living of demented elderly, in addition to the perceived health status and resting hours of family caregivers. Overall, these factors explained 46.5% of the total variability in care burden in this sample (F=13.01, p<.001). Conclusion: Findings from this study suggest that the characteristics of demented elderly and family caregivers can influence care burden differently. Individually tailored strategies based on the various caregiving contexts need to be developed to reduce the level of care burden among family caregivers for elders with dementia.