• Title/Summary/Keyword: Dementia

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Factors Affecting Dementia Prevalence in People Aged 60 or Over: A Community based Cross-sectional Study (60세 이상 성인의 치매 관련 영향요인: 지역사회 기반 단면연구)

  • Kim, Seong Min;Seo, Hyun-Ju;Sung, Mi Ra
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.391-397
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    • 2014
  • Purpose: This study was done to examine the association between body mass index (BMI) and any type of clinical dementia. Methods: Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed. Results: In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively. Conclusion: Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

Primary Health Care Post Dementia Management Status Report for 2016 (<사례보고> 보건진료소 치매관리 실태 보고)

  • Han, Jong Suk;Cho, Soo Yeoun;Back, Hyun Hee;Kim, Yeomg Sug;Choi, Young Mi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.2
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    • pp.45-54
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    • 2017
  • Purpose: The purpose of this study was to provide a survey of patients with dementia registered and managed by primary health care posts. Method: Computation of 2016 dementia data registered in Health Care Center programs of 14 municipalities in ChoongNam province was analyzed. Data collection was done based on a pretest for dementia prevention and general management of registered dementia patients. Results: Results showed; Screening tests for dementia, 40% of population 60 or over, average number of cases, 174, average number of dementia registrants, 3.1, programs for prevention, approximately 70% special policy measures and 28% cognitive rehabilitation programs, counseling and education operating well overall, average number of dementia registrants/clinic 11.8, with women accounting for 70%, elders with less than 3 years of education, 75%, residence type cohabitation by married couples, 41%, and elders with Alzheimer type dementia, 64%. Conclusion: During early detection of dementia and follow-up examinations, high-risk groups (women, elders) should receive a dementia examination. In management of dementia there is a need to develop various programs including physical, economic, and emotional support not only for patients, but also for families. Health care managers also need systematic education to give them expert knowledge of dementia and management of dementia.

Stress and Burn-Out Experience in Caregivers of Patients with Senile Dementia (치매환자 부양자의 스트레스와 소진경험)

  • Son, Gye-Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.1 no.1
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    • pp.40-48
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    • 2006
  • Purpose: This study was done to identify the experience of stress and burn-out in caregivers of patients with senile dementia. Method: To evaluate the degree of stress and burn-out in caregivers of patients with senile dementia, 64 caregivers and matched to 64 patients with senile dementia at a Primary Health Care Post in South Kyung Sung Province were selected. The study was carried out from March 6 to March 30, 2001. Data on the degree of dementia in the patients was measured by the MMSE-K (Mini-Mental State Examination-Korea) and caregiver characteristics such as, sex, age, marital status, educational level, job, socioeconomic status, religion, number in family, relationship with patient, duration of care, and chronic disease in caregiver were collected by direct interview with a questionnaire. Results: Of 64 patients with senile dementia, 15.6% were classified as mild dementia (MMSE score 20-24) and 84.4%, as severe dementia. There were no significant characteristics of caregivers associated with the degree of stress and burn-out experience. The degree of burn-out in these caregivers of patients with severe dementia (mean value 94.3) was significantly higher than the 81.4 for those caring for patients with mild dementia (p<0.05). However, the degree of stress was not significantly related with the degree of dementia. The proportion experiencing severe burn-out (above score 4) was 54.7% in the physical domain, 90.6% in the emotional domain, and 73.4% in psychiatric domain, respectively. Conclusion: The above findings suggest that the degree of stress and burn-out experienced by caregivers of patients with senile dementia are high. Also the degree of burn-out experienced by in caregivers of patients with severe dementia was higher than for those caring for patients with mild dementia.

An Exploratory Study on Development Strategies for Dementia Policy of Korea based on Dementia Policy of Japan (일본의 치매정책을 통해 본 우리나라 치매정책의 발전방안 탐색)

  • Lee, Jin-Ah
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.71-79
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    • 2016
  • As various social problems have arisen due to the increase of the aging population, one of these problems is the increase of the elderly with dementia. The necessity of systematic and effective dementia management policies has been raised, as the increase of social and economic cost along with the growth of the dementia population. This study examined dementia management policy of Japan, where there is arranged and provided dementia management policy in advance. Especially, this study focuses on the contents of comprehensive promotion strategies for dementia policy(New orange plan) of Japan which was pronounced in 2015, and explores the development strategies for Korea by reviewing this plan. The suggestions through this study are provided as follows: inclusion of the support contents reflecting the dementia patients and their families, the necessity of coping for early onset dementia, organizing system for early diagnosis and prevention such as an early stage of intensive support team, a continuous progression for building the elderly-friendly community and conducting campaign for a deep understanding of dementia, are discussed.

Knowledge, attitudes, and educational needs on dementia among dental hygienists and dental hygiene professors (치과위생사와 치위생(학)과 교수의 치매에 대한 지식 및 태도와 교육요구도)

  • Lee, Kyeong-Hee;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.4
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    • pp.547-560
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    • 2018
  • Objectives: The purpose of this study was to contribute to the development of standard curriculum on oral health intervention on dementia patients for dental hygienists and dental hygiene professors by identifying the extent of knowledge, attitudes and educational needs on dementia among dental hygienists and dental hygiene professors. Methods: We performed survey to dental hygienists and dental hygiene professors for about 2 months from April to May, 2018. Among them, 325 copies were used for final analysis. Frequencies and percentages were calculated to identify general characteristics of respondents and their dementia-related characteristics, and means and standard deviations were calculated to find out the extent of knowledge, attitudes, and educational needs on dementia among subjects. Multiple regression analysis was performed to investigate the effects on the educational needs on dementia. Results: The analysis on the factors that affect the dementia education needs of the subjects showed that the dementia education necessity (p<0.001) and the dementia attitude (p<0.001) had statistically significant effects on the educational needs on dementia. Conclusions: As a result, dental hygienists who are responsible for oral health intervention of dementia patients need to have proper knowledge about dementia and positive attitude toward dementia patients, so professional education is needed to improve knowledge and positive attitude. This will provide a basis for the dental hygienists to be equipped with the relevant expertise in the intervention in the oral health of dementia patients in the future.

A Study on the Perception of Dementia by Students of Physical Therapy - Gwangju and Jeonnam (물리치료학과 학생들의 치매인식도 조사연구(광주, 전남))

  • Kim, Yong-Seong;Cho, Woon-Soo
    • Journal of Korean Physical Therapy Science
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    • v.25 no.3
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    • pp.43-52
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    • 2018
  • Purpose: This study aims to draw students' attention to dementia and give students the right perception of dementia patients by comparing and analyzing students' awareness of dementia and educational needs of students in Honam area. In addition, the study will provide basic data that will help people develop education programs to prevent dementia. Methods: The study was conducted from May 10, 2018 to June 14, 2018, for 957 college students of physical therapy at 11 universities in Gwangju and Jeonnam. All participants understood the purpose of the study and agreed to participate in the study. Out of a total of 957 respondents, 950 people participated in the study, except for the seven who were unsuccessful in the survey. Results: Interest in dementia was found to be moderate, and many respondents answered that they had "information about dementia". Among them, broadcasting accounted for 41 percent of the total. Dementia awareness was categorized in four areas, symptom, disease, treatment, and nursing. In general, there is a low perception in all areas and improvement is needed. The need for dementia education was also different from what we thought. 649 students(68%) answered that they did not have dementia education. This is 349(36%) more than the 300 students(32%) who answered "Yes". Conclusion: The results show that college students lack awareness of dementia. In order to improve awareness of dementia, the government and community should be more interested in managing dementia, and active efforts to develop positive thinking and attitudes towards dementia.

Dementia Prevention (치매 예방)

  • Son, Yeong-Ho
    • Journal of Korea Association of Health Promotion
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    • v.2 no.2
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    • pp.149-153
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    • 2004
  • Dementia prevention is mainly aimed to the people who have various risk factors for developing dementia or who have mild cognitive impairments. The possible methods for this prevention may include the control of dementiarisk factors and the administration of drugs which may suppress the dementia progression. It is noteworthy that people with milc cognitive impairments (MCI) have 10 times higher risk for developing dementia compared to healthy aged people. Thus 25-50% of them may be progressed to dementia within 2-4 years. Here I describe various factors related to Alzheimer dementia, and possible way to control these factors.

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Development of Dementia Care Model in a Community (지역사회 치매관리 모형 개발 : 광명시의 경우)

  • 배상수;김동현;우영국;오진주;민경복;이수현;이미라;이상숙;표옥정
    • Health Policy and Management
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    • v.9 no.1
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    • pp.30-71
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    • 1999
  • There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.

Vascular Dementia (혈관성 치매)

  • Kim, Tae Woo;Kwak, Kyung Phil
    • Korean Journal of Biological Psychiatry
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    • v.23 no.3
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    • pp.80-88
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    • 2016
  • Vascular dementia is a very frequent form of dementia. Debates over classification and diagnostic criteria, and controversy over identifiable treatment targets will continue until distinct pathophysiological mechanism of vascular dementia is found. Clinical diagnostic criteria are sufficiently strong to be useful for clinical trials, but need further refinement. Cognitive changes in vascular dementia are more variable than other disorders, and are dependent on the vascular pathology. Accurate diagnosis of vascular dementia is known to need the presence of reliable cerebrovascular disease on brain imaging. Although it seems obvious that cerebrovascular disease causes pathological damage and impaired cognition, it is very difficult to find the accurate contribution of cerebrovascular pathology to cognitive decline. Most studies have shown a small but significant benefit of cholinesterase inhibitors on cognition, the significance of this effect has been slight and benefits on global functioning, activities of daily living, and behaviour have not been consistently reported. Management of vascular dementia should focus on identifying and managing vascular risk factors.

Housing Needs of Korean Family with Demented Elderly (한국치매노인 가족의 주거환경 개선요구)

  • 이윤희;이연숙
    • Journal of the Korean housing association
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    • v.15 no.1
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    • pp.141-152
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    • 2004
  • Most elderly victims of senile dementia in Korea are cared for at home. This creates hardship for their families. Recent research suggests that the physical environment can affect the treatment of dementia. In light of these findings, a prudent approach to the design of the housing environment of family with dementia sufferers is advisable. This study aims to determine the design factors that need to be considered for the housing environment of dementia, particularly for those suffering from Alzheimer's or Cerebrovascular dementia. For this study, and in-depth qualitative investigation method was employed. Principal caregivers were interviewed using various investigative tools, including objective measures, structured and non-structured questionnaires. The investigation results suggest that the need for housing environment improvement varies with the severity and type of dementia. The housing needs in this study, is expected to promote a focus on improved design management for the environment and housing of dementia and their families. The results also suggest the establishment of a welfare policy for senile dementia victims and their families.