• Title/Summary/Keyword: Dementia care

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The Effect of Tailored Occupational Intervention on the Elderly with Mild Dementia using the Day Care Center (주간보호센터 이용 경도 치매노인에게 적용한 맞춤형 작업 중재의 효과)

  • Lee, Chun-Yeop;Kim, Ji-Hoon;Kim, Hee-Jung;Hong, Ki-Hoon;Jung, Hye-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.25-36
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    • 2020
  • Objective : This study identified the effect of tailored occupational intervention applied to the elderly with mild dementia using the day care center. Methods : This study applied the single-group experimental design to 29 elderly with mild dementia who use the day care center in B area, and conducted a total of 10 sessions once a week, 60 minutes. Intervention consisted largely of group activities and individual activities, and individual activities were conducted one-on-one with various activities necessary to select occupational goals and achieve the goals through consultation between the elderly with mild dementia and the person in charge. The effects of tailored occupational intervention were confirmed through CERAD, BBS, and GDS. Results : Significant differences were shown in the total score of MMSE-KC, time orientation, attention, constructional praxis delayed recall, and trail making test B in the cognitive function changes, and standing to sitting, standing unsupported with eyes closed of BBS in the physical function changes, and in the GDS score in the depression changes (p<.05). Conclusion : Tailored occupational intervention has been shown to be effective in improving cognitive and physical functions of the elderly with mild dementia and reducing depression. This provided a basis for proposing a tailored occupational intervention as an intervention that can be applied to the elderly with mild dementia.

Analysis on Wandering Space Design of Elderly Care Facilities for the Elderly with Dementia (치매노인을 위한 노인요양시설의 배회 공간 특성 분석)

  • Kim, Mi-Jung;Lee, So-Young
    • Korean Institute of Interior Design Journal
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    • v.20 no.6
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    • pp.331-339
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    • 2011
  • The purpose of this study was to examine wandering behaviors of the elderly with dementia at elderly care facilities, thus finding out the current status of supportability and safety of wandering space for facility residents and looking into the convenience of management for the control and Support of the elderly with dementia in wandering space, from the aspect of managers. Study methods consisted of literature examination, on-site assessment and investigation, observation and questionnaire survey. And via a questionnaire survey of facility workers at study subject facilities, the current status and facility workers' perception of wandering space and their job-satisfaction were examined. Collected data of 133 respondents were used for analysis. Data were processed with the SPSS 18.0 program, and such analytic techniques as frequency, percentage, mean, multiple response analysis, chi-square test and correlation analysis were carried out. The problems of physical environment of wandering space for the elderly with dementia: First, it is urgent to establish wandering space. Second, thoughtlessly installed chairs in the corridor impeded wandering behaviors. Third, the grips installed in the corridor space were irregular, thus causing inconvenience for wandering behaviors. Thus making residents' use of it difficult. In order to improve these problems, it is necessary to newly or additionally establish wandering space and modify the location of chairs or establish alcoves, thus reducing impedimentary elements for wandering behaviors. Providing a proper wandering space is important for facility residents. And it is also important for facility workers to manage facility residents.

A Study on the Converged Oral Environment of the Elderly with Dementia in the Nursing Home (요양시설 치매노인들의 융합적 구강환경 연구)

  • Jung, Young-Ran;Lee, Jung-Hwa
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.109-115
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    • 2019
  • This study was conducted to identify the relationship among the cognitive function of the elderly with dementia in the nursing home and the oral health condition and pathogenic microorganisms in the mouth. Data was collected for a month in February 2019 for 30 people through a non-probable sampling method due to the special nature of dementia elderly people aged 70 years or older, living in nursing homes in Daegu. Technical statistics, ANOVA, and Pearson's correlation coefficient were analyzed using the SPSS window ver. 21.0 program. According to the study, the lower the rating of long - term care classification in nursing homes, the more the number of high-risk oral pathogens, and the more the number of existing permanent teeth, the more the number of microbes in the mouth. However, there was no significant difference in cognitive function. Therefore, it is suggested that oral health care, an elderly dementia people in nursing homes, should have different management methods depending on the oral environment, and also professional managers should be able to manage oral health condition for actual care.

Socio-psychological Process of Families with Institutionalized Dementia Elderly (치매노인 시설의탁 가족의 사회심리적 과정)

  • Joung, Eun-Ok;Hyun, Mi-Young;Seo, Yun-Jin;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.122-131
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    • 2004
  • Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

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The Design and Implement a Healthcare Alert App to Prevent Dementia (치매예방을 위한 헬스케어 알리미 앱 설계 및 구현)

  • Pi, SU-Young
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.59-67
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    • 2018
  • There are not that many m-health related services limited to the elderly. Many of the elderly who are at risk of dementia are unfamiliar to smart devices, so it is required to design an user-customized App. Therefore, I design and embody a mobile voice alert integrated app, which enables voice input to increase the accessibility of the elderly, so as to prevent diseases caused by declined cognitive function such as dementia. I conducted interviews and questionnaire after having the students use the app in Lifelong Education Center in H region of Gyeongbuk, and the analysis result has showed the high satisfaction. It is expected that it will be able to play a key role for M-Health service for the elderly since it is possible to prevent dementia through the voice health care alert app. I would like to learn deep learning in the future to predict the life patterns and the possibility of dementia of the elderly.

A Study on Home Health Care Service and the Level of Client Satisfaction (가정간호 서비스내용 및 만족도에 대한 조사연구)

  • Jo, Mi-Ja;Hyun, Hye-Jin;Yun, Soon-Nyoung
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.52-59
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    • 1995
  • This Study was done to examine the home health care service provided by home care nurses and the level of client satisfaction. Data were collected from 60 clients who received services from a home care center. The tool for measurement of satisfaction was composed 13 items and was 3 score scale. The results of this study are summarized as follows ; 1. By the disease pattern, subjects were distributed into cardiovascuvr disease(73.5%), digestire disease(10.2%), endocrine disease (6.1%), Senile dementia(6.1%) and the others(4.0%). 2. By the disease pattern, provided home health care services were follows; In cardiovascular disease and digestire disease, direct nursing service, education and physical assessment were provided every time. In senile dementia, direct nursing services were mainly provided and transfer and medication were rarely provided. 3. The level of satisfaction on provided home health services was high; mean score was 2.4 out of 3.

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A Study on the Effect of Integrative Art Therapy on Cognitive Function and Depression in Elderly People with Early Dementia (통합예술치료가 초기치매노인의 인지기능과 우울에 미치는 영향에 관한 연구)

  • Seung-Suk Paek;Dong-Yeol Sin
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.149-157
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    • 2024
  • The purpose of this study is to objectively examine the effects of integrated art therapy on cognitive function and depression in the early dementia elderly, and to identify and discuss the process of change in the early dementia elderly through a comprehensive analysis through behavior change observation diary. As a research method, a mixed study was designed using in-depth analysis through qualitative studies as well as quantitative studies on the effect of integrated art therapy on cognitive function and depression in the elderly with early dementia. The quantitative study conducted a pre-post examination of 20 elderly people with early dementia using the day care center in P-gu, Suwon, and the qualitative study analyzed the behavioral change observation diary of 10 elderly people with early dementia. These findings show that first, integrated art therapy had a significant effect on the cognitive function of the elderly with early dementia (p<.001, t=-5.871). Second, integrated art therapy had a significant effect on the depression of the elderly with early dementia (p<.001, t=5.325). Third, the integrated art therapy program changed to a positive attitude before and after cognitive function and depression of the elderly with early dementia. By revealing the effect of integrated art therapy on cognitive function and depression of the elderly with early dementia through the results of this study, it is meaningful as basic data for research related to the elderly with early dementia as well as providing effective information on integrated art therapy programs related to the elderly with early dementia.

The Effects of Emotional Labor, Burnout on Job Stress and Job Satisfaction of Nursing Home Workers : Focusing on Care Experience of Dementia Patients (요양원 종사자의 감정노동, 소진이 직무스트레스 및 직무만족에 미치는 영향 : 치매환자 돌봄 경험을 중심으로)

  • Lee, Deok-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.382-393
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    • 2018
  • Patients with dementia are increasing steadily and becoming a social problem. Care workers in hospitals are increasingly interested in emotional labor. Therefore, this study examines the caregiving experience of dementia patients in the nursing home. The effects of emotional labor and exhaustion of nursing home workers on job stress and satisfaction were analyzed and the moderating effect of care experience was analyzed. The results of the study are as follows. First, the caregiver experience of the nursing hospital workers showed the initial mind, the perception of the early dementia patients, the difficulties, the physical and mental limitations, the satisfaction, the experience through nursing practice, and the change of mind about life. Second, emotional labor and burnout have positive effects on job stress. Care experience reduced the impact of emotional labor and exhaustion on job stress. Finally, the relationship between job stress and job satisfaction showed positive influence.

Comprehensive MicroRNAome Analysis of the Relationship Between Alzheimer Disease and Cancer in PSEN Double-Knockout Mice

  • Ham, Suji;Kim, Tae Kyoo;Ryu, Jeewon;Kim, Yong Sik;Tang, Ya-Ping;Im, Heh-In
    • International Neurourology Journal
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    • v.22 no.4
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    • pp.237-245
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    • 2018
  • Purpose: Presenilins are functionally important components of ${\gamma}$-secretase, which cleaves a number of transmembrane proteins. Manipulations of PSEN1 and PSEN2 have been separately studied in Alzheimer disease (AD) and cancer because both involve substrates of ${\gamma}$-secretase. However, numerous clinical studies have reported an inverse correlation between AD and cancer. Interestingly, AD is a neurodegenerative disorder, whereas cancer is characterized by the proliferation of malignant cells. However, this inverse correlation in the PSEN double-knockout (PSEN dKO) mouse model of AD has been not elucidated, although doing so would shed light onto the relationship between AD and cancer. Methods: To investigate the inverse relationship of AD and cancer under conditions of PSEN loss, we used the hippocampus of 7-month-old and 18-month-old PSEN dKO mice for a microRNA (miRNA) microarray analysis, and explored the tumorsuppressive or oncogenic role of differentially-expressed miRNAs. Results: The total number of miRNAs that showed changes in expression level was greater at 18 months of age than at 7 months. Most of the putative target genes of the differentially-expressed miRNAs involved Cancer pathways. Conclusions: Based on literature reviews, many of the miRNAs involved in Cancer pathways were found to be known tumorsuppressive miRNAs, and their target genes were known or putative oncogenes. In conclusion, the expression levels of known tumor-suppressive miRNAs increased at 7 and 18 months, in the PSEN dKO mouse model of AD, supporting the negative correlation between AD and cancer.

A Comparative Study on Elderly Care Attitude and Dementia Communication Behavior beforeand after Geriatric Nursing Practice (노인간호실습 전후 간호대학생의 노인돌봄태도와 치매의사소통행위의 비교 연구)

  • Moon, Suk-Ja;Lee, Ji-Hye
    • Journal of Industrial Convergence
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    • v.19 no.5
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    • pp.61-67
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    • 2021
  • This study is a one group pretest-posttest design study to confirm the effect of geriatric nursing practice on elderly care attitude and dementia communication behavior of student nurses. The study was conducted from September to December, 2018. Data were collected through self-report questionnaires of 59 student nurses. The data were analyzed by frequencies and paired t-test using SPSS 21.0 program. As a result, elderly care attitude and dementia communication behavior were significantly increased after the geriatric nursing practice compaired to before the geriatric nursing practice. The results of this study can be used as basic data for the composition of the practice curriculum for student nurses to improve their competence as nurses in the future.