• Title/Summary/Keyword: Dementia care

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The Effect of Horticultural Therapy on Cognitive Function, Depression, Self-esteem and Activity Daily Living(ADL) in Dementia Care - A Systematic Review and Meta-Analysis - (치매환자의 인지기능, 우울, 자아존중감, 일상생활수행능력에 미치는 원예치유 효과 - 체계적 문헌고찰 및 메타분석 -)

  • Bae, Seung-Jong;Lee, Sun-Hee;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.97-107
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    • 2021
  • The purpose of this study is to systematically review and to objectively identify the effect size in order to understand the effects of horticultural therapy on cognitive function, depression, self-esteem, and activity daily living(ADL) of dementia patients. Related studies published in Korean and English were selected by searching domestic and foreign academic databases. The risk of bias assessment of individual studies was performed on the included 18 literatures. Horticultural therapy was found to be significantly effective in cognitive function(effect size=1.06), depression(effect size=0.64), self-esteem(effect size=0.99), and ADL(effect size=1.98) in dementia care. It is expected that related experimental studies will be repeatedly conducted to produce a more objective effect size calculation.

A Study on the Development of Self-help Program with Care Burden for Families with Demented Elderly Persons (치매노인 가족의 부양부담 경감을 위한 자조집단프로그램 개발)

  • Kim, Joung-Soon;Lee, Su-Ill;Kim, Ki-Tae;Park, Nam-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.260-269
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    • 2005
  • Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

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A study on the evaluation of elderly care facilities for elderly people with dementia using the therapeutic environment elements (치유환경요소를 이용한 치매노인요양시설 평가 연구)

  • Cho, Ju-Young;Lee, Hyo-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.1
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    • pp.25-33
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    • 2010
  • This study is to realize the importance of the therapeutic environment of nursing facilities for elderly people; to comparatively analyze the therapeutic environment elements of the facilities in Gwangju, Jeonnam area, Seoul, and Japan by classifying the therapeutic environment elements according to two aspects on the basis of preceding studies; and to find out the differences among the three regional groupsnaFirst, all therapeutic elements were put together on the basis of two preceding studies based on the two aspects. Second, an expert group was organized primarily with architects and care-givers to find out the therapeutic environment elements of nursing facilities for elderly people with dementia, and to draw up an evaluation standard. Third, the regional differences were analyzed, by comparing the distribution of therapeutic elements of the facilities in Gwangju-Jeonnam area, Seoul, and Japan, through the found therapeutic environment elements. Consequently, eighteen therapeutic environment elements were found out of total 32 elements, and the elements were classified into nine factors based on the meaning of each element. The therapeutic environment elements were showed highest in Japan, and lowest in Gwangju-Chonnam area according to the comparative case analysis based on the nine factors. Especially, there were great regional differences in terms of awareness, safety, orientation, privacy, and freedom of choice.

The Lives of Daughters-in-Law Who Care for Parents with Dementia (치매노인을 돌보는 며느리의 삶 -해석학적 분석-)

  • 강현숙;고금자;김원옥;김은심;김순용;김현리;신순옥;오상은;원정숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1233-1243
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    • 1999
  • This study was done to investigate the lives of the daughters- in- law caring for parents with dementia and participate in their lives through having quality time with them Data were collected by depth interviews and interpreted through the hermeneutic circle as follows. These daughters-in-law have conflict between social custom and subjective self. They had ambivalence toward their demented partents-in- law and were fighting a battle between rationality and emotions in their mind. These daughters-in law and mothers-in- law did not get along and the parents' dementia aggravated the relationships. They were alienated from their family by the parents with dementia. The indifference of their family especially their husbands, made these subjects live in misery. They cared for the demented mother-in-law with hatred. Even though they had this yoke, there daughters- in-law were not able to throw off the shackles of convention.

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Cure Program Development for Caregivers of Elderly with Dementia (치매노인 부양자를 위한 치료프로그램 모형 개발)

  • Hong Dal-Ah-Gi
    • Korean Journal of Human Ecology
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    • v.7 no.4
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    • pp.41-54
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    • 2004
  • The purpose of this study was to develop the cure program for family caregivers of elderly with dementia, As the lifespan has been expanded, Most of family caregivers had serious problems which are burden for caregiving(economic burden. physical & social burden, negative elderly-family caregiving relationship) and the life quality of the elderly and family caregivers and the future social welfare alternatives for taking care of the elderly. To develop the cure program for family caregivers of elderly with dementia is very important. This program can prevent to be another elderly with dementia. The results can be used as basic data to develop educational programs for family caregivers.

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Effects of a Brain Fitness Exercise on Cognitive Function in patients with dementia

  • Koo, Jung-Wan;Ryu, Jeon-Nam;Oh, Yong-Seop
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.13-20
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    • 2018
  • Objective: To investigate the effects of a brain fitness exercise on the cognitive function of patients with dementia. Method: Forty-six elderly adults diagnosed with dementia were randomly allocated to the study or control group (n=23 per group). The study and control groups performed a brain fitness and regular exercise, respectively, for 40 minutes a day, three times a week for four weeks. We examined cognitive capacity using MMSE-K, cognitive strength, judgment time, and mental workload scores before and after intervention. Results: The study group showed significant improvements in all variables. In addition, the control group showed a significant improvement in brain stress. We found that there was a significant improvement in the study group when compared with the control group in all variables. Conclusion: Based on these results, we suggest that brain fitness exercise would be effective in improving cognitive functions of dementia patients.

Analysis of periodontal pathogens in care facilities for the elderly with dementia (Real-time PCR을 이용한 요양보호시설 치매 노인의 구강 병원성 미생물 분석)

  • Ko, Hyo-Jin;Jeon, Eun-Suk;Kim, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.1
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    • pp.155-168
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    • 2017
  • Objectives: The purpose of this research is to examine oral pathogen distribution among elderly with dementia in a care facility to understand the importance of preventively managing oral diseases in terms of preventively managing senile diseases. Methods: From 11th August 2015 to 11th October 2015, gingival crevicular fluid was collected from 130 subjects consisting of demented/non-demented elderly people aged above 65 in care facilities located in the regions of Busan/Gyeonggnam. Based on collected data, real-time PCR analysis on oral pathogen was conducted. Results: The demented elderly group consisting of female patients aged from 0 to 79 indicated higher ratios of T. denticola in comparison to the non-demented elderly group, and the demented elderly group consisting of female patients aged above 80 indicated a high ratio of S. mutans. It was confirmed that P. gingivalis and T. forsythensis categorized under the red complex are correlated, and that bacterial species categorized under the orange complex and bacterial species categorized under the red complex are correlated. Conclusions: Because eldery people with demntia are exposed to periodontal disease and dental caries, their oral environments are more vulnerable. In order to improve such environments, it is necessary to provide care facility personnel with an opportunity to receive education to become aware of the importance of oral health, and it is also necessary to compulsorily assign dental hygienists to care facilities so that they can serve as personnel specializing in oral health management.

A Study of Knowledge about Dementia, Empathy and Attitudes toward Dementia in Caregivers of Older Adults with Dementia (치매전문요양보호사의 치매 지식, 공감 및 치매에 대한 태도)

  • Park, A Young
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.389-397
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    • 2018
  • The purpose of this study was to examine the relationships among dementia knowledge, empathy, attitudes toward to dementia in caregivers of older adults with dementia. Data were collected 147 caregivers who worked in long term care centers. The self-report questionnaire was used for data analysis. SPSS Win. 21.0 was used to analyze data via descriptive statistics, Pearson correlation coefficient, and multiple regression. The mean score of dementia knowledge was $20.18{\pm}3.58$ out of 30, and the means of empathy was $82.12{\pm}9.68$ out of 105 and the means of dementia attitudes was $96.45{\pm}13.72$ out of 140. Attitudes toward dementia in caregivers differed significantly depending on their age, motivation of job. Attitudes also had a positive correlation with dementia knowledge and empathy. The most significant preditors of attitudes were empathy, job of motivation and age. These factors explained 33.0% of the variance for attitudes toward dementia. Above results suggest that dementia education programs depending on age, job of motivation, and empathy level is needed.

Factors Influencing the Communication Behavior of nurses caring for people with Dementia: Focused on the compassionate competence and Burnout (치매대상자를 돌보는 간호사의 의사소통행위 영향요인: 공감역량과 소진을 중심으로)

  • Lee, Jihye;Gang, Moonhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.498-505
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    • 2018
  • The purpose of this study was to investigate the influence of nurse's compassionate competence and burnout on their communication behavior with dementia patients. The subjects of this study were 190 nurses who were taking care of patients with dementia at long-term care hospitals and who agreed with the survey. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and multiple regression. The communication behavior of nurses caring for dementia patients was found to have a significant correlation with compassionate competence and burnout. Multiple regression analysis showed that nurses' compassionate competence and burnout affected communication behavior, and the total explanatory power was 31%. It is suggested that the results of this study can be used as basic data for developing programs to improve communication behavior with patients with dementia.

A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.