• 한국치위생학회지
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• 제19권5호
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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.

• 문화기술의 융합
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• 제8권6호
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• pp.135-140
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• 2022

우리는 본 연구에서 현재 우리나라 치유농장에서 시범적으로 운영되고 있는 치유농업 프로그램을 시행하고 이를 경험한 치매 대상자의 환자보호자로서의 경험과 느낌을 인터뷰하고 치유농업 프로그램의 장점 및 단점을 확인 하였다. 이에 우리는 치유농장 프로그램 및 운영에 있어서 개선점과 프로그램의 특징 등에 대해서 알아 보았다. 특히, 치매 초기 단계의 치유농장 이용, 거주지에서 치유농장으로 이동하는 접근성문제, 다양한 프로그램과 프로그램의 연속성, 그리고 계절에 맞는 콘텐츠 개발에 의견을 모으고 있다. 앞으로의 치유농장에서 치유농업을 활용하여 치매환자에게 치유농업 관련 프로그램을 개발하기 위해 초기 치매 환자의 이용문제, 접근성, 다양성, 연속성, 계절성 등의 요소를 고려해야 할 것으로 보여진다.

• 한국노년학
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• 제38권4호
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• pp.1127-1148
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• 2018

본 연구는 치매환자가 보여주는 다양한 증상의 정도가 주부양자의 케어스트레스에 미치는 영향을 살펴보고, 이에 대한 보호요인으로써 전문가지지 및 가족지지의 영향을 검증하는 것을 목적으로 한다. 이를 위해 서울, 경기, 부산 3개 지역의 주간보호센터 및 병원, 요양시설 10곳을 대상으로 한 설문조사를 활용하였다. 연구대상으로 치매 진단기간 5년 이내인 치매환자의 배우자 및 자녀부양자 191명을 선정하였고, 다중회귀분석을 통해 연구모형 검증에 대한 분석을 진행하였다. 연구결과 치매환자의 증상정도는 주부양자가 느끼는 정신적 고통인 케어스트레스에 정적인 영향을 나타냈다. 전문가지지와 가족지지의 보호효과를 검증한 결과, 전문가지지는 치매환자의 증상으로 인한 주부양자의 케어스트레스를 완화시켜주는 것으로 나타난 반면, 가족지지의 보호효과는 유의미한 영향을 나타내지 않았다. 본 연구결과는 의료진 및 사회복지사와 같은 전문가지지는 주부양자의 케어스트레스 완화에 효과적이지만 친척과 같은 가족들의 지지는 케어스트레스 완화에 효과적이지 않았음을 보여준다. 분석결과를 바탕으로 본 연구는 치매환자의 부양가족을 대상으로 한 정기적인 치매 증상에 관한 교육의 필요성, 주부양자의 케어스트레스 감소를 위한 지원 정책의 확대, 치매전문인력 구성의 확대 및 협업 시스템의 구축, 치매환자 부양가족구성원 간의 기능 증진을 위한 개입 필요성을 제언하였다.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.174-184
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• 2023

Purpose: The purpose of this study was to examine the impact of the working environment on person-centered care for home visiting dementia caregivers. Methods: Participants in this study were 146 caregivers, with the least 6 months of experience working at visiting care centers in Busan, and used a total of 133 questionnaires suitable for analysis. Data were collected from June 9 to July 20, 2023, and were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficients, and multiple linear regression using IBM/SPSS 27.0. Results: As a result of multiple linear regression analysis, organizational factors (β=-.37, p<.001), job-related factors (β=-.27, p=.001), and religion (β=.18, p<.013) were factors affecting person-centered care of home visiting dementia caregivers, and working environment explained 37% (F=10.63, p<.001) of person-centered care. Conclusion: Based on the results of this study, the exploration of strategies to improve the working environment will be necessary in order to increase person-centered care for home visiting dementia caregivers.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권4호
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• pp.7-20
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• 2023

Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of physical and environmental factors on behavioral·psychological health and quality of life for the elderly people with dementia who reside in long-term care facilities. This follow-up study of the previous literature review aims to further identify physical and environmental factors, that improve health and quality of life for the elderly people with dementia, published in recent five years and to expand the understanding of clinical outcomes as mechanism that mediate the effect of physical environmental factors on improving behavioral·psychological health and quality of life for the elderly people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies that link the design of dementia care facilities to health- and quality of care(QOL)-related outcomes and this follow-up review scrutinized peer-reviewed articles published in recent five years (from January 2018 to December 2022), filling the gap between the previous literature review and the current state of research. Results: The review identified a growing body of literature that articulates environment-related factors that improve behavioral·psychological health and quality of life for the elderly people with dementia living long-term care facilities. Implications: The findings of the review can be translated to design implications and design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권4호
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• pp.69-87
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• 2018

Purpose: This study has been started with the awareness that light and color are the main visual sensors of the multi-sensory stimulation environment to achieve the therapeutic environment for demented elderly. The purpose of this study therefore is for clarifying the application characteristics of therapeutic light and color for dementia care facilities. Methods: Internal and external literature reviews have been conducted for the investigation into a)disorders and visual system in demented elderly, b)therapeutic effects of light and color, c)heliotherapy, light therapy and color therapy to deduce the therapeutic characteristics of light and color for demented elderly, and finally into d)the application characteristics of it for dementia care facilities. Results: The application characteristics of the therapeutic light and color for dementia care facilities are classified into both qualitative and quantitative characteristics. Qualitative application characteristics of light represented using of daylight, using of lighting approximate to daylight, expansion of iluminance level, equality in iluminance Level, reduction of shadow, and as well as exclusion of blare. Quantitative application characteristics of it represented iluminance level, color temperature and color rendering index prescribed in international lighting standards. Qualitative application characteristics of color represented non-monochromatic color, color contrast, long wavelength of yellow-red colors, exclusion of short wavelength of blue colors and patterns, and as well as different colors for idenfication. Quantitative application characteristics of it represented kontrast(K) prescribed in DIN32975:2009 and light reflectance value(LRV) prescribed in BS8300:2009. Implications: To form dementia care facilities as therapeutic environment both qualitative and quantitative application characteristics of therapeutic light and color in dementia care facilities are needed.

• 대한간호학회지
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• 제52권3호
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• pp.341-358
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• 2022

Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

• 한국의류산업학회지
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• 제8권6호
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• pp.618-626
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• 2006

This research explored the actual conditions, problems and design preferences of dementia inpatient clothing. Data were collected by surveying 21 dementia hospitals and nursing care facilities and 87 caregivers and nurses of dementia hospitals. The collected data were analysed through frequency analysis, descriptive analysis and factor analysis. The results were as follows, First, the inpatient clothes of dementia hospitals were two-piece styles, the shirts of front opening with buttons and pants of no opening with elastic band. Those of dementia care facilities were two piece styles of shirts and pants, training suits or private plain clothes not uniform. Severe dementia inpatient dressed uniforms of the jump suits or two piece styles in some dementia care facilities. Second, the problems of dementia inpatient clothing were composed of suitability of raw and subsidiary clothing material, diversity of design and size, durability and form stability of clothes and elastic bands. Third, the design elements similar to those of existing inpatient clothing were preferred with regard to improving dementia inpatient clothing. That is, the design preferences of shirts showed front opening style with buttons, round neckline and a three-quarter-length sleeves. Those of pants came out no opening style with elastic band and full length. Also, pink color and natural patterns were preferred, and the private plain clothing of inpatient and fusion Han-bok style were somewhat preferred.

• 한국생활과학회지
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• 제12권1호
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• pp.15-24
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• 2003

The purpose of this study was to investigate the family care-givers' perceptions of welfare facility for the elderly people with dementia, to analyze the related variables, and to provide the suggestions from the perspectives of the well-being of family care-givers. The survey was done using questionnaires in 1999, and the subjects were 198 primary care-givers for senile dementia patients. Frequency distribution, mean, t-test, and one way ANOVA were used to analyze the data. The major findings of this study were as follows: The family care-givers' perceptions of the welfare facility for elderly people with dementia was relatively low. The variables associated were sex, education level, occupation and relationship with the demented elderly. The conclusion suggested from this study was that the social welfare facilities and services were necessary for both the demented elderly people themselves and their family care-givers.