• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.27-38
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• 2014

Purpose : The main objective of this paper is, to assess a body of research evidence that articulates the impact of environment-related factors on wayfinding for people with dementia who reside in Long-term care Facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve wayfinding abilities for people with dementia. Methods : Comprehensive literature review has been conducted to identify empirical studies and carefully investigated peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results : The review found a growing body of studies that identified environment-related factors that improve wayfinding of people with Dementia living in long-term care facilities. Implications : The findings of the review can be considered as design guidelines to support the wayfinding abilities of people with dementia living in long-term care Facilities.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권3호
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• pp.9-23
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• 2015

Purpose: This paper's main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

• 농촌의학ㆍ지역보건
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• 제44권1호
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• pp.11-27
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• 2019

치매는 세계적으로 주요 유행 질환이 되었다. 한국의 2010년 치매 유병률은 8.7%에서 2050년 15.1%로 예측되고 있으며, 2017년 현재 725,000명의 치매환자가 추정되고 있다. 이 글은 한국의 국가치매 예방관리사업을 현황을 리뷰하고 그에 따른 정책과제 등을 살펴보고자 하였다. 한국은 치매에 대하여 2008년, 2012년, 2016년에 걸쳐 세 차례의 국가치매계획을 개발하였다. 제1차 치매계획은 치매에 대한 예방, 조기진단, 하부구조개발 및 조정, 관리, 인지도 개선 등에 초점을 맞추었으며, 제2차 치매계획은 치매환자 가족지원에 역점을 두었고, 치매관리법의 제정과 더불어 포괄적인 사업의 근거를 마련하였다. 제3차 치매계획은 치매 친화적 지역사회 구축에 목표를 두었으며, 가족부담을 줄이고, 연구, 통계, 기술개발 등에 지원을 마련하였다. 2017년 한국 정부는 국가치매책임제를 도입하였으며, 경증 치매에 대한 장기요양보험제도 혜택을 확대하고, 보건소 치매안심센터의 설치, 운영, 국가 및 공공치매관리시설의 확장 등을 추진하고 있으나 정책의 급속한 추진에 따르는 재정확보 등 많은 과제들이 남아 있다.

• 한국응용과학기술학회지
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• 제36권4호
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• pp.1373-1384
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• 2019

본 연구는 지역사회 내 치매환자가족의 돌봄부담감에 미치는 영향요인을 분석하기 위한 서술적 조사연구이다. 자료수집은 2018년도 11월 30일~12월 9일까지 10일간 지역사회 내 치매환자가족 223명을 대상으로 하였다. 연구의 결과 인구사회학적 특성에 따른 돌봄부담감 정도는 치매환자가족의 주돌봄자 연령대, 치매환자와의 관계, 치매환자 돌봄기간, 치매환자 돌봄 시 어려운 점에 따라 통계적으로 유의한 차이가 있었으며 돌봄부담감은 치매지식과 부적상관관계(r=-.145, p=.030)가 있었다. 치매환자가족의 돌봄부담감에 미치는 영향요인으로는 치매환자 돌봄기간(β=.408, p=.006), 치매환자 돌봄시 어려운 점(β=-.307, p=.023), 치매환자와의 관계(β=-.299, p=.013), 치매환자가족의 주돌봄자 연령대(β=-.265, p=.007) 순으로 영향을 미치고 있음이 확인되었다. 이에 지역사회 내 치매환자가족의 돌봄부담감 완화를 위한 실질적이고 지속적인 돌봄중재 프로그램이 필요하며 특히 치매환자 가족돌봄자를 대상으로 체계적이고 주기적인 신체적·정신적 건강관리가 필요하다.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.651-662
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• 2019

본 연구는 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감의 관계를 파악함으로써 치매노인 가족의 부양스트레스를 감소시키는데 기초자료를 제공하기 위함이다. 이에 따른 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA를 이용하였다. 경증치매노인의 행동심리증상에 대한 가족의 부양스트레스와 자기효능감에 대해 알아본 결과, 치매노인의 행동심리증상과 가족의 부양스트레스는 양의 상관관계 (r=.655, p<.001), 치매노인 가족의 부양스트레스와 자기효능감은 음의 상관관계(r=-.334, p<.001)가 있었다. 본 연구결과를 토대로 경증치매노인의 행동심리증상에 대한 적절한 대처법 개발을 통해 지역사회 경증치매노인 가족의 부양스트레스를 감소시키고 자기효능감을 향상시키기 위한 방안이 필요할 것으로 사료된다.

• 보건의료산업학회지
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• 제12권4호
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• pp.155-172
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• 2018

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

• 한국보건간호학회지
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• 제15권1호
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• pp.125-147
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• 2001

The objective of study is to investigate the degree of burden of family who care for the elderly with dementia and to find out the factors related to the family burden as a pilot study. The number of subjects was total 137 and they were the families who were caring for elderly with dementia. The data was analyzed by SPSS/PC, t-test ANOVA. The results were as follows: 1. The score of family burden who were caring for elderly with dementia was 2.90 and the score of burden was high in case of the limitation of indivisual social activities. which was 3.09 and the lowest score was in case of the health of physical and limited which was 2.58 2. There was the correlation the level of dementia and the degree of burden of family who care for the elderly with dementia in character of dementia (p<0.05). 3. There was the correlation between the abnormal activities of the elderly with dementia and the degree of burdens of family (r=0.330). 4. There was the correlation between ADL of the elderly with dementia and the degree of burdens of family (r=-0.330). 5. The service duration had statistically significant correlation with burden In the character of family (P<0.05). 6. The using facility had statistically significant correlations with burden in the character of socity (P<0.05).

• 한국보건간호학회지
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• 제30권2호
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• pp.259-273
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• 2016

Purpose: The purpose of this study was to explore the barriers and solution of providing long-term care (LTC) services at home for the beneficiaries with mild dementia. Methods: The data were collected by interviewing three focus groups consisting of 10 home-visit nurses and analyzed through the analytic process by Morgan and Krueger. Results: The barriers of providing LTC services for clients were identified as follows: inadequateness of the current LTC model for elderly individuals with mild dementia and inappropriateness of the personal environment for home care. The solutions for these barriers were suggested as follows: building up a safe environment for home care and maintaining an appropriate standard utilization plan of LTC service. Conclusion: The current service model for the beneficiaries with mild dementia should be modified in order to provide comprehensive long-term care services based on their complex needs.

• 대한가정학회지
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• 제40권7호
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• pp.193-210
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• 2002

The purpose of this study is to identify the characteristics of physical setting of adult day care as a place for the elders and adult and to develop an basic understanding of the architectural program and physical setting for adult day care for the cognitively-impaired in the U.S.A. The data was collected from 13 Adult Day Care Centers(ADCC) from 2001 to 2002 by interview and the documents about those facilities. Physical environment should be viewed as an element in the care of individuals with dementia, and that the principles used to plan and design environment should be consistent with the principles used in providing other aspects of care. The results of the study provided the information about the best condition of physical setting of ADCC for the elderly with dementia. Memory Loss Adult Day Center and St. Ann Center for Intergenerational Care have better architectural program than other facilities. It is the hope of this study to provide guideline for design and care professionals with a first draft of a "sense-making" template and to slow own the progression of the disease by the appropriate physical environment.

• 로봇학회논문지
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• 제15권4호
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• pp.330-340
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• 2020

The purpose of this study was to develop Dementia-Care-Robot integrated program based on group customization and to identify effects on IADL, depression, and attitudes toward robot. This study was nonequivalent control group pre-post test design. The subjects were 40 elders diagnosed with mild dementia participating in the dementia center daily program (20 in the experimental group and 20 in the control group). Each session lasted for 30 minutes, twice a week during 6 weeks. Data were collected from July 16 to November 7, 2019, and were analyzed using SPSS WIN 22.0 program to identify differences between groups for variables. After the program, the experimental group improved in IADL, depression, but there were no significant differences between the two groups. In attitude toward robot, the experimental group showed positive change to the robot, but the control group showed negative change to it, also there was a significant difference between the two groups. Findings indicate that integrated program using Dementia-Care-Robot has potential as a strategy to improve the symptoms of dementia and to delay the progression. It needs to be applied in the medical field through convergent approach of engineering.