• 한국디지털건축인테리어학회논문집
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• 제8권2호
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• pp.73-82
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• 2008

The purpose of this study is to analyze behaior character of dementia patients and physical environment problem through survey, research and interview on the problems arising from the dementia specialized facilities and according to the data from it, suggesting a plan to improve physical environment and design guideline. Three hospitals were chosen, which had both private space, public space and semi-public space, and dementia patients were chosen from them, who were able to move room to room by themselves.

• 한국농촌건축학회논문집
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• 제3권3호
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• pp.35-46
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• 2001

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in medical facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 geriatric hospitals and 1 special hospital for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and special hospital for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in hospitals are influenced by the physical environments and the basic characteristics of the elderly with dementia.

• 한국디지털건축인테리어학회논문집
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• 제6권2호
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• pp.55-63
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• 2006

The purpose of this study is to analyze the problems in assumption of the distinguished behaviors of hospitalized dementia patients- which can be easily emerged and recognized in senile dementia patients and their distinctive behavior characters in different physical environment per person. Furthermore, it is to suggest a fundamental data to improve physical environment of the different facilities and the design guidelines for reconstruction in terms of the new and therapeutic function of the dementia specialized department. For planning on the dementia specialized hospital, considerablely, security and safety, comfortableness, personal identification of the facility, emotional stability and the proper stimulation for the patients are emphasized according to the research on the frequent and major issues of the patients from their own dwelling place.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제5권8호
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• pp.43-53
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• 1999

The current aging population calls for more facilities to care for the elderly. Recently the average life span of Korean has been lengthened. The percentage of the old over 65% which was 5.7% in 1995, is expected to be increased to 12.5% in 2020. Therefore, the social problems of old people occur in various aspects nowadays, and will become more serious in the near future. This study will provide basic planning guidelines in designing of the dementia ward of the Special Hospital, and the purpose of this study is to suggest a model of the utilization of Special Hospitals.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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• pp.17-28
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• 2010

The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

• 한국응용과학기술학회지
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• 제37권2호
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• pp.287-295
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• 2020

본 연구는 치매환자를 돌보는 간호사의 공감도 구성요인이 무엇인지 분석하여, 이를 통해 치매환자 간호실무에 도움이 되고자 한다. 본 연구를 수행하기 위해 요양병원에서 치매환자 간호에 종사하는 219명의 간호사를 대상으로 하였다. 공감도(ECRS)를 이용하여 요인구조 탐색과 확인요인분석(CFA)을 통한 기초모형 추출 및 모형 수정, 모형 적합성 검증을 실시하였다. 본 연구 결과 간호사의 치매환자에 대한 공감도는 타인 정서의 수용, 자신의 부정정서 억제, 정서의 교류 및 상호작용 등 3개요인 49개 문항으로 구성요인의 타당성과 신뢰성을 확인하였다. 이러한 결과에 따라 타당성과 신뢰성을 확보한 공감도 측정 도구는 향후 치매환자 간호실무현장에서 간호사의 공감도를 확인하는 연구에 활용될 수 있을 것으로 기대된다.

• 한국간호교육학회지
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• 제14권1호
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• pp.127-137
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• 2008

Purpose: This study aimed to explore the level of importance perceived by caregivers of elderly on the education of long term care nursing assistants (LTCNAs) taking care of elders with dementia or stroke. Method: Data was collected from 296 participants (112 families, 98 NAs, and 86 RNs) from October 2006 to February 2007. A structured questionnaire was used for data collection. Result: The item of 'attitude while caring for the aged' was identified as most important. The family group reported that 'position change' and 'understanding of geriatric diseases' were the most important for education, while LTCNAs, highly identified, 'bathing', and 'bed sheet change'. The RNs group regarded 'position change', and 'bathing' as most important. Institutions demanding LTCNAs' activities were special facilities for elderly care and special hospitals for the aged, and the need was also high in families with an elder incapacitated by illness. Conclusion: Nurses need to take an interest in education for enhancing the quality of LTCNAs and thus advance the quality of nursing care as well as the quality of life for the aged.

• 한국보건간호학회지
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• 제8권2호
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• pp.71-82
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• 1994

The article reviewed the elderly health care management problems in policy development issue of the nation. Policy of Korean government on elderly health care has still not yet developed. The main stream of policy which is effective on elderly welfare policy is 'Elderly care are responsible by their families'. Now only those aged whose family members are not able to take care of their parents are receive custodial care at the non-profit nursing homes. This article examined the main stream policy in pro and cons aspects in relation to social changes such as: demographic changes. family structure changes. attitude changes. health care delivery system. and political settlement view points in connection with medical insurance program. Finally. a model for the elderly health care management was proposed which will provide chronic care services at the community level. such as nursing homes. day care centers. day hospitals, respite care units, and special care institute for dementia.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권3호
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• pp.205-216
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• 2022

Background: People with special needs tend to require diverse behavioral management in dentistry. They may feel anxious or uncomfortable or may not respond to any communication with the dentists. Patients with medical, physical, or psychological disorders may not cooperate and therefore require sedation (SED) or general anesthesia (GA) to receive dental treatment. Using the healthcare big data in Korea, this study aimed to analyze the trends of SED and GA in special needs patients undergoing dental treatment. It is believed that these data can be used as reference material for hospitals and for preparation of guidelines and related policy decisions of associations or governments for special needs patients in dentistry. Methods: The study used selected health information data provided by the Korean National Health Insurance Service. Patients with a record of use of one of the eight selected drugs used in dental SED between January 2007 and September 2019, those with International Classification of Diseases-10 codes for attention deficit hyperactivity disorder (ADHD), phobia, brain disease, cerebral palsy, epilepsy, genetic disease, autism, mental disorder, mental retardation, and dementia were selected. The insurance claims data were analyzed for age, sex, sedative use, GA, year, and institution. Results: The number of special needs patients who received dental treatment under SED or GA from January 2007 to September 2019 was 116,623. Number of SED cases was 136,018, performed on 69,265 patients, and the number of GA cases was 56,308, implemented on 47,257 patients. In 2007, 3100 special needs patients received dental treatment under SED while in 2018 the number of cases increased 6 times to 18,528 SED cases. In dentistry, ADHD was the most common disability for SED cases while phobia was the most common cause of disability for GA. The male-to-female ratio with respect to SED cases was higher for males (M : F = 64.36% : 35.64%). Conclusion: The application of the SED method and GA for patients with special needs in dentistry is increasing rapidly; thus, preparing guidelines and reinforcing the education and system are necessary.