• Title/Summary/Keyword: Dementia type

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치매에 대한 한의학적 임상연구

  • Whang Wei-Wan;Kim Jong-Woo;Lee Jo-Hee;Eom Hyo-Jin;Lee Seung-Gi
    • Journal of Oriental Neuropsychiatry
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    • v.7 no.1
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    • pp.1-13
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    • 1996
  • 1. Out of 21 examples on a clinical base Alzheimer type dementia were 8 examples(38%), 11 vascular types(52%), 1 Alzheimer and vascular mixed type and rest 1 was secondary dementia type(NPH).2. Between the genders, there were 5 males and 3 females for Alzheimer types, 6 males and 5 females for the vascular types, 1 male for Alzheimer and vascular mixed type, and 1 female for secondary dementia type(NPH).3. For the degrees of Alzheimer type dementia there were 2 mild dementia, 4 moderate dementia, and 2 severe dementia. 4. Among the Alzheimer types 2 mild dementia were almost recovered back to normal in approximately 2 months, 2of 4 moderate dementia became significantly better in approximately 2 months and recovered to almost normal state in 3 to 5 months. The rest 2 have been under treatment for 3 months, but showed a little improvement. Out of 2 severe dementia examples, one showed a little improvement even if it has been under treatment over 2 years. The other example did not show any improvement, but dementia did not proceed any more.5. Among the 11 vascular examples, 7 recovered in 2 to 3 months, 1 in 5 months, 2 recovered in a year, and the treatment was stopped arbitrary for the last one.6 In the case of Alzheimer and vascular mixed type dementia, even the moderate dementia did not show any apparent result in 6 months.7. For NPHI (Normal Pressure Hydrocephalus), there was an improvement on dementia in 2 months after the treatment, but gait disturbance and urinary incontinence did not show any noticeable difference. As a conclusion, almost all the Alzheimer and vascular type patients recovered, but the treatment periods varied depending on the types of the dementia and the degree of seriousness, especially in the case of the severe Alzheimer patients, the treatment oniy suppression the progression of the dementia. The most important aspect from clinical point of view was even if almost all the patients were almost completely cired, they need to keep being cured for a long period of time. The method with respect to Four Constitutions is thought of the most desirable.

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Analysis of the Types of Dementia Patients for Development of Clothes for Dementia Patient in Nursing Homes (요양시설 치매환자복 디자인 개발을 위한 치매환자의 유형 분석)

  • Park, Kwang Ae;Yang, Chung Eun;Lee, Jae Hyang;Kim, Hee-Jung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.45 no.5
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    • pp.788-803
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    • 2021
  • This study aims to obtain basic data to develop clothes for dementia patients by classifying types of dementia patients. Data was collected from those dementia patients who entered a nursing home. This study analyzed a total of 221 sheets. Furthermore, descriptive statistics, cross-tabulation, and K-means clustering were performed for statistical processing using Minitab 14. As a result, dementia patients were classified into four types: inactive-dependent, active-problematic behavior, activity-autonomy, and inactive-offensive. Inactive-dependent type was a group with the most severe disability in cognitive and daily activity functions; however, they lacked behavioral and psychological symptoms and problematic behavior with clothes. Active-problematic behavior type showed the most behavioral and psychological problems and problematic behavior with clothes. Activity-autonomy type was a group without any problematic behaviors. Moreover, the inactive-offensive type had very good cognitive function toward humans. The study imply that it is necessary to provide clothes with proper functions based on the types of patients rather than providing them uniform clothes because clinical and clothes behaviors differ significantly depending on the types of dementia patients.

A Study on the Clothing Behavior of Dementia Inpatient (치매환자의 의복행동에 관한 연구)

  • Ryou, Eun-Jeon;Park, Hye-Won;Bae, Hyun-Sook;Kwon, Jay-Cheol
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.8
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    • pp.1253-1262
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    • 2006
  • This research explored the clothing behavior of dementia inpatient according to the dementia severity, dementia type and demographic characteristics. Data were collected by surveying 149 dementia inpatients and their caregivers. The collected data were analysed through frequency analysis, $X^2$-test, one way ANOVA, Duncan's multiple range test and t-test. The results were as follows: First, the dementia severity was classified into the severe, moderate and mild dementia by K-MMSE and the dementia types were composed of Alzheimer's disease, vascular dementia and the others. The severe dementia group and Alzheimer's disease group included the more aged and more female inpatients. And the severe dementia group was lower self-support of the basic activities of daily living than the mild dementia group. Second, the change motions of the dementia inpatient's clothing differed from the clothing item and dementia severity. That is, the motions for pants were more difficult than those for upper garment. And the motions for severe dementia group were more difficult than those for the mild dementia group. Third, there were significant differences among the three groups by dementia severity and between the male and female dementia inpatient in the clothing behavior. Most of abnormal clothing behaviors were found in the severe dementia group. The positive clothing behaviors appeared in the mild dementia group. And interests of clothing and appearance appeared in the female inpatients.

A Study on the Space Use Pattern of the Elderly with Dementia In Common Space of Nursing Home in Japan (일본 노인전문요양시설 치매노인의 공용공간 이용 특성에 관한 연구)

  • Yoon Young-Sun;Byun Hea-Ryung
    • Korean Institute of Interior Design Journal
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    • v.13 no.6
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    • pp.184-195
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    • 2004
  • The purpose of this study was to clarify the space use pattern and the daily living activities of the elderly with dementia in the common space (dining room, day corner) of nursing home in Japan. The subjects were six units of the 2 nursing homes in Tokyo. For this, researcher visited from September 5 to December 5 and collected data by observations of behavior of the elderly with dementia in common space and interviews with staff for the information about basic characteristics of the elderly with dementia and administration and operation of the facilities. The data were analyzed using the frequency and percentage with SPSS 11 program and recorded in the form of behavior map. The results revealed as follows: first, 6 types (self-concentration type, physical environment-interest type, passive others-interest type, staffs-interaction type, other elderly-interaction type, visitors-interaction type) of the daily living activities of the elderly with dementia in common space were founded. Second, the daily living activities of the elderly with dementia in common space tended to focus on self-concentration type and physical environment-interest type. Third, physical environmental characteristics of common space affected space usage pattern of the elderly with dementia. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day comer as semi-public space.

A study on the types of attitude toward senile dementia (노인성 치매에 대한 태도 유형 연구)

  • Kim, Jee-Yeon;Jung, Jae-Bum;Park, Moon-Ho;Park, Kun-Woo;Choi, Moon-Gee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3700-3706
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    • 2010
  • As the number of the elderly increases, concerns about senile dementia and serious game for dementia are growing. The purpose of this study is to explore the types of attitude toward senile dementia. To identify public attitudes toward senile dementia, we conducted Q methodology. A Q set of potential public attitudes toward senile dementia was identified through literature review. From this, 52 potential public attitudes toward senile dementia were identified. Twenty subjects ranked these explanations as possible public attitudes. The attitudes toward senile dementia were classified as 4 types : 'type1 : idealistic & expectant', 'type 2 : aversive & defensive', 'type 3 : active & realistic', and 'type 4 : responsible & compensatory'. This study revealed that people have different explanatory frameworks for the attitude toward senile dementia.

A Retrospective Study on Dementia Outpatients in Oriental Neuropsychiatry Clinic of One Medical Center (치매 환자에 대한 후향적 연구 - 일 기관 한방신경정신과 내원 환자를 중심으로 -)

  • Cho, Hye-Young;Hong, Soon-Sang;Whang, Wei-Wan;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.4
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    • pp.137-149
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    • 2010
  • Objectives : The aim of this study was to describe the clinical aspects in dementia outpatients who visited oriental neuropsychiatry clinic and to analyze the efficacy of herbal medicine. Methods: We analysed medical records of dementia outpatients who visited oriental neuropsychiatry clinic of K medical center from August. 2000 to July, 2010 and matched our criteria. Results: Ninety-two subjects were selected for analysis and consisted of 77.3% dementia of Alzheimer type. 13.0% vascular dementia. and 9.8% mixed type of dementia. Herbal medicine prescribed mainly were Jowjseungchung-tang(Tiaowejshengqing-tang). Kunneo-tang(Jjannao-tang) and Chenwangbosim-dan(Tianwangbuxin-dan) for dementia of Alzheimer type, and Sunghyangjungki-san(Xjngxjangzhengqi-san) and Upung-dan (Yufeng-dan) for vascular dementia. Scores of K-DRS were not changed for some subs cales and decreased but less than natural decline of Alzheimer disease. Score on the Memory subscale in group of Kunneo-tang(Jjannao-tang) increased significantly. Conclusions : These results suggest that the herbal medicine may be effective for dementia. More prospective studies are needed to assess the efficacy and prognosis of herbal medicine for dementia. Clinical guideline is needed for systematic data accumulation.

A Case Study on the Space Use Pattern and Behavior of the Elderly with Dementia in Common Space of Nursing Home (노인전문요양시설 치매노인의 공용공간 이용실태 및 행동특성에 관한 사례연구)

  • Yoon, Young-Sun;Byun, Hea-Ryung
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2005.11a
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    • pp.89-92
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    • 2005
  • The purpose of this study was to clarify the space use pattern and the daily living activities of the elderly with dementia in the common space (living room) of nursing home. The subjects were 2 units(living room) of the nursing home. For this, researcher visited from June 20 to July 2 and collected data by observations of behavior of the elderly with dementia in common space(living room) and interviews with staff for the information about basic characteristics of the elderly with dementia and administration and operation of the facilities. The data were analyzed using the frequency and percentage. The results revealed as follows: first, the daily living activities of the elderly with dementia in common space tended to focus on self-concentration type and physical environment-interest type. Second, physical environmental -interest type. Second, physical environmental characteristics of common space affected space usage pattern of the elderly with dementia. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day corner as semi-public space.

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Primary Health Care Post Dementia Management Status Report for 2016 (<사례보고> 보건진료소 치매관리 실태 보고)

  • Han, Jong Suk;Cho, Soo Yeoun;Back, Hyun Hee;Kim, Yeomg Sug;Choi, Young Mi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.2
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    • pp.45-54
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    • 2017
  • Purpose: The purpose of this study was to provide a survey of patients with dementia registered and managed by primary health care posts. Method: Computation of 2016 dementia data registered in Health Care Center programs of 14 municipalities in ChoongNam province was analyzed. Data collection was done based on a pretest for dementia prevention and general management of registered dementia patients. Results: Results showed; Screening tests for dementia, 40% of population 60 or over, average number of cases, 174, average number of dementia registrants, 3.1, programs for prevention, approximately 70% special policy measures and 28% cognitive rehabilitation programs, counseling and education operating well overall, average number of dementia registrants/clinic 11.8, with women accounting for 70%, elders with less than 3 years of education, 75%, residence type cohabitation by married couples, 41%, and elders with Alzheimer type dementia, 64%. Conclusion: During early detection of dementia and follow-up examinations, high-risk groups (women, elders) should receive a dementia examination. In management of dementia there is a need to develop various programs including physical, economic, and emotional support not only for patients, but also for families. Health care managers also need systematic education to give them expert knowledge of dementia and management of dementia.

A Study on the Types of Pain Identification by Nurses for Nursing Home Patients with Dementia (노인요양시설 간호사의 치매환자 통증확인 유형)

  • Lee, Su-Jung;Chang, Sung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.508-519
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    • 2010
  • Purpose: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes. Method: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program. Results: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one". Conclusions: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.

A Study on Perception of and Attitude toward Dementia and Depression of Residents in a Community (지역주민의 치매 인식도, 치매 태도 및 우울에 대한 조사연구)

  • Lee, Eun Ja;Jo, Mi Kyoung
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.180-189
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    • 2017
  • Purpose: This study was conducted to identify the perception of and attitude toward dementia and depression among residents in a community. Methods: Data were collected using the questionnaire from 226 residents in Incheon city from February to May, 2017. The data were analyzed using t-test, ANOVA and Scheffe's test to identify differences in perception of and attitude toward dementia and depression. Pearson correlation coefficients were used to identify the correlation between the study variables, and multiple regression was used to identify factors affecting depression. Results: There were significant differences in perception of dementia according to age, education, marital status, and exercise. Also, significant differences in attitude toward dementia were found in occupation, family history of dementia and education about dementia. Depression was significantly different depending on the type of health insurance coverage and alcohol drinking. The scores of perception of dementia and depression were 11.09, 2.37, respectively on a 2-point scale and for attitude toward dementia was 85.94 on a 7-point Likert scale. The perception of dementia was positively correlated with the attitude toward dementia and there were negative correlations between perception of dementia and age and between depression and attitude toward dementia. Conclusion: The results of this study suggest that we should improve perception of and attitude toward dementia and reduce depression to prevent and manage dementia effectively.