The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.
Objectives: The purpose of this study is to identify oral health status and oral health care needs of elderly patients in long-term care hospital. Methods: Oral health examination was carried out by a dentist and questionnaire was completed by direct individual interview by a dental hygienist for 245 elderly patients in seven long-term care hospitals in Daegu from March 12 to April 16, 2011. Results: Those who need dental care were 188(76.7%) and was done by oral health examination by a dentist. 93 patients(38.0%) wanted dental care and 63 patients(25.3%) need dental care. The most important dental service in the elderly patients was denture and prosthetic service. As demand for denture and prosthetic service exceeds the supply, but only 35.9 percent of the elderly received the dental care service by the estimation of the caregivers. Conclusions: It will be necessary to establish the customized dental care service for the elderly patients in long term care hospitals. The oral health education for the caregivers is very important and the continuing education program must be implemented in the future.
This paper reviews researches related with the elderly caregiving, which hale published during the 1990s. After analyzingthe 29 articles in this field, the major findings are as follows: First, the advantageous position in life chances which is consisted of socioeconomic status and resources tends to reduce th burden for the elderly care. The higher in social status, the more resources older adults have, the more advantageous in controlling their relationship with their children and caregivers. Second, values based on familism is more associated with providing caregiving services for their parents than those of filial piety. Third, the tendency that daughter-in-law takes the role of the primary caregiver suggests a possibility of diminishing her enthusiasm, and finally comes to recognize her role as an enforced one, as time goes by. Fourth, cargiving burden affects the diverse aspects of caregiver's way of life. When the lower class elderly has dementia, caregiving stress and hassle have reached at their peak level. For meeting the needs of reducing the burden for the elderly care, this study suggests community- based approach for the elderly care. This approach attempts to share the caregiving burden with local community. To share the burden means that the boundaries of caregivers does not limit family members, but to expand community. This attempt includes a plan that establishes multipurpose community center which provides comprehensive services and care for the aged. The theoretical rationale of this approach are also discussed.
Since the proportion of elderly citizens is increasing every year, the social interest is increasing for the health and the safety of the elderly. The nursing home is continually being created to care for more elderly people. However, the quality of service is not enough due to the lack of elderly caregivers. Elderly care and management services are being studied to replace the shortage of caregivers. Existing research for the implementation of an automatic care system has a high initial system cost. Furthermore, it lacks the ability to store and manage large amounts of data. In this paper, we propose a system that manages a large amount of data continuously generated through CCTV and provides a streaming service with a high level of quality-of-service (QoS) to users with collected video. Through the proposed system, it is possible to record and manage the behavioral information of the elderly occurring in the nursing home together with the video. In addition, according to the user's request, it has built a service that streams the video and behavioral information according to the date and time in real-time.
Prior studies about nursing home placement identified factors contributing to the risk of institutionalization by pooling adult child caregivers and spousal caregivers together, regardless of differential challenges for the two types of caregivers. In a sample of 456 caregivers followed for a 2 year period, an event history analysis showed that relationship made difference in time to placement and that differential factors led to institutionalization for spousal caregivers and daughter caregivers. Spousal caregivers are more likely to place dementia patients into nursing homes sooner than adult child caregivers. The age of care recipients and role captivity (refers to being unwilling, involuntary incumbent of a caregiver role) are predictors of placement for both groups of caregivers. Dementia patients who were older had a greater risk of institutionalization. Greater feelings of role captivity also shortened the time to placement. Income and education are significant predictors only for caregiving daughters. Daughters who had a high education level are more likely to delay nursing home placement whereas those who had a higher income are more likely to institutionalize their demented parents sooner. Use of day care and behavioral problems are significant predictors only for spousal caregivers. Specifically, use of day care and behavioral problems precipitates nursing home placement. The findings of this study suggest that interventions for helping family members to provide care to the demented elderly at home must consider different circumstances faced by caregiving spouses and caregiving daughters.
Purpose: The purpose of this study was to identify factors influencing quality of life of caregivers using day care services. Methods: Data were collected from 14 different day care services in D city, with a total of 146 female caregivers as participants. All participants were at home caregivers whose patients were senior citizens older than 65. Data were collected from September 1 to 30 of 2008 and analyzed by t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: Quality of life among caregivers of day care services differed significantly according to state of health, other caregivers, job, and family income. Quality of life among caregivers showed correlation with caregiving burden. The significant predictors affecting quality of life were state of health, other caregivers, job, and family income and caregiving burden. A combination of these predictors accounted for 43.5% of the variance in quality of life. Conclusion: These findings show that quality of life of family caregivers using day care services is influenced by caregiving burden. Development of day care service programs is necessary in order to reduce caregiving burden of family caregivers for the elderly.
The purpose of this study is to examine the effects of care-giving stress of dementia elderly on the caregiver's suicidal ideation. In addition, mediating effect of self-efficacy was examined. In order to accomplish these purposes, a total of 336 who are caregivers of dementia elderly using self-report questionnaires. In this study, 325 elderly patients were used for final analysis. Date were analyzed by frequency and descriptive analysis, regression model analysis with SPSS 22.0. The analysis result of dementia elderly caregiver's symptoms showed that prevalence of suicidal ideation were 32.6%. Regression analysis was conducted under the control of dementia elderly's disease period, ratings, general characteristics and age, sex, educational background, occupation status, health status, living standard level of caregivers who were the subject of the survey. As a result, it was confirmed that the care giving stress had a statistically significant effect on suicidal ideation. Also, the self-efficacy of caregivers was found to partial mediate the relationship between care-giving stress and suicidal ideation(***p<.001). Based on this result, I suggested the various policies and the necessity of social welfare intervention to restore the mental health of caregivers of the elderly with dementia.
Background: Long-term care insurance for the elderly has been stably established along with the quantitative expansion of long-term care facilities. Indeed, the need for a paradigm about human rights-based service approach is being raised throughout society from a service perspective. Therefore, this study aimed to analyze the association between elderly human rights awareness and quality of service by considering human rights education as a moderate variable. Methods: This study conducted surveys with 138 caregivers working in long-term care facilities located in Seoul and Gangwon. General characteristics, awareness of human rights, and the level of service quality were examined using descriptive statistics, frequency analysis, and correlation analysis. And multi-variable linear regression with a hierarchical framework was employed. These analyses were performed using IBM SPSS ver. 25.0. Results: Of the 138 caregivers, 97.1% were female, 87.7% were more than 50 years old, and most of their education level was high-school graduates. Their length of employment ranged from more than 5 years to less than 10 years. The level of awareness regarding elderly human rights of the elderly was below normal (mean=2.21), but the quality of service was high (mean=4.21), and the need for human rights education was also high (mean=4.28). Among the general characteristics, the length of employment was significantly associated with awareness of elderly human rights. Moreover, political rights awareness, included as sub-domains of human rights, was positively associated with quality of service. However, the moderating variable, human rights education, was not significantly associated with the quality of service. Conclusion: In this study, human rights education, as a moderating variable, did not have a statistically significant effect on caregivers' human rights awareness in relation to service quality. This finding is inconsistent with previous research results. These results can be explained by the fact that the frequency of education in long-term care facilities was a significant factor in the practice of protecting the human rights of the elderly. Therefore ongoing encouragement for the frequency of current human rights education and improvements in the educational approach appear to be necessary. In addition, these findings reveal the need for strength of education policies and effective in-depth research about human rights and quality of service to respect the human rights of the elderly.
Purpose: This study was conducted to identify the relationship of the elder abuse perception with the caregiving stress of adult caregivers and to investigate influencing factors on them. Methods: Data were collected from 398 adults aged 30-65, and analyzed with the SPSS/WIN program. Results: In the elder abuse perception, there were differences in age, marital status, education, job, person to be taken care of, age of elderly mother, duration of caregiving, economic status and health status of elderly parents. As for the caregiving stress, there were differences in age, marital status, income, health status, relationship with the elder, person to be taken care of, economic status and health status of elder parents. Influencing factors on the elder abuse perception included caregiving stress, education, marital status, health status of elders, and economic status of parents (30%). On the caregiving stress, elder abuse perception, economic status of elders, and relationship between caregivers and elders were influencing factors (24%). Conclusion: The results of this study suggest that it is needed to develop a nursing program to prevent elder abuse and to decrease caregiving stress in caregivers. In addition, it should be considered in tandem with significant influencing factors that were found in this study.
The purpose of this study is to analyse the family caregivers' stress pathways by types of long term care services for the elderly, and then to discuss the findings of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 258 primary caregivers by type of long term care services were used for this study. The results of this study can be summarized as follows. First, on average, the elders that utilize care service in institutions for the elderly were higher proportion of women, older, higher rate of bereavement, more children than the elders that utilize in-home care service, but some cases were vice-versa. Second, the elders that utilize care service in institutions more ADL dependency, higher proportion of severe dementia or severe stroke, higher care rank by National Health Insurance Corporation than the elders that utilize in-home care service on average. Third, primary caregivers with elders that utilize in-home care service were higher proportion of women, older, lower education level, higher rate of spouse and daughter-in-law in relationship with care recipient, less health, lower income than primary caregivers with elders that utilize care service in institutions. Fourth, subjective indicators representing caregivers' reactions to caregiving for the elderly significantly impact on caregivers' stress(ie, depression), and pathway of caregivers' stress are differentiated by type of long term care services. Fifth, stressors that have direct impacts on depression as caregiving family are differentiated by type of long term care services. Therefore, policies or programs to reduce negative mental health or stress of caregivig families should be designed differently by reflecting pathway of various stressors and stress by use types of long term care services for the elderly.
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