• 디지털융복합연구
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• 제14권11호
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• pp.71-79
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• 2016

고령화로 인한 여러 가지 사회문제가 발생하는 가운데 치매노인의 증가도 이 중 하나라 할 수 있다. 치매인구 증가에 따른 사회경제적 비용이 증가하는 상황에서 체계적이고 효율적인 치매관리 대책의 필요성이 제기되고 있는 가운데, 본 연구에서는 우리보다 앞서 치매관리 대책을 마련하여 실시하고 있는 일본의 치매관리 대책을 살펴보았다. 특히 2015년 발표된 일본의 인지증시책추진종합전략(신오렌지 플랜)의 내용을 중점적으로 살펴보고 이를 통해 우리나라 치매정책 발전 방안을 탐색하였다. 이에 따라 치매환자나 그 가족들의 입장을 반영한 지원내용의 포함, 초로기 치매에 대한 대응의 필요성, 초기집중지원팀과 같은 조기진단 및 조기대응을 위한 체계의 정비, 치매환자 및 고령자에 친화적인 지역 만들기의 지속적 추진, 그리고 치매에 대한 인식을 높이기 위한 캠페인의 전개 등이 제안되었다.

• 지역사회간호학회지
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• 제31권1호
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• pp.107-118
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• 2020

Purpose: Nursing students are key personnel to take care of people with dementia in the nursing field in future. The purpose of this study was to identify subjective attitudes toward dementia in nursing students. Methods: Q methodology, which is a research method to study people's subjective points of views, was used. Thirty seven Q-statements (Q-sample) were derived from the Q population (Concourse) and were arranged in rank order by each of 42 participants into a normal distribution grid (from -4 to +4). A QUANL program was used to analyze the collected data. Results: Three types of attitudes toward dementia were identified: 'self-guided dementia management', 'national-guided dementia management' and 'facility-guided dementia management.' Conclusion: The results of this study suggest that nursing strategies to improve understanding of dementia and actively cope with dementia should be considered.

• 성인간호학회지
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• 제28권4호
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• pp.388-398
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• 2016

Purpose: The purposes of this study were to identify nurses' empathy, attitude and pain management for patients with dementia and the factors associated with their performance of pain management. Methods: The study design was a cross-sectional survey. The participants in the study were 114 nurses working at 12 geriatric hospitals. This study utilized the Interpersonal Reactivity Index (IRI), which measures four empathy factors. Nurses' attitudes toward pain and performance of pain management, and general and pain related characteristics were measured by self-administered questionnaires. Results: Barriers to pain management for patients with dementia were absence of guidelines, prejudice of pain in dementia, and lack of time and knowledge deficit. There was a significant positive correlation between empathic concern and attitudes, perspective-taking of empathy and pain management. There was also a correlation between empathy and pain management. Stepwise linear regression analysis indicated that the significant factors affecting the performance of pain management included perspective-taking of empathy, use of pain management in dementia guideline and attitudes toward pain. These factors explained 24.0% of variance. Conclusion: The findings from this study suggest that empathy and positive attitude are the important provider attributes which needs to be enhanced by educational programs. It is also necessary to develop and disseminate guidelines for a dementia specific pain management.

• 한국농촌간호학회지
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• 제12권2호
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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.

• 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.

• 산업융합연구
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• 제17권4호
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• pp.87-94
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• 2019

본 연구의 목적은 노인 치매예방을 위해 스마트폰에서 제공되고 있는 치매예방 게임 앱과 치매진단 앱의 이용에 대한 유용성 및 그 기대효과를 예측하는 것이다. 연구방법은 첫째, 치매예방프로그램의 효과성을 검증하기 위하여 사용되고 있는 6개의 치매진단도구를 선정하고 각 진단도구가 검증하고 있는 인지기능영역을 추출하였다. 둘째는 29개의 스마트폰 치매예방 게임 앱과 치매관리 앱을 선정하여 이 앱들을 이용한 이후의 기대효과를 치매진단도구에서 추출된 인지영역과 연계하여 분석하였다. 연구 결과, 스마트폰 치매예방 앱을 이용하여 지속적으로 게임을 하거나 치매관리를 할 경우 특정 영역의 인지기능을 증진함으로써 치매예방 관리에 도움이 될 것으로 기대되었다. 스마트폰 치매예방 앱은 시공간을 초월한 이용의 용이성, 지속적 사용성 그리고 경제성을 통하여 오프라인으로 운영되고 있는 치매예방프로그램의 한계점을 보완함으로써 노인의 인지능력을 증진시키고 치매를 예방하는 데 유용할 것이다.

• 보건행정학회지
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• 제29권1호
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• pp.11-18
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• 2019

The purpose of this research is to introduce the best practice of the Japanese national dementia strategy and explore implications to the Korean national dementia strategy. Interview was conducted among professions those who is in charge of Kumamoto dementia care practice in Kumamoto province, upon review of related literature and public documents. The Kumamoto model is implemented by the department of neuropsychiatry in public university hospitals, which can offer dementia-specialized medical services. Medical centers for dementia in public university hospitals play a leading role for managing practice and training local dementia centers specialist, coordinating medical services among medical institutions and community welfare facilities. In reference to the Kumamoto model, the Korean national dementia strategy can find implications in the direction of current system, specifically its approaches toward policy governance.

• 디지털융복합연구
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• 제16권11호
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• pp.149-157
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• 2018

본 연구는 우리나라 치매관리정책에 대한 언론보도의 경향을 파악하고, 네트워크 분석을 통해 치매예방실천, 인식개선, 치매관리지원 등의 정책적 시사점을 제시하고자 하는 것이 목적이다. 연구의 절차와 방법으로는 치매관리정책과 관련한 주제어의 인용횟수, 그리고 중심성 매개성을 중심으로 한 주제어 간 연결 구조를 분석하였다. 분석결과, 첫째, 생활 속 치매예방 실천 지원에서 지역측면에서 보다 구체적이고 실천적으로 설명하는 '미시적' 관점이 필요하다. 둘째, 치매에 대한 부정적 인식 개선 및 치매 친화적 환경 조성은 치매관리정책 현상을 설명하는데 있어 개인적인 문제로 한정하는 정책적 용어의 사용보다는 지역사회의 '공동체'의 맥락에서 이해하는 것이 바람직하다. 셋째, 3대 치매 고위험군 관리 및 지속적 치매조기발견 지원을 통한 '치매관리정책'와 같은 핵심어의 네트워크 구조는 향후 연구에서도 학계 간 융합연구의 가능성을 시사한다. 따라서 국민들의 인식 및 정책성과, 그리고 선진국의 치매관리정책 흐름을 고려했을 때 '치매관리, 예방'을 포함한 치매관리정책 현상은 국지적 일시적인 것이 아닌 향후 치매관리정책의 방향설정에 도움을 줄 것으로 본다.

• 지역사회간호학회지
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• 제15권3호
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• pp.450-459
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• 2004

Purpose: The purpose of this study is to grasp the welfare service for the demented people staying at home and the service that caregivers want to use. Therefore, we are going to develop a Korean senile dementia-care management model. Method; It analyzed the data of 185 demented people and caregivers, who registered in 16 public dementia care centers in B city since June 2002. Results: 1) The types of services used by the aged people with dementia staying at home were, in the order of frequency of use, the day-care center(26.5%), and home-help service (21.6%). 2). The types of services according to the degree of dementia were as follows; mild cases: home care service (5.4%), moderate cases: day-care service (40.0%) and severe cases: day-care service (26.0%). 3). The caregivers who want to use senile welfare institutions accounted for 23.3%, and the major reason they could not use the institutions was due to their economic situation. 4) The Korean senile dementia care management system must be excuted, considering caregivers' economic state and severity of dementia. Since the system was actively operated, many small sized welfare service institutions showed development. Conclusion: The welfare services appropriate to the severity of dementia should be provided. With the model developed in this study, the dementia management requires sufficient care and should be achieved to reduce the caregivers burden.

• 보건행정학회지
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• 제9권1호
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• pp.30-71
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• 1999

There has been a dramatic increase in public awareness regarding dementia during recent years. However, dementia remains a family affair and patients do not receive adequate care in Korea. This study aims to assist patients and their caregivers by establishing Home and Community based Long-Term Care in a city. The data collected for analysis include five main categories: dementia prevalence, limitations of daily activities of patients, burden of caregivers, the services that patient's family want to utilize, the resources that handle dementia in the community. Major findings can be summarized as follows: 1)The prevalence rate of dementia for elderly people is 13.1 per 100 persons. Alzheimer's disease amount to 38.9% of dementia patients and vascular dementia account for 36.7% of them 2)Eight out of ten patients have mild dementia. Almost all patients have normal ADL. IADL, however, shows different picture. In every items of IADL, about 60% of patients reveals some limitations. 3)The proportion of patients who had medical diagnosis is as low as 20%. Families of patients think dementia as normal aging process and medical doctors in the community do not give special concern to dementia patients. 4)Caregivers does not have proper social support. They suffer from long care time, experience large obstacles in respect of health, daily living, and social activity. 5)Health center and Community welfare center have launched some programs-consultation, home-visiting nursing, day care center, voluntary force mobilization and so on-for dementia patients. But they do not perform expected roles and functions because of lack of skilled personnels and inadequate coordination of relevant organizations for dementia care. 6)Families of dementia patients prefer home helper and home-visiting nurse to hospitalization. For the future, however, demand for institution-based long-term services will increase. We develope community dementia care model based on above findings as follows: 1)Health center execute community cardiovascular control program for the prevention of vascular dementia. 2)Refer to epidemiologic characteristics of patients and preference of family, the most urgent task for dementia care in this city is to expand and organize Home and Community based Long-Term Care. 3)For the continuous and comprehensive care, care plan for a patient must be prepared. Case management team should be builded to prepare this plan and coordinate relevant resources. 4)Special long-term care unit for dementia will be needed in a near future. This unit should have multiple functions, such as day-care center, short stay facility, training center for relevant personnels, besides long-term nursing home considering effective care of dementia and efficient operation of the facility. 5)Voluntary workers deserve their due efforts. Incentive mechanisms must be developed to activate voluntary activities.