• The Journal of the Korea Contents Association
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• v.21 no.5
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• pp.525-537
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• 2021

Since the late 1990s, public nursing hospitals have been established, and as of 2018, 79 hospitals account for 5.1% of all nursing hospitals. Announcing the public Moon Jae-in dementia in the state government responsibility for the convalescent hospital with dementia to patients for specified to the hospital with severe dementia specialist care institution. A different policy options and development. In this regard, the Dementia Management Act was revised in 2018 to provide a legal basis for the operation evaluation of public nursing hospitals, and this evaluation will begin in 2020. As part of the study to conduct the operation evaluation of public nursing hospitals to be implemented from 2020, the research established a function to foster public nursing hospitals as specialized institutions for dementia patients and competent institutions for treating rehabilitation patients during the period of recovery, and developed an evaluation system to evaluate their behavior as medical services, public nature and public institutions.

• 대한예방의학회:학술대회논문집
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• 1998.10b
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• pp.179-180
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• 1998

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.1
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• pp.69-77
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• 2005

The purpose of this study is to build fundamental data related to corridor space for nursing home design. Elderly with dementia were observed in corridor space at two nursing homes in In-cheon City. Two types of behavior were found out through in-depth observation; Group and Personal behaviors. Group behaviors were varying according to the type of programs such as rest, care, diet, and therapeutic services. Personal behaviors could be classified into wandering and private seclusion. These two behaviors were influenced by management programs of facilities, services of care-givers and individual characteristics of residents. The result of this study was discussed on the following matters: 1) Optimum size of residential unit; 2) Working spaces of care-givers; 3) Relationship between bedroom and common space for gathering; 4) Planning for wandering path; 5) Familiarity of interior finishing materials

• Journal of Families and Better Life
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• v.18 no.2
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• pp.203-216
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• 2000

The purpose of this study was to explore the degree of caregiving stress in housewives according to functional impaiment and personal characteristics of demented elderly, and related variables of housewives. The subjects of this study were 141 housewives who had cared for dementia elderly. A questionnaire was used as survey method. The data was analyzed by means of t-test, ANOVA, and Scheffe test. The main findings were as follows: First, there was significant difference in the degree of stress in caring for dementia elderly according to functional impairment of demented elderly. Third, the degree of stress in caring for dementia elderly differed significantly according to education, income, and housework time per day of housewives, and relatinship demented elderly with housewife.

• Sleep Medicine and Psychophysiology
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• v.7 no.2
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• pp.79-83
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• 2000

Sleep disturbances are frequently associated with neurological disorders. Sleep disorders interfere with rehabilitation of patients with neurological disorders such as stroke and may increase the severity of their symptoms and recurrence rate of stroke. The treatment of sleep apnea syndrome is particularly important in managing patients with cerebral infarction of whom 50-80% have moderate to severe sleep apnea. Sleep apnea produces not only poor quality sleep but also excessive daytime sleepiness, fatigue and lack of energy. Sleep problems frequently found in patients with dementia are sleep-wake cycle abnormality, fragmentation of sleep, nocturnal insomnia, decreased slow wave sleep and REM sleep, and sleep disordered breathing. The management of sleep disturbances is very important for controlling symptoms such as nocturnal wandering and sundowning syndrome in patients with dementia. Parkinson's disease and epilepsy are other neurological disorders that may have sleep disturbances.

• International Journal of Advanced Culture Technology
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• v.6 no.3
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• pp.98-104
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• 2018

This study is about dissemination of moxa education using voucher service. Moxa is one of the traditional medicines of Oriental medicine. Moxa is the only medicine in which is characterized by self-management of preventive medicine. Moxa whixh is prescribed in advance when it is healthy can prevent Alzheimer's dementia and cancers. Moxa activates neurotransmitter dopamine system and cerebral vasoconstrictor substance serotonin system, which actively helps to prevent and cure Alzheimer's dementia. Also moxa produces HSP (heat shock protein), which can prevent and treat cancers. Moxa, which costs little, is a strongly effective medicine. Therefore, this study emphasizes the necessity of moxa education and suggests a self-care training program for the reduction of medical expenses. As a methodology for this, moxa education can be done by using voucher service. At the same time, it proposes the establishment of a moxa instructor.

• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.29-38
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• 2008

Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

• Journal of Families and Better Life
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• v.19 no.6
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• pp.113-128
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• 2001

middle and upper class families, and examine obstacles to their introduction in Korea. Since a few large-scale facilities for the elderly with dementia have been provided for only low-income families free of charge, the necessity of group homes for middle and upper class families willing to pay for such services has become an issue recently in order to lessen the burden on families, as well as to promote the well-being of the dementia victims themselves. The survey was conducted by questionnaires collected from 577 respondents from middle and upper class families. The results of the survey were as follows: The merits of the group homes were 1)decreasing loneliness of the elderly, 2)providing active and stimulating environments allowing for participation everyday life activities, and 3)lessening the emotional and physical burden on the caring families. Potential obstacles to its introduction in Korea were 1)the difficulty of finding sites to build the group home because of the negative perception of people with disabilities and a NIMBY(Not In My Back Yard) reaction to the construction of it and 2)the economic burden on the caring family. Surprisingly, the guilt factor associated with sending the parents into group homes was not considered as a big obstacle. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if Koreans could have the chance to understand what group homes are.

• Korean Journal of Head & Neck Oncology
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• v.35 no.2
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• pp.51-55
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• 2019

Pharyngocutaneous fistula is a relatively common, but serious complication after pharyngeal or laryngeal cancer surgery. It can cause wound infection, longer hospitalization period and sometimes carotid artery rupture which can be fatal. Recently, we experienced a 63-year-old larynx cancer patient who had dementia and alcoholic liver cirrhosis for underlying diseases. He underwent total laryngectomy and both neck dissection, and pharyngocutaneous fistula occurred during postoperative radiotherapy. Pharyngocutaneous fistula during postoperative radiotherapy has not yet reported in the literature, and there are few reports about pre and postoperative management of dementia patient after head and neck cancer surgery. Therefore, we report this case with a brief review of literature.

• Therapeutic Science for Rehabilitation
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• v.11 no.1
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• pp.21-33
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• 2022

Purpose : The purpose of this study was to establish scientific evidence though a systematic review, of the existing interventional methods and their respective effects, for swallowing disorders among dementia patients. The interventional methods were based on patient characteristics. Methods : An electronic literature search was performed using five electronic databases from 2010 to 2020. The keywords were 'Dementia', 'Alzheimer disease', 'Deglutition disorder', 'Swallowing disorder', 'Dysphagia'. Five articles met the inclusion criteria. Results : One study with moderate-to-severe and four studies with severe dementia patients were included. The interventions consisted of one remedial intervention, three compensatory interventions, and one comprehensive intervention. Compensatory intervention, including behavioral and psychological management, were used in moderate-to-severe patients. For the severe patients, remedial, compensatory, and comprehensive intervention were used to address the feeding tube problem. The interventions used in each study had a positive effect on the outcome variables associated with swallowing ability. Conclusion : The purpose of the intervention and the intervention factors changed depending on the patient's dementia stage. The intervention was effective when considering the progressive stage of the patient. These results may serve as a guide in designing effective interventions for swallowing disorders in dementia patients.