• Title/Summary/Keyword: elderly people with dementia

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Changes in Depression and Stress of the Middle-Aged and Elderly through Participation in a Forest Therapy Program for Dementia Prevention

  • Hong, Jaeyoon;Park, Sujin;Lee, Jungwon
    • Journal of People, Plants, and Environment
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    • v.22 no.6
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    • pp.699-709
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    • 2019
  • Various health and social issues related to the elderly are emerging in line with the rapid aging of the population. In particular, dementia currently has a prevalence of about 10 percent of the elderly population in South Korea, which increases financial and social burdens to not only individual patients but also their caring family. To assess the effects of participating in the forest therapy programs for dementia prevention, this study recruited participants aged 50 and above and tested their depression (Korean form of Geriatric Depression Scale; KGDS) and stress response (Modified form of Stress Response Inventory; SRI-MF), which are emotional aspects of dementia. As a result, KGDS showed a significant decrease of 3.2 points from 8.4 to 5.2 points, and SRI-MF showed a significant decrease of 7.2 points from 40 to 32.8 points, indicating a statistically significant improvement in both. In addition, participants with minor depression and high level of stress in the pretest showed statistically significant improvements in the SRI-MF for men, and the KGDS and SRI-MF for women. Furthermore, there were statistically significant improvements in KGDS for participants in their 60s and in SRI-MF for those in their 70s in terms of age, and in both KGDS and SRI-MF for participants with chronic diseases and in KGDS for participants without chronic diseases. This study confirmed the effects of forest therapy on the prevention of the emotional aspects of dementia and laid the groundwork for increasing the applicability of forest therapy by obtaining a place for dementia prevention as a field of forest therapy.

Influence of the Caregiver Burden on the Oral Health-related Quality of Life of the Spouse of an Elderly Person with Dementia at Home (재가 치매노인 배우자의 부양부담감이 구강건강관련 삶의 질에 미치는 영향)

  • Sung, Kiwol
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.429-443
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    • 2020
  • Purpose: This study examined the influencing factors of caregiver burden on the oral health-related quality of life of the spouse of an elderly person with dementia at home. Methods: The participants were 115 spouses of dementia patients registered at dementia safety centers in five health centers in D city. Data were collected from June through December in 2019, using questionnaires of Oral Health Impact Profile (OHIP-49) and Burden Interview (BI). The data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis using the IBM SPSS Statistics 25.0 Program. Results: A negative correlation was observed between the oral health-related quality of life and caregiver burden (r=-37, p<.001). The caregiver burden (β=-.28, p=.001), subjective health status (β=.39, p<.001), and dental clinic visit (β=-.25, p=.002) explained 33.0% of the variance in the oral health-related quality of life. Conclusion: The development of nursing care for spouses of dementia patients will be needed to reduce the caregiver burden and enhance subjective health status and dental clinic visit, which influence the oral health-related quality of life of spouse of elderly people with dementia at home.

A Study on the Design Guidance for Remodeling Small and Medium Hospitals into Nursing Homes in Korea (국내 중.소규모 병원을 노인 요양시설로의 리모델링시 요구되는 디자인 지침에 관한 연구)

  • Park, Hyunjun;Choi, Sanghun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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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.

Effects of Snoezelen Room on Agitated Behavior of People with Dementia (스노잘렌 공간이 치매노인 동요행동에 미치는 영향)

  • Lee, Sook-Young;Alan, Dilani
    • Journal of the Korean housing association
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    • v.19 no.4
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    • pp.79-87
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    • 2008
  • Snoezelen, multi-sensory stimulation, provides stimulation through the visual, aural, tactile, olfactory, gustatory and proprioceptive senses. Its aim is to be a relaxing, feeling of safety, novelty and stimulation with no expectations for performance. Agitated behavior of people with dementia causes significant problems and distress for cares. The objective of this research study was to test the effects of Snoezelen room on physical and verbal agitated behaviors of people with dementia. Four patients participated five sessions in Snoezelen room of 'F' dementia care facility in Sweden. Assessment instrument was basically used Cohen-Mansfield Agitation Inventory-Short Form to be rated by caregivers on a 5-point frequency scale. Pre-trial and post-trial assessments were carried out during $27^{th}$ Aug.-$27^{th}$ Sept. 2007. Result shows that Snoezelen room has some short-term positive effect on agitated behavior even though there was a considerable variation individuals responded. This result adds to the increasing evidence that Snoezelen could be a therapeutic environment for the elderly with dementia. Further research study, with larger number of participation, and a control group is required to establish more scientific evidence of Snoezelen effects on health outcome.

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.260-269
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    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

Oral care status and elderly oral health knowledge of care workers and caregivers with regard to patients with dementia (요양보호사와 간병인의 치매환자에 대한 구강관리실태 및 노인 구강보건지식)

  • Lee, Kyeong-Hee;Choi, Yoon-Young;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.79-91
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    • 2019
  • Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community (재가치매노인 배우자의 자살생각 영향요인)

  • Du, Nam-Hee;Han, Suk-Jung
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.241-250
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    • 2018
  • The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.

Analyzing Hand Geometry to Develop Safety Gloves for Dementia People (치매 환자용 안전 장갑 개발을 위한 손 형태 분석)

  • Sujoung Cha
    • Journal of Fashion Business
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    • v.27 no.3
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    • pp.19-34
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    • 2023
  • The purpose of this study was to analyze the three-dimensional hand-related dimensions of elderly women aged 70 to 84 years and to characterize them to develop safety gloves for dementia patients. The 3D data from the 8th Human Size Survey of the National Institute of Standards and Technology, Size Korea, were analyzed using the SPSS 26.0 program. The straight thumb length was longer in elderly women aged 70-74 than in those aged 80-84. To analyze the hand type of elderly women, four factors were categorized: hand and finger horizontal factor, hand vertical factor, finger digit V thickness factor, and finger length factor. Elderly women's hand types were categorized as 'long hands and thin fingers', 'thick hands with long fingers', and 'short hands and thick little fingers'. Elderly women aged 70-74 years and 80-84 years were analyzed as having the most 'long hands and thin fingers' type, while older women aged 75-79 years were analyzed as having the most 'thick hands and long fingers' type. It is known that the fingers get thicker and the size of hands increase as age advances, but by the age 80, there is a change in the size of hands again. In future research, it would be worth expanding to other age groups to explore differences between age groups and to develop safety gloves for real-world dementia patients based on the hand types analyzed.

Merits of this Group Homes far the Elderly with Dementia Recognized by Middle and Upper Class Families, and Potential Obstacles to its Introduction in Korea (중산층 이상 가족이 인식하는 치매노인 그룹흠의 장점과 국내 도입의 문제점)

  • 김대년;권오정;최정선
    • 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.

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The Correlation between Problematic Behaviors and Activities of Daily Living of Elderly People with Dementia in Patients in a Geriatric Hospital

  • Wang, Joong San;Lee, Ju Hwan;Um, Ki Mai
    • Journal of International Academy of Physical Therapy Research
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    • v.4 no.2
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    • pp.545-551
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    • 2013
  • The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.