• 한국농촌간호학회지
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• 제1권1호
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• pp.40-48
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• 2006

Purpose: This study was done to identify the experience of stress and burn-out in caregivers of patients with senile dementia. Method: To evaluate the degree of stress and burn-out in caregivers of patients with senile dementia, 64 caregivers and matched to 64 patients with senile dementia at a Primary Health Care Post in South Kyung Sung Province were selected. The study was carried out from March 6 to March 30, 2001. Data on the degree of dementia in the patients was measured by the MMSE-K (Mini-Mental State Examination-Korea) and caregiver characteristics such as, sex, age, marital status, educational level, job, socioeconomic status, religion, number in family, relationship with patient, duration of care, and chronic disease in caregiver were collected by direct interview with a questionnaire. Results: Of 64 patients with senile dementia, 15.6% were classified as mild dementia (MMSE score 20-24) and 84.4%, as severe dementia. There were no significant characteristics of caregivers associated with the degree of stress and burn-out experience. The degree of burn-out in these caregivers of patients with severe dementia (mean value 94.3) was significantly higher than the 81.4 for those caring for patients with mild dementia (p<0.05). However, the degree of stress was not significantly related with the degree of dementia. The proportion experiencing severe burn-out (above score 4) was 54.7% in the physical domain, 90.6% in the emotional domain, and 73.4% in psychiatric domain, respectively. Conclusion: The above findings suggest that the degree of stress and burn-out experienced by caregivers of patients with senile dementia are high. Also the degree of burn-out experienced by in caregivers of patients with severe dementia was higher than for those caring for patients with mild dementia.

• 한국노년학
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• 제39권4호
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• pp.723-739
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• 2019

본 연구는 개인주의화, 만혼현상, 이혼율 증대 등이 복합적으로 작용하여 가족구조와 기능이 빠른 속도로 변화되는 추세에 고령화가 심화되고 있는 현실 속에서 우리나라 청소년들의 가족친밀감이 노인부양의식의 영향관계에서 노인인식과 치매에 대한 태도의 매개효과를 검증하는 것이다. 이러한 연구목적을 수행하기 위하여 광주광역시 소재 초·중·고등학교 학생을 대상으로 자기기입식 설문지를 통해 자료를 수집하였다. 통계분석을 위해서는 SPSS 20.0과 AMOS 18.0프로그램을 이용하였고, 빈도, 백분율, 기술통계, 상관관계, 요인분석, 구조모형검증, Sobel-Test를 실시하였다. 본 연구를 통해 나타난 결과는 다음과 같다. 첫째, 가족친밀감, 노인인식, 노인부양의식은 초등학생이 가장 높고, 중학생, 고등학생 순으로 '연령'에서 유의미하게 나타났다(P<.001). 또 종교에서는 종교가 있는 청소년의 가족친밀감이 종교가 없는 청소년 보다 더 높았다(p<.001). 둘째, 가족친밀감은 노인인식과 치매에 대한 태도, 노인부양의식에 직접적으로 영향을 미쳤으며, 노인인식은 치매에 대한 태도에, 치매에 대한 태도는 노인부양의식에 직접적으로 영향을 미쳤다. 셋째, 가족친밀감(부모-자녀)은 노인인식에 7.8%, 가족친밀감과 노인인식이 치매에 대한 태도에 20.2%, 치매에 대한 태도와 가족친밀감이 노인부양의식에 34.1%의 영향력이 있는 것으로 나타났다(p<.001). 넷째, 가족친밀감과 노인부양 의식 간의 노인인식, 치매에 대한 태도의 절대 값이 1.96보다 높게 나와 매개역할을 하는 것으로 검증되었다. 이러한 연구결과는 청소년 초기에 가족친밀감과 노인인식, 치매에 대한 태도의 향상을 위한 교육프로그램의 개발과 청소년들의 치매에 대한 지식이나 태도가 올바른 지식을 전달과 긍정적인 부양의식 해결과 함께 세대 간의 갈등 해소를 통해, 노인의 삶의 질을 향상시키기 위한 노인교육복지에 기여하고자 한다.

• 기본간호학회지
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• 제9권2호
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• pp.246-256
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• 2002

Purpose: This study was conducted to investigate correlations between environmental characteristics and disturbing behaviors in elderly people with dementia living in institutions. Method: A random sample of 107 subjects in three institutions for people with dementia in the Gyeongnam Province was tested between May 29 and June 5, 2002. Data was collected through a questionnaire and analyzed using SPSS/PC Win 10.0 Result: The major findings of the study are as follows. 1) the mean score on physical environment was $3.55{\pm}0.47$, and on psychosocial environment, $3.55{\pm}3.08$. 2) the mean score on disturbing behaviors showed that nonaggressive psychomotor behavior was the highest, and aggressive psychomotor behavior was the lowest. 3) the disturbing behaviors. in 5 the domains correlated with the environment and influencing factors included environment, family, level of dementia and level of ADL. Conclusion: Both the present physical environment and psychosocial environment influence the type of disturbing behavior in elderly people with dementia. Therefore, nursing can reduce the disturbing behaviors through maintenance of both the psychosocial environment and the physical environment. Furthermore, nurses must consider disturbing behaviors of elderly people with dementia by being aware of the level of dementia and ADL.

• 한국농촌건축학회논문집
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• 제24권4호
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• pp.49-58
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• 2022

The purpose of this study is to present the basic direction of a desirable space plan for the elderly with dementia by examining the characteristics of the development of daily living behavior of the elderly with dementia. As a research method, First, the literature survey identified the increase in the elderly population in gyeongnam-province and the basic status of 197 elderly care facilities installed and operated in gyeongnam-province, and second, the development of daily living behaviors of eight dementia elderly people in two facilities in the form of overlapping-shaped nursing homes. The results of the survey and analysis are as follows. First, on average, it was found that the elderly with dementia in nursing facilities spend 98.3% of their work hours in the bedroom and the residents' control room. Second, it was found that the elderly with dementia accounted for 57.2% of sleep and idleness, 21.3% of leisure and hobby, and 10.7% of basic behavior. Third, in the development of the daily living behaviors of the elderly with dementia, the time to develop daily living behaviors related to identity and sociality is prominent in the living zone, and the time to develop daily living behaviors related to identity, safety, and family atmosphere is prominent in the public zone.

• 기본간호학회지
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• 제11권2호
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• pp.166-176
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• 2004

Purpose: The purpose of this study was to identify the factors that affect depression among elderly people with, and without, dementia. Method: The participants were 903 people who were 65 or older and resided in Sungnam City. Data were collected from April to July 2002 using a questionnaire. The collected data were analyzed using descriptive statistics and hierarchical multiple regression aided by SPSS/PC. Result: The variables at the final step of the regression equation accounted for 28.2% of variance in the dementia group, 21.4% in the group with suspicious dementia, and 18.9% in the normal group. The multiple regression analysis revealed that ADL and instrumental support were related significantly to depression in the dementia group. Self-rated health, IADL, social activity support, and instrumental support were significantly related to depression in the group with suspicious dementia. In the normal group, education, self-rated health, and living arrangement with family were significantly related to depression. Conclusion: Social support and health condition are important to decrease depression in elderly people with dementia.

• 대한간호학회지
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• 제45권4호
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• pp.495-500
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• 2015

Purpose: The purpose of this paper was to discuss the need for translation studies in dementia care and current translational endeavors, and to provide recommendations for evolving evidence-based dementia care. Methods: A literature review yielded current evidence and translational efforts. Results: Dementia care interventions need to be implemented at various service levels. Barriers to translation include evidence gaps, lack of the use of a conceptual framework to explain the implementation process, and unsupportive funding mechanisms for applying innovations. Conclusion: There is clear evidence of the need for and benefits of evidence-based dementia care for patients with dementia, family caregivers, and care professionals. The urgent need now is finding ways to advance translational activities and facilitate future research into translation science.

• 대한간호학회지
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• 제24권3호
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• pp.448-460
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• 1994

This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

• 대한가정학회지
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• 제40권5호
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• 대한가정학회지
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• 제40권4호
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• pp.1-12
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• 2002

This study aimed to examine the needs for the planning of group homes for the elderly with dementia in lower income class, who have more economic burden on the caring the demented aged. The survey was conducted by questionnaires collected from 300 respondents from December 2000 to March 2001. Methods of analysis were frequency distribution, mean and chi-square test. The results of this study were as follows: 1) The respondents perceived that the responsibility to take care of the elderly with dementia belonged to their family, not to society or the government, and the sons and daughters had to share the burden placed on care-givers. 2) The awareness of group homes for dementia was relatively low. 3) The respondents' needs for the group homes with dementia could be summarized as follows; small scale plan with homelike atmosphere, a total of 6-8 residents, structural type of detached house or three-storied town house, 2-3 persons per individual room, and management system by non-profit organization or the government. There were no big differences between the respondents of this study and upper and middle class studies conducted by other research, except for some details. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if poetical assistance combined with economic support were provided.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.598-608
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• 2019

본 연구에서는 노인의 치매 발병에 따른 가족 보호자의 외상에 주목함으로써 가족 보호자의 외상 수준이 외상 후 성장에 미치는 영향을 살펴보고, 이에 대한 보호요인으로써 사회적 지지의 역할을 검증하고자 하였다. 이를 위하여 충청 지역에 거주하는 치매노인의 가족 보호자 204명을 조사대상자로 하였으며, 성별을 기준으로 집단을 나누어 비교분석하였다. 본 연구에서는 자료분석을 위하여 IBM SPSS Statistics ver. 20.0을 이용하였으며, 주요 연구결과는 다음과 같다. 첫째, 외상 수준은 가족 보호자의 여성 집단이 유의미하게 높은 것으로 나타났으며, 비공식적 영역의 사회적 지지와 외상 후 성장은 남성 집단이 유의미하게 높은 것으로 나타났다. 둘째, 외상 수준과 외상 후 성장의 관계에서 여성 집단은 사회적 지지의 공식적 영역 그리고 남성 집단은 사회적 지지의 공식적 및 비공식적 영역에서 각각 보호효과가 있는 것으로 나타났다. 이와 같이 본 연구는 치매노인 가족 보호자의 성별에 따른 비교분석을 시도함으로써 집단별로 외상 수준을 파악하고 외상 후 성장을 증진하기 위한 실천전략을 제시하고자 하였다. 나아가, 사회적 지지의 성격을 고려한 실증적 분석결과를 제시함으로써 향후 올바른 커뮤니티 케어를 구축하는데 필요한 기초자료를 제공했다는 점에서 본 연구의 의의가 있다.