• 대한간호학회지
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• 제33권6호
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• pp.713-721
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• 2003

Purpose: This study was to determine the mediator or moderator role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. Method: Sixty nine family caregivers were randomly selected from health care centers in P city and a face-to-face interview was conducted using questionnaires from January to May of 2002. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical multiple regression using SPSS program. Result: Family caregivers of older adults with higher dependency in ADLs and higher problematic behaviors, provided care to the older adults for a longer period of time, and perceived less social support reported higher depression. Social support showed mediating effects between stress and depression, while did not show moderating effects. Elderly dependency on ADLs and caregiving duration decreased perceived social support and decreased social support increased depression. Conclusion: To increase family and social support to the caregivers of more functionally impaired elderly, family education to increase emotional support and physical assistance to the caregivers and broader and flexible application of social support such as increasing accessibility to the elderly daycare service with lower price may prove beneficial.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4805-4815
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• 2015

치매노인과 부양가족, 간호제공자를 대상으로 치매노인의 문제행동의 유형과 이에 따른 간호제공자의 대처방법과의 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA, discrete variable를 이용하여 상관 분석하였다. 연구결과는 부양가족 및 간호제공자가 경험한 치매노인 문제행동으로 초조행동이 가장 높게 나타났고, 세부영역별로는 '같은 질문을 반복하거나 같은 요구를 반복한다.' 와, '이상한 소리를 내거나 소음을 낸다.' 그리고 '.간호제공자의 말을 안 듣고 고집을 부린다.'등으로 나타났다. 또한 본 연구에서 나타난 치매노인의 문제행동에 따른 대처행동으로는 '언어적토론', '발생요인제거', '행동제한'이 순 상관관계가 있는 것으로 나타났다. 이에 본 연구자는 치매노인을 돌보는 관련 기관 및 재가에서는 간호제공자에게 치매노인의 문제행동 중 빈번하게 나타나는 문제행동별로 대처 할 수 있도록 정기적인 교육이 필요하다고 사료되고, 치매노인의 문제행동에 대한 개별화된 간호중재프로그램이 개발되는데 기초자료로 제공될 것이다.

• 대한통합의학회지
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• 제2권2호
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• pp.21-29
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• 2014

Purpose : This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Method : We investigated 181 physical therapists and 225 university students by using questionnaires from August 12 to September 19 2013. The questionnaire that used in this study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Result : Attitude scores for dementia, Physical therapist was 41.66. Physical Therapy student was 40.34. Non-student Department of Health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion : The study has revealed that the following factors of the therapists influence their attitudes towards dementia: their age; educational level; whether or not they have a family member with dementia; whether or not they have obtained information on dementia. Based on the finding, it is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy.

• 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.

• 한국콘텐츠학회논문지
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• 제17권3호
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• pp.274-284
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• 2017

우리 사회는 고령화에 따라 치매 유병률이 지속적으로 증가하여 사회적으로 큰 문제가 되고 있다. 국가적으로 장기 요양 보험 제도를 시행하고 있으나, 조건이 안되는 치매 노인은 기본적인 요양서비스도 이용할 수 없는 상황이다. 이러한 사회적 배경 아래 스마트폰 사용이 보편화되는 환경 하에서 현재 서비스되는 애플리케이션의 기능 분석과 대상자 설문조사를 토대로 초기(경증) 치매 노인에게 질병 관리 및 가족 간의 소통에 도움을 주는 애플리케이션에 대해 연구하고자 하였다. 연구 방법은 연구주제와 관련된 이론 연구를 배경으로 경증 치매 노인을 위해 서비스되는 애플리케이션 사용 환경을 분석하였으며, 이 분석을 통해 치매 노인을 위한 앱이 없다는 사실을 알게 되었다. 이 기본연구를 바탕으로 경도 치매 노인에게 필요한 약물 복용 관리, 신체 활동 관리, 두뇌 활동 관리, 치매 정보, 메모 등의 기능이 포함된 애플리케이션의 디자인기획 방향을 제시하였다. 나라에서 시행하는 제도적 지원에 이와 같은 서비스가 확대된다면, 애플리케이션 사용을 통해 수집된 데이터를 기반으로 경증 치매의 제도적 관리 선진화에 기여를 할 것으로 기대한다.

• 한국노년학
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• 제30권4호
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• pp.1117-1127
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• 2010

본 연구는 치매노인 가족의 부담감, 대처능력과 삶의 질을 파악하고 그 관계를 확인하기위해 구조화된 설문지를 이용해 시행된 서술적 조사연구이다. 연구의 대상자는 치매주간보호센터에 등록되어 서비스를 받고 있는 65세 이상 치매 진단자의 가족으로 경기도 일개 시 주간보호센터 8곳을 임의 표출하여 2010년 4월부터 6월까지 조사하였고 최종 연구대상자는 탈락자를 제외한 93명이었다. 연구결과 치매노인 가족의 부담감과 대처능력, 건강관련 삶의 질 정도를 확인하였고 부담감은 연령, 학력, 직업에 따라 차이가 있었으며 대처능력은 학력과 월소득에 따라, 건강관련 삶의 질은 연령과 결혼형태, 치매노인과의 관계에 따른 차이가 있음을 확인하였다. 본 연구의 의의는 건강관련 삶의 질과 대처능력, 부담감간의 관계를 확인함으로써 건강관련 삶의 질 향상을 위한 중재개발에 기초자료를 제시한 것이며 앞으로 대처능력 향상을 위한 구체적 연구와 치매노인 가족의 대처능력이 스트레스와 부담감에 미치는 영향에 대한 연구가 확대될 것을 제언한다.

• 지역사회간호학회지
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• 제14권1호
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• pp.106-119
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• 2003

This study was executed to develop the model of the format of the day care center which supplies the total service on the health care in the day time and social program related with the work and to evaluate the processing courses which was adjusted for 3 years from March 1999 to December 2001 in order to improve the quality of life of the family who experience dementia, dementia prevention, and the old and the burden of daily activities. The processing courses of this business model were evaluated to the confirmation on the health condition, application of the nursing processes, and the precise medical examination, and 20 sorts of social programs. The methods used in this model were the simplified MMSE-K, Ability for ,Daily Life(ADL), Instrumental Activities of Daily Living(IADL), and nursing process, and so on. The execution effects of this model are as follows. 1. It can contribute to the delay in the dementia process of the old people who are related with the dementia and maintenance and improvement of the health by confirming the stopping of the process of the dementia as the objective estimation method while the dementia symptom is maintained as the current condition through the medical and social total services. 2. The reduction of the burden for the daily care of the subject people and their families for the old people who are concerned with the dementia helped to improve the quality of life of the subject people and their family by enabling them to have jobs. 3. It enabled them to positively cope with the demand for the health and nursing of the local residents related to the old people. 4. It enabled them to enhance the recognition for the socialization of the local social organization and residents for the old people. 5. It enabled them to reinforce the related system among the local social organizations, and develop and provide the various social programs which are proper for the old people.

• 지역사회간호학회지
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• 제16권3호
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• pp.260-269
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• 2005

Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

• 가정과삶의질연구
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• 제14권2호
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• pp.77-96
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• 1996

The purposes of this study were to understand caregiving situation and to develop education program for families with the demented elderly,. Family caregivers of elderly patients with dementia clearly experience high levels of stress which often leads to such negative caregiver outcomes as depression interference with social activities and health difficulties. That is providing care is stressful for caregivers because the demands of the caregiving situation threaten to overwhelm the caregivers' coping resources. Therfore the families with demented elderly persons need assistances in order to alleviated burden of caregiving, In this study the educational program was designed to increase caregivers' confidence in problem-solving, And it was designed to provided information to demented elderly. The educational program of this study was given 5 session. And it was included the understanding of dementia the family caregiving experiences of the demented elderly persons the time for elf-care the search for helping the improving of interpersonal relations and communications.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권2호
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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.