• Title/Summary/Keyword: the elderly with dementia

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Oral care practices for dementia patients and social support and depression in family caregivers of dementia patients (치매환자 부양가족의 치매환자 구강관리 실태 및 우울과 사회적지지)

  • Nam, Young-Ok;Lee, Kyeong-Hee;Park, Il-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.845-858
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    • 2019
  • Objectives: This study aims to contribute to devising systems for family caregivers of dementia patients by examining the state of oral care of dementia patients, and depression and social support among family caregivers of dementia patients. Methods: Family caregivers of dementia patients in the metropolitan area were selected in this study. The inclusion criteria were individuals who have provided care for a dementia patient at home for at least six months and those who come in contact (including phone calls) with the patient at least twice a week. Results: Oral health knowledge of the elderly, caregiving burden, depression, and social support were examined. The mean scores for oral health knowledge of the elderly and caregiving burden were $57.11{\pm}16.94$ out of 100 and $17.33{\pm}8.61$ out of 48, respectively. Further, the mean caregiving behavior score, depression score, and social support score were $8.49{\pm}13.71$ out of 100, $5.11{\pm}3.05$ out of 10, and $72.75{\pm}17.03$ out of 100, respectively. Factors affecting oral health knowledge of the elderly were examined. The results showed that the level of oral health knowledge of the elderly increased with an increasing perception of a need for oral health education (p<0.05), caregiving burden (p<0.01), and social support (p<0.01). Conclusions: These findings suggest that developing and popularizing oral care intervention programs for family caregivers of dementia patients are necessary to ensure systematic oral care for dementia patients.

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.

The Effect of the Integrated Cognitive Rehabilitation Program on the Cognitive Function and Depression of Elderly with Mild Dementia (경증치매노인에서 통합적 인지재활 프로그램의 인지기능 및 우울정도 개선효과 연구)

  • Oh, Ji Yeon;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.94-102
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    • 2020
  • Purpose: This study aimed to investigate the effect of the integrated cognitive rehabilitation program in elderly patients with mild dementia. Methods: A total of 20 elderly patients with mild dementia participated in the integrated cognitive rehabilitation program. The program was conducted three times per week for a total of 4 periods (10 wks per period) from February 6, 2018 to December 13, 2018. Each session lasted for 1 hour, and the cognitive function and depression of the subjects were measured before and after they participated in the program. Results: After the program, there was a significant increase and decreases in participants' cognitive function and depression respectively. There was a statistically significant difference in cognitive function score over time and period, except for the 2nd period. The difference in the degree of depression over time and period was statistically significant. Conclusion: The results suggest that an integrated cognitive rehabilitation program could help improve cognitive function and the degree of depression in elderly patients with mild dementia.

Effects of Depression, Sleep and Self-Esteem on Dementia Preventive Behavior in Rural Elderly People (농촌노인의 우울, 수면, 자아존중감이 치매예방행위에 미치는 영향)

  • Choi, Hye-jin;Kim, Hee-young
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.970-980
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    • 2021
  • The purpose of this study was to examine the effects of depression, sleep, and self-esteem on a dementia preventive behavior in rural elderly people. The participants were 235 elderly people aged 60 or older who lived in J-Gun, J-Do. Data were collected using structured questionnaires and analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 25.0 program. There were significant differences in the dementia preventive behavior according to religion, the level of education, a cohabitation type, an economic level, and dementia education experience. Participants' dementia preventive behavior was positively correlated with self-esteem (r=.52, p<.001) and sleep (r=.31, p<.001). However, it was negatively correlated with depression (r=-.57, p<.001). Factors affecting the dementia preventive behavior were depression, self-esteem, and religion. The explanatory power of variables was 37%. To increase a dementia prevention behavior in rural elderly people, it is necessary to develop dementia prevention programs to reduce depression and improve self-esteem and to create social conditions to facilitate various social participations such as a religious activity.

Effects of Bibliotherapy of Dotard Dementias Old Adults (독서요법이 경증 치매노인에게 미치는 효과)

  • Hwang, In-Dam;Park, Joon-Shik
    • Journal of Korean Library and Information Science Society
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    • v.41 no.4
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    • pp.383-402
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    • 2010
  • This study was conducted to investigate the effectiveness of bibliotherapy on the levels of cognitive function, depression, and social behavior in the elderly with mild dementia. For this quasi-experimental research, a total of 166 subjects the age of from 90 to 65 were selected of the 166, were divided into the experimental group and control group for six months. These findings confirmed that the dementia Bibliotherapy program made a contribution to improve cognitive function and social behavior, and to reduce depression in the elderly with mild dementia. Therefore, it is recommended that this program be used in clinical practice as an effective Bibliotherapy program for the elderly with mild dementia.

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The Influences of Functinal Impariment and Personal Characteristics of Demented Elderly, and Related Variables of Housewives on Caregiving Stress (치매노인의 기능장애 및 개인적 특성과 주부의 관련변인이 부양스트레스에 미치는 영향)

  • 장윤옥
    • 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.

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Influences of Dementia Knowledge and Dementia Attitude on Physical Activity of Old-Old Elderly (일지역 후기노인의 치매인식도와 치매태도가 신체활동에 미치는 영향)

  • Lee, Jeong-Hwa;Suh, Soon-Rim;Kim, Eun-Hwi
    • 한국노년학
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    • v.37 no.2
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    • pp.369-383
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    • 2017
  • The purpose of this study was to investigate levels of dementia knowledge, dementia attitude, and physical activities and whether dementia knowledge and dementia attitude affect physical activities in old-old elderly who had high risk of dementia. A descriptive study design was used. Participants were 218 old-old elderly above 75 years at 9 elderly welfare facilities in K county from June 1 to 30 in 2016. Collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, hierarchical regression using SPSS WIN 18.0 program. The mean scores of dementia knowledge, dementia attitude, and physical activity of participants were low, there were positive correlations between dementia knowledge and dementia attitude (r=.380, p<.001), and physical activities (r=.211, p=.002), and between dementia attitude and physical activities (r=.380, p<.001). The significant predictors of physical activities were dementia attitude (${\beta}=.271$, p<.001), gender (${\beta}=.207$, p=.003) and education level (${\beta}=.184$, p=.023). These variables explained 28.8% of physical activities. In conclusion, we need to develop a customized multifactorial physical activity program with considering dementia knowledge and dementia attitude especially for old-old elderly women with low education level.

Design and Manufacture of Therapeutic Dolls for Pulse Measurement of Elderly Patients with Dementia (치매노인의 맥박측정을 위한 치료적 인형의 설계 및 제작)

  • Cha, Chiyoung;Won, Seungmook;Lee, JinKyu;Kim, Seong Keol
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.24 no.5
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    • pp.561-567
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    • 2015
  • For a long time, therapeutic dolls have been provided to elderly patients with dementia as a non-drug therapy in several western countries. These dolls are made to resemble newborn babies. Touching the dolls and singing lullabies remind the elderly of taking care of their babies. These actions are effective in decreasing anxiety and reducing aggression, particularly, in the elderly with dementia. These dolls also help them to adapt to new places such as nursing facilities. This work proposes the installation of advanced systems in therapeutic dolls to aid the medical treatment of dementia patients by stabilizing their physical and mental health.

The Effects of a Folk Play Program on Cognition, ADL, and Problematic Behavior in the Elderly with Dementia (민속놀이 프로그램이 치매노인의 인지기능, 일상생활수행능력 및 문제행동에 미치는 효과)

  • Kim, Jung-Soon;Jung, Jeong-Sim
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1153-1162
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    • 2005
  • Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

The Activities of Dementia Partners and the Quality of Life of the Elderly with Dementia in Rural Area (일 농촌지역 치매 파트너 활동과 치매 노인의 삶의 질)

  • Kim, Sung lim;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.46 no.4
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    • pp.230-241
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    • 2021
  • Objectives: The purpose of this study was to identify the level of quality of life and related factors in the elderly with dementia living in their houses of rural area who are receiving dementia partners' supporting activities. Methods: The study participants were 55 elderly people with dementia living in their houses who were participating in the dementia partner pilot project among those registered in the public health center in one area and 55 dementia partners. Data were analyzed by independent t-test, ANOVA, Pearson correlation analysis and multiple regression analysis. Results: The factors that had a significant effect on quality of life included depression to predict the quality of life in the elderly with dementia. And its explanatory power was 46.8%. Conclusions: Based on these results, it is crucial not only to maintain physical functions but also to decrease depression by emotional support activities so as to enhance their quality of life, therefore, it is required to develop and apply the integrative supporting programs in rural area. From the result that dementia partner's self-compassion would lower the depression in the elderly with dementia significantly, it is considered to develop the programs to enhance dementia partners' self-compassion.