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가족 돌봄 제공자를 위한 치매의 행동심리증상 대처 웹기반 교육 프로그램 개발
송준아(Song, Jun-Ah),박재원(Park, Jaewon),천홍진(Cheon, Hong-Jin),박명화(Park, Myonghwa) 한국노년학회 2015 한국노년학 Vol.35 No.2
본 연구는 가족 돌봄 제공자가 치매의 행동심리증상에 효율적으로 대처할 수 있도록 교육하기 위한 웹기반 교육 프로그램(Web-based educational program for behavioral and psychological symptoms of dementia, WebEd-BPSD)을 개발하고자 시도된 방법론적 연구이다. WebEd-BPSD는 총 2차 년도(1차 년도 2013년; 2차 년도 2014년)에 걸쳐 교육 요구도 분석(1단계), WebEd-BPSD 개발(2단계), WebEd-BPSD 평가(3단계)를 통해 개발되었다. 본 연구의 1단계에서는 치매의 행동심리증상에 대한 국․내외 문헌고찰과 가족 돌봄 제공자를 대상으로 한 포커스 그룹 인터뷰 결과를 근거로 WebEd-BPSD의 학습주제 및 내용을 선정하였다. 2단계에서는 1단계의 분석 결과를 바탕으로 선정된 치매의 행동심리증상에 대한 교육 컨텐츠를 구성하고 전문가의 내용 타당도 평가를 거쳐 최종적으로 ‘공격성(6분 56초)’, ‘초조행동(5분 30초)’, ‘무감동(3분 15초)’, ‘망상(7분 19초)’, ‘환각(6분 57초)’, ‘배회(7분 38초)’, ‘부적절한 배설행동(8분 17초)’, ‘부적절한 식사행동(6분 21초)’의 총 여덟 편으로 구성된 WebEd-BPSD을 제작하였다. 3단계에서는 서울 소재 4개의 치매지원센터를 이용하는 가족 돌봄 제공자(1차 년도 50명; 2차 년도 49명)와 전문가 집단(1차 년도 11명; 2차 년도 12명)에게 교육 프로그램에 대한 평가를 실시하였다. 가족 돌봄 제공자 및 전문가의 영상 및 내용 평가에 대한 전체 평균 점수는 1차 년도 3.43점, 3.25점, 2차 년도 3.38점, 3.54점이었고, 세부 항목별 만족도 평가에 대한 전체 평균 점수는 1차 년도 3.53점, 3.23점, 2차 년도 3.61점, 3.59점으로, 대체적으로 긍정적인 평가 결과를 얻었다. 본 연구를 토대로 추후 치매노인 관리와 관련된 다양한 주제에 대한 웹기반 교육 프로그램 개발의 필요성을 제언하는 바이다. The purpose of this study was to develop and evaluate web-based educational program to empower family caregivers in dealing with behavioral and psychological symptoms of dementia (BPSD) (WebEd-BPSD). The study was conducted in 2013 and 2014, consisting of three phases. In phase 1, literature reviews and focus group interviews with family caregivers were performed to select themes and contents for the WebEd-BPSD. In phase 2, validity of the themes and contents of the WebEd-BPSD were evaluated by professionals and eight sets of the WebEd-BPSD were finally produced: aggression (6’56”), agitation (5’30”), apathy (3’15”), delusion (7'19”), hallucination (6’57”), wandering (7’38”), inappropriate elimination (8’17”), and inappropriate eating behavior (6’21”). In phase 3, the WebEd-BPSD was evaluated by professionals (n=11 in 2013; n=12 in 2014) and family caregivers (n=50 in 2013; n=49 in 2014). The image and contents of WebEd-BPSD was rated 3.43, 3.38 by family caregivers and 3.25, 3.54 by professionals in 2013, 2014, respectively, showing that they were satisfied in general with the WebEd-BPSD. The findings suggested that it would be worthy to develop more contents that could be added to the WebEd-BPSD and to examine short term and long term effects of the program.
송준아(Song Jun-Ah),장성옥(Jang Sung-Ok),임여진(Lim Yeo-Jin),이숙자(Lee Sook-Ja),김순용(Kim Soon-Yong),설근희(Seol Geun-Hee) 기본간호학회 2007 기본간호학회지 Vol.14 No.3
Purpose: This study was done to investigate the relationship of family function, self-esteem, life satisfaction, and general characteristics to loneliness in community dwelling Korean elders and identify factors affecting loneliness. Method: With a cross-sectional causal-relationship design and a convenience sample, 205 elders residing in three districts of the city of Seoul, S. Korea were recruited. Participants were assessed using the Family APGAR Score, Self-Esteem Scale, Life-Satisfaction Scale, and Revised UCLA Loneliness Scale. Results: The mean score for degree of loneliness (Mean=39.61, SD=10.09) was just below the mean for the scale (Possible range 20-80). Loneliness had significant negative correlations with family function (r= -.400, p<.001), self-esteem (r= -.399, p<.001), and life satisfaction (r= -.644, p<.001). Other general characteristics that had significant or nearly significant relationships with loneliness were perceived current financial and health status, whether doing any exercise or physical activities, degree of close relationship with family members, and length of living in current residence. Among variables, life satisfaction (Standardized β = -.589, p<.001) and length of living in current residence (Standardized β = -.136, p<.05) significantly predicted degree of loneliness. Conclusion: Findings of this study allow a comprehensive understanding of loneliness and related factors among community dwelling elders in Korea. However, further studies with a larger random sample from various living environments are necessary.