작업치료 전공 학생의 치매에 대한 지식, 태도 및 치매 교육 요구 분석

정혜영 ( Hye-young Jung ),유찬욱 ( Chan-uk Yoo ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.2

Purpose : This study was conducted to examine the knowledge of, attitude toward, and education requirements for dementia that students majoring in occupational therapy have and to determine the correlations between knowledge of and attitude toward dementia according to the degree of dementia education provided in a university. Methods : From January 2021 to February 2021, 150 students majoring in occupational therapy in Daejeon, Jeollanam-do, and Gyeongsangnam-do were enrolled in this study and surveyed using a questionnaire. The students who participated understood the purpose of this study and agreed to participate. For data analysis, SPSS version 20.0 was used. Results : The subjects scored, on average, 18.64 ± 3.23 of 30 points Knowledge of dementia. The subjects had many correct answers in the items on dementia assessment, diagnosis, and treatment and care, whereas they had few correct answers in the items on the risk factors of dementia. In terms of attitude toward dementia, the subjects scored 37.38 ± 8.32 on the stability subscale and 48.26 ± 9.11 on the knowledge subscale; thus, they had higher scores on the knowledge subscale. The subjects had high educational requirements regarding the cognitive activity and activities of daily living of occupational therapy for dementia. The subjects’ knowledge of dementia had a positive correlation with their attitude toward dementia according to the degree of dementia education (p<.05). Conclusion : The students majoring in occupational therapy had high educational requirements of the cognitive activity and activity of daily living for dementia. When they had more education of dementia, their attitude toward dementia had a positive correlation with their knowledge of dementia. Therefore, it is considered that students majoring in occupational therapy need to have professional education in their university curriculum.

The Effect of Dementia Club Activity on College Life Satisfaction, Dementia Knowledge, and Dementia Attitude in Nursing Students

박영선,지영주 한국응용과학기술학회 2020 한국응용과학기술학회지 Vol.37 No.6

This is a quasi-experimental study with one-group pretest-posttest design to investigate the effect of dementia club activities on college life satisfaction, dementia knowledge, and dementia attitude in nursing students. The subjects were 26 nursing students who participated in club activities for more than three hours per a week. The college life satisfaction was measured using School Life Satisfaction Scale and dementia knowledge was measuring using Questionnaire for Awareness of Dementia used in dementia prevalence survey. Dementia Attitude Scale (DAS) was used to measure dementia attitude. The tests were performed before and after club activity, and collected data were analyzed using descriptive statistics and paired sample t-test. The results showed that the scores of college life satisfaction (t=-2.38, p= .025), dementia knowledge (t=-5.56, p< .001), dementia attitude social comfort that evaluate emotion, behavior, and awareness about dementia (t=-4.50, p< .001), dementia attitude dementia knowledge (t=-2.59, p= .016), and dementia attitude total score (t=-4.20, p< .001) increased statistically significantly after club activity. It is concluded, based on the results, that the club activities in college improve college life satisfaction, dementia knowledge, and dementia attitude thus provide contribute to caring for patients with dementia. The replication studies with larger random samples, however, are necessary to confirm the findings obtained from this study.

농촌형 치매 안심마을 사업이 지역주민의 치매 인식도, 인지기능, 우울감에 미치는 영향 :

한명일(Myeong-Il Han),김경민(Gyung-Min Kim),오지영(Ji-Young Oh),박미경(Mi-kyeong Park),강남인(Nam-In Kang),김재원(Jae-Won Kim) 대한노인정신의학회 2018 노인정신의학 Vol.22 No.1

Objective:According to the 3rd Korean National Dementia Plan, the dementia-friendly community initiative was launched. The aim of this study was to evaluate the effects of a rural dementia-friendly village project on the participants. Methods:Jeollabukdo Provincial Dementia Center designated Sosu-maeul, located in Buan-gun Jeollabuk-do, as a rural dementia-friendly village. We conducted dementia partnership education, youth-elder matching activity, and cognitive enhancing program. The efficacy of this project was evaluated by the changes in dementia awareness, cognitive function, and depressive symptoms. We used dementia awareness questionnaire, Mini-Mental Status Examination for Dementia Screening (MMSE-DS), and Korean version of Short form of Geriatric Depression Scale (SGDS-K). Results:This study was carried out with 24 residents in this community. There was no significant change in dementia awareness score between pre- and post-intervention (p=0.25). MMSE-DS score was significantly increased from 24.5 to 25.5 (p<0.001) and SGDS-K score was statistically improved from 3.5 to 2.5 (p=0.04) after interventions. Conclusion:We Jeollabukdo Provincial Dementia Center carried out a pilot study of a rural dementia-friendly village project. This project led to improvements on cognitive functions and depressive symptoms in the participants. But the improvement of dementia awareness was not achieved. More direct and experiencing interventions for people with dementia are necessary to improve dementia awareness.

Dementia-Free Survival and Risk Factors for Dementia in a Hospital-Based Korean Parkinson’s Disease Cohort

이수연,류현주,서정욱,노맹석,천상명,김재우 대한신경과학회 2017 Journal of Clinical Neurology Vol.13 No.1

Background and Purpose Few studies of dementia in Parkinson’s disease (PD) have had long-term follow-ups. Moreover, information on the duration from the onset to the development of dementia in patients with PD is lacking. The aim of this study was to determine the median dementia-free survival time from the onset of PD to the development of dementia. Methods In total, 1,193 Korean patients with PD were recruited and assessed at regular intervals of 3–6 months. We interviewed the patients and other informants to identify impairments in the activities of daily living. The Hoehn and Yahr stage and scores on the Unified Parkinson’s Disease Rating Scale and Mini Mental State Examination were evaluated annually. We used Kaplan-Meier survival analysis to estimate the cumulative proportion of dementia-free patients over time. Risk factors predicting dementia were also evaluated using Cox proportional-hazards regression models. Results The median dementia-free survival time in the Korean PD population was 19.9 years. Among the 119 patients who subsequently developed dementia, the mean duration from the onset of PD to the development of dementia was 10.6 years. A multivariate analysis identified age at onset and education period as the significant predictors of dementia. Conclusions This is the first report on dementia-free survival in patients with PD based on longitudinal data analysis from the disease onset. The median dementia-free survival time in Korean PD patients was found to be longer than expected.

보건계열 대학생의 치매 정책 인식과 치매 지식 및 태도에 관한 연구

장철,이대희 대한통합의학회 2024 대한통합의학회지 Vol.12 No.1

Purpose : The purpose of this study was to investigate health college students' awareness and knowledge of the dementia policy and their attitudes toward dementia. Methods : In this study, 294 questionnaires were collected from 301 college students in the Department of Health of K College in Busan from November 7 to 29, 2022. The questionnaire consisted of 59 items, including 9 items on general characteristics, 10 on awareness of the dementia policy, 15 on attitudes toward dementia, and 25 on knowledge about dementia. The collected data were analyzed using descriptive statistics, independent t test, and one-way analysis of variance with SPSS version 25. A post-analysis was performed using the Scheffe test. Dementia policy awareness, knowledge of dementia, and attitude toward dementia were analyzed with the Pearson correlation coefficient by factor. Results : The health students' dementia policy awareness and knowledge of dementia were high, and their attitudes toward dementia were positive. High knowledge of dementia was influenced by sex, interest in dementia, presence of dementia information, and related volunteer work experience. Positive attitudes toward dementia were related to sex, department, and mode of receiving dementia information. High dementia policy perceptions were associated with interest in dementia and the presence or absence of information on dementia. Positive correlations were found between dementia policy perception and knowledge and attitude toward dementia. Conclusion : According to our study, interest in dementia is increasing owing to the recent dementia safety system. As a result, the dementia policy awareness and knowledge of dementia among college students pursuing health studies were high, and their attitude toward dementia was positive. From these results, we can infer that systematic and continuous education on dementia should be conducted in universities.

치매 진단의 정확성을 높이기 위한 치매 종류별 특성의 비교 연구

노을희,박상찬 경희대학교 경영연구원 2019 의료경영학연구 Vol.13 No.3

As the aging of the population accelerates worldwide, dementia, a socially costly senile disease, is becoming a social problem. Dementia must be diagnosed correctly because dementia’s early detection is important. Thus in this study, 20 subgroups were analyzed based on the results of dementia diagnosis using the Korea Veterans Hospital's diagnosis information. We analyzed difference in proportions of gender, age, dementia’s diagnostic tests. There were 12(high risk group-dementia-vascular dementia), 15(low risk group-normal-alzheimer's disease), 16(low risk group-suspected dementia-alzheimer's disease), 20(low risk group-dementia-alzheimer's disease) subgroups with unusual patterns in the analysis of gender. As the result of analysis of age, 1(high risk group-normal-normal), 7(high risk group-high risk group of dementia-degenerative dementia), 10(high risk group-dementia-dementia), 15(low risk group-normal-alzheimer's disease), 19(low risk group-dementia-vascular dementia) subgroups showed unique appearance. There were 4(high risk group-MCI-MCI), 6(high risk group-suspected dementia-alzheimer's disease), 7(high risk group-high risk group of dementia-degenerative dementia), 10(high risk group-dementia-dementia) subgroups with unusual patterns in the analysis of second stage’s diagnostic test and 4(high risk group-MCI-MCI), 5(high risk group-suspected dementia-dementia), 6(high risk group-suspected dementia-alzheimer's disease), 7(high risk group-high risk group of dementia-degenerative dementia), 10(high risk group-dementia-dementia) subgroups with unusual patterns in the analysis of third stage’s diagnostic test. This study suggested a way to compare the characteristics of patients according to the type of dementia, and the analysis is meaningful in that it identifies subgroups that are characteristic. It is necessary to conduct the test effectively by utilizing the data of the existing examinee's characteristics such as the data presented in this study.

물리치료학과 학생들의 치매인식도 조사연구(광주, 전남)

김용성,조운수,Kim, Yong-Seong,Cho, Woon-Soo 대한물리치료과학회 2018 대한물리치료과학회지 Vol.25 No.3

Purpose: This study aims to draw students' attention to dementia and give students the right perception of dementia patients by comparing and analyzing students' awareness of dementia and educational needs of students in Honam area. In addition, the study will provide basic data that will help people develop education programs to prevent dementia. Methods: The study was conducted from May 10, 2018 to June 14, 2018, for 957 college students of physical therapy at 11 universities in Gwangju and Jeonnam. All participants understood the purpose of the study and agreed to participate in the study. Out of a total of 957 respondents, 950 people participated in the study, except for the seven who were unsuccessful in the survey. Results: Interest in dementia was found to be moderate, and many respondents answered that they had "information about dementia". Among them, broadcasting accounted for 41 percent of the total. Dementia awareness was categorized in four areas, symptom, disease, treatment, and nursing. In general, there is a low perception in all areas and improvement is needed. The need for dementia education was also different from what we thought. 649 students(68%) answered that they did not have dementia education. This is 349(36%) more than the 300 students(32%) who answered "Yes". Conclusion: The results show that college students lack awareness of dementia. In order to improve awareness of dementia, the government and community should be more interested in managing dementia, and active efforts to develop positive thinking and attitudes towards dementia.

Justification for Integrated Care of Dementia and Presbycusis: Focused on National Dementia Policy

박시훈,한우재,박경호 한국청각언어재활학회 2021 Audiology and Speech Research Vol.17 No.1

Dementia management has become one of essential factors in the national policy globally in terms of the elderly health care service. In the brief communication, we compared various national reports from other countries to see whether current care service for the dementia had integrative approach for the patients with hearing loss in Korea. We also discussed a need of systematic hearing care for the elderly with dementia who was also a suspected case of aged-related hearing loss because many studies had confirmed that untreated hearing loss has a negative effect on dementia and vice versa. After analyzing the national policy from several countries, we found that the systems had been well established to screen dementia patients by using various clinical tests in UK, Canada, and Japan who provided appropriate services by classifying types of the dementia. Remarkably, the hearing test was included as the testing protocol for the dementia in Canada and the experts such as speech pathologists and music therapists had worked in a non-pharmacotherapy program for the elderly with dementia in France. Unfortunately, the dementia policy of Korea needs to be refined when considering the hearing care/management in that the integrated management of hearing and dementia are important. In addition, the clinicians who work for the dementia care home need to know audiological knowledge. Since the auditory training and rehabilitation for the elderly can reduce increased rate of cognitive decline, we strongly recommend that auditory training should be a part of the cognitive rehabilitation programs in the dementia care home.

치매이해도 및 요구도(성동구 치매지원센터에서의 조사)

김희진,박기봉,김승현 대한치매학회 2008 Dementia and Neurocognitive Disorders Vol.7 No.2

Background: The knowledge and awareness of dementia among the public have been poorly estimated by the regional center for dementia. Methods: To assess the feasibility of dementia care facilities and the attitudes of community members toward dementia care facilities, we conducted semi-structured interviews with patients and caregivers who utilize regional centers for dementia. The questionnaires consisted of an assessment of the understanding of dementia, the items and amount requested for facility use and satisfaction with dementia care facilities. Results: A total of 151 residents completed this questionnaire form. The rate of interest in dementia was very high, 48.3% of total responses; however, the knowledge and familiarity with dementia were very low in comparison to the rate of interest (36.4%, 37.1%, respectively). Most of the responders suggested that more precise and easily understandable information should be provided by the regional center for dementia. Conclusion: The public need for dementia care facilities is very high, despite their minimal understanding of dementia. Therefore, it is crucial for the public to receive urgent preventive education. and a conversion of knowledge regarding dementia. Background: The knowledge and awareness of dementia among the public have been poorly estimated by the regional center for dementia. Methods: To assess the feasibility of dementia care facilities and the attitudes of community members toward dementia care facilities, we conducted semi-structured interviews with patients and caregivers who utilize regional centers for dementia. The questionnaires consisted of an assessment of the understanding of dementia, the items and amount requested for facility use and satisfaction with dementia care facilities. Results: A total of 151 residents completed this questionnaire form. The rate of interest in dementia was very high, 48.3% of total responses; however, the knowledge and familiarity with dementia were very low in comparison to the rate of interest (36.4%, 37.1%, respectively). Most of the responders suggested that more precise and easily understandable information should be provided by the regional center for dementia. Conclusion: The public need for dementia care facilities is very high, despite their minimal understanding of dementia. Therefore, it is crucial for the public to receive urgent preventive education. and a conversion of knowledge regarding dementia.

Safety and Efficacy of Anti-dementia Agents in the Extremely Elderly Patients with Dementia

임은예,양동원,김정석,조아현 대한의학회 2018 Journal of Korean medical science Vol.33 No.19

Background: There are debates on representation and generalizability of previous randomized controlled trials about anti-dementia agents in the oldest old population. In this context, we aimed to investigate the efficacy and safety of anti-dementia agents in the very elderly patients with dementia. Methods: We conducted a retrospective study of patients with dementia 1) who were 85 years or older, 2) got started anti-dementia agents, and 3) went through follow-up evaluation about one year thereafter. As a control, patients with dementia who were less than 85 years old with similar inclusion criteria were randomly selected during the same period. The adverse drug effects and discontinuation rates were investigated with self-reported complaint after starting or increasing anti-dementia drugs. For efficacy outcome, we also analyzed the change in neuropsychological results during follow-up period. Results: A total of 77 dementia patients who were at least 85 years were enrolled. As a control group, 78 patients with dementia who were younger than 85 was analyzed. The adverse drug effects were observed in 26 (33.3%) patients in the younger old and in 26 (33.8%) in the oldest old (P = 0.095). Twenty-one patients (26.9%) in the younger old group and 13 patients (16.9%) in the oldest old group discontinued their medication (P = 0.131). There were no differences between the two groups about changes of Mini-Mental State Examination and Instrumental Activity of Daily Living scores over time. Conclusion: The use of anti-dementia agents in the oldest old dementia patients may be safe and effective as the younger old dementia patients.