Journal of Korean Academy of Nursing

Research Papers

Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in LongTerm Care Hospitals: Lim, Jeong Ok , Gu, Mee Ock; J Korean Acad Nurs 2022;52(3):341-358. Published online June 30, 2022; DOI: https://doi.org/10.4040/jkan.21230

Purpose
This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals.
Methods
A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann―Whitney U test with SPSS/WIN 21.0.
Results
The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group.
Conclusion
The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

Citations

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Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
Soojin Chung, Jeongim Lee
Journal of Health Informatics and Statistics.2025; 50(1): 96. CrossRef
Current Trends of Exercise Programs for Improving Cognitive Function in Older Adults
Jae-Hyun Lee, Wooyeon Jo, Jaeho Jin, Yaxiong Zheng, Soyoon Lee, Se-Yeon Jang, Minseo Kim, Young-Jin Moon, Hye Gwang Jeong, Sang Ki Lee
Exercise Science.2024; 33(3): 254. CrossRef
Factors Influencing Dementia Care Competence among Care Staff: A Mixed-Methods Systematic Review Protocol
Jinfeng Zhu, Jing Wang, Bo Zhang, Xi Zhang, Hui Wu
Healthcare.2024; 12(11): 1155. CrossRef
Falls in Patients of Medical Institutions in South Korea: A Literature Review
Jongwon Choi, Woochol Joseph Choi
Physical Therapy Korea.2023; 30(1): 1. CrossRef
A Study on Emotions to Improve the Quality of Life of South Korean Senior Patients Residing in Convalescent Hospitals
Aeju Kim, Yucheon Kim, Jongtae Rhee, Songyi Lee, Youngil Jeong, Jeongeun Lee, Youngeun Yoo, Haechan Kim, Hyeonji So, Junhyeong Park
International Journal of Environmental Research and Public Health.2022; 19(21): 14480. CrossRef

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Effect of Virtual Reality Program for Alleviating Behavioral and Psychological Symptoms of Dementia Patients: Park, Seon-Min , Choi, Seung-Yi , Kim, Jung-Hee; J Korean Acad Nurs 2022;52(2):121-133. Published online April 30, 2022; DOI: https://doi.org/10.4040/jkan.22008

Abstract PDF

Purpose
This study examined the impact of a virtual reality intervention program based on psychological needs on behavioral and psychological symptoms, apathy, and quality of life (QOL) in patients with dementia or mild cognitive impairment living in nursing facilities.
Methods
This study is nonequivalent control group pretest-posttest design of quasi-experimental study. The study collected data from November 18, 2020 to July 24, 2021 from patients with dementia or mild cognitive impairment (30 in the experimental group and 30 in the control group) at three nursing facilities in G city using self-reporting and caregiver-informant reporting methods. The analysis employed the chi-square test, Fisher’s exact test, paired t-test, independent t-test, Wilcoxon signed rank test, Mann–Whitney U, repeated measures ANOVA, GEE, using SPSS/WIN 27.0.
Results
The severity of behavioral and psychological symptoms (Wald χ2 = 2.68, p = .102) and the care burden of caregivers (Wald χ2 = 1.72, p = .190) were not significant and was no significant time and group interaction effect (Wald χ2 = 0.63, p = .426, Wald χ2 = 0.52, p =. 471). The difference in apathy and QOL score were statistically significant for the group-time interaction (F = 43.65, p < .001; F = 4.35, p= .041).
Conclusion
The virtual reality intervention program of this study shows a positive effect on the apathy reduction and QOL of patients with dementia or mild cognitive impairment residing in nursing facilities.

Citations

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The effectiveness of nursing interventions for elderly dementia patients based on virtual reality technology: A systematic review and meta-analysis
Jun Wen, Hong Yan, Siyu Wang, Jialan Xu, Zitong Zhou
Ageing Research Reviews.2024; 93: 102135. CrossRef
Development of the “living well” concept for older people with dementia
Jiyoung Kim, Nayeon Shin
BMC Geriatrics.2023;[Epub] CrossRef

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Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia: Kwon, Jeong Hwa , Hong, Gwi-Ryung Son; J Korean Acad Nurs 2021;51(2):217-231. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20274

Abstract PDF

Purpose
The purpose of this study was to identify the influence of self-care on burnout experienced by primary family caregivers of persons with dementia.
Methods
The subjects of the study were 156 primary family caregivers of persons with dementia at home in Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple regression using IBM SPSS Statistics ver. 24.0 for Windows.
Results
The mean scores for self-care and burnout were 42.35 and 61.60, respectively. Self-care, subjective health status, living with a person with dementia, and behavioral and psychological symptoms of dementia were significant factors affecting burnout in family caregivers. Self-care was identified as the strongest factor affecting burnout, explaining 13.9% of burnout with controlling factors in caregivers and care receivers.
Conclusion
To prevent burnout in primary family caregivers of persons with dementia, self-care of family caregivers should be emphasized. In nursing education, family caregivers should be recognized and approached as nursing clients who are responsible for taking care of their health. In nursing practice and research, digital self-care or self-care improvement intervention programs should be designed to help family caregivers, and further studies on self-care centered on health of family caregivers should be conducted.

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Hyeon Mi Woo
Korean Journal of Adult Nursing.2024; 36(3): 212. CrossRef
Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
Ja Eun Kim, Soo Jin Lee
Journal of Korean Biological Nursing Science.2024; 26(4): 382. CrossRef
Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
BMC Nursing.2024;[Epub] CrossRef
Survey on Tele-Rehabilitation Therapy Awareness Among Primary Caregivers of Dementia Patients
Ae-Lyeong Kwon, Hye-Jin Jang, Ki-Jeon Kim
The Journal of Korean Physical Therapy.2024; 36(6): 190. CrossRef
Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
PeerJ.2023; 11: e15178. CrossRef
Self-Care Experiences of Family Members of Mentally Ill Patients
Won Hee Jun, Eun Ju Cho, Eun Joung Choi
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(4): 458. CrossRef

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Original Article

Effect of Ghrelin on Memory Impairment in a Rat Model of Vascular Dementia: Jong-Min Park, Youn-Jung Kim; J Korean Acad Nurs 2019;49(3):317-328. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.317

Abstract PDF

Abstract Purpose

The purpose of this study was to identify the effect of ghrelin on memory impairment in a rat model of vascular dementia induced by chronic cerebral hypoperfusion.

Methods

Randomized controlled groups and the posttest design were used. We established the representative animal model of vascular dementia caused by bilateral common carotid artery occlusion and administered 80 μg/kg ghrelin intraperitoneally for 4 weeks. First, behavioral studies were performed to evaluate spatial memory. Second, we used molecular biology techniques to determine whether ghrelin ameliorates the damage to the structure and function of the white matter and hippocampus, which are crucial to learning and memory.

Results

Ghrelin improved the spatial memory impairment in the Y-maze and Morris water maze test. In the white matter, demyelination and atrophy of the corpus callosum were significantly decreased in the ghrelin-treated group. In the hippocampus, ghrelin increased the length of hippocampal microvessels and reduced the microvessels pathology. Further, we confirmed angiogenesis enhancement through the fact that ghrelin treatment increased vascular endothelial growth factor (VEGF)-related protein levels, which are the most powerful mediators of angiogenesis in the hippocampus.

Conclusion

We found that ghrelin affected the damaged myelin sheaths and microvessels by increasing angiogenesis, which then led to neuroprotection and improved memory function. We suggest that further studies continue to accumulate evidence of the effect of ghrelin. Further, we believe that the development of therapeutic interventions that increase ghrelin may contribute to memory improvement in patients with vascular dementia.

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Exploring the mechanism of Ginkgo biloba L. leaves in the treatment of vascular dementia based on network pharmacology, molecular docking, and molecular dynamics simulation
Jienuo Pan, Jiqin Tang, Jialin Gai, Yilan Jin, Bingshun Tang, Xiaohua Fan
Medicine.2023; 102(21): e33877. CrossRef
Quercetin Alleviates Demyelination Through Regulating Microglial Phenotype Transformation to Mitigate Neuropsychiatric Symptoms in Mice with Vascular Dementia
Zihu Tan, Guang Yang, Jing Qiu, Wenjing Yan, Yu Liu, Zhengling Ma, Jia Li, Jing Liu, Nan Shan
Molecular Neurobiology.2022; 59(5): 3140. CrossRef
Effect of Obesity on Cognitive Impairment in Vascular Dementia Rat Model via BDNF-ERK-CREB Pathway
Yoonju Kim, Youn-Jung Kim
Biological Research For Nursing.2021; 23(2): 248. CrossRef
Ghrelin treatment leads to dendritic spine remodeling in hippocampal neurons and increases the expression of specific BDNF-mRNA species
M.L. Perea Vega, M.S. Sanchez, G. Fernández, M.G. Paglini, M. Martin, S.R. de Barioglio
Neurobiology of Learning and Memory.2021; 179: 107409. CrossRef

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Review Article

Effects of Reminiscence Therapy on Depressive Symptoms in Older Adults with Dementia: A Systematic Review and Meta-Analysis: Kyungsoo Kim, Jia Lee; J Korean Acad Nurs 2019;49(3):225-240. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.225

Abstract PDF

Abstract Purpose

The purpose of this study was to evaluate the effects of reminiscence therapy on depressive symptoms in older adults with dementia using a systematic review and meta-analysis.

Methods

Randomized controlled trials (RCTs) published from January 2000 to January 2018 were searched through Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), Korean Medical Database (KMbase), KoreaMed, PubMed, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid MEDLINE. Two researchers independently performed the search, selection, and coding. Comprehensive Meta-Analysis 3.0 was used for meta-analysis, and Review Manager program 5.3 was used for quality assessment.

Results

Out of the 1,250 retrieved articles, 22 RCTs were selected for analysis. The overall effect size of reminiscence therapy for mitigating depressive symptoms in older adults with dementia was -0.62 (95% Cl: -0.92 to -0.31). The effect size was greater in older adults under 80, those with less disease severity, and those for whom the therapy session lasted less than 40 minutes.

Conclusion

Reminiscence therapy is an effective non-pharmacological therapy to improve depressive symptoms in older adults with dementia. Because its effectiveness is also influenced by age, disease severity, and application method, it is necessary to consider treatment designs based on individual characteristics as well as methodological approaches.

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Group reminiscence therapy interventions in non-clinical older adults: A systematic review
Ali Eryılmaz, Emre Yıldırım, Hacer Yıldırım Kurtulus, Murat Yıldırım
Geriatric Nursing.2025; 63: 35. CrossRef
Evaluation of the Influence of Garden Therapy on Memory Decline and Depression in Older Adults with Cognitive Impairments
Chohye Youn, Minji Kang, Hyejin Kim, Hyeyoon Kim, Jiyun Choi, Suyeon Lee, Juyoung Lee
Journal of Environmental Science International.2025; 34(3): 125. CrossRef
Effects of reminiscence interventions on depression and anxiety: a meta-analysis of randomized controlled trials
Martin Pinquart
Aging & Mental Health.2024; 28(5): 717. CrossRef
Effects of reminiscence therapy on quality of life and life satisfaction of the elderly in the community: a systematic review
Eunyoung Shin, Myeongshin Kim, Seyoon Kim, Sohyune Sok
BMC Geriatrics.2023;[Epub] CrossRef
Transcultural Pilot Study of the Efficacy of Reminiscence Therapy for Mexican and Spanish Older Adults with Different Levels of Cognitive Decline
Alba Villasán-Rueda, Antonio Sánchez-Cabaco, Manuel Mejía-Ramírez, Rosa Marina Afonso, Eduardo Castillo-Riedel
Journal of Cross-Cultural Gerontology.2023; 38(4): 371. CrossRef
Cross-cultural effects of reminiscence therapy on life satisfaction and autobiographical memory of older adults: a pilot study across Mexico and Spain
Alba Villasán Rueda, Antonio Sánchez Cabaco, Manuel Alejandro Mejía-Ramírez, Rosa Marina Afonso, Eduardo Castillo-Riedel
Alzheimer's Research & Therapy.2023;[Epub] CrossRef
Efficacy of group reminiscence therapy based on Chinese traditional festival activities (CTFA-GRT) on loneliness and perceived stress of rural older adults living alone in China: a randomized controlled trial
Shasha Li, Yanyan Dai, Yuqiu Zhou, Jiayuan Zhang, Chiteng Zhou
Aging & Mental Health.2022; 26(7): 1377. CrossRef
Behavioral and Psychological Symptoms and Associated Factors in Community-Dwelling Persons at the First Time of Dementia Diagnosis
Gijung Jung, Jia Lee
International Journal of Environmental Research and Public Health.2022; 19(13): 7765. CrossRef

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Original Articles

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia: Jihye Lee, Moonhee Gang; J Korean Acad Nurs 2019;49(1):1-13. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.1

Abstract PDF

Abstract Purpose

The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D).

Methods

Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency.

Results

The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88.

Conclusion

The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Citations

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The influence of socio-cognitive mindfulness, moral sensitivity and dementia communication behaviors on dementia nursing performance of nurses in long-term care hospitals: a cross-sectional study
Hyun Ju Bong, Mikyoung Lee
BMC Nursing.2024;[Epub] CrossRef
Factors influencing shared decision-making in long-term care facilities
Da Eun Kim, Min Jung Kim
BMC Geriatrics.2023;[Epub] CrossRef
Nursing students' experiences as dementia partners in volunteer activities: An inductive content analysis
Dooree Kim, Yunhee Park
The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 146. CrossRef

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Shifting of Centricity: Qualitative Meta Synthetic Approach on Caring Experience of Family Members of Patients with Dementia: Young Mi Ryu, Mi Yu, Seieun Oh, Haeyoung Lee, Haejin Kim; J Korean Acad Nurs 2018;48(5):601-621. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.601

Abstract PDF

Abstract Purpose

This study aimed to synthesize the caring experiences of Korean family members of patients with dementia through a qualitative meta-synthesis method.

Methods

By searching through nine Korean and English databases, we compared 37 qualitative studies on caring experiences of family members of patients with dementia. The selected studies were synthesized through meta-synthesis, proposed by Sandelowski and Barroso (2007).

Results

The meta-synthesis elicited four themes: tough life due to care for patients, changes in relationships, adaptation to caregiver's roles, and new perspectives of life through personal growth. Caregivers were shocked when a sudden diagnosis of dementia was made prior to any preparation on their part. They were tied to their patients all the time and their mind and body got exhausted. Their relationship with patients began to change and they looked at them differently. They experienced conflicts with the other non-caring family members and were alienated from them. They were also socially isolated. However, by building their own care strategies and utilizing social resources, they gradually adapted to their caregiver roles. Finally, they experienced personal growth and acquired a new perspective toward life by accepting their roles and finding meaning in their lives. Shifting the caregiver's centricity from themselves to the patient was the process of becoming human beings who actively constructed their realities while giving meaning to their painful lives and interacting with the environment.

Conclusion

The results of the study can be useful for nurses in understanding the experiences of caregivers of the patients with dementia and in providing them with practical interventions.

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Soyoung Jang, Eunyoung E. Suh, Yoonhee Seok
Journal of Korean Academy of Nursing.2025; 55(1): 119. CrossRef
Self-care experiences of male spouses of people with dementia: a descriptive phenomenological study
Sua Jung, Jun-Ah Song
Aging & Mental Health.2025; : 1. CrossRef
Time Usage and Satisfaction Based on Occupational Area Between Weekdays and Weekends of Family Caregivers and Non-family Caregivers of Dementia Patients
Woo-Hyuk Jang, Jong-Hwi Park
Annals of Indian Academy of Neurology.2024; 27(5): 543. CrossRef
Health and medical experience of migrant workers: qualitative meta-synthesis
Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
Archives of Public Health.2024;[Epub] CrossRef
Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
PeerJ.2023; 11: e15178. CrossRef
Factors related to depression in primary caregivers of older adults with dementia in the COVID-19 pandemic era: A cross-sectional descriptive study
Su-In Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2023; 25(4): 420. CrossRef
Partners' Experience of Informal Caregiving for Patients With Heart Failure
Zequan Wang, Christine Tocchi
Journal of Cardiovascular Nursing.2023; 38(2): E40. CrossRef
Caring Experience of Spouse Caregivers of Persons with Alzheimer's Disease: A Qualitative Study
Jin-Hee Lee, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2022; 24(3): 257. CrossRef
Korean Family Caregivers' Experiences With Managing Behavioral and Psychological Symptoms of Dementia: Keeping Harmony in Daily Life
Jiyeon Kim, Jun-Ah Song, Sua Jung, Hongjin Cheon, Jiyeon Kim
Research in Gerontological Nursing.2022; 15(3): 141. CrossRef
Family Caregiver Suffering in Caring for Patients with Amyotrophic Lateral Sclerosis in Korea
Juyeon Oh, Jung-A Kim, Min Sun Chu
International Journal of Environmental Research and Public Health.2021; 18(9): 4937. CrossRef
Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
Young Ju Oh, Myung Ha Lee, Hee Sun Kim
Korean Journal of Adult Nursing.2020; 32(2): 186. CrossRef
Family Members’ Experience in Caring for Elderly with Dementia in Long-Term Care Hospitals
Eun Kyoung Suh, Hye Ryoung Kim
Journal of Korean Gerontological Nursing.2020; 22(4): 335. CrossRef
Caring experiences of family caregivers of patients with heart failure: A meta-ethnographic review of the past 10 years
Eun Young Kim, Seieun Oh, Youn-Jung Son
European Journal of Cardiovascular Nursing.2020; 19(6): 473. CrossRef
Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia
Kyung Choon Lim
Journal of Korean Academic Society of Nursing Education.2019; 25(1): 136. CrossRef

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Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities: Hyun Hwa Hong, Mee Ock Gu; J Korean Acad Nurs 2018;48(2):167-181. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.167

Abstract PDF

Abstract Purpose

We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities.

Methods

A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0.

Results

Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index.

Conclusion

The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

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Factors Affecting Mealtime Difficulties in Older Adults with Dementia Living in Long-Term Care Facilities: A Multilevel Model Analysis
Dukyoo Jung, Jennie C. De Gagne, Hyesoon Lee, Leeho Yoo, Jisung Park, Eunju Choi, Yonggang Zhang
Journal of Nursing Management.2023; 2023: 1. CrossRef
Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities
Soon-Ok Kim
International Journal of Environmental Research and Public Health.2021; 18(21): 11458. CrossRef
Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review
Dukyoo Jung, Kyuri Lee, Eunju Choi
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 470. CrossRef
Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea

Dukyoo Jung, Jennie C De Gagne, Minkyung Lee, Hyesoon Lee, Kyuri Lee, Eunju Choi, Juyoun Chung
Clinical Interventions in Aging.2020; Volume 15: 2019. CrossRef
Informal dementia caregivers’ experiences and perceptions about mealtime care: A qualitative evidence synthesis
Yijing Li, Dan Sun, Xu Zhang, Huanhuan Li, Yingnan Zhao, Dongfei Ma, Zehui Li, Jiao Sun
Journal of Advanced Nursing.2020; 76(12): 3317. CrossRef

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Predictors of Behavioral and Psychological Symptoms of Dementia: Based on the Model of Multi-Dimensional Behavior: Jeong Eun Yang, Gwi-Ryung Son Hong; J Korean Acad Nurs 2018;48(2):143-153. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.143

Abstract PDF

Abstract Purpose

The purpose of this study was to identify factors predicting behavioral and psychological symptoms of dementia (BPSD) in persons with dementia. Factors including the patient, caregiver, and environment based on the multi-dimensional behavioral model were tested.

Methods

The subjects of the study were 139 pairs of persons with dementia and their caregivers selected from four geriatric long-term care facilities located in S city, G province, Korea. Data analysis included descriptive statistics, inverse normal transformations, Pearson correlation coefficients, Spearman's correlation coefficients and hierarchical multiple regression with the SPSS Statistics 22.0 for Windows program.

Results

Mean score for BPSD was 40.16. Depression (β=.42, p<.001), exposure to noise in the evening noise (β=-.20, p=.014), and gender (β=.17, p=.042) were factors predicting BPSD in long-term care facilities, which explained 25.2% of the variance in the model.

Conclusion

To decrease BPSD in persons with dementia, integrated nursing interventions should consider factors of the patient, caregiver, and environment.

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The influence path of caregivers’ positive aspects, expressed emotion and coping style on behavioral and psychological symptoms of dementia
Shuang Zhang, Xiumei Ying, Shuyan Fang, Wenxia Wang, Xiangning Zhu, Yueyang Dong, Meng He, An Chang, Jiao Sun
Geriatric Nursing.2022; 44: 143. CrossRef

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Korean Family Caregivers' Perceptions of Care in Dementia Care Units: Myonghwa Park; Journal of Korean Academy of Nursing 2002;32(7):967-976. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.7.967

Abstract PDF

With the demanding level of care needed for people with dementia, more Korean families are institutionalizing their relatives with dementia. This presents particular concerns for the Korean culture that values family responsibility for elder care. The purpose of this study was to describe Korean family members' perceptions of stress and satisfaction with care, the caregiving role, the family-staff relations. A purposive sample of 94 family members in 10 long-term care dementia care facilities in Korea participated in the study. Family Perceptions of Care Tool and Family Perceptions of Caregiving Role developed by Maas and Buckwalter (1990) were used to investigate Korean family caregivers' perceptions of care. Findings from the study can be summarized as follows: a) family caregivers showed the lowest satisfaction level for staff management effectiveness, especially for facility's resources available for care, and (b) family caregivers showed the highest stress from staff members' control on caregiving, feeling the same responsibilities after placement, and guilt over their placement. The results contribute to the understanding of Korean family caregivers' perceptions of caregiving and the care relationship after institutionalizing their elderly persons with dementia.

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The relationship between guilt feelings, conflicts with staff and satisfaction with care in relatives of nursing home residents with dementia: A longitudinal analysis
Laura Gallego-Alberto, Hanneke JA Smaling, Anneke L Francke, Tim van de Brug, Jenny T van der Steen, Karlijn J Joling
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Eun-Ok Song, Hye-Young Jang
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Development and Validation of the Scale for Partnership in Care—for Family (SPIC-F)
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Eunyoung Park, Mi So Kim, Ki No Kang, Su Jung Lee, Sung Ok Chang
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Delusions of Korean patients with Alzheimer's disease: Study of drug‐naïve patients
Yong Tae Kwak, YoungSoon Yang, Soon‐Gu Kwak, Min‐Seong Koo
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Nursing Staff Stress From Caregiving and Attitudes Toward Family Members of Nursing Home Residents With Dementia in Korea
Myonghwa Park
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Interventions for Residents with Dementia and Their Family and Staff Caregivers: Evaluating the Effectiveness of Measures of Outcomes in Long-Term Care
Janet K Pringle Specht, Myonghwa Park, Meridean L Maas, David Reed, Elizabeth Swanson, Kathleen C Buckwalter
Journal of Gerontological Nursing.2005; 31(6): 6. CrossRef

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A Review of the Effects of Respite Care for Patients with Dementia and Caregivers: Jin Sun Kim, Eun Hyun Lee; Journal of Korean Academy of Nursing 2001;31(6):1077-1087. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.6.1077

Abstract PDF

PURPOSE: The purpose of this study was to analyze the effects of respite care. The analysis was conducted by reviewing published intervention studies on the effects of formal respite care for caregivers of dementia patients, patients with dementia, and the prevented or delayed rate of institutionalization of the patients.
METHOD
Two computerized databases (MEDLINE, CINAHL) were searched to find respite care-related articles published from the year of 1981 to 2000. A total of 49 published articles were identified. Of them, nine studies, which met for the inclusion criteria of this study, were included.
RESULTS
Results revealed that there was little evidence of the effect of respite care on, not only caregivers' burden, stress, depression and well-being, but also the rate of institutionalization of the patients. It was noteworthy that dementia patients reported fewer problems in behavior, although cognitive functioning and activity of daily living abilities continued to decline. However, these findings should be carefully interpreted because of methodological problems, such as non-random sampling, non random group assignment, a small sample size, uncontrolled confounding variables, limited period of services, and no specific types of services.
CONCLUSION
It is recommended to conduct intervention studies of respite care being conducted in Korea with the corrections of methodological problems suggested from this study.

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Factors Relevant to Life Satisfaction of Female Caregivers for the Elderly: Focused on Long-Term Care Insurance Settlement
Sang-Nam Jeon, Hak-Gene Shin
The Korean Journal of Health Service Management.2014; 8(4): 187. CrossRef
An Analysis of the Meaning of Respite for Family Caregivers of Elderly with Dementia
Mi Ryeong Song, Yong-Mi Lee, Suk-Hee Cheon
Journal of Korean Academy of Nursing.2010; 40(4): 482. CrossRef

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A Study on ADL and Dementia of Aged Person with Medicaid in Korea: Ho Sihn Ryu; Journal of Korean Academy of Nursing 2001;31(1):139-149. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.1.139

Abstract PDF

The purpose of this study was to analyze characteristics related to the activity of Daily Living (ADL) and dementia among the elderly people who have Medicaid. The cross-sectional descriptive survey study was a nationwide randomization sampling among the population of elderly families who have Medicaid. The data were collected during the month of October, 1999 and total sample was 1,027 elderly people. There were major findings according to the studies. In the results of the ADL assessment most of elderly people were within the 24 to 45 point range. Also, 63.3% of elderly people who made 45 points do not need help when performing daily activities according to the 15 areas of activity components, and 4.9% of these people couldn't do their daily activities. The results of the Dementia assessment were 70.6% of elderly people were in the normal range, 21.7% have a mild case, and 2.8% have severe case of dementia. These were found by using instruments for mental states, which simplified to items of detection of early dementia. In the result of these tests, there was a significantly positive correlation between ADL and degree of dementia with the pearson correlation coefficients. As a result of these studies, the author recommend to strengthen function and organization of public health like a visiting nurse center for elderly people who are over 65 years old. In addition, the government should apply early detection and management system for dementia in the community continuously and cost-effectively, especially for elderly people who live alone and are vulnerable elderly as our priority.

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Junhyun Kwon, Eun-Cheol Park, Woorim Kim, Dong-Woo Choi, Sung-In Jang
Environmental Health and Preventive Medicine.2019;[Epub] CrossRef
The Effects of a Multimodal Interventional Program on Cognitive Function, Instrumental Activities of Daily Living in Patients With Mild Alzheimer’s Disease
Min-Joo Ham, Su-Kyoung Kim, Doo-han Yoo, jae Shin Lee
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The Effects of Activity in Rhythem Movement on Depressive Mood, Behavioral and Psychological Symptoms in Elderly with Mild Alzheimer’s Disease
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A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level
Rah Il Hwang, Ji Young Lim, Young Whee Lee
Journal of Korean Academy of Nursing.2009; 39(5): 622. CrossRef
Activity Intolerance and Impaired Physical Mobility in Elders
Hea‐Kung Hur, So‐Mi Park, So‐Sun Kim, Margaret J. Storey, Gi‐Yon Kim
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The Experience of Nursing Staff on the Dementia Patients' Aggressive Behavior: Jin Joo Oh; Journal of Korean Academy of Nursing 2000;30(2):293-306. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.2.293

Abstract PDF

Providing care to the dementia elderly with behavioral problem is a major issue in nursing homes today. This study was aimed to explore the nursing staffs' response to aggressive dementia patients, and the effect that the aggressive behavior had on Nsgstaff. The interviews used a semi-structured questionnaire are were carried out from May to July, 1999. The subjects were 23 nursing personnel working in the nursing homes for dementia elderly. The result are as follows; 1. The types of aggressive behavior cited by the subjects was "physical", "linguistic", and "sexual". 2. The factors that caused the behavior were "symptoms of disease", "under- conditioning", "context of nursing care", "unsatisfied need", "relationship to other patients", "change of outer environment", and "invasion of one's own privacy". 3. The response of the subjects were "unhappiness", "stress", "anger", "exaggeration", "anxiety", and "fear". 4. The management strategies listed by nursing personnel used to alleviate aggressive behavior were "ignorance" "patience" "leaving the area" "soothing sounds" "verbal punishment" "restriction and isolation" and "various management skill appliance" "adaptation". 5. The effect that aggressive behavior and were "disturbance of relationship to elderly" "decline in the amount and quality of nursing care" "interruption of task performance" "job exhaustion" "desire to leave the job" "physical impact" "stress on the cognition of others" "anxiety about health and one own future" "interference to family life'. The findings of this study will be useful in understanding the difficulties of nursing personnel when confronting the aggressive behavior of dementia partients. It also is useful as basic data in preparing efficient intervention program for these difficulties.

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Factors related to aggressive behaviors among older adults in nursing homes of Korea: A cross-sectional survey study
Hyoungshim Choi, Young-Il Jung, Hongsoo Kim
International Journal of Nursing Studies.2018; 88: 9. CrossRef
Extraction and Analysis of Risk Elements for Korean Homecare Patients with Senile Dementia
Mi-Hyun Choi, Hyung-Sik Kim, BoSeong Kim, Jung-Chul Lee, Sung-Jun Park, Ul-Ho Jeong, Ji-Hye Baek, Hyun-Jun Kim, Dae-Woon Lim, Soon-Cheol Chung
The Journal of Behavioral Health Services & Research.2016; 43(1): 116. CrossRef
Coping with dementia related behavior problems of the elderly and care providers
Dong Young Lim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(7): 4805. CrossRef
Factors Influencing Job Satisfaction of Nurses Working in Long-term Care Hospitals: Focused on Burnout and Burden for Caring Problematic Behaviors in Dementia
Ji Won Park, Eun Joung Choi
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(11): 7403. CrossRef
Agitation in Home-dwelling Persons with Dementia and Coping Behaviors in Primary Care-givers to the Agitation
Hye Suk Kim, Heeok Park
Journal of Korean Academy of Community Health Nursing.2012; 23(3): 256. CrossRef
Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
Keumbong Choi, Jinsun Kim
Journal of Korean Academy of Nursing.2009; 39(6): 769. CrossRef
Wandering behaviour of persons with dementia in Korea: Investigation of related factors
Jun-Ah Song, Young Mi Lim, Gwi-Ryung Son Hong
Aging & Mental Health.2008; 12(3): 366. CrossRef

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The Effect of Reminiscence with Audio-Visual Stimulation on Senile Dementia: Nam Cho Kim, Yang Sook Yoo, Sook Won Hahn; Journal of Korean Academy of Nursing 2000;30(1):98-109. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.98

Abstract PDF

The purpose of this study was to identify the effect on improvement of the Activity of Daily Living (ADL) and decrease the cognitive function and agitation behaviors by reminiscence with audio-visual stimulation for senile dementia. The quasi-experimental design was used in this study. Subjects were 26 with mild senile dementia who were cared for at a Day Care Center for Dementia in Seoul. The data were collected from March to July, 1999. Subjects were divided into three groups: Control I group with 10 subjects, reminiscence group(Control II group with 8 subjects), and reminiscence with audio-visual stimulation group(experimental group with 8 subjects). The Control I group got routine care as usual. Control II group participated in reminiscence sessions for one hour a day, five times a week, for a period of 4 weeks. The experimental group participated in reminiscence with audio-visual stimulation sessions for one hour a day, five times a week, for a period of 4 weeks. Instruments of this study were color photography with sound that was developed through an open questionnaire about events, objects, humans in action and animals that 100 Korean elderly over 60 would like to memorize. This was referred from the Sensory Stimuli Package by Namazi and Haynes(1994). The effects of treatment was evaluated through MMSE-K by Kwon & Park(1989). Also the Brief Cognitive Rating Scale(BCRS) by Reisberg et al(1983) for the cognitive function, through Agitation Inventory by Cohen- Mansfield and Colleague(1989) for behavioral response and through the Rapid Disability Rating Scale-2(RDRS-2) by Linn & Linn(1982) for the activity of daily living respectively. Data analysis was done using SPSS for X2-test, ANOVA, repeated measures ANOVA. The results were as follows : 1. Reminiscence with audio-visual stimulation did not improve cognitive function for senile dementia, but significantly improved verbal expression, the subscale of cognitive function. 2. Reminiscence with audio-visual stimulation reduced agitation behavior of experimental group significantly, but there was no significant difference between groups. 3. Reminiscence with audio-visual stimulation did not significantly effect the activity of daily living after treatment. In conclusion, it was shown that the reminiscence with audio-visual stimulation was an effective therapy to improve verbal expression and to reduce agitation behaviors of senile dementia. Further research with more indepth approach is needed, considering characteristic and level individualized for each senile dementia.

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Sung Hee Ahn, Young Lan An, Yang Sook Yoo, Michiyo Ando, Soo Jin Yoon
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Journal of Korean Academy of Community Health Nursing.2012; 23(3): 256. CrossRef

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A Critical Review and Visim of Family Caregiving Research on the Demented Elderly's in Republic of Korea: Jin Sun Kim; Journal of Korean Academy of Nursing 1999;29(6):1419-1433. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1419

Abstract PDF

Little is known about the impact of family caregiving for the demented elderly in Korea. The purpose of this study was to identify the current state of development of family caregiving research for the demented elderly in Korea and to identify correlates of caregiver or health problems and burdens within the socio-political contexts of Korea. A critical review of 17 family caregivers was carried out. The review revealed that various caregiving impacts and correlates of caregiver burden or health problems have been studied in relation to demented elderly family caregiving. Family caregiving for the demented elderly is a very complex phenomenon and various factors were related to caregiver burden, or their emotional and physical health. Findings from studies reviewed have shown inconsistent, inconclusive, and contradictory results. Furthermore, several conceptual and methodological problems were identified in the studies reviewed: restricted conceptualization, unrepresentative study samples, inadequate sample size, inappropriate study design, absence of comparison groups, inappropriate psychometric properties, and uncontrolled confounding factors. More research, as well as directions for further research, is recommended to identify family caregiving the impact of for the demented elderly, and to clarify the factors that explain results.

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Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home
Mi Ra Sung, Myungsun Yi, Dong Young Lee, Hye Young Jang
Journal of Korean Academy of Nursing.2013; 43(3): 389. CrossRef

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The Lives of Daughters-in-Law Who Care for Parents with Dementia: Hyun Sook Kang, Keum Ja Go, Won Ock Kim, Eun Sim Kim, Soon Yong Khim, Hyun Li Kim, Soon Ok Shin, Sang Eun Oh, Jeong Sook Won, Chun Yu Li, Min Jung, Nam Hee Choe; Journal of Korean Academy of Nursing 1999;29(6):1233-1243. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.6.1233

Abstract PDF

This study was done to investigate the lives of the daughters- in- law caring for parents with dementia and participate in their lives through having quality time with them. Data were collected by depth interviews and interpreted through the hermeneutic circle as follows. These daughters-in-law have conflict between social custom and subjective self. They had ambivalence toward their demented partents-in- law and were fighting a battle between rationality and emotions in their mind. These daughters-in law and mothers-in- law did not get along and the parents' dementia aggravated the relationships. They were alienated from their family by the parents with dementia. The indifference of their family especially their husbands, made these subjects live in misery. They cared for the demented mother-in-law with hatred. Even though they had this yoke, there daughters- in-law were not able to throw off the shackles of convention.

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The relationship between dementia caregivers and quality of life in South Korean populations
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Medicine.2024; 103(25): e38605. CrossRef
Association between Living with Patients with Dementia and Family Caregivers’ Depressive Symptoms—Living with Dementia Patients and Family Caregivers’ Depressive Symptoms
Minah Park, Fatima Nari, Soo Hyun Kang, Sung-In Jang, Eun-Cheol Park
International Journal of Environmental Research and Public Health.2021; 18(8): 4372. CrossRef
The Experience of Adult Korean Children Caring for Parents Institutionalized with Dementia
Suhye Kwon, Young-Sook Tae
Journal of Korean Academy of Nursing.2014; 44(1): 41. CrossRef
Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home
Mi Ra Sung, Myungsun Yi, Dong Young Lee, Hye Young Jang
Journal of Korean Academy of Nursing.2013; 43(3): 389. CrossRef
The Relationship among Perceived Entrapment, Depression and Subjective Well-being of Women as Family Caregivers Caring for Dementia Elderly
Suk-Hee Cheon
Korean Journal of Women Health Nursing.2011; 17(3): 285. CrossRef
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Gwi-Ryung Son Hong, Hyojeong Kim
Geriatric Nursing.2008; 29(4): 267. CrossRef
Daughters‐in‐law in Korean caregiving families
Jin‐Sun Kim
Journal of Advanced Nursing.2001; 36(3): 399. CrossRef

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A Study on the Burdens and Depressive Reactions on Families who Cared for Patients Suffering from Senile Dementia: Young Ja Kim, Pyoung Sook Lee; Journal of Korean Academy of Nursing 1999;29(4):766-779. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.4.766

Abstract PDF

The purpose of this study was to investigate the relationship between the burdent on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August, 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patients at home, and another 300 participants left 100 patients at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit(1980) tool was employed to measure the degree of burden and Zung's(1965) "Self-Rating Depression Scale" was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA, and Pearson's Correlation Coefficient were calculated. The results are as follows. 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that-giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F=2.48, P<.05), and the socio-economic status of the family(F=5.17, P<.05). It's also affected by the patient's educational status(F=2.17, P<.05). 4. The degree of depression of the family was significantly dependent on sex(t=-2.05, P<.05), age(F=2.99, P<.05), the relationship with the patient(F=3.65, P<.01), socio-economic status(F=7.74, P<.001), occupation(t=2.82, P<.01), health status(F=4.42, P<.01), and the place of residence(F=4.30, P<.01). The patient characteristics was significantly dependent on his/her educational status(F=3.85, P<.01), the period of suffering from senile dementia(F=2.47, P<.05), and smoking habit(F=6.17, P<.001). 5. The relationship between the degree of burden and that of depression reads r=0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-giver for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must e developed, and its clinical effect also has to be examined.

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Factors Influencing the Quality of Life among Family Caregivers of the Elderly with Dementia
Hwasoon Kim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 500. CrossRef
Review of studies on spousal caregivers of frail spouses in South Korea
Youngsam Oh, Eunyoung Han
International Social Work.2019; 62(2): 529. CrossRef
The Burden of Aged Parents Caring for Adult Children with Disabilities
Min-Hyun Suk, Eunhye Kim
Journal of Korean Academy of Community Health Nursing.2010; 21(4): 439. CrossRef
Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders
Young Whee Lee, In Sook Cho, Hwa Soon Kim
Korean Journal of Women Health Nursing.2009; 15(3): 196. CrossRef
Family Caregiver Burden by Relationship to Care Recipient with Dementia in Korea
Gwi-Ryung Son Hong, Hyojeong Kim
Geriatric Nursing.2008; 29(4): 267. CrossRef
Factors Affecting Burden of Family Caregivers of Community-Dwelling Ambulatory Elders with Dementia in Korea
Young Mi Lim, Gwi-Ryung Son, Jun-Ah Song, Elizabeth Beattie
Archives of Psychiatric Nursing.2008; 22(4): 226. CrossRef
A thematic analysis of Korean family caregivers' experiences in making the decision to place a family member with dementia in a long‐term care facility
Myonghwa Park, Howard Karl Butcher, Meridean L. Maas
Research in Nursing & Health.2004; 27(5): 345. CrossRef

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Effects of Gerontological Nursing Practicum on Attitudes toward Elders with Dementia and General Elders among Korean Nursing Students: Jung Hee Kim; Journal of Korean Academy of Nursing 2006;36(4):645-651. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.4.645

Abstract PDF

Purpose

This study investigated changes in attitudes toward elders in general and elders with dementia after students finished a gerontological nursing practicum.

Methods

Questionnaires developed for Asian cultures were administered pre practicum, immediately post practicum, and at 8-months follow up to 31 senior students in a baccalaureate nursing program. The 1-week practicum occurred at two adult day care centers: a center for elders with dementia and a center for elders with stroke. Repeated measures ANOVA and Bonferroni correction procedures were used to analyze data.

Results

Students' evaluation of elder vitality and flexibility increased significantly at post practicum, however this increase was not sustained at follow up. Score of generosity of elders, the only positively evaluated dimension for elders in general, improved partly at post practicum. Students evaluated flexibility and generosity of elders with dementia more negatively than general elders. All of the decreased attitudes at follow up were not significantly different from those at pre practicum.

Conclusions

Students had more negative attitudes toward elders with dementia. Attitudes of students in direct contact with elders with dementia were improved through the practicum regarding generosity and flexibility. However the sustainability of the immediate effect was not observed at follow up.

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Educational interventions to improve student nurses’ knowledge, attitudes, or willingness to work with older people: a systematic review of quantitative findings
Xingjuan Tao, Margaret MacAndrew, Sherry Dahlke, Jeffrey I. Butler, Jo Rayner, Deirdre Fetherstonhaugh, Christina Parker
International Journal of Nursing Education Scholarship.2024;[Epub] CrossRef
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Jazi S Alotaibi
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Asem Abdalrahim, Mohammed ALBashtawy, Abdullah Alkhawaldeh, Rasmieh M. Al-amer, Ahmad Bani Salameh, Sa’d ALBashtawy, Abdallah Abu Khait, Zaid ALBashtawy
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Anhong Dong, Guilan Gong, Elizabeth Reifsnider, Sha Huang, Zeyu Zhang, Jing Mao
Teaching and Learning in Medicine.2022; 34(5): 455. CrossRef
Teaching and learning about dementia care among undergraduate nursing students: A scoping review
Susana Cariñanos-Ayala, Marta Arrue, Jagoba Zarandona
Nurse Education in Practice.2022; 61: 103326. CrossRef
Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective
Benedicte Sørensen Strøm, Knut Engedal, Lasse Andreassen
Dementia and Geriatric Cognitive Disorders Extra.2019; 9(3): 352. CrossRef
Student participation in a dementia-outreach research project as community-based experiential learning
Sora Choi, Myonghwa Park
Educational Gerontology.2017; 43(4): 186. CrossRef
Living as a nursing college students in Korea
Jung-ae Kim
The International Journal of Advanced Culture Technology.2016; 4(3): 20. CrossRef
Knowledge and attitudes of undergraduate nursing students toward dementia: An Indian perspective
Vijayalakshmi Poreddi, Brian D Carpenter, Sailaxmi Gandhi, Rama Chandra, Suresh BadaMath
Investigación y Educación en Enfermería.2015;[Epub] CrossRef
The Effects of Geriatric Nursing Education for Nursing Students' Attitude, Perception toward Dementia and Dementia Policy
Su-jin Park, Kyung-sook Park, Young-Ji Kim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(7): 4467. CrossRef
Nursing students' knowledge and attitudes towards dementia — A questionnaire survey
Anthony Scerri, Charles Scerri
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The Effect of Dementia Education Program on Nursing Students
Hee-Young Kang, Myeong-Jeong Chae, Hee-Suk Seo, Kyung-Mi Yang
The Journal of Korean Academic Society of Nursing Education.2013; 19(1): 69. CrossRef
Student experiences in learning person‐centred care of patients with Alzheimer’s disease as perceived by nursing students and supervising nurses
Mari W Skaalvik, Hans Ketil Normann, Nils Henriksen
Journal of Clinical Nursing.2010; 19(17-18): 2639. CrossRef

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Development and Analysis of the Effects of Caregiver Training Program on Aggressive Behavior in Elders with Cognitive Impairment: Heeyoung Oh, Myung Haeng Hur, Miran Eom; Journal of Korean Academy of Nursing 2005;35(4):745-753. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.4.745

Abstract

Purpose

The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff's aggressive behavior management skills.

Methods

One-group, time series, quasi-experimental design with a pre-test and two post-tests was used. Data were collected from cognitively impaired home residents (N=32) and nursing staff (N=36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA.

Results

Incidence of aggressive behavior was high with a mean score of 3.09 (SD=3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F=2.925, p=.066). Nursing staff's aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.001).

Conclusion

Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff's aggressive behavior management skills.

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Effects of the Staff Training for Assisted Living Residences protocol for caregivers of older adults with dementia: A pilot study in the Brazilian population
Larissa da Silva Serelli, Ramon Castro Reis, Jerson Laks, Analuiza Camozzato de Pádua, Cássio MC Bottino, Paulo Caramelli
Geriatrics & Gerontology International.2017; 17(3): 449. CrossRef
Coping with dementia related behavior problems of the elderly and care providers
Dong Young Lim
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(7): 4805. CrossRef
“The educating nursing staff effectively (TENSE) study”: design of a cluster randomized controlled trial
Theo J G M Hazelhof, Debby L Gerritsen, Lisette Schoonhoven, Raymond T C M Koopmans
BMC Nursing.2014;[Epub] CrossRef
Patterns of Antecedents of Catastrophic Reactions in Nursing Home Residents With Dementia in the United States
Hye-A Yeom, Nancy M. Watson
Asian Nursing Research.2009; 3(3): 99. CrossRef

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The Effect of Lavender Aromatherapy on Cognitive Function, Emotion, and Aggressive Behavior of Elderly with Demenita: Sun Young Lee; Journal of Korean Academy of Nursing 2005;35(2):303-312. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.303

Abstract PDF

Purpose

This study was to develop an aromatherapy hand massage program, and to evaluate the effects of lavender aromatherapy on cognitive function, emotion, and aggressive behavior of elderly with dementia of the Alzheimer's type.

Methods

The Research design was a nonequivalent control group non-synchronized quasiexperimental study. Lavender aromatherapy was administrated to experimental group I for 2 weeks, jojoba oil massage was administrated to experimental group II for 2 weeks, and no treatment was administrated to the control group for 2 weeks. Data was analyzed using the chi-square-test, ANOVA, repeated measures of ANCOVA and ANCOVA in the SPSS program package.

Result

1. Experimental group I did not show significant differences in cognitive function in relation to the experimental group II and control group. 2. Experimental group I showed significant differences in emotion and aggressive behavior in relation to the experimental group II and control group.

Conclusion

A Lavender aromatherapy hand massage program is effective on emotions and aggressive behavior of elderly with dementia of the Alzheimer's type.

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Nursing strategies for enhancing calm in older Arabs with dementia: integrating Snoezelen methods, aromatherapy, and personal items to reduce agitation
Abeer Nuwayfi Alruwaili, Majed Mowanes Alruwaili, Osama Mohamed Elsayed Ramadan, Sayed Ibrahim Ali, Mostafa Shaban
Geriatric Nursing.2024; 59: 379. CrossRef
Aromatherapy in Nursing and Midwifery Practice: A Scoping Review of Published Studies Since 2005
Wendy Maddocks
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Effectiveness and Safety of Aromatherapy in Managing Behavioral and Psychological Symptoms of Dementia: A Mixed-Methods Systematic Review
Becky Siu Yin Li, Carmen Wing Han Chan, Minjie Li, Irene Kit Yee Wong, Yvonne Hoi Un Yu
Dementia and Geriatric Cognitive Disorders Extra.2021; 11(3): 273. CrossRef
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A Study on Aggressive Behavior Among Nursing Home Residents with Cognitive Impairment: Heeyoung Oh, Miran Eom, Yunjung Kwon; Journal of Korean Academy of Nursing 2004;34(8):1451-1459. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1451

Abstract PDF

Purpose

With a sample of cognitively impaired nursing home residents and nursing staff, the following were examined 1) the proportion and nature of aggressive behavior, 2) the frequency and types of aggressive behavior, 3) the difference between the residents who demonstrate aggressive behavior and those who do not demonstrate aggressive behavior (age, mental status, functional status, and pain, length of nursing home stay), and 4) nursing staff responses to aggressive behavior by residents.

Methods

A cross-sectional descriptive study design was used. Data were collected from cognitively impaired nursing home residents (N=205) and nursing staff (N=60) at two nursing homes using Ryden Aggression Scale I and II, Mini-Mental State Exam, Modified Barthel Index, Verbal Descriptor Scale, and aggressive behavior management questionnaire. Data were analyzed using descriptive statistics including t-test.

Results

About 62.9% residents were found to be aggressive and 38.5% were both physically and verbally aggressive. Pushing, making threatening gestures, hitting, slapping, cursing/obscene/vulgar languages, making verbal threats were occurred frequently. Aggressive residents were significantly older, had more cognitive impairment, had more pain, and stayed longer in the nursing home when compared with non-aggressive residents. Considerable proportion of nursing staff responded to aggressive behaviors inadequately.

Conclusion

Aggressive behavior among cognitively impaired nursing home residents is prevalent thus needs to be prevented and reduced. Along with environmental modification, educational programs for nursing staff and family caregivers need to be developed and implemented so that they can have extensive knowledge and skills to manage aggressive behaviors.

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Impact of Psychological Aggression at the Workplace on Employees’ Health: A Systematic Review of Personal Outcomes and Prevention Strategies
Emelda C. R. L. Pacheco, Ana Bártolo, Fabiana Rodrigues, Anabela Pereira, João C. Duarte, Carlos F. Silva
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Do Sound Levels and Space Contribute to Agitation in Nursing Home Residents with Dementia?
Laura L. Joosse
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Patterns of Antecedents of Catastrophic Reactions in Nursing Home Residents With Dementia in the United States
Hye-A Yeom, Nancy M. Watson
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Case Reports

Self-Care in Elders with Dementia: A Concept Analysis: Hye A Yeom; Journal of Korean Academy of Nursing 2004;34(8):1402-1408. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1402

Abstract

Purpose

The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia.

Methods

The technique developed by Walker and Avant was used as a guide in analyzing the concept of selfcare.

Results

Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the selfcare action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs.

Discussion

Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

Citations

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The Study of Self-care and Related Factors in the Elderly with Chronic Diseases in 2018
M Avazeh, N Babaei, S Farhoudi, EA Kalteh, B Gholizadeh
Journal of Health and Care.2019; 21(2): 135. CrossRef
Self-management for people with early dementia
Gail A. Mountain
Dementia.2006; 5(3): 429. CrossRef

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Original Articles

Women Caregivers' Experiences in Caring at Home for a Family Member with Dementia: A Feminist Approach: Bong Sook Yih, Chun Mi Kim, Myung Sun Yi; Journal of Korean Academy of Nursing 2004;34(5):881-890. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.881

Abstract PDF

Purpose

The purpose of this study was to explore women caregivers' lived experiences in caring at home for a family member with dementia and to identify conditions that oppress women in the context of family caregiving.

Method

This study was conducted within the feminist perspectives using qualitative secondary data. Ten secondary data conveying self reflective contents were selected from the 25 original data obtained in 1999 to 2000.

Result

Six themes that emerged from the qualitative thematic content analysis were; androcentric view of family caregiving, undervalued family caregiving by the family members, Self rationalization in the context of family caregiving, family-centric care mechanism, exemplary caring within the family context, and inter-familial relationships among women.

Conclusion

The main focus of feminist research is to provide empowerment for the women research participants and to bring about social change of oppressive constraint through some actions. On the basis of the research findings, therefore, action strategies from feminist perspectives were suggested in some aspects of health care delivery sectors, nursing education and research sectors, and administrative sectors.

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How Do Young Adults Become Socially Isolated?
Juyeon Ryu, Kiok Seong, Soojin Kim
Journal of Social Science.2023; 34(3): 47. CrossRef
Time usage analysis according to occupational area and satisfaction level in family caregivers of dementia patients
Woo-Hyuk Jang, Jong-Sik Jang, Jong-Hwi Park
PeerJ.2023; 11: e15178. CrossRef
Changes in Family Dynamics in Caregiving for People With Dementia in South Korea: A Qualitative Meta-Synthesis Study
Seieun Oh, Mi Yu, Young Mi Ryu, Haejin Kim, Haeyoung Lee
Qualitative Health Research.2020; 30(1): 60. CrossRef
A Content Analysis of the Experience of Participation in Community Leisure Programs among Older Adults
Insuk Rho, Sunhee Cho
Journal of East-West Nursing Research.2016; 22(2): 138. CrossRef
The Barriers and Solution of Providing Long-term Care Services at Home for the Beneficiaries with Mild Dementia: A Focus Group Interview
Mi Sook Song, Kyung Sook Lim
Journal of Korean Public Health Nursing.2016; 30(2): 259. CrossRef
Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home
Mi Ra Sung, Myungsun Yi, Dong Young Lee, Hye Young Jang
Journal of Korean Academy of Nursing.2013; 43(3): 389. CrossRef
Nurses' Experiences of Caring with Demented Oder Persons
Chun-Gill Kim, Young Hee Lee
Korean Journal of Adult Nursing.2012; 24(5): 454. CrossRef
An Analysis of the Meaning of Respite for Family Caregivers of Elderly with Dementia
Mi Ryeong Song, Yong-Mi Lee, Suk-Hee Cheon
Journal of Korean Academy of Nursing.2010; 40(4): 482. CrossRef

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Predictors of Depression among Family Caregivers of Older Adults with Dementia: Hae Jung Lee, Young Sook Kim, Ki Ryeon Kim, Ju Sung Kim, Ji Min Seo; Journal of Korean Academy of Nursing 2003;33(7):936-944. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.7.936

Abstract PDF

Purpose

This study was to identify important predictors of depression among characteristics of caregiving situation and utilized resources in order to provide basic information for effective nursing interventions to reduce depression experienced by family caregivers of older adults with dementia.

Method

Seventy one family caregivers were identified from community service centers and face-to-face interviewed using structured questionnaires. Data were analyzed with descriptive statistics, Pearson correlation and hierarchical multiple regression using SPSS WIN 10.0 program.

Result

Family caregivers reported high levels of depression, moderate levels of social support, and moderate utilization of coping strategies. Female caregivers who (β=.22) utilized ‘negative’ coping strategies more often (β=.48) and ‘cognitive reconstructuring’ coping strategies less often (β=-.23) were more likely to report higher depression (R²=0.63).

Conclusion

Nursing interventions increasing family caregivers' utilization of positive coping strategies such as problem solving, existential growth, and help seeking and decreasing their utilization of negative coping strategies such as self-blaming are needed to decrease their depression levels.

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Effects of a Problem-Solving Program on Problem-Solving Ability, Self-Esteem, and Depression for Middle School Girls
Hwa-Yoon Um, Haejung Lee, Yeonjung Lim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(3): 318. CrossRef
Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders
Young Whee Lee, In Sook Cho, Hwa Soon Kim
Korean Journal of Women Health Nursing.2009; 15(3): 196. CrossRef
Family Caregiver Burden by Relationship to Care Recipient with Dementia in Korea
Gwi-Ryung Son Hong, Hyojeong Kim
Geriatric Nursing.2008; 29(4): 267. CrossRef

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Factors Influencing Care Dependency in Patients with Dementia: Eun Joo Kim; Journal of Korean Academy of Nursing 2003;33(6):705-712. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.705

Abstract PDF

Purpose

The purpose of this study was to explore factors that influence care dependency of institutionalized patients with dementia.

Method

This study utilized descriptive correlational design. The convenience sample was composed of 110 residents with dementia of two long-term care facilities in Korea. Stepwise multiple regression was used to identify significant factors influencing care dependency in patients with dementia. Care dependency was measured using the Care Dependency Scale, Korean version(CDS-K). Cognition was measured by the MMSE-K. Functional disability was measured by the PULSES Profile. Behavioral dysfunction was measured by the modified E-BEHAVE AD.

Result

Care dependency was significantly influenced by cognition, functional disability, behavioral dysfunction, and duration of dementia. This regression model explained 61% of the variances in care dependency. Cognition explained 37% of the variances, and functional disability explained 21% of the variances.

Conclusion

Results of this study suggest that professional caregivers intervene more effectively in caring for their patients with dementia by recognizing the patients cognitive, functional, behavioral disability, and its periodic change. Individually, remaining abilities-focused intervention should be applied to enhance patient to be dependent and to prevent unnecessary independency.

Citations

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Predictors of care dependency in nursing home residents with moderate to severe dementia: A cross-sectional study
Marinda Henskens, Ilse M. Nauta, Katja T. Drost, Maarten V. Milders, Erik J.A. Scherder
International Journal of Nursing Studies.2019; 92: 47. CrossRef
Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia
Kyung Choon Lim
Journal of Korean Academic Society of Nursing Education.2019; 25(1): 136. CrossRef
Effects of Perceptions regarding Purpose in Life and Good Death on Caring Behaviors of Formal Caregivers of Community-dwelling Older Adults with Dementia
Chun-Gill Kim
Journal of Korean Gerontological Nursing.2018; 20(2): 57. CrossRef
Perceived oral health awareness in dementia and dementia-suspected depending on KMME
Eun Sook Kim, Min-Hee Hong
Journal of Korean society of Dental Hygiene.2015; 15(2): 217. CrossRef
The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
Boyoung Jeon, Soonman Kwon, Hongsoo Kim
Health Policy and Management.2013; 23(1): 90. CrossRef
Relationships Among Cognition, Activities of Daily Living and Depression in Persons With Decreased Memory
Min Suk Kim, Soon Young Yoon, Eun Young Oh
Journal of Korean Public Health Nursing.2012; 26(3): 404. CrossRef

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Prevalence of Cognitive Impairment and Related Factors Among the Elderly in Rural Communities of Jeju Province: Keumja Ko, Min Jung, Sungchul Hong; Journal of Korean Academy of Nursing 2003;33(4):503-509. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.4.503

Abstract PDF

Purpose

The purpose of this study was to survey the prevalence rate of cognitive impairments and to identify the factors influencing cognitive impairment in the elderly in rural communities of Jeju Province..

Methods

590 elderly in 6 rural communities of Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics, health behavior, quality of life, and MMSE-K

Results

Prevalence of cognitive impairment was 33.1% (39.1% of females, 16.76% of males). Prevalence of dementia was 12.4% (16.3% of females, 2.87% of males). Factors related to cognitive impairment were age, sex, education, standard of living, employment status, and subjective health state.

Conclusions

In community health care for the elderly, factors relating to cognitive impairment have to be considered. When planning community health care, priority should be given to the elderly; who need care but live alone; who lack social support; who have a low standard of living; who experience discomfort in the activities of daily living; who believe they are not in a good state of health; or whose life satisfaction is low.

Citations

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Prevalence of the Major Mental Disorders among the Korean Elderly
Maeng Je Cho, Jun Young Lee, Byung-Soo Kim, Hae Woo Lee, Jee Hoon Sohn
Journal of Korean Medical Science.2011; 26(1): 1. CrossRef

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Screening for High Risk Population of Dementia and Development of the Preventive Program Using Web: Jung Soon Kim, Ihn Sook Jeong, Yoon Jin Kim, Sun Kyung Hwang, Byung Chul Choi; Journal of Korean Academy of Nursing 2003;33(2):236-245. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.2.236

Abstract PDF

Purpose

This study was to develop a screening model for identifying a high risk group of dementia and to develop and evaluate the web-based prevention program.

Method

It was conducted in 5 phases. 1) Data were collected from dementia patients and non-dementia patients in a community. 2) A screening model of the high risk population was constructed. 3) The validity test was performed and the model was confirmed. 4) Four weeks-prevention program was developed. 5) The program was administered, and evaluated the effects.

Result

The model consisted of age, illiteracy, history of stroke and hypercholesterolemia. The program was designed with 12 sessions, group health education using web-based individual instruction program, and 12 sessions of low-intensity physical exercise program. After the completion, their self-efficacy, and health behaviors in experimental group were significantly improved over those in the control group. The perceived barrier in the treatment group is significantly decreased.

Conclusion

The screening model developed is very simple and can be utilized in diverse community settings. And the web based prevention program will encourage individual learning and timely feedback, therefore it can facilitate their active participation and promote health management behaviors at home.

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Associations Among Health Insurance Type, Cardiovascular Risk Factors, and the Risk of Dementia: A Prospective Cohort Study in Korea
So-Hyun Moon, Hyun-Ju Seo, Dong Young Lee, Seong Min Kim, Jeong Min Park
International Journal of Environmental Research and Public Health.2019; 16(14): 2616. CrossRef
The Effects of Computer - based Attention Program on Cognition and Executive Function in Elderly with Vascular Dementia
Hyojeong Lee, Kyoungok Hwang
Journal of The Korean Society of Integrative Medicine.2014; 2(2): 13. CrossRef
Analysis of Nutrition and Antioxidants of Yak-Kong Chungkukjang Powder Added Black Foods
Hyun-Joo Kong, Heyun-Sook Park, Tae-Hoon Kim, Seung-Ryeul Shin, Ju-Yeon Hong, Kyung-Mi Yang
Journal of the Korean Society of Food Science and Nutrition.2013; 42(11): 1727. CrossRef
Comorbidity and Health Habits of Seoul City Elders with Dementia
Yoon Kyoung Lee, Mi Ra Sung, Dong Young Lee
Journal of Korean Academy of Nursing.2011; 41(3): 411. CrossRef
Effects of an Exercise Program on Frontal Lobe Cognitive Function in Elders
Mee-Kyung Shin
Journal of Korean Academy of Nursing.2009; 39(1): 107. CrossRef
A Comparison of the Factors Influencing the Life Satisfaction of the Elderly According to their Cognitive Impairment Level
Rah Il Hwang, Ji Young Lim, Young Whee Lee
Journal of Korean Academy of Nursing.2009; 39(5): 622. CrossRef

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Hermeneutic Phenomenological Study on Caring Experience of Spouses of Elderly People with Dementia at Home: Hye-Young Jang, Myungsun Yi; J Korean Acad Nurs 2017;47(3):367-379. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.367

Abstract PDF

Abstract Purpose

This study aimed to understand and describe the caring experiences of spouses of elderly people with dementia.

Methods

The hermeneutic phenomenological method was used and participants were 12 spouses aged 65 and over who were taking care of their husbands or wives with dementia at home. Data were collected from individual in-depth interviews on participants’ actual caring experiences. Additionally, novels, movies, and memoirs on elderly couples with partner who had dementia were included as data for the analysis. The qualitative data analysis software program was used to manage and process the collected qualitative data. Data were analyzed using hermeneutic phenomenological analysis based on four fundamental existentials including lived body, lived space, lived time, and lived others.

Results

Five essential themes emerged from the analysis: 1) body moving like an old machine, 2) swamp of despair filling with hope, 3) sweet time after bitterness, 4) disappointed elderly couple in the empty nest, and 5) unappreciation vs. empathetic feelings. These essential themes were comprehensively summarized as “the road leading to the maturation of life with dedication and hope while bearing the weight of caring based on the couple's relationship.”

Conclusion

The findings indicate that the nature of the caring experience of spouses of elderly individuals with dementia is filled with many dynamic and paradoxical dimensions. Thus, results of the study would help with developing interventions tailored specifically for elderly spouse caregivers to support their role adaptation and ultimately improving their quality of life.

Citations

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Relationship between anxiety and fatigue in dementia family caregivers: hope as a mediator
Jiin-Ling Jiang, Shing-Ling Chang, Ke-chieh Wang, Yu-Chin Ma
BMC Nursing.2025;[Epub] CrossRef
Self-care experiences of male spouses of people with dementia: a descriptive phenomenological study
Sua Jung, Jun-Ah Song
Aging & Mental Health.2025; : 1. CrossRef
A web-based care assistant for caregivers of the elderly: Development and pilot study
Hwawoo Jeon, Yong Suk Choi, Yoonseob Lim
DIGITAL HEALTH.2023;[Epub] CrossRef
Predictors of Sleep Quality in Spouse Caregivers of Community-Dwelling People With Dementia Using Propensity Score Matching Analysis
Hyeon Sik CHU, Hye-Young JANG
Journal of Nursing Research.2023; 31(6): e299. CrossRef
Barriers to Social Inclusion among Older Adults with Disabilities in Imo State, Nigeria: A Descriptive Phenomenological Inquiry
Anthony Iwuagwu, Paulinus Okah, Chinwe Nnama-Okechukwu, Ngozi Chukwu, Agha Agha, Nkemdili Anazonwu, Chinyere Onalu, Uzoma Okoye
Scandinavian Journal of Disability Research.2023; 25(1): 132. CrossRef
Caring Experience of Spouse Caregivers of Persons with Alzheimer's Disease: A Qualitative Study
Jin-Hee Lee, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2022; 24(3): 257. CrossRef
Safety Accidents and Coping Experiences among Family Caregivers Caring for Community-Dwelling Persons Living with Dementia
Ji Yeon Lee, Ha Rim Lee, Kyung Hee Lee
Journal of Korean Gerontological Nursing.2021; 23(4): 352. CrossRef
Dementia: How does spouse perceive it?
Anung Ahadi Pradana, Junaiti Sahar, Henny Permatasari
Enfermería Clínica.2021; 31: S16. CrossRef
Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities
Eun-Ok Song, Hye-Young Jang
International Journal of Environmental Research and Public Health.2020; 17(9): 3298. CrossRef
Development and Validation of the Scale for Partnership in Care—for Family (SPIC-F)
Hye-Young Jang, Eun-Ok Song
International Journal of Environmental Research and Public Health.2020; 17(6): 1882. CrossRef
Family Members’ Experience in Caring for Elderly with Dementia in Long-Term Care Hospitals
Eun Kyoung Suh, Hye Ryoung Kim
Journal of Korean Gerontological Nursing.2020; 22(4): 335. CrossRef
Partnership between staff and family in long-term care facility: a hybrid concept analysis
Hye-Young Jang
International Journal of Qualitative Studies on Health and Well-being.2020; 15(1): 1801179. CrossRef
Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling
Hye-Young Jang, Song Yi Han
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518. CrossRef
Empathy in Family Caregivers for Persons with Dementia: A Q Methodology Study
Kim Hyojin, Song Jun-Ah
Journal of Korean Gerontological Nursing.2017; 19(3): 214. CrossRef

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A Prediction Model for Unmet Needs of Elders with Dementia and Caregiving Experiences of Family Caregivers: Sora Choi, Myonghwa Park; J Korean Acad Nurs 2016;46(5):663-674. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.663

Abstract PDF

Purpose

The purposes of this study were to develop and test a prediction model for caregiving experiences including caregiving satisfaction and burden in dementia family caregivers.

Methods

The stress process model and a two factor model were used as the conceptual frameworks. Secondary data analysis was done with 320 family caregivers who were selected from the Seoul Dementia Management Survey (2014) data set. In the hypothesis model, the exogenous variable was patient symptomatology which included cognitive impairment, behavioral problems, dependency in activity of daily living and in instrumental activity of daily living. Endogenous variables were caregiver's perception of dementia patient's unmet needs, caregiving satisfaction and caregiving burden. Data were analysed using SPSS/WINdows and AMOS program.

Results

Caregiving burden was explained by patient symptomatology and caregiving satisfaction indicating significant direct effects and significant indirect effect from unmet needs. The proposed model explained 37.8% of the variance. Caregiving satisfaction was explained by patient symptomatology and unmet needs. Mediating effect of unmet needs was significant in the relationship between patient symptomatology and caregiving satisfaction.

Conclusion

Results indicate that interventions focusing on relieving caregiving burden and enhancing caregiver satisfaction should be provided to caregivers with high levels of dementia patients' unmet needs and low level of caregiving satisfaction.

Citations

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Experiences of Family Caregivers Utilizing Care Support of Dementia Center
Chun-Gill Kim, Myung Soon Kwon, Young Hee Lee
Korean Journal of Adult Nursing.2018; 30(3): 314. CrossRef

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Review Article

Stimulation-Oriented Interventions for Behavioral Problems among People with Dementia: A Systematic Review and Meta-Analysis: Eun Young Kim, Sung-Dong Hwang, Eun Joo Kim; J Korean Acad Nurs 2016;46(4):475-489. Published online August 15, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.4.475

Abstract PDF

Abstract Purpose

This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia.

Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the ‘meta’ package and the Comprehensive Meta-Analysis (CMA 2.0) program.

Results

Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as ‘++’ for eight studies and ‘+’ for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges’ g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity (I²=62.8%), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected.

Conclusion

Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia patients.

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Kyung Ja Kang, Mi-Jung Kang
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Dong-Jin Lee, Sung-Hyoun Cho
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