Search

Purpose: This study aimed to identify trends in changes of cognitive function, physical function, depression, and activities of daily living (ADL) among people with dementia who had used day care centers for at least 12 months, through the analysis of data collected from day care center records. Methods: The participants in this descriptive survey were 63 older people with dementia. Data were collected from two dementia day care centers located in Incheon city. General characteristics and disease related characteristics were analyzed in terms of the frequency, percentage, mean, and standard deviation. Correlations between major variables were analyzed using Pearson correlation coefficient. Cognitive function, depression, physical performance, and ADL were analyzed using the mean, standard deviation, Wilcoxon signed-rank test, and Friedman test. Results: The mean age of the participants was 77.33±6.73 years (range, 58 to 91 years) when they began attending the centers. Cognitive function significantly increased at 3 months (18.63±5.06), 6 months (18.73±5.20), and 12 months (18.63±5.43) compared to baseline (17.41±4.77). Depression significantly decreased at 3 months(2.94±2.96), 6 months (3.13±3.14), and 12 months (2.81±3.27) compared to baseline (5.20±3.87). At 3 months, 6 months, and 12 months, the physical function score (respectively 10.19±2.90, 10.33±2.84, 10.11±2.55) increased significantly compared to baseline (9.13±3.01). ADLs decreased at 3 months (8.51±1.92), 6 months (8.67±2.12), and 12 months (8.89±2.19) compared to baseline (8.41±1.88). Conclusion: Without receiving customized day care service for dementia, cognitive function and physical function will decline and depressive feelings will increase. Therefore, delaying cognitive decline, reducing depression, and improving physical function through the use of day care services, especially at an early stage are essential to strengthen and maintain aging in place. [ABSTRACT FROM AUTHOR]

We aimed to provide evidences for developing non-pharmacological intervention in older adults with Mild Cognitive Impairment(MCI) by integrated literature review. The final 16 papers were selected as a result of an integrated literature analysis. All of them are focused on strengthening cognitive activities, while Korean studies have often merged emotional activities such as music therapy and laughter therapy rather than physical activities such as exercise therapy, international studies have combined physical activities rather than emotional activities. The effects of non-pharmacological intervention differed according to the outcome variables. The primary variables were cognitive function and depression, and secondary variables were found to have effects on physical function, activities of daily living (ADL), and self-efficacy. This study contributes to a multidisciplinary approach that can be applied in the clinical field through the development of various non-pharmaceutical intervention for the prevention of dementia in the older adults with MCI. [ABSTRACT FROM AUTHOR]

Purpose: The aim of the study was to identify dementia knowledge, attitude, and caregiving appraisal among caregivers of older adults with dementia using a dementia care center. Methods: The participants were 113 caregivers of older adults with dementia using a dementia care center. The data were collected using the questionnaires for dementia knowledge, attitude, and caregiving appraisal. Data were analyzed by descriptive statistics, Pearson's correlation, and multiple regression test using the SPSS/WIN 24.0. Results: Positive correlations were revealed between dementia knowledge and attitude (r=.36, p<.001). Dementia attitude positively correlated with caregiving satisfaction (r=.40, p<.001) and caregiving mastery (r=.31, p<.001). Dementia attitude negatively correlated with caregiving burden (r=-.47, p<.001), caregiving demand (r=-.35, p<.001), and caregiving impact (r=-.40, p<.001). The factors influencing caregiving appraisal were dementia attitude (negative component: β=-.48, p<.001, positive components: β=.41, p<.001, neutral components: β=-.42, p<.001) and caregiving duration (negative component: β=-.28, p=.004, positive components: β=.26, p=.010). These factors contributed negative components (25.2%), positive components (18.4%), and neutral components (25.5%) of the variance in caregiving appraisal. Conclusion: The results of this study suggest it is necessary to develop nursing interventions for caregivers of older adults with dementia to improve dementia attitude. [ABSTRACT FROM AUTHOR]

The purpose of this study is to identify a potential user’s need for use and operational of the elderly day care center and to identify the problems and suggest development directions. The data collection was conducted on 320 ordinary people living in J-do through a questionnaire, and sought to understand the operational status of in-depth interview institutions for the heads and employees of six center. As a result of the analysis, a potential user’s ware not aware of the functions and specific roles of day care center, the cost of facilities was covered by the government, and that facilities and the environment were important factors when using the center. In-depth interviews show that the current policy or system is far from reality and does not fit the status or role of the workers and the operational status of the agency, requiring the re-establishment of the on-site system. Based on the research results, the development direction of day care facilities requires active promotion and strengthening of family support for improving and enhancing awareness of day care facilities to citizens at the national level. Second, the quality of nursing services should be enhanced through improvements in facilities and the environment that reflect users' needs. Third, The government should improve the quality of nursing services by improving the poor employment conditions and treatment of workers to fit the reality. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the effects of patients’ use of dementia day care centers by comparing cognitive function, depression, activity of daily living (ADL) and postural balance in users and non-users. Methods: Participants in this descriptive study were 72 dementia patients who had started using dementia day care centers, and 33 dementia patients who received home visiting service irregularly, instead of using the centers. Data were collected for ADL, instrumental activity of daily living (IADL), cognitive function, depression, and postural balance. Data were analyzed using SPSS/WIN 25.0 program. Results: The mean age of the participants was 78.8±5.95 years and 73.3% of them were women. There was no significant difference in age, gender and cognition scores between users and non-users. The statistically significant variables predicting cognitive function after 3 months were cognitive function at the beginning and use of a day care center. Depression score at the beginning and use of a day care center significantly predicted depression. ADL scores at the beginning, dementia day care center use, and dementia type also significantly predicted ADL scores. IADL scores at the beginning and marital status significantly predicted IADL scores. Conclusion: According to the results, elders regularly using dementia day care showed a delay in cognitive decline, a lessening of depression, and improved activities of daily living. Therefore, there is a need to increase day care centers for people with dementia and to encourage to use a daycare center is recommended. [ABSTRACT FROM AUTHOR]

Purpose: The objective of this study was to determine the effects of self-efficacy and depression on the sense of family coherence in both cancer patients and their caregivers using the Actor-Partner Interdependence Model (APIM) analysis. Methods: A total of 274 patients were registered in the study, including 137 cancer patients who were undergoing chemotherapy in a day care ward and 137 primary caregivers. The data was collected from December 30, 2017 to July 30, 2018. Data were analyzed by the data analysis method using SPSS/WIN 20.0 (SPSS Korea Data Solution Inc) and AMOS 21.0 (SPSS Korea Data Solution Inc). Results: Self-efficacy of cancer patients had a direct effect on patient depression (β=-.24, p=.008). Self-efficacy of primary caregivers also had a direct effect on patient depression (β=-.51, p<.001). Factors significantly affecting cancer patient FSOC were cancer patient self-efficacy (β=.34, p<.001) and cancer patient depression (β=-.42, p<.001). Factors significantly affecting primary caregiver FSOC (Family Sense of Coherence) were cancer patient self-efficacy (β=.13, p=.026) and caregiver depression (β=-.29, p=.008). Conclusion: It is thought that self-efficacy and depression should be controlled to improve the family cohesion of cancer patients and their primary caregivers. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders. [ABSTRACT FROM AUTHOR]