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치매 환자 가족의 교육용 가상현실 기기 사용 관련 특성 및 선호도
천홍진,정수아,김지연,양유선,김정현,송준아 한국노인간호학회 2022 노인간호학회지 Vol.24 No.2
Purpose: This study aimed to identify characteristics and preferences related to the use of virtual reality(VR) devices for the education of families of persons with dementia. Methods: Using a descriptive study design, an online survey was conducted for families of persons with dementia (N=136, mean age=48.14±10.4 years). Descriptive statistics, Pearson's x2 test, and Fisher's exact test were calculated using SPSS 25.0. Results: Most families of persons with dementia used electronic devices proficiently at least to some extent (n=117, 86%). It was found that they were willing to use the VR-based education program with a certain degree of inconvenience (n=133, 97.8%). When participating in VR-based education programs, the most preferred device was open VR (n=77, 56.6%) followed by closed VR (n=42, 30.9%). The preferred training time for all four devices was around 20 minutes. There was a statistically significant difference between proficiency in electronic device use and gender (x2=9.11, p=.045), age (x2=19.83, p=.004), and educational background (x2=18.46, p=.007), whereas only gender (x2=12.17, p=.006) was a significant factor for a willingness to be inconvenienced to get educated using VR devices. In the case of the preferred interaction method, only gender (x2=10.08, p=.033) had a statistically significant difference. Conclusion: Families of persons with dementia had a positive intention to use VR-based education programs, regardless of age and educational background, even with the inconvenience. The results of this study are expected to be used as basic data for the production of VR-based education programs in the future.
천홍진,송준아 한국노인간호학회 2015 노인간호학회지 Vol.17 No.3
Purpose: The purpose of this study was to analyze and describe experiences of family caregivers with management of wandering of elders with dementia. Methods: Qualitative data were collected through focus groups and individual interviews with 10 participants in November 2014. All interviews were recorded and transcribed in verbatim, and analyzed using the content analysis method. Results: Two main themes were drawn: characteristics of wandering behaviors in community-dwelling elders with dementia and strategies for wandering management of their family caregivers. The first theme included three categories and 14 subcategories. The second theme included two categories and 10 subcategories. It was found that the community-dwelling elders with dementia had high risks for becoming lost due to large and complex community circumstance, so they were likely to be exposed to the danger of accidents and illness. Their family caregivers used inappropriate strategies to manage wandering in early phase of experiencing it and utilized more appropriate strategies gradually after undergoing trial and error. Conclusion: Findings of this study suggest the need to develop protocols for wandering management taking into account individual characteristics and the importance of educating family caregivers about wandering management strategies especially in the early phase of experiencing the symptom.
천홍진(Cheon, Hong Jin),송준아(Song, Jun-Ah) 한국노년학회 2016 한국노년학 Vol.36 No.4
본 연구의 목적은 재가 치매노인 가족이 치매노인의 배회를 효과적으로 관리하기 위한 지침을 개발하고 평가하는데 있다. 연구의 절차는 총 3단계로 구성되어 있으며 첫째, 배회관리 지침 개발 준비 단계에서는 치매노 인을 돌보는 가족 10인을 대상으로 포커스 그룹 및 개별 인터뷰를 시행하여 치매노인의 배회 관련 경험을 분석 하였다. 둘째, 지침 개발 단계에서는 문헌 고찰을 통해 예비 항목을 작성하고 전문가 8인의 내용타당도 검증 과정을 거쳐 최종안을 완성하였다. 셋째, 지침의 평가 단계에서는 치매노인 가족 13인을 대상으로 지침에 대해 교육하고 제공된 배회관리 지침 소책자를 이용하여 일주일 간 적용하도록 한 후 배회 관련 지식, 지침 적용 정도, 사용자 만족도를 설문지를 통해 평가하였다. 본 연구에서 최종적으로 개발된 지침은 ‘배회의 정의’, ‘배회의 원인’, ‘배회 가능성이 높은 경우’, ‘배회 예방’, ‘실종 예방’, ‘배회 발생 시 대처 방법’, ‘실종 발생 시 대처 방법’의 7가지 주제, 총 86항목으로 구성되었다. 배회관리 지침 사용 교육 전․후 가족의 배회 관련 지식 점수가 유의하게 향상하였고(p=0.014), 지침 적용 정도 9문항의 평균은 2.69~3.46(range: 1~4)점이었으며 사용자 만족도의 7개 항목 평균은 2.85~3.38(range: 1~4)점이었다. 본 연구에서 개발된 배회관리 지침은 국내 지역사회 거주 치매노인의 배회 특성과 가족의 요구를 반영하여 개발되었으며, 개발된 지침을 가족들에게 시범 적용하고 평가를 시도하였다는 점에서 의의가 있다. 본 배회관리 지침은 가족들이 치매노인의 배회에 대해 보다 잘이해하고 대처하며 배회로 인한 부정적 결과를 예방하는데 도움이 될 것으로 사료된다. The purpose of this study was to develop a wandering management guideline for family caregivers of community-dwelling elders with dementia (EWD). In the first stage of the study, focus group and individual interviews (n=10) were performed to analyze family caregivers’ experiences about wandering of the EWD under their care. In the second stage, preliminary contents for the guideline were made based on the interview results of family caregivers and reviews of literature. Final version of the guideline with 86 items was established after experts’ review using the Content Validity Index analysis. In the final stage, a pilot test was conducted to evaluate the guideline using a sample of 13 family caregivers of EWD. Family caregivers were educated about how to use the guideline and asked to complete a set of questionnaire to examine their knowledge about wandering, degree of application of the guideline, and satisfaction with the guideline. Family caregivers’ knowledge score was significantly improved (p=0.014) and the average scores in the process evaluation (9 items) and user satisfaction (7 items) about the guideline were 2.69-3.46 (range: 1-4), and 2.85-3.38 (range: 1-4), respectively. Further study with a large random sample is necessary to confirm the results of this study.