A Study on Therapeutic landscape environment for the elderly with dementia based on multisensory stimulation

우양,조택연 한국공간디자인학회 2022 한국공간디자인학회논문집 Vol.17 No.1

(Background and Purpose)The acceleration of aging has resulted in many social problems, one of which is the imbalance between the increase in the population with dementia and the available social forces that help them live. One of the important factors causing this imbalance is how living spaces for elderly individuals with dementia are designed. The living environment of the elderly with dementia, which in most cases is the sanatorium, is designed without understanding the neural structure of the disease. In particular, we do not understand the neural activity relationship between the outdoor environment and the stimulus and response in dementia, and only focus on creating a pure indoor visual stimulation environment. Although the individual sensory systems of the elderly with dementia deteriorate, multisensory integration processing increases. Thus, this research proposes establishing a multisensory stimulation therapeutic landscape environment for the elderly with dementia to alleviate the mental and behavioral symptoms and delay the development of the disease course. (Method) This study enrolled elderly individuals with dementia as limited research subjects. First, neurological research on dementia was conducted to define the significance of the multisensory stimulation environment, neural activity of the elderly with dementia, and therapeutic landscape environment. Second, the relationship between the neural activity of elderly individuals with dementia who responded to multisensory stimuli and the therapeutic landscape environment was organized. Third, six design methods and relative design suggestions were proposed for creating the multisensory therapeutic landscape environment for elderly individuals with dementia. (Results) This study examined the relationship between multisensory stimulation and the therapeutic landscape environment of elderly individuals with dementia, to propose six design methods that enrich the plant species and forms of multisensory stimulation, strengthen tactile-centered multisensory stimulation, enhance the connection between sensory stimuli, symbolize past experience and memory, construct deductive space, and design time-effective activities and games. (Conclusions) It is important to emphasize the necessity of multisensory stimulation in the design of therapeutic landscape environments. Further research should be undertaken to chalk out the design of multisensory stimulation to improve the quality of life of elderly individuals with dementia. This study proposes a new way of constructing an outdoor therapeutic landscape for elderly individuals with dementia and will provide basic data to create an environment for improving their quality of life.

치매노인의 안전을 위한 경찰의 역할과 과제

이강문 한국치안행정학회 2018 한국치안행정논집 Vol.15 No.2

치매노인의 증가로 인해 치매노인을 위한 시설확대와 가출예방을 위한 여러 가지 방안을 맞추었지만 지속적으로 증가되는 추세이며, 이에 경찰의 부담이 가중되고 있다. 치매노인이 가출할 경우 경찰의 수색에 소요되는 시간과 동원인력들은 강력범죄에 비슷할 만큼 많다. 따라서 본 연구는 치매노인의 가출예방과 보호지원을 보다 효과적으로 해결할 수 있도록 치매노인 부양가족 및 경찰의 역할을 고찰하고자 하며, 이를 기반으로 치매 노인 안전정책에 대한 이론적 근간을 제공하는 것을 목적으로 한다. 경찰은 치매노인을 보호하기 위해 안전인프라 구축과 정보공유시스템을 통해 치매노인보호를 위한 사회안전망을 확충하는데 지속적으로 협력이 필요하다. 또한, 지역별로 다른 기관들과의 협업을 통한 사회안전망을 구축하는 것은 치매노인안전 강화에 큰 도움을 줄 것이다. 보건복지부와 협력하여 취약 노인돌봄체계를 구축하고 치매노인들을 보호하며 민간단체들과 협력을 통해 가출 치매노인의 조기발견에 도움을 주는 등 사회안전망의 구축은 치매노인보호를 위한 매우 효과적인 대책이 될 것이다. 앞으로 경찰은 치매노인의 가출방지를 위한 순찰과 방문활동 등을 통한 가출시 초기발견과 경찰의 신속한 수색 강화해야 한다. 그리고 치매노인 가출 활동에 대한 준비를 철저히 하고 체계적, 효율적으로 관리를 위해 경찰청 주도의 노인안전을 위한 전담부서를 신설하는 방안을 포함한 제도적인 장치를 마련하는 것이 우선적으로 필요하다. 또한 치매노인을 대상으로 한 실종 사건 등과 같은 각종 사건 사고발생 시 빠른 대처와 예방을 위하여 다른 유관 기관의 협력을 통하여 적극적으로 해결하고 보건복지부와 협력을 통해 치매노인들에 대한 효율적인 관리와 치매노인의 가출을 예방해야 할 것이다. 치매노인보호활동의 강화를 하기 위해서는 경찰기관의 단독적 활동으로는 어려움이 있다. 따라서 여러 정부기관과 민간단체, 지역사회 등과 연계한 종합적인 사회안전망 시스템을 구축하는 것을 필요로 한다. 이에 덧붙여 치매노인보호에 대한 사회적 분위기의 제고를 위해서 이와 관련된 다양한 홍보 및 교육의 실시가 필요하다. Due to the increase of the elderly with dementia, various measures for the extension of the facility for the elderly with dementia and the prevention of the runaway have been met, but the trend is continuously increasing and the burden of the police is increasing. When the elderly with dementia run away, the time and mobilization time for police search are similar to the violent crime. The purpose of this study is to provide a theoretical basis for the demented elderly 's safety policy based on the role of the dependent family and the police in order to solve the runaway prevention and protection support of the demented elderly more effectively. In order to protect the elderly with dementia, the police need to continue to cooperate in constructing safety infrastructure and expanding the social safety net for the protection of the elderly with dementia through information sharing system. In addition, establishing a social safety net by collaborating with other organizations by region will greatly enhance the security of elderly people with dementia. In cooperation with the Ministry of Health and Welfare, building a vulnerable elderly care system, protecting elderly people with dementia, and helping early detection of elderly people with dementia through cooperation with private organizations is a very effective measure for the protection of elderly people with dementia will be. In the future, the police should make early detection and police search faster by patrolling and visiting activities to prevent the elderly with dementia from running away. In addition, it is necessary to prepare institutional devices including thoroughly preparing the elderly dementia elderly people 's activities and establishing a department dedicated to the elderly safety led by the police agency for systematic and efficient management. In addition, in order to cope with and prevent various kinds of incidents such as disappearance of demented elderly people, we actively solve them through cooperation of other related agencies and actively manage the demented elderly through cooperation with the Ministry of Health and Welfare, You should prevent runaway. In order to strengthen the protection activities for elderly people with dementia, it is difficult for them to be independent activities of police agencies. Therefore, it is necessary to build a comprehensive social safety net system in cooperation with various government agencies, private organizations and communities. In addition, it is necessary to carry out various publicity and education related to the social environment for the protection of the elderly with dementia

농촌지역 노인전문요양시설 치매노인의 생활행위에 관한 연구

양금석 한국농촌건축학회 2008 농촌건축 : 한국농촌건축학회논문집 Vol.10 No.27

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in skilled nursing facilities. The thorough investigation and observation works were made from the view points of daily living behaviors and behavioral places of the recuperating elderly with dementia. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 skilled nursing facilities. The results of this study are summarized as follows; There is no wide difference between skilled nursing facilities on the characteristic of living behaviors of the elderly with dementia. Daily living activities and the use of spaces are largely influenced by the daily program and the operation policy of each skilled nursing facilities in addition to human relationship of the elderly with dementia. Common spaces such as day room, dining room plays an important role for their daily living activities, because that most of the elderly with dementia stay long during daytime. Layout of each private room and common space seems very crucial point in designing these facilities, in order to enable demented people to live their lives more independently. The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in skilled nursing facilities. The thorough investigation and observation works were made from the view points of daily living behaviors and behavioral places of the recuperating elderly with dementia. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 skilled nursing facilities. The results of this study are summarized as follows; There is no wide difference between skilled nursing facilities on the characteristic of living behaviors of the elderly with dementia. Daily living activities and the use of spaces are largely influenced by the daily program and the operation policy of each skilled nursing facilities in addition to human relationship of the elderly with dementia. Common spaces such as day room, dining room plays an important role for their daily living activities, because that most of the elderly with dementia stay long during daytime. Layout of each private room and common space seems very crucial point in designing these facilities, in order to enable demented people to live their lives more independently.

지역사회 노인들의 치매에 대한 두려움과 관련된 요인

박영임,박정수,윤현서,김남희,전진호 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.4

The purpose of this study was to examine the fear of elderly people for dementia and the factors of dementia. The subjects in this study were 400 elderly people who were selected by stratified proportional systematic sampling from among the elderly residents aged 60 and up in some regions. A survey was conducted to find out their knowledge of dementia and the factors of dementia. The rate of the respondents who underwent dementia screening stood at 28.9 percent, and that of the respondents who experienced it just stood at 10.2 percent. The rate of the respondents who were aware of dementia-related medical expenses and related management services stood at 11.7 percent, which was low. As for anxiety over dementia, 36.5 percent were anxious about their own possibility of contracting dementia, and 18.3 percent were anxious about their spouses' possibility of contracting it. They were more afraid of dementia than any other disease such as cancer or stroke. As many as 70.1 percent, which were the highest percentage, were fearful of it. Concerning the relationship between anxiety over dementia and diagnosis, the rate of being diagnosed with dementia was higher in the anxious group. Regarding influential factors for anxiety over dementia, the elderly people who were female and who had spouses were more anxious, and the respondents who had a better knowledge of it were less anxious. The findings of the study illustrated that the elderly people were anxious over dementia, but that a very low percentage of them received education about that or underwent dementia screening. To remedy the situation, dementia screening should be more publicized in local community, and various education should be provided for elderly people to be knowledgeable about the disease. The development of prolonged educational programs is required in consideration of the characteristics of the elderly instead of merely offering education just on a temporary basis. In addition, it's important to raise awareness of dementia not only among individuals but in the whole society in order to improve the quality of life of elderly people with dementia 본 연구는 노인들의 치매에 대한 두려움과 요인을 알아보기 위하여 일부지역 60세 이상의 논인을 대상으로 층화비례계통추출법으로 400명을 선정하고 치매지식과 치매요인에 대한 설문조사를 실시하였다. 치매에 대한 검사 경험률은 28.9%였고, 경험률은 10.2%에 불과하였으며, 치매관련 치료비 및 관리서비스 인지율은 11.7%로 낮았다. 본인의 치매 걸림에 대한 불안감은 36.5%, 배우자 불안감은 18.3%였고, 암, 중풍 등의 다른 질환보다 두려움이 70.1%로 가장 높았다. 치매 불안감과 진단의 관계에서는 불안군이 치매진단율이 높았다. 치매에 대한 불안에 영향을 미치는 요인은 여성, 배우자 있음에서 불안감이 높았고, 지식수준이 높을수록 감소하였다. 연구결과 치매에 대한 불안감은 가지고 있으나 실질적으로 교육을 받거나 진단은 받는 경우는 매우 낮았다. 이를 개선하기 위해서는 현재 지역사회에서 치매선별검사에 대한 홍보활동과 더불어서 치매에 대한 지식을 가질 수 있도록 다양한 교육이 이루어져야 하며, 노인의 특성을 감안하여 일회성이 아닌 지속적인 교육프로그램의 개발이 필요할 것으로 사료된다. 또한 치매의 경우 개인의 인식개선도 중요하지만 사회전체의 인식개선도 함께 이루어져 치매노인의 삶의 질 향상을 도모하여야 한다.

치매특별등급제도의 시행 이후, 치매노인 가족의 케어경험에 관한 연구 - 케어의 어려움과 필요한 사회서비스를 중심으로 -

김동화,엄기욱 한국노인복지학회 2015 노인복지연구 Vol.0 No.70

The purpose of this study was to explore what difficulty and necessary social services the family members of the elderly with dementia have in caring them after the implementation of dementia special rating, and present appropriate policies. For this purpose, on the subjects of 6 family members who cared the elderly with dementia, a survey of focus group interview was conducted, and content analysis was carried out by using NVIVO 10 in this study. Looking at key results, following are the findings. Firstly, it is necessary to prepare expansion of house work support, daily life service support and effectiveness education related with cognition improvement program for the families of the elderly with dementia. Secondly, it is necessary to provide family therapy service in order to release psychological pains of the families of the elderly with dementia. Thirdly, it is necessary to have responsible professionals to continue to arrange the necessity of customized care institution fit for dementia rating, care for the elderly with dementia in night time and weekends, needs of 24 hour care support for dementia, education-information-sources required for families of the elderly with dementia. Based on the results above, this study demonstrates social welfare implication to contribute to reinforcing family support policies to take care of the elderly with dementia. 본 연구는 치매특별등급 제도가 도입 된 이후, 치매가족이 치매노인을 케어 하면서 느끼는 어려움과 필요한 사회서비스가 무엇인지 살펴보고, 정책을 제시하는데 목적이 있다. 이를 위해 치매노인을 케어 하는 가족 6명을 대상으로 포커스그룹 인터뷰를 실시하였고, NVIVO 10을 활용하여 내용분석을 수행하였다. 주요 결과를 살펴보면 첫째, 치매가족의 가사지원·일상생활서비스 지원 확대 및 인지향상프로그램 관련 효과성 교육이 필요하다. 둘째, 치매가족의 심리적 고통을 덜어주기 위한 상담서비스와 가족치료서비스가 필요하다. 셋째, 치매노인의 야간 및 주말 케어, 치매등급에 따른 맞춤형 케어 기관 필요, 치매 24시간 케어 지원 욕구, 치매가족에게 필요한 교육·정보·자원 등을 지속적으로 지원해 줄 수 있는 치매가족 담당전문가가 필요한 것으로 나타났다. 이러한 결과를 바탕으로 본 연구는 치매노인을 돌보는 가족 지원 정책 강화에 기여하기 위한 사회복지적 함의를 제시하였다.

치매노인 가족을 위한 지원정책

김양이 ( Kim Yang-e ) 한국장기요양학회 2016 장기요양연구 Vol.4 No.1

본 연구는 치매노인을 케어하는 가족들을 위한 개입방안과 정책적 방향을 제안하기 위한 것이다. 치매노인을 돌보는 가족들에 대한 서비스로는 첫째, 단계별 문제행동과 대처방법에 대한 교육이 우선되어야 하며, 치매의 진행을 예방하기 위하여 일상생활기술을 훈련ㆍ교육하고 더불어 인지활동프로그램에 대한 교육을 제공하여 전문가 없이도 인지기능이 유지되도록 지원해야 하며 치매노인이나 가족이 받을 수 있는 지원제도에 대한 정보를 제공할 뿐만 아니라 치매노인의 인권을 보장하는 교육도 제공해야 한다. 둘째, 치매노인 가족을 위한 개입 방안으로는 치매노인 가족에 대한 신체·심리·정서적 개입으로 수면장애와 화병과 같은 정신적 증상에 대한 개입과 고혈압이나 당뇨병, 퇴행성 관절질환에 대한 개입 그리고 자녀부부간의 갈등 및 그 자녀와의 역기능에 대한 개입 및 치매노인 가족 간의 갈등에 대한 개입과 치매노인 가족을 위한 상담이 이루어져야 한다. 셋째, 정책적 방향으로는 치매특별 등급제도에 관한 시행령의 개정과 광역치매센터와 치매상담센터의 전달체계의 단일화 및 업무의 차별성이 있어야 하며 자치단체별로 치매노인 가족들의 자조모임이 구축되어야 하고 치매상담센터에 상담 전문가의 배치가 필요하다. 그 밖에도 주간 보호시간과 기간의 연장과 치매노인 인지활동 프로그램의 개선이 요구되며 치매노인 가족을 위한 가족휴가제도를 정착시키기 위한 단기보호시설의 확대와 인건비 및 수가에 대한 지원을 높이고 치매노인 부양으로 유발된 질병이나 악화된 질병에 대한 의료비 지원도 필요하다. 치매노인 가족을 위한 정책은 치매노인 가족의 애로가 반영되어야 그 효과를 극대화할 수 있을 것이다. This study attempted to propose an intervention plan and policy directions for families having an elderly dementia. The services that should be provided to the families taking care of an aged family member suffering from dementia include the followings: First, there should be education on problem behavior and its responses. To prevent the disease from further developing, a cognitive activity program in addition to the education and training of daily-life activities should be provided, helping the dementia maintain cognitive functions even without any expert’s assistance. Furthermore, there should be an education program which provides the useful information on the support system that the dementia and his/her family can get and guarantees the patient’s human rights. Second, in terms of intervention for families having an elderly dementia, there should be physical, psychological and emotional interventions on the families with the elderly with dementia such as intervention on mental symptoms(sleep disorder, Korean somatization disorder), intervention on high blood pressure, diabetes and degenerative joint diseases, intervention on marital conflict in the family of the patient’s child and reverse functions with the child and intervention on family conflict. In addition, there should be consultation on the families with an elderly dementia. Third, regarding policy directions, the enforcement ordinance on the special dementia rating scale should be amended, and the communication system in the metropolitan dementia center and dementia consultation center should be unified, keeping differentiation in duties. Furthermore, each local authority should have a self-help group for the families having an elderly dementia, and a professional counselor should be posted in each dementia consultation center. Moreover, the daytime care time and period should be extended, and the cognitive activity program needs to be improved. It is also necessary to expand short-term care facilities for the settlement of a family leave system for the families having an elderly dementia patient, increase assistance to the labor costs and insurance costs and provide medical aid for the diseases arising from (or aggregated after) caring the dementia patient. The effects of the policy for the families having an elderly dementia can be finally maximized when it reflects what they really need and want.

통합예술치료가 초기치매노인의 인지기능과 우울에 미치는 영향에 관한 연구

백승숙,신동열 산업진흥원 2024 산업진흥연구 Vol.9 No.1

본 연구의 목적은 통합예술치료가 초기치매노인의 인지기능과 우울에 미치는 영향을 객관적으로 살펴보고, 통합예술치료가 초기치매노인의 변화과정을 행동변화 관찰일지를 이용하여 종합적인 분석을 통해, 이를 규명하고 논의하는 데 있다. 연구방법으로 통합예술치료가 초기치매노인의 인지기능과 우울에 미치는 영향에 대한 양적연구와 함께 질적연구를 통한 심층 분석을 이용한 혼합연구를 설계하였다. 양적연구는 수원시 P 구의 주간보호센터를 이용하는 초기치매노인 20명을 실험대상으로 사전 사후검사를 하였고, 질적연구는 초기치매노인 10명을 대상으로 행동변화 관찰일지 분석을 하였다. 이러한 연구결과는 첫째, 통합예술치료가 초기치매노인의 인지기능에 유의한 영향(p<.001, t=-5.871을 미쳤다. 둘째, 통합예술치료가 초기치매노인의 우울에 유의한 영향(p<.001, t=5.325)을 미쳤다. 셋째, 통합예술치료 프로그램이 초기치매노인의 인지기능과 우울에 사전, 사후 변화에도 긍정적인 태도로 변화하였다. 본 연구결과를 통해 통합예술치료가 초기치매노인의 인지기능과 우울에 미치는 영향을 밝힘으로써 초기치매노인과 관련된 통합예술치료프로그램 등에 실효적 정보를 제공할 뿐 아니라 초기치매노인과 관련된 연구의 기초자료로 의미가 있다. The purpose of this study is to objectively examine the effects of integrated art therapy on cognitive function and depression in the early dementia elderly, and to identify and discuss the process of change in the early dementia elderly through a comprehensive analysis through behavior change observation diary. As a research method, a mixed study was designed using in-depth analysis through qualitative studies as well as quantitative studies on the effect of integrated art therapy on cognitive function and depression in the elderly with early dementia. The quantitative study conducted a pre-post examination of 20 elderly people with early dementia using the day care center in P-gu, Suwon, and the qualitative study analyzed the behavioral change observation diary of 10 elderly people with early dementia. These findings show that first, integrated art therapy had a significant effect on the cognitive function of the elderly with early dementia (p<.001, t=-5.871). Second, integrated art therapy had a significant effect on the depression of the elderly with early dementia (p<.001, t=5.325). Third, the integrated art therapy program changed to a positive attitude before and after cognitive function and depression of the elderly with early dementia. By revealing the effect of integrated art therapy on cognitive function and depression of the elderly with early dementia through the results of this study, it is meaningful as basic data for research related to the elderly with early dementia as well as providing effective information on integrated art therapy programs related to the elderly with early dementia.

노인 치매 예방 프로그램 참여 활동의 여가문화적 성격-경북 칠곡군 A아파트 경로당 사례를 중심으로-

최유정 비교민속학회 2020 비교민속학 Vol.- No.71

이 연구는 민속학적, 문화론적 접근을 통해 경북 칠곡군 A아파트 경로당에서 운영되는 노인 치매 예방 프로그램 참여 활동의 실태를 현지조사하여 분석하고, 오늘날 노인의 여가문화로서 노인 치매 예방 프로그램이 가진 여가문화적 성격을 고찰한 것이다. 노인들의 삶과 일상생활의 맥락에서 노인 치매 예방 프로그램 참여 활동이 여가문화로서 어떤 의미가 있을 지에 대해 살펴보았다. 노인 치매 예방 프로그램 참여 활동에서 수강자들은 지자체에 의해 수강자들이 동원된 측면이 있다는 점, 지자체가 기획한 프로그램이라는 점에서 타율적이고 수동적인 모습을 보여주었다. 그럼에도 수강자들은 치매 예방 프로그램을 통해 치매 예방보다 놀이를 즐기거나, 운동을 하거나 지식을 습득하는 경향이 있다는 점, 알찬 여가 시간을 보낼 수 있다고 인식한다는 점, 프로그램을 통해 자기개발 혹은 자아실현 등의 경험을 한다고 생각하는 점에서 ‘진지한 여가’활동으로 평가될 수도 있다. 따라서 노인들의 치매 예방 프로그램 참여 활동이 전통적인 자발적 여가문화와 확연히 구별된다. 그럼에도 수강자들의 삶과 일상생활의 여가양상을 살펴볼 때 그들이 치매 예방 프로그램에 참여하는 이유는 다음과 같다. 치매 예방 프로그램은 이미 만들어진 프로그램에 참여만하는 것이기 때문에 굳이 여가활동에 품을 들이지 않아도 된다. 또한 시간만 허비하는 기존의 ‘일상적 여가’활동보다 의미 있는 시간을 보낼 수 있게 해준다. 나아가 아파트 단지 내 경로당이라는 가정과 멀지 않은 공간에서 비슷한 연령대에 얼굴을 아는 사람들끼리 함께 즐길 수 있다. 이점에서 노인들의 치매 예방 프로그램 참여는 현대적인 여가 욕구를 충족하게 해주는 적합한 여가활동이다. 노인의 ‘일상적 여가’활동과 비교할 때 치매 예방 프로그램 참여 활동은 ‘타율적 여가’, ‘이식된 여가’, ‘계획된 여가’, ‘설계된 여가’, ‘의도된 여가’, ‘복잡한 여가’, ‘힘이 드는 여가’라는 특징이 확인된다. 전통사회 뿐만 아니라 오늘날 노인들은 일상적으로 스스로 여가를 즐기는 주체이다. 그러나 치매 예방 프로그램 참여 활동의 여가문화적 성격으로 볼 때 노인들은 기존의 여가활동과는 달리 주제와 객체의 경계점에 위치하고 있다. 따라서 오늘날 노인들은 전통적인 여가문화에서 벗어나 점점 현대사회의 여가문화를 경험하고 있으며, 이를 보여주는 하나의 사례로서 노인들의 치매 예방 프로그램 참여 활동을 주목할 수 있다. This study conducted field surveys on and analyzed the conditions of dementia prevention program participation activities operated at the A Apartment Senior Center through folkloristic and cultural approaches to examine leisure cultural properties of dementia prevention programs as leisure culture for the elderly. For this, observations were made of dementia prevention program participation activities from contexts of the lives and everyday lives of the elderly. The fact that participants were gathered by local governments for dementia prevention program participation activities and the fact that they were a part of a program that was already planned by local governments displayed heteronomous and passive characteristics. On the other hand, confirmations were also made of characteristics as ‘serious leisure’ activities as participants enjoyed play, exercised, or acquired knowledge rather than focus on dementia prevention through the dementia prevention program, perceived that they were able to spend their leisure time meaningfully, and experienced self-development or self-realization through the program. These can be considered aspects that display points of vagueness at which it is difficult to consider dementia prevention program participation activities to be leisure culture. Still, observations of the leisure aspects of the lives and everyday lives of the participants showed that they participated in the dementia prevention program for the following reasons. Dementia prevention programs simply require participation in programs that have already been made so additional efforts are not required with regard to handling their leisure activities. Also, they allow time to be spent more meaningfully than with existing ‘everyday leisure’ that did nothing but waste time. Further, they could be enjoyed with familiar people of similar age in a senior center within the apartment complex, a space that is not far from home. From these points, participation of the elderly in dementia prevention programs was appropriate for and satisfied the modern leisure desires of the elderly. In comparison with the ‘everyday leisure’ activities of the elderly, dementia prevention program participation activities had the leisure cultural properties of being ‘heteronomous leisure’, ‘transplanted leisure’, ‘planned leisure’, ‘planned leisure’, ‘intentional leisure’, ‘complex leisure’, and ‘difficult leisure’. The elderly serve as the leisure theme of traditional society and of modern everyday life. However, observations of the leisure cultural properties of dementia prevention program participation activities show that, unlike existing leisure activities, the elderly are located at the boundary point between subjects and objects. Therefore, the elderly of today are breaking away from traditional leisure culture and are increasingly experiencing leisure culture of modern society and dementia prevention program participation activities of the elderly are cases that display this.

치매노인부양가족의 부양부담이 부양부담대처방안을 매개로 생활만족도에 미치는 영향

최선(Sun, Choi) 한국복지실천학회 2019 한국복지실천학회지 Vol.11 No.2

본 연구는 치매노인 부양자의 생활만족도에 영향을 미칠 수 있는 긍정적인 프로그램과 정책을 개발하는데 필요한 기초자료를 제공하는 목적이 있고, 다음과 같은 결과를 도출하였다. 첫째, 시간 의존적 부담, 발달적 부담, 신체적 부담, 사회적 부담, 정서적 부담, 경제적 부담이 회귀계수만큼 영향을 미쳤고, 둘째, 시간 의존적 부담, 발달적 부담, 신체적 부담, 사회적 부담, 정서적 부담, 경제적 부담이 회귀계수만큼 영향을 미쳤으며, 셋째, 치매노인 부양자의 부양부담 대처 방안이 노인치매 부양자의 생활만족도에 회귀계수만큼 영향을 미쳤다. 넷째, 시간 의존적 부담과 치매노인 부양자의 생활만족도의 관계에서 치매노인 부양자의 부양부담대처 방안의 부분 매개효과가 있는 것으로 나타났고, 다섯째, 발달적 부담과 치매노인 부양자의 생활만족도의 관계에서 치매노인 부양자의 부양부담대처 방안의 부분 매개효과가 있는 것으로 나타났으며, 여섯째, 신체적 부담과 치매노인 부양자의 생활만족도의 관계에서 치매노인 부양자의 부양부담대처 방안의 부분 매개효과가 있는 것으로 나타났다. 일곱째, 정서적 부담과 치매노인 부양자의 생활만족도의 관계에서 치매노인 부양자의 부양부담대처 방안의 부분 매개효과가 있었고, 여덟째, 경제적 부담과 치매노인 부양자의 생활만족도의 관계에서 치매노인 부양자의 부양부담대처 방안의 부분 매개효과가 있었다. The purpose of this study is to provide the necessary basic data for developing positive programs and policies that can affect the life satisfaction of the elderly dementia care provider, and the following results have been obtained. First, the time-dependent burden, the developmental burden, the physical burden, the social burden, the emotional burden, and the economic burden affected as much as the regression coefficient, and second, the time-dependent burden, the developmental burden, the physical burden, the emotional burden, the economic burden affected as the regression coefficient, and third, the way to cope with the burden of the elderly provider with dementia affected the living satisfaction of the no-in-inch dependant. Fourth, in relation to the time-dependent burden and the life-satisfaction of the elderly with dementia, there was a partial medium effect of the measures to cope with the burden of support for the elderly with dementia, and in the fifth, there was a partial effect of the measures to cope with the burden of support for the elderly with the living satisfaction of the elderly with dementia, and in the sixth and the life-supportive care of the elderly with the elderly. Seventh, the emotional burden and the physical impact on the life satisfaction of the elderly dementia care provider were partly mediated by the measures to cope with the burden of the support of the elderly dementia care provider in the relationship between the economic burden and the life satisfaction of the elderly dementia care provider, and the ninth, the physical burden of the life satisfaction of the elderly depend only on the development, the burden of the life support, and the burden of the physical burden of the life support of the elderly dependents. In this study, it is meaningful that it can help to lay the groundwork for developing practical guidelines by providing the necessary basic data to develop positive programs and policies that can affect the living satisfaction of the elderly dementia care provider.

치매노인 실종 대응을 위한 개인위치정보 활용의 헌법적 쟁점과 입법적 개선방안

김강한(Kim, Kang Han),권건보(Kwon, GeonBo) 한국공법학회 2023 공법연구 Vol.52 No.2

As the entry into an aging society progresses rapidly and the proportion of the elderly continues to increase, the number of elderly people suffering from dementia is increasing rapidly. Dementia is a type of brain disease in which mental functions such as memory and cognitive ability as well as physical functions that occur in the elderly over 65 years of age are gradually deteriorated. In the case of the elderly with such dementia disease, their ability to recognize and recognize themselves is significantly lower, so if they are out of the protected area such as guardians, they are at great risk of disappearance, and if it leads to falls or traffic accidents, it can seriously harm individual lives and bodies, leading to death, which has a great impact on the damage. For this reason, Korea is establishing and implementing dementia management measures at the national level, and in particular, a more effective disappearance prevention and disappearance response system is established by identifying personal location information through location tracking of the elderly with missing dementia. However, if the use of personal location information is allowed indefinitely on the grounds that it is effective to prevent and respond to the disappearance of the elderly with dementia, it may infringe on the basic rights of the people, such as personal privacy. A series of processes, such as collecting and utilizing personal location information through location tracking for the purpose of responding to the disappearance of the elderly with dementia, can be said to realize the states duty to protect the safety of individual lives and bodies of the elderly with dementia. However, personal location information is information that belongs to personal information that must be protected under relevant laws and is subject to the protection of the right to personal information self-determination, which is a fundamental right guaranteed by the Constitution, and pursuant to Article 37 (2) of the Constitution, the right to personal information self-determination may be restricted by law if necessary for public interests such as public well-being. Therefore, if personal location information is needed to maintain public well-being and order, such as protecting the safety of the life and body of the elderly with missing dementia, it can be seen as a legitimate public power action only when it is based on relevant laws. In Korea, the Missing Children Act, the Location Information Act, and the Personal Information Protection Act provide grounds for the use of personal location information to respond to the disappearance of the elderly with dementia. This paper analyzes constitutional issues related to the use of personal location information to respond to the disappearance of the elderly with dementia and the problems of the current major legislation, and derives ways to improve legislation to solve or supplement these problems.