치매노인 부양 실태 및 욕구에 관한 조사 연구 : 충북지역의 치매노인을 중심으로 = (The) Caregiving Status and Need of the Demented Elderly : Focused on the Demented Eldery in Chungbuk Region

다국어 초록 (Multilingual Abstract)

The society gave family of older people with dementia a variety of social services to alleviate caregiving burden, and the number of beneficiaries was less than that of the objects in total, and nursing home for the older people was not supplied enough. These days, a lot of dementia related researches were released and general researches on actual situation and desire on older people with dementia at regional level were rarely made. This study examined actual conditions and desire of the caregivers for older people with dementia at Cheongju, Cheongwon and Boeun, etc in Chungcheongbuk-do to find out problems and to suggest improvements.
The findings were as follows:
Firstly, the caregivers and the older people with dementia had demographic features as follows: Most of the caregivers were in their thirties to fifties and daughters-in-law were often responsible for caregiving. The older people with dementia who were 66-years old to 75-years old occupied 85.6%, and the ratio of gender was almost equal, and 42.4% of the older people were given diagnosis of dementia 1 to 3 years ago.
Secondly, actual conditions and desire of the caregivers for older people with dementia were as follows: The caregivers often took care of the older people 2 to 4 hours a day for 1 to 2 years. The caregivers were often given economic aid from intimates and were temporarily given caregiving help from relatives. The economic expenditure for caregiving was supported mainly by family income to bear great burden, and the caregivers got information largely from doctors and mass media. The caregivers were short of nursing services and knowledge, and they did not rely upon a nurse because they had economic difficulties and disliked to get help from third party.
Thirdly, actual conditions and desire of the use of nursing home were as follows: 29.7% of the interviewees on the use of nursing home made use of nursing home, while remaining 70.3% did not. The factors that could reduce caregiving burden of the family for older people with dementia were as follows: The caregivers cognized that all of questionnaire items were necessary regardless of the use of nursing home.
The problems and improvement of caregiving for older people with dementia were as follows:
The caregivers had caregiving burden and conflicts between family members, and they could not satisfy with social welfare services. The caregiving should be improved by various ways, for instance, rest for the caregivers, reinforced nursing service at home for older people, supporting group made by the supply of exact information on dementia, construction of communication networks, increased national budget, training and recruitment of the nurses taking care of older people with dementia, and promotion of dementia consulting service centers, etc.
The study suggested alternative programs to reduce caregiving burden for older people with dementia as follows:
Firstly, patients with dementia were often given medical treatment not at mental hospital but at general hospital, and days of hospital treatment at general hospital were shorter than those at mental hospital. Considering long time medical treatment and care of the disease, patients with dementia were not given proper medical treatment. Therefore, hospitals for patients with dementia should be opened or mental hospitals should reinforce facilities and human resources to give the patients hospital treatment and to protect elderly patients with advanced dementia.
Secondly, daytime shelter for older people with dementia had two types, that is to say, day nursing home for the patients with dementia and general nursing home that accommodated not only common elderly patients but also patients with dementia: A variety of programs should be developed to give the patients and their caregivers better quality medical services. The daytime shelters were required to develop programs by themselves, and the Government had to help to develop and distribute proper programs.
Thirdly, the selection standard of the Ministry of Health and Welfare for the ones who were qualified to be given economic subsidy from the Government was too high, so that a lot of low income older people were not selected. The standard for the ones who were qualified to be given actual expenses was difficult to apply it to low income older people households and to be of no value, so that it should be supplemented.
Fourthly, home healthcare nurse could reduce main caregiver's burden at common home having older people with dementia to give various kinds of services for the older people, so that beneficiaries' burden should be differentiated by using either salaried home healthcare nurse or paid home healthcare nurse to elevate balance and economic efficiency.

목차 (Table of Contents)

• 목차 = ⅰ
• Ⅰ. 서론 = 1
• 1. 문제제기 및 연구목적 = 1
• 2. 연구의 범위 = 3
• 3. 연구의 한계 = 4
• Ⅱ. 이론적 배경 = 5
• 1. 고령화 현상과 요보호노인의 증가 = 5
• 2. 치매노인의 이해 = 7
• 3. 치매노인 부양의 유형 = 20
• 4. 선진국의 치매노인 부양을 위한 프로그램 = 22
• 5. 선행연구 고찰 = 31
• Ⅲ. 조사방법 = 35
• 1. 조사대상 및 자료수집 방법 = 35
• 2. 조사내용 = 35
• 3. 자료 분석 방법 = 36
• Ⅳ. 조사결과 = 37
• 1. 부양자 및 치매노인의 인구사회학적 특성 = 37
• 2. 치매노인 가족의 부양 실태 및 욕구 = 39
• 3. 시설서비스 이용 실태 및 욕구 = 42
• Ⅴ. 치매노인 부양의 문제점과 개선방안 = 46
• 1. 치매노인 부양의 문제점 = 46
• 2. 치매노인 부양의 개선방안 = 49
• Ⅵ. 요약 및 결론 = 56
• 참고문헌 = 60
• ABSTRACT = 64
• 설문지 = 67