장기요양시설 거주 치매노인의 식사행동장애 관련 요인

서지정보

ㆍ발행기관 : 노인간호학회 ㆍ수록지정보 : 노인간호학회지 / 19권 / 1호
ㆍ저자명 : 이정, 류세앙

목차

서 론
연 구 방 법
연 구 결 과
논 의
결 론
REFERENCES

한국어 초록

치매는 다양한 신경퇴행성질환으로 인해 인지능력과 독립
적인 생활 수행능력에 손상이 생기는 임상증후군으로 비가역
적이며 점진적으로 진행된다[1]. 치매의 진행과 함께 치매노
인에서 식사와 관련된 문제가 흔히 나타난다[2]. 대체로 중 ․
후기 단계에서 발생하는 경향을 보이며 요양시설에 입소한 치
매노인의 경우 85.8%에서 식사행동장애로 인한 문제가 발생
하였다[2,3].

영어 초록

Purpose: The purpose of this study was to identify feeding difficulties and related factors in older adults with dementia
who reside in long-term care facilities. Methods: Participants were 149 older adults with dementia residing
in long-term care facilities and 93 certified caregivers working in five long-term care facilities. Data were analyzed
using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression
by SPSS 21.0. Results: The mean score for feeding difficulty was 7.26±4.30. The highest for a feeding difficulty
item was, "Does the patient require/close supervision while feeding?". The variables related to the feeding difficulty
were physical function (β=0.37, p<.001) and certified caregivers' attitude towards feeding older adults with dementia
(β=0.31, p<.001). These two variables explained about 44.0% of total variance (F=24.26, p<.001).
Conclusion: The results suggest the need for nursing interventions to prevent aggravation of physical function
related to feeding skills. In addition, systematical and practical education and training programs are needed for
certified caregivers to help maintain positive attitudes. These programs should lead the certified caregivers to accept
that feeding is not just a task but a relationship between certified caregivers and older adults with dementia.

참고 자료

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