J Korean Community Nurs.  2004 Sep;15(3):450-459.

Development of a Korean Senile Dementia Management Model

• Kim JS
• Kim MS
• Park NH

Abstract

PURPOSE
The purpose of this study is to grasp the welfare service for the demented people staying at home and the service that caregivers want to use. Therefore, we are going to develop a Korean senile dementia-care management model. METHOD: It analyzed the data of 185 demented people and caregivers, who registered in 16 public dementia-care centers in B city since June 2002.
RESULTS
1) The types of services used by the aged people with dementia staying at home were, in the order of frequency of use, the day-care center (26.5%), and home-help service (21.6%). 2). The types of services according to the degree of dementia were as follows; mild cases: home-care service (5.4%), moderate cases: day-care service (40.0%) and severe cases: day-care service (26.0%). 3). The caregivers who want to use senile welfare institutions accounted for 23.3%, and the major reason they could not use the institutions was due to their economic situation. 4) The Korean senile dementia care management system must be executed, considering caregivers' economic state and severity of dementia. Since the system was actively operated, many small sized welfare service institutions showed development.
CONCLUSION
The welfare services appropriate to the severity of dementia should be provided. With the model developed in this study, the dementia management requires sufficient care and should be achieved to reduce the caregivers' burden.

MeSH Terms

Alzheimer Disease*
Caregivers
Dementia
Hand Strength
Humans
Patient Care Management