치매의 행동심리증상관리를 위한 웹기반 요양보호사 교육 프로그램 개발 및 효과

송준아; 김효진; 김유경; 박재원

서지반출

영문초록

The purpose of this study was to develop and evaluate a web-based education program designed for nursing home caregivers to improve their management of behavioral and psychological symptoms of dementia (WebEd-BPSD) exhibited by residents. Methods: Four sessions of WebEd-BPSD were developed and operated through a web server for 4 weeks. Caregivers who had worked for more than one month in the study nursing homes (N=6) were randomly assigned to either the experimental (N=37) or control group (N=30). Pre and posttests were performed for both groups to assess participants’ knowledge, self-efficacy, and perceived problem solving abilities regarding BPSD management. Only the experimental group was evaluated for program satisfaction. The data were analyzed using descriptive statistics, x2-test, t-test, paired t-test. Results: The WebEd-BPSD was effective in increasing participants’ knowledge about BPSD management (t=2.87, p=.006) and self-confidence about problem solving (t=-2.08, p=.045), though not for self-efficacy or overall perceived problem solving abilities. Participants’ overall satisfaction with the WebEd-BPSD was generally high. Conclusion: The results indicate that the WebEd- BPSD is useful for improving nursing home caregivers' knowledge and perceived ability in BPSD management. However, replication studies with larger random samples are necessary to confirm the findings obtained from this study.

키워드

Dementia BPSD Education Nursing home

참고문헌 (28건)

Algase, D. L., Beck, C., Kolanowski, A., Whall, A., Berent, S.,Richards, K., et al. (1996). Need-driven dementia-compromisedbehavior: An alternative view of disruptive behavior. American Journal of Alzheimer's Disease, 18 (11), 10-19.
Ballard, C., Corbett, A., Chitramohan, R., & Aarsland, D. (2009). Management of agitation and aggression associated with Alzheimer's disease: Controversies and possible solutions. Current Opinion in Psychiatry, 22 (6), 532-540.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84 (2), 191-215.
Benoit, M., Arbus, C., Blanchard, F., Camus, V., Cerase, V., Clement, J. P., et al. (2006). Professional consensus on the treatment of agitation, aggressive behaviour, oppositional behaviour and psychotic disturbances in dementia. Journal of Nutrition Heal
Chenoweth, L., King, M. T., Jeon, Y. H., Brodaty, H., Stein-Parbury, J., Norman, R., et al. (2009). Caring for aged dementia care resident study (CADRES) or person-centered care, dementiacare mapping, and usual care in dementia: A cluster randomized trial.
Choi, J. S., & Kim, K. S. (2009). Application and evaluation of a web-based education program on blood-borne infection control for nurses. Journal of Korean Academy of Nursing, 39, 298-309.
Chun, I. S. (2010). “Nursing hemodialysis patients” the development of web-based education program. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Second Edition. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.
Cohen-Mansfield, J. (2000). Heterogeneity in dementia: Challenges and opportunities. Alzheimer's Disease and Associated Disorders, 14 (2), 60-63.
Deudon, A., Maubourguet, N., Gervais, X., Leone, E., Brocker, P., Carcaillon, L., et al. (2009). Non-pharmacological management of behavioural symptoms in nursing homes. International Journal of Geriatric Psychiatry, 24 (12), 1386-1395.
Du, S., Liu, Z., Liu, S., Yin, H., Xu, G., Zhang, H., et al. (2013). Web-based distance learning for nurse education: A systematic review. International Nursing Review, 60, 167- 177.
Gitlin, L. N., Winter, L., Dennis, M. P., & Hauck, W. W. (2007). A non-pharmacological intervention to manage behavioral and psychological symptoms of dementia and reduce caregiver distress: Design and methods of project ACT. Clinical Interventions in Agin
Glueckauf, R. L., Ketterson, T. U., Loomis, J. S., & Dages. (2004). Online support and education for dementia caregivers: Overview, utilization, and initial program evaluation. Telemedicine Journal and e-Health, 10 (2), 223-232.
Heppner, P., & Petersen, C. (1982). The development and implications of a personal problem solving inventory. Journal of Counseling Psychology, 29, 66-75.
Jeon, S. K. (1994). (A) study on the effectiveness of social skills training program for rehabilitation of the schizophrenic patients. Unpublished doctoral dissertation, Soongsil University, Seoul.
Jung, H. J. (2000). Hemodialysis nursing education program using web-based learning system. Journal of Nursing Query, 9 (1), 146-166 Jung, I, S. (1999). Web based Education. In I. J. Na. (ed.), Network-based instructional system design model (pp. 91). Kyo
Kim, E. K. (2003). Care time of elderly in long-term care facilities. The Journal of Korean Nursing Administration Academic Society, 9 (3), 353-366.
Kim, M. J. (2009). Development of a web-based education program for families dealing with schizophrenia. Unpublished master's thesis, Yonsei University, Seoul.
Kim, K. (2010). Development of a web-based education program for nurses working in nursing homes on human rights of older adults. Journal of Korean Academy of Nursing, 40 (4), 463-472.
Kong, E. H. (2012). Development and evaluation of a web-based education program to reduce restraint use for nursing home caregivers. Journal of Korean Gerontological Nursing, 14(3), 209-219.
Lawlor, B. (2002). Managing behavioral and psychological symptoms in dementia. British Journal of Psychiatry, 181, 463-465.
Livingston, G., Johnston, K., Katona, C., Paton, J ., Lyketsos, C. G., & Old Age Task Force of the World Federation of Biological Psychiatry. (2005). Systematic review of psychological approaches to the management of neuropsychiatric symptoms of dementia.
Mackenzie, C. S., & Peragine, G. P. (2003). Measuring and enhancing self-efficacy among professional caregivers of individuals with dementia. American Journal of Alzheimer's Disease and Other Dementias, 18 (5), 291-299.
Moore, K., & Haralambous, B. (2007). Barriers to reducing the use of restraints in residential elder care facilities. Journal of Advanced Nursing, 58 (6), 532-540.
Park, J. E. (2008). Occupational health nurses' self-efficacy, knowledge and barriers in smoking-cessation counseling for workers. Unpublished master's thesis, The Catholic University of Korea, Seoul.
Sherer, M., Maddux, J. E., Mercadante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and Validation. Psychological Report, 51, 663-671.
Song, J. A,. Kim, Y. K., & Kim, H. J. (2012). Educational needs on behavioral and psychological symptoms of dementia among certified nursing caregivers in nursing homes. Journal of Korean Gerontological Nursing, 14 (3), 220-232.
Yang, G. M. (1999). Analysis of the relationship between the empowerment, the job-related individual characteristics and the work performance of nurses. Unpublished doctoral dissertation, Kyung Hee University, Seoul.

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