OBJECTIVES: The purposes of this study were as follows: introducing general structure and management of a day care model practiced in Community Mental Helth Center where a psychiatrist participates weekly as a consultant analyzing; the results after performing this model and then verifying appropriateness and validity; brooding the possibility of generalization as an effective day care model in Community Mental Health Service of a small city and promoting maintenance, rehabilitation and returning to community of chronic psychotic patients. METHODS: We performed this model from May 1997 to December 1998 for about 20 months. The subjects were composed of 33 psychotic patients. PANSS (Positve and Negative Sydrom Scale), QLS (Quality of Life Scale), LSSS (Life Satisfaction Self-Rating Scale) were administered twice before starting and after 6 months of participation in this program. RESULTS: 1) This model helped the maintenance and rehabilitation of chronic psychotic patients, reducing symptoms and increasing quality of life; 2) This model was useful in integrating multi-disciplinary personnel and therapeutic methods as a whole with a psychiatrist intervening the least; 3) This model enabled a psychiatrist as a consultant to manage and control all Community Mental Health Service with him participating weekly; 4) It is possible for this model to be easily applied to Community Mental Health Service in a small city. CONCLUSION: model will be likely to be applied effectively and efficiently to the Community Mental Health Service in a small city for maintenance, rehabilitation and returning to community of chronic psychotic patients.
Consultants ; Day Care, Medical* ; Generalization (Psychology) ; Humans ; Mental Health Services ; Mental Health* ; Psychiatry ; Quality of Life ; Rehabilitation

PURPOSE: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. METHODS: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. RESULTS: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. CONCLUSION: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.
Activities of Daily Living ; Aged ; Cognition ; Day Care, Medical ; Dementia ; Depression ; Humans ; Phenothiazines ; Retention (Psychology)

Dementia is the most disabling neuropsychiatric disorder of adulthood. Typical dementia-Alzheimer disease (AD) is progressive and irreversible dementia syndrome characterized by loss of intellectual capacity in many domains, altered behavior, inability to care for oneself, and altimately, neurologic abnormalities. But, unfortunately, the exact cause of dementia is still unknown and in the treatment of dementia, the focus is limited to relieve the cognitive and behavioral symptoms. Among treatment modalities of dementia, biomedical intervention has been emphasized on organic cause, individual pathology and cognitive symptomatology. But, for effective management of dementia, both biomedical and psychosocial factors must be included. Because the most fruitful apporach to developing a clinical response to dementia is an interplay between neurologic impairment and the psychosocial experiences of the dementia patients. However, until recently, little attention has been given to the psychosocial implications of the dementia. Psychosocial intervention enable to quality of human interaction and maintain personal identity. Psychosocial intervention should be a guiding principle in the development and implementation of menagement srtategies. Through the psychosocial intervention, problem behaviors might be understood as evidence of promorbid coping styles, searches for security, or activity patterns associated with previous work roles. In fact, psychosocial intervention based on integrated community services because treatment plan of dementia cannot be conducted in isolation. Psychosocial intervention mainly composed of psychotherapy, day care, nursing home, case management and social care. So, to understand and treatment the dementia, all biomedical factors must be examined and simultaneously psychosocial intervention must be considered for patient and family members and other caregivers.
Behavioral Symptoms ; Caregivers ; Case Management ; Day Care, Medical ; Dementia* ; Fruit ; Humans ; Nursing Homes ; Pathology ; Psychology ; Psychotherapy ; Social Welfare

OBJECTIVES: This study was performed to investigate the level of quality of life (QOL) and to identify its related factors among the elderly using a hall for the aged. METHODS: The study subjects were 350 elderly people living in Nam Gu, Gwangju City. They were interviewed by questionnaire to collect information on social-demographic characteristics, health behaviors, health-related characteristics and QOL. We used statistical analysis methods such as T-test, ANOVA and multiple regression analysis to find which factors affected QOL. RESULTS: The characteristics relating to physical functions were as follows: presence of spouse, education, alcohol drinking, teeth condition, arthritis, frequency of visiting the hall for the aged, and depression. Age, arthritis and depression were significantly related to role limitation due to physical problems. General health was related to gender, age, and depression, and vitality was related to education, frequency of visiting the hall, and depression. Role limitation due to emotional problems was related to age and depression, and mental health was related to age, hypertension, arthritis and depression. CONCLUSIONS: This study showed QOL of the elderly was significantly influenced by socio-demographic factors, and physical or emotional conditions. To improve QOL of the elderly, we need to develop programs to promote health and to manage chronic diseases of the elderly.
Age Factors ; Aged ; *Community Health Centers ; Day Care/*psychology ; Female ; *Health Behavior ; *Health Services for the Aged ; *Health Status ; Humans ; Male ; Quality of Life/*psychology ; Sex Factors ; Socioeconomic Factors

PURPOSE: The purpose of the study is to develop a web-based program on child health care, and to identify the effect of the program on knowledge of, attitudes towards child health care, and health care practice in staff of daycare centers. METHODS: The program was developed through the processes of needs analysis, contents construction, design, development, and evaluation. After the program was developed, it was revised through feedback from 30 experts. To identify the effect of developed program, onegroup pretest-posttest design study was conducted with 64 staff members from 12 daycare centers in Korea. RESULTS: The program was developed based on users' needs and consisted of five parts: health promotion, disease and symptoms management, oral health, injury and safety, sheets and forms. This study showed that the total score of staff who used the program was significantly higher in terms of knowledge, attitudes, and their health care practice compared with pretest score (p<.05). CONCLUSION: These results suggest that this Web-based program can contribute to the child health promotion as well as can provide the staff with the insightful child health information. Therefore, it is expected that this program will be applied to staff of other child care settings for children's health.
Adult ; *Child Care ; *Child Day Care Centers ; Child Welfare ; Child, Preschool ; *Computer-Assisted Instruction ; First Aid ; Health Knowledge, Attitudes, Practice ; Health Personnel/*education/*psychology/standards ; Health Promotion ; Humans ; *Internet ; Program Development ; Program Evaluation ; Young Adult