치매의 행동심리증상관리를 위한 웹기반 요양보호사 교육 프로그램 개발 및 효과

Abstract

Purpose: 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, χ2-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.