최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, v.21 no.5, 2020년, pp.150 - 166
김지현 (삼육대학교 간호대학)
Based on the theory of cognitive reserve, we undertook this study to develop a cognitive function training program for woman in menopausal transition with complaints of declining in cognitive function. The program was established by applying the analysis, design, and development stages of the networ...
핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
폐경이 여성에게 미치는 영향은 무엇인가? | 8%에서 2050년 62%로 고령화가 가속화되고 있다[1]. 이렇게 여성의 수명이 비약적으로 증가했음에도 불구하고 폐경은 여성의 일생에서 평균 50세 정도에 나타나는 자연적으로 현상으로[2] 난소에서 분비되는 에스트로겐의 분비가 저하되고 생식능력이 소실되면서 신체적 건강 뿐 아니라 사회심리적, 인지적 측면에서 급격한 변화를 경험하게 되며 이는 삶의 질에 영향을 주게 된다[3]. 특히나 이 시기의 여성들이 공통적으로 호소하는 증상 중의 하나가 기억력 및 주의집중력 저하로 생활상의 다양한 불편함을 겪게 된다. | |
인지기능훈련 프로그램으로 스마트폰이 효과적인 훈련 도구인 이유는 무엇인가? | 일반 성인 대상의 인지기능훈련 프로그램은 접근성이 중요하게 고려되는데 스마트폰은 가장 간단하고 용이하게 활용할 수 있는 훈련 도구 중 하나이다. 또한 기능성 앱을 통해 제공된 인지훈련은 전문가의 도움 없이도 가정에서 접근하기 쉬운 인지 중재 도구로서 책자를 활용한 인지자극방법보다 효과가 좋을뿐 아니라[20], 대상자의 접근성과 친숙함으로 장소나 시간에 구애받지 않고 자발적으로 장기적인 훈련이 가능한 것으로 알려져 있다. 따라서 본 연구에서는 stern의 인지예비능 이론[14]에 기반을 두고 모바일의 접근성과 유용성을 활용하여 갱년기 중년 여성의 인지기능 향상을 위한 앱기반의 인지기능훈련 프로그램을 개발하고자 한다. | |
해마란 무엇인가? | 폐경기 여성의 인지기능 감퇴는 뇌의 기질적인 변화보다는 에스트로겐 호르몬 감소로 인한 뇌세포에 대한 항산화, 항염증 및 신경전달물질 분비작용을 저하시켜서[4,5] 기억과 인지에 중심적 역할을 하는 해마에 영향을 끼치는 것으로 알려져 있다[6]. 즉 해마는 저장된 단기기억을 장기기억으로 전환하기 위하여 대뇌피질, 변연계, 시상하부 등으로 정보를 전달하는 곳으로 폐경으로 인한 에스트로겐의 감소는 언어기억과 학습력, 섬세 동작기술 능력의 저하와 관련 있는 것으로 알려져 있다[7]. 폐경 여성이 호소하는 기억력 감퇴로는 사람이나 사물을 회상하는데 어려움을 겪거나 특정행동을 하는 이유를 잊어버리거나 또는 알고 있었던 내용이 생각나지 않는 등 일상생활 장애들로서[8] 대부분은 노화의 자연스러운 과정으로 생각하거나 다른 신체적 문제에 가려져 간과되어져 왔다. |
Korea National Statistical Office data, Population Census, 2014. http://kostat.go.kr/portal/korea/index.action
C. Larroy, C. Marin Martin, A. Lopez-Picado, & I. Fernandez Arias, The impact of perimenopausal symptomatology, sociodemographic status and knowledge of menopause on women's quality of life, Archives Gynecology Obstetrics, 2019. DOI: https://dx.doi.org/10.1007/s00404-019-05238-1
J. W. Jung, R. Hyewhon, E. H. Bae, B. H. Lee, & C. W. Park, Estrogen replacement effect of Korean ginseng saponin on learning and memory of ovariectomized mice, Journal of Ginseng Research, Vol.24, No.1, pp.8-17, 2000.
L. Zhao, Z. Mao, RD. Brinton. A select combination of clinically relevant phytoestrogens enhances estrogen receptor beta-binding selectivity and neuroprotective activities in vitro and in vivo, Endocrinology, Vol.150, pp.770-783, 2009.
J. S. Goveas, M. A. Espeland, N. F. Woods, S. Wassertheil Smoller, & J. M. Kotchen, Depressive symptoms and incidence of mild cognitive impairment and probable dementia in elderly women: the Women's Health Initiative Memory Study, Journal of the American Geriatrics Society, Vol.59, No.1, pp.57-66, 2011.
C. L. Grady, Functional brain imaging and age-related changes in cognition, Biological psychology, Vol.54, No.1, pp.259-281, 2000. DOI: http://dx.doi.org/10.1016/S0301-0511(00)00059-4
C. M. Bender, S. M. Sereika, S. L. Berga, V. G. Vogel, A. M. Brufsky, K. K. Paraska, & C. M. Ryan, Cognitive impairment associated with adjuvant therapy in breast cancer, Psycho Oncology, Vol.15, No.5, pp.422-430, 2006. DOI: http://dx.doi.org/10.1002/pon.964
J. H. Lee, K. H. Kim, G. D. Kim, The Mediating Effect of Cognitive Function on Climacteric Symptoms and Quality of Life in the Middle-aged Women, Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.7, pp.4439-4448, 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.7.4439
L. J. Currie, M. B. Harrison, J. M. Trugman, J. P. Bennett, & G. F. Wooten, Postmenopausal estrogen use affects risk for Parkinson disease, Archives of neurology, Vol.61, No.6, pp.886-888, 2004. DOI: http://dx.doi.org/10.1001/archneur.61.6.886
S. R. Wise, M. A. Espeland, S. A. Shumaker, R. L. Brunner, J. E. Manson, Effect of estrogen plus progestin on global cognitive function in postmenopausal women: the Women's Health Initiative Memory Study: a randomized controlled trial, Journal of the American Medical Association, Vol.289, No.20, pp.2663-2672, 2003. DOI: http://dx.doi.org/10.1001/jama.289.20.2663
D. I. Kim, D. Y. Woo, J. W. Seo, T. K. Lee, The management of climacteric syndrome clinic and the herbal medicine for that clinic, The Journal Of Oriental Gynecology, Vol.13, No.2, pp.418-436, 2000.
C. J. Woolf, M. W. Salter, Neuronal plasticity: increasing the gain in pain, Science, Vol.288, No.5472, pp.1765-1768. 2000. DOI: http://dx.doi.org/10.1126/science.288.5472.1765
Y. Stern, What is cognitive reserve? Theory and research application of the reserve concept, Journal of the International Neuropsychological Society, Vol.8, pp.448-460. 2002. DOI: https://doi.org/10.1017/s1355617702813248
Y. Stern, Cognitive reserve, Neuropsychologia, Vol.47, No.10, pp.2015-2028, 2009. DOI: http://dx.doi.org/10.4324/9780203783047
P. J. Batsakes, A. D. Fisk, Age-Related Differences in Dual-Task Visual Search: Are Performance Gains Retained?, The Journals of Gerontology, Vol.55, No.6, pp.332-342, 2000. DOI: https://doi.org/10.1093/geronb/55.6.P332
G. J. Kinsella, E. Mullaly, E. Rand, C. Burton, S. Price, Early intervention for mild cognitive impairment: a randomised controlled trial, Journal of Neurology, Neurosurgery, and Psychiatry, Vol.80, No.7, pp.730-736, 2009. DOI: https://doi.org/10.1136/jnnp.2008.148346
H. R. Lee, J. Y. Kim, D. S. Han, A survey on the cognitive rehabilitation of occupational therapy in Korea, The Journal of Korean Society of Occupational Therapy, Vol.20, No.2, pp.73-84, 2012.
W. G. Kang, M. H. Kang, J. L. Yang, E. J. Ku, S. K. Kim, The comparison of EEG activity by computer assisted cognitive rehabilitation program in the normal elderly and the elderly with dementia, Journal of Korean Society of Occupational Therapy, Vol.17, No.3, pp.1-13, 2009.
H. Coyle, V. Traynor, N. Solowij, Computerized and virtual reality cognitive training for individuals at high risk of cognitive decline: systematic review of the literature, The American Journal of Geriatric Psychiatry, Vol.23, No.4, pp.335-359, 2015.
I. S. Jung, Network-based instructional system design. In Na IJ, editor. Understanding of distance education, Seoul: Kyoyookbook; pp.77-99, 1999.
Z. S. Nasreddine, N. A. Phillips, V. Bedirian, S. Charbonneau, V. Whitehead, I. Collin. & H. Chertkow, The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment, Journal of the American Geriatrics Society, Vol.53, No.4, pp.695-699, 2005.
J. Y. Lee, D. W. Lee, S. J. Cho, D. L. Na, H. J. Jeon, S. K. Kim, et al, Brief screening for mild cognitive impairment in elderly outpatient clinic: validation of the Korean version of the montreal cognitive assessment, Journal of Geriatric Psychiatry and Neurology, Vol.21, No.2, pp.104-110, 2008. DOI: https://doi.org/10.1177/0891988708316855
D. Wechsler, Wechsler Adult Intelligence Scale-Fourth Edition Administration and Scoring Manual, San Antonio, TX: Pearson. 2008.
T. H. Yum, Y. S. Park, K. J. Oh, C. K. Kim, & Y. H. Lee, Korean Wechsler adult intelligence scale (K-WAIS) manual, Seoul: Ham Kook Guidance 136, 1992.
A. Kaufman, J. Kaufman-Packer, J. McLean, & C. Reynolds, Is the pattern of intellectual growth and decline across the adult life span different for men and women?, Journal of Clinical Psychology, Vol.47, pp.801-812, 1991. DOI: http://dx.doi.org/10.1002/1097-4679(199111)47:6%3C801::AID-JCLP2270470611%3E3.0.CO;2-C
M. Lezak, D. Howieson, D. W. Loring, Orientation and attention, Neuropsychological assessment, Vol.3, 2004.
J. H. Kim, Impairment in Execution Function and Stroop Interference Effects in Person with Mild Cognitive Impairment, Master's thesis, Ewha Womans University, pp.1-53, 2011.
E. J. Kim, H. S. Sim, M. S. Kwon, A Comparison on Language processing Characteristics in Fluent Aphasics and Dementia of Alzheimer Type, Korean Journal of Communication Disorders, Vol.8, No.3, pp.188-208, 2003.
C. Wang, J. T. Yu, H. F. Wang, C. C. Tan, X. F. Meng, L. Tan, Non-pharmacological interventions for patients with mild cognitive impairment: a meta-analysis of randomized controlled trials of cognition-based and exercise interventions, Journal of Alzheimer's Disease, Vol.42, No.2, pp.663-678, 2014. DOI: https://doi.org/10.3233/JAD-140660
S. H. Kim, B. K. Kim, Effects of Cognitive-based Interventions of Older Adults with Mild Cognitive Impairment: A Systematic Review and Meta-analysis, Korean Journal of Adult Nursing, Vol.30, No.4, pp.347-361, 2018.
H. J. Kim, H. J. Im, Assessment of dementia, Brain & Neurorehabilitation, Vol.8, No.1, pp.11-18, 2015. DOI: http://dx.doi.org/10.12786/bn.2015.8.1.11
J. A. Kim, The development and effectiveness of web-based continuing nurse education program, Journal of Korean Academy of Nursing Administration, Vol.7, No.2, pp.361-375, 2001.
S. H. Joe, J. W. Kim, Estrogen effects and mechanism of action in the central nervous system, The Korean Journal of Psychopharmacology, Vol.14, No.4, pp.316-329, 2003.
S. C. Janicki, N. Schupf, Hormonal influences on cognition and risk for Alzheimer's disease. Current neurology and neuroscience reports, Vol.10, No.5, pp.359-366, 2010. DOI: http://dx.doi.org/10.1007/s11910-010-0122-6
B. Weiss, Evaluation of Multiple Neurotoxic Outcomes in Cancer Chemotherapy, Experimental Medicine and Biology, Vol. 678, No.13, pp 96-112, 2010.
D. Fougnie, The relationship between attention and working memory, In Noah B, Johansen, editors, New research on short-term memory, NY: Nova Science Publishers; pp.1-45, 2008.
H. W. Shin, The Effects of the Integrated Cognitive Function Enhancement Program on Cognitive Function, Depression, and Activities of Daily Living in the Elderly, Master's thesis, Daegu Catholic University, pp.1-106, 2016.
M. T. Banich & R. J. Compton, Cognitive neuroscience, Cambridge University Press, 2018.
J. Shim, H. Kim, Y. Lee, Effects of computerized neurocognitive function program induced memory and attention for patients with stroke, The Journal of Korean Physical Therapy, Vol.19, pp.25-32, 2007.
D. A. Gold, An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment, Journal of Clinical and Experimental Neuropsychology, Vol.34, No.1, pp.11-34, 2012. DOI: http://dx.doi.org/10.1080/13803395.2011.614598
D. R. Royall, E. C. Lauterbach, D. Kaufer, P. Malloy, K. L. Coburn, & K. J. Black, The cognitive correlates of functional status : A review from the committee on research of the American neuropsychiatric association, The Journal of Neuropsychiatry and Clinical Neurosciences, Vol.19, No.3, pp.249-265, 2007.
A. D. Baddeley, & G. J. Hitch, Developments in the concept of working memory, Neuropsychology, Vol.8, No.4, pp.485-493, 1994. DOI: http://dx.doi.org/10.1037/0894-4105.8.4.485
Miyake & Shah, An embedded-processes model of working memory, In: Models of working memory: Mechanisms of active maintenance and executive control, eds. Cambridge University Press, 1999.
J. K. Torgesen, J. A. Kistner, S. Morgan, Component processes in working memory, In J. G. Borkowski & Day (Eds.), Cognition in special education: Comparative approaches to retardation, learning disabilities, and giftedness, pp.263-276, 1987.
M. J. Wenger, D. G. Payne, On the acquisition of mnemonic skill: Application of skilled memory theory, Journal of Experimental Psychology, Vol.1, pp.194-215, 1995.
C. C. Walton et al, Online cognitive training in healthy older adults: a preliminary study on the effects of single versus multi-domain training, Translational Neuroscience, Vol.6, pp.13-19, 2015. DOI: https://doi.org/10.1515/tnsci-2015-0003
M. F. Damholdt, M. Mehlsen, M. S. O'Toole, R. K. Andreasen, A. D. Pedersen, & R. Zachariae, Web-based cognitive training for breast cancer survivors with cognitive complaints a randomized controlled trial, Psycho-Oncology, Vol.25, pp.1293-1300, 2016. DOI: https://doi.org/10.1002/pon.4058
S. Kesler, S. M. Hadi Hosseini, C. Heckler, M. Janelsins, O. Palesh, K. Mustian, et al, Cognitive training for improving executive function in chemotherapy-treated breast cancer survivors, Clinical Breast Cancer, Vol.13, No.4, pp.299-306, 2013. DOI: http://dx.doi.org/10.1016/j.clbc.2013.02.004
L. A. Miller, K. Radford, Testing the effectiveness of group-based memory rehabilitation in chronic stroke patients, Neuropsychological Rehabilitation, Vol.24, No.5, pp.721-737, 2014. DOI: http://dx.doi.org/10.1080/09602011.2014.894479
Y. Stern, Cognitive reserve in ageing and Alzheimer's disease, Lancet Neurology, Vol.11, pp.1006-1012, 2012.
*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.
Free Access. 출판사/학술단체 등이 허락한 무료 공개 사이트를 통해 자유로운 이용이 가능한 논문
※ AI-Helper는 부적절한 답변을 할 수 있습니다.