[논문]감각활동기반 인지재활 그룹 프로그램이 시설거주 치매노인의 인지기능과 우울 및 삶의 질에 미치는 효과

이혜식; 양민아; 김정란

doi:10.22683/tsnr.2023.12.3.079

감각활동기반 인지재활 그룹 프로그램이 시설거주 치매노인의 인지기능과 우울 및 삶의 질에 미치는 효과
Effect of Sensory Activity-Based Cognitive Rehabilitation Group Program on Cognitive Function, Depression and Quality of Life of Dementia Patients Living in a Facility 원문보기

Therapeutic science for rehabilitation = 재활치료과학, v.12 no.3, 2023년, pp.79 - 88

이혜식 (국민건강보험공단) , 양민아 (한국보건산업진흥원) , 김정란 (가톨릭관동대학교 휴먼서비스대학 치매전문재활학과)

초록
AI-Helper

목적 : 본 연구는 감각활동기반 인지재활 그룹 프로그램이 시설거주 치매노인의 인지기능과 우울감, 삶의 질에 미치는 영향에 대해 알아보고자 실시하였다. 연구방법 : 강원도 H군에 위치한 노인 요양시설에 거주하는 65세 이상 치매노인 8명을 대상으로 감각기반 인지재활 그룹 프로그램 총 20회기(사전/사후평가 포함)를 실시하였다. 대상자들의 인지기능, 우울수준과 삶의 질 수준을 프로그램 전과 후에 측정하였다. 결과 : 인지기능 평가에 사용한 한국어판 간이 정신상태 검사(Mini-Mental State Examination-Dementia Screening)의 평균점수는 증가하였지만 통계적으로 유의미한 차이는 없었다. 주관적 기억감퇴 설문지(Subjective Memory Complaints Questionnaire) 결과 통계적으로 유의한 향상이 있었다(p < .05). 우울정도 변화를 확인하기 위해 측정한 한국형 단축형 노인우울 척도(Short Geriatric Depression Scale, SGDS-K)의 사후평가 평균점수는 사전평가보다 향상을 보였으나 통계적으로 유의미한 차이는 없었다. 마지막으로 삶의 질의 변화를 확인하기 위해 측정한 세계보건기구 삶의 질 간편형 척도(World Health Organization Quality of Life assessment instrument-Brief) 결과에서 통계적으로 유의미한 향상이 있었다(p < .001). 결론 : 본 연구 결과를 통해서 시설에 거주하는 치매노인을 위한 감각활동기반 인지재활 그룹 프로그램 개발의 필요성과 유용성을 제시하는 데 기초적 근거를 마련할 수 있을 것이다.

Abstract ▼ AI-Helper

Objective : This study was to apply a cognitive rehabilitation group program based on sensory activity in patients with dementia living in a facility and to check its effectiveness on cognitive function, depression, and quality of life (QOL). Methods : Sensory-based cognitive rehabilitation group programs (20 sessions) were conducted for eight elderly with dementia over the age of 65 living in a nursing facility located in H-gun, Gangwon-do. The participants' cognitive function, depression level, and QOL were evaluated before and after the program. Results : The mean of Mini-Mental State Examination-Dementia Screening increased; however, there was no statistically significant difference. In contrast, the mean post-test score of the Subjective Memory Complaints Questionnaire decreased, and there was a statistically significant difference (p < .05). The mean post-evaluation score of Short Geriatric Depression Scale measured to confirm the decrease in depression compared to the pre-evaluation score, but there was no statistically significant difference. Finally, the mean post-evaluation score of the World Health Organization QOL assessment instrument-Brief confirmed the change in the QOL, and there was a statistically significant difference (p < .001). Conclusion : This study will provide the basis for suggesting the usefulness of developing a sensory activity-based cognitive rehabilitation group program for dementia patients living in facilities.

주제어

표/그림 (3)

표 Table 1. Contents of Cognitive Rehabilitation Group Program Based on Sensory Activity
표 Table 2. General Characteristics of Participants (N = 8)
표 Table 3. Comparison of Cognitive Function, Depression and Quality of Life

참고문헌 (31)

An, G. J., Jeong, J. S., Kim, Y. K., & Jeong, H. S. (2008).？Physiological markers in anxiety and depression.？Journal of Korean Biological Nursing Science, 10(2),？184-193.
Bae, J. N., & Cho, M. J. (2004). Development of the Korean？version of the Geriatric Depression Scale and its short？form among elderly psychiatric patients. Journal of？Psychosomatic Research, 57(3), 297-305. https://doi.org/10.1016/j.jpsychores.2004.01.004

상세보기
Benke, T., Delazer, M., Sanin, G., Schmidt, H., Seiler, S.,？Ransmayr, G., Dal-Bianco, P., Uranus, M., Marksteiner,？J., Leblhuber, F., Kapeller, P., Bancher, C., & Schmidt,？R. (2013). Cognition, gender, and functional abilities？in Alzheimer's disease: How are they related? Journal？of Alzheimer's Disease, 35(2), 247-252. https://doi.org/10.3233/JAD-122383

상세보기
Cheon, J. M., & Kim, W. S. (2016). The effects of group？language interventions utilizing integrative art therapy？on communication and cognition abilities of elderly？people with mild neurocognitive disorder. Journal of？Speech-Language & Hearing Disorders, 25(4), 165-185. https://doi.org/10.15724/jslhd.2016.25.4.013

상세보기
Cho, J. H. (2014). A comparison of cognitive impairment？level according to characteristics and MMSE-DS of？the elderly (Master's thesis). Korea National Open？University.
Chong, B. H. (2013). The effect of cognitive occupational？therapy in community living elders with mild cognitive？impairment and dementia. Journal of Digital Convergence,？11(3), 317-325.
Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver？burden among dementia patient caregivers: A review？of the literature. Journal of the American Academy？of Nurse Practitioners, 20(8), 423-428. https://doi.org/10.1111/j.1745-7599.2008.00342.x

상세보기
Hong, C. M. (2012). Review of dementia and mild cognitive？impairment. Review of Korea Contents Association, 10(2),？25-30. https://doi.org/10.20924/CCTHBL.2012.10.2.025

원문보기 상세보기
Hwang, K. C., & Kam, J. A. (2010). Effects of intentional？snoezelen program on abnormal behaviors of the？demented elderly. Journal of Special Education &？Rehabilitation Science, 49(3), 109-130.
Hwang, Y. J., Kim, S. H., Shin, E., Kim, S. H., & Jeong,？W. M. (2013). The comparison of level of cognitive？function. Journal of Korean Society of Neurocognitive？Rehabilitation, 5(1), 9-17.
Jeong, W. M., Lee, D. Y., Ryu, S. H., Hwang, Y. J., Kim,？S., Choo, I. H., & Kim, K. W. (2008). Focused effects？of a group cognitive rehabilitation therapy on mild？dementia patients in a community: Focused occupational？therapy intervention process model. The Journal of？Korean Society of Occupational Therapy, 16(4), 1-17.
Jung, C. M. (2007). Multi regression models of quality of？life in Korea. Journal of the Architectural Institute of？Korea, 23(12), 245-252.
Jung, E., & Choi, K. H. (2013). Depression and cognition？in Korean older adults: Effects of gender and marital？status. The Korean Journal of Woman Psychology, 18(1),？17-31. https://doi.org/10.18205/kpa.2013.18.1.002

상세보기
Kang, E. A. (2018). Labour force participation and social？participation among older adults in Korea. Health and？Welfare Policy Forum, 264, 44-55. https://doi.org/10.23062/2018.10.5
Kim, T. H., Jhoo, J. H., Park, J. H., Kim, J. L., Ryu, S. H.,？Moon, S. W., Choo, I. H., Lee, D. W., Yoon, J. C.,？Do, Y. J., Lee, S. B., Kim, M. D., & Kim, K. W. (2010).？Korean version of mini mental status examination for？dementia screening and its' short form. Psychiatry？Investigation, 7(2), 102-108. https://doi.org/10.4306/pi.2010.7.2.102

상세보기
Kim, Y. M. (2011). A comparative study on the activities？of daily living, cognitive function and depression？between the elderly residing institution and home？(Master's thesis). Hanyang University.
Kim, Y. R. (2015). The effects of the reminiscence therapy？program on the perception of the elderly suffering？from dementia. Journal of the Korean Academy of？Health and Welfare for Elderly, 7(1), 19-36.
Kim, Y. S. (2010). The effects of group therapy program？on geriatric depression in the elderly in home. Journal？of Korean Academy of Rural Health Nursing, 5(2),？84-91.
Kim, Y. S., & Do, B. N. (2005). Effects of the group art？therapy program with reminiscence on cognitive？function, depression and quality of life of demented？elderly. Korean Journal of Art Therapy, 12(2), 483-500.
Lee, J. J. (2010). Factors affecting the elderly under？long-term care facility entrance decision (Doctoral？dissertation). Kyungsung University.
Lee, S. N., Jin, H. Y., & Moon, S. W. (2014). Thyroid？hormones, cognitive impairment, depression and？subjective memory complaint in community-dwelling？elders with questionable dementia in Korea. Korean？Journal of Biological Psychiatry, 21(4), 175-181.
Lee, T. Y. (2012). Correlations between quality of life and？sensory processing abilities in older adults. The Journal？of the Korea Contents Association, 12(5), 272-279.？https://doi.org/10.5392/JKCA.2012.12.05.272

원문보기 상세보기
Mick, P., Parfyonov, M., Wittich, W., Phillips, N., Guthrie,？D., & Kathleen Pichora-Fuller, M. (2018). Associations？between sensory loss and social networks, participation,？support, and loneliness: Analysis of the Canadian？Longitudinal Study on Aging. Canadian Family Physician？Medecin de Famille Canadien, 64(1), e33-e41.
Moon, S. H., & Hong, G. R. S. (2015). Predictors of depression？among older adults in long-term care facilities.？Journal of Korean Gerontological Nursing, 17(2), 65-75.？http://doi.org/10.17079/jkgn.2015.17.2.65

상세보기
Park, E. J., Jeon, Y. W., Han, S. I., Kim, J. J., & Park, S.？M. (2004). Quality of life in patients with stomach？cancer after a curative resection: The validity and？availability of WHOQOL-BREF. Journal of the Korean？Gastric Cancer Association, 4(4),263-267.
Ro, H. L., Hwang, K. C., & Kam, J. A. (2011). Effects of？intentional snoezelen program on activities of daily？living and cognitive functions of the demented？elderly. Journal of Special Education & Rehabilitation？Science, 50(3), 393-412.
Robichaud, L., Durand, P. J., Bedard, R., & Ouellet, J. P.？(2006). Quality of life indicators in long-term care:？Opinions of elderly residents and their families.？Canadian Journal of Occupational Therapy, 73(4),？245-251. https://doi.org/10.2182/cjot.06.003

상세보기
So, H., & Kim, H. (2007). Cognitive and physical function？by the social disengagement in institution and？community living elderly. The Korean Journal of？Rehabilitation Nursing, 10(1), 5-11.
Statistics Korea. (2020). 2020 Social indicaters in Korea.？http://kostat.go.kr/assist/synap/preview/skin/doc.html?fnsynapview385322_2&rs/assist/synap/preview
Yoon, J. A., & Cho, Y. N. (2009). Effect of cognitive？occupational therapy programs for community-dwelling？elderly with dementia. The Journal of Occupational？Therapy for the Aged and Dementia, 3(2), 33-43.
Youn, J. C., Kim, K. W., Lee, D. Y., Jhoo, J. H., Lee, S.？B., Park, J. H., Choi, E. A., Choe, J. Y., Jeong, J. W.,？Choo, I. H., & Woo, J. I. (2009). Development of the？subjective memory complaints questionnaire. Dementia？and Geriatric Cognitive Disorders, 27(4), 310-317.？https://doi.org/10.1159/000205512

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format