한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제16권8호
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  • Pages.5096-5110
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  • 2015
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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치료레크리에이션 프로그램에 따른 치매노인의 뇌파 변화가 우울감 및 수면장애와 삶의 질에 미치는 영향

Effects of the Brain waves according to participation in Therapeutic recreation programs on the Depression, Sleep Disturbance and Quality of Life in the Elderly with Dementia

  • Lee, Moon-Sook (Department of Physical Education, Chungnam National University) ;
  • Cho, Byung-Jun (Department of Emergency Medical Technology, Kangwon National University)
  • 투고 : 2015.07.23
  • 심사 : 2015.08.06
  • 발행 : 2015.08.31
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초록

본 연구는 치료레크리에이션 프로그램 참가에 따른 치매노인의 뇌파 변화가 우울감 및 수면장애와 삶의 질에 미치는 효과를 실증적으로 규명하는데 목적이 있다. 이를 위해 대전광역시 소재 치매요양센터 및 시립노인전문병원에 입원 중인 65세 이상의 남 녀 노인 중 3개월간 규칙적인 치료레크리에이션 프로그램에 참가한 집단을 실험집단으로 그리고 특정한 치료레크리에이션 프로그램에 참가하지 않은 집단을 통제집단으로 선정하였으며, 참가 사전과 사후의 뇌파 변화와 우울감, 수면장애 및 삶의 질 수준을 측정하였다. 실험집단과 참가하지 않는 통제집단에 각각 20명씩 전체 40명을 연구대상으로 하였으나, 프로그램 참여 후 탈락되는 대상으로 인해 실험집단 14명, 통제집단 18명으로 최종 분석 대상이 되었다. 자료 분석의 주된 통계적 방법은 SPSS Version 17.0과 AMOS 7.0을 이용하여 공변량분석(ANCOVA)과 구조방정식모형분석(Analysis of Structural Equation Modeling)을 이용하여 인과관계를 분석하였다. 이러한 연구방법을 통하여 도출한 결과는 첫째, 치료레크리에이션 프로그램 참가는 노인의 뇌파, 우울감 및 수면장애와 삶의 질에 긍정적인 영향을 미쳤으며, 둘째, 치료레크리에이션 프로그램 참가에 따른 뇌파의 변화는 우울감 및 수면장애와 삶의 질 간에 인과관계가 있는 것으로 나타났다.

The purpose of this study was to identify the effects of brain wave change through therapeutic recreation programs on depression, sleep disturbance and quality of life among elderly with dementia. The subjects of this quasi-experimental study consisted of two groups, one experimental group (N=14) and one control group (N=18), after excluding 8 participants from a total of 40 participants. The subjects of experimental group were randomly selected from the elderly (order than 65 years old) of senior care center in Daejoen and participated in 3-month therapeutic recreation program. On the other hand, the subjects of control group did not participated in any therapeutic recreation program. Each group's pre-post brain wave change, depression, sleep disturbance and quality of life were estimated. Through ANCOVA and Analysis of Structural Equation Modeling with SPSS window 17.0 and AMOS 7.0, this study found followings. Frist, the therapeutic recreation program group indicated significant improvement of brain waves, sleep disturbance and quality of Life. In addition, depression was significantly reduced in the therapeutic recreation program group. Second, significant causal relationships was found among brain waves, depression, sleep disturbance, and Quality of Life.

키워드

참고문헌

  1. M. H. Geum, Horticultural therapy effect of congnitive function and depression on the old with dementia. Daejeon Univ, A Master Degree Paper, 2006.
  2. Ministry for Health, Welfare and Family Affairs. Survey of Dementia ratio. http://www.mw.go.kr, 2008.
  3. S. M. Park, J. Y. Kim, I. S. Jang, E. J. Park., Severity of Insomnia, Depression, and Quality of Life in Elderly. Journal of Korean Geromtological Society, 28(4), 991-1007, 2008.
  4. M. J. Han. (The) relationship study between sleep and cognitive function, depression of Elderly Women. EwhaWomans Univ. A Master Degree Paper, 2003.
  5. Almeida, O. P., & Pfaff, J. J., "Sleep complaints among older general practice patients: association with depression" , J. of British General Practice, 55, 864-866, 2005.
  6. Y. H. Chun. A Survey on Health Status of Rural Elderly: Naju-shi, Korea. Research of community. 7, 149-167, 2004.
  7. E. B. Larson, L. Wang, J. D. Bowen, W. C. Mc Cormick, L. Teri, P. Crane, "Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older", Ann Intern Med, 144(2), 73-81, 2006. https://doi.org/10.7326/0003-4819-144-2-200601170-00004
  8. E. E. Baum, D. Jarjoura, A. E. Polen, D. Faur, & G. Rutecki, "Effectiveness of a group exercise program in along-term care facility", J. Am Med Dir Assoc, 4(.2), 74-80, 2003. https://doi.org/10.1016/S1525-8610(04)70279-0
  9. S. J. Colcombe, K. I. Erickson, P. E. Scalf, J. S. Kim, R. Prakash, E. McAuley, "Aerobic exercise training increases brain volume in aging humans", J. of GerontolA Biol Sci Med Sci, Vol.61, 11, 1166-1170, 2006. https://doi.org/10.1093/gerona/61.11.1166
  10. N. T. Lautenschlager, K. L. Cox, L. Flicker, J. K. Foster, F. M. van Bockxmeer, J. Xiao, "Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease", J. of AMA, .9(.53), 1027-1037, 2008. DOI: http://dx.doi.org/10.1001/jama.300.9.1027
  11. L. Teri, L. E. Gibbons, S. M. McCurry, R. G. Logsdon, D. M. Buchner, W. E. Barlow, "Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial"' J. of AMA, 290(15), 2015-2022, 2003.
  12. R. H. Lim.. The Silver Stretching Program Development and Effectiveness Analysis of The Elderly's Physical .Social Health Change. MyongJi Univ. A Master Degree Paper, 2006.
  13. Y. R. Kim. The Relationships between Sport for All Participation and Activities of Daily Living of the Elderly. Korean Journal of Sociology of Sport. 18(2), 259-269, 2005.
  14. D. Y. Kim. Psychological Well-Being of Custodial Grandmothers and Related Factors. Seoul National Univ, A Master Degree Paper, 2006.
  15. Y. H. Kim. Gender-Role Attitude Geivision of Household Labor and Psychological Well-Being of the Married Elderly. Pusan National Univ, A Master Degree Paper, 2004.
  16. N. H. Kim. Relationship between Quality of Sleep, Activity of Daily Living and Depression among the older adults in institution. Chung-Ang Univ, A Master Degree Paper, 2007.
  17. I. S. Lee. Relationship among physical strength, depression and quality of sleep in hospitalized elderly patients. Kosin Univ, A Master Degree Paper, 2007.
  18. J. A. Chae. Therapeutic Recreation. Human and welfare. 2000.
  19. D. K. Kim. Alzheimer's disease symptoms and treatments. 1999
  20. H. D. Kim, A Study onthefactorsaffecting user's satisfactioninlongterm carefacilities, sejong university. 2012
  21. B. W. Park. Neuro feedback Rearch, 2005.
  22. B. S. Kee. A Preliminary Study for the Standardization of Geriatric Depression Scale Form-Korea Version. The Journal Korean Neuropsychiatr, 35(2), 298-307, 1996.
  23. J. J. Oh, M. S. Song, S. M. Kim. Sleep Pattern and Related Factors among Community Dwelling Elderly. The Journal of Nursing. 11(1), 24-38, 1998.
  24. H. J. Go, Do Gwan, Kim, Sang Yun,K im, Hyeong Mo, Gu, Ui Jeong, Kwon, Hyeong Seog, Lee, Ji Hye, Kim. Differentiation of Early Dementia of Alzheimer's Type and Geriatric Depression = Enhanced Cued Recall Task. The Korean Journal of Clinical Psychology, 23(1), 155-168, 2004.
  25. T. choi. (The) States of leisure activities participation and barriers for special school student, korea university of education. A Master Degree Paper, 2001.
  26. N. J. Stumbo, Leisure education II : more activities and resources. State College Pennsylvania:Venture Publishing.Walsh, F. Strengtheing family resilience, New York: The Guilford Press, 1998.
  27. S. Lee. The effect of the elastic resistance training for the brain quotient of the dementia elder, University of Incheon. A Master Degree Paper, 2008
  28. J. Sim. Comparison of Activation by Brain Areas According to Stress Relation Training and Stimulation. Korean Society of Sport Psychology, 15(1), 129-146, 2004.
  29. H. J. Lee. Health-related Quality of Life in Elderly with Diabetes in Korea: The Korea National Health and Nutrition Examination Survey. Chosun University. A Master Degree Paper, 2013
  30. D. R. Brown, Y. Wang, A. Ward, C. B. Ebbelling, L. Fortlage, E. Puleo, H. Benson, J. M. Reppe, "Chronic psychological effects of exercise and exercise plus cognitive strategies", J. of Medicine and Science on Sports and Exercise, 27, 675-775, 1995.
  31. A. S. Nalin, & A. F. Maria, "Exercise and Depression in the older Adult", J. of Nutr. Clin. Care, l.3, 197-208, 2000. https://doi.org/10.1046/j.1523-5408.2000.00052.x
  32. J. J., Oh, M. S. Song, S. M. Kim, Sleep Pattern and Related Factors among Community Dwelling Elderly. The Journal of Nursing. 11(1), 24-38, 1998.
  33. K. E. Lee, E. S. Choi. The Effect of Dance Movement Program on Psychological Health in Middle Aged Women. Journal of Korean Academy of Womens Health Nursing, 5(1), 43-53, 1999.
  34. S. H. Kim. The Effect of Rhythmic Exercise Program on Blood Pressure Emotional state & Quality of a Life State of the Elderly. Kookmin Univ. A Master Degree Paper, 2008.
  35. S. R. Yoon. The Effects of Recreation Dance on Health in Elderly Women in a Low Class Community. Chung-Ang Univ. A Master Degree Paper, 2000.
  36. S. H. Park. The Effect of Progressive Muscle Relaxation on Depression, Anxiety, and Symptoms of Patient with Functional Dyspepsia. Sungkyunkwan Univ, A Master Degree Paper, 2005.
  37. E. Hernandez-Ruiz, "Effect of music therapy on the anxiety levels and sleep patters of abused women in shelters", J. of Music Ther, 42(.2), 140-158, 2005. https://doi.org/10.1093/jmt/42.2.140
  38. B. Rybarczyk, M. Lopez, B. Benson, C. Alsten, E. Stepanski, "Efficacy of two behavioral treatment programs for comorbid geriatric insomnia", Psychology and Aging, 17(2), .288-298. 2002. https://doi.org/10.1037/0882-7974.17.2.288
  39. S. Y. Bae, D. S. Ko, J. S. Noh, B. H. Lee, H. S. Park, J. Park. Relation of Physical Activity and Health-related Quality of Life in Korean Elderly. The Journal of Korea Contents Society, 10(10), 255-266, 2010. https://doi.org/10.5392/JKCA.10.10.255
  40. R. Simeit, R. Deck, B. Conta-Marx, "Sleep management training for cancer patients with insomnia", J. of Support Care Cancer, 12, 176-183, 2004. https://doi.org/10.1007/s00520-004-0594-5
  41. B. Rybarczyk, M. Lopez, B. Benson, C. Alsten, E. Stepanski, "Efficacy of two behavioral treatment programs for comorbid geriatric insomnia", J. of Psychology and Aging, 17(2), 288-298, 2002. https://doi.org/10.1037/0882-7974.17.2.288
  42. S. Park, A Study on the Quality of Life of Elderly People with Dementia and the Environmental Factor of Facilities, 2009.
  43. E. B. Larson, L. Wang, J. D. Bowen, W.C. McCormick, L. Teri, P. Crane, "Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older", J. of Ann Intern Med, 144(2), 73-81, 2006. https://doi.org/10.7326/0003-4819-144-2-200601170-00004
  44. C. L. Baird, L. P. Sands, "Effect of guided imagery with relaxation on health-related quality of life in older women with osteoarthritis", Research in nursing & health, 29(5), 442-451, 2006. https://doi.org/10.1002/nur.20159
  45. Y. S. Byun. Sleep pattern according to the personality type and depression. Nursing Science, 11(1), 43-55, 1999.
  46. J. S. Park. The Effect of Physical Activity Program on Cognitive Function, Physical Function, Quality of Life and Depression in the Elderly with Dementia. Sahmyook University, A Master Degree Paper, 2011.
  47. S. H. Cho. The Effect of Combined Exercise Programs on Cognitive Function and Quality of Living in the Vascular Dementia Elder, Daegu Universit, A Master Degree Paper. 2010.
  48. I. S. Lee. Relationship among physical strength, depression and quality of sleep in hospitalized elderly patients. Kosin Univ, A Master Degree Paper, 2007.
  49. K. R. Shin, M. Y. Kim. The Relationship between cognitive Function and Depression in a Korean Island Elderly. Journal of Korean Geromtological Society, 3(1), 32-41, 2001.
  50. K. M. Kang.. The Relationship among Spiritual Well-being, Depression and Quality of Sleep in Hospitalized Elderly Patients. Kosin Univ, A Master Degree Paper, 2007.
  51. Y. R. Park. Types of Sleeping Pattern and Factors relating to Sleep Disturbance among Hospitalized Old Patients in the medical ward. Korean Univ, A Master Degree Paper, 2004.
  52. J. K., Kim. H. Kim. B. H. Jung. The Effects of Small Group Physical Activities on Demented old adults' Cognitive Functions, 2008
  53. Y. S. Byun. Sleep pattern according to the personality type and depression. Nursing Science, 11(1), 43-55, 1999.
  54. Y. M. Lee. A Studyon Welfare Professionals' Attitudes toward the Elderly, Ewha Womans University. A Master Degree Paper, 2011.
  55. N. J. Jung. The Effect on Concentration, to the learning attitudeand Psychological Well-being by The Change of Brain Quotient through Meditation Training. Wonkwang University, Ph.D
  56. J. S. Jung. The Effects of Meditation Program on the Reduction of Children's Stress. Gwanju University, A Master Degree Paper, 2004.
  57. J. H. Shon. Effects of Chronic Combined Exercise on Cognitive Function, Depression and Life Satisfaction in Elderly Women. Yeungnam University, Ph. D, 2010.
  58. Y. H. Choi, C. J. Lee. Effects of a Recreational Combination Gymnastics Program for Old-old Women. Journal of Korean Academy of Nursing, 42(6), 843-852, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.6.843