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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The effect of a Cognitive Occupational Therapy program on cognition and hand functions in patients with dementia living in a community

지역 요양시설 치매환자에서 인지작업치료프로그램의 인지와 손기능에 대한 효과

  • Kang, Eun-Yeong (Department of Speech & language therapy, Howon University College of Health Welfare) ;
  • Chong, Bok-Hee (Department of Occupational therapy, Howon University College of Health Welfare)
  • 강은영 (호원대학교 언어치료학과) ;
  • 정복희 (호원대학교 작업치료학과)
  • Received : 2015.03.30
  • Accepted : 2015.07.16
  • Published : 2015.07.31
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Abstract

The aim of this study is evaluate the effect of a cognitive occupational therapy program on cognitive function, depression and hands function for patients with dementia living in a local community. A cognitive rehabilitation program of 10 weeks focusing on the occupational therapy is conducted from September to December 2012 on 21 patents (experimental group: 12, control group: 9) with dementia who are admitted to nursing homes in a metropolitan region. In the experimental group, the cognitive function, depression level, hand strength, and hand coordination ability is significantly improved after the application of the cognitive program (p<.05). In conclusion, the cognitive occupational therapy program may be a useful intervention for dementia. Because the therapeutic goal for dementia treatment is mainly concentrated on the amelioration of dementia symptoms, thus it is necessary to develop a various cognition training program that can be maintained the patient's residual functional capacity and returned to the social community through the early detection and the early intervention.

본 연구는 지역사회에 거주하는 치매환자에게 인지작업치료 프로그램을 적용한 후 인지기능과 우울, 수부기능에 대한 효과를 알아보고자 하였다. 연구방법은 2012년 9월에서 12월까지 일개광역지역 소재 요양원에 입소한 환자를 중심으로 실험군 12명, 대조군 9명의 전체 21명을 대상으로 10주 동안 신체활동을 포함한 현실인식 훈련, 점진적 단어소실기법, 수공예를 이용한 작업치료 중심의 인지프로그램을 실시하였다. 실험군에서 인지기능, 우울정도, 수부근력과 수부조화운동에서 치료 전에 비해 치료 후에 유의한 호전을 보였다(p<.05). 그 결과 본 인지작업치료프로그램은 치매환자에서 우울감소와 수부근력 및 수부조화운동, 인지기능 회복을 위한 유용한 중재적 방법으로 생각된다. 치매는 주로 증상을 호전시키는 것이 목적이기 때문에 조기발견과 조기중재를 통해서 환자의 잔존기능 유지와 사회복귀를 위한 다양한 인지 훈련 프로그램의 개발이 필요하다.

Keywords

References

  1. D. Y. Lee, J. H. Lee, Y. S. Ju, K. U. Lee, K. W. Kim, J. hoo, J. H, The Prevalence of Dementia in Older people in an Urban Population of Korea: The Seoul Study. J Am Geriatr Soc, Vol.50, No.7, pp.1233-9, 2002. DOI: http://dx.doi.org/10.1046/j.1532-5415.2002.50310.x
  2. Korea National Statistical Office, Population Projections by Province : 2013-2040 (Based on the 2010 Census), 2011
  3. W. M. Jeong, C. S. Park, Y. J. Hwang, A Study on Job Competency of Community-Based Occupational Therapists : Focusing on Job Analysis in Dementia Care Centers. Journal of Korean Society of Occupational Therapy : Vol,21, No,3 pp.15-60. 2013.
  4. Yang YA. Korean Aging Health Friendly Policy Association. Plus cognitive aging-friendly workbook. pp.5-25, Dong Joo, 2014.
  5. The Korean Association for Dementia. Approach to clinical dementia. pp, 641-647, Academia, 2006.
  6. Ministry of Health and Welfare, Second National Dementia Management Master Plan. pp.4-21, Seoul, Korea, 2012.
  7. B. H. Chong, The Effect of Cognitive Occupational Therapy in Community Living Elders with Mild Cognitive Impairment and Dementia, The Society of Digital Policy and Management Vol,11, No,3, pp.317-325, 2013.
  8. Wang, JS. The effects of hand movement exercise program on the improvement of recognition ability in the dementia old adults. Dept. of Physical Therapy Graduate School of Yong-in University, 2004.
  9. W, M, Jeong, D, Y, Lee, S, H, Ryu, Y, J, Hwang, Focused effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community -Focused Occupational Therapy Intervention Process Mode- J of Korean academy of occupational therapy, Vol.16, No,4, pp.51-62, 2008.
  10. M, F, Folstein, S, E. Folstein, & P, R. Mchugh, MiI-Mental State A practical method for grading the cognitiven state of patients for the clinician, Journal of Psychiatric Research, Vol,12, No,3 pp.189-198, 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  11. Y, C, Gwon & J, H, Bak. Development of the Test for the Elderly = Korean Version of Mini-Mental State Examination (MMSE-K), Journal of the Korean Neuropsychiatric Association, Vol. 28 No.1, 1989.
  12. G, G, Fillenbaum. B. Peterson & J. C, Estimating, the validity of the Clinical Dementia Rating scale: the CERAD experience. Aging Clin Exp Res pp. 8:379-385, 1996. https://doi.org/10.1007/BF03339599
  13. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. B. Adey & V. O. Leirer, Development and validation of a Geriatric Depression Screening Scale: A preliminary report. Journal of Psychiatry Research, Vol,17, pp.37-49. DOI: http://dx.doi.org/10.1016/0022-3956(82)90033-4
  14. Seoul Metropolitan Center for Dementia, Cognitive Health Center Program Manual 1, Seoul: Seoul Metropolitan Center for Dementia, pp.96-98. 2008.
  15. Fess E, Moran C, Clinical Assessment Recommendation, American Society Hand Therapists. pp.6-8, Philadelphia, 1981.
  16. K. Marjorie, F. Judy, S. Norman, Hand strength and dexterity, Am J Occu Ther, Vol,25, pp.77-83, 1971.
  17. Lim JM. A Study on the Status of Self-reliance Support and Improvement Methods to Improve Quality of Life of the Aged in Korea in Aged Society, Graduate School of Namseoul University, pp.1-12, 2013.
  18. H, H, Shin, H-y, So, A, Y, Lee, Comparing Clinical Usefulness of Cognitive Function Tests (CDT, K-MMSE, K-3MS, CDR) in Dementia Patient, Korean Academic Society of Rehabilitation Nursing, Vol,11, No,2, pp.90-98, 2008.
  19. K, M, Lim & J, H, Park, The Effects of Occupational Reminiscence Therapy Applied to the Elderly With Dementia: A Pilot Study, Journal of Korean Society of Occupational Therapy, Vol,21 No,2 pp.1-12, 2014. https://doi.org/10.3109/11038128.2014.926627
  20. Carol T, Margaret D. Ctafts and Creative Media in Therapy. New Jersey USA 3rd ed: SLACK. pp.7-25, 2009.
  21. H, R, Kyoung, Y, W, Kang, D, L. Na, K, H, Lee & C, S, Chung. The Characteristics of Depression in Dementia Patient, Journal of Clinical Psychology, Vol,19, No,1, pp.117-129. 2000.
  22. J, Lee & S, M, Shin, The Effect of Physical Activity Program on Cognition and ADL of Demented Elderly, Journal of the Korea Gerontological Society, Vol,23, No,4 pp.17-31, 2003.