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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of the Integrated Therapy of Neurofeedback, Brain Gymnastics, and Oriental Herbal Tea on the Improvement of Brain Functions and the Quality of Life of Elders living alone

뉴로피드백·뇌체조·한방차를 병행한 통합요법이 독거노인의 뇌기능 향상 및 삶의 질에 미치는 영향

  • Jeong, Eun-sil (Major in Neurosceince, Department of Mind-Body Healing, Seoul University of Buddhism) ;
  • Lee, Jung-eun (Major in Neurosceince, Department of Mind-Body Healing, Seoul University of Buddhism) ;
  • Jung, Hyun-mo (Major in Psychology, graduate alternative medicine of Kyonggi University) ;
  • Kim, Soo-Kyung (Department of Medicinal Plant, Suwon Women's College) ;
  • Youn, Mee-Kyung (Mothering Care Sanitarium) ;
  • Lee, Eun-han (Home Visitcare, Public Health Center)
  • 정은실 (서울불교대학원대학교 심신통합치유학과 뇌과학전공) ;
  • 이정은 (서울불교대학원대학교 심신통합치유학과 뇌과학전공) ;
  • 정현모 (경기대 대체의학대학원 심리치료학과) ;
  • 김수경 (수원여자대학교 약용식물과) ;
  • 윤미경 (마더링케어요양원) ;
  • 이은한 (양평군보건소 방문간호팀)
  • Received : 2016.08.26
  • Accepted : 2016.12.08
  • Published : 2016.12.31
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Abstract

This experimental study employs a pretest -posttest method concerning the integrated therapy of neurofeedback training, brain gymnastics, and oriental herbal tea effects on seniors living alone. The purpose of the study is to identify effects on brain functions and quality of life. The study participants included 23 seniors living alone (male 10, female 13), ranging in age from 65~90. The experiment lasted 8 weeks, from December 22, 2014, to February 28, 2015. The neurofeedback training utilized the 2 Channel neurofeedback system by Braintech Corporation and was conducted a total of 16 times over 8 weeks, having two sessions per week lasting for 30 minutes focusing on relaxation, concentration and memory. Brain gymnastics, developed by the Korean Science Institute of Psychiatry, ran for 30 minutes, twice a week for a total of 16 sessions administered over 8 weeks. Participants were required to drink 3 cups of oriental herbal tea developed according to Donguibogam for 8 weeks. The results of applying integrated therapy found positive effects on brain function resulting from changes in level of tension and anti-stress quotient. Quality of life, daily life basic measurements, and depression symptoms were significantly influenced by decreases in blood pressure and blood sugar. Results of this study find the integrated therapy of neurofeedback training, brain gymnastics, and oriental herbal tea can significantly enhance brain functions and quality of life within seniors living alone. Therefore integrated therapy involving neurofeedback, brain gymnastics, and oriental herbal tea is a necessary intervention to improve the quality of life of seniors living alone, and will improve the quality of life through healing both mind and body in a more practical and systematical manner.

본 연구는 독거노인을 대상으로 뉴로피드백 훈련과 뇌체조 그리고 한방차를 병행한 통합요법을 적용하여 독거노인의 뇌기능 향상 및 삶의 질에 미치는 영향을 확인하기 위한 단일군 전후 설계인 실험 연구이다. 2014년 12월 22일부터 2015년 2월 28일까지 8주 동안, Y군에 거주하는 65세~90세의 독거노인 23명(남 10명, 여 13명)을 대상으로 뉴로피드백 훈련은 2 Channel Neurofeedback System을 이용하여 이완 집중 기억력을 중심으로, 뇌체조는 한국정신과학연구소에서 개발한 뇌체조 프로그램을 이용하여 각각 1회 30분, 주 2회, 8주간, 16회를 하였다. 그리고 한방차는 동의보감과 여러 선행연구를 토대로 개발하여 조제한 한방차를 8주간, 매일, 하루 3잔 음용하도록 하였다. 그 결과 통합요법이 뇌기능지수 중 긴장도와 항스트레스 지수가 유의하게 변화하여 뇌기능 향상에 긍정적인 효과가 나타났다. 또한 삶의 질에서는 혈압과 혈당이 낮아지고, 삶의 질, 일상생활, 우울증상 등에서 유의미한 결과가 나왔다. 결론적으로 통합요법이 독거노인의 뇌기능 및 삶의 질을 의미 있게 향상 시킬 수 있음을 보여주었다. 그러므로 뉴로피드백 훈련, 뇌체조 및 한방차를 병행한 통합요법이 독거노인들의 삶의 질을 높이는데 반드시 필요한 중재요법이며, 보다 실질적이고 체계적으로 심신을 치유하여 삶의 질을 향상시키게 할 것이다.

Keywords

References

  1. Noh JC, Ko Zk. Current Status and Problems of Support Polices and Legal Improvement Devices for the Aged Living Alone. J Korea Contents Association 13(1), 257-268, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.01.257
  2. Statistics Korea. Future Population Projection 2013. Web site: http://meta.narast.kr/metasvc/index.do, Korean Statistical Information Service(KOSIS). (accessed March 12, 2015)
  3. Kim HR. Comparison of Prevalence of Depression and Its Risk Factors among the Elderly Female and Male Living Alone in Korea. Korean Public Health Research 40(1), 13-27, 2014.
  4. Park BG. The Sense of Loneliness as a Moderator for Relationship between Financial Loss and Suicidal Ideation in Older Adults Living Alone. J Welfare for the Aged 63, 175-201, 2014.
  5. Song IG, Jo HJ. Korean Medicine Clinical Effects On Light Cognitive Impairments And Dementia Of 15 Aged Men Living Alone In The Farm Village. J. Korean Medical Classics 26(3), 111-126, 2013. DOI: http://dx.doi.org/10.14369/skmc.2013.26.3.111
  6. Um TY, Kwon JD, Kim YJ5 A Study on Factors Affecting Suicide Risk among Seniors Who Live Alone: The Effect of Loneliness and the Mediating Effect of Hopelessness. Health and Social Welfare Review 32(1), 089-114, 2012. https://doi.org/10.15709/hswr.2012.32.1.89
  7. Kang HJ. The Effects of Aging Anxiety on Successful Aging the Elderly: Comparing Elders Living Alone with Ones not Living Alone. J Welfare for the Aged Institute 57, 191-220, 2012.
  8. Kim DJ. Social Difficulties of the Aged People Who Live Alone and Alternative Welfare Solutions. Korean Academy of Social welfare support 7(1), 217-229, 2012.
  9. Kim YJ. Comparison of Health Habits, Perceived Stress, Depression, and Suicidal Thinking by Gender between Elders Living Alone and Those Living with Others. J Korean Academy of Fundamentals of Nursing 16(3), 333-344, 2009.
  10. Lee SJ. The Roll of Complementary and Alternative Medicine in Integrative Medicine. Hanyang Medical Reviews 30(2), 75-83, 2010. DOI: http://dx.doi.org/10.7599/hmr.2010.30.2.75
  11. Nelson LA. The Role of Biofeedback in Stroke Rehabilitation: Past and Future Directions. Topics in Stroke Rehabilitation 14(4), 59-66, 2007. DOI: http://dx.doi.org/10.1310/tsr1404-59
  12. Lee BK. Considerations about Meditation and Biofeedback from Viewpoint of Eastern and Western Viewpoints. Psychological Science 10(1), 19-31, 2001. https://doi.org/10.1111/1467-9280.00100
  13. Berner I, Schabus M, Wienerroither T, Klimesch W. The Significance of Sigma Neurofeedback Training on Sleep Spindles and Aspects of Declarative Memory. Applied Psychophysiology and Biofeedback 31(2), 97-114, 2006. DOI: http://dx.doi.org/10.1007/s10484-006-9013-7
  14. Angelakis E, Stathopoulou S, Frymiare JL, Green DL, Lubar JF, Kounios J. EEG Neurofeedback: A Brief Overview and an Example of Peak Alpha Frequency Training for Cognitive Enhancement in the Elderly. Clinical Neuropsychologist 21, 110-129, 2007. DOI: http://dx.doi.org/10.1080/13854040600744839
  15. Wing K. Effect of Neurofeedback on Motor Recovery of a Patient with Brain Injury: A Case Study and Its Implications for Stroke Rehabilitation. Topics in Stroke Rehabilitation 8(3), 45-53, 2001. DOI: http://dx.doi.org/10.1310/4G2F-5PLV-RNM9-BGGN
  16. Norris SL, Lee CT, Burshteyn D, Aravena JC. The Effect of Performance Enhancement Training on Hypertension, Human Attention, Stress and Brain Wave Patterns; A Case Study. J Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience 4(3), 29-42, 2000. https://doi.org/10.1300/J184v04n03_03
  17. Kim CH. Understanding of EEG Biofeedback. Korean J Family Medicine 26(11), 486-488, 2005.
  18. Lee JE. Effects of Neurofeedback, Cranio-Sacral Therapy and Mixed Therapy on Fatigue, Stress and the Brain Quotient in Korean Middle Aged Women. J. Kor. Soc. Cosm. 16(4), 1028-1040, 2010.
  19. Kim YJ, Yi SJ, Park RJ, Lee YM. The Change of Electroencephalogram According to Bio-Feedback Training in Dementia. J Korean Society of Physical Medicine 5(3), 313-322, 2010.
  20. Lee JE, Youn MK, Hyun KS, Park PW, Lee KS, Jeong DL. The Effects of Neurofeedback Training on Brain Function Quotient of Elderly with Long-Term Care Insurance Service. J East-West Nursing Research 18(2), 111-119, 2012.
  21. Jun CB, Jung SY, Cho KO. Effects of Korean Dance on Metabolic Syndrome Risk Factors, Blood Inflammatory Markers, and Senior Fitness in Elderly Women. J the Korean Gerontological Society 33(3), 551-561, 2013.
  22. Kim BH, An YS. An Exploratory Study on the Relationship Between the Leisure Activity and Quality of Life of the Elderly. J social science research 15(1), 141-160, 2008.
  23. Shinohara K. Brain Training. Seoul: Thenan Publishing, 2007.
  24. Kim SH, Shim JY, Effects of Brain Exercise Program and Music Rope-Skipping on the Aggression of Elementary School Students. J Brain Education 10, 1-24, 2012.
  25. Shim JY, Ko BJ. Effects of Brain Development Program for Improving Self-Regulation and Concentration in Youth. J Youth Research 16(9), 1-29, 2009.
  26. Ha TM. A Study on the Development of a Brain Education Program to Enhance the Psychological Well-Being of Adolescents. Unpublished doctoral dissertation, University of Brain Education, Cheonan, 2009.
  27. Cho CH. The Effect of Lee Hwang's Gymnastics on the Brain Development of 6-Year-Old Children. Unpublished master's thesis, Seoul University of Buddhism, Seoul, 2010.
  28. Kim DS, Choi CW. Electroencephalogram. Seoul: Korea Medical Book Publishing, 2001.
  29. Kim HC. Development of Neuroprotective Neurtraceuticals, Medical and Natural Bio-Materials Using Plant Resources in Korea Peninsula. Ministry of Education, 1-7, 2010.
  30. Kim SJ, Kim DC, Lee JS, Kim MR. Effects of Drinking Oriental Herb Tea on Relieving Dysmenorrhea. J East-West Medicine 37(1), 29-41, 2012.
  31. Lee DJ, Cho JS. Park SH. Effects of Kangjieum on Serum Lipids and Active Oxygen Content in Overweight Women Consequential Qi-Stagnation and Blood Stasis Patterns. J Korean Food and Nutrition 25(4), 697-705, 2012. DOI: http://dx.doi.org/10.9799/ksfan.2012.25.4.697
  32. Park JY. Effects of Sansaeungukcha on Body Weight, Serum Lipids and Oxidative Stress in Overweight Female University Student. Unpublished master's thesis, Myung Ji University, Seoul, 2009.
  33. Park SH, Song YJ, Han JH, Park SJ. Effects of Yak-Sun Tea Prescription from Oriental Medicinal Herbs for Blood Metabolic Factors of University Women in Jeonbuk Area. J East Asian Society and Dietary Life 16(2), 136-144, 2006.
  34. Youn MK, Lee JE, Kim SK, Lee SW, Kim JH, Woo KO. The Effects of Oriental Herbal Tea on the Brain Function Quotient of Elders at Health Facility. J East-West Nursing Research 19(2), 128-137, 2013. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.2.128
  35. Sin KS, Lee YJ, Lee YH, Sung HM, Suh HS. Neurofeedback Treatment for Improvement of Attention in Inattentive Children. Korean J Psychosomatic Medicine 17(1), 23-29, 2009.
  36. Rhee SY, Yim JE, Lee HO, Choue RW, Kim YS. Effects of Food Intake Behavior by Neurofeedback Training in Subjects with Obesity. Korean J Obes 16(3), 116-124, 2007.
  37. Jasper HH. The ten-twenty electrode system of the international federation. Electroencephalography and Clin Neurophysiology 56(6), 898-902, 1958.
  38. Ryu CS, An MH, Na YC, Cho JO, Han YS, Kim KH, Park PW. A Portable Neurofeedback System and EEG-Analysis Methods for Evaluation. World Congress on Medical Physics and Biomedical Engineering Proceeding, 1060-1062, 2006.
  39. Kim YJ, Kim HH, Park JK, Chae HK, Park MA, Kang KM, Cho SH, Min YK, Chang NK. The Evaluations of the Functional State of the Brain by Brain Wave Measure During Problem-Solving Activities. Korean J Biological Education 28(3), 291-301, 2000.
  40. Park PW. Interpretation Method of EEG. Seoul: Korea Research Institute of Jungshin Science, 99-113, 2005.
  41. Shim DH, Yi SH. Comparison of Brain Function Scores between Computer-Game Addicted and not Addicted Children in Performing Left Brain Hemisphere Typed Cognitive Tasks. The Korean J the Human Development 12(4), 191-207, 2005.
  42. Lee JE, Chae MS, Hyun KS, Park PW. Effects of Neurofeedback and Cranio-Sacral Therapy on Fatigue and the Stress Resistance in Korean Middle Aged Women. J Korean Acad Psychiatr Ment Health Nurs. 17(2), 21-31, 2008.
  43. Kim YR. Effect of Aroma Oil Back Massage on the Brain Wave and Psychological Factors in Perimenopause Women. J Investigative Cosmetology 10(1), 45-51, 2014. DOI: http://dx.doi.org/10.15810/jic.2014.10.1.006
  44. Park HR, Park PW, Song GW, Lim GW. Socio-Economic Effects on Brain Functions and Symptoms of Child Behavioral Problems. J Korea Academia-Industrial Cooperation Society 16(1), 462-470, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.1.462
  45. Lubar JF, Swartwood MO, Swartwood JN, O'Donnell PH. Evaluation of the Effectiveness of EEG Neurofeedback Training for ADHD in a Clinical Setting as Measured by Changes in T.O.V.A. Scores Behavioral Rating and WISC-R Performance. Biofeedback & Self Regulation 20, 83-99, 1995. DOI: http://dx.doi.org/10.1007/BF01712768
  46. Peniston EG, Marrinan DA, Deming WA, Kulkosky PJ. EEG Alpha-Theta Brain Wave Synchronization in Vietnam Theater Veterans with Combat-Related Post-Traumatic Stress Disorder and Alcohol Abuse. Advances in Medical Psychotherapy 6, 37-50, 1993.
  47. The Korean Society of Cardiology. Normal Range of Blood Pressure. Web site: http://www.circulation.or.kr/general/ (accessed March 20, 2015)
  48. Korean Diabetes Association. Normal Range of blood sugar. Web site: http://www.diabetes.or.kr/general/class/index.php?idx=5 (accessed March 20, 2015)
  49. Park PW. Neurofeedback & Neuroscience. Seoul: Korea Research Institute of Jungshin Science, 120-123, 2007.
  50. J. Heo, Donguibogam. Seoul: Donguibogam Publishing, 98-100, 2005.
  51. Korea Food & Drug Administration. Food Materials Information 2008. Web site: http://fse.foodnara.go.kr/origin/search_data_list.jsp?query= (accessed October 11, 2013)
  52. Kim DS, Chung YS, Park SK. Relationship between the Stress Hormone, Salivary Cortisol Level and Stress Score by Self-Report Measurement. Korean J Health Psychology 9(3), 633-645, 2004.
  53. Park HR. The Effects of Neurofeedback Training on the Children of the Socio-Economically Weak Class. Unpublished master's thesis, Seoul University of Buddhism, Seoul, 2015.
  54. Lee SY, Lee JY, Kim JS, Lee JH, Kang SS. Flavonoids from the Seeds of Zizyphus jujuba var. spinosa. Kor. J Pharmacognosy 43(2), 127-136, 2012.
  55. Kum MH, Kang YM, Kim HK, Jung HS. Han MY. Study on Brain Function Enhancement and the Effects of Stress Reduction Through Neuro-Feedback Training on Nursing Students of Busan. The Korean J Health Service Management 6(2), 111-119, 2012. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.2.111
  56. Youn MK. The Effects of Quantum Scalp Massage on the Psychological and Physiological Responses in Middle Aged Women. Unpublished master's thesis, Kyonggi University, Seoul, 2006.
  57. Wang MJ, Park SA, Myung TO, Cha NH. The Effect of Oriental Self-help Group Program for the Living Alone-Aged Inhabiting Rural Region. J Korean community nursing 18(2), 242-251, 2007.