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융합형 맞춤 작업치료 활동프로그램이 경도인지장애 노인의 심리 안정과 사회참여에 미치는 영향

The Effect of Convergence Tailed Occupational Therapy Activities Program on Mental Stability and Social Participation in Elderly People with Mild Cognitive Impairment

  • 오혜원 (우석대학교 작업치료학과) ;
  • 김고운 (대구대학교 재활과학과 작업치료전공)
  • Oh, Hye-Won (Dept. of Occupational Therapy, Woosuk University) ;
  • Kim, Ko-Un (Dept. of Rehabilitation Science, The Graduate School of Daegu University)
  • 투고 : 2016.01.26
  • 심사 : 2016.04.20
  • 발행 : 2016.04.28

초록

본 연구는 경도인지장애 노인을 대상으로 융합형 맞춤 작업치료 활동프로그램을 실시하여, 경도인지장애 노인의 심리 안정 및 사회참여에 미치는 영향에 대해 알아보았다. 경도인지장애 노인 30명을 대상으로 무작위로 실험군과 대조군으로 각각 15명씩 나누어 6주간 주 2회 총 12회기를 3단계로 나누어 진행하였다. 중재 전과 후의 심리안정을 알아보기 위해, 한국판 노인우울척도(Korean Geriatric Depression Scale; KGDS)을 실시하였고, 사회참여를 비교하기 위해 Frenchay 일상생활활동 자기평가지수(Frenchay Activity Index; FAI)를 실시하였다. 중재 결과 실험군에서 중재 전과 후에 심리 안정, 사회참여는 증가를 보였으며, 대조군에서는 심리 안정에는 증가를 보였으나 사회참여에서는 증가를 보이지 않았다. 따라서 연구결과 융합형 맞춤 작업치료 활동프로그램은 경도인지장애를 가진 노인의 심리 안정 및 사회참여에 긍정적인 영향을 미친다는 사실을 알 수 있었다.

This study aims to examine the effect of Convergence Tailed Occupational Therapy Activities Program (CTOTAP) which is customized to elderly people with mild cognitive impairment on their mental stability and social participation. A total of thirty elderly patients with mild cognitive impairment were randomly divided into a test group and a control group of 15 patients each, undergoing a total twelve sessions of the program (two sessions per week for six weeks) in three steps. In order to investigate the mental stability of the patients before and after the program, the Korean Geriatric Depression Scale (KGDS) was used while the Frenchay Activity Index (FAI) was used to explore the social participation of the patients. According to the findings of this study, there appeared to be an increase in the mental stability, social participation of the test group after the program. In addition, after the program there were differences between the test group and the control group in all of the mental stability and social participation. Therefore, the study has shown that the CTOTAP with customization has positive impact on the mental stability and social participation of patients with mild cognitive impairment.

키워드

참고문헌

  1. National Statistical Office, Aged Statistics, 2015.
  2. K. R. Shin,Y. H. Kang,D. Y. Jung, M. Y. Kim, J. S. Kim, M. J. Kim, M. J. Kim. "Prevalence and Characteristics of Mild Cognitive Impairment in the Community-dwelling Elderly Compared to Elderly with Normal Cognitive Function". Korean J Adult Nurs, Vol. 23. No. 1, pp.40-49, 2011.
  3. J. K. Kim, H. S. Kim, S. J. Park. "The Effects of Visual Perception Training Program in The Elderly with Mild Cognitive Impairment", Society of Occupational Therapy for the Aged and Dementia, Vol. 9. No. 1, pp.35-41, 2015.
  4. Central dementia center. "Central dementia center Annual Report", Seoul, Korea: Central dementia center. 2014.
  5. Graff, M. J., Vernooij-Dassen, M. J., Thijssen, M., Dekker, J., Hoefnagels, W. H., & Rikkert, M. G. O. "Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial", BMJ, Vol. 333. No. 7580, pp.1196, 2006. https://doi.org/10.1136/bmj.39001.688843.BE
  6. K. W. Kim., D. Y. Lee. "The Clinical Understandings and Treatment of Agitation in Dementia", The Korean Journal of Psychopathology, Vol. 10. No .2, pp.87-96, 2001.
  7. W. M. Jeong, J. S. Lee, Y. J. Hwang, J. C. Youn, "The Journal of Korean Society of Occupational Therapy", The Journal of Korean Society of Occupational Therapy, Vol. 18. No. 1. pp.79-94, 2010.
  8. Ministry of Health and Welfare, "Prevalence survey of dementia", 2015.
  9. Gitlin, L. N., Winter, L., Earland, T. V., Herge, E. A., Chernett, N. L., Piersol, C. V., & Burke, J. P. "The Tailored Activity Program to reduce behavioral symptoms in individuals with dementia: feasibility, acceptability, and replication potential", The Gerontologist, Vol. 49. No. 3, pp.428-439, 2009. https://doi.org/10.1093/geront/gnp087
  10. Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. "Mild cognitive impairment: clinical characterization and outcome", Archives of neurology, Vol. 56. No. 3, pp.303-308, 1999. https://doi.org/10.1001/archneur.56.3.303
  11. S. M. Park, J. H. Lee. "Navigation Learning Ability and Visuospatial Functioning of Mild Cognitive Impairment Patients in Virtual Environments", HCL, Vol. 2008. No. 2. pp.1357-1362, 2008.
  12. Rovner, B. W., Casten, R. J., & Leiby, B. E. "Determinants of Activity Levels in African Americans With Mild Cognitive Impairment", Alzheimer disease and associated disorders, 2015.
  13. Burton, C. L., Strauss, E., Bunce, D., Hunter, M. A., & Hultsch, D. F. "Functional abilities in older adults with mild cognitive impairment", Gerontology, Vol. 55. No. 5, pp.570-581, 2009. https://doi.org/10.1159/000228918
  14. Jefferson, A. L., Byerly, L. K., Vanderhill, S., Lambe, S., Wong, S., Ozonoff, A., & Karlawish, J. H. "Characterization of activities of daily living in individuals with mild cognitive impairment". The American journal of geriatric psychiatry, Vol. 16. No. 5, pp.375-383, 2008. https://doi.org/10.1097/JGP.0b013e318162f197
  15. Gold, D. A. "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. https://doi.org/10.1080/13803395.2011.614598
  16. Ahn, I. S., Kim, J. H., Kim, S., Chung, J. W., Kim, H., Kang, H. S., & Kim, D. K. "Impairment of instrumental activities of daily living in patients with mild cognitive impairment", Psychiatry investigation, Vol. 6. No. 3, pp.180-184, 2009. https://doi.org/10.4306/pi.2009.6.3.180
  17. Kwon, M.J., "Convergence Study on the Relation between Cognition, Depression and Aggression in the Elderly", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp.171-176, 2015. https://doi.org/10.15207/JKCS.2015.6.6.171
  18. N. R. Lee, S. K. Kim. "The Effect of Instrumental Activities of Daily Living(IADL) on Memory training in Mild Cognitive Impairment", The Journal of Korean Society of Cognitive Rehabilitation, Vol. 2. No. 1, pp.5-19, 2013.
  19. S. Y, Kim, S. G. Baek. "The Effect of Combined Cognitive-Motor Learning Program with Mild Cognitive Impairment Elderly Patients", Journal of Digital Convergence, Vol. 13. No. 10, pp.587-595, 2015. https://doi.org/10.14400/JDC.2015.13.10.587
  20. J. K. Park, "Convergence factors among their physical state, function and activities influencing on the cognition of elderly residents in a community", Journal of the Korea Convergence Society, Vol. 6. No. 6, pp.153-162, 2015. https://doi.org/10.15207/JKCS.2015.6.6.153
  21. Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., ... & Chertkow, H. "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. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  22. Lee, J. Y., Lee, D. W., Cho, S. J., Na, D. L., Jeon, H. J., Kim, S. K., ... & Cho, M. J. "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. https://doi.org/10.1177/0891988708316855
  23. Folstein MF, Folstein SE., McHugh PR. ""Mini-mental state: A practical method for grading the cognitive state of patients for the clinician"", Journal of psychiatric research, Vol. 13, No. 5, pp.285-294, 1975.
  24. Y. C. Kwon, J. H. Park. "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, pp.125-135, 1989.
  25. H. W. Oh. "The effects of integrated cardiac rehabilitation program using occupational therapy and rehab exercise therapy on ADL recovery ability, cardiopulmonary functions and quality of life for the outpatients with CABG", Dankook University A doctoral dissertation, 2012.
  26. Han, C. W., Lee, E. J., & Kohzuki, M. "Validity and reliability of the Frenchay Activities Index for community-dwelling elderly in South Korea", The Tohoku journal of experimental medicine, Vol. 217. No. 3, pp.163-168, 2009. https://doi.org/10.1620/tjem.217.163
  27. Tooth, L., McKenna, K. "Further evidence for the Frenchay Activities Index". Clinical rehabilitation, Vol. 17. No. 6, pp.656, 2003. https://doi.org/10.1191/0269215503cr661oa
  28. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. "Development and validation of a geriatric depression screening scale: a preliminary report", Journal of psychiatric research, Vol. 17. No. 1, pp.37-49, 1983. https://doi.org/10.1016/0022-3956(82)90033-4
  29. Y. J. Kim, H. Y., Park, "The Effects of Spaced Retrieval Training with Errorless Learning on Memory, IADL, Depression in Mild Cognitive Impairment: Single-Subject Design", Therapeutic Science for Neurorehabilitation Vol. 4. No. 2, pp.73-83, 2015.
  30. I. K. Jung, D. I. Kwak, S. H. Joe, H. S. Lee. "A Study of Standardization of Korean Form of Geriatric Depression Scale(KGDS)", Journal of Korean Geriatirc Psychiatry, Vol. 1. No.1, pp.61-72, 1997.
  31. Rozzini, L., Costardi, D., Chilovi, B. V., Franzoni, S., Trabucchi, M., & Padovani, A. "Efficacy of cognitive rehabilitation in patients with mild cognitive impairment treated with cholinesterase inhibitors", International journal of geriatric psychiatry, Vol. 22. No. 4, pp.356-360, 2007. https://doi.org/10.1002/gps.1681
  32. Wadley, V. G., Okonkwo, O., Crowe, M., & Ross-Meadows, L. A. "Mild cognitive impairment and everyday function: evidence of reduced speed in performing instrumental activities of daily living", The American Journal of Geriatric Psychiatry, Vol. 16. No. 5, pp.416-424, 2008. https://doi.org/10.1097/01.JGP.0000310780.04465.13
  33. M. J. Ham, Y. H. Hwang, U. Suck, E. J. Oh, B. J. Jeon, H. K. Park, D. H. Kim. "The effect of a computerized cognitive program (Rehacom) for the elderly with dementia using Daily Instrumental Activities : Pilot Study", The Journal of Korean Society of Assist Technology, Vol. 2. No. 2, pp.41-49, 2010.