The Journal of the Korea institute of electronic communication sciences (한국전자통신학회논문지)

Korea Institute of Electronic Communication Science (한국전자통신학회)
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Effects of Cognitive Training Using Tablet PC Applications on Cognitive Function, Daily Living and Satisfaction in Subacute Stroke Patients

테블릿 pc 어플리케이션을 사용한 인지훈련이 아급성 뇌졸중 환자의 인지기능, 일상생활 및 만족감에 미치는 영향

  • 문종훈 (가천대학교 보건대학원 작업치료학 전공) ;
  • 원영식 (신성대학교 작업치료과)
  • Received : 2016.10.24
  • Accepted : 2017.02.24
  • Published : 2017.02.28
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Abstract

The aim of this study was investigated the effect of cognitive training using tablet pc applications on cognitive function, daily living, and satisfaction in subacute stroke patients. This study participated in fourteen subacute stroke inpatients, in I general hospital, at located in Incheon. All subjects assigned that randomized each seven patients in experimental and control group. Two groups received to traditional cognitive therapy during half hour/day, 5 times per week, for 4 weeks. Experimental group performed additionally that cognitive training using tablet pc applications for 30 min/day. The outcome measures were the K-MMSE(: Korea-Mini Mental State Examination), MoCA-K(: Montreal Cognitive Assessments-Korea), MBI(: Modified Barthel Index), VAS(: Visual Analog Scale) for cognitive function, daily living, satisfaction. In results, Both group showed significant improvements after intervention in MoCA-K, MBI(p<.05). In comparison of change between two groups, experimental group showed significant improvements than control group in MoCA-K(p<.05). In comparison of satisfaction of two groups, both group was not significant difference(p>.05). we suggested that Cognitive training using tablet pc applications expected to positive effects the improvements of cognitive function in subacute stroke patients.

본 연구는 테블릿 pc 어플리케이션을 사용한 인지훈련이 인지 손상이 있는 아급성 뇌졸중 환자의 인지기능, 일상생활 및 만족감에 미치는 영향을 알고자 하였다. 인천에 소재한 I병원에 입원 중인 14명의 아급성 뇌졸중 환자들이 본 연구에 참여하였다. 14명의 대상자들은 실험군과 대조군으로 7명씩 무작위 배정되었다. 두 그룹의 대상자들은 모두 전통적인 인지치료를 4주간 주 5회, 1일 30분의 중재를 받았으며, 실험군은 테블릿 pc 어플리케이션을 사용한 인지훈련을 30분씩 추가적으로 실시하였다. 평가는 중재 전과 후에 한국판 간이 정신상태 검사, 한국판 몬트리올 인지평가, 수정된 바델 지수, 시각 상사 척도를 사용하여 인지기능, 일상생활, 만족감을 측정하였다. 연구 결과, 두 그룹은 중재 전과 후로 몬트리올 인지평가와 수정된 바델 지수에서 유의한 향상을 보였다(p<.05). 두 그룹 간 변화량 비교에서 실험군은 대조군보다 몬트리올 인지평가에서 유의한 향상을 보였다(p<.05). 두 그룹 간 만족감 비교에서 실험군과 대조군은 유의한 차이가 없었다(p>.05). 본 연구의 결과를 통하여 테블릿 pc 어플리케이션을 사용한 인지훈련은 아급성 뇌졸중 환자의 인지기능 향상에 긍정적인 효과를 기대할 수 있는 중재법으로 사료된다.

Keywords

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