DOI QR코드

DOI QR Code

Cox의 상호작용이론을 근거로 한 원예활동 프로그램이 경증치매노인의 일상생활수행능력 및 우울에 미치는 효과

The Effects of a Horticultural Program based on Cox's Interaction Model on Ability for Daily Life and Depression in Older Patients with Mild Dementia

  • 윤미진 (직업환경의학센터) ;
  • 성경미 (경상대학교 간호대학.건강과학연구원)
  • Yoon, Mi Jin (Medical Center of Occupational Environment) ;
  • Sung, Kyung Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2017.02.27
  • 심사 : 2017.06.22
  • 발행 : 2017.06.30

초록

Purpose: This study attempts to examine the effects of a horticultural program on activities of daily living (ADL) and depression among older patients with mild dementia. Methods: This study adopted a quasi-experimental design-based nonequivalent control group pretest and posttest design, enrolling 30 older patients with mild dementia. The Korean Form of Geriatric Depression Scale was utilized, while the data was collected from the experimental group for 60 minutes, twice weekly for 6 weeks in 12 sessions. ADL and depression were assessed for both the experimental and the control group. Overall functions were assessed only for the experimental group. Results: The experimental group showed improvement in physical function, cognitive function, as well as psychological, emotional function and social function following each session (p<.001). The horticulture program was effective in both ADL ($Z^2=5.65$, p<.001) and depression (t=-5.24, p<.001). Conclusion: In this study, the horticultural therapy based on the Cox's interaction model had positive effects for older patients with mild dementia. Therefore, horticultural therapy may be commendably applied to older patients with mild dementia as a nursing intervention.

키워드

참고문헌

  1. Barthel, D. W., & Mahoney, F. I. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65.
  2. Cho, M. G. (2008). Horticultural therapy as non-pharmacological treatment for the improvement of cognitive function and BPSD in dementia. Unpublished doctoral dissertation, Konkuk University of Korea, Seoul.
  3. Cox, C. L. (1982). An interaction model of client health behavior: Theoretical prescription for nursing. Advances in Nursing Science, 5(1), 41-56. https://doi.org/10.1097/00012272-198210000-00007
  4. Cox, C. L. (1986). An interaction model of client health behavior: Application to the study of community-based elders. Advances in Nursing Science, 9(1), 40-57. https://doi.org/10.1097/00012272-198610000-00007
  5. Hwang, I. D. (2010). Effects of the bibliotherapy on depression and social behavior and remark of dotard dementias old adults. Unpublished doctoral dissertation, Keimyung University, Daegu.
  6. Im, E. A. (2010). Development of evaluation indices of horticultural therapy and examination of its efficacy. Unpublished doctoral dissertation, Konkuk University, Seoul.
  7. Im, E. A., Im, E. H., Won, K. H., Park, P. S., & Son, K. C. (2014, May). Case study on group horticultural therapy enhancing activity of daily living of older adults with mild dementia in senior day care center. Journal of Korean Society for People, Plants, and Environment, 172-173.
  8. Im, G. O. (2015). Effect of horticultural therapy as a nursing intervention program on depression and self-esteem of the elderly living alone. Unpublished master's thesis, Chonbuk National University, Jeonju.
  9. Jung, I. G., Kwak, D. I., Joe, S. H., & Lee, H. S. (1997). A study of standardization of Korean form of geriatric depression scale (KGDS). Korean Journal of Geriatric Psychiatry, 1(1), 61-72.
  10. Kim, B. Y. (2001). A comparative study of horticulture, music, and art therapy as nursing intervention for dementia patients. Journal of Korean Nurse, 40(1), 51-63.
  11. Kim, K. J. (2003). Effect of horticultural therapy on the changes of depression and self-esteem of demented old adults. Unpublished master's thesis, Honam University, Gwangju.
  12. Kim, M. H., & Kim, J. M. (2012). The effect of an occupational therapeutic intervention program using horticultural therapy on cognition and daily living performance of the elderly with dementia. Journal of Korean Society of Community Based Occupational Therapy, 2(1), 75-84.
  13. Kim, S, Y. (2002). Effects of group reminiscence with mugwort fragrance inhalation on pain, depression and ego integrity of the elderly with chronic pain. Unpublished doctoral dissertation, Keimyung University, Daegu.
  14. Kim, Y. D., U, J. G., Jeon, K. A., & Cho, W. G. (2014). The impact of horticultural therapy program on the depression of the elderly with dementia that is conducted by adult day care center. Journal of Korean Society for People, Plants, and Environment, 17(3), 110-111.
  15. Korea National Health Insurance Service. (2013). National Health Insurance Statistical Yearbook. Retrieved August 29, 2013, from http://www.nhis.or.kr/bbs7/boards/B0049/5321
  16. Lee, A. R. (2012). Gardening to improve emotional functioning of dementia effects of treatment-residential nursing home targeted at dementia. Unpublished master's thesis, Chosun University, Gwangju.
  17. Matsuo, E. (2008). Humanity in horticulture-healing and pleasure. Acta Hortculturae, 790, 39-44.
  18. Oh, J. H., Yi, Y. J., Shin, C. J., Park, C., Kang, S., Kim, J., et al. (2015). Effects of silver-care-robot program on cognitive function, depression, and activities of daily living for institutionalized elderly people. Journal of Korean Academy of Nursing, 45(3), 388-396. https://doi.org/10.4040/jkan.2015.45.3.388
  19. Park, J. H., Cho, S. W., & Son, H. S. (1995). Reliability of functional status measurements in elderly people. Journal of Korean Neuropsychiatric Association, 34(2), 475-483.
  20. Park, M. N. (2013). The development and effects of reproductive health program for married female immigrants-based on cox's interaction model. Unpublished doctoral dissertation, Gyeongsang National University, Jinju.
  21. Relf, D. (1981). Dynamics of horticultural therapy. Rehabilitation Literature, 42(5-6), 147-150.
  22. Seo, S. H., Kwon, H. J., Kim, K. H., & Kim, K. S. (2014). Effects of horticultural therapy on depression of elderly with mild dementia in nursing home. Journal of Korean Society for People, Plants, and Environment, 17(6), 70.
  23. Shin, B. K., & Hwang, I. O. (2002). The effect of horticultural therapy to improve cognitive ability of the dementia aged. The Social Welfare Research Review, 11, 99-123.
  24. Simson, S. P., & Straus, M. C. (Ed.). (1998). Horticulture as therapyprinciples and practice, New York: The Food Products Press.
  25. Smith, D. J. (1998). Horticultural therapy: The garden benefits everyone. Journal of Psychosocial Nursing & Mental Health Services, 36(10), 14-21. https://doi.org/10.3928/0279-3695-19981001-12
  26. Statistics Korea. (2017). Future demographics. Retrieved January 26, 2017, from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=MT_ZTITLE&list_id=A41_10&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=
  27. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  28. Yoo, C. S. (2014). Determining the effects of horticultural therapy program for improving life satisfaction and reducing depression symptom of hospitalized elderly with mild dementia. Unpublished master's thesis, Konkuk University, Seoul.
  29. Yun, S. Y., Kim, H. Y., Cho, M. K., & U, T. Y. ( 2002) Effect of floral decoration and plant culture on the improvement of recognition ability and decrease of depression in the demented old adults. Journal of Korean Flower Research Society, 10(1), 33-39.

피인용 문헌

  1. 경도인지장애 노인의 인지향상 프로그램 중재효과 vol.32, pp.1, 2017, https://doi.org/10.5932/jkphn.2018.32.1.81
  2. 주말농장 참여 노인의 식물재배 활동수준이 주관적 건강, 우울, 인간관계에 미치는 영향 vol.25, pp.4, 2017, https://doi.org/10.7851/ksrp.2019.25.4.057
  3. Effects of a Horticultural Activity Program Based on Validation Therapy on the Mental Functions of Elderly Patients in Nursing Homes vol.22, pp.6, 2017, https://doi.org/10.11628/ksppe.2019.22.6.611
  4. Comparing the Effectiveness of the Frequency and Duration of the Horticultural Therapy Program on Elderly Women with Mild Cognitive Impairment and Mild Dementia vol.23, pp.1, 2020, https://doi.org/10.11628/ksppe.2020.23.1.35
  5. Evaluating the Efficacy of Therapeutic Programs on Improving Cognitive Function and Depression among Older Adults Living with Dementia in Korea vol.17, pp.9, 2020, https://doi.org/10.3390/ijerph17093218
  6. A Horticultural Therapy Program Focusing on Gardening Activities to Promote Psychological, Emotional and Social Health of the Elderly Living in a Homeless Living Facility for a Long Time: A Pilot Stud vol.23, pp.5, 2017, https://doi.org/10.11628/ksppe.2020.23.5.565