재활치료과학 (Therapeutic Science for Rehabilitation)

  • 제7권1호
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  • Pages.51-62
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  • 2018
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  • 2635-9340(pISSN)
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  • 2671-4329(eISSN)
대한신경계작업치료학회 (Korean Society of Neurological Occupational Therapy)
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오차배제학습과 시간차회상을 이용한 작업기반 훈련이 경도 혈관성 치매환자의 과제 수행능력과 만족도에 미치는 영향: 개별실험 연구

The Effects of Occupation-based Training With Errorless Learning and Spaced Retrieval on Task Learning and Satisfaction of People With Mild Vascular Dementia: Single Subject Research

  • 이은영 (연세대학교 대학원 작업치료학과) ;
  • 박혜연 (연세대학교 보건과학대학 작업치료학과) ;
  • 김종배 (연세대학교 보건과학대학 작업치료학과) ;
  • 박지혁 (연세대학교 보건과학대학 작업치료학과)
  • Lee, Eun-Young (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Kim, Jong-Bae (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 투고 : 2017.12.22
  • 심사 : 2018.02.12
  • 발행 : 2018.02.28
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초록

목적 : 본 연구의 목적은 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 경도 혈관성 치매환자의 과제학습과 만족도에 미치는 영향을 알아보기 위함이다. 연구방법 : 치매 진단을 받은 경도 인지 수준의 환자 3명을 대상으로 ABA' + follow-up 설계를 사용하였다. 중재기간동안 오차배제학습과 시간차회상을 이용한 작업기반훈련을 적용하였으며, 매회기마다 과제학습 정도를 측정하였고, 중재 전과 후에 만족도의 변화를 알아보았다. 결과분석은 그래프를 통한 시각적 분석과 막대그래프를 통해 제시하였다. 결과 : 오차배제학습과 시간차회상을 이용한 작업기반 훈련 후 모든 대상자의 과제수행 능력이 향상되었으며, 중재 후 만족도 또한 향상되었다. 결론 : 본 연구는 초기 혈관성 치매환자에게 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 과제학습과 만족도를 향상시키는데 효과가 있다는 것을 확인하였고, 임상적 적용을 위한 근거를 제공했다는 것에 의의가 있다.

Objective : This study was to verify the effects of occupation-based training with errorless learning and spaced retrieval on task learning and satisfaction of elderly with mild vascular dementia. Methods : The subjects of this study were 3 geriatric individuals with mild vascular dementia, ABA' + follow-up design was used. Intervention period was provided occupation-based training with errorless learning and spaced retrieval. The dependent variable was converted to ability of task performance every session and satisfaction before and after intervention. Result analysis was suggested through visual analysis and bar graph. Results : After the occupation-based training with errorless learning and spaced retrieval, Ability of task performance and satisfaction improved for all subjects. Conclusions : From this study, occupation-based training with errorless learning and spaced retrieval training was found to be an effective mediation for improving independence of task and satisfaction for people with mild dementia. This study could provide evidence for clinical application for occupation-based training.

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