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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Brain activation Intervention Programs for Mild Dementia

경증치매노인을 위한 뇌 활성화 중재프로그램의 효과

  • Received : 2018.02.22
  • Accepted : 2018.05.04
  • Published : 2018.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted with the purpose of identifying the effects of behavioral psychosomatic symptoms, cognitive functions, ability to perform daily life, and depression among the elderly with dementia. The sample for this study comprised 40 people in the experimental group and 20 in the contrastive group from the Dementia Supporting Center, located in NoWon-Gu of Seoul city. Data were collected from November 1, 2016 until March 31, 2017. The collected data were analyzed using SPSS 23.0, and descriptive statistics, chi-square test, independent t-test two-way repeated measures ANOVA, and ANCOVA were calculated. An 8-week brain activation intervention program including lectures was administered to elderly people with dementia. The results show improved cognitive function and reduced depressed feelings. Based on the results of this study, brain activation intervention programs can be applied to elderly people with dementia at the community level to help improve their cognitive function and relieve them from depression.

본 연구는 뇌 활성화 중재프로그램을 경증치매노인에게 적용하여 경증치매노인의 인지기능, 행동심리적 증상, 우울 및 일상생활수행능력에 미치는 효과를 파악하는데 목적을 두고 수행 하였다. 본 연구의 연구 대상자는 실험군 20명과 대조군 20명으로 총 40명이었다. 본 연구의 자료 수집은 서울시 노원구에 소재한 치매지원센터에서 2016년 11월 1일부터 2017년 3월 31일까지 자료가 수집 되었다. 수집된 자료의 분석방법은 SPSS 23.0K을 이용하여 기술통계, Chi-square test, independent t-test, Two-way Repeated Measures ANOVA, ANCOVA로 분석 하였다. 본 연구에서 경증치매노인을 대상으로 뇌 활성화 중재프로그램을 8주간의 강의 및 프로그램을 시행한 결과 대상자 경증치매노인의 인지기능이 유의하게 향상되었고, 우울감이 유의하게 감소하였다. 본 연구 결과를 토대로 치매노인에게 적용한 뇌 활성화 중재프로그램으로 인지기능의 향상으로 일상생활에도 도움을 줄 수 있고, 치매노인의 우울을 완화시키는 것으로 나타나 차후에 지역사회 프로그램에 활용되도록 하는 기초자료로 지역사회에서 연계하는 프로그램으로 도움이 될 것으로 사료된다.

Keywords

References

  1. DOI:http://kostat.go.kr/portal/korea/index.action.
  2. Statistics Korea. Elderly Statistics, 2012. [cited 2013 March 1]Available from http://www.kostat.go.kr.
  3. Ministry of Health and Welfare. "Survey of the elderly and health care statistics for 2013", Seoul: Author; 2014, http://www.hira.or.kr, Statistics, Statistics of aging.
  4. Korea Ministry of Health & Welfare. Press release for the Special Grade of Dementia [Internet]. 2014 May 2 [cited 2014 May 10] Availabl from http://www.mw.go.kr/front_new/al/sal0301vw.jsp
  5. S. K. Jang, Dementia, Seoul:Shinwon Publishing, 2004.
  6. S. H, Kim, S.H.Han, "Prevalence of Dementia among the South Korean Population", Journal of Korean Diabetes, vol. 13, pp. 124-128, 2012. DOI: https://doi.org/10.4093/jkd.2012.13.3.124
  7. R. Mushtaq, C. Pinto, S. F. Tarfarosh et al., "A Comparisonof the Behavioral and Psychological Symptoms of Dementia (BPSD) in Early-Onset and Late-Onset Alzheimer's Disease - A Study from South East Asia (Kashmir, India)," Cureus, vol. 8, 2016. DOI: https://doi.org/10.7759/cureus.625
  8. K. Ornstein, J. E. Gaugler, "The problem with "problem behaviors": a systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver," dyad. International Psychogeriatrics, vol. 24, no. 10, pp. 1536-1552, 2012. DOI: https://doi.org/10.1017/S1041610212000737
  9. K. A. Ornstein, J. E. Gaugler, D. P. Devanand, N. Scarmeas, C. W. Zhu, Y Stern, "Are there sensitive time periods for dementia caregivers? The occurrence of behavioral and psychological symptoms in the early stages of dementia", Int Psychogeriatr, vol. 25, no. 9, pp. 1453-1462, 2013. DOI: https://doi.org/10.1017/S1041610213000768
  10. B. G. Yoo, E. G. Kim, J. W. Kim, T. Y. Kim, K. W. Park, S. M. Sung et al, "Relationship between Behavioral and Psychological Symptoms of Dementia and Caregiver Burden", Dementia and Neurocognitive Disorders, vol. 7, no. 1, pp. 1-9, 2008.
  11. S. Y. Kim, "Behavioral and Psychological Symptoms of Dementia", Dementia and Neurocognitive Disorders, vol. 3, no. 1, pp. 14-17, 2004.
  12. National Health Insurance Srevice, "Before going to dementia, mild dementia, 4.3 times the number of patients in the last five years", 2015. [cited 2016 Jun 14] Available from http://www.nhis.or.kr/bbs7/boards/B0039/14982
  13. A. Gustavsson, P. Brinck, N. Bergvall K. Kolasa, A. Wimo, B. Winblad, et al. "Predictors of costs of care in Alzheimer's disease: A multinational sample of 1222 patients", Alzheimer's Dementia, vol. 7,no. 3, pp. 318-27, 2011. DOI: https://doi.org/10.1016/j.jalz.2010.09.001
  14. Korean Association for Geriatric Psychiatry, Geriatric Psychiatry. Seoul:Joongangcompany. 2004.
  15. Korea Dementia Association, Dementia: Clinical approach. Seoul: Academy, 2006.
  16. S. Y. Ahn, J. H. Kim, D. K. Kim, I. Y. Kim, "The Neuropsychological Function and Differentiation of Mild Dementia of Alzheimer Type and Depression", Korean Journal of Clinical Psychology, vol. 19, no. 1, pp., 131-150, 2000.
  17. W. M. Jeong, D. Y. Lee, S. H. Ryu, Y. J. Hwang, I. H. Choo, S. G. Kim et al, "Focused effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community - Focused Occupational Therapy Intervention Process Model -", Journal of Korean Society of Occupational Therapy, vol. 16, no. 4, pp. 1-17, 2008.
  18. O. N. Hwang, S. R. Yoon, H. Y. Hwang, K. S. Nam, "A Study on the Application of a Dementia Prevention Program and It's Effect Test", Journal of Korean Rehabilitation Nursing, vol. 5, no. 2, pp. 156-165. 2002.
  19. H. R. Ji, S. H. Choi, M. S. Cho, R. A.Ju, "The Effects of the Continuous Dementia Nursing Intervention Program on Cognitive Function and Depression of the Elderly with Mild Dementia in the Community ", Journal of Korean Gerontological Nursing, vol. 6, no. 2, pp. 216-227, 2004.
  20. Y. Sakurai, "Efforts and Prevention of Nursing Care in Minami-cho, Focusing on Dementia", Local medical care, vol. 50, p.36, 2011.
  21. M. Takabayashi, "Three-A Dementia prevention game"(N. Sasaki, Trans.), Seoul: Sisa Books Green Health, 2013.
  22. Seoul University National Bundang Hospital, Standardization of Dementia Diagnostic Tool (11-1351000-000589-01), Seoul; Korea Ministry of Health & Welfare, 2009.
  23. J. H. Park. H. C. Kim, J. H. Kim, "A New Brief Memory Screening Test = Mini-Memory Test(MiMeT)", Journal of Korean Neuropsychiatric Association, vol. 43, no. 3, pp. 13-31, 1996.
  24. K A. Kim, "Deveopment of an assessment tool of problematic behaviors for institutionalized old people with dementia", Korea Community Health Nursing Academic Society, 2003, vol. 12, pp. 119-20, 2003.
  25. J. Sheikh, J. Yesavage, "Geriatric Depression Scale (GDS): Recent evidence and development of a shorte version", Clinical Gerontologist, vol. 5, no. 12, pp. 165-173, 1986. https://doi.org/10.1300/J018v05n01_09
  26. B. S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of Korean Neuropsychiatric Association, vol. 35, no. 2, pp. 298-307.1989.
  27. Korea Ministry of Health & Welfare. Ministry of Health & Welfare 2011-107, [notice], How to evaluate the degree of physical and mental health and activities needed to support, 2011.
  28. M. S. Jeon, 'Cognitive Functions Enhancement Program affects the quality of life of the elderly in the dementia"', The Korean Society of Welfare for the Aged Proceedings of the academic presentation, vol. 2016, no 1, pp. 505-614, 2016.
  29. B. H. Oh, "Diagnosis and Treatment for Behavioral and Psychological Symptoms of Dementia", Journal of Korean Medication Association, vol. 52, no. 11, pp. 1048-1054, 2009. DOI: https://doi.org/10.5124/jkma.2009.52.11.1048
  30. N. Herrmann, "Recommendations for the management of behavioral and psychological symptoms of dementia", The Canadian Journal of neurological sciences, Suppl 1, pp. 96-107. 2001. DOI: https://doi.org/10.1017/S0317167100001268
  31. Y. K. Hong, Y. S. Kang, "Effects of a Music Programon Cognitive Function and Disturbing Behavior in Elders with Dementia", Journal of Korean Gerontological Nursing, vol. 11 no. 1, pp. 5-15, 2009.
  32. S. W. Yun, S, A, Ryu, "Impact of Dementia Knowledge, Burden from Behavioral Psychological Symptoms of Dementia and Empathy in the Caring Behavior of Certified Caregivers in Nursing Homes", Journal of Korean Gerontological Nursing, vol. 17, no. 3, pp. 131-141, 2015. DOI: https://doi.org/10.17079/jkgn.2015.17.3.131
  33. B. H. Lee, J. S. Park, N. R. Kim, 'The Effect of Physical Activity Program on Cognitive Function, Physical Performance, Gait, Quality of Life and Depression in the Elderly with Dementia", Institute of Special Education & Rehabitation Science, vol. 50 no. 2, pp. 307-328, 2011.
  34. C. C. Kao, L. C. Lin, S. C. Wu, K. N. Lin, and C.K. Liu, "Effectiveness of different memory training programs on improving hyperphagic behaviors of residents with dementia: a longitudinal single-blind study", Clin Interv Aging, vol. 11, pp. 707-720, 2016. DOI: https://doi.org/10.2147/CIA.S102027
  35. J. H Kim, D. Y. Lee, S. J. Lee, B. Y. Kim, N.C.Kim, "Predictive Relationships between BPSD, ADLs and IADLs of the Elders with Dementia in Seoul, Korea", Journal of Korean Gerontological Nursing, vol. 17, no. 1, pp. 1-9, 2015. DOI: https://doi.org/10.17079/jkgn.2015.17.1.1