DOI QR코드

DOI QR Code

인지체조-뉴로피드백을 활용한 통합 간호의 효과

The Effect of Integrated Nursing using Cognicise and Neurofeedback

  • 원희욱 (서울불교대학원대학교 뇌인지과학) ;
  • 허계영 (서울불교대학원대학교 뇌과학연구소) ;
  • 김준범 (서울불교대학원대학교 뇌과학연구소) ;
  • 신지은 (서울불교대학원대학교 뇌과학연구소) ;
  • 이원우 (서울불교대학원대학교 뇌과학연구소) ;
  • 손해경 (을지대학교 간호대학)
  • Weon, Hee Wook (Seoul University of Buddhism) ;
  • Heo, Gye Young (Neuroscience Research Institute, Seoul University of Buddhism) ;
  • Kim, Jun Beom (Neuroscience Research Institute, Seoul University of Buddhism) ;
  • Shin, Ji Eun (Neuroscience Research Institute, Seoul University of Buddhism) ;
  • Lee, Won Woo (Neuroscience Research Institute, Seoul University of Buddhism) ;
  • Son, Hae Kyoung (College of Nursing, Eulji University)
  • 투고 : 2020.03.02
  • 심사 : 2020.05.08
  • 발행 : 2020.05.31

초록

Purpose: This study aimed to identify the effect of integrated nursing using cognicise and neurofeedback on cognition and α waves among elderly individuals. Methods: This quasi-experimental single group pretest-posttest study included 29 Korean adults aged 65 years or older who participated at a senior welfare center in Y city from February to May 2019. Each integrated nursing session consisted of cognicise (10 minutes) and neurofeedback (20 minutes). Subjects participated twice a week for 10 weeks. Structured questionnaires to assess participants' general characteristics and the Korean version of the Mini-Mental Status Examination for Dementia Screening (K-MMSE-DS) were applied. Alpha waves were measured using BrainMaster. Results: Following the integrated nursing program, alpha waves improved in F3 (t=2.41, p=.023), C3 (t=3.00, p=.006), C4 (t=2.60, p=.015), P3 (t=2.43, p=.022), O1 (t=2.30, p=.029), T3 (t=3.05, p=.005), T4 (t=2.28, p=.030), T5 (t=2.91, p=.007), Fz (t=2.30, p=.029), Cz (t=2.73, p=.011), and Pz (t=2.23, p=.034). Most subjects experienced improvement in concentration after participating in the intervention. Conclusion: This study provides evidence for the use of a neuroscientific approach including brain wave measurement to improve cognitive health among community-living elderly people.

키워드

참고문헌

  1. Angelakis, E., Stathopoulou, S., Frymiare, J. L., Green, D. L., Lubar, J. F., & Kounios, J. (2007). EEG neurofeedback: a brief overview and an example of peak alpha frequency training for cognitive enhancement in the elderly. Clinical Neuropsychologist, 21, 110-129. https://doi.org/10.1080/13854040600744839
  2. Berner, I., Schabus, M., Wienerroither, T., & Klimesch, W. (2006). The significance of sigma neurofeedback training on sleep spindles and aspects of declarative memory. Applied Psychophysiology and Biofeedback, 31(2), 97-114. https://doi.org/10.1007/s10484-006-9013-7
  3. Choi, C. S. (2003). The effects of mental training with brain-wave feedback on mental attention, metabolic factors, stress hormone after maximal exercise. Unpublished doctoral dissertation, Hanyang University, Seoul.
  4. Ha, T. M. (2009). A study on the development of a brain education program to enhance the psychological well-being of adolescents. Unpublished doctoral dissertation, University of Brain Education, Cheonan.
  5. Han, D., Yu, H., & Park, J. (2009). Analysis for the effects of working cognition task on EEG power and coherence in normal elderly women. Journal of the Korean Data Analysis Society, 11(4), 1831-1841.
  6. Jeong, E. S., Lee, J. E., Jung, H. M., Kim, S. K., Youn, M. K., & Lee, E. H. (2016). The effect of the integrated therapy of neurofeedback, brain gymnastics, and oriental herbal tea on the improvement of brain functions and the quality of life of elders living alone. Journal of the Korea Academia-Industrial cooperation Society, 17(12), 569-581. https://doi.org/10.5762/KAIS.2016.17.12.569
  7. Kim, D. S., & Choi, J. W. (2001). Encephalogram. Seoul; Korea Medical Book Publishing Company.
  8. Kim, J. M., Shin, I. S., Yoon, J. S., & Lee, H. Y. (2003). Comparison of diagnostic validities between MMSE-K and K-MMSE for screening of dementia. Journal of Korean Neuropsychiatric Association, 42(1), 124-130
  9. Lee, B. C., & Weon, H. W. (2019). A study on the effects of the phonetics-centered chinese character lecture on quantitative EEG. Journal of the Korea Academic-Industrial cooperation Society, 20(12), 482-492.
  10. Lee, M. S. (2012). Health-related factors influencing the quality of life of rural elderly subject-activities of daily living, cognitive functions, prevalence of chronic diseases and nutritional assessment. Korean Journal of Community Nutrition, 17(6), 772-781. https://doi.org/10.5720/kjcn.2012.17.6.772
  11. Nelson, L. A. (2007). The role of biofeedback in stroke rehabilitation: past and future directions. Topics in Stroke Rehabilitation, 14(4), 59-66. https://doi.org/10.1310/tsr1404-59
  12. Park, C. J. (2005). The cost-effectiveness of day care services for the demented elderly. Journal of Welfare for the Aged, 28, 317-340.
  13. Park, N. H., & Lee, Y. M. (2008). Prevalence and risk factors of dementia in the community elderly. Journal of Korean Academy of Community Health Nursing, 19(1), 36-45.
  14. Pascual-Marqui, R. D. (2002). Standardized low-resolution brain electromagnetic tomography (sLORETA): technical details. Methods and Findings in Experimental and Clinical Pharmacology, 24, 5-12.
  15. Shim, J. Y., & Ko, B. J. (2009). Effects of brain development program for improving self-regulation and concentration in youth. Korean Journal of Youth Studies, 16(9), 1-29.
  16. Sin, S. Y., & An, S. G. (2004). A study on the actual condition and suggestions for improvement in the operation of the elderly dementia day care centers. Journal of Welfare for the Aged, 23, 37-63.
  17. Statistics Korea. (2018, September 27). 2018 Elderly statistics. Retrieved May 1, 2020, from http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=370779
  18. Suzuki, T., Makizako, H., Doi, T., Park, H., Lee, S., Tsutsumimoto, K., et al. (2015). Community-based intervention for prevention of dementia in Japan. Journal of Prevention of Alzheimer's Disease, 2, 71-76
  19. Teplan, M. (2002). Fundamentals of EEG measurement. Measurement Science Review, 2(2), 1-11.
  20. Wing, K. (2001). Effect of neurofeedback on motor recovery of a patient with brain injury: A case study and its implications for stroke rehabilitation. Topics in Stroke Rehabilitation, 8(3), 45-53. https://doi.org/10.1310/4G2F-5PLV-RNM9-BGGN