DOI QR코드

DOI QR Code

The Effects of the Daily Life Management Program of the Elderly with Mild Cognitive Impairment on Cognition Function, Depression and Health Promoting Lifestyle

경도인지장애 노인의 일상생활 관리프로그램이 인지기능, 우울 및 건강증진생활양식에 미치는 영향

  • Yang, Jong-Eun (Department of Occupational Therapy, Hallym University) ;
  • Choi, Jong-Bae (Department of Occupational Therapy, Sangji University)
  • 양종은 (한림대학교 보건과학대학원) ;
  • 최종배 (상지대학교 작업치료학과)
  • Received : 2020.11.20
  • Accepted : 2020.12.29
  • Published : 2020.12.31

Abstract

The purpose of this study was to find out whether the cognitive function, depression, and health promotion lifestyle changes are maintained or improved through the dementia prevention program when applying the dementia prevention program along with the daily life management program to the elderly with mild cognitive impairment. The study was conducted from April 1 to August 9, 2019, and 30 elderly people with mild cognitive impairment who participated in the dementia prevention program at the Dementia Safty Center in Seoul were studied. The study found that cognitive function (MMSE-DS) and health promotion lifestyle (HPLP-II) were maintained and improved compared to control groups in the experimental group that voluntarily implemented daily life management programs along with dementia prevention programs, and that depression (SF-GDS) decreased. Therefore, based on the results of this study, in future studies, we hope to develop a variety of voluntary daily life management programs to maintain and improve the effectiveness of the dementia prevention program for a long period of time. I hope that the prospective study will be done.

본 연구의 목적은 경도인지장애를 가진 노인을 대상으로 치매예방프로그램과 더불어 일상생활관리프로그램을 접목하여 적용 하였을 때, 치매예방프로그램을 통한 인지기능, 우울, 건강증진생활양식의 변화가 유지되거나 향상되는지 알아보고자 연구를 진행하였다. 연구 진행은 2019년 4월 1일부터 8월 9일까지 진행되었으며, 서울특별시에 위치한 치매안심센터에서 치매예방프로그램에 참여한 경도인지장애 노인 30명을 대상으로 하였다. 연구결과 일상생활관리프로그램을 자발적으로 꾸준히 실천한 실험군에서 대조군과 비교해 인지기능(MMSE-DS), 건강증진생활양식(HPLP-II)이 유지 및 향상됨을 보였으며, 우울감(SF-GDS)은 감소한 것을 알 수 있었다. 본 연구 결과를 바탕으로 향후 연구에서는 치매예방프로그램의 효과를 장시간 유지 및 향상시키기 위한 일상생활관리 프로그램이 다양하게 개발되길 바라며, 경도인지 장애를 가진 노인들에 독립적인 일상생활을 유지하기 위한 전향적 연구가 다양하게 이루어지길 바란다.

Keywords

References

  1. 황민지, 방요순(2019). 선택형 인지자극프로그램 훈련이 경도치매노인의 인지, 일상생활활동 및 우울에 미치는 효과. 한국엔터테인먼트산업학회지, 13(7): 521-529.
  2. Ministry of Health and Welfare and Family. (2018). Prevalence of dementia elderly.
  3. National Medical Center.(2017). Global Trends of Dementia Policy.
  4. 주은솔, 방요순, 황민정(2020). 지역사회 노인의 헬스케어를 위한 치매안심센터 작업치료사의 역할 수행도 및 만족도, 중요도 조사. 한국엔터테인먼트산업학회지, 14(7): 599-608.
  5. Virk, S., & McConville, K.(2006). Virtual reality applications in improving postural control and minimizing falls. Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 1: 2694-2697.
  6. Ministry of Health & Welfare.(2017). The prevalence of dementia research.
  7. Frank-Wilson, A.W., Farthing, J.P., & Chilibeck, P.D.(2016). Lower leg muscle density is independently associated with fall status in community-dwelling older adults. Osteoporosis international, 27(7): 2231-2240. https://doi.org/10.1007/s00198-016-3514-x
  8. Dean, K., Jenkinson, C., & Wilcock, G.(2014). Exploring the experiences of people with mild cognitive impairment and their care givers with particular reference to healthcare - A qualitative study. International Psychogeriatrics, 26(3): 475-485. https://doi.org/10.1017/s104161021300207x
  9. Grasel, E., Wiltfang, J., & Kornhuber, J.(2003). "Non-Drug Therapies for Dementia: An Overview of the Current Situation with Regard to Proof of Effectiveness". Dementia and geriatric Cognitive disorders, 15(3): 1153-1162.
  10. Hahn, S.J., & Paik, N.J.(2015). Pharmacological treatment of dementia. Brain & Neurorehabilitation, 8(1): 19-23. https://doi.org/10.12786/bn.2015.8.1.19
  11. Rozzini, L., Costardi, D., & Chilovi, B.V.(2007). Efficacy of cognitive rehabilitation in patients with mild cognitive impairment treated with cholinesterase inhibitors. International Journal of Geriatric Psychiatry, 22(4): 356-360. https://doi.org/10.1002/gps.1681
  12. Sachdev, P.S., Lipnicki, D.M., & Kochan, N.A.(2013). COSMIC (Cohort Studies of Memory in an International Consortium): An international consortium to identify risk and protective factors and biomarkers of cognitive ageing and dementia in diverse ethnic and sociocultural groups. BMC Neurology, 13: 165. https://doi.org/10.1186/1471-2377-13-165
  13. Nam, J.J., Cho, M.J., & Choi, E.J.(1996). The effect on health status of koreans, Korea Institute for Health and Social Affairs.
  14. Lee, I.M., Shiroma, E.J., & Lobelo, F.(2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet, 380: 219-229. https://doi.org/10.1016/S0140-6736(12)61031-9
  15. Kim, K.W., Kim, T.H., & Jhoo, J.H.(2010). Korean version of mini mental status examination for dementia screening and Its' short form. Journal of Korean Geriatric Psychiatry, 7(2): 102-108.
  16. Lee, J.H., Lee, K.U., & Lee, D.Y.(2002). Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease(CREAD) Assessment Packet(CREAD-K): Clinical and Neuropsychological Assessment Batteries, J Gerontology In press.
  17. Bae, J.N., & Cho, M.J.(2004). Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res, 57: 297-305. https://doi.org/10.1016/j.jpsychores.2004.01.004
  18. Walker, S.N., Volkan, K., & Sechrist, K.R.(1988). The health-promoting lifestyle of older adults: Comparisons with young and middle-aged adults, correlates and patterns. Advanced Nursing Science, 11(1): 76-90. https://doi.org/10.1097/00012272-198810000-00008
  19. 서현미, 하양숙(2004). 노인의 건강증진생활양식에 영향을 미치는 요인. 대한간호학회지, 34(7): 1288-1297. https://doi.org/10.4040/jkan.2004.34.7.1288
  20. 황민지, 방요순(2019). 선택형 인지자극프로그램 훈련이 경도치매노인의 인지, 일상생활활동 및 우울에 미치는 효과. 한국엔터테인먼트산업학회지, 13(7): 521-529.
  21. Kim, K.A., & Kim, O.S.(2015). The effects of exercise-cognitive combined dual-task program on cognitive function and depression in elderly with mild cognitive impairment. Korean Journal of Adult Nursing, 27(6): 707-717. https://doi.org/10.7475/kjan.2015.27.6.707
  22. Kim, J.R., Kil, J.H., & Cho, A.R.(2011). Factors Associated with Activities of Daily Living (ADL) in Elderly with Mild Cognitive Impairment (MCI) and Early Dementia. Journal of Korean Geriatric Psychiatry, 15: 61-69.
  23. Chu, S.K., Yoo, J.H., & Lee, C.Y.(2007). The effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with cognitive impairment. Korean Journal of Adult Nursing, 37(7): 1049-1060. https://doi.org/10.4040/jkan.2007.37.7.1049
  24. 양진주(2003). 당뇨환자의 자기관리행위 및 자기효능감에 대한 추후 전화상담의 효과. 보건교육건강증진학회지, 20(3): 269-280.
  25. Roseanne, D., Dobkin, Sarah, L.(2020). Telephone-Based Cognitive-Behavioral Therapy for Depression in Parkinson Disease. Neurology, 24(4): 206-214.