Journal of Korea Entertainment Industry Association (한국엔터테인먼트산업학회논문지)

The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Combination Intervention of Occupation - Based Intervention and Computerized Cognitive Rehabilitation on Depression in Stroke Patients for Wellness

작업기반 중재와 전산화인지재활치료의 결합 중재가 뇌졸중 환자의 웰니스를 위한 우울감에 미치는 영향

  • Kim, Sun-Ho (Department of Occupational Therapy, Young Kwang Rehabilitation Hospital)
  • 김선호 (영광 재활 병원 작업치료실)
  • Received : 2020.12.23
  • Accepted : 2021.01.25
  • Published : 2021.01.31
⟨ Previous Next ⟩

Abstract

The purpose of this study is to investigate how the combined intervention of occupation-based intervention and computerized cognitive rehabilitation treatment affects the psychosocial function, cognitive function, and depression of stroke patients. 23 stroke patients were divided into experimental group(n=11) and a control group(n=12), and the experimental group and the control group received CoTras for 4 weeks and 30 minutes each, and additionally the experimental group received task-based intervention for 30 minutes before the start of CoTras. It was conducted 20 times for a total of 4 weeks. Self-efficacy scale, stress scale, depression scale, neurobehavioral cognitive status examination were used. As a result of the study, the experimental group showed significant improvement in improvement of self-efficacy, stress, and depression than the control group, and the experimental group showed a small effect difference in magnitude of effect from the control group in cognitive function. Based on this study, it is possible to utilize the simultaneous task-based intervention with CoTras to improve psychosocial function, depression and cognitive function in stroke patients.

본 연구의 목적은 작업기반 중재와 전산화인지치료의 결합 중재를 통해 뇌졸중 환자의 심리사회적 기능과 인지 기능 및 우울감에 어떠한 영향을 미치는지 알아보고자 하는 것이다. 뇌졸중 환자 23명을 실험집단 11명, 대조집단 12명으로 나누어 진행하였으며, 실험집단과 대조집단은 4주간, 30분씩의 CoTras를 받았으며, 실험집단의 추가적으로 CoTras 시작 이전에 30분간 작업기반 중재를 받았다. 총 4주간, 20회 진행되었다. 평가는 자기 효능감 척도, 스트레스 척도, 우울척도, 신경행동학적 인지 상태 검사를 사용하였다. 연구 결과, 실험집단은 자기 효능감과 스트레스, 우울의 개선에 대조집단보다 더 유의미한 개선을 나타냈으며, 인지 기능에서 실험집단은 대조집단과 작은 효과의 크기차이를 보였다. 본 연구를 근거로 뇌졸중 환자의 심리사회적 요인과 우울증, 인지 기능의 개선을 위해 CoTras와 함께 작업기반 중재가 동시에 수행되는 것을 활용할 수 있을 것이다.

Keywords

References

  1. Miller, E.L., Murray, L., Richards, L., Zorowitz, R.D., Bakas, T., Clark, P., & Billinger S.A.(2010). Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke, 41(10): 2402-2448. https://doi.org/10.1161/STR.0b013e3181e7512b
  2. Lee, Y.J., Kim, J.J., Oh, M.H.(2020). Differences in cognitive function, self-esteem, and life satisfaction of the elderly with mild dementia according to cognitive intervention programs. Journal of the Korea Entertainment Industry Association, 14(6): 209-219. https://doi.org/10.21184/jkeia.2020.8.14.6.209
  3. Robinson, R.G.(2003). Post stroke depression: prevalence, diagnosis, treatment, and disease progression. Biological Psychiatry, 54(3): 376-387. https://doi.org/10.1016/S0006-3223(03)00423-2
  4. Langhorne, P., & Pollock, A.(2002). What are the components of effective stroke unit care? Age and Ageing, 31(5), 365-371. https://doi.org/10.1093/ageing/31.5.365
  5. Fisher, A.G.(2013). Occupation-centered, occupation-based, occupation-focused: Same, same or different? Scandinavian Journal of Occupational Therapy, 20(3) 162-173. https://doi.org/10.3109/11038128.2012.754492
  6. Che Daud, A.Z., Yau, M.K., Barnett, F., Judd, J., Jones, R.E., & Muhammad Nawawi, R.F.(2015). Integration of occupation based intervention in hand injury rehabilitation: A Randomized controlled Trial. Journal of Hand Therapy, 29(1): 30-40. https://doi.org/10.1016/j.jht.2015.09.004
  7. Wasmuth, S., Pritchard, K., & Kaneshiro, K.(2016). Occupation-based intervention for addictive disorders: A systematic review, Journal of Substance Abuse Treatment, 69(1): 1-9. https://doi.org/10.1016/j.jsat.2016.06.001
  8. Schmidt, J., Fleming, J., Ownsworth, T., & Lannin, N.A.(2015). Maintenance of treatment effects of an occupation-based intervention with video feedback for adults with TBI. NeuroRehabilitation, 36(2): 175-186. https://doi.org/10.3233/NRE-151205
  9. Hackett, M.L., & Anderson, C.S.(2005). Predictors of depression after stroke: a systematic review of observational studies. Stroke, 36(10): 2296-2301. https://doi.org/10.1161/01.str.0000183622.75135.a4
  10. Brodaty, H., Withall, A., Altendorf, A., & Sachdev, P.S.(2007). Rates of depression at 3 and 15 months poststroke and their relationship with cognitive decline: the Sydney Stroke Study. The American Journal of Geriatric Psychiatry, 15(6): 477-486. https://doi.org/10.1097/JGP.0b013e3180590bca
  11. Kim, Y.G.(2011). The effect of Korean computer-based cognitive rehabilitation program (cotras) for the cognition and activities of daily living in stroke. Journal of Korean Society of Occupational Therapy, 19(3): 75-88.
  12. Shinohara, K., Yamada, T., Kobayashi, N., & Forsyth, K.(2012). The model of human occupation-based intervention for patients with stroke: A randomised trial, Hong Kong Journal of Occupational Therapy, 22(2): 60-69. https://doi.org/10.1016/j.hkjot.2012.09.001
  13. Park. W.K.(1988). Perceived stress and depression in hemiplegic patients using neuman's stressors concepts factors. M.S. dissertation, Ewha Womams University,
  14. Shere, M., Maddux, J.E. Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R.W.(1982). The self-efficacy scale: construction & validation, Psychological Report. 51(2): 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  15. Kim, H.S., & Kim, Y.S.(2003). A study on the quality of life, self-efficacy and family support of stroke patients in oriental medicine hospitals. Korean Journal of Health Education and Promotion, 20(1): 111-130.
  16. Kiernan, R.J.(1987). The neurobehavioral cognitive status examination: A brief but differentiated approach to cognitive assessment. Annals of Internal Medicine. 107(4): 481-485. https://doi.org/10.7326/0003-4819-107-4-481
  17. Kim, C.Y., Lee, C.Y., & Park, I.H.(1994). A Study for Clinical Application of Neurobehavioral Cognitive Status Examination(NCSE) - For the Subjects Over Age of 60-. Journal of Korean Neuropsychiatric Association, 33(6): 1329-1341.
  18. Jung, W.M., Choi, H.S., Park, K.J.(1999). Neurobehavioral cognitive status examination (NCSE) in Brain-Injured Patients. Journal of Korean Society of Occupational Therapy, 7(1): 1-16.
  19. Park, S,J., Park, S.D., & Lee, J.H.(2002). The correlation between post-stroke depression and the recovery rate of motor functions. 13(2), Korean Society of Oriental Neuropsychiatry, 101-106.
  20. Hahn, H.M., Yum, T.H., Shin, Y.W., Kim, K.H., Yoon, D.J., Chung. K.J.(1986). A standardization study of beck depression inventory in korea. Jornal of Korean Neuropsychiatric Association, 25(3): 487-500.
  21. Cohen, M.E., & Schemm, R.W.(2007). Clint-centered occupational therapy for individuals with spinal cord injury, Occupational Therapy in Health Care, 21(3): 1-15. https://doi.org/10.1080/J003v21n03_01
  22. Lee, M.J., & Lee, S.M.(2015). Effect of Board Game Program on Depression and Quality of the Life for Elderly with Stroke. Institute of Special Education & Rehabitation Science, 54(3), 235-249.
  23. King, R.B., Shade-Zeldow, Y. Carlson, C.E., Feldman, J.L., & Philip, M.(2002). Adaptation to stroke: a longitudinal study of depressive symptoms, physical health, and coping process. Topics in stroke rehabilitation, 9(1): 46-66. https://doi.org/10.1310/KDTA-WELC-T2WR-X51W
  24. An, T.G., & Kim, K.U.(2017). The effects of computerized cognitive rehabilitation program on depression and cognitive function in stroke patients, Journal of the Korea Academia-Industrial Cooperation Society, 18(5): 211-218. https://doi.org/10.5762/KAIS.2017.18.5.211
  25. An, T.G., & Kwon, H.C.(2019). The effect of transcranial direct-current stimulation on cognitive function and depression in stroke patient's through a computerized cognitive rehabilitation program. Journal of The Korean Society of Integrative Medicine, 7(3): 33-40.
  26. Jeon, M.J., Moon, J.H.(2019). Effects of a portable computerized cognitive training system on the visual-perceptual function of stroke patients with mild cognitive impairment: a pilot study. Journal of the Korea Entertainment Industry Association, 13(8): 603-610. https://doi.org/10.21184/jkeia.2019.12.13.8.603
  27. American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48.
  28. Skubik-Peplaski, C., Carrico, C., Nichols, L., Chelette, K., & Sawaki, L.(2012). Brief Report -Behavioral, neurophysio logical, and descriptive changes after occupation-based intervention. American Journal of Occupational Therapy 66(6): e107-e113. https://doi.org/10.5014/ajot.2012.003590
  29. Haslam, T., & Beaulieu, K.(2007). A comparison of the evidence of two interventions for self-care with stroke patients. International Journal of Therapy and Rehabilitation, 14(3): 118-127. https://doi.org/10.12968/ijtr.2007.14.3.23525
  30. Wood, N.I., Glynn, D., & Morton, A.J.(2011). Brain training improves cognitive performance and survival in a transgenic mouse model of Huntington s disease. Neurobiology of Disease, 42(3): 427-437. https://doi.org/10.1016/j.nbd.2011.02.005