Browse > Article

The Effects of a Folk Play Program on Cognition, ADL, and Problematic Behavior in the Elderly with Dementia  

Kim, Jung-Soon (Department of Nursing, College of Medicine, Pusan National University)
Jung, Jeong-Sim (Masan Jeil Girl's High School)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.6, 2005 , pp. 1153-1162 More about this Journal
Abstract
Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.
Keywords
Dementia; Play Therapy; Cognition; ADL; Behavior;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Grasel, E., Wiltfang, J., & Kornhuber, J. (2003). Non-drug therapies for dementia : An overview of the current situation with regard to proof of effectiveness. Dement Geriatr Cogn Disord, 75(3), 115-125
2 Lou, M. F. (2001). The use of music to decrease agitated behaviour of the demented elderly : the state of the science. Scand J Caring Sci, 15(2), 165-173   DOI   PUBMED   ScienceOn
3 Folstein, M. F., Folstein, S. E., & Mchugh, P. R. (1975). 'Mini-Mental State' : A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12, 189-198   DOI   ScienceOn
4 Ji, H. R. (2003). The Effects of Dementia Nursing Intervention Program on Cognitive Function, Depression, Activities of daily living, and Social behavior in the elderly with mild dementia. Doctor Dissertation, Chonnam NationalUniversity, Gwangju
5 Marshall, I. K., & Hutchinson, S. A. (2001). A critique of research on the use of activities with persons with Alzheimer's disease : A systematic literature review. J Adv Nurs, 35, 488-496   DOI   ScienceOn
6 Kim, K. A. (2003). Development of an Assessment Tool of Problematic Behaviors for Institutionalized Old People with Dementia. Doctor Dissertation, Seoul National University, Seoul
7 Kim, G. (1996). The Role of Folk Game in a Desirable Leisure Activity. Research on Physical Fitness, 19(1), 25-34
8 Jackson, G. A., Templeton, G. J., & Whyte, J. (1999). An Overview of Behaviour Difficulties Found in Long-term Elderly Care Settings. Int J of Geriatr Psychiatry, 14, 426-430   DOI   ScienceOn
9 Soo, Y. S. (1999). Development of Calculating Ability of Mental Defective Children through Various Folk Play Activities. Thesis of Field Research for the Special Education
10 Yoon, J. L (2001). Level of Functional Status(ADL. IADL) of the Elderly Living in Local Community. Geriatric Disease, 5(2), 139-150
11 Lee, H. G. (1999). The Effect of the Folk Play for Interpersonal relationship between the Mentally Retarded Children and the Healthy Peers. Thesis of Field Research for the Special Education
12 Lee, Y. J, & Kim, S. M. (2003). The Effect of Physical Program on Cognition and ADL of Demented Elderly. Journal of Korea Gerontol Society, 23(4), 17-31
13 Hellen, C. R. (1998). Alzheimer's disease : activity-focused care(2nd ed.). Butterworth-Heinemann
14 Palleschi, L., Vetta, F., De Gennaro, E., Idone, G., Sottosanti, G., Gianni, W., & Marigliano, V. (1996). Effect of aerobic on the cognitive performance of elderly patients with senile dementia of Alzheimer type. Arch Gerontol Geriatr, 5, 47-50
15 Kim, G. E. (1989). Korean Folk Play. Seoul : Inha University Press
16 Lee, S. Y. (1998). The Effect of Folk Play on the Adoptive Behavior of the Mentally Retarded Children. Thesis of Field Research for the Special Education
17 Murray, R., Huelskoetter, M. M., & O'Driscoll, D. (1980). The nursing process in later maturity. Prentice Hall, 241-257
18 Chang, B. Y. (1998). Korea Institute for Special Education. Research of Rehabilitate Psychology. 5(1), 105-123
19 Kang, Y. W., Na, D. L., & Han, S. H. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. J Korean Neurol Assoc, 15, 300-308
20 Kim, T. M., Kang, S. K., & Chang, H. K. (2003). Review of Psychotherapy of Alzheimer's Disease. Journal of Emotional & Behavioral Disorders, 19(4), 157-181
21 Park, B. C. (1997). A Physical Educational Approach to the Traditional Folk Play. Journal of Sports-Sciences Research, 11, 115-129
22 Rolland, Y., Rival, L., Pillard, F., Lafont, C, Riviere, D., Albarede, J., & Vellas, B. (2000). Feasibility of regular physical exercise for patients with moderate to severer Alzheimer disease. Journal of Nutrition, Health and Aging, 4(2), 109-113
23 Van de Winckel, A., Feys, H., De Weerdt, W., & Dom, R. (2004). Cognitive and behavioral effects of music-based exercises in patents with dementia. Clin Rehabil, 18, 253-260.   DOI   ScienceOn
24 Kang, T. H. (2000). The Impact of Design and Application of Folk Play Program on the Calculation ability of Hearing defect learners. Thesis of Field Research for the Special Education
25 Kim, S. M., Lee, Y. J, Yoo, S. J., Park, M. J., Kim, E. J., & Jung, E. S. (2003). The Effect of Physical Activity Program on Sleep and Behavior of Institutionalized Dementia Patients. J Korean Acad Psych mental Health Nurs, 12(3), 340-348
26 Park, J. H., Cho, S. W., & Shoon, H. S. (1995). Reliability of Functional Status Measurements in Elderly People. J Korea Neuropsychiatr Assoc, 34(2), 475-483
27 Mahoney, F. I., & Bathel, D. W. (1965). Functional evaluation : The Bathel index. Md State Med J, 14, 61-65   PUBMED
28 Morris, J. C, Rubin, E. H., Morris, E. J., & Mandel, S. A. (1987). Senile dementia of the Alzheimer's type : An important risk factor for serious falls. J Gerontol, 42, 412-417   DOI   PUBMED   ScienceOn
29 Lee, I. S., Lee, K. H, Kim, S. J., Kim, B. J., & Bae, S. S. (2001). The Effects of Exercise Programs on Gait Ability of Elderly Dementia Patients. Journal of Korean Society of Physical Therapy, 13(3), 551-559
30 Oh, B. W. (2002). Dementia : Right Guide. Seoul : Rainbow