Browse > Article
http://dx.doi.org/10.5762/KAIS.2015.16.7.4798

The effect of a Cognitive Occupational Therapy program on cognition and hand functions in patients with dementia living in a community  

Kang, Eun-Yeong (Department of Speech & language therapy, Howon University College of Health Welfare)
Chong, Bok-Hee (Department of Occupational therapy, Howon University College of Health Welfare)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.7, 2015 , pp. 4798-4804 More about this Journal
Abstract
The aim of this study is evaluate the effect of a cognitive occupational therapy program on cognitive function, depression and hands function for patients with dementia living in a local community. A cognitive rehabilitation program of 10 weeks focusing on the occupational therapy is conducted from September to December 2012 on 21 patents (experimental group: 12, control group: 9) with dementia who are admitted to nursing homes in a metropolitan region. In the experimental group, the cognitive function, depression level, hand strength, and hand coordination ability is significantly improved after the application of the cognitive program (p<.05). In conclusion, the cognitive occupational therapy program may be a useful intervention for dementia. Because the therapeutic goal for dementia treatment is mainly concentrated on the amelioration of dementia symptoms, thus it is necessary to develop a various cognition training program that can be maintained the patient's residual functional capacity and returned to the social community through the early detection and the early intervention.
Keywords
Cognitive occupational therapy program; Cognitive function; Dementia; Depression; Hands function;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. B. Adey & V. O. Leirer, Development and validation of a Geriatric Depression Screening Scale: A preliminary report. Journal of Psychiatry Research, Vol,17, pp.37-49. DOI: http://dx.doi.org/10.1016/0022-3956(82)90033-4   DOI
2 Seoul Metropolitan Center for Dementia, Cognitive Health Center Program Manual 1, Seoul: Seoul Metropolitan Center for Dementia, pp.96-98. 2008.
3 Fess E, Moran C, Clinical Assessment Recommendation, American Society Hand Therapists. pp.6-8, Philadelphia, 1981.
4 K. Marjorie, F. Judy, S. Norman, Hand strength and dexterity, Am J Occu Ther, Vol,25, pp.77-83, 1971.
5 Lim JM. A Study on the Status of Self-reliance Support and Improvement Methods to Improve Quality of Life of the Aged in Korea in Aged Society, Graduate School of Namseoul University, pp.1-12, 2013.
6 H, H, Shin, H-y, So, A, Y, Lee, Comparing Clinical Usefulness of Cognitive Function Tests (CDT, K-MMSE, K-3MS, CDR) in Dementia Patient, Korean Academic Society of Rehabilitation Nursing, Vol,11, No,2, pp.90-98, 2008.
7 K, M, Lim & J, H, Park, The Effects of Occupational Reminiscence Therapy Applied to the Elderly With Dementia: A Pilot Study, Journal of Korean Society of Occupational Therapy, Vol,21 No,2 pp.1-12, 2014.   DOI
8 Carol T, Margaret D. Ctafts and Creative Media in Therapy. New Jersey USA 3rd ed: SLACK. pp.7-25, 2009.
9 H, R, Kyoung, Y, W, Kang, D, L. Na, K, H, Lee & C, S, Chung. The Characteristics of Depression in Dementia Patient, Journal of Clinical Psychology, Vol,19, No,1, pp.117-129. 2000.
10 D. Y. Lee, J. H. Lee, Y. S. Ju, K. U. Lee, K. W. Kim, J. hoo, J. H, The Prevalence of Dementia in Older people in an Urban Population of Korea: The Seoul Study. J Am Geriatr Soc, Vol.50, No.7, pp.1233-9, 2002. DOI: http://dx.doi.org/10.1046/j.1532-5415.2002.50310.x   DOI
11 Korea National Statistical Office, Population Projections by Province : 2013-2040 (Based on the 2010 Census), 2011
12 W. M. Jeong, C. S. Park, Y. J. Hwang, A Study on Job Competency of Community-Based Occupational Therapists : Focusing on Job Analysis in Dementia Care Centers. Journal of Korean Society of Occupational Therapy : Vol,21, No,3 pp.15-60. 2013.
13 Wang, JS. The effects of hand movement exercise program on the improvement of recognition ability in the dementia old adults. Dept. of Physical Therapy Graduate School of Yong-in University, 2004.
14 J, Lee & S, M, Shin, The Effect of Physical Activity Program on Cognition and ADL of Demented Elderly, Journal of the Korea Gerontological Society, Vol,23, No,4 pp.17-31, 2003.
15 Yang YA. Korean Aging Health Friendly Policy Association. Plus cognitive aging-friendly workbook. pp.5-25, Dong Joo, 2014.
16 The Korean Association for Dementia. Approach to clinical dementia. pp, 641-647, Academia, 2006.
17 Ministry of Health and Welfare, Second National Dementia Management Master Plan. pp.4-21, Seoul, Korea, 2012.
18 B. H. Chong, The Effect of Cognitive Occupational Therapy in Community Living Elders with Mild Cognitive Impairment and Dementia, The Society of Digital Policy and Management Vol,11, No,3, pp.317-325, 2013.
19 W, M, Jeong, D, Y, Lee, S, H, Ryu, Y, J, Hwang, Focused effects of a Group Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community -Focused Occupational Therapy Intervention Process Mode- J of Korean academy of occupational therapy, Vol.16, No,4, pp.51-62, 2008.
20 M, F, Folstein, S, E. Folstein, & P, R. Mchugh, MiI-Mental State A practical method for grading the cognitiven state of patients for the clinician, Journal of Psychiatric Research, Vol,12, No,3 pp.189-198, 1975.   DOI
21 Y, C, Gwon & J, H, Bak. Development of the Test for the Elderly = Korean Version of Mini-Mental State Examination (MMSE-K), Journal of the Korean Neuropsychiatric Association, Vol. 28 No.1, 1989.
22 G, G, Fillenbaum. B. Peterson & J. C, Estimating, the validity of the Clinical Dementia Rating scale: the CERAD experience. Aging Clin Exp Res pp. 8:379-385, 1996.   DOI