• Title/Summary/Keyword: 인지중재프로그램

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Occupational Therapy in Hypoxic-Ischemic Brain Injury Patient by Suicidal Attempt: Case Report (자살시도로 인한 저산소성 허혈성 뇌손상 환자의 재활치료 - 인지 재활과 연하 재활을 중심으로: 사례연구)

  • Lee, Eui-Yun;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.11-26
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    • 2018
  • Objective : This case study was to verify effects of cognitive rehabilitation and swallowing rehabilitation on Hypoxic-Ischemic Brain Injury patient by Suicidal Attempt. Methods : The subject was a 32-year old Hypoxic-ischemic brain injury patient by suicidal attempt. He received treatment once a day five times a week, for a half an hour for each session from September 8th to December 16th, 2016. Treatment were cognitive and swallowing rehabilitation. He was assessed based on Mini-Mental State Examination-Korean (MMSE-K), Korean-Modified Barthel Index (K-MBI), Computerized Neurocognitive Function Test (CNT), Videofluoroscopic Dysphagia Scale (VDS), American Speech-Language-Hearing Association National Outcomes Measurements System (ASHA-NOMS). Results : The patient's total MMSE-K score increased from 25 to 27. His K-MBI score increased from 74 to 88. His memory, attention span, and executive function (DST, VST, SWCT, WCST) by CNT scores were improved. VDS score has no changes to 34, 44.5 and 34. ASHA-NOMS score also has no change to 6, 2 and 6. Conclusion : The study showed that the application of the treatment of cognitive and swallowing in hypoxic-ischemic brain injury patient by suicidal attempt results has positive effects on cognitive functions, and swallowing function.

Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury : A Systematic Review (지역사회 재활이 외상성 뇌손상 환자에게 미치는 효과: 체계적 고찰)

  • Park, Young-Ju;Chang, Moon-Young;Kim, Kyeoung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.13-23
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    • 2012
  • Objective : The purpose of this study was to provide evidence for effectiveness of community-based rehabilitation methods and results after traumatic brain injury through systematic review. Methods : The materials of the research were collected by retrieving research items in the areas of "community-based rehabilitation" and "traumatic brain injury" from the data base of Ovid and PubMed. Among the collected materials, 7 research results are suggested concerning the effectiveness of rehabilitation in community-based after traumatic brain injury in terms of subjects, measurement tools, cure methods and results. Results : Characteristics of subjects were diverse in numbers of subject, age, level of impairment and duration of disease. Research designs were all experimental studies and the most outcome parameters of community-based rehabilitation was occupational performance(27.7%). Cure methods were used occupational therapy programs concerning rehabilitation programs, cognitive therapy, cognitive behavioral therapy and home based occupational therapy. Conclusion : The results implied that community-based rehabilitation is effective on occupational performance, participation, prevention, and occupational justice, partially effective on adaptation, health and wellness, and non effective on the role competence. It is suggested the future research need to be done to develop intervention programs and studies in every types.

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A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.

The Effects of Computerized Cognitive Rehabilitation Program on Depression and Cognitive Function in Stroke Patients (전산화 인지재활 프로그램이 뇌졸중 환자의 우울 및 인지기능에 미치는 영향)

  • An, Tae-Gyu;Kim, Ko-Un
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.211-218
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    • 2017
  • This study examined the effects of a computer-assisted cognitive rehabilitation program on the depression, cognitive functions, and daily functions of stroke patients. Forty-four stroke patients were divided into the treatment group and control group, consisting of 22 patients each. The patients in the treatment group were treated with a computer-assisted cognitive rehabilitation program for 6 weeks, 5 times a week, for a total of 30 times. Depression, cognitive functions, and daily functions was gauged by the BDI, NSCE, and k-MBI, respectively. The treatment group showed decreases in depression, and increases in both cognitive functions and daily functions by the end of the rehabilitation program. Compared to the treatment group, the control group did not show significant improvements in depression, cognitive functions, and daily functions. Therefore, these findings indicate that a computer-assisted cognitive rehabilitation program has a positive effect on depression, cognitive functions, and daily functions in stroke patients.

The Effectiveness of Cognitive Rehabilitation Program using Virtual reality content on Cognition, Activities of daily living, and Upper extremity functions in Cerebrovascular disease (가상현실 콘텐츠를 활용한 인지재활프로그램 훈련이 뇌혈관질환 환자의 인지, 일상생활활동, 상지기능에 미치는 영향)

  • Cho, Young-Seok;Kim, Keum Sook;Kim, Young-June;Park, Jin-Hong;Lee, Geon-Ho;Baek, So-Young;Hwang, Do-Yeon;Kwon, Ki-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.537-545
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    • 2020
  • This study was undertaken to investigate the effect of cognitive rehabilitation program (CRP) using virtual content, for recovering patients with cerebrovascular disease (CVD). A total of 34 patients with CVD were divided into a control group and an experimental group, and subsequently subjected to a virtual content based CRP, followed by cognition, ADLs, and upper limbs. The control group completed a universal rehabilitation program (URP), and the experimental group was provided a URP and a virtual content based cognitive rehabilitation program. For both groups, respective programs were conducted twice a day, 5 times a week for 4 weeks. Both groups showed significant improvement in ADLs (p<0.05); but the amount of change in the experimental group 5 point improved significantly (p<0.05). Cognition was significantly different for both groups (p<0.05). However, the experimental group showed a greater change (2 point) than the control group when considering the amount of change (p<0.05). Comparing the amount of change in the upper extremity, the experimental group showed a significant change (0.7 point) than the control group (p<0.05). This study confirms that compared to URP, CRP using virtual content significantly improves ADLs and cognition.

Effect of Back-Strengthening Exercise Program in Rural Community-Dwelling Women with Mild Low Back Pain (허리통증이 있는 농촌지역 여성들에 대한 허리 강화 운동 프로그램의 효과)

  • Baek, Sora;Kim, Boram;Kim, Gowun;Park, Hee-won
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.53-66
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    • 2021
  • 목적: 농촌 지역사회 기반의 허리 근력 강화 운동 프로그램이 운동과 허리 건강에 대한 개인의 태도 및 믿음에 미치는 효과를 평가하고자 하였다. 방법: 강원도 지역 네 개의 농촌 마을에서 가벼운 허리 통증이 있는 79명의 여성 자원자(42-76세)들을 운동군(n=40)과 대조군(n=39)으로 마을단위로 배정하였다. 운동군에서는 지역사회 기반의 허리강화 운동 프로그램(주당 3회, 8주간)이 시행되었고 대조군에는 일반적인 건강 관리에 대한 강의가 제공되었다. 등척성 허리 신전 근력과 허리 통증 관련 장애, 운동에 대한 태도, 허리 질환에 대한 위협인지, 운동의 자기 효능감을 중재전과 중재후 1, 2개월째 측정하였다. 결과: 운동군에서 2개월후 허리 신전근력은 뚜렷이 증가하였으며 허리 통증 관련 장애도 유의미하게 감소하였다. 운동에 대한 태도와 허리 질환에 대한 위협 인지는 운동군에서 증가하였으나 대조군에서는 변화가 없었다. 운동의 자기효능감은 양군에서 같이 증가하였으나 운동군에서 그 정도가 더 뚜렷했다. 결론: 농촌 지역 여성들을 대상으로 한 허리 근력 강화 운동 프로그램은 허리 통증으로 인한 장애를 감소시켰고 운동의 효과에 대한 태도와 믿음을 변화시켰다.

The Effects of a Cognitive Stimulation Activity Program on the Mild Cognitive Impairment Elderly's Cognitive Function, Self-Efficacy, and Depression (인지자극 활동프로그램이 경도인지장애 노인의 인지기능, 자기효능감, 우울에 미치는 영향)

  • Bang, Ju-Hee;Bang, Yo-Soon;Son, Bo-Young;Oh, Eun-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.3
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    • pp.231-248
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    • 2019
  • The purpose of this study was to implement a cognitive stimulation activity program and examine its effects elderly people who is capable of daily life and community activities but suffering from per sistent cognitive decline on the elderly's cognitive function, self-efficacy, and depression. The purpose of this study was to help elderly people who is capable of daily life and community activities but suffering from persistent cognitive decline improve their ability to perform and adapt to activity-based tasks incorporating a variety of actions of different subdomains and difficulty levels, ac cording to their characteristics and cognitive levels. The aim of the program created was to systemati cally improve the subdomains of cognitive functions and eventually preventing these conditions develo ping into dementia in those affected. This study also enabled the subjects to improve their self-effica cy through newly gained positive perceptions and attitudes toward their own abilities by successfully expressing their experience or thoughts about circumstantially and relationally meaningful events and memories, and performing activities that promote sensory stimulations. The group activities conducted as part of the study helped the subjects reduce their symptoms of depression not only by expressing their thoughts and emotions, but also by encouraging empathy with, understanding of, and caring for others. Given that this study confirmed the potential of the cognitive stimulation program designed fo r it as a clinical intervention for elderly people with cognitive impairment, it is suggested as a useful preventive program for early stage dementia.

Convergence effectiveness verification for developing practice guidelines for dementia patients cognitive programs (치매환자 인지프로그램 실무지침 개발을 위한 융합적 효과검증)

  • Ham, Min-Joo
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.85-91
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    • 2021
  • This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.

The Effect of a Visiting Cognitive Enhancement Program on the Loneliness, Depression, Self-esteem of Old-Old Elderly (찾아가는 인지기능향상프로그램이 후기 노인의 고독감, 우울 및 자아존중감에 미치는 효과)

  • Choi, Su-Kyung;Kim, Hyang-Soo;Kim, Min-Ju;Park, So-Hyeon;Shin, Ji-Hye
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.1
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    • pp.102-112
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    • 2019
  • This study is a quasi-experimental of one-group pretest-posttest design to verify the effects on loneliness, depression and self-esteem when conducted the cognitive function enhancement program for elderly people over 75 years old. It was carried out on 6 persons living in C North G Country who was subjected to elderly people over 75 years old for 10 weeks from September 26, 2016 to December 17,2016 in order to compare changes in loneliness, depression, and self-esteem. As a result, it was found that depression had noticeably decreased and self-esteem had significantly improved with the program. Thus, the cognitive enhancement program is thought to carry benefits as nursing intervention for the decrease in depression and the improvement of self-esteem in old-old elderly.

The Effects on Aromatherapy and Foot Reflex Massage on the Cognition, Anxiety, Aggressive Behavior and Wandering Behavior of Elderly with Dementia (향요법 발반사 마사지가 치매노인의 인지, 불안, 공격행동 및 배회행동에 미치는 효과)

  • Lee, Sun-Young;Lee, Jeong-Sook
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.495-505
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    • 2013
  • This study aims to evaluate the effects of aromatherapy and a foot reflex massage program on the cognition, anxiety, aggressive behavior, and wandering behavior of elderly with dementia. The research design was a non-equivalent control group, quasi-experimental study where 43 subjects were divided into two groups. Aromatherapy and foot reflex massage was administered to the experimental group (N=21), and no treatment was administered to the control group (N=22). The data was analyzed using the ${\chi}^2$-test, t-test, while the repeated measures of ANOVA were utilized with the SPSS/Win 18.0 program. The experimental group did not show significant differences in cognitive function; however, it showed significant differences in anxiety, aggressive behavior, and wandering behavior in relation to the control group. Thus this research suggests aromatherapy and a foot reflex massage program as nursing intervention to improve the quality of life of elderly with dementia.