• Title/Summary/Keyword: 치매인

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A Study on the Design Preference Survey for Development of Auxiliary Therapy Products Utilizing Music of Mild Cognitive Impairment (경도인지장애인의 음악을 활용한 보조 치료기기 제품개발을 위한 디자인 선호도 조사에 관한 연구)

  • Lee, Hae Goo
    • Korea Science and Art Forum
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    • v.31
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    • pp.355-365
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    • 2017
  • The future population of Korea is expected to reach the second highest level in the world by 2060 for the elderly. It is because of the rapid development of low fertility and medical technology. The burden of society for the elderly is expected to increase steadily. The elderly person firstly appears functional disorder. They have low ability in memory and in cognitive will be. Their activities are therefore limited. And economic production capacity is sharply reduced. Self-sufficiency is a difficult situation. They need help in economic and social aspects. Products for them need research and development. The elderly have a Mild Cognitive Impairment(MCI) stage with poor cognitive abilities. It is effective to combine pharmacological and non-pharmacological treatment methods for people with mild cognitive impairment. The effects of non-pharmacological treatments on music have been proven. This paper is a study on the appearance from the viewpoint of design in the development of ancillary instruments using music therapy techniques with Digital Convergence. For this study, we investigated the preference for external appearance of mild cognitive impairment. Two times surveys were conducted. As a result, the design of home care product for the hard cognitive impaired was different from that of a conventional game machine or set top box. It should be designed according to the user's special circumstances. They are memory and cognitive abilities. Products that meet physical and mental changes must be developed.

The Effect of Digital Group Reminiscence Program for the Elderly with Mild Dementia (경도 치매노인을 대상으로 한 디지털 집단 회상 프로그램의 효과)

  • YoungOk Lee;Keonyeop Kim
    • Journal of agricultural medicine and community health
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    • v.48 no.2
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    • pp.91-102
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    • 2023
  • Objective: This study aimed to evaluate the effects of a digital group reminiscence program on elderly patients with mild dementia who were registered with Day Care Centers. Methods: The study was conducted with elderly patients with mild dementia in Day Care Centers in D city. The patients were randomly assigned to either the experimental group or the control group and were assessed for cognitive function, depression, and ego integrity using pre-test and post-test designs. A digital group reminiscence program was applied to the experimental group. Data was collected from July 5 to September 17, 2021, using questionnaires in three sessions. Results: The pre-test cognitive function score was 12.00 in the experimental group and 11.09 in the control group. The post-test cognitive function score was 19.20 in the experimental group and 14.42 in the control group. The later cognitive function score was 18.00 in the experimental group and 13.31 in the control group. The pre-test depression score was 8.32 in the experimental group and 9.91 in the control group. The post-test depression score was 6.05 in the experimental group and 8.82 in the control group. The later depression score was 6.94 in the experimental group and 9.02 in the control group. The pre-test ego integrity score was 41.39 in the experimental group and 39.55 in the control group. The post-test ego integrity score was 57.95 in the experimental group and 51.41 in the control group. The later ego integrity score was 55.88 in the experimental group and 42.15 in the control group. Cognitive function, depression, and ego integrity showed significant differences according to group (p<.05), time (p<.001), and interaction between group and time (p<.01). Conclusion: The digital group reminiscence program was found to be effective in improving cognitive function and ego integrity and reducing depression in elderly patients with mild dementia. Further research is needed to explore the effects of repetitive digital group recall programs based on the progress, course, age, and communication level of dementia.

Elderly Sarcopenia and Vitamin B Deficiency: A Relationship? (비타민 B 결핍에 의한 노인성 근감소증)

  • Kisang Kwon;Hye-Jeong Jang;Sun-Nyoung Yu;Soon-Cheol Ahn;O-Yu Kwon
    • Journal of Life Science
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    • v.33 no.7
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    • pp.574-585
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    • 2023
  • Sarcopenia is a leading cause of increased medical and nursing care costs among the elderly. In Korea, preventive measures for sarcopenia are mostly targeted toward the general elderly population without specific diseases. However, it is also necessary to implement measures for elderly individuals living in nursing homes and hospitals, where the prevalence of sarcopenia is high. Currently, computed tomography and/or magnetic resonance imaging are considered standard diagnostic tools. However, their complexity and time-consuming nature make them unsuitable for clinical use. The exact pathophysiological mechanisms of sarcopenia are unclear, as they involve various molecular biological pathways, including decreased exercise, protein and nutrient intake, changes in testosterone and growth hormone, and inflammation. Sarcopenia symptoms can lead to several diseases, such as osteoporosis, fractures, dementia, diabetes, and cardiovascular disease. Vitamin B deficiency is a significant factor in sarcopenia induction, with B vitamins being directly involved in energy and protein metabolism and nerve function. Vitamin B deficiency can lead to neuromuscular and neurogenic disorders, which often overlap with sarcopenia. Suboptimal intake of B vitamins, malabsorption, and anorexia are common among the elderly. This study aims to provide information on the role of water-soluble B vitamins in preventing and controlling muscle mass loss and deterioration among the elderly with sarcopenia. In addition, we discuss the potential of myokines from the B vitamin family in modulating sarcopenia.

Deriving Questions on the Evaluation Tools of Leisure Values for Senior Citizens: Based on the Delphi Survey (노인 여가 가치관 평가도구 문항 도출: 델파이 조사를 바탕으로)

  • Park, Da Sol;Yoo, Eun Young;Park, Ji-Hyuk;Hong, Ickpyo;Kim, Jung-Ran;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.49-68
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    • 2022
  • Objective : This study aimed to conduct a Delphi survey of occupational therapists with experience in elderly occupational therapy to derive items about the 'Elder Leisure Value Assessment Tool'. Methods : This study was conducted in two stages. The first stage was the collection of preliminary questions, and the second stage was the Delphi survey. In the first stage, a literature review and analysis of the 2019 National Leisure Activity Survey were conducted. The modified Delphi technique of the Delphi investigation was implemented in two rounds. Results : In the preliminary item collection phase, 39 items were selected for leisure value assessment and 45 were listed for the participating leisure activities. Subsequently, a Delphi survey of 25 professional groups resulted in 38 leisure value assessment items and 45 participating leisure activities. Conclusion : The questions drawn from this study are meaningful because they can identify specific leisure activities that the elderly participate in, as well as the various values that the elderly consider important when participating in such activities

Non-Pharmacological Interventions for Behavioral and Psychological Symptoms of Neurocognitive Disorder (신경인지장애의 정신행동증상에 대한 비약물학적 개입)

  • Hyun Kim;Kang Joon Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.1
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    • pp.1-9
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    • 2023
  • Patients with neurocognitive disorder show behavioral psychological symptoms such as agitation, aggression, depression, and wandering, as well as cognitive decline, which puts a considerable burden on patients and their families. For the treatment of behavioral psychological symptoms, patient-centered, non-pharmacological treatment should be used as a first line approach. This paper describes non-pharmacological interventions to manage and treat behavioral psychological symptoms in patients with neurocognitive disorder. In order to control behavioral psychological symptoms such as agitation, depression, apathy, insomnia, and wandering, it is important to identify and evaluate factors such as environmental changes and drugs, and then solve such problems. Non-pharmacological interventions include reassurance, encourage, distraction, and environmental change. It is necessary to understand behavior from a patient's point of view and to approach the patient's needs and abilities appropriately. Reminiscence therapy, music therapy, aroma therapy, multisensory stimulation therapy, exercise therapy, light therapy, massage therapy, cognitive intervention therapy, and pet therapy are used as non-pharmacological interventions, and these approaches are known to improve symptoms such as depression, apathy, agitation, aggression, anxiety, wandering, and insomnia. However, the quality of the evidence base for non-pharmacological approaches is generally lower than for pharmacological treatments. Therefore, more extensive and accurate effectiveness verification studies are needed in the future.

Risk Factors of Falls among Korean Elderly (한국노인의 낙상 요인 연구)

  • Yeom, Jihye;Na, Hang-Jin
    • 한국노년학
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    • v.32 no.2
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    • pp.577-592
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    • 2012
  • The purpose of this study is to examine which factors determine fall experience among Korean elderly. To achieve this purpose, it uses the Korean Longitudinal Study of Aging(KLoSA), wave 1 and 2. Participants aged 65 from wave 1 were selected. From wave 2, a dependent variable was selected and it was fall experiences since the first interview in 2006. Other than this variable, all independent variables were selected from wave 1. In analyses, x2 or t-test were conducted to examine whether independent variables significantly differ between falls and no falls. Then, since a dependent variable consisted of two categories-falls or no falls, multiple logistic regressions were run. Female, using hearing aid, having two diseases, having three or more diseases, depression, and exercise 5 times/a week or more elevated the odds ratios of fall experience. compared to their reference categories. Particularly, if Korean elderly had three or more diseases or depression, their likelihood of fall experience would have about 2 times higher than their reference categories. In conclusion, health practitioners should make the elderly be recognized how much these risk factors are important to falls. Also, Korean government should support Korean elderly having these risk factors to prevent them from falling.

A Study on Human Rights Sensitivity of Occupational Therapists in the Republic of Korea (국내 작업치료사들의 인권감수성 조사연구)

  • Chang, Ki-Yeon;Lee, Eun-Jin;Kong, Myung-Ja;Gang, Mi-Yeong
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.123-134
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    • 2023
  • Objective : This study aimed to investigate the level of human rights sensitivity of occupational therapists and compare the differences in the level of human rights sensitivity between variables to provide a basis for awareness, human rights behavior, and the development of human rights education programs. Methods : A questionnaire consisting of general characteristics and 10 human rights susceptibility episodes was distributed, and 131 copies were analyzed. Results : The average score for human rights sensitivity was 58.75 for male and 55.44 for female therapists. As for the difference in human rights sensitivity by episode by sex, statistically significant differences were found in the right to avoid illegal arrest and restriction and the right to freedom from imprisonment. In addition, as a result of differences in changes in human rights sensitivity by subcategory, there was a statistically significant difference between males and females in the perception of responsibility. In the case of males, the average score for perception of responsibility was the highest, and in the case of females, the average score for perception of the situation was the highest. Conclusion : Based on the results of this study, it is necessary to strengthen the content of educational programs in clinical settings to improve human rights consciousness and behavior.

Development and Assessment of an ICT-Based Non-Face-to-Face Lifestyle Program to Improve the Mental Health of Older Adults: A Pilot Study (고령자의 정신건강을 위한 ICT 기반 비대면 라이프스타일 프로그램: 파일럿 연구)

  • Lee, Hey Sig;Park, Hae Yean;Jung, Min-Ye;Park, Ji-Hyuk;Hong, Ickpyo;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.99-114
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    • 2024
  • Objective : This study aimed to develop an information and communication technology (ICT)-based, non-face-to-face lifestyle program for older adults and assess its applicability. Methods : The program was developed on the basis of the ADDIE model which comprises 5 stages: analysis, design, development, implementation, and evaluation. In this study, a step-by-step identification was performed in 8 stages. Results : The results of the program analysis showed a significant decrease in depressive symptoms and loneliness scores, and an increased quality of life scores. Conclusion : The findings suggest that the ICT-based non-face-to-face lifestyle program developed in this study can motivate older adults to better understand their lifestyles for successful aging, while helping senior citizen centers resume stagnant projects.

Expert Opinions and Recommendations for the Clinical Use of Quantitative Analysis Software for MRI-Based Brain Volumetry (뇌 자기공명영상 뇌용적 분석 소프트웨어의 임상적 적용에 대한 전문가 의견과 권고안)

  • Ji Young Lee;Ji Eun Park;Mi Sun Chung;Se Won Oh;Won-Jin Moon;Aging and Neurodegeneration Imaging (ANDI) Study Group, Korean Society of Neuroradiology (KSNR)
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1124-1139
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    • 2021
  • The objective assessment of atrophy and the measurement of brain volume is important in the early diagnosis of dementia and neurodegenerative diseases. Recently, several MR-based volumetry software have been developed. For their clinical application, several issues arise, including the standardization of image acquisition and their validation of software. Additionally, it is important to highlight the diagnostic performance of the volumetry software based on expert opinions. We instituted a task force within the Korean Society of Neuroradiology to develop guidelines for the clinical use of MR-based brain volumetry software. In this review, we introduce the commercially available software and compare their diagnostic performances. We suggest the need for a standard protocol for image acquisition, the validation of the software, and evaluations of the limitations of the software related to clinical practice. We present recommendations for the clinical applications of commercially available software for volumetry based on the expert opinions of the Korean Society of Neuroradiology.

Systematic Review of Assessment Tools for the Housing Environment of the Old Adults Population (노년 인구의 주거환경 평가도구에 관한 체계적 고찰)

  • Lim, Young-Myoung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.27-40
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    • 2024
  • Objective : This study aimed to conduct a systematic review of the assessment tools used to assess the housing environment of older adults. Methods : Data were collected from January 2015 to August 31st, 2023, by searching databases including the Cochrane Library, PubMed, and ProQuest. From the 267 articles, nine assessment tools were selected for analysis based on their original instruments. These tools were categorized and systematically organized for analysis based on their frequency of use, assessment purposes, sub-domains, scales, and other relevant criteria. Results : Among the nine tools, HOME FAST and IPAQ-E were the most frequently used (20% each). The objectives of these tools are to assess friendliness, physical barriers, fall prevention, dementia-friendly environments, physical activity, and accessibility. The measurement scope encompassed various factors, such as outdoor spaces, buildings, transportation, housing, and community support. Conclusion : When considering the suitability of housing for the older adults population, providing foundational data for the rational selection of evaluation tools with logical validity is important. This includes factors such as the objectives and measurement scopes of housing environment assessment tools.