• Title/Summary/Keyword: Cognitive intervention program

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The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients (범이론 모형을 적용한 고혈압 환자 약물순응 중재 프로그램 개발 및 적용 효과)

  • Kim, Soon-Ock
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.342-354
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    • 2011
  • Purpose: This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference. Methods: A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data. Results: After treatment with this program, the experimental group showed stage of change ($x^2=52.917$, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001). Conclusion: There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.

Changes in the Level of Performance of Activities of Daily Living and Depression of the Elderly with Mild Cognitive Impairment through the Participation in the Cognitive Program (인지프로그램 참여에 따른 경도인지장애 노인들의 일상생활활동 수행과 우울 수준의 변화)

  • Son, Sung-Min;Bak, Ah-Ream
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.511-520
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    • 2021
  • This study was a pre and post quasi-experimental design study using a single group about the analysis of the changes in the performance level of activities of daily living and depression of the elderly with mild cognitive impairment through the participation in the cognitive program. Study subjects were the 16 elderly with mild cognitive impairment using a W welfare center in J city and they participated in cognitive program for a total of 8 weeks, twice a week. The assessment about the performance level of activities of daily living and depression were performed through the program. As the results, after participating in the program, study subjects' performance level of activities of daily living were significantly significant improved, and depression levels were statistically significantly reduced. Thus, to improve the performance level of activities of daily living and reduce the depression levels of the elderly with mild cognitive impairment, the cognitive program should be used as a intervention program and then in the process, it is necessary to actively induce the participation of the elderly with mild cognitive impairment.

Effects of an Aromatherapy Education Program on Stress, Self-efficacy, and Autonomic Nervous System Function of Female College Students Preparing for Employment (아로마테라피 교육 프로그램이 취업준비 여대생의 스트레스와 자기효능감 및 자율신경계에 미치는 영향)

  • Eun-Joo Lee;Eun-Jin Lim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.11-23
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    • 2023
  • Purpose : The stress of job-seeking college students is gradually worsening due to the continuing recession in the job market. Therefore, this study aims to verify whether intervention with an 'aromatherapy education program,' which combines theory and practice, has greater effect on stress, self-efficacy, and autonomic nervous system function than simple inhalation of essential oils in female college students preparing for employment. Methods : A single-blind, randomized controlled trial was conducted once a week for a total of 4 weeks with 29 female college students preparing for employment. Interventions included essential oil inhalation combined with an aromatherapy education program (experimental group(EG), n=14) and essential oil inhalation alone (control group(CG), n=15); measurements were taken before, immediately after, and 2 weeks after completion of the intervention. Evaluations were conducted using the job-seeking stress scale, stress VAS, self-efficacy scale, and a pulse-wave measuring instrument. Results : There were significant differences between the CG and EG groups with repeated measurements of job-seeking stress (p=.003), cognitive stress (p<.001), and self-efficacy (p<.001). There was a significant interaction between group and time. There were also significant differences between the CG and EG in terms of autonomic nervous system changes stress index(p=.047), total power(p=.029), high frequency(p=.036), and low frequency/high frequency ratio(p=.049). However, there was no significant difference in low frequency between the groups. Conclusion : The aromatherapy education program was more effective in improving job-seeking stress, cognitive stress, self-efficacy, and autonomic nervous system function than simple essential oil inhalation. For the aromatherapy education program to be useful as a complementary intervention for stress management in job seekers, it will be necessary to gather additional evidence of its efficacy by conducting follow-up studies with diverse participants and expanding the numbers, and durations, of the interventions.

The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments (경도인지장애 노인의 개인별 인지기능강화 프로그램적용의 효과)

  • Park, Inhyae;Choi, In-Hee;Kang, Seo Young;Kim, Younkyoung;Lee, Chong Mi
    • Research in Community and Public Health Nursing
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    • v.26 no.1
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    • pp.1-10
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    • 2015
  • Purpose: This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group. Conclusion: These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

Effects of a Cognitive Rehearsal Program on Interpersonal Relationships, Workplace Bullying, Symptom Experience, and Turnover Intention among Nurses: A Randomized Controlled Trial

  • Kang, Jiyeon;Kim, Jeung-Im;Yun, Seonyoung
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.689-699
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    • 2017
  • Purpose: This research aimed to investigate the effects of a cognitive rehearsal program (CRP) on workplace bullying among nurses. Methods: A randomized controlled trial was performed. Participants were 40 nurses working in different university hospitals in B city, South Korea. The experimental group was provided with a 20-hour CRP comprising scenarios on bullying situations, standard communication, and role-playing. To evaluate effects of the CRP, we measured interpersonal relationships, workplace bullying, symptom experience, and turnover intention at preand post-intervention. Follow-up effect was measured in the experimental group only at 4 weeks after the intervention. Results: After the intervention, there were significant differences in interpersonal relationships (F=6.21, p=.022) and turnover intention (F=5.55, p=.024) between experimental and wait-list groups. However, there was no significant difference in workplace bullying or symptom experience between the 2 groups. The beneficial effects on interpersonal relationships and turnover intention lasted at least up to 4 weeks after CRP. Conclusion: The CRP for workplace bullying improves interpersonal relationships and decreases turnover intention. So it can be utilized as one of the personal coping strategies to reduce the the turnover among nurses. Further studies on the effects of unit- or hospital-based CRP and on the long-term effects of CRP are necessary.

The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency (통합중재프로그램이 지역사회 재가 암환자들의 삶의 질, 우울, 자가간호역량에 미치는 효과)

  • Kang, Young Sil;Kwon, In Soo;Hong, Eunyoung
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.445-455
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    • 2016
  • Purpose: This study was performed to identify the effects of an integrated nursing intervention program on the quality of life, depression and self care agency of community dwelling cancer patients. Methods: The design of this study was a quasi-experimental, one group pre-post test. A total of 25 community dwelling cancer patients in J city were included in this study. An integration intervention was 30 times, 10 weeks program. The data were collected between May and November of 2014. The collected data were analyzed using SPSS 18.0 through paired t-test. Results: There were significant differences in the quality of life (p=.007) and self-care agency (p=.042) after 10 week's intervention. Conclusion: The results indicate that an integrated intervention program including educational, cognitive, emotional and physical intervention is effective for community dwelling cancer patients. Further attention should be paid to the intensity and period of an integrated intervention program.

Does the Application Transcranial Direct Current Stimulation and Visual Perception Program Enhance the Visual Perception Function and ADL Performance of Dementia Patients (경두개 직류자극 및 인지훈련 프로그램 적용이 치매환자의 인지기능, 시지각 및 일상생활활동에 미치는 영향)

  • Kim, Ko-Un;Kim, Bo-Ra;An, Tae-Gyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.201-210
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    • 2021
  • Purpose : There is a lack of research on this field in the Republic of Korea, especially those that have seen the effect of interaction between transcranial direct current stimulation and computerized cognitive rehabilitation therapy. This study divided 30 dementia patients into a treatment group, which received transcranial direct current stimulation and computerized cognitive rehabilitation, and a control group, which received pseudo-transcranial direct current stimulation and pseudo-computerized cognitive rehabilitation. This study evaluated the effects of these treatments on the visual perception, cognition functions, and daily activities of dementia patients. Methods : Fifteen subjects were allocated to the treatment group and the other 15 subjects were allocated to the control group. Treatments were given at intervals of five sessions per week (30 minutes per session) for six weeks (30 times in total). This study used the Neurobehavioral Cognitive Status Examination (NCSE) to examine cognitive functions, MVPT to evaluate visual perception, and FIM to test daily living activities before and after applying the treatments. Results : The results of this study showed that cognitive functions, visual perception, and daily living activities significantly (p<.05) improved after the intervention in the treatment group and the control group. The changes in cognitive functions, visual perception, and daily living activities due to the treatments were significantly different between the groups (p<.05). Conclusion : The results indicated that transcranial direct current stimulation and computerized cognitive rehabilitation therapy improved visual perception and daily living activities by increasing cognitive functions. Consequently, it was found that the simultaneous application of transcranial direct current stimulation in conjunction with a computerized cognitive rehabilitation program was an intervention method that could positively affect the visual perception, cognitive function, and daily living activities of dementia patients. Based on the results of this study, the study of arbitration protocols for demential will have to be more active.

Effectiveness of a Reducing Alcohol Intervention Program for Workers (근로자 절주 프로그램의 효과)

  • Kim, Keum-Ee
    • Research in Community and Public Health Nursing
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    • v.18 no.4
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    • pp.611-623
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    • 2007
  • Purpose: To evaluate a reducing alcohol intervention program for workers. Method: The intervention program employed one-group pretest-post-test design with repeated measuring by quasi-experimental study. The program was developed from literature review based on the Transtheoretical Model, and evaluated from April 6 to June 22, 2006. Sixteen white collar male workers participated. At the beginning, the subjects were at the pre-contemplation stage (50%) and contemplation stage (50%). The intervention was applied personally or in group twice a week for 9 weeks. Results: The scores of each stage of change in the post-test increased significantly compared with those in the pretest. The scores of process (cognitive and behavioral) of change in the post-test increased significantly compared with those in the pretest. The score of self-efficacy of change in the post-test increased significantly compared with that in the pretest. The score of pros-cons for drinking in the post-test decreased significantly compared with that in the pretest. The consumption of alcohol a week and a day in the post-test decreased significantly compared with that in the pretest. The levels in ALT, AST, GGT, total cholesterol, triglyceride, B.P. and BMI in the post-test did not decrease significantly compared with those in the pretest, but the level of FBS decreased significantly compared with that in the pretest. Conclusion: The above result informs us that a stage-based reducing alcohol intervention program for workers has the effect of increasing the stages of change, the process of change (cognitive and behavioral) and self-efficacy, and decreasing pros-cons for drinking alcohol consumption and FBS, and it also has a value as an effective means of nursing for workers.

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The Effects of Thinking Science Program on the Cognitive Acceleration and Cognitive Processing Skills of the Elementary School Students (생각하는 과학 프로그램이 초등학생들의 인지발달 가속과 인지과정 기능의 발달에 미치는 효과)

  • 신애경;최병순
    • Journal of Korean Elementary Science Education
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    • v.23 no.4
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    • pp.357-363
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    • 2004
  • The purpose of this study was to investigate the effects of Thinking Science program on the cognitive acceleration and cognitive processing skills of the elementary school students. Subjects included 305 5th grade students in three elementary schools. Subjects were divided into the experimental and the control groups. Thinking Science program was implemented to the experimental group over a period of two years. Statistically significant gains on the cognitive acceleration were shown by the experimental group compared with the control group. The intervention effects on the cognitive acceleration were shown for the girls of the elementary schools. It was also found that Thinking Science program exerted significant effect on the development of the cognitive processing skills of the students. The experimental group gained higher scores of attention and simultaneous processing skills compared with the control group. This implied that Thinking Science program was effective not only on the cognitive acceleration but also on the development of the cognitive processing skills as a far-transfer.

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Effectiveness Evaluation of Web-Based Cognitive Training Program for the Elderly Registered in the Rural Dementia Center (농촌 치매안심센터에 등록된 노인을 위한 웹기반 인지훈련 프로그램의 효과성 평가)

  • Ahn, Eun Jung;Kim, Hyunli
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.38-49
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    • 2021
  • This study is single-group pretest-posttest design study to examine the effects of web-based cognitive training program using tablet on cognition and depression in the elderly with high risk of dementia or mild dementia living in a rural area, enrolled in dementia center. Intervention was provided to the 18 participants once a week for 10 weeks within 1 hour. Data was analyzed with SPSS 24.0 and interview data was categorized. The study result proves that after intervention, the participants' cognitive score increased significantly(Z=-3.35, p=.001) and the depression scores were significantly decreased(Z=-3.13, p=.002). Also, interview shows positive effect of the intervention on cognition and depression. It is necessary to improve access environment for smart devices so as not to be restricted by time and place, and to develop and apply various types of web-based programs for each cognitive level. Then, the intervention could be used as a cognitive training program incorporating information and communication technology for the prevention and management of dementia in rural areas.