• 대한간호학회지
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• 제42권1호
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• pp.56-65
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• 2012

Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

• 성인간호학회지
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• 제23권1호
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• pp.40-49
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• 2011

Purpose: This study aimed to identify the prevalence of mild cognitive impairment (MCI) among a group of community-dwelling elderly and to determine if there were differences in general characteristics, activities of daily living (ADL), perceived health status (PHS) between the MCI group and group of elderly with normal cognitive function. Methods: This study utilized a descriptive survey design. Six hundred and five subjects over the age 65 were recruited from an S public health center, Seoul. Data were gathered through a variety of instruments: MoCA-K, K-MMSE, K-MBI, S-IADL, and PHS scale. Data were analyzed by SPSS/WIN 18.0 using descriptive statistics, Chi-Square test and t-test. Results: The prevalence of MCI among the subjects was 46.0%. Differences in IADL, PHS, age, education, sex, and residing with a spouse were statistically significant between groups. The MCI group had lower IADL, lower PHS, were older, and had lower educational levels than the group with normal cognitive function. Further, the MCI group was less likely to live with a spouse. Conclusion: It is suggested that MCI group should be targeted in developing and implementing nursing strategies to prevent dementia and improve the elderly cognitive function.

• 노인간호학회지
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• 제20권sup1호
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• pp.154-159
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• 2018

Purpose: There is a need for artificial intelligence which nurtures human intelligence as the prevalence of dementia and collapse of intelligence of human beings has become a social problem. Purpose of this study is to develop intervention technologies for maintaining cognitive health of older adults. Methods: The method named the Coimagination Method (CM) was proposed and has been developed in order to achieve goal. Conversation assistive technologies have been developed and tested based on the method. Results: The state of the art of the group conversation support system, and regular series of group conversation sessions for full-years with insights for healthy older adults are described in detail. Participatory approach has been applied to the design process for simultaneous research and implementation of the service. Both participants and practitioners have been maintaining their cognitive health for independent living. Conclusion: Findings imply that there exist potentially preventive types of dementia and intervention should be applicable for such types. Ways of thinking and living are gently intervened through understanding of personal values and broadening minds, which lead to improved quality of life.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제13권8호
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• pp.4270-4284
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• 2019

This study presents a reference model (RM) and the architecture of a cognitive health advisor (CHA) that integrates information with ambient intelligence. By controlling the information using the CHA platform, the reference model can provide various ambient intelligent solutions to a user. Herein, a novel approach to a CHA RM based on evolutional cyber-physical systems is proposed. The objective of the CHA RM is to improve personal health by managing data integration from many devices as well as conduct a new feedback cycle, which includes training and consulting to improve quality of life. The RM can provide an overview of the basis for implementing concrete software architectures. The proposed RM provides a standardized clarification for developers and service designers in the design and implementation process. The CHA RM provides a new approach to developing a digital healthcare model that includes integrated systems, subsystems, and components. New features for chatbots and feedback functions set the position of the conversational interface system to improve human health by integrating information, analytics, and decisions and feedback as an advisor on the CHA platform.

• 한국농촌간호학회지
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• 제14권2호
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• pp.30-37
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• 2019

Purpose: This study was done to develop a comprehensive health promotion program based on the primary health care post, and then to examine the effectiveness of the program for rural elders. Methods: A single group pre-test post-test design was used, for 3 months and the 51 participants received the comprehensive health promotion program based on the primary health care post. Effectiveness of the intervention was measured immediately after the comprehensive health promotion program. Results: There were significant differences between pre-test and post-test on cognitive function (p=.001), depression (p=.001), systolic blood pressure (p=.001), blood sugar (p=.013), and cholesterol (p=.018). Conclusion: The comprehensive health promotion program based on the primary health care post was found to be effective for rural elders by improving cognitive function and physiological indicators and decreasing their depression.

• 한국학교ㆍ지역보건교육학회지
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• 제6권
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• pp.117-126
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• 2005

This study attempted to extract a suggestive point to help the design of a program, which is used to promote physical activities, by applying a social cognitive theory based on literature review on the physical activity based on a social cognitive theory. This study considers 10 journal articles that used a social cognitive theory, physical activity, and exercise as the major variable using the EBSCOhost Academic Search Premier and Educator's Reference Desk (ERIC). The type of papers was analyzed using a certain criterion, which can be configured according to the number of each year's papers, characteristics of research subjects, application type of a social cognitive theory, and classification of the application of objects in a social cognitive theory. The characteristics of each year's papers presented no specific characteristics for each year's papers, but the study in 2004 especially presented a high level. The characteristics of research subjects presented four highest cases in the case of the college student, and there were zero cases for children. The application type of studies on physical activities using a social cognitive theory can be largely classified as three types. The results of the measurement using a sectional investigation for SCT objects were 2 cases, the application of SCT for promoting physical activities was 1 case, and the demonstration of evaluation for the effect of SCT objects presented 8 highest cases. Although the social cognitive theory in the characteristics of the classification of object applications can be classified as 10 objects, there were no cases that used 10 all objects, partial applications of the object were measured in 8 studies, and two cases presented no detailed considerations on the object. Most of studies used a part of the object where the application of self-efficacy were measured by 8 highest cases. In addition, there were no measurements on the situation, observation learning, answer and response, and self-management. The elements of attitude, cognitive activity, self-efficacy, and handicaps among the SCT object were commonly used, and studies that the self-efficacy largely affects on the promotion of physical activities presented the main current.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권4호
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• pp.93-104
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• 2017

Purpose: Korean society has already entered an aged society but there aren't many evidence-based studies on the elderly-friendly design elements in the apartment environment, which is the main residential type in Korea. The main purpose of this study is to verify the necessity and expandability of the outdoor environment design in the public rental apartment complex through the evaluation of the effectiveness and satisfaction of SMG(Seoul Metropolitan Government) Cognitive Health Design Project in GR 1 apartment complex. Methods: The research subjects were GR 1-complex as experimental group and the nearby Wolgye Deer 1-complex as control group, both public rental apartment and located in Seoul. As a research method, the survey was conducted before and after the implementation of SMG project for residents of the apartment. A total of 200 preliminary surveys and 203 post surveys were conducted. Results: As a result of this study, residents' accidents related safety have decreased, and both the frequency of use and satisfaction of most facilities have increased. It is noteworthy that the increase in cognitive items in the post-survey. Also, 74.5% of the residents evaluated that the complex was better to live after the project was implement. Implications: The fact that the preliminary surveys were not conducted for the same person is considered as the limitation of the study, but it is meaningful in that it systematically assesses the effectiveness of the project on the cognitive health of the outdoor residential environment towards age-friendly city.

• 성인간호학회지
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• 제26권1호
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• pp.34-45
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• 2014

Purpose: The purpose of this study was to investigate the effect of laughter therapy and cognitive reinforcement program on self-efficacy, depression and cognitive functions of the elderly with mild cognitive impairments (MCI). Methods: The study design was a non-equivalent control group pre and posttest design. Thirty-six subjects over the age of 65 with a diagnosis of mild cognitive impairment were assigned either to a treatment or a comparison group. Data were collected from February 7 to March 27, 2012 in the dementia supporting center. An eight week treatment program that included laughter therapy coupled with a cognitive reinforcing program including hand exercise, laughter dance routine, laughter technic and cognitive training for attention, memory, orientation and execution skill. Results: MoCA-K (t=-6.86, p<.001) and Stroop test CW correct (t=-2.54, p=.008), self-efficacy (t=-3.62, p=.001) in the treatment group were significantly higher than those of the comparison group. Reported depression (t=2.29, p=.014), Stroop test CW error (U=53.50, p<.001) in the treatment group was significantly less than the comparison group. Conclusion: In this study, the treatment was effective in improving self-efficacy, cognitive function and reducing depression in the elderly with MCI.

• 동의신경정신과학회지
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• 제24권4호
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• pp.353-362
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• 2013

Objectives: This study is conducted to identify the effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Methods: A non-equivalent control group with pretest-posttest design was used on 50 elderly who were assigned to the experimental and control group (25 for each group). Results: Cognitive function was significantly different between the two groups of the pretest and posttest (Z=4.217, p<.001). There were significant differences between the two groups of the pretest and posttest (Z=-2.324, p=.020) for the quality of life on the EQ-5D index. Conclusions: These findings confirmed that the activity program for preventing dementia was effective for improving cognitive functions and quality of life for the elderly. Therefore, it is further encouraged to perform the activity programs for preventing dementia within other community health posts and community centers. It is necessary to study the emotional supports from community health posts in the future.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권4호
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• pp.17-25
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• 2018

Purpose: Korean society is undergoing the rapid increase and poverty of elderly population. Therefore, the appropriate supply and planning of public rental housing for the low-income elderly is more important. The purpose of this study is to present the basic data for the study and planning of the elderly housing complex by analyzing the cognitive characteristics of the elderly residing in the rental housing. Methods: A questionnaire survey was conducted to identify health characteristics of the elderly living in the 'Gongreung SH Apartment'. 100 random samples were collected and 82 valid samples were analysed. Statistical analysis was performed using Excel and R for the age, sex, health, outdoor walking frequency and characteristics of Cognitive map of the elderly. Results: The characteristics of cognitive map were classified into point shapes and linear shapes. The linear group was lower in average age than the point group and tended to draw the map wider. The wider the map was, the more the number of elements in cognitive map was. The number of elements on the cognitive map decreased as respondents' age increased. On the other hand it was not related to residence period and gender of the elderly. Implication: The cognitive extent of the residential environment tends to decrease with age. Men's cognitive range is wider than women's. There is no corelation between the number of cognitive elements and cognitive map type. Men tend to have a systematic image of city, whereas women focus on relational and social urban factors. For sustainable apartment complex design, various characteristics of the group including men and women, different age and different health status should be considered.