• 대한물리의학회지
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• 제13권4호
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• pp.59-65
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• 2018

PURPOSE: The purpose of the present study is to investigate the changes in the cognitive function of elderly dementia patients residing in a residential care facility, following six weeks of brain-computer interface (BCI)-based cognitive training and to determine whether BCI-based cognitive training effectively improves their cognitive functions. METHODS: Thirty subjects diagnosed with dementia were randomly assigned to either the experimental or control group. Pre- and post-test cognitive function assessments were conducted using the mini mental state examination-Korean (MMSE-K) and Korean-dementia rating scale (K-DRS). The experimental group received BCI-based cognitive training, which consisted of games such as flying a ball and exploding a bomb, while the control group participated in music listening activities and National Health Gymnastics. Both groups engaged in a total of 18 sessions (3 times per week for 6 weeks, for 40 minutes per session). RESULTS: After 6 weeks of intervention, the experimental group had significantly increased MMSE-K scores ($19.53{\pm}1.30$ to $22.20{\pm}1.15$; p<.0011) and total K-DRS scores ($87.20{\pm}4.16$ to $99.33{\pm}1.15$; p<.0011). In addition, the experimental group showed greater cognitive improvements than the control group. CONCLUSION: The results of this study suggest that BCI-based cognitive training is a positive intervention tool for improving the cognitive function of dementia patients.

• The Journal of Korean Physical Therapy
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• 제22권1호
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• pp.53-60
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• 2010

Purpose: The purpose of our study was to evaluate the effects of an exercise program on activities of daily living (ADL), balance and cognition in elderly individuals with Alzheimer’s disease and vascular dementia. Methods: Thirty-two patients with mild to moderate cognitive impairment were assigned to one of two groups: an exercise group (n=16) and a control group (n=16). The exercise group carried on regular exercise for 60 minutes a day, 4-5 times per week for 8 weeks. The exercise group participated in an exercise program (treadmill training and physical training). ADL, balance and cognitive function were evaluated before and at the end of the program using the Korean modified Bathel Index (K-MBI), the Functional independence measure (FIM), the Berg balance scale (BBS), the Balance performance monitor (BPM), and the Mini mental state examination (MMSE) in both groups. Results: There were significant exercise-induced improvements in ADL and Balance from pre to post tests; but not in MMSE. Conclusion: Exercise programs can improve ADL and balance in elderly with Alzheimer’s disease and vascular dementia.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.167-182
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• 2017

본 연구의 목적은 치매노인 보호자의 부양스트레스가 자살생각에 미치는 영향에서 보호요인인 자기효능감의 매개효과를 검증하고, 이를 바탕으로 사회복지적 함의를 제시하는 것을 목적으로 한다. 이를 위해 주간보호센터 및 치매지원센터를 이용하는 치매노인의 보호자 중 자녀 및 며느리 341명을 대상으로 자기보고식 설문조사를 실시하였고, 본 연구에서는 불성실한 응답을 제외한 326명을 최종 분석에 사용하였다. 연구의 가설을 검증하기 위하여 빈도분석, 기술분석과 회귀분석을 사용하였다. 그 결과, 조사대상인 치매노인 보호자의 32.6%가 최근 1년간 자살생각을 경험한 적이 있다고 응답하였다. 그리고 보호자의 연령, 성별, 학력, 직업유무, 건강상태, 생활수준 정도 및 치매노인의 인구학적 특성과 등급, 유병기간을 통제한 상태에서 회귀분석을 실시한 결과, 부양스트레스는 자살생각과 정적인 영향관계가 있는 것으로 확인되었다. 또한, 보호자들이 지니고 있는 자기효능감은 부양스트레스와 자살생각간의 관계를 부분매개 하는 것으로 확인되었다. 이를 토대로 하여 치매노인 보호자들의 정신건강을 회복시키기 위한 각종 정책과 사회복지적 개입의 필요성, 자기효능감을 향상시키기 위한 가족 및 대인관계 개선 프로그램 강화 등을 제언하였다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2003년도 ICCAS
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• pp.1968-1970
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• 2003

In this paper we propose a system to forecast the dangerous behavior of the dementia patients. Basic idea of our approach is to measure the body movements of the dementia patients using the acceleration sensor. Based on the data measured, warning the care-givers about possible dangerous actions like falling down from the bed and slipping down onto the floor to some extent. The signals measured by the acceleration sensor are processed by a one-chip computer. Based on the diagnosis of the one-chip computer , alert signal is generated to the care-giver by a wire-less signal. The sensor is implemented in a compact body . Applicability of the system is now being examined at a nursing home.

• 인지과학
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• 제11권2호
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• pp.59-68
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• 2000

본 연구는 한국판 보스톤 이름대기 검사(Korean-Boston Naming Test: K-BNT)의 실험적 단축형을 개발하여 그 규준을 제시하고 검사의 임상적 유용성을 살펴보고자 하였다. 서울-경기 지역에 거주하는 만 55∼84세의 건강한 장노년 인구를 대상으로 수행 자료가 수집되었다. 검사 수행에 미치는 인구 통계학적 변인들의 효과를 분석한 결과 교육과 연령이 유의미한 요인으로 확인되어 그에 따라 규준이 개발되었다. 두 개의 연령 수준(만 55∼64세, 만 65∼84세)과 각 연령에 따라 다시 두 개의 학력 수준(6년 이하, 7년 이상)으로 구분되어 총 4개의 하위 규준이 만들어졌다. 검사에 대한 정상 노인의 수행을 알츠하이머형 치매(Dementia of the Alzheimers type: DAT) 환자들의 수행과 비교했을 때 두 집단간 유의미한 수행 차이를 보여주었다(F(1, 158)= 23,216, p < .0001). K-BNT의 실험적 단축형의 노인 규준 자료는 임상 장면에서 치매 및 여러 중추신경계 손상 환자들의 이름대기 능력을 신속하게 판별하는데 기여하리라 기대된다.

• 생물정신의학
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• 제14권2호
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• pp.99-105
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• 2007

Objectives : The purpose of present study was to investigate the effect, safety and tolerability of risperdal sachet(oral solution) with lorazepam tablet versus intramuscular haloperidol and lorazepam injection for management of acute psychotic symptom in the elderly with organic mental disorder. Methods : Total 37 patients who have dementia, medical or physical diseases, associated with acute psychotic symptom were randomly assigned to oral treatment with 1mg of risperdal sachet(oral solution) plus 1mg of lorazepam(N=17) or to intramuscular treatment with 2.5mg of haloperidol plus 2mg of lorazepam (N=20). The change of CGI scores was used for the evaluation of efficacy. Results : Mean score improvements at 15, 30, 60, and 120 minutes after treatment were statistically significant at each time point in both groups(p<0.001) and were similar in both groups(p=0.189). Conclusion : A single oral dose of risperdal sachet(oral solution) plus lorazepam was as effective and tolerable as parenterally administered haloperidol plus lorazepam for the rapid control of acute psychotic symptom in the elderly with organic mental disorder.

• 대한지역사회작업치료학회지
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• 제5권2호
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• pp.57-64
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• 2015

목적 : 본 연구는 집단회상프로그램이 치매노인의 우울에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구는 김해시에 소재한 K복지관의 주간 보호시설을 이용하는 29명의 치매노인을 실험집단(14명)과 통제집단(15명)으로 나누어 매주 2회 40분씩 총 12회로 회상프로그램을 진행하였다. 평가도구로는 한국형 노인 우울척도(Geriatric Depression Scale in Korea; GDS-K)를 사용하여 중재 전 후의 우울 수준을 비교분석하였다. 결과 : 실험집단의 GDS-K 점수는 집단회상프로그램 전 $20.7{\pm}1.4$점, 후 $13.5{\pm}1.7$점으로 유의미하게 감소하였고 (z=-3.30, p<.05), 통제집단의 GDS-K 점수는 집단회상프로그램 전 $20.9{\pm}2.3$점, 후 $21.0{\pm}2.6$점으로 통계적으로 유의미한 차이가 없었다(p>.05). 따라서 사전 사후검사를 분석한 결과 집단회상프로그램에 참여한 실험집단이 통제집단에 비해 유의미한 우울의 감소를 보였다. 결론 : 본 연구를 통해 회상프로그램이 치매노인의 우울을 감소시키는 것으로 나타났다. 따라서 손쉬운 접근과 적용이 가능한 집단회상프로그램을 치매노인의 우울 감소 치료의 한 방법으로 제안하고자 한다.

• Journal of Korean Biological Nursing Science
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• 제17권3호
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• pp.245-252
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• 2015

Purpose: This study was to identify the effects of laughing and music therapy on depression and the activities of the autonomic nervous system in the elderly with dementia. Methods: The participants were 61 seniors over 65 years old with dementia, admitted to nursing homes. Twenty of them received laughing therapy, 21 received music therapy and 18 were in the control group. A total of 59 patients' data were analyzed. Depression was measured by Cornell Scale for Depression in Dementia tool, and the activities of the autonomic nervous system by the heart rate variability measuring device. The data were analyzed by frequency and percentage, Chi-square test, t-test, ANOVA, and Tukey test. Results: The depression of the music therapy group was more significantly decreased than the laughing therapy group and the control group. The activities of the autonomic nervous system of the laughing therapy group were more significantly increased than the music therapy group. The magnitude of the activities of the autonomic nervous system of the laughing therapy group were more significantly increased than the music therapy group. Conclusion: This study showed that music therapy was more effective than laughing therapy for the decrease of depression. Laughing and music therapy were more effective than in the control group for increasing the activities of the para-sympathetic nervous system and decreasing the activities of the sympathetic nerve system.

• 대한통합의학회지
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• 제2권2호
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• pp.13-20
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• 2014

Purpose : The purpose of this study was to evaluate the influence of cognition and executive function by computer - based attention program in vascular dementia. Method : The subjects of this study, old man diagnosed with vascular dementia, 12 patients were picked up, who were agreed with this research and were having hospital care for 4 weeks at nursing care centers. Computer-based attention program was applied to vascular dementia. Cognitive function measured by a K-MMSE and executive function measured by ACL. The SPSS Ver. 18.0 statistical program was used for data processing. The significance level for statistical inspection was set as 0.05. Result : In comparison of cognitive function was not significantly correlated in the pre and post test and executive function was significantly correlated in the pre and post test. Conclusion : Therefore, the computer-based attention program is useful to improve the cognitive and executive function in elderly with vascular dementia.

• 가정과삶의질연구
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• 제21권3호
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• pp.1-13
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• 2003

The purpose of this study is to understand the importance of exterior environments and to identify the design guidelines for the therapeutic garden for cognitively impaired seniors with Alzheimer's disease and related dementias. The data was collected from 4 Adult Day Care Centers, 2 Nursing Homes, & 1 Assisted living in the U.S.A. from 2001 to 2002 by interview and the floor plan about the outdoor space. Although some may believe that patients with Alzheimer's disease and related disorders are unresponsive to environment, evidence shows that environments especially designed for cognitively impaired seniors can maintain or increase their level of functioning. The use of specially designed exterior environments nay have in reducing incidents of aggressive behavior, and contributing significantly to a wanderer management program. The checklist includes 6 dimensions： safety environment, various sensual stimulations, social interactions, wandering, privacy, and support orientation and reality. The results indicated that the exterior environment have to support wandering behavior, orientation and reality.