• Title/Summary/Keyword: Mild dementia

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A preliminary study on the Effectiveness of Group Occupational therapy program for Dementia Patient in Day-care center (주간보호시설 치매환자의 집단작업치료프로그램 효과-예비연구)

  • Lee, Seong-A;Jeong, Won-Mee;Hwang, Yun-Jung;Park, Chung-A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2055-2063
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    • 2015
  • The purpose of this study is to have a preliminary study in order to identify changes in occupational performance skills and visual perception of patients with mild dementia, who have been provided with a group occupational therapy program, within community day-care center. The subjects of this study were 9 people with mild dementia living in a community. The period of administration was for 60 minutes per session three times a week during four weeks. We assessed their visual perception function(MVPT) and occupational performance(AMPS). One group pre-post test design was implemented as an experimental study to compare the results between before and after applying the group occupational therapy program within sensory, physical, creative activity. While a statistically significant difference between before and after the program of motor skills(occupational performance skill) is not shown, the visual perception function and occupational performance of patients with mild dementia improved significantly after receiving occupational therapy program(p<0.01, p<0.05). Therefore, it is possible to conclude that the group occupational therapy program is helpful to manage the occupational performance skills and visual perception of patients with mild dementia in community day-care center.

Comparison of Demographic Characteristics, Comorbidity, and Health Habits of Older Adults with Mild Cognitive Impairment and Older Adults with Normal Cognitive Function (경도인지장애노인과 정상노인의 인구학적 특성, 동반질환 및 건강습관 비교)

  • Park, Myonghwa;Sung, Mi Ra;Kim, Sun Kyung;Lee, Dong Young
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.351-360
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    • 2014
  • Purpose: This study was done to compare demographic characteristics, comorbidity, and health habits of elders with mild cognitive impairment (MCI) and elders with cognitively normal function (CNF). Methods: Secondary data analysis was conducted using data from the Database of the Seoul Dementia Management Project for 5,773 adults age 60 and above. Results: The MCI group showed an older age distribution, but there was no significant education difference between the two groups. Elders with MCI had more diabetes and stroke than elders with CNF. In subgroups, the same findings were observed in women, but not in men. While more men with MCI had hypertension compared to men with CNF, there was no significant difference in hypertension between the two groups for women. Elders with MCI, men in particular, had a lower prevalence of obesity than men with CNF. MCI individuals did less exercise compared to individuals with CNF. While there were no significant differences in alcohol consumption and smoking between MCI and CNF groups, the over 80's subgroup with MCI reported more alcohol consumption. Conclusion: Findings from this study could be helpful in designing community-based dementia prevention programs and health policies to reduce the prevalence of dementia or related cognitive impairments.

Analysis of Correlations among β-amyloid, Serum Lipid Levels, and Cognitive Function in the Elderly with Mild Alzheimer's Dementia (경증 알츠하이머 치매노인에서 베타 아밀로이드 및 혈중 지질 수준과 인지기능과의 상관관계 분석)

  • Nam, Seung-Min;Lee, Do-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.115-120
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    • 2019
  • This study was undertaken to determine the correlation between β-amyloid, serum lipid levels, and cognitive function in the elderly with mild Alzheimer's dementia. The study was conducted in December 2018, enrolling 45 elderly people with mild Alzheimer's disease. Blood analysis measured the β-amyloid and serum lipid levels, and cognitive function was measured using MMSE-K. The correlation between β-amyloid, serum lipid levels and cognitive function was determined using Pearson's correlation analysis. A significantly negative correlation was observed between the β-amyloid level and cognitive function (p<0.05). Furthermore, serum lipid levels and cognitive function also revealed a significantly negative correlation between TC and LDL levels (p<0.05). These results indicate that increasing levels of β-amyloid, TC, and LDL augments a negative correlation that decreases the cognitive function, signifying that management of pathologic factors related to dementia is important for the prevention and improvement of cognitive function in dementia patients.

The Effect of Cognitive Occupational Therapy in Community Living Elders with Mild Cognitive Impairment and Dementia (지역사회에 거주하는 경증인지장애노인과 치매환자에게 적용한 인지작업치료의 효과)

  • Chong, Bok-Hee
    • Journal of Digital Convergence
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    • v.11 no.3
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    • pp.317-325
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    • 2013
  • The purpose of this study is to evaluate the cognitive functional improvement of cognitive occupational therapy using cognitive function, activities of daily living (ADL) executive function and depression tests in community living elders with mild cognitive impairment (MCI) and dementia. Thirty two elders who diagnosed MCI (n=13) and dementia (n=19) were enrolled in this study. They visited to local elder welfare office and nursing care home from Feb. 2012 to Jun. 2012. They received occupational activity program in terms of physical activity, cognitive function and occupational function of Craft as the manner of a session per week for 8 weeks. The cognitive function, executive function, depression score were improved in both group. Furthermore in MCI participants, cognitive function scores for concentration and memory functions were significant improved more than dementia subjects. Further studies dealing with the development of novel occupational program for cognitive function improvement and its preventive effects were needed.

The study of development on CFT(Cognitive Function Test) in mild cognitive impairment (경도인지장애 대상자의 인지기능평가도구(CFT) 개발 연구)

  • Lee, Seon-Myeong;Ju, Eun-U;Song, Jin-Seok;Park, Sin-Jun;Kim, Heon-Mo;Jeong, Eun-Seung;Im, Chae-Ho;Son, Seong-Min;Ha, Hye-Jeong
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1426-1435
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    • 2020
  • Objective: This study aims to develop CFT, a screening test for dementia that can be conducted on patients with mild cognitive impairment or early dementia. Methods: This study was conducted on therapists working at occupational therapy hospital in Gyeongsangnam-do. The data collection period is two months from July to September 2020, and the research participants were briefed on the purpose, significance, and anonymity of the research in consideration of ethical issues. A total of 33 copies of the data were finally analyzed, excluding those containing insufficient answers and errors, by distributing 40 copies of the data. SPSS Data Access pack 8.0 was used for data analysis, Cronbach's α value was evaluated for internal consistency reliability of each item, and Pearson Correlation coeffient between the lower scales of the assessment tool was measured. Results: The Cronbach's α value of the CFT was shown as .892 and the reliability of the assessment paper was shown to be quite high. The Cronbach's α value for each item in the cognitive assessment tool was the highest at .899 in the subtraction item, with exercise control (mook Chi Pa) at 888, visual memory, plus .887. The correlation of each item of cognitive assessment tools was found to be most correlated with the number of sustained concentrates and word2 to .934; in the stop word-numeric item and visual memory to be .85; and in the addition to the auditory memory item .739. Conclusion: Therefore, this study developed cognitive evaluation tools that can distinguish the diversity and cognitive level of screening tests and clarify standards, which are different from the existing dementia screening tools in Korea. Furthermore, the cognitive assessment tools of this study can be verified by applying them to patients with mild cognitive impairment and early dementia, and the criteria for generalization can be established.

Effect of Virtual Reality Program for Alleviating Behavioral and Psychological Symptoms of Dementia Patients (치매 환자의 행동심리 증상완화를 위한 가상현실 프로그램의 효과)

  • Park, Seon-Min;Choi, Seung-Yi;Kim, Jung-Hee
    • Journal of Korean Academy of Nursing
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    • v.52 no.2
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    • pp.121-133
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    • 2022
  • Purpose: This study examined the impact of a virtual reality intervention program based on psychological needs on behavioral and psychological symptoms, apathy, and quality of life (QOL) in patients with dementia or mild cognitive impairment living in nursing facilities. Methods: This study is nonequivalent control group pretest-posttest design of quasi-experimental study. The study collected data from November 18, 2020 to July 24, 2021 from patients with dementia or mild cognitive impairment (30 in the experimental group and 30 in the control group) at three nursing facilities in G city using self-reporting and caregiver-informant reporting methods. The analysis employed the chi-square test, Fisher's exact test, paired t-test, independent t-test, Wilcoxon signed rank test, Mann-Whitney U, repeated measures ANOVA, GEE, using SPSS/WIN 27.0. Results: The severity of behavioral and psychological symptoms (Wald 𝛘2 = 2.68, p = .102) and the care burden of caregivers (Wald 𝛘2 = 1.72, p = .190) were not significant and was no significant time and group interaction effect (Wald 𝛘2 = 0.63, p = .426, Wald 𝛘2 = 0.52, p =. 471). The difference in apathy and QOL score were statistically significant for the group-time interaction (F = 43.65, p < .001; F = 4.35, p = .041). Conclusion: The virtual reality intervention program of this study shows a positive effect on the apathy reduction and QOL of patients with dementia or mild cognitive impairment residing in nursing facilities.

A Study on the Development of Adaptive Clothing for the Dementia Patients (치매환자용 기능성 의류개발)

  • Lee, Seung-Min;Lee, Kyung-Ok
    • Fashion & Textile Research Journal
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    • v.16 no.6
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    • pp.849-859
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    • 2014
  • This study developed adaptive clothing to increase psychological comfort and protection for dementia patients. Our research method and data collection were as follows. The author selected and interviewed 10 caregivers and nurses to understand dementia patient behavior. The author collected eight pieces of clothing designed for dementia patients that are sold in Korean and overseas markets. We then analyzed garment details, open systems, close systems, and expected functions. Adaptive clothing for dementia patients were developed based upon our research. The results are as follows. First, dementia patients' behavior differed by dementia patient symptoms. Second, all items sold in Korean and overseas markets were jump suits designed to prevent behavior characteristic of dementia patients. Third, the author designed and manufactured five pieces of adaptive clothing for dementia patients that included two for mild dementia patients and three for moderate dementia patients. A panel of 50 caregivers gave high marks to developed clothing in regards to functionality, hygiene, patient human rights and aesthetics. The adaptive clothing of dementia patients from this research will increase the psychological and emotional satisfaction of dementia patients.

치매에 대한 한의학적 임상연구

  • Whang Wei-Wan;Kim Jong-Woo;Lee Jo-Hee;Eom Hyo-Jin;Lee Seung-Gi
    • Journal of Oriental Neuropsychiatry
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    • v.7 no.1
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    • pp.1-13
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    • 1996
  • 1. Out of 21 examples on a clinical base Alzheimer type dementia were 8 examples(38%), 11 vascular types(52%), 1 Alzheimer and vascular mixed type and rest 1 was secondary dementia type(NPH).2. Between the genders, there were 5 males and 3 females for Alzheimer types, 6 males and 5 females for the vascular types, 1 male for Alzheimer and vascular mixed type, and 1 female for secondary dementia type(NPH).3. For the degrees of Alzheimer type dementia there were 2 mild dementia, 4 moderate dementia, and 2 severe dementia. 4. Among the Alzheimer types 2 mild dementia were almost recovered back to normal in approximately 2 months, 2of 4 moderate dementia became significantly better in approximately 2 months and recovered to almost normal state in 3 to 5 months. The rest 2 have been under treatment for 3 months, but showed a little improvement. Out of 2 severe dementia examples, one showed a little improvement even if it has been under treatment over 2 years. The other example did not show any improvement, but dementia did not proceed any more.5. Among the 11 vascular examples, 7 recovered in 2 to 3 months, 1 in 5 months, 2 recovered in a year, and the treatment was stopped arbitrary for the last one.6 In the case of Alzheimer and vascular mixed type dementia, even the moderate dementia did not show any apparent result in 6 months.7. For NPHI (Normal Pressure Hydrocephalus), there was an improvement on dementia in 2 months after the treatment, but gait disturbance and urinary incontinence did not show any noticeable difference. As a conclusion, almost all the Alzheimer and vascular type patients recovered, but the treatment periods varied depending on the types of the dementia and the degree of seriousness, especially in the case of the severe Alzheimer patients, the treatment oniy suppression the progression of the dementia. The most important aspect from clinical point of view was even if almost all the patients were almost completely cired, they need to keep being cured for a long period of time. The method with respect to Four Constitutions is thought of the most desirable.

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A study of Gongjin-dan in patients with mild Dementia of Alzheimer type (공진단(供辰丹)이 알츠하이머형 치매 환자에게 미치는 영향)

  • Jang, Ha-Jeong;Sung, Woo-Yong;Lee, Seung-Hyun;Son, Ji-Hyung;Han, Seung-Hea;Jung, Hyo-Chang
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.141-148
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    • 2004
  • Objective : This study is designed to assess the effects of Gongjin-dan on cognitive decline of the patients with mild Dementia of Alzheimer Type(DAT). Method : 33 patients with mild DAT were measured by using K-DRS, and after 100 days again. During 100 days the patients with mild DAT were treated with Gongjin-dan. The scores of K-DRS between before and after treatment were analyzed by paired t-Test. Result : 1. the mean age of patients was $70.3{\pm}4.1$ years (range 65 to 84 years) 2. the mean education of patients was $5.5{\pm}5.3$ years 3. the mean K-DRS score of the patients before treatment was $93.2{\pm}12.1$, and the mean K-DRS score of the patients after treatment was $114.7{\pm}14.5$. K-DRS scores after treatment was significantly different with the K-DRS scores before treatment.(t=9.907, r=.573, p<.00l) Conclusion : Treatment with Gongjin-dan for 100 days increased the cognitive ability in patients with mild DAT

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Research Trend on Cognition Training Method using Computer Software (컴퓨터 소프트웨어를 이용한 인지 훈련 방법의 연구 동향)

  • Lee, Juhyeon;Oh, Doyeong;Koo, Kyo-In
    • Journal of Biomedical Engineering Research
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    • v.35 no.6
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    • pp.185-191
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    • 2014
  • Mild cognitive impairment is status between healthy people and dementia patients. In order to prevent dementia or slow its progression, cognitive interventions could be effective. In this paper, review of the cognitive intervention with computer software was undertaken. Previous reports showed that the cognitive intervention with additional equipment could practical to the mild cognitive impairment.