• 인간식물환경학회지
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• 제24권1호
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• pp.107-117
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• 2021

Background and objective: The purpose of this study is to investigate the effect of a forest healing program in terms of depression, neuropsychological and physiological benefits for the elderly. Methods: For this purpose, we developed a forest therapy program for the elderly who are vulnerable to dementia and conducted a total of 11 sessions of forest therapy activities in a forest once a week. We measured the changes in depression, resting-state Electroencephalography(EEG) and heart rate variability (HRV) before and after the program. There were 60 subjects aged over 65 yesrs old. 30 subjects participated in the forest therapy program, and the other were in the control group. The Geriatric Depression Scale was used to measure the level of depression, neuroNicle FX2 (Laxtha, Korea) was used to measure the resting-state EEG, and photoplethymogram (ubpulse T1, Laxtha, Korea) was used to measure the HRV. Results: The results showed that the depression index of the experimental group improved with statistical significance after the program (experiment group = 3.267 decrease of the mean). In the EEG measurement, the alpha-peak frequency at rest (experimental group = 0.227 Hz increase of the mean) was improved (mean increase = 0.23 in the experimental group, p < .05). The high frequency of HRV, which represents the parasympathetic nerve activity of the body's autonomous response, was also significantly improved (mean increase = 0.396 in the experimental group, p < .05). Conclusion: The results suggest that the forest therapy program can reduce the cognitive, psychological and physical risk factors of dementia for the elderly at risk of cognitive decline. Therefore, forest therapy activities may be suitable for the prevention of dementia in the elderly.

• 한국노년학
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• 제30권3호
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• pp.815-830
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• 2010

본 연구는 외모가꾸기 프로그램이 여성치매노인의 자아존중감과 불안감에 미치는 효과를 파악하기 위해 시도한 유사실험연구로서 비동등성 대조군 전후 실험설계 방법을 이용했다. 연구기간은 2009년 4월 13일부터 5월 1일까지였다. 연구대상은 호남지역 G시에 위치한 노인병원에 치매로 진단받고 입원중인 노인 중에서 연구대상자 기준에 적합한 41명이었으며, 실험처치를 받은 실험군 20명과, 실험처치를 받지 않은 대조군 21명이었다. 실험처치는 외모가꾸기 프로그램이었으며, 실험군에게 외모가꾸기 프로그램을 2주간 계속하여, 총 10회를 제공하였으며, 비실험군은 처치를 제공받지 않았다. 자아존중감 측정도구는 Rosenberg (1965)가 개발하고, 전병제(1974)가 번안한 것을 사용하였으며, 불안측정도구는 Spielberger(1970) 가 개발하고, 김정택(1991)이 번안한 상태불안척도를 사용하였다. 수집된 자료는 SPSS Win 12.0을 사용하였다. 대상자의 일반적 특성은 실수와 백분율을 분석하였고, 실험군과 대조군의 동질성 검정은 t-test와 카이검증을 하였다. 가설검정은 t-test와 다변량 분석을 하였다. 또한 연구결과의 신뢰도와 타당도를 높이기 위해 관찰법을 사용하였다. 연구의 결과는 2주간의 외모가꾸기 프로그램을 적용한 실험군의 자아존중감이 대조군보다 유의하게 높았으며 외모가꾸기 프로그램을 적용한 실험군의 불안 점수는 대조군보다 유의하게 낮았다. 관찰내용 분석결과 또한 실험연구 결과를 지지하는 것으로 나타났다. 본 연구결과는 외모가꾸기 프로그램이 여성치매노인의 자존감을 높이고, 불안감을 낮추는 유용한 건강관리 프로그램으로 활용될 수 있다는 점을 시사하고 있다.

• 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.

• 로봇학회논문지
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• 제15권4호
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• pp.330-340
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• 2020

The purpose of this study was to develop Dementia-Care-Robot integrated program based on group customization and to identify effects on IADL, depression, and attitudes toward robot. This study was nonequivalent control group pre-post test design. The subjects were 40 elders diagnosed with mild dementia participating in the dementia center daily program (20 in the experimental group and 20 in the control group). Each session lasted for 30 minutes, twice a week during 6 weeks. Data were collected from July 16 to November 7, 2019, and were analyzed using SPSS WIN 22.0 program to identify differences between groups for variables. After the program, the experimental group improved in IADL, depression, but there were no significant differences between the two groups. In attitude toward robot, the experimental group showed positive change to the robot, but the control group showed negative change to it, also there was a significant difference between the two groups. Findings indicate that integrated program using Dementia-Care-Robot has potential as a strategy to improve the symptoms of dementia and to delay the progression. It needs to be applied in the medical field through convergent approach of engineering.

• 대한통합의학회지
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• 제2권2호
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• pp.21-29
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• 2014

Purpose : This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Method : We investigated 181 physical therapists and 225 university students by using questionnaires from August 12 to September 19 2013. The questionnaire that used in this study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Result : Attitude scores for dementia, Physical therapist was 41.66. Physical Therapy student was 40.34. Non-student Department of Health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion : The study has revealed that the following factors of the therapists influence their attitudes towards dementia: their age; educational level; whether or not they have a family member with dementia; whether or not they have obtained information on dementia. Based on the finding, it is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy.

• 성인간호학회지
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• 제13권4호
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• pp.591-600
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• 2001

Purpose: This study was to observe the effects of music therapy on the cognitive function, behavior, and emotions of elderly dementia patients, and to seek musical mediation for them. This study was conducted with patients in the Dementia Sanitarium in C City from March 13 to April 17. Method: The design of research was a nonequivalent control group non-synchronized design and the subjects were 25 patients-15 of whom were in the experimental group with 10 in the control group. The music therapy consisted of favorite music listening in the morning, favorite music group singing activity after lunch, and relaxing music listening after dinner. The schedule was followed 6 days a week for 2 weeks for a total of thirty-six session. The effect of music therapy was measured by MMSE-K and the behavior and emotion measuring equipment which had been derived by the researcher. The verification of the effects is that the score of cognitive function, behavior, and emotions of the experimental and the control group which were measured after the therapy had been applied was analyzed by descriptive statistics and t - test using SPSS WIN program. Result: 1) The degree of cognitive function of the experimental group which was received the music therapy is $11.53{\pm}5.37$ which is a little higher than the control group which is $11.20{\pm}6.32$, but it is not significant statistically (t= .14, p= .887). The first hypothesis which had assumed the recepients would have had a higher cognitive function level than the other was rejected. 2) Behavior score of the experimental group that received the music therapy is $68.90{\pm}7.86$ which is higher than the control group which is $66.40{\pm}11.13$, but it is not significant statistically(t= .61, p= .548). The second hypothesis which had assumed the recepients would have had a higher behavior level than the other was rejected. 3) Emotions score of the experimental group that received the music therapy is $42.13{\pm}5.04$ which is higher than the control group which is $35.20{\pm}6.12$, and it is significant statistically(t=3..09, p= .009). The third hypothesis which assumed the recepients would have had a higher emotion level was supported. Conclusion: music therapy which is composed of listening to music and group singing activity is an effective strategy for improvement of the emotions of the dementia elderly. But, the effect of music therapy on the cognitive function and behavior of elderly dementia patients is not significant statistically.

• 한국산학기술학회논문지
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• 제19권5호
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• pp.312-322
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• 2018

본 연구는 뇌 활성화 중재프로그램을 경증치매노인에게 적용하여 경증치매노인의 인지기능, 행동심리적 증상, 우울 및 일상생활수행능력에 미치는 효과를 파악하는데 목적을 두고 수행 하였다. 본 연구의 연구 대상자는 실험군 20명과 대조군 20명으로 총 40명이었다. 본 연구의 자료 수집은 서울시 노원구에 소재한 치매지원센터에서 2016년 11월 1일부터 2017년 3월 31일까지 자료가 수집 되었다. 수집된 자료의 분석방법은 SPSS 23.0K을 이용하여 기술통계, Chi-square test, independent t-test, Two-way Repeated Measures ANOVA, ANCOVA로 분석 하였다. 본 연구에서 경증치매노인을 대상으로 뇌 활성화 중재프로그램을 8주간의 강의 및 프로그램을 시행한 결과 대상자 경증치매노인의 인지기능이 유의하게 향상되었고, 우울감이 유의하게 감소하였다. 본 연구 결과를 토대로 치매노인에게 적용한 뇌 활성화 중재프로그램으로 인지기능의 향상으로 일상생활에도 도움을 줄 수 있고, 치매노인의 우울을 완화시키는 것으로 나타나 차후에 지역사회 프로그램에 활용되도록 하는 기초자료로 지역사회에서 연계하는 프로그램으로 도움이 될 것으로 사료된다.

• 한국융합학회논문지
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• 제10권7호
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• pp.373-381
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• 2019

2017년 우리나라는 고령사회에 진입하면서 치매환자가 증가하고 있다. 이에 추후, 간호 전문 인력으로 역할을 수행하게 될 간호대학생의 치매노인에 대한 관심이 필요하다. 본 연구의 목적은 간호대학생의 치매노인에 대한 사회적 거리감에 미치는 영향요인을 알아보기 위함이다. 본 연구는 서술적 조사연구 연구로, 자료 수집을 위해 D시의 일개 간호대학 158명을 대상으로 구조화된 설문지를 통해 자료를 수집하여 분석하였다. 각 변수간의 상관관계를 분석한 결과 치매노인에 대한 사회적 거리감과 치매태도(r=.53, p<.001)는 정적인 상관관계를 보였으며, 연령주의(r=-.41, p<.001)는 부적상관관계가 있는 것으로 나타났다. 간호대학생의 치매노인의 사회적 거리감에 미치는 영향요인으로는 치매환자와의 소통경험에서 '전혀 없다' 에 비해 '가끔 있다' 와 (${\beta}=.29$ p=.012), '자주 있다' (${\beta}=.37$ p=.002)가 영향요인으로 나타났고, 치매조기예방에 대한 관심(${\beta}=.32$ p=.002), 연령주의(${\beta}=.36$ p=.002)가 유의한 영향을 미치는 것으로 나타났다. 이러한 영향요인 변수들의 치매노인에 대한 사회적 거리감에 대한 설명력은 41.0% 이었다.

• Nutrition Research and Practice
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• 제13권1호
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• pp.32-40
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• 2019

BACKGOUND/OBJECTIVES: This study investigated nutritional status of the elderly with dementia in a care facility with the aim of improving the meal quality of the facility. SUBJECTS/METHODS: Data were collected from 30 dementia patients aged more than 65 years in a long-term care facility in Hongseong. The data were obtained from questionnaires and medical records. The food intake data was obtained using food photographs and the nutrient intakes were calculated using the CAN-Pro 5.0. The data were compared with the dietary reference intakes for Koreans (KDRIs). The nutrient density, diet quality such as nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ), as well as dietary diversity score (DDS) were evaluated. The data were analyzed using SPSS statistical programs. RESULTS: The average daily energy intakes for men and women were much lower than the estimated energy requirements of the KDRIs. The average intakes of energy and most nutrients in the general diet group were significantly higher than those of the other two groups. Significant differences in diet quality and diet diversity were observed according to the meal type groups. The NARs of some minerals (calcium, iron, and zinc) and vitamins (vitamin $B_6$ and folic acid) were less than 0.5 in all study groups. The NARs of protein, iron and MAR of the general diet group were significantly higher than those of the liquid diet group. The DDS scores of meats, fruits and diary food group were very low in all meal type groups, meaning that the diet qualities of the study subjects were not appropriate in all meal type groups. CONCLUSIONS: The food intakes of the study groups showed some limitations by a direct comparison with KDRIs because of the very low physical activities of the study subjects. The diet quality and diet diversity indices suggest the need for improvements in the nutritional quality in all types of diet. Overall, new intervention strategies targeting facility residents with dementia in Korea are needed as soon as possible.

• 여성건강간호학회지
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• 제15권3호
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• pp.196-204
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• 2009

Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.