• Title/Summary/Keyword: The Elderly with Dementia

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The Effects of Motor-cognitive Dual Task on Cognitive Function of Elderly with Cognitive Disorders: Systematic Review of Randomized Controlled Trials (운동-인지 이중과제가 인지장애를 가진 노인의 인지기능에 미치는 영향: 무작위 실험연구에 대한 체계적 고찰)

  • Shin, Su-Jung;Park, Kyoung-Young
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.216-225
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    • 2020
  • This study was conducted to qualitatively analyze the selected research through a systematic review to find out application method, outcome measures, and intervention effects of dual task. We searched for published studies from January 2010 to December 2019. Electrical database were PubMed and ProQuest. Search terms were 'dual task' OR 'multi modal' AND 'mild cognitive impairment' OR 'dementia' OR 'Alzheimer's disease'AND 'intervention' OR 'rehabilitation. There were 8 studies selected finally. The dual task was applied not as a single intervention but as a combined intervention with other exercises. The contents of dual task were consisted of motor and cognitive tasks to be independent each other. The outcome measures included general cognitive function such as MMSE and CERAD, executive function, and memory. Additionally the dual task cost was also used to identify the direct improvement of the dual task. This study could provide informations of dual task application on elderly with cognitive impairment.

Sleep Physiology and Common Sleep Disorders in the Elderly (노인의 수면생리와 노인에서 흔한 수면장애)

  • Kim, Leen;Kang, Seung-Gul
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.5-12
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    • 2007
  • Sleep changes substantially with age. There is a phase advance in the circadian sleep cycle and increased waking after sleep onset. The elderly people wake more frequently during the night and experience fragmented sleep and excessive daytime sleepiness. The prevalence of sleep disorders increases with age, and the composition of sleep disorders in the elderly differs from that in the young. The most frequently encountered sleep disorders are psychophysiologic insomnia, sleep disturbance due to dementia, sleeprelated respiratory disorder, restless legs syndrome and periodic limb movement disorder, and REM sleep behavior disorder. To treat the elderly sleep problem appropriately, it is important to know how sleep pattern changes as we age and to understand the cause of sleep-related symptoms. This article will review the sleep physiology and common sleep disorders in the elderly.

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The Effects of Group Occupational Therapy Program on Depression and Quality of Life in Patients with Mild Cognitive Impairment (집단작업치료 프로그램이 경도인지장애 환자의 우울과 삶의 질에 미치는 영향)

  • Park, Su-Jong;Kim, Jeong-Ki
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.107-115
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    • 2018
  • Objective : The purpose of this study is to investigate the effect of a group occupational therapy program on the depression and quality of life of the elderly with Mild Cognitive Impairment(MCI). Method : The elderly with Mild Cognitive Impairment were selected based on the Mini Mental State Examination-Dementia Screening(MMSE-DS). The group occupatinal therapy program consisted of various cognitive domains and was performed 12 times for 6 weeks. The Geriatric Depression Scale(SGDS-K) and Quality of Life(QOL) were used to assess depression and quality of life of the subjects before and after the intervention. Result : The elderly with MCI improved significantly on the SGDS-K and QOL after the intervention program(p<0.05). Particularly, in some items of the QOL, there was a statistically significant difference, but the results of the SGDS-K and QOL did not show any correlation(p>0.05). Conclusion : In the case of the elderly with MCI, the QOL scale and the depressive symptom test were statistically significant when the group occupational therapy program was applied for 6 weeks.

Sleep-Related Breathing Disorders in the Elderly (노인에서의 수면 호흡 장애)

  • Shin, Chol
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.11-17
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    • 2001
  • In 2000, the number of people aged 65 and over increased to 3.37 million, accounting for 7.1% of the total population of South Korea. The elderly population will increase up to 19.3% in 2030. Sleep disordered breathing (SDB) seems to increase with age. More than 50-60% of old people complain of SDB-related signs and symptoms including awakening headache, excessive daytime sleepiness, fatigue, cognitive dysfunction, memory loss, personality changes, and depression. The influence of a mild degree of SDB upon the elderly is unclear, but moderate to severe SDB is well known to be associated with many diseases including hypertension, arrhythmia, myocardial infarction, stroke, dementia, and sudden death. Therefore, physicians should pay attention to elderly patients who complain of SDB related symptoms and signs that may not be normal signs of aging. Physicians need to become more sensitive to treat SDB in the elderly.

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Central Auditory Processing Tests as Diagnostic Tools for the Early Identification of Elderly Individuals with Mild Cognitive Impairment

  • Jalaei, Bahram;Valadbeigi, Ayub;Panahi, Rasool;Nahrani, Morteza Hamidi;Arefi, Hossein Namvar;Zia, Maryam;Ranjbar, Nastaran
    • Journal of Audiology & Otology
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    • v.23 no.2
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    • pp.83-88
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    • 2019
  • Background and Objectives: Mild cognitive impairment (MCI) is a disorder that usually occurs in the elderly, leading to dementia in some progressive cases. The purpose of this study is to examine the utility of central auditory processing tests as early diagnostic tools for identifying the elderly with MCI. Subjects and Methods: This study was conducted on 20 elderly patients with MCI and 20 healthy matched peers. The speech perception ability in a quiet environment and in the presence of background noise and also temporal resolution were assessed by using Speech Perception in Noise (SPIN) and Gap in Noise (GIN) tests, respectively. Results: The results indicated that the ability to understand speech in a quiet environment did not differ significantly between the two groups. However, SPIN at the three signal-to-noise ratios and the temporal resolution scores were significantly different between the two groups (p<0.001). Conclusions: Individuals with MCI appear to have poorer speech comprehension in noise and a lower temporal resolution than those of the same age, but without cognitive defects. Considering the utility of these tests in identifying cognitive problems, we propose that since the GIN test seems to be less influenced by intervening factors, this test can therefore, be a useful tool for the early screening of elderly people with cognitive problems.

Central Auditory Processing Tests as Diagnostic Tools for the Early Identification of Elderly Individuals with Mild Cognitive Impairment

  • Jalaei, Bahram;Valadbeigi, Ayub;Panahi, Rasool;Nahrani, Morteza Hamidi;Arefi, Hossein Namvar;Zia, Maryam;Ranjbar, Nastaran
    • Korean Journal of Audiology
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    • v.23 no.2
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    • pp.83-88
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    • 2019
  • Background and Objectives: Mild cognitive impairment (MCI) is a disorder that usually occurs in the elderly, leading to dementia in some progressive cases. The purpose of this study is to examine the utility of central auditory processing tests as early diagnostic tools for identifying the elderly with MCI. Subjects and Methods: This study was conducted on 20 elderly patients with MCI and 20 healthy matched peers. The speech perception ability in a quiet environment and in the presence of background noise and also temporal resolution were assessed by using Speech Perception in Noise (SPIN) and Gap in Noise (GIN) tests, respectively. Results: The results indicated that the ability to understand speech in a quiet environment did not differ significantly between the two groups. However, SPIN at the three signal-to-noise ratios and the temporal resolution scores were significantly different between the two groups (p<0.001). Conclusions: Individuals with MCI appear to have poorer speech comprehension in noise and a lower temporal resolution than those of the same age, but without cognitive defects. Considering the utility of these tests in identifying cognitive problems, we propose that since the GIN test seems to be less influenced by intervening factors, this test can therefore, be a useful tool for the early screening of elderly people with cognitive problems.

The effect of the degree of need for around help on daily life of the elderly with dementia on life satisfaction : Verification of the mediating effect of depression using PLS-SEM (치매노인의 일상생활에 대한 주변도움 필요정도가 삶의 만족에 미치는 영향: PLS-SEM을 활용한 우울의 매개효과 검증)

  • Lee, Hyoung-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.169-172
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    • 2022
  • 본 연구에서는 고령화패널(KLoSA) 7차년도 데이터 중 60세이상 치매판정 노인(경도인지장애 포함)을 대상으로 치매노인의 삶의 만족에 영향을 미치는 일상생활 주변도움 필요정도와 우울의 영향력을 분석하고, 치매노인의 일상생활 주변도움 필요정도와 삶의 만족 사이에서 우울이 매개효과를 갖는지를 검증하고자 한다.

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A Study on the Correlativity of Gochi(叩齒) with Dementia (고치법(叩齒法)과 치매(痴呆)의 상관관계에 관한 문헌적(文獻的) 고찰(考察))

  • Hwang, Eunhee;Jeong, Soondeok;Lee, Jaeheung;An, Hunmo;Park, Jongung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.11 no.1
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    • pp.1-58
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    • 2009
  • 1. The rapid increasing elderly population represents a significant increase in the population with dementia. So, studies on the method for the prevention of dementia are necessary. 2. In oriental medicine, the causes of dementia are based on the deficiency of Jeong(精;essence of the body), the lack of bone marrow, and abnormal brain function. Emotional stress, bad habits of lifestyle including eating habits are also responsible for dementia. They causes dementia by blocking the circulation of Gi(氣) such as Suseunghwagang(水升火降;ascending kidney water and descending heart fire) and suppressing the function of Danjeon(丹田; the hypogastric center). 3. Gochi(叩齒) is a sort of mastication that facilitate salivation and secretion of parotin, next step is swallowing saliva. These supplement Jeong(精) of the five viscera and the six entrails(五臟六腑), promote Suseunghwagang(水升火降), and advance the function of the hypogastric center (丹田) and activate the brain. 4. So this paper draw a conclusion that Gochi(叩齒) is negatively related to the causes of dementia and it will be useful in preventing dementia.

Daylighting Design Factors for Korean Dementia Nursing Homes Based on the Therapeutic Effects of Light (빛에 의한 치료적 효과 기반의 한국형 치매요양시설의 자연채광 계획 요소에 관한 고찰)

  • Jee, Soo In
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.4
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    • pp.71-87
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    • 2022
  • Purpose: This study examines the daylighting design factors of Korean dementia nursing homes, in order to realize a therapeutic environment based on the therapeutic effect of light in the rapidly aging trend with an huge increase in the population of dementia in Korea. Methods: Through literature reviews, this study aims to theoretically examine the therapeutic light environment for the elderly with dementia, derive daylighting design factors of Korean dementia nursing homes, and analyze their detailed design factors. Results: The result of this study can be summarized into two points. The first one is that the daylighting design factors reflected in dementia nursing homes are derived into six factors: building layout, windows, glazing, shading devices, spaces, and interior finishings that determine the availability of daylight. The second one is that the detailed daylighting design factors are shown as primary and secondary detailed design factors, and the main values to be considered when applying these factors into dementia nursing homes are analyzed as maximizing daylight availability, optimization of the possibility of therapeutic view, and anti-glare. Implications: The daylighting design factors will contribute to maximizing the availability of daylight, optimizing the possibility of view, and minimizing the glare in the living spaces of dementia nursing homes in Korea.

Effect of problem behaviors in the elderly with dementia on burnout of workers (치매노인의 문제행동이 종사자 소진에 미치는 영향)

  • Son, Myoung-Dong
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.189-190
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    • 2022
  • 최근 노인관련 요양 문제는 이미 사회적 이슈로 떠오르면서 각 가정에서의 돌봄이 곤란한 어르신들이 요양원, 재가복지센터, 주간보호센터, 노인전문병원 등에서 요양보호사의 도움이 절대적으로 필요한 일상이 되었다. 무엇보다도 장기요양서비스를 이용하는 어르신 대부분은 노인성 질환 또는 치매를 앓고 있다. 이는 각 가정에서의 돌봄이 어려운 어르신들에게 직접서비스를 제공 하는 종사자인 요양보호사들은 다양한 치매어르신들의 문제행동을 안고 현장에서의 돌봄을 제공한다. 따라서, 요양보호사의 직무 관련 스트레스에 미치는 영향력 파악과 이와 더불어 직무스트레스가 치매어르신의 문제행동과 종사자의 소진 간의 매개 효과가 있는 지 규명하는 연구들이 활발하게 이루어 짐으로 이를 규명한 내용을 토대로 대안 마련을 위한 유익한 제언들이 필요하다.

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