• 융합정보논문지
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• 제8권6호
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• pp.123-128
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• 2018

최근 고령인구 증가와 장기요양 보험의 도입으로 요양기관에 입주하는 고령 환자의 수가 빠른 속도로 증가하고 있다. 이러한 장기요양 환자들은 만성질환과 치매 등의 질환을 앓고 있어 거동이 불편하거나 인지력이 떨어지는 어려움을 겪을 뿐 아니라, 가족과 떨어져서 우울증에 시달리므로 심리 및 정서적인 지원이 절실하다. 그리하여, 본 논문에서는 거동이 불편한 고령 환자를 위하여 VR과 포톤네트워크를 이용하여 물리적으로 떨어져 있는 가족들과 함께 평소에 가보지 못했던 해외여행 체험을 가상으로 제공하고자 한다. 기존 VR을 이용한 여행체험 서비스는 혼자 체험하는 반면, 제안하는 콘텐츠는 포톤 네트워크를 통해 가족 및 친구들이 네트워크로 참여함으로써 여행 체험 시 대화는 물론 지인들의 옆모습을 보며 함께 경치를 즐길 수 있다. 이를 통하여 고령의 장기 요양환자로 하여금 심리적 안정감을 회복하고 치유의 의지를 높여서 투병생활에서 삶의 질을 높이는데 도움을 줄 것이라 기대한다.

• 재활치료과학
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• 제7권1호
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• pp.51-62
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• 2018

목적 : 본 연구의 목적은 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 경도 혈관성 치매환자의 과제학습과 만족도에 미치는 영향을 알아보기 위함이다. 연구방법 : 치매 진단을 받은 경도 인지 수준의 환자 3명을 대상으로 ABA' + follow-up 설계를 사용하였다. 중재기간동안 오차배제학습과 시간차회상을 이용한 작업기반훈련을 적용하였으며, 매회기마다 과제학습 정도를 측정하였고, 중재 전과 후에 만족도의 변화를 알아보았다. 결과분석은 그래프를 통한 시각적 분석과 막대그래프를 통해 제시하였다. 결과 : 오차배제학습과 시간차회상을 이용한 작업기반 훈련 후 모든 대상자의 과제수행 능력이 향상되었으며, 중재 후 만족도 또한 향상되었다. 결론 : 본 연구는 초기 혈관성 치매환자에게 오차배제학습과 시간차회상을 이용한 작업기반 훈련이 과제학습과 만족도를 향상시키는데 효과가 있다는 것을 확인하였고, 임상적 적용을 위한 근거를 제공했다는 것에 의의가 있다.

• 한국노년학
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• 제37권2호
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• pp.461-474
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• 2017

본 연구는 치매를 조기에 관리하기 위한 중재 방법의 일환으로, 초기 치매 노인을 위해 보호자가 일상생활에서 쉽게 적용할 수 있는 전문적 중재 내용을 포함한 초기 치매 노인의 일상생활 참여를 촉진할 수 있는 보호자 지침을 개발하는데 목적이 있다. 델파이 기법을 활용한 연구의 절차는 총 3단계로 진행하였다. 첫 단계는 1차 조사로, 외국의 치매 관련 협회나 정부부처에서 발행한 초기 치매노인의 일상생활 참여 촉진 가이드 전략과 관련된 보고서 자료를 수집하여 지침 항목을 추출하여 번안 및 재구조화 한 후 3개 영역, 128개 항목의 초안을 마련하였다. 두 번째 단계는 2차 조사로, 전문가 16인의 내용타당도 검증 및 항목 삭제, 영역 재분류, 내용 통합, 번역체 수정 등의 작업을 거쳤다. 세 번째 단계는 지침의 완성 단계로, 완성된 지침은 8개 영역, 68개 항목으로 구성되었다: 환경수정 및 보조도구, 일상생활, 건강관리, 의사소통, 심리 정서적지지, 여가활동, 사회참여, 일반적 지침. 또한, 모든 항목은 각 영역 내에서 중요도 값이 높은 순서로 항목을 배치하였다. CVR 평균값은 0.81, 안정도 평균값은 0.15, 합의도 평균값은 0.79이다. 즉, 최종 지침 항목에 대한 델파이 의견이 안정되고, 합의되는 경향의 값을 보였다. 그리고 15명의 델파이 조사에서 CVR은 0.49이상, 안정도는 0.5미만인 경우 더 이상의 델파이 조사를 하지 않아도 되기 때문에 추가적인 조사를 실시하지 않았다. 본 연구에서 개발된 초기 치매 노인의 일상생활 참여 촉진을 위한 보호자 지침은 지역사회에서 거주하는 초기 치매 노인의 독립성을 돕기 위해 보호자 교육용으로 안내하기에 실제적이고, 구체적인 내용을 담은 기초자료로 활용될 것이고, 보호자의 부담을 줄일 것으로 기대한다. 마지막으로, 제한점과 후속연구를 위한 제안점을 논의하였다.

• 기본간호학회지
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• 제21권1호
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• pp.57-68
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• 2014

Purpose: Nurses' management of Nursing Home residents' remaining functional ability is phenomena emphasizing as the main practice focus in long term care and has specific meanings within the context of quality of life for fragile and disabled elderly people in nursing homes. This study was conducted to clarify and to conceptualize the phenomena of nurses' management of nursing home residents' remaining functional ability. Method: The Hybrid Model of concept development was applied to develop a concept of nurses' management of residents' remaining functional ability. Results: This concept of nurse' management emerged as a phenomenon having meanings in two different dimensions, deliberation and enactment for five types of residents: residents with declining function and dementia requiring nursing assistance, bed-ridden residents with moderate dementia, residents with advanced dementia and behavior problems, but good physical health, residents at the end of life stage, and bed-ridden residents with intact mental health. Conclusions: Results indicate that nurses' management of remaining functional ability of residents in nursing homes is a concept having types of needs that should be treated in specified ways. Interventions should have a positive impacts on practical applications in nursing homes and on enhancing residents' remaining function.

• 정신신체의학
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• 제27권2호
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• pp.155-163
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• 2019

연구목적 본 연구의 목적은 알츠하이머형 치매 및 경도인지장애 환자에서 내측두엽 위축 정도의 차이에 따른 중증도, 신경인지기능 및 행동심리증상을 비교하는 것이다. 방 법 본 연구는 단면 연구로서, 알츠하이머형 치매 및 경도인지장애로 진단받은 114명을 대상으로 하였다. 내측두엽 위축은 표준화된 시각 기반 척도(Scheltens scales)에 의해 평가되었으며, 대상군은 두 그룹으로 분류되었다. 중증도는 임상치매평가척도(Clinical dementia rating, CDR)와 전반적 퇴화 척도(Global deterioration scale, GDS)로 평가되었으며 신경인지기능은 한국어판 간이 블레스드 검사(The Korean version of the short blessed test, SBT-K), 한국형 CERAD (The Korean version of the consortium to establish a registry for Alzheimer's disease, CERAD-K), 행동심리증상은 한국형 신경정신행동검사(The Korean version of the Neuropsychiatric Inventory, K-NPI)로 평가되었다. 내측두엽 위축의 정도에 따른 중증도와 신경인지기능 및 행동심리증상의 차이를 분석하기 위해 독립표본 t-test를 시행하였다. 결 과 내측두엽 위축의 중증도가 높은 군은 낮은 군에 비하여 CDR, SBT-K, 그리고 CERAD-K의 하부항목 중 네가지 항목에서 유의하게 낮은 점수를 보였다(p<0.05). 결 론 내측두엽 위축과 중증도 및 신경인지기능 사이에는 유의한 양의 상관관계가 나타났으나 행동심리증상과는 유의한 상관관계가 나타나지 않았다. 내측두엽 위축의 평가는 인지장애의 진단과 치료에 잠재적 이점을 제공할 것으로 생각된다. 행동심리증상과 뇌구조의 연관성에 대해서는 추가적인 연구가 필요할 것으로 보인다.

• Osong Public Health and Research Perspectives
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• 제8권5호
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• pp.308-317
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• 2017

Objectives: We aimed to examine the effects of various leisure activities on cognitive impairment in young-old (aged 65-74 years) and old-old (aged ${\geq}75$ years) adults. Methods: In total, 10,279 elderly Korean individuals from the 2014 Korean National Survey on Older Adults' cohort were enrolled in our study. Cognitive impairment was assessed using the standardized score of the Mini-Mental State Examination for Dementia Screening, whereas leisure activities were recorded via self-reporting of the extent and type of leisure activity the subjects involved in over the past year. Multivariate logistic regression was used to assess the effect of leisure activities on cognitive impairment, while controlling for potential covariates. Results: The subjects were more likely to participate in cognitive activities than in non-exercise physical activities. After controlling for selected covariates, involvement in cognitive activities was found to be a significant predictor of cognitive impairment in both the groups, whereas involvement in non-exercise physical activities was not a predictor of cognitive impairment in individuals aged ${\geq}75$ years. Moreover, depressive symptoms, rural residence, and hearing difficulties were common predictors of cognitive impairment among elderly-Korean-individuals. Conclusion: Leisure activity involvement may help delay cognitive impairment, which is often concomitant with aging. Hence, an early intervention service may significantly benefit both young-old and old-old individuals.

• 한국식품영양학회지
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• 제21권4호
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• pp.583-591
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• 2008

The principal objective of this study was to assess the demands of the development program of silver health care professionals for elderly individuals residing in the Northern Gyeonggi-do area. To this end, a survey was conducted to investigate college students and employees related with elderly individuals in the area regarding their recognition, interest, and involvement in the labor training program. In the case of college students, the health education they had received was only 1 to 2 hours, from a school lecture(35%). The content of health education they desired was exercise(34%) and stress management skills(28%). The sources of health information they received included mass media(77%) and the internet(12%), and they trusted the information they received from health professionals(45%), and the mass media(34%). In the case of health professionals who were working at silver care facilities, the sources of health information to which they had access were mass media(51%), internet(14%), reliable health professionals(56%), mass media(22%), and books related to health (18%). The principal issues they reported as being relevant to the elderly were dementia(39%), hypertension(14%), arthritis (11%), and they reported that the most important personnel for elderly in the future would be care managers(44%), and care helpers(21%). 88% of subjects believed that there was a need for a silver welfare integrated information system. 43% of subjects used the internet, 77% of them required in-service training programs for the welfare of the elderly. Via this developmental program of silver health care professionals, a variety of new job opportunities can be provided in the future, and a program related to the silver service industry must be established as soon as possible.

• 대한통합의학회지
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• 제12권2호
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• pp.111-119
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• 2024

Purpose : This study aimed to demonstrate the effects of visiting cognitive activities using brain training on cognition, subjective memory complaints and depression among elderly participants residing in community living in Gwangmyeong city. Methods : Over a 14-month period (October 2022 to December 2023), four brain training instructors visited the homes of older adults and conducted the intervention using a brain training kit. The participants included 32 elderly individuals aged 65 years and older, who were living in Gwangmyeong city. The assessments were conducted by an occupational therapist, a nurse and a social worker at the Gwangmyeong dementia relief center. These assessments included the following the subjective memory complaints questionnaire (SMCQ), short geriatric depression scale-Korean (SGDS-K), a cognitive impairment screening test (CIST), the consortium to establish a registry for Alzheimer's disease-Korean (CERAD-K). The participants were divided into three groups (A: 20-30 points, B: 10-19 points, C: 1-9 points) based on the CIST score. For data analysis, descriptive statistics and wilcoxon signed-rank test were performed using SPSS 24.0, and the statistical level was at a=.05. Results : The results of the intervention showed that the SMCQ score of group A improved significantly (p<.05), the CIST score of group B also improved significantly (p<.05). However, the SGDS-K score of group C improved, but did not demonstrate statistical significance (p=.080). Conclusion : The visiting cognitive activities using brain training produced significant effects on cognition, depression, and subjective memory disorders, depending on the cognitive level of the elderly participants. In the future, it will be necessary to demonstrate the effects according to cognitive level in various aspects with more elderly people.

• The Journal of Korean Physical Therapy
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• 제12권2호
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• pp.83-93
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• 2000

29 dementia patients over 60 years of no in the nursing home were assigned to execute rehabilitation program a month for 3 months. 1 evaluated MBI scores and MMSE scores and analyzed correlation between both scores. Analyses of results were as follows : 1. In the experimental group with rehabilitation program. ADL and cognitive function were improved significantly(p<0.05). 2. In the control group with no rehabilitation program. ADL was decreased significantly(p<0.05), cognition was not changed (pgt;0.05). 3. There were significant rises in MBI scores and MMSE scores in the experimental group(p<0.05). 4. There was a significant fall in MBI scores in the control group(p<0.05). a no change in MMSE scores in the control group(p>0.05). 5. There was strong correlation between ADL and cognition in the experimental group and the control group. 6. Inverse correlation revealed between the experimental group and the control group in ADL. 7. Inverse correlation revealed between the experimental group and the control group in cognition.

• Advances in Traditional Medicine
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• 제7권2호
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• pp.182-190
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• 2007

Alzheimer's disease is a neurodegenerative disorder associated with a decline in cognitive abilities. Dementia is one of the aged related mental problems and a characteristic symptom of Alzheimer's disease. Nootropic agents like piracetam and cholinesterase inhibitors like $Donepezil^{\circledR}$ are used in situations where there is organic disorder in learning abilities, but the resulting side-effects associated with these agents have limited their utility. Foeniculum (F.) vulgare Linn. is widely used in Indian traditional systems of medicines and also as a house remedy for nervous debility. The present work was undertaken to assess the potential of F. vulgare as a nootropic and anti-cholinesterase agent in mice. Exteroceptive behavioral models such as Elevated plus maze and Passive avoidance paradigm were employed to assess short term and long term memory in mice. To delineate the possible mechanism through which F. vulgare elicits the anti-amnesic effects, its influence on central cholinergic activity was studied by estimating the whole brain acetylcholinesterase activity. Pretreatment of methanolic extract of fruits of F. vulgare Linn. for 8 successive days, ameliorated the amnesic effect of scopolamine (0.4 mg/kg) and aging induced memory deficits in mice. F. vulgare extract significantly decreased transfer latencies of young mice and aged mice, increased step down latency and exhibited significant anti-acetyl cholinesterase effects, when compared to piracetam, scopolamine and control groups of mice. F. vulgare might prove to be a useful memory restorative agent in the treatment of dementia seen in the elderly.