한국 민속놀이를 활용한 그룹 회상치료의 개발 및 효과 검증 연구 - 지역사회 경도인지장애 및 치매 환자 대상 그룹 인지중재치료
Effects of Group Reminiscence Therapy Based on Korean Traditional Play for Mild Cognitive Impairment and Dementia Patients
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: This study explored the efficacy of group reminiscence therapy, incorporating traditional plays, for individuals with mild cognitive impairment (MCI) and dementia patients. Methods: We provided 10 sessions of group reminiscence therapy to 25 MCI and dementia patients. We conducted assessments, both before and after the program, encompassing a range of tests, namely the Mini-Mental Status Examination (MMSE), Dysexecutive Questionnaire, Zarit Burden Interview (ZBI-K), Dementia Care Assessment Packet-Instrumental Activities of Daily Living, Geriatric Depression Scale (GDS-K), and Neuropsychiatric Inventory (NPI-K). Results: Following the program, there was a significant improvement in MMSE scores for MCI patients (19.17 to 22.33, p=0.027). There was a significant improvement in NPI-K scores for dementia patients (8.05 to 3.74, p=0.006). There was a significant improvement in GDS-K scores for MCI patients (17.00 to 14.00, p=0.043). There was a significant improvement in ZBIK scores for dementia (28.53 to 17.68, p=0.001) and MCI patients (29.17 to 16.33, p=0.046). Conclusion: Our study suggested that group reminiscence therapy based on traditional play might be effective in global cognition of MCI patients, neuropsychological symptoms of dementia patients, depression of MCI patients, and caregiver burden of all subjects.
Abstract
Objective: This study explored the efficacy of group reminiscence therapy, incorporating traditional plays, for individuals with mild cognitive impairment (MCI) and dementia patients. Methods: We provided 10 sessions of group reminiscence therapy to 25 MCI and dementia patients. We conducted assessments, both before and after the program, encompassing a range of tests, namely the Mini-Mental Status Examination (MMSE), Dysexecutive Questionnaire, Zarit Burden Interview (ZBI-K), Dementia Care Assessment Packet-Instrumental Activities of Daily Living, Geriatric Depression Scale (GDS-K), and Neuropsychiatric Inventory (NPI-K). Results: Following the program, there was a significant improvement in MMSE scores for MCI patients (19.17 to 22.33, p=0.027). There was a significant improvement in NPI-K scores for dementia patients (8.05 to 3.74, p=0.006). There was a significant improvement in GDS-K scores for MCI patients (17.00 to 14.00, p=0.043). There was a significant improvement in ZBIK scores for dementia (28.53 to 17.68, p=0.001) and MCI patients (29.17 to 16.33, p=0.046). Conclusion: Our study suggested that group reminiscence therapy based on traditional play might be effective in global cognition of MCI patients, neuropsychological symptoms of dementia patients, depression of MCI patients, and caregiver burden of all subjects.
참고문헌 (27)
- Ji Won Han, "Overview of the Korean Longitudinal Study on Cognitive Aging and Dementia", PSYCHIATRY INVESTIGATION, 15(8), pp.767~774 (2018), 대한신경정신의학회[DOI]
- "Ministry of Health and Welfare"[URL]
- 이석범, "알츠하이머병에 대한 비약물적 개입", 대한의사협회지, 52(11), pp.1069~1076 (2009), 대한의사협회
- Bautrant T, "A pragmatic trial testing a tailored non pharmacologic therapies on nocturnal behavioral and psychological symptoms associated with dementia", Geriatr Nurs, 43, pp.85~90 (2022)
- Cho E, "The effectiveness of non-pharmacological interventions using information and communication technologies for behavioral and psychological symptoms of dementia : a systematic review and meta-analysis", Int J Nurs Stud, 138, pp.104392~ (2023)
- Honda M, "Non-pharmacological therapy for behavior and psychological symptoms of dementia(BPSD)utilizing the hypersonic effect : a pilot study", J Neurol Sci, 381, pp.661~662 (2017)
- Wang YY, "A systematic review and network meta-analysis comparing various non-pharmacological treatments for older people with mild cognitive impairment", Asian J Psychiatr, 86, pp.103635~ (2023)
- 유승호, "경도인지장애 환자들을 대상으로 한인지중재치료의 임상 실제", 신경정신의학, 57(1), pp.23~29 (2018), 대한신경정신의학회[DOI]
- Lee SB, "Effects of spaced retrieval training(SRT)on cognitive function in Alzheimer’s disease(AD)patients", Arch Gerontol Geriatr, 49, pp.289~293 (2009)
- Seok Bum Lee, "The Community Dementia Reassurance Center (Chime Ansim Center) in South Korea", Annals of geriatric medicine and research, 23(2), pp.43~44 (2019), 대한노인병학회[DOI]
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- Wilson BA, "BADS : behavioural assessment of the dysexecutive syndrome" (1996), Pearson
- Kim HK, "Kims frontal-executive neuropsychological test" (2001), Publishing Neuropsychology
- 이석범, "Validation of the Dementia Care Assessment Packet-Instrumental Activities of Daily Living", PSYCHIATRY INVESTIGATION, 10(3), pp.238~245 (2013), 대한신경정신의학회[DOI]
- Ji Yang Kim, "Standardization of the Korean Version of the Geriatric Depression Scale: Reliability, Validity, and Factor Structure", PSYCHIATRY INVESTIGATION, 5(4), pp.232~238 (2008), 대한신경정신의학회
- Cummings JL, "The neuropsychiatric inventory : comprehensive assessment of psychopathology in dementia", Neurology, 44, pp.2308~2314 (1994)
- Bédard M, "The Zarit burden interview : a new short version and screening version", Gerontologist, 41, pp.652~657 (2001)
- Lök N, "The effect of reminiscence therapy on cognitive functions, depression, and quality of life in Alzheimer patients: randomized controlled trial", Int J Geriatr Psychiatry, 34, pp.47~53 (2019)
- Nakamura K, "The group reminiscence approach can increase self-awareness of memory deficits and evoke a life review in people with mild cognitive impairment : the Kurihara project data", J Am Med Dir Assoc, 17, pp.501~507 (2016)
- Goldwasser AN, "Cognitive, affective, and behavioral effects of reminiscence group therapy on demented elderly", Int J Aging Hum Dev, 25, pp.209~222 (1987)
- Thorgrimsen L, "Evaluating reminiscence for people with dementia : a pilot study", Arts Psychother, 29, pp.93~97 (2002)
- Thomas JM, "Effectiveness of reminiscence therapy in reducing agitation and depression and improving quality of life and cognition in long-term care residents with dementia : a systematic review and meta-analysis", Geriatr Nurs, 42, pp.1497~1506 (2021)
- Melunsky N, "T he experience of family carers attending a joint reminiscence group with people with dementia : a thematic analysis", Dementia(London), 14, pp.842~859 (2015)
- Wu Y, "Effects of group reminiscence interventions on depressive symptoms and life satisfaction in older adults with intact cognition and mild cognitive impairment : a systematic review", Arch Gerontol Geriatr, 114, pp.105103~ (2023)
- Jo H, "The effect of reminiscence therapy on depression, quality of life, ego-integrity, social behavior function, and activies of daily living in elderly patients with mild dementia", Educ Gerontol, 41, pp.1~13 (2015)
- Moon S, "The effect of digital reminiscence therapy on people with dementia: a pilot randomized controlled trial", BMC Geriatr, 20, pp.166~ (2020)
- Su TW, "The prevalence of dementia and depression in Taiwanese institutionalized leprosy patients, and the effectiveness evaluation of reminiscence therapy--a longitudinal, single-blind, randomized control study", Int J Geriatr Psychiatry, 27, pp.187~196 (2012)
