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훈련 받은 치매파트너가 지역사회 거주 경도인지장애 및 치매환자에게 수행한 인지건강워크북의 유효성

Efficacy of Cognitive Health Promotion Workbook for Community-Dwelling Elderlies with Mild Cognitive Impairment or Dementia Performed by Trained Dementia Partners

윤선경|연병길|강재명|유현주
대한노인정신의학회 (Korean Association For Geriatric Psychiatry)|2019.04|노인정신의학 (Journal of Korean Geriatric Psychiatry)|제23권 제1호|pp. 6-13|DOI 10.47825/jkgp.2019.23.1.6

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초록

Objective：The aim of this study is to assess the efficacy of cognitive health promotion workbook for community-dwelling elderlies with mild cognitive impairment and dementia performed by trained dementia partners. Methods：The trained dementia partners performed cognitive training program with the workbook developed by Incheon Metropolitan Dementia Center to 36 participants with mild cognitive impairment or dementia at their home. The cognitive training program consisted of 60-minute sessions held twice weekly for 10 weeks. We evaluated their cognitive performances at baseline and after intervention. Pre- and post-intervention measures included Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS), Global Deterioration Scale, Korea Activities of Daily Living Scale, Korea Instrumental Activities of Daily Living Scale, Korean Version of Short Form Geriatric Depression Scale (SGDS-K) and Korean Quality of Life-Alzheimer’s Disease (KQoL-AD). Results：Participants showed significant improvements compared with their baseline in MMSE-DS (p=0.002), SGDS-K (p=0.001) and KQoL-AD (p＜0.001). There were no significant differences of improvement between high cognitive function group (MMSE ≤20, n=16) and low cognitive function group (MMSE ≤20, n=20). Conclusion：These findings suggest that the cognitive training program with cognitive health promotion workbook can improve cognitive function, quality of life and depression for community-dwelling elderlies with mild cognitive impairment and dementia and it would be efficient that trained dementia partners perform the cognitive training program regularly at their home.

Abstract

Objective：The aim of this study is to assess the efficacy of cognitive health promotion workbook for community-dwelling elderlies with mild cognitive impairment and dementia performed by trained dementia partners. Methods：The trained dementia partners performed cognitive training program with the workbook developed by Incheon Metropolitan Dementia Center to 36 participants with mild cognitive impairment or dementia at their home. The cognitive training program consisted of 60-minute sessions held twice weekly for 10 weeks. We evaluated their cognitive performances at baseline and after intervention. Pre- and post-intervention measures included Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS), Global Deterioration Scale, Korea Activities of Daily Living Scale, Korea Instrumental Activities of Daily Living Scale, Korean Version of Short Form Geriatric Depression Scale (SGDS-K) and Korean Quality of Life-Alzheimer’s Disease (KQoL-AD). Results：Participants showed significant improvements compared with their baseline in MMSE-DS (p=0.002), SGDS-K (p=0.001) and KQoL-AD (p＜0.001). There were no significant differences of improvement between high cognitive function group (MMSE ≤20, n=16) and low cognitive function group (MMSE ≤20, n=20). Conclusion：These findings suggest that the cognitive training program with cognitive health promotion workbook can improve cognitive function, quality of life and depression for community-dwelling elderlies with mild cognitive impairment and dementia and it would be efficient that trained dementia partners perform the cognitive training program regularly at their home.

참고문헌 (48)

  1. Norton S, "Potential for primary prevention of Alzheimer’s disease: an analysis of population- based data", Lancet Neurol, 13, pp.788~794 (2014)
  2. Hebert LE, "Alzheimer disease in the United States (2010-2050) estimated using the 2010 census", Neurology, 80, pp.1778~1783 (2013)
  3. Alzheimer’s Association, "2017 Alzheimer’s disease facts and figures", Alzheimer’s & Dementia, 13, pp.325~373 (2017)
  4. You Joung Kim, "Prevalence and Trends of Dementia in Korea: A Systematic Review and Meta-Analysis", Journal of Korean Medical Science, 29(7), pp.903~912 (2014), 대한의학회
  5. Ministry of Health and Welfare, "Nationwide survey on the epidemiology of Korea 2017" (2017), Ministry of Health and Welfare
  6. Jeong MH, "Analysis of trends in medical treatment of dementia related disorders", Health Insurance Review & Assessment Service, 12, pp.78~85 (2018)
  7. Gauthier S, "Why has therapy development for dementia failed in the last two decades", Alzheimer’s & Dementia, 12, pp.60~64 (2016)
  8. Barnes DE, "The projected effect of risk factor reduction on Alzheimer’s disease prevalence", Lancet Neurol, 10, pp.819~828 (2011)
  9. Fratiglioni L, "An active and socially integrated lifestyle in late life might protect against dementia", Lancet Neurol, 3, pp.343~353 (2004)
  10. Larson EB, "Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older", Ann Intern Med, 144, pp.73~81 (2006)
  11. Miller KJ, "The memory fitness program: cognitive effects of a healthy aging intervention", Am J Geriatr Psychiatry, 20, pp.514~523 (2012)
  12. Hopper T, "An evidence-based systematic review on cognitive interventions for individuals with dementia", Am J Speech Lang Pathol, 22, pp.126~145 (2013)
  13. Alves J, "Non-pharmacological cognitive intervention for aging and dementia: current perspectives", World J Clin Cases, 1, pp.233~241 (2013)
  14. 황혜란, "The Effect of Cognitive Training in Patients with Mild Cognitive Impairment and Early Alzheimer’s Disease: A Preliminary Study", Journal of Clinical Neurology, 8(3), pp.190~197 (2012), 대한신경과학회[DOI]
  15. Olazarán J, "Benefits of cognitive-motor intervention in MCI and mild to moderate Alzheimer disease", Neurology, 63, pp.2348~2353 (2004)
  16. 배나리, "지역사회 거주 노인을 위한 인지훈련의 효과", 노인정신의학, 19(2), pp.91~96 (2015), 대한노인정신의학회
  17. Ministry of Health and Welfare, "The 3rd national comprehensive plan for dementia management (2016-2020)" (2015), Ministry of Health and Welfare
  18. Ministry of Health and Welfare, "National responsibility policy for dementia care" (2017), Ministry of Health and Welfare
  19. National Law Information Center, "Act on long-term care insurance for older persons" (2018), National Law Information Center
  20. Ministry of Health and Welfare, "The Notification No. 2017-130: the notification of assessment results about safety and efficacy of new medical techniques", Ministry of Health and Welfare, ~ (2017)
  21. 이현진, "국내 치매 환자를 대상으로 한 전산화 인지 재활 적용 연구에 대한 체계적 고찰", 대한통합의학회지, 5(4), pp.83~89 (2017), 대한통합의학회
  22. "iTunes"[URL]
  23. 박수향, "가상현실을 이용한 치료 프로그램이 치매노인의 우울과 삶의 질에 미치는 영향", 코칭능력개발지, 18(1), pp.13~19 (2016), 한국코칭능력개발원
  24. 곽호성, "치매 환자에게 적용된 비약물적 인지중재방법에 대한 체계적 고찰", 대한작업치료학회지, 26(4), pp.13~26 (2018), 대한작업치료학회[DOI]
  25. Incheon Metroplitan Dementia Center, "Cognitive health promotion workbook" (2016), Incheon Metroplitan Dementia Center
  26. 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
  27. 최성혜, "한국판 Global Deterioration Scale의 타당도", 대한신경과학회지, 20(6), pp.612~617 (2002), 대한신경과학회
  28. Won CW, "The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale", J Korean Geriatr Soc, 6, pp.107~120 (2002)
  29. 신희영, "지역사회 거주 치매환자에서 한국판 삶의 질-알쯔하이머병 척도 개발을 위한 예비연구", 예방의학회지, 39(3), pp.243~248 (2006), 대한예방의학회
  30. Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
  31. "Department of Health & Social Care, Gov. UK"[URL]
  32. Jack CR Jr, "An operational approach to National Institute on AgingAlzheimer’s Association criteria for preclinical Alzheimer disease", Ann Neurol, 71, pp.765~775 (2012)
  33. Dubois B, "Preclinical Alzheimer’s disease: definition, natural history, and diagnostic criteria", Alzheimer’s & Dementia, 12, pp.292~323 (2016)
  34. Livingston G, "Dementia prevention, intervention, and care", Lancet, 39, pp.2673~2734 (2017)
  35. Valenzuela MJ, "Brain reserve and dementia: a systematic review", Psychol Med, 36, pp.441~454 (2006)
  36. 박수희, "경도인지장애의 치매 진행을 예방하기 위한 중재 효과에 관한 체계적 고찰", 고령자･치매작업치료학회지, 11(1), pp.51~56 (2017), 고령자･치매작업치료학회
  37. 신기석, "경증치매 환자에게 적용한 작업치료 중심의 인지재활이 미치는 효과", 고령자･치매작업치료학회지, 9(2), pp.11~16 (2015), 고령자･치매작업치료학회
  38. 함민주, "복합중재 프로그램이 경도 알츠하이머병 치매환자의 인지기능 및 도구적 일상생활수행능력에 미치는 영향", 대한작업치료학회지, 26(1), pp.91~102 (2018), 대한작업치료학회[DOI]
  39. 전미숙, "인지기능 통합프로그램이 경증치매노인의 인지기능에 미치는 효과성 연구", 노인복지연구, 72(1), pp.209~232 (2017), 한국노인복지학회[DOI]
  40. 조승현, "작업치료 중심의 복합 인지재활이 경도 치매 환자의 인지기능에 미치는 영향: 무작위 배정 대조군 연구", 대한작업치료학회지, 25(3), pp.71~86 (2017), 대한작업치료학회
  41. 모진아, "지역사회 거주 치매 노인의 인지재활프로그램 효과 : 체계적 문헌고찰 및 메타분석을 통한 접근", 가정간호학회지, 22(2), pp.196~205 (2015), 한국가정간호학회
  42. Park SM, "A systematic review of effects of cognitive rehabilitation therapy for community dwelling adults with early dementia or mild cognitive impairment", Journal of Cognitive Rehabilitation, 6, pp.39~63 (2017)
  43. 김태우, "지역사회의 치매 및 경도인지장애 독거노인에 대한 인지강화프로그램의 효과", 노인정신의학, 21(2), pp.99~105 (2017), 대한노인정신의학회
  44. Kim JK, "The effects of home-based rehabilitation services on activities of daily living and quality of life of the elderly according to dementia", Journal of Occupational Therapy for the Aged and Dementia, 6, pp.1~10 (2012)
  45. 조승현, "지역사회 중심재활이 경도인지장애 노인의 인지기능에 미치는 영향: 작업치료를 기반으로", 고령자･치매작업치료학회지, 9(2), pp.17~21 (2015), 고령자･치매작업치료학회
  46. 고선규, "지역 사회 노인을 위한 다요인 기억 향상 프로그램의 효과", Korean Journal of Clinical Psychology, 26(3), pp.545~572 (2007), 한국임상심리학회[DOI]
  47. Richard E, "Prevention of dementia by intensive vascular care (PreDIVA): a cluster-randomized trial in progress", Alzheimer Dis Assoc Disord, 23, pp.198~204 (2009)
  48. Andrieu S, "Effect of long-term omega 3 polyunsaturated fatty acid supplementation with or without multidomain intervention on cognitive function in elderly adults with memory complaints (MAPT): a randomised, placebo-controlled trial", Lancet Neurol, 16, pp.377~389 (2017)

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