Application of Community Based Group Validation Therapy for DEMENTIA PATIENTS in Korea: A Pilot Study
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study is to assess the feasibility and effectiveness of a Community Based Group Validation Therapy developed to promote behavioral and emotional outcomes in community-dwelling dementia patients in Korea. Method: A multi-center nonequivalent control group pretest-post test design was used to measure the effect of the program on the mental and behavioral symptoms of dementia patients. Twenty-four individuals participated in a Validation Therapy program for 10 weeks, attending 10 sessions of approximately 50 minutes each. The effects were evaluated through pre-and posttest tests that examined the level of depression, emotional status, behavioral problems, and cognitive function. Independent t tests and repeated measures analysis of variance were used to examine the effectiveness of the program. Results: A statistically significant reduction in depression was found among participants. However, no signif-icant changes in emotional state, behavioral problems, and cognitive function were revealed. Conclusion: The validation therapy was found to reduce symptoms of depression in older adults with dementia. It can therefore be considered as a program that could improve quality of life in this population.
Abstract
Purpose: The purpose of this study is to assess the feasibility and effectiveness of a Community Based Group Validation Therapy developed to promote behavioral and emotional outcomes in community-dwelling dementia patients in Korea. Method: A multi-center nonequivalent control group pretest-post test design was used to measure the effect of the program on the mental and behavioral symptoms of dementia patients. Twenty-four individuals participated in a Validation Therapy program for 10 weeks, attending 10 sessions of approximately 50 minutes each. The effects were evaluated through pre-and posttest tests that examined the level of depression, emotional status, behavioral problems, and cognitive function. Independent t tests and repeated measures analysis of variance were used to examine the effectiveness of the program. Results: A statistically significant reduction in depression was found among participants. However, no signif-icant changes in emotional state, behavioral problems, and cognitive function were revealed. Conclusion: The validation therapy was found to reduce symptoms of depression in older adults with dementia. It can therefore be considered as a program that could improve quality of life in this population.
참고문헌 (31)
- 이석범, "알츠하이머병에 대한 비약물적 개입", 대한의사협회지, 52(11), pp.1069~1076 (2009), 대한의사협회
- Starkstein SE, "The Construct of Generalized Anxiety Disorder in Alzheimer Disease", The American Journal of Geriatric Psychiatry, 15(1), pp.42~49 (2007)
- Starkstein SE, "The Construct of Minor and Major Depression in Alzheimer's Disease", The American Journal of Geriatric Psychiatry, 162(11), pp.2086~2209 (2005)
- 송준아, "요양시설 치매노인의 배회 관리를 위한 시설기반 그룹 걷기 프로그램의 효과: 예비연구", 노인간호학회지, 13(1), pp.37~47 (2011), 한국노인간호학회
- Kim SY, "Depression in Dementia", Journal of the Korean Dementia Association, 3(1), pp.18~23 (2004)
- Bleathman C, "Validation Therapy: A Review of Its Contribution to Dementia Care", British Journal of Nursing -London-, 5(14), pp.866~868 (1996)
- Kim KA, "The Effect of Validation Therapy on Behavior and Emotion of Elderly Demented People", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 7(2), pp.384~399 (1998)
- Toseland RW, "The Impact of Validation Group Therapy on Nursing Home Residents with Dementia", Journal of Applied Gerontology, 16(1), pp.31~50 (1997)
- Scanland SG, "Reality Orientation and Validation Therapy: Dementia, Depression and Functional Status", Journal of Gerontological Nursing,, 19(6), pp.7~7 (1993)
- Tondi L, "Validation Therapy(VT) in Nursing Home: A Casecontrol Study", Archives of Gerontology and Geriatrics, 44(12), pp.407~411 (2007)
- Seignourel PJ, "Anxiety in Dementia: A Critical Review", Clinical Psychology Review, 28(7), pp.1071~1082 (2008)
- Yesavage JA, "Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report", Journal of Psychiatric Research, 17(1), pp.37~49 (1982)
- Mariah Snyder, "The Apparent Emotion Rating Instrument: Assessing Affect in Cognitively Impaired Elders", Clinical Gerontologist, 18(4), pp.17~29 (1998)
- 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구", 신경정신의학, 41(3), pp.508~525 (2002), 대한신경정신의학회
- Schrijnemaekers V, "Effects of Emotion-oriented Care on Elderly People with Cognitive Impairment and Behavioral Problems", International Journal of Geriatric Psychiatry, 17, pp.926~937 (2002)
- Han Seok-young, "A Study on Nursing College Students’ Knowledge, Attitude, Confidence in Performance and Practice on Patient SAFETY Management in KOREA", International Journal of Crisis & Safety, 3(4), pp.18~26 (2018), J-INSTITUTE
- Kim Ja-eun, "A Study on People’s Recognition of the Effect of Community POLICING on Crime Prevention in KOREA: Focusing on Sociodemographic Characteristics", Regulations, 2(2), pp.18~25 (2017), J-INSTITUTE
- Chang Il-sik, "Security Policy of POLICE according to Increase of Elder Crimes", Regulations, 2(2), pp.1~6 (2017), J-INSTITUTE
- Byeon Mi-kyeong, "Effects of a Wonderful Life Program on the Wellbeing Behaviors, Life Satisfaction and Subjective Quality of Life of Community Elderly People in KOREA: Wonderful Life Program Includes SAFETY", International Journal of Crisis & Safety, 4(1), pp.1~7 (2019), J-INSTITUTE
- Choi Seong-kon, "Analysis and Suggestion for SAFETY When Using Physical Education Facilities in Rural Areas in Korea", International Journal of Crisis & Safety, 3(3), pp.6~9 (2018), J-INSTITUTE
- Hah J, "Disease Awareness Process in Elderly with Early Dementia", Doctor, pp.2007
- Miller MJ, "The Effects of Reality Orientation and Validation Therapy with Disoriented Nursing Home Residents", Doctor, pp.1987
- Doyle E, "Validation Therapy : A Description of the Process", Doctor, pp.1992
- Hosey JM, "Effectiveness of Validation Therapy : Perceptions and Opinions of Certified Validation Therapists", Master, pp.1999
- Harris R, "Group Validation Therapy with Elderly Demented People", Master, pp.1995
- Brack H, "Validation Therapy with Disoriented Very Old Persons : Impact of Group Interventions on Activities of Daily Living, on Aspects of Behaviour, Cognition and General Well-being", Doctor, pp.1997
- Yoon YO, "Effect of the Group Art Therapy on Behavior Problems of Old Man with Dementia. Department of Art Therapy Graduate School, of Rehabilitation Science", Master, pp.2001
- Chang WS, "The Effect of Group Validation Therapy(V", T)on Cognition, ADL(Activity of Daily Living), Depression, Problematic Behavior and Quality of Life in the Elderly with Dementia, Catholic University of Daegu, 2008
- Brack H, "Validation Therapy with Disoriented Very Old Persons : Impact of Group Interventions on Activities of Daily Living, on Aspects of Behavior, Cognition and General Well-being", Doctor, pp.1997
- F Validation the Feil Method, "V", pp.1992, Feil N
- Feil N, "Validation Breakthrough: Simple Techniques for Communicating with People: with Alzheimer`s-Type Dementia" (1993), Health Professions Pres