The effectiveness of group combined intervention using animal-assisted therapy and integrated elderly play therapy
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The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.
Abstract
The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.
참고문헌 (37)
- Kang MS, "A psychological study on the adaptation process of inpatients in nursing homes", Korean Soc Gerontol Soc Welf, 2, pp.58~80 (2012)
- Blazer D., "Depression in the elderly", N Engl J Med, 320, pp.164~166 (1989)
- Lee JH, "The effect of group music program on depression in the institutionalized elderly", J Korean Gerontol Nurs, 3, pp.42~52 (2001)
- Choi YA, "A survey on the depression, self-esteem and health behavior of the aged", Korean J Gerontol Soc Welf, 21, pp.27~47 (2003)
- Park GJ, "Self-esteem and depression of elders in welfare facilities", J Korean Gerontol Nurs, 9, pp.51~59 (2007)
- 김윤경, "집단치료놀이가 주간보호시설 노인의 자아존중감과 우울에 미치는 효과", 상담학연구, 12(5), pp.1527~1544 (2011), 한국상담학회[DOI]
- Chung HJ, "Music therapy: understanding and application" (2005), Ehwa Womans University Press
- Burgener SC, "The effects of a multimodal intervention on outcomes of persons with early-stage dementia", Am J Alzheimers Dis Other Demen, 23, pp.382~394 (2008)
- Carrie I, "Recruitment strategies for preventive trials. The MAPT study (MultiDomain Alzheimer Preventive Trial)", J Nutr Health Aging, 16, pp.355~359 (2012)
- 신송재, "집단작업치료가 지역사회 거주 경증치매환자의 인지기능 및 우울에 미치는 영향", 대한작업치료학회지, 21(3), pp.45~60 (2013), 대한작업치료학회
- Ngandu T, "A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people(FINGER) : a randomised controlled trial", Lancet, 385, pp.2255~2263 (2015)
- 김서은, "집단 복합 중재가 초기치매 노인의 인지기능과 우울에 미치는 효과", 대한작업치료학회지, 25(1), pp.45~55 (2017), 대한작업치료학회
- 최외선, "집단미술치료가 치매노인의 인지기능과우울에 미치는 효과", 미술치료연구, 12(4), pp.951~985 (2005), 한국미술치료학회
- 이성희, "노인의 자살예방을 위한 집단미술치료 프로그램의 효과", 미술치료연구, 18(1), pp.153~171 (2011), 한국미술치료학회[DOI]
- 이예진, "복합 중재법이 치매노인의 인지기능, 우울, 삶의 질에 미치는 효과: 예비 연구", 대한작업치료학회지, 22(3), pp.85~98 (2014), 대한작업치료학회[DOI]
- 함민주, "복합중재 프로그램이 경도 알츠하이머병 치매환자의 인지기능 및 도구적 일상생활수행능력에 미치는 영향", 대한작업치료학회지, 26(1), pp.91~102 (2018), 대한작업치료학회[DOI]
- Santos GD, "Multidisciplinary rehabilitation program : effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia", Arch Clin Psychiatry, 42, pp.153~156 (2015)
- Olazaran J, "Nonpharmacological therapies in Alzheimer’s disease : a systematic review of efficacy", Dement Geriatr Cogn Disord, 30, pp.161~178 (2010)
- Duru AG, "The effect of reminiscence therapy on cognition, depression, and activities of daily living for patients with Alzheimer disease", J Geriatr Psychiatry Neuro, 29, pp.31~37 (2016)
- Kim OJ, "Literature review on the benefits of companion animals to elderly persons", J Anim Assist Psychother, 7, pp.17~31 (2018)
- Hajar R., "Animal-assisted therapy", Heart views, 16, pp.70~71 (2015)
- Schneider N, "A review of multidomain interventions to support healthy cognitive ageing", J Nutr Health Aging, 17, pp.252~257 (2013)
- 길태영, "도농복합지역 독거노인을 위한 통합적 노인놀이치료의 효과성 검증： 우울 및 대인관계를 중심으로", 노인복지연구, 72(4), pp.115~140 (2017), 한국노인복지학회[DOI]
- Rodakowski J, "Non-pharmacological interventions for adults with mild cognitive impairment and early stage dementia: an updated scoping review", Mol Aspects Med, 43-44, pp.38~53 (2015)
- Kim BS, "The Effects of animal-assisted therapy on the self-esteem and life satisfaction in the elderly living alone", M.S, pp.2019
- Sams MJ, "Occupational therapy incorporating animals for children with autism : a pilot investigation", Am J Occup Ther, 60, pp.268~274 (2016)
- Blender JA, "A multimodal investigation of the use of animal assisted therapy in a clinical interview", Ph.D, pp.2009
- Kim MI, "The effects of animal assisted activities program on the depression and self-expression in the elderly", J Anim Assist Psychother, 7, pp.33~42 (2018)
- Fabel K, "Additive effects of physical exercise and environmental enrichment on adult hippocampal neurogenesis in mice", Front Neurosci, 3, pp.50~ (2009)
- Kee BS, "A preliminary study for the standardization of geriatric depression scale short form-Korea version", J Korean Neuropsychiatr Assoc, 35, pp.298~307 (1996)
- Rosenberg M., "Society and adolescent self-image" (1965), Princeton University Press
- Jon BJ, "Self-esteem : a test of it’s measurability", Yonsei Nonchong, 11, pp.107~130 (1974)
- Ahn SH, "Activation dimension : a mirage in the affective space", Korean J Soc Psychol, 7, pp.107~123 (1993)
- Yamaguchi H, "Overview of non‐pharmacological intervention for dementia and principles of brainactivating rehabilitation", Psychogeriatrics, 10, pp.206~213 (2010)
- Logsdon RG, "Evidence-based interventions to improve quality of life for individuals with dementia", Alzheimers Care Today, 8, pp.309~318 (2007)
- Graff MJ, "Community occupational therapy for older patients with dementia and their care givers : cost effectiveness study", BMJ, 336, pp.134~138 (2008)
- Jones ML, "Richmond S. Initial tooth movement: force application and pain–a relationship?", Am J Orthod, 88, pp.111~116 (1985)