가정방문 인지 및 신체활동 작업치료 프로그램이 재가치매환자의 인지, 우울 및 삶의 질에 미치는 효과
Effects of home-based cognitive and physico - occupational therapy program on cognitive function, depression and quality of life in dementia patients of a community
1
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Objectives: The aim of this study was to examine the effects of home-based cognitive physico-occupational therapy(HBCPOT) on cognitive function, depression, and quality of life in dementia patients, using a cognitive impairment model. Methods: The data was analysed for Mini-Mental State Examination-Korean version (MMSE-KC) for assessing cognitive function, Quality of life-Alzheimer’s Disease (QOL-AD) and Geriatric Depression Scale (GDS) in 31 dementia patients who received home-based cognitive physico-occupational therapy for one hour once a week for 12 weeks by a trained occupational therapist at the Dementia Prevention and Management Center of Y-city during 20111-2013. Results: Among these 31 patients, 18(58.1%) were female, and 25(80.6%) had Alzheimer’s Disease. After HBCPOT, the mean scores of MMSE-KC and QOL-AD were significantly improved, but GDS score was not significantly decreased. Conclusions: It was suggested that HBCPOT was effective in improving cognitive function and quality of life.
Abstract
Objectives: The aim of this study was to examine the effects of home-based cognitive physico-occupational therapy(HBCPOT) on cognitive function, depression, and quality of life in dementia patients, using a cognitive impairment model. Methods: The data was analysed for Mini-Mental State Examination-Korean version (MMSE-KC) for assessing cognitive function, Quality of life-Alzheimer’s Disease (QOL-AD) and Geriatric Depression Scale (GDS) in 31 dementia patients who received home-based cognitive physico-occupational therapy for one hour once a week for 12 weeks by a trained occupational therapist at the Dementia Prevention and Management Center of Y-city during 20111-2013. Results: Among these 31 patients, 18(58.1%) were female, and 25(80.6%) had Alzheimer’s Disease. After HBCPOT, the mean scores of MMSE-KC and QOL-AD were significantly improved, but GDS score was not significantly decreased. Conclusions: It was suggested that HBCPOT was effective in improving cognitive function and quality of life.
참고문헌 (34)
- Allen, C. K., "Occupational therapy of psychiatric diseases: measurement and management of cognitive disability" (1985), Little Brown & Company
- Allen, C. K., "Manual for the ACLS and ACLS-5. Camarillo", ACLS and LACLS Committee, ~ (2007)
- Burgener, S., "Effective caregiving approaches for patients with Alzheimer’s disease", Geriatric Nursing, 19(3), pp.121~126 (1998)
- Devereaux, E., "The role of occupational therapy in the management of depression", American Journal of Occupational Therapy, 46(2), pp.175~180 (1992)
- Gitlin, L. N., "A randomized controlled trial of a home environmental intervention : Effect on efficacy and upset in caregiver and on daily function of persons with dementia", Gerontologist, 41, pp.15~30 (2001)
- Gitlin, L. N., "Maintenance of effects of the home environmental skill-building program for family caregivers and individuals with Alzheimer’s disease and related disorders", Jouranl of Gerontology, 60(3), pp.368~374 (2005)
- Graff, M. J., "Soderback Infrid, International Handbook of Occupational Therapy Interventions", pp.217~223 (2009), Springer
- Graff, M. J., "Community occupational therapy for older patients with dementia and their caregivers : Cost effectiveness study", British Medical Journal, 336, pp.134~138 (2008)
- Graff, M. J., "Effect of community occupational therapy on quality of life, mood, and health status in dementia patients and their categivers : A randomized controlled trial", Journal Gerontol, 62, pp.1002~1009 (2007)
- Graff, M. J., "Community based occupational therapy for patients with dementia and their care givers : Randomised controlled trial", British Medical Journal, 333, pp.1196~1204 (2006)
- 황윤정, "지역사회에 거주하는 치매환자와 보호자에게 적용한 맞춤형 작업 활동 프로그램의 효과", 한국노년학, 31(1), pp.129~141 (2011), 한국노년학회
- 정원미, "고령자치매를 위한 전문작업치료사 교육과정 개발", 대한작업치료학회지, 14(2), pp.95~104 (2006), 대한작업치료학회
- 정원미, "지역사회 경증치매환자에서의 집단인지재활 치료효과 - 작업치료 치료과정모델을 중심으로 -", 대한작업치료학회지, 16(4), pp.1~17 (2008), 대한작업치료학회
- Ji, H. R., "The Effects of the Continuous Dementia Nursing Intervention Program on Cognitive Function and Depression of the Elderly with Mild Dementia in the Community", Korean Gerontological Nursing, 6(2), pp.216~227 (2004)
- 진주연, "시설이용 치매노인의 인지기능, 불안 및 삶의 질 비교연구", 성인간호학회지, 21(3), pp.339~348 (2009), 성인간호학회
- Kim, J. K., "A The Effects of Home-based Rehabilitation Services on Activities of daily Living and Quality of Life of the Elderly according to Dementia", Society of Occupational Therapy for the Agged and Dementia, 6(2), pp.1~10 (2012)
- Kwon, Y. C., "Development of the Test for the Elderly = Korean Version of Mini-Mental State Examination(MMSE-K)", The Korean Neuropsychiatric Association, 28, pp.125~135 (1989)
- Logsdon, R. G., "Assessing Quality of Life in Alzheimer’s Disease", pp.17~30 (2000), Spring Publishing Company
- Luijpen, M. W., "Non-pharmacological interventions in cognitively impaired and demented patients-a comparison with cholinesterase inhibitors", Reviews in the Neurosciences, 14(4), pp.343~368 (2003)
- 오병훈, "인지재활훈련이 노인성 치매 환자의 인지 기능에 미치는 영향", 신경정신의학, 42(4) (2003), 대한신경정신의학회
- 박총순, "지역사회에 거주하는 치매노인의 특성과 보호자의 부담감에 따른 방문작업치료 요구도", 대한작업치료학회지, 18(4), pp.51~62 (2010), 대한작업치료학회
- Park, H. S., "A Satisfaction Survey on Home Based Occupational Therapy", Society of Occupational Therapy for the Agged and Dementia, 2(1), pp.29~36 (2008)
- Patterson, R. L., "Overcoming deficits of the aging : a behavioral approach" (1982), Plenum Press
- Scogin, F., "Efficacy of psychosocial treatment for geriatric depress: A quantitative review", Journal Consult Clinic Psychology, 62(1), pp.69~74
- Nationwide Study on the Prevalence of Dementia in Korean Elders, "Seoul National University Hospital", Ministry of Health & welfare, ~ (2013)
- Shim, Y. S., "Clinical Characteristics of Demented Patients in a Geriatric Institution : Focused on Behavioral and Psychological Symptoms", Dementia and Neurocognitive Disorders, 4, pp.35~40 (2005)
- 신희영, "지역사회 거주 치매환자에서 한국판 삶의 질-알쯔하이머병 척도 개발을 위한 예비연구", 예방의학회지, 39(3), pp.243~248 (2006), 대한예방의학회
- Statistics Korea, "Statistics for Elderly Persons", ~ (2011)
- Statistics Korea, "Statistics for Elderly Persons", ~ (2014)
- The Korean Geriatric Medical Association, "Life of elders", ~ (2003)
- Yang, Y. A., "A Study of Visiting Rehabilitation Service and Implementation Method", The Journal of Korena Association Occupational Therapy Policy for Aged Industry, 31(1), pp.139~149 (2011)
- 양영애, "노인건강 증진을 위한 가정방문 재활(작업)치료 제도에 관한 연구", 노인복지연구, (31), pp.204~224 (2006), 한국노인복지학회
- Yesavage, J. A., "Development and validation of a geriatric depression screening scale : A preliminary report", Journal Psychiatric Research, 17, pp.37~49 (1983)
- Yoon, J. C., "Occupational Therapy Manual", Y Dementia Prevention and Management Center, ~ (2011)
