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The effect of Jeon-buk area daytime ward occupational therapy convergent activity on hand function, cognitive function and IADL in people with dementia

전북지역 낮 병동 작업치료 융복합활동프로그램이 치매환자의 손기능, 인지기능 및 수단적 일상생활활동에 미치는 영향

  • Kim, Hyun-Gi (JeongEup Asan Hospital Dept. of Neuropsychiatry) ;
  • Lee, Min-Young (JeongEup Asan Hospital Dept. of Neuropsychiatry) ;
  • Kim, Ko-Un (Dept. of Rehabilitation Science, The Graduate School of Daegu University) ;
  • Oh, Hye-Won (Dept. of Occupatinal Therapy Woosuk University)
  • 김현기 (정읍아산병원 정신건강의학과) ;
  • 이민영 (정읍아산병원 정신건강의학과) ;
  • 김고운 (대구대학교 재활과학과 작업치료전공) ;
  • 오혜원 (우석대학교 작업치료학과)
  • Received : 2017.02.28
  • Accepted : 2017.04.20
  • Published : 2017.04.28

Abstract

This study developed a occupational therapy convergent activity program to provide dementia patients admitted to the daytime ward, and investigated the program's effect on the hand and cognitive functions and instrumental activities of daily living. A total of 34 dementia patients were divided into two groups: a convergent occupational therapy program and medication were provided for 17 patients, and medication alone was provided for a control group of 17. The intervention was performed for 24 weeks, 8 times per week, 192 times in total. A handgrip strength test was performed to examine hand function before and after the intervention, and the MMSE-K and GDS were performed to evaluate cognitive function. In addition, the K-IADL was used to assess instrumental activities of daily living. With intervention, the experimental group showed significant improvements in hand and cognitive function and instrumental activities of daily living. In contrast, the control group did not show improvements in hand and cognitive function or instrumental activities of daily living. In conclusion, the study showed that a convergent/integrated activity program for occupational therapy has a positive effect on hand and cognitive function as well as instrumental activities of daily living.

Keywords

Occupational therapy convergent activity program;Dementia;Hand function;Cognitive function;IADL

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