한국임상보건과학회지 (Journal of Korean Clinical Health Science)

한국임상보건과학회 (The Korean Society of Clinical Health Science)
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치매 환자의 일상생활활동 능력향상에 적용된 작업치료 중재에 관한 체계적 고찰

Systematic Review about Occupational Therapy Interventions Applied to the Improvement of Activities of Daily Living in Dementia Patients

  • 곽성원 (강원대학교 대학원 작업치료학과) ;
  • 나현준 (왈레스기념 침례병원 작업치료실) ;
  • 강신욱 (경북전문대학교 작업치료과) ;
  • 남주현 (경주 청하요양병원 작업치료실)
  • Kwag, Sung-Won (Graduate School of Occupational Therapy, Kangwon University) ;
  • Na, Hyun-Jun (Department of Occupational Therapy, Wallace Memorial Baptist Hospital) ;
  • Kwang, Shin-Wok (Department Occupational Therapy, Gyungbuk College) ;
  • Nam, Ju-Hyun (Department Occupational Therapy, Gyeongju Chungha Hospital)
  • 투고 : 2014.01.13
  • 심사 : 2014.01.31
  • 발행 : 2014.03.31
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초록

Purpose: This study analyzes occupational therapy interventions to improve activities of daily living (ADL) in dementia patients and the instruments used to verify their effects through a systematic review and attempts to use the results as preliminary data in selecting further interventions and instruments. Method: The databases searched included NDSL, DBpia, RISS, KISS and National Assembly Library with search words including 'Alzheimer's disease', 'Alzheimer', 'daily living' and 'ADL.' The subjects of analysis were a total of 7 studies, and a frequency analysis was used for the usage count of the interventions used in each study. In order to provide evidence, PICO Method was used for sorting. Result: As a result of this study, there were 7 occupational therapy interventions applied to improve ADL in dementia patients, which were used 7 times total. As for the instruments used to validate the effects of the interventions for the ADL, it turned out that '3 studies used AMPS (42.9%),' which was the most, followed by 'Allen Cognitive Level Screen' (ACLS) and Functional Independence Measure' (FIM), respectively used in 2 studies (28.6%); and 'Modified Barthel Index' (MBI) and 'Philadelphia Geriatric Center IADL' (PGC IADL), respectively used in 1 study. Regarding the qualitative level of evidence, it turned out that 4 studies were Level III (57.1%), followed by 2 studies at Level IV (28.6%) and 1 study at Level I (14.3%). Conclusion: This study suggested the kinds and frequencies of usage of the interventions and instruments of occupational therapy for the improvement of ADL in dementia patients, and the studies of evidence were presented by the PICO Method. It is judged that the results of this study can be used as preliminary data in selecting interventions and instruments to improve the ADL in dementia patients. In the future, studies should be carried out on the ADL in other areas related to dementia.

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참고문헌

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  1. The Effects of a Multimodal Interventional Program on Cognitive Function, Instrumental Activities of Daily Living in Patients With Mild Alzheimer’s Disease vol.26, pp.1, 2018, https://doi.org/10.14519/jksot.2018.26.1.07
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  4. Effects of Cognitive Intervention Activities for the Elderly with Dementia in Korea: A Meta-Analysis vol.44, pp.3, 2014, https://doi.org/10.21032/jhis.2019.44.3.271
  5. A Systematic Review of the Effects of Occupational Therapy for Persons With Mild Cognitive Impairment or Dementia vol.27, pp.4, 2014, https://doi.org/10.14519/kjot.2019.27.4.01
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