Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A preliminary study on the Effectiveness of Group Occupational therapy program for Dementia Patient in Day-care center

주간보호시설 치매환자의 집단작업치료프로그램 효과-예비연구

  • Lee, Seong-A (Department of Occupational Therapy, College of Medical Science, Soonchunhyang University) ;
  • Jeong, Won-Mee (Department of Occupational therapy, Dongnam Health College) ;
  • Hwang, Yun-Jung (Dept. of Neuropsychiatry and Clinical Research Institute, Seoul National University Hospital) ;
  • Park, Chung-A (Provincial Dementia Center of Gyeonggido)
  • 이성아 (순천향대학교 의료과학대학 작업치료학과) ;
  • 정원미 (동남보건대학교 작업치료과) ;
  • 황윤정 (서울대학교병원 정신건강의학과 의생명원구원) ;
  • 박정아 (경기도광역치매센터)
  • Received : 2014.12.12
  • Accepted : 2015.03.12
  • Published : 2015.03.31
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Abstract

The purpose of this study is to have a preliminary study in order to identify changes in occupational performance skills and visual perception of patients with mild dementia, who have been provided with a group occupational therapy program, within community day-care center. The subjects of this study were 9 people with mild dementia living in a community. The period of administration was for 60 minutes per session three times a week during four weeks. We assessed their visual perception function(MVPT) and occupational performance(AMPS). One group pre-post test design was implemented as an experimental study to compare the results between before and after applying the group occupational therapy program within sensory, physical, creative activity. While a statistically significant difference between before and after the program of motor skills(occupational performance skill) is not shown, the visual perception function and occupational performance of patients with mild dementia improved significantly after receiving occupational therapy program(p<0.01, p<0.05). Therefore, it is possible to conclude that the group occupational therapy program is helpful to manage the occupational performance skills and visual perception of patients with mild dementia in community day-care center.

본 연구는 지역사회 주간보호시설을 이용하는 경도치매환자에게 집단작업치료프로그램을 제공하고 이에 따른 시지각과 작업수행기술의 변화를 알아보고자 예비연구를 실시하였다. 65세 이상 치매진단을 받은 9명을 대상으로 주 3회, 60분씩, 총 4주간 감각적, 신체적, 창의적 활동을 포함한 집단작업치료프로그램을 실시하였다, 치료전 후 시지각 기능, 작업수행기술에 미치는 효과를 검증하기 위한 유사실험연구로서 단일군 전후실험설계를 적용하였으며, 수집한 자료는 빈도분석과 기술통계를 사용하여 분석하였다. 집단작업치료프로그램 전과 실시 후에 대한 분석 결과 시지각 기능과 작업수행에서는 기초선과 프로그램 종결 후 통계적으로 매우 유의한 차이(p<0.01, p<0.05)가 있었지만 작업수행기술 중 운동기술에서는 프로그램 전 후의 차이는 통계적으로 유의하지 않았다. 본 연구를 통해 집단작업치료프로그램이 주간보호시설을 이용하는 치매환자의 시지각과 작업수행기술 관리에 기여할 수 있을 것으로 사료된다.

Keywords

References

  1. Statistics Korea. Elderly Statistics. Seoul: Korea. 2010.
  2. Statistics Korea. Population projections(2010 Based on population and housing census). Seoul: Korea. 2011.
  3. J. I. Shin, Y. A. Yang, "A study on the present status of occupational therapy and physical therapy present status in day care center for the elderly in Seoul", The journal of Korea association occupational therapy policy for aged industry, Vol. 1, No. 1, pp. 11-19, 2009.
  4. S. Y. Kim, H. R. Kim. "Adopt dementia special grade and dementia insurance commodity of insurance Company", Kiri Weekly, Vol. 282, pp. 11-14, 2014.
  5. B. H. Oh, Y. K. Kim, J. H. Kim, Y. S. Shin, "The effects of cognitive rehabilitation training on cognitive function of elderly dementia patients", The Korean Neuropsychiatiric Association, Vol. 42, No. 4, pp. 514-519, 2002.
  6. G. A. Kielhofner, Model of human occupational : Theory and application. Baltimore: Williams & Wilkins, 2002.
  7. J. S. Wang. The effects of hand movement exercise program on the improvement of recognition ability in the dementia old adults(master's thesis). Yong-in: Yong-in University. 2004.
  8. American Occupational Therapy Association: "Occupational therapy practice framework: Domain and process(second edition)", American Journal of occupational therapy. Vol. 62, pp. 625-68, 2008. DOI: http://dx.doi.org/doi:10.5014/ajot.62.6.625
  9. J. Creek, L. Lesley, Association of Occupational Therapy and Mental Health committee. Occupational therapy and mental health. Seoul: Hanmi Medical Publishing. 2012.
  10. W. M. Jeong, "The effects of Group occupational therapy program for improvement of cognitive abilities in mild case of dementia". Society of Occupational Therapy for the Aged and dementia, Vol. 1, No. 1, pp. 46-55, 2007.
  11. S. J. Shin, J. S. Lee, S. K. Kim, B. J. Jeong "The effect of Group Occupational Therapy on Cognitive Function and Depression for Mild Demen tia Patients in a Community". Journal of Korean society of occupational therapy. Vol. 21, No. 3. pp. 45-60. 2013.
  12. J. S. Kang, I. H. ,Jeong, J. H. Yang, "Effects on senior fitness, cognitive function and daily living activity of female elderly with light dementia by continuous and intermittent exercises". Journal of the Korea Academia-Industrial Cooperation Society, Vol. 11, No. 11, pp. 4234-4243, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.11.4234
  13. B. H. Lee, J. S. Park, N. R. Kim, "The effect of physical activity program on cognitive function, physical performance, gait, quality of life and depression in the elderly with dementia" Institute of Special Education & Rehabilitation Science, Vol. 50, No. 2, pp. 307-328, 2011.
  14. C. Blakemore, J. A. Mvshon, Sensory system: Introduction. In Gazzaniga M.S., editor: The Cognitive neurosciences. Landon: MIT press. 1996.
  15. K. S. IshiharaIshihara, M. Nagamachi et al. "Independence of older adults in performing instrumental activities of daily living(IADLs) and the relation of this performance to visual abilities", Theoretical Issue in Ergonomics science, Vol. 5, No. 3, pp. 198-213, 2004. https://doi.org/10.1080/1463922021000050023
  16. I. S. Kwak, "Program of activities and services of the adult day care center for the elderly with Alzheimer's disease and Dementia in the U.S.A.", Korean Journal of Family Medicine, Vol. 40, No. 10, pp. 123-139, 2002.
  17. T. Brown, E. Mullins, K. Stagnitti, "The reliability of performance of healthy adults in three visual perceptual test", British Journal of Occupational Therapy, Vol. 1671, No. 10, pp. 438-447, 1996.
  18. S. M. Yang, A study on effectiveness of dementia day-care program. Seoul: Social Welfare Graduate School of Catholic University, 2000.
  19. J. H. Lee, K. U. Lee, D. Y. Lee, K. W. Kim, J. H. Jhoo, J. H. Kim, K. H. Lee, S. Y. Kim, S. H. Han, J. I. Woo, "Development of the Korean version of the consortium to establish a registry of Alzheimer's disease assessment packet(CERAD-K):Clinical and neuro-psychology psychological assessment batteries", The Journal of Gerontology, Vol. 57, No. 1, pp. 47-5, 2002. DOI: http://dx.doi.org/10.1093/geronb/57.1.P47
  20. C. Y. Kwon, J. H. Park. "Part 1 : Development of the test for the elderly=Korean version of mini-mental state examination(MMSE-KC)", The Korean Neuropsychiatirc Association, Vol. 28, No. 1, pp. 125-135, 1989.
  21. L. Mercier, R. Hebert, R. Colarusso, D. Hammill. Motor-free visual perception test-vertical format, Navato: Academic Therapy Publication. 1997.
  22. K. Rockwood, S. E. Doble, J. D. Fisk, K. M. MackPherson, N. Lewis, Measuring functional change in elderly adults with Alzheimer's disease, Final report to the Alzheimer Society of Canada, Halifax: Dalhousie University, 1996.
  23. S. E. Doble, A. G. Fisher, K. M. MacPherson, Validation of the assessment of motor and process skills with elderly adults with dementia Final report to the Alzheimer's Association. Halifax: Dalhousie University. 1992
  24. C. K. Allen, Occupational therapy for psychiatric disease measurement and management of cognitive disability, Boston: Little Brown. 1985
  25. D. Voyetich, M. Jensen, B. Sigford, J. Mehr, Relationship between the Allen cognitive levels and Rancho Los Amigos cognitive levels. Brain injury association conference. 2002.
  26. D. I. Velligan, J. E. True, R. S, Lefton, T. C. Moore, C. V. Flores, "Validity of the allen cognitive level assessment: a tri-ethnic comparison", Psychiatry Research. Vol. 56, No. 2, pp. 101-109, 1995. DOI: http://dx.doi.org/10.1016/0165-1781(95)02532-7
  27. H. Gho, Z. K. Ko, "Current State of Senile Dementia and Improvement Long Term Care Insurance for Elderly People". Journal of the Korea Academia-Industrial Cooperation Society, Vol. 13, No. 12, pp.5816-5825, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.12.5816
  28. S. B. Lee, K. W. Kim, "Nonpharmacological interventions for Alzheimer's disease", Journal of Korean Medicine Association, Vol. 52, No. 11, pp. 1069-1076. 2009. DOI: http://dx.doi.org/10.5124/jkma.2009.52.11.1069
  29. Korean Dementia Association. Dementia a clinical approach, Seoul: Academia. 2006.
  30. S. J, Shin, J. S. Lee, S. K. Kim, B. J. Jeon, "The effect of Group Occupational Therapy on Cognitive Function and Depression for Mild Dementia Patients in a Community". Journal of Korean society of occupational therapy. Vol. 21, No. 3, pp. 45-60, 2013.
  31. W. M. Jeong, "The effect of Group Occupational Therapy Program for Improvement of Cognitive Abilities in Mild Case of Dementia". The Journal of Occupational Therapy for the aged and Dementia. Vol. 1, No. 1, pp. 46-55, 2007.
  32. H. S. Lee. Relationships between cognitive and a visual perception ability of the elderly. Society of occupational therapy for the aged and dementia, Vol. 5, No. 1, pp. 55-6, 2011.
  33. E. J. Kim, Y. A. Yang, "A study on the need for visual perception test of normal elderly in community", Society of occupational therapy for the aged and dementia, Vol. 7, No. 2, pp. 26-32, 2013.
  34. W. M. Jeong, Y. J. Hwang, J. C. Youn. "Effects of a computer-based cognitive rehabilitation therapy on mild dementia patients in a community", The Korean Gerontological society, Vol. 30, No. 1, pp. 127-140, 2010.
  35. H. J. Lee, The Effects of Cognitive Training on Cognitive, Visual perception, performance and brain Mapping in Alzheimer's Dementia. Daegu :Daegu University. 2008.
  36. N. R. Dooley, J. Hinnojosa, "Improving Quality of Life for Person with Alzheimer's disease and their family Caregivers Brief", Journal of Occupational Therapy, Vol. 58, pp. 561-569, 2004. DOI: http://dx.doi.org/10.5014/ajot.58.5.561
  37. S. Josephsson, L. Backman, L. Borrell, L. Nygard, B. Bernspang, "Effectiveness of an intervention to Improve Occupational Performance in dementia". Occupational Therapy Journal of reserch, Vol. 15, No. 1, pp. 36-49, 1995. https://doi.org/10.1177/153944929501500103