디지털융복합연구 (Journal of Digital Convergence)

  • 제17권6호
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  • Pages.439-446
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  • 2019
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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뇌졸중 환자의 우울 및 사회인지 능력에 대한 인지자극순환프로그램의 효과

The Effects of Cognitive Stimulation Circulative Program on the Depression and Social Cognitive Ability of Stroke Patients

  • 도지혜 (연세대학교 작업치료학과 대학원) ;
  • 김은주 (전주대학교 작업치료학과)
  • Do, Ji-Hye (Dept. of Occupational Therapy, Yonsei University Graduate school) ;
  • Kim, Eun-Joo (Dept. of Occupational Therapy, Jeonju University)
  • 투고 : 2019.05.03
  • 심사 : 2019.06.20
  • 발행 : 2019.06.28
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초록

이 연구의 목적은 뇌졸중 후 발생가능한 정서적, 사회인지 문제의 중재를 위해 작업 치료에 기초한 인지자극순환프로그램(CSCP ; Cognitive Stimulation Circulative Program)의 효과를 확인하는 것이다. 이 연구에는 12명의 뇌졸중 환자가 참여하였고 CSCP는 인지과정을 촉진시키는 방법으로 조직화되었으며 총 16회기의 순환 프로그램으로 실시되었다. 프로그램의 효과를 알아보기 위하여 우울증 척도와 관계 변화 척도, 삶의 질 평가 도구를 사용하였다. 연구결과 피험자의 우울증 척도와 역할의 물리적 및 사회적 인지 기능 능력을 평가하기 위해 사용된 관계 변화 척도는 통계적으로 유의미한 변화가 있었다(p<.05). 또한, 삶의 질 영역 중에서 신체적 역할, 사회적 기능의 항목에서 의미있는 향상이 있었다. CSCP가 뇌졸중 환자의 우울을 감소시키고 사회인지 기능을 향상시켜 삶의 질을 향상시키는 효율적인 중재 프로그램으로 사용 가능함을 입증하였다.

Poststroke depression can have a secondary effect on social cognition, and this can lead to behavioral problems. The purpose of this study was to verify the effects of a Cognitive Stimulation Circulative Program(CSCP) based on occupational therapy. The participants of this study were 12 stroke patients. The CSCP was organized in such a way to promote the cognitive process. This program were carried out as a circuit program(16 sessions). As a result of this study, the depression scale of the subjects had statistically significant benefit(p<.05). Also, the evaluation results verified partial improvement in quality of life, and the relationship change scale which was used to evaluate role of physical and social cognitive function ability had statistically significant benefit(p<.05). The above results of this study verified that the CSCP was an efficient intervention program that reduces the depression of stroke patients and improve their social cognitive function ability, thus enhancing the quality of life.

키워드

Table 1. Comparison of depression, social cognition and QOL in participations

DJTJBT_2019_v17n6_439_t0001.png 이미지

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