융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
권호 표지
DOI QR코드

DOI QR Code

경도치매 환자를 위한 그림책 활용 시각화 기억훈련 프로그램의 임상 유용성 연구

Clinical Utility of Visualized Memory Training Program Using the Picture Book for Mild Dementia

  • Ju, Yumi (Department of Occupational Therapy, Far-East University)
  • 투고 : 2021.02.26
  • 심사 : 2021.04.20
  • 발행 : 2021.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 그림책을 활용한 시각화 기억훈련 프로그램의 프로토콜을 개발하고 임상에 적용하기 위하여 유용성을 확인하고자 한다. 경도치매 환자 5명을 대상으로 총 5회기의 시각화 기억훈련 프로그램을 진행하였다. 프로그램 진행 전후 단어 기억력, 전반적 기억력검사, 및 우울감검사를 시행하여 그 변화를 관찰하였다. 그 결과 프로그램 시행 후 전반적 기억력의 향상이 있었으나 통계적으로 유의하지 않았다. 반면 우울감에는 통계적으로 유의미한 긍정적인 효과가 있는 것으로 나타났다. 단어 기억력에 있어 일부 대상자는 인출 및 재인의 향상을 보였고 일부 대상자는 변화가 없거나 더 나빠진 것으로 나타났다. 본 프로그램은 일부 경도치매 환자의 기억력 향상에 도움이 되며 우울감이 감소하는 정서적 효과가 있는 것으로 판단된다. 향후 그룹 인지치료 모델로 널리 활용되길 바라며 더 많은 대상자 수의 연구가 필요할 것으로 사료된다.

This study aims to develop a protocol for the visualized memory training program using the picture book and evaluate its clinical utility. A total of 5 sessions were conducted for 5 elderly people with mild dementia. Rey-Kim II, GDS-Short, word test were conducted to observe its effectiveness before and after the program. As a results overall memory was improved but was not statistically significant. Overall depression was also improved and statistically significant. The effect of word memory varies depending on individuals' degenerative conditions. In conclusion, the visualized memory training program using the picture book is effective in improving the memory to some extent and had an emotional effect of reducing depression in mild dementia. In the future it is necessary to research its effects in larger population.

키워드

참고문헌

  1. National Institute of Dementia. (2019). Korean Dementia Observatory 2019. Seoul: HAN Company.
  2. R. Petersen, G. Smith, S. Waring, R. Ivnik, E. Tangalos & E. Kokmen. (1999). Mild cognitive impairment: clinical characterization and outcome. Archives of Neurology, 56(3), 303-308. DOI : 10.1001/archneur.56.3.303
  3. O. Yanhong, M. Chandra & D. Venkatesh. (2013). Mild cognitive impairment in adult: A neuropsychological review. Annals of Indian Academy of Neurology, 16(3), 310. DOI : 10.4103/0972-2327.116907
  4. D. George & M. Singer. (2011). Intergenerational volunteering and quality of life for persons with mild to moderate dementia: results from a 5-month intervention study in the United States. The American Journal of Geriatric Psychiatry, 19(4), 392-396. DOI : 10.1097/JGP.0b013e3181f17f20
  5. T. Gjernes & P. Maseide. (2015). Dementia, distributed interactional competence and social membership. Journal of Aging Studies, 35, 104-110. DOI : 10.1016/j.jaging.2015.08.002
  6. M. McLuhan. (1964). Understanding media: The extensions of man. Corte Madera, CA: Gingko Press.
  7. H. Shin. (2012). New approach of picturebook therapy : Re-reading picturebook with body and finding priming picturebook. Korean Journal of Culture and Arts Education Studies, 7(1), 115-137. https://doi.org/10.15815/kjcaes.2012.7.1.115
  8. J. Jung. (2015). Symbolism and usability of visual language in picturebooks read with body feeling: Focus on "Tree" illustration. The Treatise on The Plastic Media, 18(3), 237-246.
  9. F. Craik & J. Kester. (2000). Divided attention and memory: Impairment of processing or consolidation? In E. Tulving (Ed.), Memory, consciousness, and the brain: The Tallinn Conference (p. 38-51). Hove, East Sussess: Psychology Press.
  10. J. Latorre Postigo, J. Hernandez-Viadel, & J. Trives. (2010). Efficacy of a group memory training method for older adults based on visualization and association techniques: A randomized, controlled trial with a placebo group. Applied Cognitive Psychology, 24(7), 956-968. DOI : 10.1002/acp.1596
  11. S. Harnish, J. Neils-Strunjas, M. Lamy & J. Eliassen. (2008). Use of fMRI in the study of chronic aphasia recovery after therapy: A case study. Topics in Stroke Rehabilitation, 15(5), 468-483. DOI : 10.1310/tsr1505-468
  12. H. Kim. (1999). Rey-Kim memory assessment II: Manual. Deagu: Neuropsychology.
  13. B. Kee. (1996). A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  14. Y. Kang, D. Na & S. Hahn. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15(2), 300-308.
  15. E. Oh, Y. Kang, J. Shin & B. Yeo. (2010). A Validity Study of K-MMSE as a Screening Test for Dementia: Comparison Against a Comprehensive Neuropsychological Evaluation. Dementia and Neurocognitive Disorders, 9(1), 8-12.
  16. N. Gates, P. Sachdev, M. Singh, & M. Valenzuela. (2011). Cognitive and memory training in adults at risk of dementia: a systematic review. BMC Geriatrics, 11(1), 1-14. https://doi.org/10.1186/1471-2318-11-1
  17. S. Rapp, G. Brenes, & A. Marsh, (2002). Memory enhancement training for older adults with mild cognitive impairment: a preliminary study. Aging & Mental Health, 6(1), 5-11. DOI : 10.1080/13607860120101077
  18. E. Hastings, & R. West. (2009). The relative success of a self-help and a group-based memory training program for older adults. Psychology and Aging, 24(3), 586. https://doi.org/10.1037/a0016951
  19. M. Butler et al. (2018). Does cognitive training prevent cognitive decline? A systematic review. Annals of internal medicine, 168(1), 63-68. DOI : 10.7326/M17-1531
  20. M. Isingrini, R. Fontaine, L. Taconnat & A. Duportal. (1995). Aging and encoding in memory: False alarms and decision criteria in a word-pair recognition task. The International Journal of Aging and Human Development, 41(1), 79-88. doi: 10.2190/ERDG-LHA8-EBYN-L9LX
  21. T. Gjernes. (2017). Knitters in a Day Center: The Significance of Social Participation for People With Mild to Moderate Dementia. Qualitative Health Research, 27(14), 2233-2243. DOI : 10.1177/1049732317723890
  22. C. Stern & Z. Munn. (2010). Cognitive leisure activities and their role in preventing dementia: a systematic review. International Journal of Evidence Based Healthcare, 8(1), 2-17. DOI : 10.1111/j.1744-1609.2010.00150.x
  23. J. Hwang, & S. Gwon. (2009). The relation between the participation in social activity and cognitive function among middle-aged and elderly population. Journal of the Korea Gerontological Society, 29(3), 971-986.