The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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The Effect of Community-Based Cognitive Stimulation Program on Cognitive Fincion and Subject Memory in the Elderly with Mild Cognitive Impairment

지역사회기반 인지자극 프로그램이 경도인지장애 노인의 인지기능과 주관적 기억에 미치는 영향

  • 김미영 (렛그린미래식물 연구소) ;
  • 박우권 (경복대학교 작업치료과)
  • Received : 2023.01.16
  • Accepted : 2023.03.08
  • Published : 2023.03.31
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Abstract

The purpose of this study is to investigate the effect of a community-based cognitive stimulation program on cognitive function and subjective memory in the elderly with mild cognitive impairment. This study was applied by selecting 15 users who understood the purpose of this study and agreed to participate in the shelter program for more than 3 months from April 2019 to August 2019 at the D Dementia Center in G located, Gyeonggi-do. The program consisted of a total of 36 cognitive stimulation programs 3 times a week a total of 3 months. Cognitive stimulation program stimulates cognitive function through various activities such as orientation reinforcement, cognitive training, recall, music, art, and physical play, and is used for the purpose of improving social function. It consists of folk songs, percussion instruments, national gymnastics, dance, games, and traditional games. As a result of the cognitive stimulation program, the average cognitive function increased by 2.13 points from 26.33 points before implementation to 28.46 points after implementation, and a statistically significant result was obtained (p=0.000). Subjective memory decreased by 3.53 points from the average of 7.13 points before the cognitive stimulation program was implemented to 3.60 points after the implementation, and a statistically significant result was obtained (p=0.000). It can be confirmed that this works. Dementia is leading to a cost burden, and congnitive function decreases the aqulity of life. It brings various burdens. It is necessary to study cognitive stimulation programs applied to various environments in the future.

본 연구의 목적은 지역사회 기반 인지자극 프로그램이 경도인지장애 노인의 인지기능과 주관적 기억에 미치는 영향을 조사하는 것이다. 경기도 소재 G시 D치매안심센터에서 2021년 4월부터 2021년 8월까지 3개월 이상 쉼터 프로그램에 참여하는 이용자 중 연구의 목적을 이해하고 참여에 동의한 15명으로 선정하여 적용하였다. 프로그램은 3 개월 동안 주 3회 총 36회 인지자극프로그램으로 구성하여 진행되었다. 인지자극프로그램은 지남력 강화, 인지훈련, 회상과 음악, 미술, 신체 놀이 등 다양한 활동으로 인지 기능을 자극하고, 사회기능 향상 목적으로 동용. 민요, 타악기, 국민체조, 춤, 게임, 전래놀이 등으로 구성되었다. 인지자극 프로그램 진행한 결과 인지기능은 인지자극프로그램 실시 전 평균이 26.33점에서 실시 후 평균이 28.46점으로 2.13점 증가 하였고, 통계적으로도 유의한 결과가 나왔다(p=0.000). 주관적 기억은 인지자극프로그램 실시 전 평균이 7.13점에서 실시 후 평균이 3.60점으로 3.53점 감소 하였고, 통계적으로도 유의한 결과가 나왔다(p=0.000). 이 결과를 통해 경도인지장애 노인에게 인지자극프로그램이 효과가 있다고 확인할 수 있다. 치매로 인한 비용 부담으로 이어지고 있으며 특히나 인지기능 저하는 노인의 삶의 질이 떨어지고 그로인한 다양한 부담을 가져온다. 앞으로 다양한 환경에 적용되는 인지자극프로그램 연구가 필요하다.

Keywords

References

  1. Teixeira, C. V. L., Gobbi, L. T. B., Corazza, D. I., Stella, F., Costa, J. L. R., & Gobbi, S. (2012). Non-pharmacological interventions on cognitive functions in older people with mild cognitive impairment (MCI). Archives of gerontology and geriatrics, 54(1), 17, 175-180. https://doi.org/10.1016/j.archger.2011.02.014
  2. Petersen RC, Morris JC. Clinical feature.In: Petersen RC, ed. Mild Congitive Impairment:Aging to Alzheimers Disease. New York: Oxford university Press,Inc., 2003:15-40.
  3. Mitchell AJ. The clinical significance of subjective memory complaints in the diagnosis of mild cognitive impairment and dementia: a meta-analysis. Int J Geriatr Psychiatry 2008;23:1191-1202. https://doi.org/10.1002/gps.2053
  4. Devanand, D. P., Foldz, M., Gorlyn, M., Moeller, J. R., Stern, Y. (1997). Questionable Dementia : Clinical Courseand Predictors of Outcome. Journal of the American Geriatrics Society,45(3),321-328 https://doi.org/10.1111/j.1532-5415.1997.tb00947.x
  5. Jessen F, Wolfsgruber S, Wiese B, Bickel H, Mosch E, Kaduszkiewicz H,et al. AD dementia risk in late MCI, in early MCI, and in subjective memory impairment. Alzheimers Dement. 2014;10:76-83. https://doi.org/10.1016/j.jalz.2012.09.017
  6. R. E. Amarigli, M. K. Townsend, F. Grodstein, R. A. Sperling & D. M. Rentz. (2011). Specific subjective memory complaints in older persons may indicate poor cognitive function. Journal of the American Geriatrics Society, 59(9), 1612-1617. https://doi.org/10.1111/j.1532-5415.2011.03543.x
  7. Glisky, E. L., Schacter, D. L., & Tulving, E. (1986). Learning and retention of computer-related vocabulary in memory-impaired patients: method vanishing cues. Journal of Clinical Express Neuropsychology, 8, 292-312 https://doi.org/10.1080/01688638608401320
  8. Mitchell AJ, Shiri-Feshki M. Rate of progression of mild cognitive impairment to dementia. Acta Psychiatr Scand 2009;119:252-265. https://doi.org/10.1111/j.1600-0447.2008.01326.x
  9. Lee, J. K. (2015). Cognitive Rehabilitation of Dementia. Brain & Neurorehabilitation, 8(1), 29-33. https://doi.org/10.12786/bn.2015.8.1.29
  10. Knapp, M., Thorgrimsen, L., Patel, A., Spector, A.,Hallam, A., Woods, B., & Orrell, M. (2006). Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis. The British Journal of Psychiatry, 188(6), 574-580.
  11. Folstein, M.F., Folsein, S.E, Mchugh, P.R.(1975). Mini-Mental State : A practica; method for grading the congnotive state of pateinets for the clician. J psychiatr Res 12:189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  12. Young, CK., Jong, HP(1989). Part 1:Development of The Test for the Elderly = Koraan Version of Mini-Mental State Examinaion(MMSE-K). Journal of the Korean Neuropsychiatric Association, 28(1), 125-135..
  13. Youn J. C., Kim K. W., Lee D. Y., Jhoo J. H., Lee S. B., Park J. H., Choi E. A., Choe J. Y., Jeong J. Y., Choo I. H., Woo J. I. (2009). Development of the Subjective Memory Complaints Questionnaire. Dementia and Geriatric Cognition Disorders, 27, 310-317  https://doi.org/10.1159/000205512
  14. [14 ] Knapp, M., Thorgrimsen, L., Patel, A., Spector, A., Hallam, A., Woods, B., & Orrell, M. (2006). Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis. The British journal of Psychiatry, 188(6), 574-580.
  15. Ryu, S. H. (2010). Psychosocial treatment of psychiatric disorders of the elderly. Journal of the Korean Medical Association, 53(11), 984-992. https://doi.org/10.5124/jkma.2010.53.11.984
  16. Moro,V.,Condoleo,M.T.,Sala,F.,Pernigo,S.,Moretto, G.,& Gambina,G.(2012). Cognitive stimulation in a-MCI:an experimental study. American Journal of Alzheimer's disease and other Dementias, 27(2), 121-130. https://doi.org/10.1177/1533317512441386