• Title/Summary/Keyword: 치매 환자

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Effect of Music Therapy Using Korean Traditional Rhythmic Modes on the Upper Extremity Function of Elderly People with Dementia (국악장단을 이용한 음악치료가 치매노인의 상지기능 향상에 미치는 영향)

  • Joo, Min Ae;Park, Hye Young
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.222-232
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    • 2017
  • The purpose of this study is to examine the effect of music therapy using Korean traditional rhythmic modes on the upper extremity function of elderly people with dementia. The subjects of this study were 13 patients at the age of 65 or more with dementia receiving long-term care in a nursing home in B City. It was analyzed that the effects of music therapy through the evaluation of manual function test (MFT), Activities of daily living (ADL), Korea dementia rating scale-2 test before and after the experiment. As a result, both of the scores of MFT and ADL were higher than after music therapy(p <.05) as well as Korea dementia rating scale-2 test score(management part). This indicates that the music therapy using Korean traditional rhythmic modes could improve function of the upper extremity with dementia as well as activities of daily living and management of dementia care. In conclusion, music therapy would be helpful to the improvement of not only the physical but also the cognitive function of elderly people with dementia, and it could be effectively employed in clinical settings.

Analysis of the Mental Images in Episodic Memory with Comparison between the patients with Dementia of Alzheimer Type and Healthy Elderly People (알츠하이머성 치매환자와 건강한 노인의 일화기억 이미지 비교 분석)

  • Han, Kyung-Hun;Ernst, Poppel
    • Korean Journal of Cognitive Science
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    • v.20 no.1
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    • pp.79-107
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    • 2009
  • Episodic memory, i.e. memorization of information within a spatiotemporal environment, is affected Alzheimer's disease(AD), but its impairment may also be occurred in the normal aging process. The purpose of this study is to analyze and evaluate memory in with Dementia of Alzheimer Type by examining their cognitive skills in episodic memory using the technique. This new method involves assessing the mental images the subject's own past in the mind like projected and movies. Three patients in the early stage of Dementia of Alzheimer Type, one with mild depression, and 2 healthy controls for comparison were asked to retrieve their episodic memory of the previous day, week, month, and a day testing day. The answers were then analyzed with regards to their specific features as emotional state, color, and time order. In the following day, the subjects were tasked to recall again the images they reproduced in the day's test order to observe of memory. Results showed that all 3 patients failed to arrange the retrieved images in time order and their images of the previous day were unclear in color and were stationary like photographs, even when they reproduced the mental images at much quantity as controls. patients could not remember particular events of yesterday, and only recalled the general occurrences of every day life. These results suggest that in the early stage of Dementia of Alzheimer Type, difficulties in the retrieval of recent episodic memory begin to primarily occur, and qualitative impairment happens earlier than quantitative.

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노인 당뇨병 환자에서 인지기능장애 - 노인 당뇨병환자에서 인지장애

  • Jeon, Hyeon-Jeong
    • The Monthly Diabetes
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    • s.288
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    • pp.21-26
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    • 2013
  • 1990년대 이후 국내 노령인구 비율이 급격히 증가하고 있다. 2018년에는 전 인구의 14%, 2026년에는 전 인구의 20% 정도를 차지할 것으로 예상되고 있다. 노령 인구는 만성질환의 유병율이 높으며 이와 함께 노령 인구의 특성상 인지기능저하가 동반되는 경우가 많아 환자 관리에 있어서 어려움이 많다. 당뇨병은 인지기능장애의 주요 위험 인자를 차지하고 있다. 그러나, 일반적으로 당뇨병 치료에 있어 혈당관리, 미세혈관 및 대혈관 합병증에 대한 관심 및 관리는 잘 이루어지고 있지만, 이에 반해 인지기능장애 부분에 있어서는 다소 간과하고 있는 부분이 많다. 당뇨병이 있는 환자에서 치매 발생 위험율이 2배 이상을 높은 점을 감안할 때, 고령 환자에서는 인지기능장애에 대한 세심한 관심이 필요하다.

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A Study on Environment-related Factors that Promote Wayfinding for People with Dementia - Focused on the Context of Long-term Care Facilities for People with Dementia (치매환자의 길찾기 향상을 위한 환경요소에 관한 연구 - 치매환자를 위한 노인전문병원 및 요양시설을 중심으로)

  • Choi, Yeo Jin;Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.27-38
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    • 2014
  • Purpose : The main objective of this paper is, to assess a body of research evidence that articulates the impact of environment-related factors on wayfinding for people with dementia who reside in Long-term care Facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve wayfinding abilities for people with dementia. Methods : Comprehensive literature review has been conducted to identify empirical studies and carefully investigated peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results : The review found a growing body of studies that identified environment-related factors that improve wayfinding of people with Dementia living in long-term care facilities. Implications : The findings of the review can be considered as design guidelines to support the wayfinding abilities of people with dementia living in long-term care Facilities.

A Study on Environment-related Factors that Affect Wandering for People with Dementia - A Systematic Review of Literature: Focused on the Context of Long-term Care Facilities for People with Dementia (치매 환자의 배회에 영향을 주는 환경요소에 관한 연구 - 체계적 문헌연구: 치매 환자를 위한 노인전문병원 및 요양시설을 중심으로)

  • Choi, Young-Seon;Choi, Yeo Jin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.21 no.3
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    • pp.9-23
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    • 2015
  • Purpose: This paper's main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

A Study on Environment-related Factors that Promote Psychological·Behavioral Health and Quality of Life for People with Dementia - Focused on the Context of Long-term Care Facilities for People with Dementia (치매 환자의 건강과 삶의 질 향상을 위한 치유환경 요소에 관한 연구 - 치매 환자를 위한 노인요양시설을 중심으로 )

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.4
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    • pp.7-20
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    • 2022
  • Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of environment-related factors on behavioral health and quality of life for people with dementia who reside in long-term care facilities. The study also aims at identifying design implications that can be incorporated into design process and design decisions to improve behavioral health and quality of life for people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies and that link the design of dementia care facilities to health- and QOL-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, to nursing. Results: The review identified a growing body of literature that articulates environment-related factors that improve health and quality of life for people with dementia living long-term care facilities Implications: The findings of the review can be translated to design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

The Effects of One Year Exercise Program on Exercise Capacity & Cognitive Function in Male Patients with Dementia (1년간의 복합 운동프로그램이 남성 치매환자의 운동능력과 인지기능에 미치는 영향)

  • Kwak Yi-Sub;Um Sang-Yong
    • Journal of Life Science
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    • v.15 no.2 s.69
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    • pp.220-224
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    • 2005
  • The purpose of the present study is to investigate the effects of long-term exercise program on exercise capacity and cognitive function (MMSE) in male patients with dementia. 24 male patients were divided into two experimental groups : the exercise group (n=12) and the control group (n=12). The exercise group participated in regular exercise program for 12 months, and their exercise capacity (cardiopulmonary function, muscle strength, muscular endurance, flexibility, balance, agility) and MMSE (Mini-mental state examination) levels were evaluated at baseline (pre), after 6 months (mid) and after 12 months (post). The subjects carried on group-exercise of $VO_{2}max\;30\~60\%$, $30\~60$ minute a day, $2\~3$ times per week. Statistical techniques for data analysis was paired samples t-test. The level of statistical significance was ${\le}.05.$ The results of this study were summarized as follows: In the exercise group, there were significant differences in cardiopulmonary function, muscle strength, muscular endurance and MMSE at the times of pre & mid and pre & post, there were significant differences in balance and agility at the time of pre & post only, whereas there was no significant difference in flexibility following the long-term exercise. In the control group, there were no significant differences in all the times. Based on the results of this particular study, one year exercise program increases on the cognitive function & exercise capacity in male patients with dementia.

Factors associated with the prolonged duration of postoperative delirium in patients who underwent orthopedic joint surgery (관절 수술을 받은 정형외과 환자에서 섬망의 장기간의 이환에 영향을 미치는 요인)

  • Hwang, Byeong-Mun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.3926-3933
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    • 2015
  • The purpose of this study was to determine the factors associated with duration of postoperative delirium following orthopedic joint surgery. This study included 266 patients who underwent orthopedic joint surgery at a single university hospital between January 2012 and February 2014. Patients were divided into two groups according to the duration of delirium: the transient (${\leq}2$ days) and prolonged (>3 days) delirium groups. Of the 266 patients, 137 (52%) developed prolonged delirium. Incidence of pre-existing dementia and history of stroke were significantly higher in the prolonged delirium group than in the transient delirium group. In a multivariate regression model, pre-existing dementia and history of stroke were associated with increased duration of delirium. Our findings suggest that medical practitioners should pay special attention to the prevention and management of postoperative delirium in patients who have dementia or stroke and undergo orthopedic joint surgery.

A Convergent Approach to Gain a Better Understanding of Alzheimer's Disease: Stereoscopic Vision (융복합적 접근을 통한 알츠하이머형 치매의 이해 증진 : 양안 지각)

  • Kim, Nam-Gyoon;Lee, Ho-Won
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.103-110
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    • 2019
  • The present study investigated the effects of AD on stereoscopic vision. Sixty participants (20 AD patients, 20 mild cognitive impairment patients, 20 healthy elderly controls) participated in the study. Two cubes, one on the left and the other on the right of the center of the monitor, appeared at varying distances from the observer with their relative distances controlled in two disparity conditions (absolute vs relative disparity) combined with two disparity directions (crossed vs uncrossed disparity). Participants identified the object that appeared closer to them. Results demonstrated comparable performance with all three groups performing accurately, suggesting that the effect of AD on stereopsis is negligible. Discussion focused on brain pathology affected by AD involving high level visual processing.

Effects of Occupational Therapy with Physical Exercise on Demented old Adult's Executive Function (신체활동 작업치료가 치매노인의 실행기능에 미치는 영향)

  • Lee, Yu-Na;Park, Ji-Hyuk;Lim, Kyung-Min
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.322-331
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    • 2013
  • The aim of this study was to investigate the effects of occupational therapy with physical exercise on executive function with dementia. For eight elderly persons with mild or moderate dementia, we executed physical exercise with group activity for 10 weeks from April to June, 2012, one times per week, and 50 minutes each time. Before and after the physical activities, the old adults were tested with Verbal Fluency Test(VFT), Trail Making Test A/B(TMT A/B), Clock Drawing Test(CDT). After the physical exercise, the subjects showed significant changes in the score of CDT(p<0.1). In contrast, there was no significant effect in VFT, TMT A. The results of this study show that occupational therapy with physical exercise program for demented elderly people is a useful therapeutic approach by enhancing the their quality of life through improving and maintaining their executive function.