• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1063-1067
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• 2015

Background: Tumor associated fatigue (TAF) or cancer related fatigue (CRF) is not a new concept. Nonetheless, no real headway has been made in the quantitative analysis of its successful treatment via cognitive behavioral therapy. Since 20 to 30% of all breast cancer patients suffer from anxiety and/or depression within the first year of their diagnosis, this issue needs to be addressed and a standard treatment protocol has to be developed. This study focused on developing a simple, reproducible and short (8 weeks) protocol for the cognitive behavioral therapy support of tumor associated fatigue patients. Materials and Methods: Between the year 2011 and 2012, 23 breast cancer patients fulfilled the diagnosis TAF requirements and were introduced into this study. Our method focused on a psycho-oncological support group using a predetermined, highly structured and reproducible, cognitive behavioral therapy treatment manual. Eight weekly, 90 minute sessions were conducted and patients were evaluated before and after this eight session block. Tumor fatigue specific questionnaires such as the multidimensional fatigue inventory (MFI) as well as the hospital anxiety and depression scale (HADS) were used in order to quantitatively evaluate patient TAF. Results: Of the 23 patients enrolled in the study, only 7 patients fulfilled the TAF diagnostic criteria after the psycho-oncological group treatment. This represents a 70% reduction in diagnosable tumor associated fatigue. The HADS analysis showed a 33% reduction in patient anxiety as well as a 57% reduction in patient depression levels. The MFI scores showed a significant reduction in 4 of the 5 evaluate categories. With the exception of the "mental fatigue" MFI category all results were statistically significant. Conclusions: This study showed that a highly structured, cognitive behavioral therapy group intervention will produce significant improvements in breast cancer patient tumor associated fatigue levels after only 8 weeks.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.295-303
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• 2020

본 연구의 목적은 경도인지장애를 가진 노인을 대상으로 치매예방프로그램과 더불어 일상생활관리프로그램을 접목하여 적용 하였을 때, 치매예방프로그램을 통한 인지기능, 우울, 건강증진생활양식의 변화가 유지되거나 향상되는지 알아보고자 연구를 진행하였다. 연구 진행은 2019년 4월 1일부터 8월 9일까지 진행되었으며, 서울특별시에 위치한 치매안심센터에서 치매예방프로그램에 참여한 경도인지장애 노인 30명을 대상으로 하였다. 연구결과 일상생활관리프로그램을 자발적으로 꾸준히 실천한 실험군에서 대조군과 비교해 인지기능(MMSE-DS), 건강증진생활양식(HPLP-II)이 유지 및 향상됨을 보였으며, 우울감(SF-GDS)은 감소한 것을 알 수 있었다. 본 연구 결과를 바탕으로 향후 연구에서는 치매예방프로그램의 효과를 장시간 유지 및 향상시키기 위한 일상생활관리 프로그램이 다양하게 개발되길 바라며, 경도인지 장애를 가진 노인들에 독립적인 일상생활을 유지하기 위한 전향적 연구가 다양하게 이루어지길 바란다.

• 디지털융복합연구
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• 제11권3호
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• pp.317-325
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• 2013

본 연구는 지역사회의 경증인지장애노인과 치매환자에게 인지작업치료를 적용한 후 인지기능과 일상생활활동 수행능력, 우울정도의 효과를 알아봄으로 인지작업치료가 인지기능회복에 미치는 효과를 알아보고자 하였다. 연구방법은 2012년 2월에서 2012년 6월까지 일개광역지역에 소재하는 노인종합복지관과 요양원에 내원한 환자 중 경증인지장애군 13명과 치매군 19명으로 전체 32명을 대상으로 8주 동안 주 1회 신체기능, 인지기능, craft를 이용한 작업치료 활동 프로그램을 실시하였다. 두군 모두에서 인지기능, 우울감에서 유의한 호전을 보였다. 특히 경증인지장애군은 치매보다 집중력과 기억력 유지에 필요한 인지기능에서 유의한 효과를 보여 향후 경증인지장애군에서 인지기능회복을 위한 프로그램의 개발과 예방적 효과에 대한 연구가 필요하다.

• 한국산학기술학회논문지
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• 제17권11호
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• pp.271-284
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• 2016

본 연구는 임부의 산전우울에 대한 인지행동치료 중재의 효과를 검증하기 위해 수행된 체계적 문헌고찰 및 메타분석 연구이다. 데이터베이스는 CINAHL, PubMed, EMBASE 및 Koreamed, 국회도서관, 한국학술정보(Korean studies Information Service System, KISS), 한국의학논문데이터베이스 등 국내외 domain을 활용하였다. 검색은 ((Perinatal OR Antenatal OR Antepartum OR Pregnant) AND Depression) AND Women AND (CBT OR (Cognitive behavioral AND (Therapy OR Treatment)))와 '산전우울', '임부', '인지행동치료' 등의 검색어로 2016년 5월까지 출판된 문헌을 검토하였다. 분석은 R을 이용한 임의효과모형을 적용하여 산전우울과 불안의 효과크기를 각각 산출하였으며, 효과크기의 이질성을 검증하기위해 메타 ANOVA를 활용하여 조절효과분석을 실시하였다. 그리고 funnel plot, Egger's regression test, fail-safe N, trim-and-fill 분석을 활용한 출간오류분석과 민감성 분석을 실시하여 전체 연구 결과의 타당성을 검증하였다. 연구결과 총 180편의 문헌이 검색되었으며, 선택배제기준에 따라 최종적으로는 clinical trials 16편을 분석하였다. 분석에 포함된 개별문헌은 Scottish Intercollegiate Guideline Network (SIGN)의 checklist를 통해 비뚤림 위험을 평가하였으며, 대체로 비뚤림 위험은 낮았다. 연구결과 본 연구에서 중재의 산전우울에 대한 효과크기는 Hedges' g=-0.55(95% CI: -0.76~-0.33)로 통계적으로 유의하게 낮았으며, 불안에 대한 효과크기는 Hedges' g=-0.20(95% CI: -0.48~-0.08)이었으나, 통계적으로 유의한 차이는 없었다. 문헌의 이질성, 출판오류의 위험성 등은 낮았다. 본 메타분석결과에 의하면 인지행동치료는 임신부의 산전우울 증세 완화에 보통 정도의 효과가 있음이 밝혀졌다.

• 한국노년학
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• 제36권3호
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• pp.633-648
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• 2016

본 연구는 재가 노인들의 수면 양상을 확인하고 이와 관련된 우울과 인지기능의 관계에 대하여 확인하고 알아보기 위한 목적으로 실시하였다. 연구 방법은 2008년도 실시된 전국 노인 생활 실태 및 복지 요구 조사(보건복지부, 2008)의 원자료를 활용하였고, 대상자는 만 65세 이상의 남녀 12,087명이었으며 연구에 사용된 도구들은 연령, 성별, 나이, 기상 시 숙면 정도, 하루의 총 수면시간, 우울, 인지 기능의 자료를 활용하여 이차 자료분석(secondary data analysis)으로 설계하였다. 연구 결과 인구학적으로는 나이가 많은 여성들이 수면 양상이 좋지 않았으며 양적 수면의 형태인 하루의 총 수면 시간과 우울과 인지기능의 관계에서는 하루의 총 수면 시간이 6시간 이하이거나 9시간을 넘을 경우 우울 증상이 더 많았으며 질적 수면의 형태인 기상 시 숙면 정도와 우울과 인지기능의 관계에서는 숙면의 횟수가 적을수록 우울, 인지기능이 저하되었다. 이상의 결과에 근거하여 수면 양상의 변화가 노인들에게서 병적이라고 할 수는 없지만 위의 결과들을 볼 때 일차 보건 현장에서 노인들의 일상생활에서 수면의 역할을 이해하기 위해서 수면의 시간과 같은 수면의 양, 숙면 정도와 같은 수면의 질에도 초점을 두어 다각적인 접근을 통하여 노인들의 수면 양상을 확인하고 수면 장애를 관리하기 위하여 대상자 개개인에게 맞는 여러 방법의 중재 프로그램을 연구하고 개발하는 것이 필요하다고 하겠다.

• 대한간호학회지
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• 제42권6호
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• pp.843-852
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• 2012

Purpose: In this study a recreational combination gymnastics program was provided for women 75 years of age or older and the effects on physical fitness (grip strength, static balance, ability to do complex movement), depression, cognitive function and quality of life were examined. Methods: A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. Participants included 53 women elders whose cognitive function was within the normal range. The women were assigned to an experimental group (27) or a control group (26). The intervention was conducted twice a week for a period of 12 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used for data analysis. Results: Following completion of the program, left grip strength (t=2.17, p=.035), right grip strength (t=2.04, p=.046), static balance (t=-2.18, p=.030), depression (z=-2.88, p=.004), cognitive function (t=3.96, p<.001), and quality of life (t=-3.19, p=.002) were significantly better in the experimental group. Conclusion: Findings from this study indicate that recreational combination gymnastics programs are effective in enhancing physical fitness, cognitive function, and quality of life and in decreasing depression for female elders and could therefore be regarded as positive programs for promotion of physical and mental health for older women.

• 대한통합의학회지
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• 제5권1호
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• pp.1-9
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• 2017

Purpose : This study is to examine the effects of different task-related circuit training by types of tasks on the depression and quality of life in stroke patients. Method : Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Over the course of eight weeks, before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit tasks training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Result : As for the Stroke-Specific Quality of Life(SS-QOL) that showed significant diffe rences in comparison between the groups over the training period, the dual motor circuit task training group showed statistically significant differences in both different types of tasks at 8 weeks(p<.05). The score of Hospital Anxiety and Depression Scale(HADS) decreased in three groups, in the HADS showed significant changes over the training time in the three training groups(p<.05). Conclusion : It could be seen that the practical and continuous dual circuit task training was more effective than simple task training on quality of life. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group. This researcher hopes that the results of this study will be actively applied as rehabilitation methods for chronic stroke patients.

• Journal of Korean Biological Nursing Science
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• 제22권2호
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• pp.111-118
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• 2020

Purpose: The purpose of this study was to understand the impact of long- and short-term energy drinks on anxiety-like, depressionlike, and cognitive behavior in adolescent rats. Methods: Adolescent rats (age six weeks) were randomly classified into a control group (CON), a long-term administration group (LT), and a short-term administration group (ST). The LT group was orally administered 1.5 mL/100 g (body weight) of energy drink twice daily for 14 days, the ST group was orally administered for one day, and the control group applied the same amount of normal saline. Later, an open-field test, a forced swim test, novel object recognition test, and an 8-arm radial maze test was conducted to assess the rats' anxiety, depression, and cognitive function. Results: There were different effects in the long- and short-term groups of energy drink administration. In the LT group, anxiety- and depressive-like behavior increased because of increased movement in the side corner and decrease of immobility time. Also, the time to explore novel objects decreased, and the number of correct responses was reduced, indicating a learning and memory function disorder. However, the ST group was not different from the control group. Conclusion: These results indicate that long-term consumption of energy drinks can increase anxiety-like, depression-like behavior, and this can lead to decrease in learning and memory functions. Thus, nurse and health care providers should understand the impact of energy drink consumption in adolescence to provide appropriate practices and education.

• 지역사회간호학회지
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• 제17권3호
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• pp.335-345
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• 2006

Purpose: The Purpose of this study was to develop an exercise program for elder people, and to verify the effects of it. Method: A one-group pretest-posttest experimental design was used. The exercise program was developed by researchers, and applied to 20 elders for 3 times a week for 5 weeks. To evaluate the treatment effects, dependent variables such as subjective health status, cognitive function, ADL, IADL, and depression were measured repeatedly 7 times. One-way Repeated Measures ANOVA was used for analysis. Result: There were significant positive changes in subjective health status, cognitive function, ADL, and depression except IADL during the treatment period. The treatment effects decreased significantly during 1-3 weeks after the treatment period. Conclusion: The exercise program, which had developed by the researchers, enhancing subjective health status, cognitive function, and ADL and decreasing depression of elders. Therefore this program is strongly recommended for geriatric nursing care settings.

• 지역사회간호학회지
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• 제32권2호
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• pp.220-231
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• 2021

Purpose: This study is a pseudo-experimental study of design before and after the non-equivalent control group, which was attempted to verify that the application of the ukulele to the elderly has the effects of reducing depression, improving self-efficacy, strengthening social bonding, and improving cognitive function. Methods: 46 (23 in the experimental group and 23 in the control group) participants were selected. The experimental group was provided with three sessions of a music program using eight Ukuleles for the elderly, while the control group was provided with three sessions for the elderly. IBM SPSS 25.0 was used for data analysis, and the independent t-test, 𝑥²-test, and Fisher's exact probability test were performed to verify the homogeneity of the subject's general characteristics. The effect verification after the experimental treatment was analyzed by Fisher's exact probability test, Friedman test, and Mann-Whitney U test. Results: Depression showed a statistically significant difference between the two groups (F=39.88, p<.001), self-efficacy showed a statistically significant difference between the two groups (z=-4.96, p<.001), social bonding showed a statistically significant difference between the two groups (z=-5.19, p<.001), and cognitive function showed a statistically significant difference between the two groups (z=-3.98, p<.001). Conclusion: It was found that the 'Music Program using the Ukulele' was effective in reducing depression of the elderly, improving self-efficacy, reinforcing social bonding, and improving cognitive function. We hope that the Music Program using the Ukulele can be used in the elderly nursing curriculum in the future, and we suggest it should be applied as a nursing intervention to those who are experiencing cognitive decline.