• Title/Summary/Keyword: Cognitive health design

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Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia (조현병 환자를 위한 수용전념기반 인지행동 프로그램 개발 및 효과)

  • Lee, Jae Woon;Park, Hyun Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.342-354
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    • 2018
  • Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

The Effects of Cognition-Exercise Program Using Step on Cognitive Function, Gait, and Depression in Elderly with Mild Cognitive Impairment (스텝을 활용한 인지-운동프로그램이 경도인지장애 노인의 인지기능, 보행, 우울에 미치는 효과)

  • Ju, Eunsol;Bang, Yosoon;Oh, Eunju
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.3
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    • pp.21-31
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    • 2020
  • Purpose : The purpose of this study was to determine the effects of a cognitive-exercise program using step on the cognitive function, gait, and depression of elderly with mild cognitive impairment. Methods : The subjects comprised 30 elderly people with mild cognitive impairment who used elderly welfare centers in the provinces A, B, and C between March 21 and June 7, 2019. They were divided into an experimental group (n=15) and a control group (n=15) before undergoing an experiment based on a pretest-posttest control group design. The lowenstein occupational therapy cognitive assessment-geriatric population was used to assess the subjects' cognitive function, while the 4-stage balance test, 30-second chair-stand test, timed up & go test, and functional reach test were employed to evaluate their gait. In addition, the beck depression inventory was used to measure their levels of depression. Results : The cognitive-exercise program using step enhanced the subjects' cognitive function and gait and reduced their levels of depression. Furthermore, statistically significant differences were found between the experimental group and the control group. Conclusion : The cognitive-exercise program using step promoted the process of sensorimotor and cognition through the learning process of various steps taking left and right steps and cognitive activities. It improves gait by activating the coordination of the musculoskeletal and nervous systems of the body and positively affecting posture control, balance, flexibility, and lower extremity muscles. It also relieved depression by performing successful step learning and cognitive activities with forward-looking (doing) that leads to pleasure and achievement. The present study confirmed the value of a cognitive-exercise program using step to treat multiple domains of functional decline in elderly patients with mild cognitive impairment. This is therefore proposed as an intervention program for this patient group.

Literature Review of Cognitive Developmental Interventions on Patients with Breast Cancer undergoing Chemotherapy (항암화학요법 유방암환자의 인지기능 증진 중재에 대한 논문 분석)

  • Choi, Eun-Hee;Chung, Bok-Yae;Kim, Gyung-Duck;Kim, Kyung-Hae;Byun, Hye-Sun
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.26-32
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    • 2011
  • Purpose: The purpose of this study was to analyze the trend of cognitive developmental interventions on patients with breast cancer who underwent chemotherapy. Methods: The researcher searched databases and selected 17 literatures using chemotherapy, breast cancer, cognitive function and intervention as searching key words. Searched databases included Ovid, Pubmed, Proquest and Medline and data collection period was from January 2000 to May 2010. Results: Interventions for patients with breast cancer have been continuously developed and frequent research topics included breast cancer, chemotherapy, quality of life, and cognitive function. In terms of study design, four research articles were pre-experimental study designs, one was case study, and the rest of studies were non-equivalent pretest-posttest control group design. Effects of intervention were examined in only 5 studies among 17. The interventions were not found to have direct effects in cognitive improvement. Conclusion: It is needed to figure out the mechanism of cognitive deterioration of the patients with breast cancer who underwent chemotherapy. And nursing interventions needs to be developed in order to hold up the cognitive downhill and help their cognitive rehabilitation.

Effects of a Cognitive Improvement Program on Cognition, Activities of Daily Living (ADL), Depression, Life Satisfaction, and Grasping Power in Small Groups (소그룹 인지기능강화 프로그램이 인지기능, 일상생활활동, 우울, 생활만족도, 악력에 미치는 영향)

  • Kang, Seo Young;Lee, Chong Mi
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.169-178
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    • 2016
  • Purpose: The purpose of this study was to evaluate effects of a cognitive improvement program on cognition, activities of daily living (ADL), depression, life satisfaction, and grasping power in small groups. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 127 elders who were never diagnosed with dementia and could read (experimental: 61, control: 66). The program was consisted of 8 sessions to improve vocabulary and writing skills and fine motor skills. Each session was applied once a week for 8 weeks. A group was consisted of less than five members. Results: Cognition (t=3.82, p<.001), depression (t=-2.24, p=.027), life satisfaction (t=2.25, p=.027), and grasping power (Rt: t=2.44, p=.016, Lt: t=2.63, p=.010) except ADL (t=-0.49, p=.622) were significantly increased in the experimental group after the cognitive improvement program compared to the control group. Conclusion: This study indicates that the cognitive improvement program was effective to improve cognition, depression, life satisfaction and grasping power. Further study is needed in order to identify continuous effects of this cognitive improvement program.

On the Physical Function Evaluation, Prevention Training, and Cognitive Ability Improvement through the Design of a Healthcare Independence Support System based on Emotional Satisfaction of Senior Users

  • Lee, Sang Min;Kim, Joo Uk;Kim, Young Min
    • International Journal of Internet, Broadcasting and Communication
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    • v.13 no.1
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    • pp.37-46
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    • 2021
  • Recently, social technologies have been created to solve problems from businesses for the establishment of generational solidarity ecosystem in terms of employment, residential space, network and social capital, age, cognitive and environmental aspects. This is senior-friendly healthcare business system aimed at meeting the senior needs for health life to enjoy active consumption culture life even after retirement, becoming a catalyst for minimizing generational conflicts, preventing the cognitive and physical deterioration of seniority in the areas of life healthcare, fitness and well-aging, and expanding into systems necessary for seniority self-reliance. We would like to draw up the development and requirements of the concept of the service platform for the study of collective characteristics for generation solidarity with senior class and the establishment of a customized senior health life system for generation solidarity. This system is characterized by a platform that can prevent the decline of seniors' cognitive and physical functions and enhance emotional stability. It is significant in providing feedback on the risk perception index, fall index, and prevention training index information to the child through the analysis and extraction of the senior health index for risk perception, fall probability, and fall prevention.

Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community (경도인지장애 노인의 우울 예측 요인)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Kim, Mi-Young;Jung, Duk-Yoo;Lee, Eliza
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.171-182
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    • 2012
  • Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.

Trends in Nursing Research on Sexuality in Korea (국내 간호학에서 성(sexuality)에 관한 연구 경향)

  • Lee, Kyung-Hye;Kim, Sun-Hee;Lee, Sun-Hee
    • Women's Health Nursing
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    • v.14 no.2
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    • pp.83-92
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    • 2008
  • Purpose: This study aimed to analyze the trends in nursing research on sexuality in Korea and to provide guidance to the future research in sexual health. Method: Total 163 published articles in Korea from 2000 to 2007 year were reviewed using a structured analysis form which consists of the domains of nursing journal, research designs, research purpose, research subjects, and the key words. Result: Of those articles, 25.8% was published in J. of Korean Academy of Women Health Nursing and 13.5% in J. of Korean Academy of Community Health Nursing. In terms of the research design, quantitative research methods were commonly used in 88.4% of them which only 6.1% used qualitative methods. The nursing process on purpose were classified assessment(86.3%), nursing intervention(11.3%), and nursing evaluation(2.5%); Most of subjects were early adults(35.3%), adolescents(27.9%), and adults(25.6%); The most frequently reported key words were classified into socio-psychological domain(33.5%), cognitive domain(25.6%), clinical domain(12.6%). Conclusion: Research on sexuality in nursing have been continued. The major key words were founded in socio-psychological and cognitive domains. It is recommended that more various subjects, research methodology, and various key words be investigated.

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Adopting Production System in Cognitive Psychology to Improve the Extraction Process of Persuasive Design Characteristics for Healthcare-related Applications

  • Zhang, Chao;Wan, Lili
    • The Journal of Information Systems
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    • v.27 no.3
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    • pp.25-42
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    • 2018
  • Purpose The purpose of this study focused on adopting production systems in cognitive psychology to improve the extraction process of persuasive design characteristics for healthcare-related mobile applications. Design/Methodology/Approach A research approach with four stages was developed. We developed and updated the evaluation guideline for persuasive design characteristics (PDC). We tried to summarize and analyze each of 28 PDC and prepared related production rules. Verification process for both guideline approach and production system approach were performed. Top one hundred apps from both medical category and health and Fitness category were selected and evaluated by two approaches. By comparing the results of the two approaches, we tried to explain the improvement and reliability of introducing the production system in the PDC extraction process. Findings Based on the updated guideline for healthcare-related mobile applications, a production system in cognitive psychology was developed. By comparing the PDC extraction results by two approaches, production system showed a better improvement for evaluation precision and efficiency for decision-making process. The findings of this study can be used for researchers and app developers to apply production system to analyze, evaluate, and develop better healthcare-related apps with persuasion.

Design and Development of Cognitive Judgment Platform using Augmented Reality (증강현실을 이용한 인지 판단 플랫폼 설계 및 개발)

  • Lee, Cheol-Seung;Kim, Kuk-Se
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.6
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    • pp.1249-1254
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    • 2021
  • Computing technology and networking technology in the era of the 4th industrial revolution are rapidly evolving into an intelligent information society. AR, VR, and MR technologies, which are dual immersive media fields, are being applied in many convergence technologies, especially! The development of the health and healthcare field is actively progressing. In the field of health and healthcare, there are many problems due to aging of the population, increase in chronic progress, lack of infrastructure, and lack of professional manpower. services in the field are adopted. Therefore, this study applies cognitive evaluation through a computing system to the mild cognitive impairment, designs and develops a cognitive judgment platform using augmented reality based on the cognitive judgment technology system design, and integrates AI and BigData-based intelligent cognitive rehabilitation in the future. It is used as basic data for service platform development.

The effect of attention on spinal health of adolescents: The mediating effect of smartphone overindulgence moderated by cognitive strength (청소년의 집중력이 척추건강에 미치는 영향: 인지강도에 의해 조절된 스마트폰 과몰입의 매개효과)

  • Lee, Jin;Kim, Sang-Woo;Lee, Byounghee
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.29-47
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    • 2022
  • Purpose: This study was conducted to find out the mediated effects of smartphone overindulgence in the relationship between attention and spinal health of adolescents and to find out how cognitive strength moderates these relationships. Design: Cross-sectional study. Methods: All subjects measured attention, cognition strength, spinal angle, and smartphone overindulgence by measuring the ratio of SMR and mid-beta power to the power of the brain wave, amplitude variation of Cognitive Gamma-Peak, forward slope angle of the cervical spine, and the scale of diagnosis of smartphone addiction. Results: As a result, it shows a significant correlation between Attention, spinal angle, cognitive strength, and smartphone overindulgence(p<.05). In addition, attention was significantly mediated on the spinal angle through smartphone overindulgence(p<.001), and cognitive strength was significantly mediated in relation to smartphone overindulgence and spinal angle(p<.05). Conclusion: This result indicates that the mediation effect of overindulgence of a Smartphone is mediated according to its cognitive strength in relation to its effect of attention on the spine angle.