• 제목/요약/키워드: Cognitive health design

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운동·인지 이중과제 프로그램이 경도인지장애 노인의 인지기능 및 우울에 미치는 영향 (The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment)

  • 김경아;김옥수
    • 성인간호학회지
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    • 제27권6호
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    • pp.707-717
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    • 2015
  • Purpose: This study was to develop and verify the effects of the exercise-cognitive combined dual-task training program on cognitive function and depression of the elderly with mild cognitive impairment (MCI). Methods: A non-equivalent control group pretest-posttest design was used. The participants were assigned into two groups: an experimental group receiving an exercise-cognitive combined dual-task (n=20) and a control group receiving a simple-task (n=18). After 8 weeks of intervention (2 days per week), the change in depression and cognitive functions were compared between the groups. Results: General cognitive function (t=-2.81, p=.011), frontal cognitive function (Z=-3.50, p<.001), attention/working memory function (U=-2.91, p=.004), depression (t=4.96, p<.001) of the experimental group were significantly increased than those of the control group. Conclusion: The findings of the study showed that an exercise-cognitive combined dual-task program for MCI was effective in improving general cognitive function, frontal and executive function, attention/working memory function, and reducing depression.

농촌 지역 노인 우울증 및 치매 예방을 위한 사회적처방의 효과평가 (Effectiveness of Social Prescribing for Preventing Depression and Dementia of the Elderly Living in the Rural Area)

  • 조혜연;이호철;남은우
    • 한국농촌간호학회지
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    • 제18권1호
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    • pp.1-10
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    • 2023
  • Purpose: This study was to evaluate the effects of a social prescribing program on cognitive function and depression of the elderly in the rural community. Methods: A non-equivalent control group pretest-posttest design was used for this study. The experimental group (n=76) completed a 8-week intervention of social prescribing, while the control group (n=39) only participated in pre- and post- need assessment from April 2021 to October 2022. A Wilcoxon signed rank test was conducted to evaluate the effectiveness of a social prescribing program on the level of cognitive function and depression of the participants. Results: The level of cognitive function was improved significantly in the experimental group (p<.05) while there was no significant change in the control group. Depression has been significantly decreased in the experimental group (p<.01), but there was no statistically significant change in the control group. Conclusion: The results of this study suggest that the social prescribing program is effective for improving cognitive function and reducing depression of the elderly living in the rural area. Therefore, a social prescribing program can be utilized as a preventive program for dementia and depression of the elderly.

원예요법이 치매노인의 인지기능, 자아존중감, 우울 및 일상생활수행능력에 미치는 영향 (The Effect of Horticultural Therapy on Cognitive Function, Self-esteem, Depression and ADL of Elderly with Dementia)

  • 박정숙;이현지;김미은
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.69-82
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    • 2003
  • Purpose: The purpose of this research was to evaluate the effect of horticultural therapy on cognitive function, self-esteem, depression and activities of daily living of elderly with dementia. Method: The research design was an one group pre and post-test study design. The subjects of this study were 7 elderly with dementia in K elderly institution in Daegu. Instruments used in this research were MMSE-K(Mini-mental state Examination Korean Version) developed by Kwon & Park, SES(Self-Esteem Scale) developed by Rosenberg. SDS(Self-Rating Depression Scale) developed by Zung and BADL(Bathel Activity Daily Living) developed by Bethel. One-hour horticultural therapy was offered to the study participants weekly for 12 weeks. Results: The results showed that self-esteem was significantly increased after the horticultural therapy. However, in terms of cognitive function. depression and ADL, there was no significant change after the horticultural therapy among these elderly. Conclusion: In this research. there were no obvious change in cognitive function. depression, and ADL after the horticultural therapy among participants. Although the difference was not statistically significant. descriptive statistics showed some difference in scores on these variables after the intervention. So, it is suggested to conduct a further research with larger samples and pre and post-test design with control group.

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경도인지장애 노인의 인지향상 프로그램 중재효과 (The Intervention Effect of Cognitive Improvement Program for Elderly with Mild Cognitive Impairment)

  • 송명경;김순옥;김춘숙
    • 한국보건간호학회지
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    • 제32권1호
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    • pp.81-95
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    • 2018
  • Purpose: This study was conducted to identify the effects of a group cognitive improvement program on cognitive function, depression and self-esteem in elderly individuals with mild cognitive impairment. Methods: This was an experimental study that employed a pre-post design of a non-equivalence control group. The subjects were 52 elderly people with mild cognitive impairment, 25 of whom were assigned to the experimental group and 27 to the control group. The program was conducted for a total of 12 sessions for 60 minutes each. Data were analyzed using the ${\chi}2-test$, Fisher's exact test, and Independent t-test with the SPSS 20.0 program. Results: After the intervention, the group who participated showed improvement in all areas of cognitive function based on MMSE-KC (F=26.37, p.<0.001), the Rey Complex Figure Test: copy (F=20.66, p.<0.001), Immediate memory of Seoul Verbal Learning Test-Elderly's version (F=29.68, p.<0.001), delayed memory (F=45.79 p.<0.001), memory recall (F=28.97, p.<0.001), Forward of Digit Span Test (F=9.25, p=.004), backward (F=8.33, p.=0.006), language comprehension (F=13.42, p.<0.001), and digit symbol coding (F=17.74, p.<0.001) relative to the control group. Moreover depression (F=24.09, p.<0.001) was decreased in program participants, whereas self-esteem (F=40.24, p.<0.001) was increased. Conclusion: The program could be a useful intervention because the results show that the group cognitive improvement program has a significant effect on cognitive function, depression and self-esteem in elderly with mild cognitive impairment.

Effects of the healing movie programs on post-traumatic stress syndrome, resilience, and cognitive emotional control strategies of Korean cancer survivors: a non-equivalent control group pretest- posttest design

  • Jeong Hyeon Kong;Seonah Lee;Mi Yang Jeon
    • Journal of Korean Biological Nursing Science
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    • 제26권3호
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    • pp.195-205
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    • 2024
  • Purpose: This study examined the effects of the healing movie programs for cancer survivors on post-traumatic stress syndrome, resilience, and cognitive emotional control strategies, a quasi-experimental design. Methods: Participants included 39 cancer survivors registered in four healthcare centers in Gyeongsangnam-do. The intervention and control group included 19 and 20 participants, respectively. The healing program using movies developed in this study was provided to the intervention group in 10 sessions, occurring twice each week for 5 weeks and lasting 80 minutes per session. The data were collected using structured questionnaires and they were analyzed to examine differences in the test scores before and after the intervention. Results: In the intervention group, the post-traumatic stress syndrome (F = 14.97, p < . 001) decreased significantly and the resilience (F = 19.55, p < .001) and adaptive cognitive emotion regulation (F = 5.11, p = .029) increased significantly. The difference between the intervention and control group was statistically significant in post-traumatic stress syndrome, resilience, and adaptive cognitive emotion regulation. Thus, the healing program of this study significantly reduced post-traumatic stress, and it improved both resilience and adaptive cognitive emotion regulation of cancer cancer survivors. Conclusion: The healing program is an effective psychosocial nursing intervention that helps cancer survivors feel better about their illness, and it helps them healthy transition from negative emotions to increased resilience and positive cognitive emotions.

Effects of an emotional regulation program on maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression among South Korean mothers of premature infants in the neonatal intensive care unit

  • Choi, Hyo Sin;Lee, Kyung Eun;Shin, Yeonghee
    • Child Health Nursing Research
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    • 제27권1호
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    • pp.24-33
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    • 2021
  • Purpose: This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU). Methods: The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3~4 weeks, and the control group only received standard nursing care. Results: Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group. Conclusion: The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

경도인지장애 노인의 인지기능 회귀와 관련요인: 종단적 코호트 연구 (Reversion to Normal Cognition and Its Correlates among the Community-dwelling Elderly with Mild Cognitive Impairment: the Longitudinal Cohort Study)

  • 강윤희;황선아;박금주
    • 성인간호학회지
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    • 제27권6호
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    • pp.656-664
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    • 2015
  • Purpose: The purposes of this study were to identify the rate of reversion from mild cognitive impairment (MCI) to normal cognition (NC) among the community-dwelling elderly and to determine if there were differences in cognitive function, leisure activities, and exercises between the group with MCI-maintained and the group with reversion to NC. Methods: This study utilized a longitudinal descriptive comparative design. A total of 346 subjects over age 65 was recruited from public health center at baseline. Finally 152 elderly were enrolled at 1 year follow-up. Data were collected through MoCA-K, K-MMSE, KDSQ-C5 and questionnaires on leisure activities and exercises. Data were analyzed by IBM SPSS Statistics 21.0 using descriptive statistics, $x^2$ test, and t-test. Results: The rate of reversion from MCI to NC among the subjects was 44.1%. At baseline, the group with MCI-maintained had lower cognitive function than the group with reversion to NC. At 1 year follow-up, the group with reversion to NC had higher subjective cognitive function than the group with MCI-maintained. Regarding leisure activities, there were differences between the groups at baseline and 1 year follow-up. Conclusion: It is suggested that age, education year, subjective cognitive function, and leisure activities should be considered at planning a nursing intervention for MCI.

뇌졸중 환자의 인지적 전략개발 중심 중재가 수행기술에 미치는 효과 비교 : 무작위 비교연구 (Cognitive Strategy Intervention Affects Performance Skills of Daily Living in Individuals with Stroke: A Randomized Controlled Trial)

  • 안시내
    • 보건의료산업학회지
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    • 제10권3호
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    • pp.75-84
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    • 2016
  • Objectives : The aim of this study was to compare a treatment focusing on the physical function to an intervention focusing on a cognitive strategy in stroke patients which improves their performance skills of daily activities. Methods : This study design was a randomized control trial selecting 43 people with stroke patients. This study consisted of a control group, which received conventional occupational therapy focusing on physical function, and an experimental group which was trained to develop a cognitive strategy by themselves. Both groups each received 10 sessions of the treatment. This study compared the skills for performing daily activities before and after the intervention and analyzed the data with SPSS Ver. 18.0. Results : This study showed a significant improvement in all performance skills in the experimental group (p<.05). There was no statistically significant difference in the performance skills before and after the intervention in the control group (p>.05). Conclusions : It was verified that stroke patients to develop a cognitive strategy by themselves is more effective than to improve the physical function in performance skills for daily activities.

증강현실을 이용한 인지훈련 프로토콜 설계 및 시스템 구현 (Cognitive Training Protocol Design and System Implementation using AR)

  • 이철승;김국세
    • 한국전자통신학회논문지
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    • 제17권6호
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    • pp.1207-1212
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    • 2022
  • 4차 산업혁명 시대의 차세대 미디어 기술인 실감미디어는 사용자 경험을 최적화 하는 환경을 통해 체험하는 기술로 이슈화 되고 있고, 보건·헬스케어 융·복합분야로 빠르게 발전하고 있다. 노년층의 인구 증가로 만성질환의 증가, 인지훈련 및 재활분야의 인프라와 전문인력의 부족으로 이를 해결하기 위해 실감미디어 기술과 서비스를 채택하고 있다. 이에 본 연구는 인지 재활이 필요한 경도인지장애 MCI(: Mild cognitive impairment) 대상자를 대상으로 인지능력과 일상생활 활동능력을 향상시키는 목적으로 인지 훈련 시스템을 설계하고 구현하였다. 향후 AI와 BigData 기반의 지능형 인지재활 통합 플랫폼으로 쌍방향 컴뮤니케이션과 즉각적인 피드백이 존재하는 통합 서비스 플랫폼을 연구과제로 남긴다.

New Proposal of Private Insurance Program for Dementia Patients: Design of Sustainable Private Insurance Program in Korea

  • Park, Kun-Woo;Kim, Jhong Yun
    • 대한치매학회지
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    • 제16권1호
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    • pp.1-6
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    • 2017
  • The purpose of this study is to examine interventions and supporting systems by dementia stage, take a look at dementia insurance policies in Korea and the United States, and present Korean private insurance programs for dementia patients. According to the study, our suggestions of a design of private insurance products for Korean dementia patients are as follows. First, the products should support people aged 80 and older. Second, new products should include the mild stage dementia in the insurance coverage. Third, non-pharmacological treatments, such as the cognitive stimulation, the cognitive training, and exercises need to be covered through the new private insurance. Fourth, the private insurance should be contained home health care services in its coverage. These suggestions can reduce the dependence of the public insurance, help people choose appropriate treatments for themselves, and give people a good opportunity to improve the effect of dementia treatment and to increase the satisfaction of patients and their families.