• Journal of the Korean Applied Science and Technology
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• v.41 no.4
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• pp.1056-1065
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• 2024

The purpose of this study is to investigate the factors affecting sleep quality, depression, and stress on cognitive function in community-dwelling insomnia elderly people. The subjects of the study were 111 elderly registered at a senior center and welfare center in S City who were over 60 years old and complained of insomnia for the past 3 months or more. Self-report questionnaires and the Montreal Cognitive Assessment(Moca-K) were administered. Data were analyzed using SPSS Statistics 25.0 was used for data analysis, and the Pearson's correlation coefficient for the correlation between variables, and multiple regression analysis was used to determine influential factors. As a result of the study, cognitive function was significantly related to sleep quality(r=-0.45, p<.001), depression (r=-0.32, p<.001), and stress(r=-0.56, p<.001). showed a correlation. Predictive factors for cognitive function were identified as sleep quality and stress, and the explanatory power of these variables was found to be 35.0%. Based on these research results, it is necessary to develop a intervention program that can manage sleep quality and psychological symptoms to improve cognitive function in insomnia elderly people living in the community.

• Safety and Health at Work
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• v.14 no.3
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• pp.250-258
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• 2023

The effectiveness of mindfulness techniques in addressing mental health conditions in workers is uncertain. However, it could represent a therapeutic tool for workers presenting with such conditions. Our objective was to assess the effects of mindfulness-based practices for workers diagnosed with mental health conditions. We conducted a systematic review of randomized controlled trials. Participants included were workers with a mental health condition. Interventions included any mindfulness technique, compared to any nonmindfulness interventions. Outcomes were scores on validated psychiatric rating scales. A total of 4,407 records were screened; 202 were included for full-text analysis; 2 studies were included. The first study (Finnes et al., 2017) used Acceptance and Commitment Therapy (ACT) associated or not with Workplace Dialogue Intervention (WDI), compared to treatment as usual. At 9 months follow-up, for the ACT group, depression scores improved marginally (standardized mean difference [SMD]: -0.06, p = 0.021), but anxiety scores were worse (SMD: 0.15, p = 0.036). Changes in mental health outcomes were not statistically significant for the ACT + WDI group. In the second study (Grensman et al., 2018), no statistically significant change in mental health scales has been observed after completion of mindfulness-based cognitive therapy compared to cognitive behavioral therapy. Substantial heterogeneity precluded meta-analysis. This systematic review did not find evidence that mindfulness-based practices provide a durable and substantial improvement of mental health outcomes in workers diagnosed with mental health conditions.

• The Journal of Korean society of community based occupational therapy
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• v.9 no.2
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• pp.23-31
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• 2019

Objective : The purpose of this study is to repeatedly conduct task-oriented training in scopolamine-induced dementia rats and as a result observe changes in the content of acetylcholine, a marker of cognitive function and central nervous system plasticity, to identify the improvement effect of dementia. Methods : It consisted of two groups. One group I was that did not perform task-oriented training in scopolamine-induced dementia rats and the other group II was that performed task-oriented training. Task-oriented training involved stretching, grasping and moving arms and walking obstacles on the legs. We performed a quantified passive avoidance test in the measurement of memory for cognitive function and compared the change in the content of acetylcholine for the plasticity of the central nervous system. Results : The results of the study are as follows: First, there was a significant improvement in cognitive function since the 4th days after task-oriented training of scopolamine-induced dementia rats(.00). Second, task-oriented training applied to scopolamine-induced dementia rats showed a significant increase in acetylcholine content. Conclusion : In this study, task-oriented training, which is often performed on senile dementia patients during occupational therapy intervention, was scientifically demonstrated in scopolamine-induced dementia rats by enhancement of cognitive function through memory improvement and increase in the content of acetylcholine confirming central nervous system plasticity.

• 한국노년학
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• v.29 no.1
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• pp.37-50
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• 2009

The purpose of the present study was to develop a community-based intensive health care program for the community dwelling elderly to strength their functional status and to verify the effect on their geriatric syndrome. A one-group pretest-posttest design was used for the study. A total of 69 frail elderly, who lived in the area within 20 minutes by car, were committed themselves to the day care center(Sangikjae), and had the ability of verbal communication were selected from G city in Kyunggi province. The participants completed a set of questionnaires to measure the sub-score of frailty, fall, urinary incontinence, malnutrition, and mild cognitive disorder domain, using the Otasha-Kensin through the physical examinations and interviews. After 4 weeks of intervention, the outcome was measured to evaluate the effects of the program, and the data obtained were analyzed using descriptive statistics, paired t-test and McNemar test. The results showed that the sub-score of frailty, fall, urinary incontinence, and malnutrition domain were statistically significantly decreased after intervention except those of urinary incontinence and mild cognitive disorder domain, implying that the risk of frailty, fall, and malnutrition was decreased. These findings indicated that community-based the intensive health care program is effective for relieving geriatric syndrome of the community dwelling elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.9
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• pp.3973-3982
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• 2012

The purpose of this study was to identify cognitive impairment and it's related factors of the elderly in long term care facilities. The participants of this study were 229 residents of five nursing homes. Data were analyzed using two sample t-test, ${\chi}^2$-test, and logistic regression. The results revealed eight factors related to cognitive impairment: gender(OR=2.41, p=.035), age(75-84: OR=3.26, p=.002, Over 85: OR=4.46, p<.001), living with family before admission(OR=2.17, p=.015), hearing(OR=8.88, p=.004), family history of dementia(OR=4.39, p=.009), ADL(OR=0.82, p<.001), hypertension(OR=4.07, p<.001), and diabetes(OR=3.42, p=.001). Based on the findings of this study, continuous nursing intervention focused on adjustable factors would be helpful in order to improve nursing home elderly people's quality of life.

• The Journal of the Korea Contents Association
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• v.20 no.9
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• pp.615-627
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• 2020

The purpose of this study is to examine the mediating role of self-efficacy and community consciousness in the relationship between volunteer activity experience and career decision level of university students majoring in social welfare. For this purpose, this study set up a research model based on the social cognitive career theory based on Keumboltz's social learning theory and Bandura's social cognitive theory. 260 students majoring in social welfare at three four-year universities in Chungcheongbuk-do were assigned and surveyed from September to October 2019. The multiple regression analysis was conducted to verify the correlation analysis and the mediating effect using SPSS 26.0. The results of the analysis showed that the volunteer activity experience of college students majoring in social welfare had a significant effect on the career decision level, and self-efficacy and community consciousness had a partial mediating effect on these relationships. Based on the results of this analysis, the intervention and follow-up studies for improving career decision level of university students majoring in social welfare were discussed.

• Journal of the Korea Convergence Society
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• v.7 no.5
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• pp.145-153
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• 2016

The purpose of this study was using a meta-analysis to estimate effect size ACT intervention program. Using a statistical method, meta-analysis has advantages that prove intervention's amount and direction. Meta-analysis facilitates comprehensive analysis. Through the data collection, 43studies were selected and 183 effect size were calculated as analysis objects. Using a 183 effect size, the overall effect size, Effect Size of categorical Factor, meta-regression result were suggested. The overall effect size of ACT program was 0.704. In the effect area of ACT, the affective domain had the largest effect size. Next were the cognitive domain, the behavioral domain. Analysis on gender of participant, mixed group had the largest effect size. Next were the female grouop, male group. Analysis on age of participant, adult group had the largest effect size. Next were the undergraduate grouop, adolescent group. Based on the findings, implications for future study were discussed.

• Journal of Naturopathy
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• v.12 no.2
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• pp.35-44
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• 2023

Background: The need to study the effects of concert oriented music therapy (COMT) on a diverse range of subjects. Purpose: This study aimed to verify the effectiveness of Concert Oriented Music Therapy (COMT), a technique based on active music activities, in alleviating depression among the elderly in a nursing home. Methods: COMT program was prepared, which was designed to enable participants to express and explore emotions through music in a creative environment, being divided into 'Therapeutic music making' and 'Concert activities,' The 70 elderly residents in a nursing facility were randomly assigned to either an experimental (n=35) or a control group (n=35). The 3 participants withdrew, and a total of 67 completed the COMT intervention program. Results: The experimental group receiving COMT intervention showed a significant reduction in the average GDS-K score from 20.34 to 15.18 (p<.001), with notable decreases observed in the cognitive function and depression factors. Conclusion: The COMT was found to effectively reduce depression, particularly, related to cognitive function, for the elderly residents in a nursing facilities. The COMT intervention program is expected to be beneficial in improving the quality of life for the elderly in a nursing home, susceptible to depression

• The Korean Journal of Rehabilitation Nursing
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• v.11 no.2
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• pp.67-73
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• 2008

Purpose: The purpose of this study was to review and identify the meaning and components of the concept, Frailty. Method: We conducted literature review of studies that concluded the word of 'frail' or 'frailty between 1980 and 2008, and used MEDLINE, CINAHL database to select the articles. Results: Frailty is defined as a concept with multidomains, which are physical, cognitive, psychological, social. Critical characteristics of Frailty include multidominal deficiency, combined accumulation, diminished ability to keep up the independence of daily living, states beyond one's reserve capacity, dynamic relativity, proximity to adverse health outcome, aggregated symptoms. Frailty is caused by decreased physical activity, loss of sensory function, Chronic symptoms or signs, relationship with Caregiver, social isolation. Moreover, Frail elderly is at risk of falls and institutionalization. Conclusion: Frailty is very useful concept, because it has the potential to identify the elderly population at risk of adverse health outcomes. Based on this results, the appropriate tool for screening Korean Frail elderly and Nursing intervention for them needs to be developed.

• Journal of Korean Public Health Nursing
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• v.35 no.1
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• pp.60-71
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• 2021

Purpose: This study examined the socio-demographic and health factors affecting the quit-smoking plan in smoking seniors. Methods: Data were obtained from the Seventh Korean National Health and Nutrition Examination Survey (VII-1, VII-2, VII-3). The sample consisted of 369 smoking seniors. The complex sample was analyzed thought an independent t-test, Chi-square test, and multiple logistic regression. Results: The influential factors on the quit-smoking plan were daily smoking (OR=0.30, CI=0.11-0.78), age of start smoking (OR=1.06, CI=1.01-1.11), daily smoking amount (OR=0.95, CI=0.90-1.00), quit-smoking trial (OR=2.63, CI=1.32-5.23), and cognitive stress (OR=2.13, CI=1.01-4.54). Conclusion: This study revealed the variables that should be considered when setting up a smoking cessation plan for smoking seniors. Based on this, an elderly cessation intervention program can be developed.