Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments

경도인지장애 노인의 개인별 인지기능강화 프로그램적용의 효과

  • Park, Inhyae (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science) ;
  • Choi, In-Hee (Department of Nursing, Gwangju Health College) ;
  • Kang, Seo Young (Department of Nursing, Gwangju Health College) ;
  • Kim, Younkyoung (Department of Nursing, Gwangju University) ;
  • Lee, Chong Mi (Chosun Nursing College)
  • 박인혜 (전남대학교 간호대학.간호과학연구소) ;
  • 최인희 (광주보건대학교 간호학과) ;
  • 강서영 (광주보건대학교 간호학과) ;
  • 김윤경 (광주대학교 간호학과) ;
  • 이정미 (조선간호대학교)
  • Received : 2014.11.27
  • Accepted : 2015.02.06
  • Published : 2015.03.31
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Abstract

Purpose: This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group. Conclusion: These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

Keywords

References

  1. Statistics Korea. Population projections for provinces: 2010-2040 [Internet]. Seoul: Statistics Korea. 2012 [cited 2014 October 22]. Available from: http://kostat.go.kr/portal/english/news/1/1/11/index.board?bmode=read&aSeq=271443
  2. Jung KH, Oh YH, Lee YK, Son CK, Park BM, Lee SY, et al. Survey of living conditions and welfare needs of Korean older persons in the 2011. Policy Report. Seoul: Ministry of Health & Wellfare & KIHASA; 2012 April. Report No.: 11-1352000-000672-12.
  3. Choi KG. Neuropathology of MCI-view from relationships with aging and alzheimer's disease. Dementia and Neurocognitive Disorders. 2003;2(2):101-107.
  4. Ministry of Health & Welfare. The prevalence of dementia research [Internet]. Seoul: Ministry of Health & Welfare. 2012 [cited 2014 October 18]. Available from: http://english.mw.go.kr/front_eng/cs/scs0401vw.jsp?PAR_MENU_ID=1004&MENU_ID=100406&page=1&CONT_SEQ=270945&tabVal=1365&SEARCHKEY=TITLE&SEARCHVALUE=dementia&reQuery=
  5. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E. Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology. 1999;56(3):303-308. https://doi.org/10.1001/archneur.56.3.303
  6. Shin KR, Kang YH, Jung DY, Kim MY, Kim JS, Kim MJ, et al. Prevalence and characteristics of mild cognitive impairment in the community-dwelling elderly compared to elderly with normal cognitive function. Journal of Korean Academic Society of Adult Nursing. 2011;23(1):40-49.
  7. Petersen RC. Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine. 2004;256(3):183-194. http://dx.doi.org/10.1111/j.1365-2796.2004.01388.x
  8. Ganguli M, Snitz BE, Saxton JA, Chang CC, Lee CW, Bilt JV, et al. Outcomes of mild cognitive impairment by definition: A population study. Archives of Neurology. 2011;68(6):761-767. http://dx.doi.org/10.1001/archneurol.2011.101
  9. Kinsella GJ, Mullaly E, Rand E, Ong B, Burton C, Price S, et al. Early intervention for mild cognitive impairment: A randomised controlled trial. Journal of Neurology, Neurosurgery and Psychiatry. 2009;80(7):730-736. http://dx.doi.org/10.1136/jnnp.2008.148346
  10. Tsolaki M, Kounti F, Agogiatou C, Poptsi E, Bakoglidou E, Zafeiropoulou M, et al. Effectiveness of nonpharmacological approaches in patients with mild cognitive impairment. Neuro-Degenerative Diseases. 2011;8(3):138-145. http://dx.doi.org/10.1159/000320575
  11. Han JH, Ko SG, Kwon JH, Jo IH, Ahn SM, Han CS, et al. Efficacy of a multifactorial cognitive ability enhancement program in MCI(Mild Cognitive Impairment). Korean Journal of Clinical Psychology. 2008;27(4):805-821. https://doi.org/10.15842/kjcp.2008.27.4.002
  12. Hong IS, Kim DA, Kim JS, Yoo YJ, Park S. The study of senior-aerobic exercise on mild cognitive impairment evaluation indicator relation in elderly women with mild cognitive impairment. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science. 2011;13(1):23-31.
  13. Shin KR, Kang YH, Kim MY, Jung DY, Lee E. Prediction of depression among elderly with mild cognitive impairment living in the community. Korean Journal of Adult Nursing. 2012;24(2):171-182. https://doi.org/10.7475/kjan.2012.24.2.171
  14. Djernes JK. Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatirca Scandinavica. 2006;113(5):372-387. https://doi.org/10.1111/j.1600-0447.2006.00770.x
  15. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing. 2009;39(5):622-631. https://doi.org/10.4040/jkan.2009.39.5.622
  16. Hahn EA, Andel R. Nonpharmacological therapies for behavioral and cognitive symptoms of mild cognitive impairment. Journal of Aging and Health. 2011;23(8):1223-1245. http://dx.doi.org/10.1177/0898264311422745
  17. Shin MJ, Sohn EN, Kang SK. The effect of the verb usage capability of verb script in a dotard. Journal of Rehabilitation Science. 2005;23(2):63-77.
  18. Ha H, Choi E, Jeon J. Effects of group art treatment reflecting reminiscence therapy on the quality of life of the elderly with mild dementia living in health care centers. Korean Journal of Art Therapy. 2012;19(2):405-421.
  19. Kim JS, Jung JS. The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. Journal of Korean Academy of Nursing. 2005;35(6):1153-1162. https://doi.org/10.4040/jkan.2005.35.6.1153
  20. Yoo SA. A bibliographical analysis on the folktale studies in Korea. Journal of the Korean Society for Library and Information Science. 2003;37(2):253-268. https://doi.org/10.4275/KSLIS.2003.37.2.253
  21. Folstein MF, Folstein SE., McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975;12(3):189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  22. Kang YO, Na DL, Han SH. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association. 1997;15(2):300-308.
  23. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society. 2005;53(4):695-699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  24. Lee JY, Lee DW, Cho SJ, Na DL, Jeon HJ, Kim SK, et al. Brief screening for mild cognitive impairment in elderly outpatient clinic: Validation of the Korean version of the montreal cognitive assessment. Journal of Geriatric Psychiatry and Neurology. 2008;21(2):104-110. http://dx.doi.org/10.1177/0891988708316855
  25. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385-401. https://doi.org/10.1177/014662167700100306
  26. Chon KK, Rhee MH. Preliminary development of Korean version of CES-D. Applied Psychological Measurement. 1992;11(1):65-76.
  27. Stones MJ. Kozma A. The measurement of happiness: development of the Memorial University of Newfoundland scale of happiness (MUNSH). Journal of Gerontology. 1980;35(6):906-912. https://doi.org/10.1093/geronj/35.6.906
  28. Youn J. A study of development of life satisfaction scale for elderly. Paper presented at: Korean Psychologial Association Annual Conference; 1982 November 22; Seoul National University. Seoul.
  29. Chu SK, Yoo JH, Lee CY. The effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with cognitive impairment. Journal of Korean Academy of Nursing. 2007;3(7):1049-1060.
  30. Kim SY. Clinical characteristics of mild cognitive impairment. Dementia and Neurocognitive Disorders. 2003;2(2):96-100.

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