Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders

재가 노인을 위한 집단인지기능향상프로그램이 인지기능, 우울 및 삶의 질에 미치는 효과

  • Received : 2010.03.12
  • Accepted : 2010.10.14
  • Published : 2010.10.31
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Abstract

Purpose: In this study a cognitive enhancement group training program of 10 sessions was provided for communitydwelling elders and the effects on cognitive function, depression and quality of life were tested. Methods: A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. Results: After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group. Conclusion: The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

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References

  1. Chin, Y. R., Lee, I. S., & Chang, H. S. (2004). Analysis of the effects and nursing intervention of home health care in public health centers. Journal of Korean Academy of Community Health Nursing, 15, 353-363.
  2. Chu, S. K., Yoo, J. H., & Lee, C. Y. (2007). 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, 37, 1049-1060.
  3. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Association Pub.
  4. Comijs, H. C., Jonker, C., Beekman, A. T., & Deeg, D. J. (2001). The association between depressive symptoms and cognitive decline in community-dwelling elderly persons. International Journal of Geriatric Psychiatry, 16, 361-367. https://doi.org/10.1002/gps.343
  5. Han, J. H., Ko, S. K., Kweon, J. H., Jo, I. H., Ahn, S. M., Han, C. S., et al. (2008). Efficacy of a multifactorial cognitive ability enhancement program for MCI (Mild Cognitive Impairment) group. The Korean Journal of Clinical Psychology, 27, 805-821.
  6. Hwang, R. I., Lim, J. Y., & Lee, Y. W. (2009). A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing, 39, 622-631. https://doi.org/10.4040/jkan.2009.39.5.622
  7. Jeong, W. M. (2007). The effects of group occupational therapy program for improvement of cognitive abilities in mild case of dementia. Society of Occupational Therapy for the Aged and Dementia, 1, 46-55.
  8. Jhoo, J. H., Kim, K. W., Lee, D. Y., Youn, J. C., Lee, T. J., Choo, I. H., et al. (2005). Comparison of the performance in two different Korean versions of Mini-Mental State Examination: MMSE- KC and K-MMSE. Journal of Korean Neuropsychiatric Association, 44, 98-104.
  9. Ji, H. R. (2003). The effects of dementia nursing intervention program on cognitive function, depression, activities of daily living and social behavior. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
  10. Kauppila, T., Pesonen, A., Tarkkila, P., & Rosenberg, P. H. (2007). Cognitive dysfunction and depression may decrease activities in daily life more strongly than pain in community-dwelling elderly adults living with persistent pain. Pain Practice, 7, 241-247. https://doi.org/10.1111/j.1533-2500.2007.00133.x
  11. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35, 298-307.
  12. Kim, D. Y., Kim, I. S., Kim, T. Y., Park, R. J., Park, J. M., Son, K. C., et al. (2004). Dementia prevention and cognitive rehabilitation program, Seoul: Seohyeonsa.
  13. Kim, J. H. (2000). Effects of a memory training program using efficacy sources on memory improvement in elderly people. Journal of Korean Academy of Nursing, 30, 1170-1180.
  14. Kim, J. S., & Jung, J. S. (2005). The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. Journal of Korean Academy of Nursing, 35, 1153-1162.
  15. Ko, S. G., & Kwon, J. H. (2007). Efficacy of a multifactorial memory enhancement program for older adults in the community. The Korean Journal of Clinical Psychology, 26, 545-572.
  16. Korean Dementia Association. (2006). Dementia: A clinical approach. Seoul: Academia.
  17. Korean Society of Biological Nursing Science. (2002). Mosby's medical, nursing & allied health dictionary, Seoul: Mosby & Hyunmoosa.
  18. Lee, D. Y., Lee, K. U., Lee, J. H., Kim, K. W., Jhoo, J. H., Youn, J. C., et al. (2002). A normative study of the Mini-Mental State Examination in the Korean elderly. Journal of Korean Neuropsychiatric Association, 41, 508-525.
  19. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20, 12-22.
  20. Lim, E. S. (2002). Effects of physical ability, depression and social support on quality of life in low income elders living at home. Unpublished master's thesis, Yonsei University, Seoul.
  21. Ministry for Health, Welfare and Family Affairs, & Korea Centers for Disease Control and Prevention. (2009, December). 2008 National health statistics: National health and nutrition survey. Retrieved March 2, 2010, from http://knhanes.cdc.go.kr
  22. Ministry of Health and Welfare. (2008). 2008 Customized visiting health service guidebook, 117-118. Retrieved March 2, 2010, from http://www.mw.go.kr/front/sch/search.jsp
  23. Rapp, S., Brenes, G., & Marsh, A. P. (2002), Memory enhancement training for older adults with mild cognitive impairment: A preliminary study. Aging &Mental Health, 6, 5-11. https://doi.org/10.1080/13607860120101077
  24. Park, M. H., Kwon, D. Y., Seo, W. K., Lim, K. S., & Song, M. S. (2009). The effects of cognitive training on community-dwelling elderly Koreans. Journal of Psychiatric and Mental Health Nursing, 16, 904-909. https://doi.org/10.1111/j.1365-2850.2009.01467.x
  25. Schalock, R. L., & Siperstein, G. N. (1996). Quality of life: Conceptualization and measurement. Washington DC: American Association on Mental Retardation.
  26. Shin, K. R., Byeon, Y. S., Kang, Y. H., & Oak, J. (2008). A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38, 437-444. https://doi.org/10.4040/jkan.2008.38.3.437
  27. Shin, M. K. (2008). Effects of an exercise program on frontal lobe cognitive function in elders. Journal of Korean Academy of Nursing, 39, 1071-115. https://doi.org/10.4040/jkan.2009.39.1.107
  28. Song, M. S., & Song, H. J. (2009). Development of communitybased intensive health care program for the community dwelling elderly. Journal of the Korean Gerontological Society, 29, 37-50.
  29. Won, J. S., & Kim, J. H. (2003). Influencing factors on cognitive function and depression in elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 12, 148-154.
  30. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38, 1-10. https://doi.org/10.4040/jkan.2008.38.1.1

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