Effectiveness of Community-Based Cognitive Rehabilitation Program on Demented Individuals: Systematic Review and Meta Analysis

지역사회 거주 치매 노인의 인지재활프로그램 효과 : 체계적 문헌고찰 및 메타분석을 통한 접근

  • Mo, Jin A (Inha University, National Evidence Based Healthcare Collaborating Agency) ;
  • Lim, Ji Young (Department of Nursing, Inha University)
  • Received : 2015.10.03
  • Accepted : 2015.11.23
  • Published : 2015.12.31

Abstract

Purpose: This study investigated evidence for the effects of community-based cognitive rehabilitation programs for demented elderly. Methods: The literature review covered studies between 2004 and 2014, and searched international databases including Ovid-MEDLINE, EMBASE, and the Cochrane Library. The Risk of Bias Assessment Tool for Non-Randomized Studies was used by two reviewers to evaluate independently the quality of the selected articles. Results: Eighteen studies were selected through a systematic search of the literature. About three quarters of the studies showed that the community-based cognitive rehabilitation programs provided by nurses were significantly effective in enhancing cognition among elderly individuals with dementia. Conclusion: Based on these results, we suggest that nurse is an appropriate profession to manage cognitive rehabilitation or cognitive enhancement programs for demented elderly individuals. Therefore, the current system in which caregivers provide cognitive rehabilitation programs for demented elderly individuals must be reformed.

Keywords

References

  1. Bayles, K. A., & Tomoeda, C. K. (1997). Improving function in dementia and other cognitive-linguistic disorders: Guide and resource book. Austin, TX: Proed.
  2. Cho, Y. Y. (2005). A case study on the effectiveness of medical care recreation affected to the old with dementia: Focused on the acknowledgment function and the ability of accomplishing daily life. Unpublished master's thesis, Hannam University, Deajeon.
  3. Choi, A. N., & Ryu, K. K. (2007). The effect of group music therapy on cognition, depressive mood, quality of life and BPSD (Behavioral and Psychological Symptoms of Dementia) in patients with dementia. Journal of Special Education & Rehabilitation Science, 46(3), 143-174.
  4. Han, M. D. (2009). Situation of planning management organization with dementia. The Korean Academy of Clinical Geriatrics, 10(1), 115-118.
  5. Heiss, W. D., Kessler, J., Mielke, R., Szelies, B., & Herholz, K. (1994). Long-term effects of phosphatidylserine, pyritinol, and cognitive training in Alzheimer's disease: A neuropsychological, EEG, and PET investigation. Dementia, 5(2), 88-98.
  6. Higgins, P. T., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions 5.1.0(ed), United Kingdom: The Cochrane Collaboration, 33-49.
  7. Ji, H. R. (2003). The effects of dementia nursing intervention program on cognitive function, depression, activities of daily living, and social behavior in the elderly with mild dementia. Unpublished doctoral dissertation, Chonnam University, Gwangju.
  8. Kang, Y. W. (2006). A Normative study of the Korean-mini mental state examination (K-MMSE) in the elderly. Journal of Korean Psychology, 25(1), 1-12.
  9. Kim, H. H. (2012). Neurologic speech-language disorders. Seoul: Sigma press.
  10. Kim, H. J. (2011). The efficacy of the combined program of exercise and cognitive rehabilitation for the elderly people with mild dementia. Unpublished doctoral dissertation, Korea University. Seoul.
  11. Kim, J. S. (1997). The effective of cognitive stimulation training on elderly persons with dementia. The Journal of Korean Community Nursing, 8(2), 197-201.
  12. 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(6), 1163-1173. https://doi.org/10.4040/jkan.2005.35.6.1163
  13. Korean Dementia Association. (2011). Dementia a clinical approach. Gyeonggi: Academia.
  14. Kurz, A., Thone-Otto, A., Cramer, B., Egert, S., Frolich, L., Gertz, H. J., Kehl V., & Wagenpfeil S., Werheid K. (2012). CORDIAL: cognitive rehabilitation and cognitive-behavioral treatment for early dementia in Alzheimer disease: a multi-center, randomized, controlled trial. Alzheimer Disease & Associated Disorders, 26, 246-253. https://doi.org/10.1097/WAD.0b013e318231e46e
  15. Lee, E. C., Song, J. E., An, S. K., Oh, B. H., Lee, H. S., Oh, H. C., Koo E. H., Hwang H. S., & Yoo K. J.. (1999). Therapeutic effects of psychosocial programs in the day care service on cognitive impairment and depressive symptoms in the elderly patients. Journal of The Korean Neuropsychiatric Association, 38(5), 933-943.
  16. Lee, H. J., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20(1), 12-22.
  17. Lopez, M. A., & Mermelstein, R. J. (1995). A cognitive behavioral program to improve geriatric rehabilitation outcome. Gerontologist, 35(5), 696-700. https://doi.org/10.1093/geront/35.5.696
  18. Mark, W. L., & David, W. (2001). Practical meta-analysis. Orlando, Florida.
  19. Ministry of Health and Welfare. (2012). National dementia project plan (2th ed).
  20. Mo, J. A., Jang, J. W., Lim, J. H., Lee, M., Sul, A. R., Kim, H. J., & Youn Y. C. (2014). Efficacy of the phosphorylated tau 181 in differential diagnosis of the Alzheimer's disease: A systematic review and meta-analysis. Dementia and Neurocognitive Disorders, 13(4), 129-138. https://doi.org/10.12779/dnd.2014.13.4.129
  21. National Adult Office. (2007). Improving services and support for people with dementia.
  22. National Health and Medical Research Council. (1999). How to review the evidence: systematic identification and review of the scientific literature. [cited 2015 ]. Retrieved July 10, 2015, from National Health and Medical Research Council Web site: https://www.nhmrc.gov.au/guidelines/publications/cp65
  23. Rothi, L. J., Fuller, R., Leon, S. A., Kendall, D., Moore, A., Wu, S. S. Crosson B., Heilman K. M., Nadeau S. E. (2009). Errorless practice as a possible adjuvant to donepezil in Alzheimer's disease. Journal of the International Neuropsychological Society, 15(2), 311-322. https://doi.org/10.1017/S1355617709090201
  24. Sitzer, D. I., Twamley, E. W., & Jeste, D. V. (2006). Cognitive training in Alzheimer's disease: a meta-analysis of the literature. Acta Psychiatrica Scandinavica, 114(2), 75-90. https://doi.org/10.1111/j.1600-0447.2006.00789.x
  25. Song, M. S., & Im, K. S. (2013). Development of home care nursing service standard for cognitive disorder subject excluded long-term care insurance. Protocol Development Report, Seoul, Korea: Korean Nurses Association.
  26. Sun, J. J. (2012). The effects of program to prevent dementia on cognitive function, depression and quality of life in elderly women living alone. Unpublished doctoral dissertation. Jenonam University, Kwangju.
  27. Yesavage, J. A., Westphal, J., & Rush, L. (1981). Senile dementia: combined pharmacologic and psychologic treatment. Journal of the American Geriatrics Society, 29(4), 164-171. https://doi.org/10.1111/j.1532-5415.1981.tb01759.x
  28. Yoo, A. J., Lee, H. Y., Kim, K. A., Lee, J. H., & Lee, Y. K. (2014). Evaluation report of 2nd preliminary project of long-term care for 5th grade (dementia specific grade). Project evaluation report. Seoul, Korea.
  29. Zarit, S. H., Zarit, J. M., & Reever, K. E. (1982). Memory training for severe memory loss: Effects on senile dementia patients and their families. Gerontologist, 22(4), 373-377. https://doi.org/10.1093/geront/22.4.373