Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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Effects of Occupation based Reminiscence Therapy on Early Dementia Patients' Cognitive function, Depression and quality of life

작업 중심 회상치료가 경도 치매 노인 환자의 인지기능과 우울, 삶의 질에 미치는 영향

  • 박주형 (청주대학교 작업치료학과)
  • Received : 2018.09.19
  • Accepted : 2018.12.07
  • Published : 2018.12.31
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Abstract

This study was performed to investigate the effects of Occupation based Reminiscence therapy on cognitive function, depression, and quality of life in elderly patients with mild dementia. Thirty-one elderly patients with mild dementia underwent Occupation based Reminiscence therapy for 40 minutes per session, once weekly, for 8 weeks. Montreal Cognitive Assessment Korean Version (MoCA-K), Short Form of Geriatric Depression Scale-Korean Version (SGDS-K), and Geriatric Quality of Life-Dementia (GQOL-D) were used to measure cognitive function, depression level, and quality of life, respectively. Mean MoCA-K score increased from $14.62{\pm}5.07$ before intervention to $16.88{\pm}4.55$ after intervention; mean SGDS-K score decreased from $7.28{\pm}4.28$ to $6.10{\pm}4.09$, and mean GQOL-D score increased from $26.05{\pm}5.45$ to $28.55{\pm}5.74$. Furthermore, these positive changes were all statistically significant. Based on the results of this study, it was concluded Occupation based Reminiscence therapy may positively affect cognitive function, depression, and quality of life in elderly patients with mild dementia.

본 연구는 작업 중심 회상치료가 경도 치매 노인 환자의 인지기능과 우울 그리고 그들의 삶의 질에 미치는 영향을 알아보고자 실시되었다. 경도 치매 노인 환자 31명을 대상으로, 총 8주 동안 주 1회, 각 회기 당 40분의 작업 중심 회상치료를 실시하였다. 평가도구는 대상자의 인지기능 평가를 위해서 한국형 몬트리올 인지평가(Montreal Cognitive Assessment Korean Version:MoCA-K), 우울정도 측정을 위해 단축형 한국판 노인우울척도검사(Short Form of Geriatric Depression Scale-Korean Version:SGDS-K), 그리고 대상자들의 삶의 질 측정을 위해 치매노인 대상 삶의 질 척도(Geriatric Quality of Life-Dementia:GQOL-D)를 사용하였다. 연구결과 작업 중심 회상치료 실시 전에 비하여 경도 치매 노인 환자의 MoCA-K 점수는 중재 전 $14.62{\pm}5.07$에서 중재 후 $16.88{\pm}4.55$로, SGDS-K 점수는 중재 전 $7.28{\pm}4.28$에서 중재 후 $6.10{\pm}4.09$로, 마지막으로 GQOL-D 점수는 중재 전 $26.05{\pm}5.45$에서 중재 후 $28.55{\pm}5.74$로 변화하여 측정된 모든 항목에서 통계적으로 유의미한 긍정적 변화를 확인할 수 있었다. 본 연구 결과를 토대로 작업 중심 회상훈련이 경도 치매 노인 환자들의 인지기능, 우울 그리고 삶의 질에 긍정적 영향을 미칠 수 있다는 가능성을 확인할 수 있었다.

Keywords

Table 1. General characteristic of the subjects

SHGSCZ_2018_v19n12_758_t0001.png 이미지

Table 2. Comparison of MoCA-K and SGDS-K before and after intervention

SHGSCZ_2018_v19n12_758_t0002.png 이미지

Table 3. Comparison of GQOL-D before and after intervention

SHGSCZ_2018_v19n12_758_t0003.png 이미지

References

  1. Statistics Korea. (2017). Elderly Statistics 2017.
  2. U. J. Park, "Trends Analysis of Characteristics in Patient with Dementia", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 1, pp. 202-209, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.1.202
  3. H. M. Pendleton, & W. Schultz-Krohn, Pedretti 's occupational therapy: Practice skills for physical dysfunction. Elsevier Health Sciences. 2013
  4. R. B. Flannery, "Treating learned helplessness in the elderly dementia patient: preliminary inquiry", Am J Alzheimers Dis Other Demen, Vol.17, No.6, pp.345-349, 2002. DOI: https://doi.org/10.1177/153331750201700605
  5. D. B. Marin, M. C. Sewell, & A. Schlechter, "Accurate and early diagnosis in the primary care setting", Geriatrics, Vol.57, No.2, pp.36-40, 2002.
  6. E. Grasel, J. Wiltfang, & J. Kornhuber, "Non-drug therapies for dementia: An overview of the current situation with regard to proof of effectiveness", Dementia and Geriatric Cognitive Disorders, Vol.15, No.3, pp.115-125, 2003. DOI: https://doi.org/10.1159/000068477
  7. E. Vasse, M. Vernooij, A. Spijker, M. O. Rikkert, & R. Koopmans, "A systematic review of communication strategies for people with dementia in residential and nursing homes", International Psychogeriatrics, Vol.22, No.2, pp.189-200, 2010. DOI: https://doi.org/10.1017/S1041610209990615
  8. R. N. Butler, "The life review: An interpretation of reminiscence in the aged", Psychiatry, Vol.26, pp.65-76, 1963. https://doi.org/10.1080/00332747.1963.11023339
  9. B. Woods, A. Spector, C. Jones, M. Orrell, & S. Davies, "Reminiscence therapy for dementia", Cochrane Database of Systematic Reviews, Vol.18, No.2, pp.1-34, 2005. DOI: https://doi.org/10.1002/14651858.CD001120
  10. S. L. Huang, C. M. Li, C. Y. Yang, & J. J. Chen, "Application of reminiscence treatment on older people with dementia: A case study in Pingtung", Journal of Nursing Research, Vol.17, No.2, pp.112-119, 2009. DOI: https://doi.org/10.1097/JNR.0b013e3181a53f1b
  11. K. M. Lim, J. H. Park, "The Effects of Occupational Reminiscence Therapy Applied to the Elderly With Dementia: A Pilot Study", The Journal of Korean Society of Occupational Therapy, Vol. 21, No. 2, pp1-12, 2013. https://doi.org/10.14519/jksot.2013.21.4.01
  12. H. S. Kim, M. Y. Jung, "The effects of occupational and commutative reminiscence therapy applied to the elderly with dementia", The Journal of Occupational Therapy for the Aged and Dementia, Vol. 5, No. 2, pp17-28, 2011.
  13. A. Bullock, & K. Bannigan, "Effectiveness of activity-based group work in community mental health: A systematic review", American Journal of Occupational Therapy, Vol.65, No.3, pp.257-266, 2011. DOI: https://doi.org/10.5014/ajot.2011.001305
  14. K. Rebeiro, "Occupation-as-means to mental health: A review of the literature and a call for research", Canadian Journal of Occupational Therapy, Vol.65, No.1, pp.12-19, 1998. DOI: https://doi.org/10.1177/000841749806500102
  15. H. Yamaguchi, Y. Maki, & T. Yamagami, "Overview of non-pharmacological intervention for dementia and principles of brain-activating rehabilitation", Psychogeriatrics, Vol.10, No.4, pp.206-213, 2010. DOI: https://doi.org/10.1111/j.1479-8301.2010.00323.x
  16. C. Travers, D. Brooks, S. Hines, M. O'Reilly, M. McMaster, & W. He, et al., "Effectiveness of meaningful occupation interventions for people living with dementia in residential aged care: a systematic review", JBI Database of Systematic Reviews and Implementation Reports, Vol.14, No.12, pp.163-225, 2016. DOI: https://doi.org/10.11124/JBISRIR-2016-003230
  17. T. Yamagami, M. Oosawa, S. Ito, & H. Yamaguchi, "Effect of activity reminiscence therapy as brain-activating rehabilitation for elderly people with and without dementia", Psychogeriatrics, Vol.7, No.2, pp.69-75, 2007. DOI: https://doi.org/10.1111/j.1479-8301.2007.00189.x
  18. Z. S. Nasreddine, N. A. Phillips, V. Bedirian, S. Charbonneau, V. Whitehead, & I. Collin, et al., "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment", Journal of the American Geriatrics Society, Vol.53, No.4, pp.695-699, 2005. DOI: https://doi.org/10.1111/j.1532-5415.2005.53221.x
  19. J. Y. Lee, D. W. Lee,S. J. Cho, D. L. Na, H. J. Jeon, & S. K. Kim, 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, Vol.21, No.2, pp.104-110, 2008. DOI: https://doi.org/10.1177/0891988708316855
  20. I. K. Jung, D. I. Kwak, S. H. Joe, & H. S. Lee, "A study of standardization of Korean form of Geriatric Depression Scale(KGDS)", Journal of the Korean Geriatrics Society, Vol.1, No.1, pp. 61-72, 1997.
  21. H. S. Lee, & J. H. Kim, "The Standardization of the Geriatric Quality of Life scale-Dementia(GQOL-D)", Journal of the Korean Geriatrics Society, Vol.8, No.3, pp.151-164, 2004.
  22. J. J. Wang, M. Yen, & W. C. OuYang, "Group reminiscence intervention in Taiwanese elders with dementia", Archives of Gerontology and Geriatrics, Vol.49, No.2, pp.227-232, 2009. DOI: https://doi.org/10.1016/j.archger.2008.08.007
  23. E. Finnema, R. M. Droes, M. Ribbe, & W. Tilburg, "The effects of emotion-oriented approaches in the care for persons suffering from dementia: A review of the literature", International Journal of Geriatric Psychiatry, Vol.15, No.2, pp.141-161, 2000. DOI: https://doi.org/10.1002/(SICI)1099-1166(200002) 15:2<141::AID-GPS92>3.0.CO;2-5
  24. B. K. Haight, F. Gibson, & Y. Michel, "The Northern Ireland life review/life storybook project for people with dementia", Alzheimer's & Dementia, Vol.2, No.1, pp.56-58, 2006. DOI : https://doi.org/10.1016/j.jalz.2005.12.003
  25. J. C. C. Chung, "Activity participation and well-being of people with dementia in long-term-care settings", Occupational Therapy Journal of Research, Vol.24, No.1, pp.22-31, 2004. DOI: https://doi.org/10.1177/153944920402400104
  26. A. Phinney, H., Chaudhury, & D. L. O'connor, "Doing as much as I can do: The meaning of activity for people with dementia", Aging and Mental Health, Vol.11, No.4, pp.384-393, 2007. DOI: https://doi.org/10.1080/13607860601086470
  27. S. Y. Kim, Y. S. Kim, "Effects of Occupational Reminiscence Therapy Applied on Depression, Memory and Behavioral Problems in the Elderly With Dementia", The Journal of Occupational Therapy for the Aged and Dementia, Vol.8, No.2, pp.1-10, 2014.
  28. L. P. De Vreese, M. Neri, M. Fioravanti, L. Belloi, & O. Zanetti, "Memory rehabilitation in Alzheimer's disease: a review of progress", International Journal of Geriatric Psychiatry, Vol.16, No.8, pp.794-809, 2001. DOI: https://doi.org/10.1002/gps.428
  29. J. Y. C. Chan, J. S. W. Kwong, A. Wong, T. C. Y. Kwok, & K. K. F. Tsoi, "Comparison of Computerized and Paper-and-Pencil Memory Tests in Detection of Mild Cognitive Impairment and Dementia: A Systematic Review and Meta-analysis of Diagnostic Studies", Journal of the American Medical Directors Association, Vol.19, No.9, pp.748-756, 2018. DOI: https://doi.org/10.1016/j.jamda.2018.05.010
  30. H. Rita Chang, H. W. Chien, "Effectiveness of group reminiscence therapy for people living with dementia in a day care centers in Taiwan", Dementia, Vol.17, No.7, pp.924-935, 2018. DOI: https://doi.org/10.1177/1471301217725185
  31. G. Charlesworth, K. Burnell, N. Crellin, Z. Hoare, J. Hoe, & M. Knapp, et al., "Peer support and reminiscence therapy for people with dementia and their family carers: a factorial pragmatic randomised trial", Journal of Neurology, Neurosurgery, and Psychiatry, Vol.87, No.11, pp.1218-1228, 2016. DOI: https://doi.org/10.1136/jnnp-2016-313736