본 연구는 회상을 적용한 집단미술치료프로그램의 제공이 치매노인의 인지기능과 우울, 삶의질에 미치는 효과를 측정하기 위하여 K시에 위치한 일개 치매요양시설에 입소한 65세 이상의 여성노인 중 MMSE-K 총점이 15점에서 23점 사이에 해당되는 자로서 실험군 20명, 대조군 21명으로 연구기간은 2004년 4월 30일부터 2004년 8월 5일까지였다. 실험군에게 1주일에 2회, 1회에 60분씩 8주 동안 회상을 적용하여 구조화된 집단미술치료프로그램을 제공하였다. 실험군과 대조군 모두 실험 중재 후, 4주 후에 사후조사를 실시하였다. 수집된 자료는 SPSS 10.0 통계 프로그램을 이용하여 x2 test, t-test, Fisher‘s exact test, Repeated measures ANOVA 및 paired t-test를 하였다. 연구결과는 다음과 같다. 가설 1 회상을 적용한 집단미술치료 프로그램을 제공받은 실험군과 제공받지 않은 대조군 간에는 시간경과에 따라 인지기능 점수가 차이가 있을 것이다는 지지되었다 (p=.000). 가설 2. 회상을 적용한 집단미술치료 프로그램을 제공받은 실험군과 제공받지 않은 대조군간에는 시간경과에 따라 우울 점수가 차이가 있을 것이다는 지지되었다(p=.000). 가설 3 회상을 적용한 집단미술치료 프로그램을 제공받은 실험군과 제공받지 않은 대조군 간에는 시간경과에 따라 삶의 질 점수가 차이가 있을 것이다는 지지되었다(p=.000). 이상의 결과 본 연구에서 개발한 회상을 적용한 집단미술치료프로그램은 치매노인의 인지기능을 증진시키고 우울을 감소시키며 삶의 질을 증진시키는데 효과적인 중재로서 적용될 수 있음을 알 수 있다.
This study was investigated the effects of the group art therapy with reminiscence on cognitive function, depression and quality of life of a demented elderly. For the quasi-experimental research, a total 41 elderly who ranged from 15 to 23 of total scores of MMSE-K, over 65 years, in a long term care facilities in the K city. They were divided into an experimental group with 20 elderly and a control group with 21 elderly. The data were collected from April 30 to August 5, 2004. The structured group art therapy program with reminiscence was applied to the experimental group conducted twice a week, 60 minutes per session for eight weeks. There was not significantly difference in the cognitive function between two group but significantly difference between measurement time period of cognitive function.(p=.002). The cognitive function of experimental group offered the group art therapy program with reminiscence was improved because it appeared there was significantly difference in the interaction between group and measurement time period(p=.000). Accordingly, the hypothesis was supported. As for the hypothesis that the experimental group offered the group art therapy program with reminiscence had less depression scores than the control group, there is significant difference between two groups(p=.020), but no significant difference between measurement time period within the groups( p =.007). The depression of experimental group offered the group art therapy program with reminiscence was reduced because it appeared there was significant difference in the interaction between group and measurement time period(p=.000). Accordingly, the hypothesis was supported. As for the hypothesis that the experimental group offered the group art therapy program with reminiscence had higher quality of life scores than the control group, there is significant between two groups(p=.004) and between measurement time period within the groups(p=.000). The quality of life of experimental group offered the group art therapy program with reminiscence was improved because it appeared there was significant difference in the interaction between group and measurement time period(p=.000). Accordingly, the hypothesis was supported. Key Words : Group Art Therapy, Reminiscence, Cognitive Function, Depression, Quality of Life
Ⅰ. 서론 Ⅱ. 연구방법 Ⅲ. 연구결과 Ⅳ. 논의 Ⅴ. 결론 및 제언 참고문헌
