과제지향적 훈련이 치매 환자의 수단적 일상생활활동에 미치는 영향: 사례연구

문미숙; 박지혁

서지반출

국문초록

목적 : 본 연구는 치매환자에게 과제지향적 훈련이 수단적 일상생활활동에 미치는 영향에 대해 알아보고자 하였다. 연구방법 : 본 연구는 치매환자를 대상으로 사례연구를 실시하였다. 독립변인은 과제지향적 훈련으로 공통과제와 개인 과제로 주 3회 매 회기 45분씩 총 12회 실시되었다. 종속변인은 기억력(숫자외우기 검사)과 실행기능(길 만들기 검사 와 시계그리기 검사), 수단적 일상생활수행능력(AMPS)의 변화였다. 결과 : 과제지향적 훈련을 통한 대상자의 실행기능이 향상되었으며, 기억력은 유의하게 변화되지 않았다. 수단적 일상 생활 수행능력 결과는 임상적으로 유의하게 향상되었다. 결론 : 본 연구를 통해 과제지향적 훈련이 치매환자의 수단적 일상생활활동에 긍정적 영향을 미치는 것을 확인하였다.

영문초록

Objective : The purpose of this study was to examine task-oriented training affects on instrumental activity of daily living for elderly with dementia. Methods : The participant is a 75 years old female with dementia. The intervention was performed for 45 minute on 3 times per week over 1 month. Independent variable was task-oriented training and dependent variable were memory(DST), executive function(TMT-A, CDT), changing of IADL(AMPS). Results : The results showed that the participant significantly improved in executive function, performance of IADL. However, the participant did not show significant improvement in memory. Conclusion : In conclusion, the findings of this study indicate that task-oriented training is positive effect on performance of IADL in dementia.

키워드

과제지향적 훈련 수단적 일상생활활동 치매 Dementia IADL Task-oriented training

참고문헌 (37건)

강영욱, 진주희, 나덕렬. (2002). 숫자 외우기 검사(Digit span test)의 노인 규준 연구. 한국심리학회지임상, 21(4), 911-922.
김치영. (2007). 노인의료복지시설치매노인의인지기능과일상생활수행능력(석사학위논문). 중앙대학교, 서울.
방요순. (2007). 과제 지향적 활동이 성인 뇌졸중 환자의 인지기능과 일상생활동작에 미치는 영향. 대한작업치료학회지, 15(3), 49-61.
이상헌, 이성아, 박소연. (2011). 시계 그리기 검사의 신뢰도 및 타당도. 대한작업치료학회지, 19(4), 107-115.
Alvarez, J. A., & Emory, E. (2006). Executive function and the frontal lobes: A meta-analytic review. Neuropsychology Review, 16(1), 17-42.
Arya, K. N., Verma, R., Garg, R. K., Sharma, V. P., Agarwal, M., & Aggarwal, G. G.(2012). Meaningful task-specific training (MTST) for stroke rehabilitation: A randomized controlled trial. Topics in Stroke Rehabilitation, 19(3), 193-211.
Avila, R., Bottino, C. M. C., Carvalho, I. A. M., Santos, C. B., Seral, C., & Miotto, E. C. (2004). Neuropsychological rehabilitation of memory deficits and activities of daily living in patients with Alzheimer's disease: A pilot study. Brazilian Journal o
Bayona, N. A., Bitensky, J., Salter, K., & Teasell, R. (2005). The role of task-specific training in rehabilitation therapies. Topics in Stroke Rehabilitation, 12(3), 58-65.
Bell‐McGinty, S., Podell, K., Franzen, M., Baird, A. D., & Williams, M. J. (2002). Standard measures of executive function in predicting instrumental activities of daily living in older adults. International journal of geriatric psychiatry, 17(9), 828-834.
Brennan, M., Welsh, M. C., & Fisher, C. B. (1997). Aging and executive function skills: An examination of a community-dwelling older adult population. Perceptual and motor skills, 84(3c), 1187-1197.
Carr, J., & Shepherd, R. (2003). Stroke rehabilitation. London: Bitterworth Heinemann.
Cicerone, K. D., Dahlberg, C., Malec, J. F., Langenbahn, D. M., Felicetti, T., Kneipp, S.,... & Catanese, J. (2005). Evidence-based cognitive rehabilitation: Updated review of the literature from 1998 through 2002. Archives of physical medicine and rehabil
Ciro, C. A., Hershey, L. A., & Garrison, D. (2013). Enhanced task-oriented training in a person with dementia with lewy bodies. The American Journal of Occupational Therapy, 67(5), 556-563.
Farlow, M. (2010). Alzheimer disease. In H.M. Fillit, K. Rockwood, & K. Woodhouse (Eds.), Brocklehurst’s textbook of geriatric medicine and gerontology (7th ed.). Philadelphia: Saunders/Elservier.
Faw, B. (2003). Pre-frontal executive committee for perception, working memory, attention, long-term memory, motor control, and thinking: A tutorial review. Consciousness and Cognition, 12(1), 83-139.
Fisher, A. G. (1994). Development of a functional assessment that adjusts ability measures for task simplicity and rater leniency. Objective Measurement: Theory into Practice, 2, 145-175.
Fisher, A. G. (2003). Assessment of motor and process skills (5th ed.). Fort Collins, CO:Three Star Press.
Folstein, M. F., Folstein, S. E., & McHugh, P. R.(1975).“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.
French, B., Thomas, L. H., Leathley, M. J., Sutton, C. J., McAdam, J., Forster, A., ...Watkins, C. L. (2007). Repetitive task training for improving functional ability after stroke. Cochrane Database Syst Rev, 4(4).
Griffith, H. R., Belue, K., Sicola, A., Krzywanski, S., Zamrini, E., Harrell, L., & Marson, D. C. (2003). Impaired financial abilities in mild cognitive impairment: A direct assessment approach. Neurology, 60(3), 449-457.
Jacobs, D. H., Adair, J. C., Williamson, D. J., Na, D. L., Gold, M., Foundas, A. L., ... & Heilman, K. M. (1999). Apraxia and motor- skill acquisition in Alzheimer’s disease are dissociable. Neuropsychologia, 37(7), 875-880.
Kaplan, E., Fein, D., Morris, R., & Delis, D. C.(1991). Wechsler Adult Intelligence Scale-Revised as a Neuropsychological Instrument. San Antonio: The Psycological Corporation.
Li Y., Liu Y., Li J., Qin W., Li K., Yu C.,& Jiang, T. (2009). Brain anatomical network and intelligence. PLos Computational Biology, 5(5), el000395.
Marshall, G. A., Rentz, D. M., Frey, M. T., Locascio, J. J., Johnson, K. A., Sperling, R. A., & Alzheimer's Disease Neuroimaging, I. (2011). Executive function and instrumental activities of daily living in mild cognitive impairment and Alzheimer's disease
Martyr, A., & Clare, L. (2012). Executive function and activities of daily living in Alzheimer’s disease: a correlational metaanalysis. Dementia and Geriatric Cognitive Disorders, 33(2-3), 189-203.
Mateer, C. A. (1999, January). Executive function disorders: rehabilitation challenges and strategies. In Seminars in clinical neuropsychiatry (Vol. 4, No. 1, pp. 50-59).
Morris, J. C. (1993). The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology.
Poreh, A. M., Miller, A., Dines, P., & Levin, J. (2012). Decomposition of the trail making test-reliability and validity of a computer assisted method for data collection. Archives of Assessment Psychology, 2(1), 57-72.
Preissner, K. (2010). Use of the occupational therapy task-oriented approach to optimize the motor performance of a client with cognitive limitations. The American Journal of Occupational Therapy, 64(5), 727-734.
Razani, J., Casas, R., Wong, J. T., Lu, P., Alessi, C., & Josephson, K. (2007). Relationship between executive functioning and activities of daily living in patients with relatively mild dementia. Applied Neuropsychology, 14(3), 208-214.
Richards, L., Hanson, C., Wellborn, M., & Sethi, A. (2008). Driving motor recovery after stroke. Topics in Stroke Rehabilitation, 15(5), 397-411.
Ritchie, K., Artero, S., & Touchon, J. (2001). Classification criteria for mild cognitive impairment A population-based validation study. Neurology, 56(1), 37-42.
Tomaszewski Farias, S., Cahn-Weiner, D. A., Harvey, D. J., Reed, B. R., Mungas, D., Kramer, J. H., & Chui, H. (2009). Longitudinal changes in memory and executive functioning are associated with longitudinal change in instrumental activities of daily livin
Wechsler, D. (1997). Wechsler Memory scale (3th ed.). New York: Psychological Corporation.
Wen W., Zhu W., He Y., Kochan N. A., Reppermund S., Slavin M. J., … Sachdev P.(2011). Discrete neuroanatomical networks are associated with specific cognitive abilities in old age. The Journal of Neuroscience, 31, 1204-1212.
Yoo, K., Sohn, W. S., & Jeong, Y. (2013). Tool-use practice induces changes in intrinsic functional connectivity of parietal areas. Frontiers in Human Neuroscience, 7.
Zinn, S., Bosworth, H. B., Hoenig, H. M., & Swartzwelder, H. S. (2007). Executive function deficits in acute stroke. Archives of Physical Medicine and Rehabilitation, 88(2), 173-180.

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