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- 저자 : 이 관(Kwan Lee) (검색결과 2 건)
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인지훈련이 지역사회 노인의 도구적 일상 활동에 미치는 효능
이성민(Sung-Min Lee),이광헌(Kwang-Hun Lee),이 관(Kwan Lee),곽경필(Kyung-Phil Kwak) 대한노인정신의학회 2016 노인정신의학 Vol.20 No.2
Objective:This study was aimed to investigate the effectiveness of cognitive training to Instrumental Activities of Daily Living (IADL) in community-dwelling elderly. Methods:The participant were 786 elders who were aged over 59 years visiting local rest area from February 2015 to November 2015. The demographic data was collected. IADL were evaluated by Seoul-Instrumental Activities of Daily Living (S-IADL). Cognitive functions were evaluated by Korean Version of Mini Mental Status Examination for Dementia Screening (MMSE-DS). Before and after cognitive training, we analysed these data. Results:In all 15 items of S-IADL, 4 items (using the telephone, grooming, managing belongings, talking recent events) were specially improved (p<0.05). Conclusion:After cognitive training, indoor activities of S-IADL were improved but some items, especially outside activities were not improved for community dwelling elderly. In future, other programs to increase outside activities or social activities should be included in cognitive training programs for community dwelling elderly.
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지역사회의 치매 및 경도인지장애 독거노인에 대한 인지강화프로그램의 효과
김태우(Tae Woo Kim),이광헌(Kwang-Hun Lee),이 관(Kwan Lee),곽경필(Kyung-Phil Kwak) 대한노인정신의학회 2017 노인정신의학 Vol.21 No.2
Objective:This study aims to investigate the efficacy of 48-sessioned cognitive stimulation programs (CSP) in solitary elderlies with mild cognitive impairment (MCI) and dementia. Methods:Among 194 subjects, 125 were CSP participants and 69 were controls. Korean version of Mini-Mental Status Examination for Dementia Screening (MMSE-DS), Global Deterioration Scale, Seoul-Instrumental Activities of Daily Living (S-IADL) and Korean version of Geriatric Depression Scale-Short Form, Korean Quality of Life-Alzheimer’s Disease (KQoL-AD) were assessed. Outcomes were measured at baseline and after 48th session. we analyzed these collected data. Results:In CSP group, MMSE-DS (p<0.001), KQoL-AD (p=0.021) were significantly improved compared with their baseline. MMSE-DS was significantly improved in CSP group compared with controls, but KQoL-AD was not (p=0.078). Relative risk (RR) of MCI and dementia in CSP group was 0.491 [95% confidential interval (CI)=0.380-0.633] and that of activities of daily living (ADL) impairment (S-IADL>8) was 0.873 (95% CI=0.773-0.985). Conclusion:CSP improved cognition and quality of life in solitary elderly individuals with MCI or dementia. Also, CSP reduced relative risk of MCI and dementia by 50.8% and ADL impairment by 12.7%. Although we expect CSP might be helpful to prevent cognitive problems of them, appropriate public mental health programs are still needed for their emotional wellbeing.
KCI
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