원예치료가 일반노인과 치매노인의 손기능과 인지능력에 미치는 영향

다국어 초록 (Multilingual Abstract)

(Abstract)

This research was performed to investigate the effects of Horticultural Therapy to the hand functions and cognitive abilities of 'Old Adults' group and 'Demented Adults' group individually. We divided the adults in two groups, the old adults who live in nursing home or dementia center, and demented old adults and performed this program from 19 Feb 2007 to 28 Sep 2007, 24 times in total. We let them use tools and trim plants by themselves to improve hand functions and carry out color recognition and simple works repeatedly to improve their cognitive abilities as a part of Horticultural Therapy program.
Their hand functions were evaluated by measuring their pinch, grip and tapping abilities. Their cognitive abilities were measured by using selective response indicator three times : one-week before, right after and five-week later (for monitoring the continuance of the effects)　the HTP. Memory tests were done everytime.
In pinch test on the old adults, there were statistical significance for the right hand: p<0.01 before and after HTP, and p<0.05 five weeks after HTP respectively. However, for the left hand, the results showed some improvements but neither the significance nor the continuance of the therapy effects. On the demented old adults, the results of right hand showed a little improvements right after HTP but no significance. For the left hands, the pinch abilities increased showing significance p<0.05. The abilities of both hands made some progress and lasted even five weeks after HTP but there were no significance.
The grips of right hand were 15.3kg and increased to 15.8kg after doing HTP. These effects were continued until five weeks after HTP. For the left hand, the results showed some progresses, but they didn't continued. There were similar results in old adults group and demented old adults group.
In tapping tests, both hands of old adults showed good results continuously right after HTP and also five-week after HTP, but there were no significance. Same tests were performed to demented old adults, and the results show some improvements in the right hand after HTP and the statistical significance was p<0.01, but these effects were decreased a little five weeks after HTP.
In visual choice reaction time, on the old adults, there were statistical significance: p<0.01 five weeks after HTP., For the demented old adults
there were statistical significance: p<0.01 right after HTP and p<0.05 five weeks after HTP respectively.
In memory test, the abilities of old adults in color memory, working and finishing increased showing statistical significance p<0.01. In the case of demented old adults, there were a little improvements in memory abilities without significance, but meaningful improvements in the abilities of working and finishing with significance p<0.01.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1.1 연구의 필요성 1
• 1.2 연구의 목적 4
• 1.3 연구의 정의 4
• Ⅱ. 연구사 7
• Ⅲ. 연구방법 9
• 1. 실시장소와 연구대상 9
• 2. 원예치료 프로그램 설계 및 실행 11
• 3. 평가도구 13
• Ⅳ. 결과 17
• 1. 전체 평가결과 17
• 2. 개인별 평가결과 40
• Ⅴ. 고 찰 91
• Ⅵ. 적 요 95
• 인용문헌 97
• 부 록 102