earticle

영어

Objective : The objective of this study was to investigate the effect of a tailored cognitive training program using Brain Training on cognition, depression, and activities of daily living(ADL) for the elderly with cognitive impairment attending a Day care center. Methods : The subjects of the study were the elderly aged 65 years and older who had been diagnosed with mild cognitive impairment or mild dementia and attended N Day care center in Busan Metropolitan City in South Korea. The study was conducted from August 3 to October 4, 2023. A tailored cognitive training program was conducted with 18 research participants, who were divided into two subgroups based on the level of KDRS-2. The two subgroups included a supplementary group consisting of 8 people, and an in-depth group of 10. The program was implemented with the two groups 11 times: 3 times a week for 4 weeks, with each session lasting 60 minutes. To analyze the effectiveness of the tailored cognitive training program, before and after the program, the Korean Dementia Rating Test Scale-2(KDRS-2), Patient Health Questionnaire-9(PHQ-9), Seoul-Activities of Daily Living(S-ADL), Seoul-Instrumental Activities of Daily Living(S-IADL) evaluation was conducted. The collected data were analyzed using descriptive statistics and Wilcoxon signed-rank test. Results : After the intervention, PHQ-9 scores and S-IADL scores significantly decreased in the supplementary group(p<.05; p<.05). In the in-depth group, KDRS-2 score significantly increased(p<.05) and S-IADL score significantly decreased(p<.05). Conclusion : These findings confirm that a tailored cognitive training program was effective in improving cognitive function and IADL and alleviating depression in the elderly attending a Day care center, thereby proving the effectiveness of a cognitive training program tailored to individual cognitive levels.

한국어

목적 : 주간보호센터를 이용하는 인지손상 노인에게 브레인트레이닝을 활용한 맞춤형 인지훈련 프로그램을 실행하여 인지기능, 우울정도 및 일상생활활동에 미치는 효과를 확인하는 것이다. 연구 방법 : 부산광역시 N 주간보호센터를 이용하는 65세 이상 경도인지장애 또는 경도 치매 진단을 받은 노인 18명을 대상으로 2023년 8월 3일부터 동년 10월 4일까지 연구를 실행하였다. 연구 대상자를 KDRS-2 점수를 기준으로 보충 집단 8명, 심화집단 10명으로 나누었다. 맞춤형 인지훈련 프로그램은 총 11회기, 주 3회, 회기당 60분간 진행되었다. 프로그램 전, 후 한국판 치매 평가 검사(Korean Demential Rating Scale-2: KDRS-2), 한국판 우울증 선별도구 (Patient Health Questionnaire-9: PHQ-9), 일상생활활동은 노인 일상활동평가-기초(Seoul-Activities of Daily Living: S-ADL), 노인일상활동평가-복합(Seoul-Instrumental Activities of Daily Living: S-IADL) 평가를 실시하 였다. 수집된 자료는 기술통계, Wilcoxon signed-rank test를 실시하여 분석하였다. 결과 : 중재 후 보충집단에서 PHQ-9 점수와 S-IADL 점수가 유의하게 감소하였다(p<.05; p<.05). 심화집단에서는 KDRS-2 점수가 유의하게 증가하였고(p<.05), S-IADL 점수는 유의하게 감소하였다(p<.05). 결론 : 주간보호센터에서 맞춤형 인지훈련 프로그램이 인지손상 노인의 인지기능, 우울정도, 수단적 일상생활활동 향 상에 효과가 있음을 확인하였으며, 인지 수준에 따른 맞춤형 인지훈련 프로그램이 효과적인 중재임을 확인할 수 있었다.