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KMID : 0379720180320010081
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Journal of Korean Community Health Nursing Academic Society
2018 Volume.32 No. 1 p.81 ~ p.95
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The Intervention Effect of Cognitive Improvement Program for Elderly with Mild Cognitive Impairment
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Song Myeong-Kyeong
Kim Soon-Ok
Kim Chun-Sook
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Abstract
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Purpose: This study was conducted to identify the effects of a group cognitive improvement program on cognitive function, depression and self-esteem in elderly individuals with mild cognitive impairment.
Methods: This was an experimental study that employed a pre-post design of a non-equivalence control group. The subjects were 52 elderly people with mild cognitive impairment, 25 of whom were assigned to the experimental group and 27 to the control group. The program was conducted for a total of 12 sessions for 60 minutes each. Data were analyzed using the χ2-test, Fisher’s exact test, and Independent t-test with the SPSS 20.0 program.
Results: After the intervention, the group who participated showed improvement in all areas of cognitive function based on MMSE-KC (F=26.37, p.<0.001), the Rey Complex Figure Test: copy (F=20.66, p.<0.001), Immediate memory of Seoul Verbal Learning Test-Elderly’s version (F=29.68, p.<0.001), delayed memory (F=45.79 p.<0.001), memory recall (F=28.97, p.<0.001), Forward of Digit Span Test (F=9.25, p=.004), backward (F=8.33, p.=0.006), language comprehension (F=13.42, p.<0.001), and digit symbol coding (F=17.74, p.<0.001) relative to the control group. Moreover depression (F=24.09, p.<0.001) was decreased in program participants, whereas self-esteem (F=40.24, p.<0.001) was increased.
Conclusion: The program could be a useful intervention because the results show that the group cognitive improvement program has a significant effect on cognitive function, depression and self-esteem in elderly with mild cognitive impairment.
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KEYWORD
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Mild cognitive impairment, Dementia, Cognition, Depression, Self-esteem
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