복합적인 인지훈련프로그램이 치매노인의 인지향상에 미치는 영향

This study was to understand the effect of complex cognitive reinforcement training program for seniors with dementia at long term care hospitals and nursing facilities on the cognitive function of seniors with dementia. For 8 weeks from Apr. to May, 2017, 30 men and women having no disqualification affecting this study were selected from ○○ hospital and C center located in Busan, and the purpose of this study was understood and the written consent was submitted by all participants. The trainings composed of the cognitive rehabilitation program of G hospital and the cognitive stimulation activity program of C center were provided twice a week in 8 weeks for 30 minutes in each training. MMSE-KC, GDS, and MoCA-K were used to measure the overall cognitive domain. To investigate the effect of trainings on cognitive status of seniors with dementia, an initial assessment prior to the training and interim and final assessment were performed. First, in the comparison of cognitive function by a training period, the cognitive rehabilitation training group showed the bigger improvement in the cognitive assessment score(MMSE-KC), compared to the cognitive stimulation training group. Second, in the comparison of cognitive function by a training period, the cognitive rehabilitation training group showed the bigger difference in the efficacy in the cognitive assessment score (GDS), compared to the cognitive stimulation training group. Third, in the comparison of cognitive function by a training period, the cognitive rehabilitation training group showed the bigger difference in the efficacy in the cognitive assessment score (MoCA-K), compared to the cognitive stimulation training group. Based on the comprehensive result of this study, there was no difference by participants depending on the training methods that are the cognitive rehabilitation training and the cognitive stimulation training, and both groups showed positive effects on their cognitive function after trainings. Therefore, it will be considered more effective in the future to carry out two programs at the same time, though a different program is currently applied in each institution depending on its environment. Accordingly, it is hoped to conduct a future study based on more segmented method.