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¹ßÇàÇÐȸ : ´ëÇѽŰæ°èÀÛ¾÷Ä¡·áÇÐȸ [Korea Society for Neurological Occupational Therapy]
¹ßÇàÁ¤º¸ : Á¦ 4±Ç 2È£ pp.73-83(11 pages)
¹ßÇà³âµµ : 2015
ÀúÀ۽ñâ : 2015³â
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References
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¸ñÀû : º» ¿¬±¸´Â ¿ÀÂ÷¹èÁ¦ÈÆ·ÃÀ» º´ÇàÇÑ ½Ã°£Â÷ȸ»óÈÆ·Ã
ÀÌ °æµµÀÎÁöÀå¾Ö(Mild Cognitive Impairment; MCI) ȯÀÚÀÇ ±â¾ï·Â¿¡ ¹ÌÄ¡´Â È¿°ú¿Í ¼ö´ÜÀû ÀÏ»ó»ýÈ°(Instrumental Activities of Daily Living; IADL) ¹× ¿ì¿ï¿¡ ¹ÌÄ¡´Â¿µÇâÀ» ¾Ë¾Æº¸°íÀÚ ÇÏ¿´´Ù.¿¬±¸¹æ¹ý : ÁÖ°£º¸È£½Ã¼³¿¡ µî·ÏµÈ 78¼¼ MCI ³ëÀÎÀ» ´ë»óÀ¸·Î ´ÜÀÏ ´ë»ó ½ÇÇè ¿¬±¸ Áß ABA ¼³°è¸¦ »ç¿ëÇÏ¿© ½ÇÇèÀ»ÁøÇàÇÏ¿´´Ù. ¿¬±¸¸¦ ÁøÇàÇÑ ÃÑ 16ȸ±â Áß ±âÃʼ± A´Â ÃÑ 3ȸ±â, ÁßÀç±â°£ B´Â ÃÑ 10ȸ±â, ±âÃʼ± A¡¯´Â ÃÑ 3ȸ±â¿´´Ù. ±â¾ï·ÂÀ» ÃøÁ¤Çϱâ À§ÇÑ È¸±âº° Æò°¡·Î Rey-Kim ¾ð¾î ±â¾ï °Ë»ç(K-Auditory Verbal Learning Test;K-AVLT)¸¦ »ç¿ëÇÏ¿´°í, ÀÎÁö±â´É, IADL ¼öÇà ´É·Â, ¿ì¿ïÀ» ÃøÁ¤Çϱâ À§ÇÏ¿© °¢°¢ Çѱ¹ÆÇ ¸óÆ®¸®¿Ã ÀÎÁöÆò°¡(Korean version of Montreal Cognitive Assessment; MoCA-K), Çʶóµ¨ÇÇ¾Æ ³ëÀÎ ¼¾ÅÍ IADL µµ±¸(Philadelphia Geriatric Center Instrumental Activities Daily Living; PGC IADL), Çѱ¹ÆÇ ³ëÀοì¿ïôµµ(Geriatric Depression Scale Korean Version; GDS-K)¸¦ »ç¿ëÇÏ¿´´Ù.°á°ú : ´ë»óÀÚ´Â ±âÃʼ± A±â°£¿¡ ºñÇÏ¿© ÁßÀ縦 Á¦°øÇÑ B±â°£¿¡¼ÀÇ Áï½Ãȸ»ó ¹× Áö¿¬È¸»óÀÌ ÇöÀúÈ÷ Áõ°¡ÇÏ¿´´Ù.¶ÇÇÑ, Áï½Ãȸ»ó°ú Áö¿¬È¸»ó ¸ðµÎ B ±â°£¿¡¼ Áõ°¡ÇÏ´ø ÃøÁ¤°ªÀÇ °æÇâÀÌ ÁßÀ縦 Á¦°ÅÇÑ ÈÄÀÎ ±âÃʼ± A¡¯±¸°£¿¡¼°¨¼ÒÇÏ´Â °æÇâÀ» º¸¿´´Ù. MoCA-K Á¡¼ö´Â Çâ»óÀ» º¸¿´À¸¸ç, PGC IADL Á¡¼ö´Â ÁßÀç Àü°ú ÈÄ°¡ °°¾Ò°í GDS-KÀÇÁ¡¼ö´Â °¨¼ÒÇÏ¿´´Ù.°á·Ð : º» ¿¬±¸ÀÇ °á°ú¸¦ ÅëÇÏ¿© MCI ȯÀÚ¸¦ ´ë»óÀ¸·Î ½Ç½ÃÇÑ ¿ÀÂ÷¹èÁ¦ÈÆ·ÃÀ» º´ÇàÇÑ ½Ã°£Â÷ ȸ»óÈÆ·ÃÀÇ ±Ù°Å¸¦ È®°íÈ÷ ÇÏ¿´´Ù. ³ª¾Æ°¡ MCI ȯÀÚµéÀÌ ±â¾ï·Â°ú ÇÔ²² ¾î·Á¿òÀ» °Þ´Â ¿äÀÎÀ» Çâ»ó½ÃÅ°±â À§ÇÑ ÁßÀç ¹× ±â¾ï·Â°ú ´Ù¸¥±â´ÉÀû ¿ä¼Òµé¿¡ ´ëÇÑ »ó°ü°ü°è¿¡ ´ëÇÏ¿© Ãß°¡ÀûÀÎ ¿¬±¸°¡ ÇÊ¿äÇÒ °ÍÀÌ´Ù.
Objective: The purpose of thi
s study was to examine the effect of the Spaced Retrieval Training (SRT)with Errorless learning on the elderly with Mild Cognitive Impairment (MCI)¡¯s memory, InstrumentalActivities Daily Living, Depression symptom.Methods: A single subject experimental research with ABA design was conducted in this study on the78-years-old person who was enrolled in day-care center. The total experimental sessions were 16which composed of 3 sessions for baseline, 10 sessions for intervention and 3 sessions for secondbaseline. K-Auditory Verbal Learning Test (K-AVLT) was measured for the memory each session. Forthe measurement of cognitive function, IADL, depression Symptom, Korean version of MontrealCognitive Assessment (MoCA-K), Philadelphia Geriatric Center Instrumental Activities Daily Living(PGC IADL), Geriatric Depression Scale Korean Version (GDS-K) was measured at pre-post test.Results: Memory at the phase B was improved than Phase A. At the phase B, the scores trend was ascending,but after the intervention at the phase A¡¯, the scores trend was descending. The scores ofMoCA-K were improved, PGC IADL were maintained, GDS-K were decreased.Conclusion: This results support the evidence of the SRT with EL on the elderly with MCI in the clinicalsetting. In the future, the correlation researches about MCI¡¯s memory and other functional factors willbe needed for effective occupational therapy service. (ÀÌÇÏ »ý·«)
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