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The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment

Journal of Korean Academy of Nursing 2007³â 37±Ç 7È£ p.1049 ~ 1060
KMID : 0806120070370071049
Ãß¼ö°æ ( Chu Su-Kyung ) - À»Áö´ëÇб³ °£È£Çаú

·ùÀåÇР( Yoo Jang-Hak ) - ´ëºÒ´ëÇб³ °£È£Çаú
ÀÌÁ¤·Ä ( Lee Chung-Yul ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose:This study was conducted to investigate the effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with Cognitive Impairment.

Methods:The research design was a nonequivalent control group pretest-posttest design. There were 21 subjects in the experimental group and 19 in the control group among 40 senior residents in a Hall for the elderly in the city of S. The subjects scores ranged from 15 to 23 on the MMSE-K(Korean Version of Mini-Mental State Examination) over age 65. The length of time for data collection and intervention was from Jun 26 to September 1, 2006. The cognitive behavior program consisted of ¡®Facing problem behavior¡¯, ¡®Searching for a coping skill¡¯, and ¡®Training in the coping skill¡¯. It was applied to the experimental group twice a week, fifty minutes per session for six weeks.

Results:Cognition(t=-4.232, p< .001) and IADL(t=-2.939, p<.01) in the experimental group were significantly higher than those of the control group. Depression in the experimental group was significantly less than the control group(t=3.870, p< .01). However, ADL in the experimental group was not significantly higher than the control group.

Conclusion:These findings confirmed that a cognitive behavior program contributed to improving cognition and IADL, and to reducing depression in the elderly with Cognitive Impairment.
KeyWords
ÀÎÁöÇൿ ÇÁ·Î±×·¥, ÀÎÁö±â´ÉÀúÇÏ ³ëÀÎ, ÀÎÁö±â´É, ¿ì¿ï, ÀÏ»ó»ýÈ° ¼öÇà´É·Â
Cognitive behavior program, Elderly, Cognition, Depression, Activities of daily Living
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