J Korean Acad Community Health Nurs.  2015 Mar;26(1):1-10. 10.12799/jkachn.2015.26.1.1.

The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments

Affiliations
  • 1College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science, Gwangju, Korea.
  • 2Department of Nursing, Gwangju Health College, Gwangju, Korea.
  • 3Department of Nursing, Gwangju University, Gwangju, Korea. ykim2013@gwangju.ac.kr
  • 4Chosun Nursing College, Gwangju, Korea.

Abstract

PURPOSE
This study was conducted to investigate changes in cognitive functions, depression and life-satisfaction for elderly participants with mild cognitive impairments participating in an individual cognitive improvement program.
METHODS
A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. The participants were senior citizens over 65 years of age who had been clinically diagnosed with mild cognitive impairments in G City and J Province (experimental group: 29, control group: 27). The experimental group participated in the individual cognitive improvement program based on Korean traditional tales and games for nine weeks.
RESULTS
After the intervention, only the participants in the experimental group reported significant improvement in K-MMSE (t=-2.5, p=.016), MoCA-K (t=-2.6, p=.008), depression (t=3.51, p=.001), and life satisfaction (t=-2.75, p=.008) when compared to those in the control group.
CONCLUSION
These results indicated that the individual cognitive improvement program was effective in improving cognitive functions, depression, and life-satisfaction among the elderly with mild cognitive impairments. Therefore, the application of this individual cognitive improvement program developed in this study by visiting nurses may strengthen the cognitive functions of seniors with mild cognitive impairments.

Keyword

Mild cognitive impairment; Aged; Program development

MeSH Terms

Aged*
Depression
Humans
Mild Cognitive Impairment*
Nurses, Community Health
Program Development

Cited by  1 articles

Effects of a Computerized Cognitive Training on Cognitive Function, Depression, Self-esteem, and Activities of Daily Living among Older Adults with Mild Cognitive Impairment
Myoungsuk Kim, Kyung-Choon Lim
Korean J Adult Nurs. 2016;28(6):691-700.    doi: 10.7475/kjan.2016.28.6.691.


Reference

1. Statistics Korea. Population projections for provinces: 2010~2040 [Internet]. Seoul: Statistics Korea;2012. cited 2014 October 22. Available from: http://kostat.go.kr/portal/english/news/1/1/11/index.board?bmode=read&aSeq=271443.
2. Jung KH, Oh YH, Lee YK, Son CK, Park BM, Lee SY, et al. Survey of living conditions and welfare needs of Korean older persons in the 2011. Policy Report. Seoul: Ministry of Health & Wellfare & KIHASA;2012. 04. Report No.: 11-1352000-000672-12.
3. Choi KG. Neuropathology of MCI-view from relationships with aging and alzheimer's disease. Dement Neurocognitive Disord. 2003; 2(2):101–107.
4. Ministry of Health & Welfare. The prevalence of dementia research [Internet]. Seoul: Ministry of Health & Welfare;2012. cited 2014 October 18. Available from: http://english.mw.go.kr/front_eng/cs/scs0401vw.jsp?PAR_MENU_ID=1004&MENU_ID=100406&page=1&CONT_SEQ=270945&tabVal=1365&SEARCHKEY=TITLE&SEARCHVALUE=dementia&reQuery=.
5. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E. Mild cognitive impairment: Clinical characterization and outcome. Arch Neurol. 1999; 56(3):303–308.
6. Shin KR, Kang YH, Jung DY, Kim MY, Kim JS, Kim MJ, et al. Prevalence and characteristics of mild cognitive impairment in the community-dwelling elderly compared to elderly with normal cognitive function. Korean J Adult Nurs. 2011; 23(1):40–49.
7. Petersen RC. Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004; 256(3):183–194. DOI: 10.1111/j.1365-2796.2004.01388.x.
Article
8. Ganguli M, Snitz BE, Saxton JA, Chang CC, Lee CW, Bilt JV, et al. Outcomes of mild cognitive impairment by definition: A population study. Arch Neurol. 2011; 68(6):761–767. DOI: 10.1001/archneurol.2011.101.
Article
9. Kinsella GJ, Mullaly E, Rand E, Ong B, Burton C, Price S, et al. Early intervention for mild cognitive impairment: A randomised controlled trial. J Neurol Neurosurg Psychiatry. 2009; 80(7):730–736. DOI: 10.1136/jnnp.2008.148346.
Article
10. Tsolaki M, Kounti F, Agogiatou C, Poptsi E, Bakoglidou E, Zafeiropoulou M, et al. Effectiveness of nonpharmacological approaches in patients with mild cognitive impairment. Neurodegener Dis. 2011; 8(3):138–145. DOI: 10.1159/000320575.
Article
11. Han JH, Ko SG, Kwon JH, Jo IH, Ahn SM, Han CS, et al. Efficacy of a multifactorial cognitive ability enhancement program in MCI(Mild Cognitive Impairment). Korean J Clin Psychol. 2008; 27(4):805–821.
12. Hong IS, Kim DA, Kim JS, Yoo YJ, Park S. The study of senior-aerobic exercise on mild cognitive impairment evaluation indicator relation in elderly women with mild cognitive impairment. Korean Soc Meas Eval Phys Edu Sports Sci. 2011; 13(1):23–31.
13. Shin KR, Kang YH, Kim MY, Jung DY, Lee E. Prediction of depression among elderly with mild cognitive impairment living in the community. Korean J Adult Nurs. 2012; 24(2):171–182.
Article
14. Djernes JK. Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatr Scand. 2006; 113(5):372–387.
Article
15. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. J Korean Acad Nurs. 2009; 39(5):622–631.
Article
16. Hahn EA, Andel R. Nonpharmacological therapies for behavioral and cognitive symptoms of mild cognitive impairment. J Aging Health. 2011; 23(8):1223–1245. DOI: 10.1177/0898264311422745.
Article
17. Shin MJ, Sohn EN, Kang SK. The effect of the verb usage capability of verb script in a dotard. J Rehabil Sci Res. 2005; 23(2):63–77.
18. Ha H, Choi E, Jeon J. Effects of group art treatment reflecting reminiscence therapy on the quality of life of the elderly with mild dementia living in health care centers. Korean Art Ther Assoc. 2012; 19(2):405–421.
19. Kim JS, Jung JS. The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. J Korean Acad Nurs. 2005; 35(6):1153–1162.
Article
20. Yoo SA. A bibliographical analysis on the folktale studies in Korea. J Korean Soc Libr Inf Sci. 2003; 37(2):253–268.
Article
21. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189–198.
22. Kang Y, Na DL, Han SH. A validity study on the Korean mini-mental state examination (K-MMSE) in dementia patients. J Korean Neurol Assoc. 1997; 15(2):300–308.
23. Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005; 53(4):695–699.
Article
24. Lee JY, Lee DW, Cho SJ, Na DL, Jeon HJ, Kim SK, et al. Brief screening for mild cognitive impairment in elderly outpatient clinic: Validation of the Korean version of the montreal cognitive assessment. J Geriat Psychiatry Neurol. 2008; 21(2):104–110. DOI: 10.1177/0891988708316855.
Article
25. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1:385–401.
26. Chon KK, Rhee MH. Preliminary development of Korean version of CES-D. Appl Psychol Meas. 1992; 11(1):65–76.
27. Stones MJ, Kozma A. The measurement of happiness: development of the Memorial University of Newfoundland scale of happiness (MUNSH). J Gerontol. 1980; 35(6):906–912.
28. Youn J. A study of development of life satisfaction scale for elderly. Paper presented at: Korean Psychologial Association Annual Conference. 1982 November 22; Seoul National University. Seoul:
29. Chu SK, Yoo JH, Lee CY. The effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with cognitive impairment. J Korean Acad Nurs. 2007; 37(7):1049–1060.
Article
30. Kim SY. Clinical characteristics of mild cognitive impairment. Dement Neurocognitive Disord. 2003; 2(2):96–100.
Full Text Links
  • JKACHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr