Kim Ko-Un, Kim Soo-Han, Oh Hye-Won
Rehabilitation Science, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Health Medicine, Kaya University, Republic of Korea.
J Phys Ther Sci. 2017 Jul;29(7):1188-1191. doi: 10.1589/jpts.29.1188. Epub 2017 Jul 15.
[Purpose] The purpose of this study was to investigate the effects of an occupation-centered activity program for dementia patients living in a local community, and examined the effects of the occupation-centered activity program on their cognitive functions, fall-related factors, and quality of life. [Subjects and Methods] Thirty subjects were divided into two groups: the experiment group (n=15) and the control group (n=15). The occupation-centered activity program was then applied to dementia patients for 60 minutes, 5 times/week for 12 weeks. To identify their cognitive functions before and after the intervention occupation-centered activity program, Mini-Mental State Examination-Korea (MMSE-K) and the Global Deterioration Scale (GDS) were used. To assess fall-related factors, Korean Falls Efficacy Scale for the Elderly (FES-K) was used and leg strength, agility, and balance of the participants was measured. To examine quality of life, the Korean version of Quality of Life-Alzheimer's Disease Scale (KQOL-AD) was used. [Results] The results of the intervention showed that although cognitive function improved in both the experimental and control groups, fall-related factors and the quality of life significantly improved only in the experimental group. [Conclusion] This indicates that the occupation-centered activity program had a positive effect on dementia patients' cognitive functions, fall-related factors, and quality of life.
[目的]本研究旨在调查一项以职业为中心的活动项目对居住在当地社区的痴呆症患者的影响,并检验该项目对其认知功能、跌倒相关因素及生活质量的影响。[对象与方法]30名受试者被分为两组:实验组(n = 15)和对照组(n = 15)。然后对痴呆症患者实施以职业为中心的活动项目,每次60分钟,每周5次,共12周。为确定干预以职业为中心的活动项目前后他们的认知功能,使用了韩国简易精神状态检查表(MMSE-K)和总体衰退量表(GDS)。为评估跌倒相关因素,使用了韩国老年人跌倒效能感量表(FES-K),并测量了参与者的腿部力量、敏捷性和平衡能力。为检验生活质量,使用了韩国版阿尔茨海默病生活质量量表(KQOL-AD)。[结果]干预结果显示,尽管实验组和对照组的认知功能均有所改善,但仅实验组的跌倒相关因素和生活质量有显著改善。[结论]这表明以职业为中心的活动项目对痴呆症患者的认知功能、跌倒相关因素和生活质量有积极影响。