Journal List > J Korean Acad Nurs > v.40(5) > 1002665

J Korean Acad Nurs. 2010 Oct;40(5):724-735. Korean.
Published online October 31, 2010.  https://doi.org/10.4040/jkan.2010.40.5.724
Copyright © 2010 Korean Society of Nursing Science
The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han,1 Mi Sook Song,2 and Ji Young Lim3
1Associate Professor, Department of Nursing, Dongguk University, Gyeongju, Korea.
2Professor, College of Nursing, Ajou University, Suwon, Korea.
3Associate Professor, Department of Nursing, Inha University, Incheon, Korea.

Address reprint requests to: Han, Young Ran. Department of Nursing, Dongguk University, 707 Sukjang-dong, Gyeongju 780-714, Korea. Tel: 82-54-770-2625, Fax: 82-54-770-2616, Email: hanyr@dongguk.ac.kr
Received March 12, 2010; Accepted October 14, 2010.

Abstract

Purpose

In this study a cognitive enhancement group training program of 10 sessions was provided for community-dwelling elders and the effects on cognitive function, depression and quality of life were tested.

Methods

A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data.

Results

After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group.

Conclusion

The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

Keywords: Community; Aged; Cognition; Depression; Quality of life

Figures


Figure 1
Process of cognitive enhancement group training program.
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Tables


Table 1
Cognitive Enhancement Group Training Program for Elders
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Table 2
Demographic Characteristics of Participants
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Table 3
Homogeneity Test of Cognition, Depression and Quality of Life between Groups
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Table 4
Difference of Cognition, Depression and Quality of Life between Groups
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Notes

This work was supported by the Province of Gyeongsangbuk-do.

References
1. Chin YR, Lee IS, Chang HS. Analysis of the effects and nursing intervention of home health care in public health centers. Journal of Korean Academy of Community Health Nursing 2004;15:353–363.
2. 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. Journal of Korean Academy of Nursing 2007;37:1049–1060.
3. Cohen J. In: Statistical power analysis for the behavioral science. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Association Pub; 1988.
4. Comijs HC, Jonker C, Beekman AT, Deeg DJ. The association between depressive symptoms and cognitive decline in community-dwelling elderly persons. International Journal of Geriatric Psychiatry 2001;16:361–367.
5. Han JH, Ko SK, Kweon JH, Jo IH, Ahn SM, Han CS, et al. Efficacy of a multifactorial cognitive ability enhancement program for MCI (Mild Cognitive Impairment) group. Korean Journal of Clinical Psychology 2008;27:805–821.
6. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing 2009;39:622–631.
7. Jeong WM. The effects of group occupational therapy program for improvement of cognitive abilities in mild case of dementia. Journal of Society of Occupational Therapy for the Aged and Dementia 2007;1:46–55.
8. Jhoo JH, Kim KW, Lee DY, Youn JC, Lee TJ, Choo IH, et al. Comparison of the performance in two differentKorean versions of Mini-Mental State Examination: MMSE-KC and K-MMSE. Journal of Korean Neuropsychiatric Association 2005;44:98–104.
9. Ji HR. In: The effects of dementia nursing intervention program on cognitive function, depression, activities of daily living and social behavior. Gwangju: Chonnam National University; 2003.
Unpublished doctoral dissertation.
10. Kauppila T, Pesonen A, Tarkkila P, Rosenberg PH. Cognitive dysfunction and depression may decrease activities in daily life more strongly than pain in community-dwelling elderly adults living with persistent pain. Pain Practice 2007;7:241–247.
11. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association 1996;35:298–307.
12. Kim DY, Kim IS, Kim TY, Park RJ, Park JM, Son KC, et al. In: Dementia prevention and cognitive rehabilitation program. Seoul: Seohyeonsa; 2004.
13. Kim JH. Effects of a memory training program using efficacy sources on memory improvement in elderly people. Journal of Korean Academy of Nursing 2000;30:1170–1180.
14. Kim JS, Jung JS. The effects of a folk play program on cognition, ADL, and problematic behavior in the elderly with dementia. Journal of Korean Academy of Nursing 2005;35:1153–1162.
15. Ko SG, Kwon JH. Efficacy of a multifactorial memory enhancement program for older adults in the community. Korean Journal of Clinical Psychology 2007;26:545–572.
16. Korean Dementia Association. Dementia: A clinical approach. Seoul: Academia; 2006.
17. Korean Society of Biological Nursing Science. Mosby's medical, nursing & allied health dictionary. Seoul: Mosby & Hyunmoosa; 2002.
18. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Youn JC, et al. A normative study of the Mini-Mental State Examination in the Korean elderly. Journal of Korean Neuropsychiatric Association 2002;41:508–525.
19. Lee HS, Kim HS, Jung YM. Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing 2009;20:12–22.
20. Lim ES. In: Effects of physical ability, depression and social support on quality of life in low income elders living at home. Seoul: Yonsei University; 2002.
Unpublished master's thesis.
21. 2008 National health statistics: National health and nutrition survey. Ministry for Health, Welfare and Family Affairs, & Korea Centers for Disease Control and Prevention. 2009 Dec [Retrieved March 2, 2010].
22. 2008 Customized visiting health service guidebook, 117-118. Ministry of Health and Welfare. 2008 [Retrieved March 2, 2010].
23. Rapp S, Brenes G, Marsh AP. Memory enhancement training for older adults with mild cognitive impairment: A preliminary study. Aging & Mental Health 2002;6:5–11.
24. Park MH, Kwon DY, Seo WK, Lim KS, Song MS. The effects of cognitive training on community-dwelling elderly Koreans. Journal of Psychiatric and Mental Health Nursing 2009;16:904–909.
25. Schalock RL, Siperstein GN. In: Quality of life: Conceptualization and measurement. Washington DC: American Association on Mental Retardation; 1996.
26. Shin KR, Byeon YS, Kang YH, Oak J. A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing 2008;38:437–444.
27. Shin MK. Effects of an exercise program on frontal lobe cognitive function in elders. Journal of Korean Academy of Nursing 2009;39:107–115.
28. Song MS, Song HJ. Development of community-based intensive health care program for the community dwelling elderly. Journal of Korean Gerontological Society 2009;29:37–50.
29. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing 2003;12:148–154.
30. Won JS, Kim KH. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing 2008;38:1–10.