教 育 講 演 Ⅰ
The Effects of a Cognitive Enhancement Group Training Program forCommunity-dwelling Elderly in Korea
宋 美淑
座長：巴山 玉蓮
（群馬県立県民健康科学大学看護学部教授）

Song, Mi Sook, Professor, College of Nursing, Ajou University

Han, Young Ran, Professor, Department of Nursing, Dongguk University
Lim, Ji Young, Professor, Department of Nursing, Inha University【背景】 Cognitive dysfunction has increase

lth Centers have recently been implemented td to unprecedented levels in the elderly pop

o manage their various health problems, but thulation and has become a major healthe effectiveness of these programs have not yproblem. However, most of caregivers ine t b e e n v e r i f i e d accurately by individual

community based public sector used to ignore thprogram.

e elderly memory decline as a normal chang

Accordingly, the purpose of this study wase of cognitive functions as their age progres

to offer the elderly the support that they neeses

rather than to render an appropriate

d to improve their cognitive functions ,intervention to them. Although some changes

emotional status, and their quality of their life

in memory function accompany aging, these f. In particular, this study was to apply a cog

unctional weaknesses do not affect the entire

nitive enhancement group training program obrain, and long-term memory—particularly th

f 12 sessions and test the effects of cognitiv

at obtained through life-long experiences ande function, depression and quality of life on

education—does not weaken as one ages

cognitive enhancement group training program(M.H. Park et al., 2009). A previous study hasof community-dwelling Elderly.

shown that the cognitive functions of the elderly can be improved through cognitive reha

【方法】 A quasi-experimental study using abilitation training (Verhaeghen et al., 1992; C

nonequivalent control group, pre-post designummings, 2003, Lanctot et al., 2003, Rockw

was used. The participants were 87 elderly whoood, 2004; M.H. Park et al., 2009).

have a normal range of cognitive function. 45

In Korea, comprehensive community-based pwere assigned to the experimental group and 42

ublic health care programs in the Public Hea

to the control group. The intervention wasconducted once a week for 12 weeks. Chi-squarefunctions.

test, t-test, paired t-test, Wilcoxon rank sum test

And the effectiveness of this group training pand Wilcoxon signed rank test were used toanalyze the data.

rogram was verified by evaluating the impro
vement in subjects’ cognitive functions ,depression, and quality of life

【結果】The cognitive enhancement grouptraining program was effective in improving thecognitive function, depression and quality of life
for elderly. Therefore, this program should bethrough

MMSE-KC, GDS, and EQ-5 assessments. In
addition, the subjects can also improve their psychological and social functions in the cour
se of cooperative learning.

rendered consistently as a positive program foremotional and cognitive support for communitydwelling elderly.

【結論】 It is expected that this group trai
ning program will contribute to the enhance
ment the cognitive function of the elderly, wi【考察】 The elderly with cognitive dysfun

ll improve their motivation and self-reliance,

ction experience many problems and often aand will help them lead happy and healthy lloss in their quality of life. Group program fives.

or cognitive enhancement enables the elderly

Therefore, this program should be considere

to improve not only their cognitive functions

d as a positive program for emotional and cbut also their daily living activities (Veltro etognitive support for community-dwelling eldeal., 2006, Wang, 2007; M.H. Park et al., 2009)

rly.

. In other words, mutual interaction among t
he elderly with cognitive dysfunction and wi
th different personal characteristics can prom
ote their cognitive, emotional, and social dev
elopment (Greene et al., 1993). Therefore,caregiver should stimulate their attention andof encouraging them to participate in activiti
es must be devised, when they operate thisprogram.
In t hi s s t udy, a us ef ul procedur e f or
facilitating the cognitive functions of the elde
rly was proposed. This systematic group traini
ng program was designed to repeatedly educa
te the elderly by applying a variety of traini
ng methods designed to address all cognitiveE-mail；msong@ajou.ac.kr