Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea

Article information

Res Community Public Health Nurs. 2013;24(4):427-437

Publication date (electronic) : 2013 December 31

doi : https://doi.org/10.12799/jkachn.2013.24.4.427

¹Department of Nursing, Daegu Haany University, Daegu, Korea.

²Graduate School, Indiana University, Bloomington, USA.

Corresponding author: Lee, Hung Sa. Department of Nursing, Daegu Haany University, 64, 25-gil, Suseong-ro, Suseong-gu, Daegu 706-060, Korea. Tel: +82-53-770-2289, Fax: +82-53-770-2286, lhj@dhu.ac.kr

Received 2013 September 24; Accepted 2013 December 17.

Abstract

Purpose

This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly.

Methods

The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs.

Results

ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001).

Conclusion

The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.

Keywords: Aged; Cognition; Quality of life; Intervention study

Notes

This study was supported by research fund from Daegu Haany University.

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Article information Continued

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : Daegu Haany University

Figure 1

Longitudinal modified regression model of variables (Unstandardized regression weight).

Table 1

General Characteristics and Differences between Cont. Group and Exp. Group^† (N=40)

Exp.=experimental group; Cont.=control group.

^†Data are presented as number (%) or M±SD unless otherwise indicated; ^‡Calculated by independent t-test; ^§Analysis by Fisher's exact test.

Table 2

Homogeneity Test for Dependent Variables between Two Groups before Intervention (N=40)

ADL=activity of daily living; QOL=quality of life.

Table 3

Mean Differences in Dependent Variables between Two Groups (N=40)

ADL=activity of daily living; QOL=quality of life; Exp.=experimental group; Cont.=control group.

Table 5

Estimates and Effects of Predictory Variables in Model of Experimental Group

ADL=activity of daily living; QOL=quality of life; SE=standard error; CR=critical ratio.