The elderly population in Korea is rapidly increasing. It is necessary to develop multi-faceted and complex interventions for prevention and delay of dementia, balance improvement, and physical activity, among the elderly living in the community. This study aimed to examine the effects of the cognitive/exercise dual-task program on cognitive function, health status, depression, and life satisfaction of the elderly living in the community. A quasi-experimental study design using a pretest-posttest control group was employed. The study included a total of 65 elderly participants (intervention: n = 32, control: n = 33) in Seoul, South Korea. The cognitive/exercise dual-task program as an intervention was composed of 20 sessions for a total of 10 weeks, held twice a week for about 50 min each session. Measures were general characteristics of study participants, the Korean version of Mini-Mental State Examination (MMSE-K), Korean elderly health status assessment tool, Korean version of Geriatric Depression Scale, and the elderly life satisfaction scale. Data were collected from October 2020 to March 2021. There were statistically significant differences on cognitive function, health status, depression, and life satisfaction between two groups. The cognitive/exercise dual-task program was an effective intervention for improving cognitive function, health status, and life satisfaction, and for decreasing depression of the elderly living in the community. Health care providers need to pay attention to cognitive/exercise dual-task programs for elderly living in the community.
The deterioration of physical and cognitive functioning in the elderly is an impairment to their independent self-management and to improving their ability to perform daily functions. Nurses should support the elderly to experience a healthy and a successful aging process by preventing dependence on daily functioning and understanding the care assistance that such persons need. This study aimed to gain insight into the evidence on the effectiveness of multicomponent intervention on the activities of daily living (ADL) and instrumental activities of daily living (IADL) among the community-dwelling elderly without cognitive impairment. The design is a systematic review of a randomized controlled trial. The language of the published literature was English, and the search period was from January 2000 to December 2020. Articles were included under the PICO (population, intervention, comparison, and outcome) framework for: (a) community-dwelling elderly without cognitive impairment; (b) multicomponent intervention; (c) comparison group who did not receive the intervention; and (d) measurement of the effect of ADL and IADL. A total of 4413 references were found, 6 studies were included. Most studies (n = 5) reported that the multicomponent intervention exerted a beneficial effect on ADL and IADL. Only one study showed the highest methodology and reporting quality in the Cochrane review. Common components of the programs included: occupational therapy, physical therapy, exercise, memory training, cognitive–behavioral therapy, interdisciplinary intervention, and cognitive training. Multicomponent intervention may be a beneficial way to improve dependence on ADL and IADL as an important area of functional evaluation in the elderly. Considering the physical condition of the elderly, multicomponent interventions, including physical activity, exercise, occupational therapy, and especially individually customized coaching related to ADL and IADL training, may be useful.
Background Reminiscence therapy is known as an effective intervention method for elderly with various health conditions. This study was to provide basic data for contributing to the spread and development of effective intervention by analyzing the characteristics and effects of reminiscence therapy applied to the elderly at home. Methods To select the article to be studied, literature published from January 2000 to January 2021 was searched through eight databases. A total of 897 articles were searched, and the collected papers were analyzed using the flow chart of Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Of these, 6 articles suitable for the selection criteria were selected by reviewing titles and abstracts, excluding duplicate papers, using EndNote X9 and Excel 2013. The quality of literature was evaluated using the critical appraisal checklist of the Joanna Briggs Institute. Results For the characteristics of the selected literature, most of the literature published within the last 10 years was conducted, and the research design was conducted only in experimental research. The most common form of reminiscence therapy was group reminiscence, and the type was ‘simple reminiscence’. The intervention method of reminiscence therapy was provided in various ways, but ‘Sharing’ was mainly used, and the representative topic of recall was ‘Hometown’. Most of the intervention was performed less than 10 times and took about 60 min. Conclusion According to the results of this study, reminiscence therapy provided to the elderly living in the community was effective in improving their quality of life and life satisfaction. Therefore, it is suggested that reminiscence therapy can be an intervention method that is helpful for positive psychological factors and health promotion by improving the quality of life and life satisfaction of the elderly living in the community, and further, it is considered that the elderly can contribute to non-pharmacologically healthy aging in the community.
The elderly population in South Korea is rapidly increasing. The elderly living in the community are looking for alternative and complementary methods to improve their healthy longevity and quality of life. This study aimed to examine the effects of Multicomponent Oriental Integrative Intervention on the cognitive function, health status, life satisfaction, and Yangsaeng of the Korean elderly living in the community. A quasi-experimental study design using a pretest–posttest control group was employed. Study participants were a total of 74 elderly (intervention: n = 37, control: n = 37) in Seoul, South Korea. Multicomponent Oriental Integrative Intervention was scheduled to hold two sessions a week, a total of sixteen sessions in 8 weeks, lasting 60 min per session. The measures were the general characteristics of the study participants, the Korean version of the Mini-Mental State Examination (MMSE-K), the Korean health status measure for the elderly, the Korean elderly life satisfaction scale, and the Yangsaeng measurement tool. Data were collected from March 2022 to May 2022. There were statistically significant differences in cognitive function, health status, life satisfaction, and Yangsaeng between the two groups. Multicomponent Oriental Integrative Intervention might be an effective intervention for improving the cognitive function, health status, life satisfaction, and Yangsaeng of the elderly living in the community. Health care providers need to pay attention to Multicomponent Oriental Integrative Intervention for the elderly living in the community.
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