치매노인의 사회적응력 강화를 위한 집단사회사업 사례연구

서지정보

· 발행기관 : 한국임상사회사업학회
· 수록지 정보 : 임상사회사업연구 / 1권 / 1호
· 저자명 : 간호옥

목차

1. 서 론
2. 이론적 배경
3. 조사설계
4. 프로그램 모형
6. 결론 및 제언
참고문헌
Abstact

초록

본 논문은 치매노인 주간보호센터를 아용하는 치매노인들을 대상으로 예술치료, 특히 문학치료를 중심으로 사회적응력을 강화하기 위해 인지기능과 정서기능 강화훈련을 목적으로 집단사회사업 프로그램을 적용하고 그 효과성을 확인하였다.
실험집단(서울 강북구의 K복지관 치매노인 주간보호센터를 이용하는 노인 10명)과 통제집단(서울 강서구의 K복지관 치매노인 주간보호센터를 이용하는 노인 10명)을 설정하여 2003년 3월 4일에서 5월 20일까지 12주간 총 12회 예술치료 프로그램을 실시하였다.
연구에 대한 자료는 실험집단과 통제집단 모두 사전검사와 사후검사를 실시하여 수집하였으며, 수집된 자료는 SPSS 10.0 for Windows를 이용하여, 빈도분석, 신뢰도 검증, 윌콕슨 부호-순위 검증(Wilcoxon Matched-Pairs Signed-Rank Test), 그리고 t-test를 실시하였다. 치매노인들의 일반적 사항은 빈도분석을 사용하였으며, 그들의 인지적․정서적 기능향상 여부를 파악하기 위한 각각의 척도들에 대해서는 빈도분석과 윌콕스 부호-순위 검증을 동시에 사용하였다. 본 연구에서 미술치료와 음악치료를 접목시킨 문학치료를 주 기법으로 하는 집단 예술치료 프로그램은 몇 가지 한계에도 불구하고, 치매노인들의 인지기능과 정서적 기능의 향상을 가져와 사회적응력을 강화시킬 수 있다는 가능성을 보였다.

영어초록

The purpose of this study is to Strengthening the Social Adaption of the Dementia Aged through the Group Social Work by Art Therapy
For the dementia aged who use Day Care Center, a art, literature therapy applied an experimental design was operated and analyzed quantitatively as well as qualitatively to understand how much their cognitive and emotional ability have been improved. The purpose of this study is to find a strategy to strengthen the social adaptation of the dementia aged based on the experimental results. To achieve this purpose, the study divides research objects into an experimental group and a controlled group. The experiment group is composed of the ten dementia aged who use Day Care Center of a social welfare center in Kang buk Gu, Seoul. The controlled group is composed of the ten dementia aged who use Day Care Center of another social welfare located in Kang seo Gu, Seoul. Research outcomes show that cognitive, emotional abilities of the controlled group or even decrease while the experiment group's abilities have been improved remarkably. Based on This research findings show that a art, literature therapy improves the cognitive, emotional and social abilities of the dementia aged but not the physical.
With the research findings, strategies for strengthening the social adaptation of the dementia aged are suggested as follows:
(1) As a strategy for improving cognitive ability for the dementia aged, four are necessary: to enrich their basic concept of numbers and vocabulary; to develop their memory and thoughts; to cultivate their discernment, sense, and perceptibility; and to enhance their recognition
(2) As a strategy for improving emotional ability, three methods are suggested: to decrease
emotional instability, depression and enervation; to enhance their self-esteem, self-confidence, and feeling of achievement; and to inspire their ideas of participation.
In conclusion, this study discloses the fact that art, literature therapy is very helpful to strengthen social adaptation ability of the dementia aged. However, research findings have limitations to generalize to all the dementia aged. In the future, further studies on this topic may be required with more systematic and well-designed experiments and its implementation.
Finally, this study suggests several social work practice implications through the discussions above.
First, to strengthen the social adaptation ability of the dementia aged, the effects of art, literature therapy on dementia should be operated and evaluated more systematically and continuously.
Second, training art, literature therapy experts is necessary.
Third, in social welfare facilities including Day Care Centers, it is required to secure spaces and materials for operating art, literature therapy.
Fourth, it is very critical to secure finance and other necessary materials enough for an effective operation of art, literature therapy.
And finally, in order to clarify the effect of art, literature therapy for dementia aged, it is necessary to distinguish properly serious dementia patients from the light ones.

key words : Art Therapy, literature therapy, group social look, social adaption

참고자료

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