대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제25권3호
  • /
  • Pages.1-8
  • /
  • 2018
  • /
  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
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입원 노인과 재가 노인의 신체능력과 낙상효능감 및 우울수준 비교

Comparison of Physical Ability and Fall Efficacy and Depression between Elderly and Hospitalized Elderly

  • 빈유민 (영도참편한요양병원 물리치료실) ;
  • 안소윤 (부산가톨릭대학교 물리치료학과) ;
  • 안성자 (마산대학교 물리치료과)
  • Been, Yu Min (Yeongdo Champyonhan Geriatric Hospital) ;
  • Ahn, So Youn (Dept. Physical Therapy of Catholic University of Busan) ;
  • An, Seong Ja (3Dept. physical Therapy of Masan University)
  • 투고 : 2018.11.13
  • 심사 : 2018.12.24
  • 발행 : 2018.12.30
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초록

Background: The purpose of this study is to provide basic data on physical therapy intervention by comparing the physical ability and fall efficacy and depression of elderly and hospitalized elderly. Method: This study was carried out with 22 hospitalized elderly who can live in Y-Hospital and 22 elderly people in Busan. We measured body mas index, time up & go test, function reach test, 10m walking test, bracket lifting test, fall efficacy and geriatric depression scale. The data collection period was from November to December 2017. The collected data was analyzed using SPSS Win 18.00 program. Results: There was a significant difference between the elderly and hospitalized elderly form physical ability and depression(p<.05). But Fall efficacy was no significant difference(p>.05). 10m walking with TUG, heel with fall efficacy showed quantitative correlation and 10m walking with fall efficacy, depression with fall efficacy, heel with TUG, 10m walking showed amulet correlation. There was a statistically significant difference. Conclusion: Elderly showed better results in physical ability and depression than hospitalized patients.

키워드

참고문헌

  1. 김수진. 노인의 낙상과 관련된 보행능력, 인지기능, 낙상효능감에 관한 연구. 이화여자대학교 대학원. 석사학위논문. 2004.
  2. 김이순, 김경철, 이정원, 김창태, 오미정, 곽이섭. 기공운동과 탄력밴드운동이 여성노인의 체력, 일상생활동작, 우울에 미치는 효과. 한국웰니스학회지. 2013;8(4):293-302.
  3. 김철규. 입원환자 낙상발생 실태와 원인에 관한 분석연구. 서울대학교 대학원. 석사학위논문. 2003.
  4. 나성실, 신소희. 노인의 Timed Up & Go test의 구간 구분에 따른 시간과 활동체력과의 관련성. 한국발육발달학회. 2019;26(2):197-202.
  5. 박정모, 한신희. 노인 운동프로그램이 노인의 건강상태와 우울에 미치는 효과. 대한간호학회지. 2003;33(2):220-227. https://doi.org/10.4040/jkan.2003.33.2.220
  6. 배종진, 박현철. 운동이 노인의 우울증에 미치는 영향. 한국체육학회지. 2014;53 (3):549-557.
  7. 보건복지부. 인구조사: 노인 인구의 고령화 예측. 2015.
  8. 성기월. 건강유지 프로그램이 시설노인의 신체 건강과 정신 건강에 미치는 효과. 대한간호학회지. 2007;37(4):478-489. https://doi.org/10.4040/jkan.2007.37.4.478
  9. 송경애, 문정순, 강성실, 최정현. 지역사회 재가노인들의 낙상공포에 관한 연구. 한국보건학회지. 2001;15(2):1082-1091.
  10. 오영희, 김종민. 노인요양시설의 현황분석과 정책과제-시설의 인력, 재정, 설비를 중심으로. 보건복지포럼. 2001;57:34-46.
  11. 유은정, 전태원, 박현. 낙상골절 경험이 노인여성의 낙상관련 체력요인, 심리적요인, 골밀도에 미치는 영향. 한국여성체육학회지. 2008;22(4):101-115.
  12. 이민수. 한국 어느 도시지역의 노인성 우울증 역학조사. 노인정신의학. 2000;4(2) :154-163.
  13. 장숙랑, 조성일, 오상우, 이언숙, 백현욱. 한국어판 낙상효능 척도와 활동 특이적 균형 자신감 척도의 타당도 및 신뢰도. 대한노인병학회지. 2003;7(4):255-268.
  14. 장정미. 재가 노인의 신체적 기능, 정서 상태, 낙상, 삶의 질에 관한 연구. 한국케어매니지먼트학회. 2009;3:71-89.
  15. 전병진, 이재신, 이옥자, 심문숙, 한수정, 장윤승. 농촌지역 노인들의 낙상효능감에 미치는 요인에 관한 연구. 대한작업치료학회지. 2009;17(4):99-112.
  16. 추연경, 손준호. 16주간 복합운동 프로그램이 여성노인의 기능체력과 우울에 미치는 영향. 코칭능력개발지. 2012;14 (3):105-114.
  17. 허진영. 낙상의 심리적 두려움과 감각통합 이 건강한 노인이 정, 동적 평형성에 미치는 영향. 한국스포츠심리학회지. 2001;12(2):57-68.
  18. 통계청. http://kostat.go.kr. 2016.
  19. Debora PM, Raquel RB, Guilherme ADFF, Fernando ALD, Marconi GS, Danielle AGP. Reference values for the bilateral heel-rise test. The Brazilian Journal of Physical Therapy. 2017;21(5):344-349. https://doi.org/10.1016/j.bjpt.2017.06.002
  20. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: A New clinicalmeasure of balance. Journal of Gerontology. 1990;45(6):192-197.
  21. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews. 2009;(2):CD000340.
  22. Newton, RA. Validity of the multi-directional reach test: a practical meaure for limits of stability in order adults. Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56:M248-M252. https://doi.org/10.1093/gerona/56.4.M248
  23. Perry J, Easterday CS, Antonelli DJ. Surface versus intramuscular electrodes for electromyography of superficial and deep muscles. Physical Therapy. 1981; 61(1):7-15. https://doi.org/10.1093/ptj/61.1.7
  24. Pils K, Neumann F, Meisner W, Schano W, Vavrovsky G. Van der Cammen TJ. Predictors of falls in elderly people during rehabilitation after hip fracture-who is at risk of a second one?. Zeitschrift fur Gerontologie und geriatrie. 2003;36(1):16-22. https://doi.org/10.1007/s00391-003-0142-9
  25. Podsiadlo D, Richardson S. The timed up & go: a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39 :142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  26. Sasaki K, Neptune RR. Differences in muscle function during walking and running at the same speed. Journal of Biomechanics. 2006;39(11):2005-2013. https://doi.org/10.1016/j.jbiomech.2005.06.019
  27. Sayers SP. High-speed power training: a novel approach to resistance training in older men and women. A briefreview and pilot study. Journal of Orthopaedic Science Strength Conditioning Research. 2007;21(2):518-526.
  28. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Journal of Physical Therapy. 2000;80(9):896-903.
  29. Silbernagel KG, Nilsson-Helander K, Thomee R, Eriksson BI, Karlsson J. A new measurement of heel-rise endurance with the ability to detect functional deficits in patients with Achilles tendon rupture. Knee Surgery Sports Traumatology, Arthroscopy. 2010;18(2): 258-264. https://doi.org/10.1007/s00167-009-0889-7
  30. Steinberg M, Cartwright C, Peel N, Williams G. A sustainable programme to prevent falls and near falls in community dwelling older people: results of a randomeised trial. Journal of Epidemiology and Community Health. 2000;54(3):227-232. https://doi.org/10.1136/jech.54.3.227
  31. Tinetti ME, Richman D, Powell L. Fall efficacy as ameasure of fear of falling. Journal of Gerontology: Psychological Science. 1990;45(6):239-243. https://doi.org/10.1093/geronj/45.6.P239
  32. Unsworth J, Mode A. Preventing falls in older people: risk factors and primary prevention through physical activity. British Journal of Community Nursing. 2003;8(5):214-20. https://doi.org/10.12968/bjcn.2003.8.5.11200
  33. Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke. 1998;29(6):1122-1128. https://doi.org/10.1161/01.STR.29.6.1122
  34. Wernick-Robinson, Mara, David EK, Marie MG. Functional reach: does it really measure dynamic balance?. Archives of physical medicine and rehabilitation. 1999;80(3):262-269. https://doi.org/10.1016/S0003-9993(99)90136-3

피인용 문헌

  1. 오타고운동 기반 낙상예방교육활동이 아급성 뇌졸중 환자의 균형, 낙상 효능감 및 일상생활동작능력에 미치는 영향: 무작위 대조군 임상 연구 vol.27, pp.1, 2020, https://doi.org/10.26862/jkpts.2020.06.27.1.1