대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제31권2호
  • /
  • Pages.41-51
  • /
  • 2024
  • /
  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
권호 표지
DOI QR코드

DOI QR Code

방문재활운동 프로그램이 만성질환 노인의 균형, 일상생활활동과 우울 및 삶의 질에 미치는 영향

Effect of home-based exercise program on balance, activities of daily living, depression and quality of life in elderly with chronic diseases

  • 장일용 (광주365재활병원) ;
  • 송요한 (서영대학교 물리치료학과) ;
  • 김재운 (서영대학교 물리치료학과) ;
  • 문영성 (조선대학교 대학원 보건학과)
  • Il Yong Jang (Dept. of physical therapy, Gwangju 365 Rehabilitation Hospital ) ;
  • Yo Han Song (Dept. of physical therapy, Seoyeong University) ;
  • Jae Woon Kim (Dept. of physical therapy, Seoyeong University) ;
  • Young Sung Moon (Dept. of public health, Graduate School, Chosun University)
  • 투고 : 2023.10.06
  • 심사 : 2023.11.09
  • 발행 : 2024.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The purpose of this study was to identify the effect of home-based exercise program in elderly with chronic diseases on balance, activities of daily living, depression and quality of life. Design: One group pretest-posttest design Methods: The subjects consisted of 21 elderly people over the age of 65 years with chronic diseases lived in seo-gu, Gwangju. Home-based exercise program was performed twice a week, for an hour, during 6 weeks under supervision of an experienced instructor. The home-based exercise program was structured to last a total of 1 hour, consisting of 10 minutes of warm-up, 30 minutes of main exercises, and 20 minutes of concluding exercises. For the warm-up, we performed range of motion, stretching, and flexibility exercises. The main exercises comprised of strength, weight-bearing and balance exercises, and endurance exercises. The concluding exercises were tailored to the individual's home environment and needs, including task-oriented daily living training such as getting up from bed, moving to the restroom, and walking indoors. The subjects were assessed before and after the exercise program with berg balance scale(BBS), Korean-version modified barthel index(K-MBI), euro quality of life questionnaire 5-dimensional classification(EQ-5D), and geriatric depression scale short form-Korea(GDSSF-K). The collected data was analyzed using SPSS Win 18.0 program. Results: The results showed statistically significant difference in all domains of the BBS, K-MBI, EQ-5D, GDSSF-K after the exercise program. Conclusion: These results suggest that Home-based exercise program has resulted in a significant improvement on ADL, depression and quality of life in elderly with chronic diseases.

키워드

참고문헌

  1. 김병관, 성민규, 양현정. 뇌교육 기반 운동 및 KPEM도수치료 통합 프로그램이 암환자의 수면과 삶의 질에 미치는 영향. 대한물리치료과학회지, 2023:30(1):10-22.
  2. 김석규, 조두현, 심재란 등. 한국 노인의 신체활동량과 건강관련 삶의 질에 영향을 미치는 요인. 한국여성체육학회지, 2019;33(3):129-41.
  3. 김선민, 이근수, 장상훈. 치료적 운동을 병행한 발목 관절가동술이 만성 발목 불안전성을 가진 노인의 발목 관절가동범위와 균형에 미치는 영향. 대한물리치료과학회지, 2023:30(2):52-64.
  4. 김진영, 박성두, 배정현 등. 지역 사회 노인의 노화 예방에 따른 통합돌봄 선도사업 기반 맞춤형 방문운동의 효과: 증례 보고. 대한정형도수치료학회지, 2021;27(3):99-105.
  5. 김진희, 이광재. 가정 및 방문 물리치료의 인식도와 필요성에 대한 연구. 대한물리의학회지, 2014;9(4):465-74.
  6. 노희숙. 재가노인 방문물리치료 가이드라인 개발. 국내박사학위논문 을지대학교 대학원, 2017. 대전
  7. 박승규, 지혜영, 허재원. 가정방문물리치료가 재가장애인의 일상생활동작과 기능에 미치는 영향. 대한물리치료학회지, 2011;23(2):61-8.
  8. 빈유민, 안소윤, 안성자. 입원 노인과 재가 노인의 신체능력과 낙상효능감 및 우울수준 비교. 대한물리치료과학회지, 2018;25(3):1-8.
  9. 손경현, 김은경, 김선민. 방문물리치료 필요성에 관한 연구. 대한물리치료과학회지, 2012;19(1):27-38.
  10. 유일매. 토구운동프로그램이 노인의 활동체력, 우울 및 삶의 질에 미치는 효과. 국내석사학위논문 한국교통대학교 교육대학원, 2015. 충청북도
  11. 윤태영. 노인장기요양보험제도를 통한 방문재활 서비스 도입방안-서비스 공급주체로서 OECD 국가 가정방문물리치료의 고찰. 보건의료산업학회지, 2011;5(4):161-75.
  12. 이광재. 노인의 인지기능에 따른 동적 균형과 삶의 질에 대한 비교 연구. 대한물리치료과학회지, 2012;19(4): 35-40.
  13. 이영훈, 최진수, 이정애 등. EuroQol-5 Dimension 한국 가중치 모형의 적용 연구. 보건교육건강증진학회지, 2009;26(1):1-13.
  14. 장경오. 노인 허약 예방프로그램이 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질에 미치는 효과. 한국산학기술학회지 2017;18(5):47-58.
  15. 정한영, 박병규, 신희석 등. 한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구. 대한재활의학회지, 2007;31(3):283-97.
  16. 조맹제, 배재만, 서국희 등. DSM-III--R 주요우울증에 대한 한국어판 Geriatric Depression Scale(GDS)의 진단적 타당성 연구. 신경정신의학, 1999;38(1):48-63.
  17. 조정옥, 안옥희. 탄력밴드저항운동이 장기요양 방문간호 이용 여성노인의 체력, 일상생활수행능력, 낙상효능감 및 삶의 질에 미치는 효과. 근관절건강학회지, 2020;27(2):71-80.
  18. 통계청. 노인실태조사. 2019.
  19. 허재석, 이상열, 윤성영, 등. 고령운전자의 제동능력에 미치는 신체적 기능에 대한 체계적 문헌고찰. 대한물리치료과학회지. 2022:29(4):45-53.
  20. Aguinaga S, Ehlers DK, Salerno EA, et al. Home-based physical activity program improves depression and anxiety in older adults. J phys Act Health, 2018;15(9):692-6.
  21. Berg KO, Wood-Daupshinee SL, Williams JI, Maki BE. Measuring balance in the elderly: validation of an instrument. Canad J Pub Health, 1992;83(2)7-11.
  22. Bezalel T, Carmeli E, Katz-Leurer M. The effect of a group education programme on pain and function through knowledge acquisition and home-based exercise among patients with knee osteoarthritis: a parallel randomised single-blind clinical trial. Physiother, 2010;96(2):137-43.
  23. Bohannon RW. Impairments in static standing balance are highly prevalent among older adults receiving home-based physical therapy. J Geriatr Phys Ther, 2012;35(3):145-7.
  24. Brayall P, Donlon E, Doyle L, et al. Physical therapy-based interventions improve balance, function, symptoms, and quality of life in patients with chemotherapy-induced peripheral neuropathy: a systematic review. Rehabil Oncol, 2018;36(3):161-6.
  25. Clemson L, Singh MF, Bundy A, et al. Integration of balance and strength training into daily life activity to reduce rate of falls in older people(the LiFE study): randomised parallel trial. BMJ, 2012;7(15):345.
  26. Dubbert PM, Morey MC, Kirchner KA et al. Counseling for home-based walking and strength exercise in older primary care patients. Arch Int Med, 2008;168(9):979-86.
  27. Gardner AW, Parker DE, Montgomery PS, et al. Efficacy of quantified home-based exercise and supervised exercise in patients with intermittent claudication: a randomized controlled trial. Circulation, 2011;123(5):491-8.
  28. Gill TM, Kurland B. The burden and patterns of disability in activities of daily living among community-living older persons. J Gerontol A Biol Sci Med Sci, 2003;58(1):70-75.
  29. Gill TM, Baker DI, Gottschalk M, et al. A program to prevent functional decline in physically frail, elderly persons who live at home. N Engl J Med, 2012;347(14):1068-74.
  30. Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane database of systematic reviews, 2012;12(9):CD007146.
  31. Gitlin LN, Hauck WW, Winter L, et al. Effect of an in-home occupational and physical therapy intervention on reducing mortality in functionally vulnerable older people: Preliminary findings. J Am Geriatr Soc, 2006;54(6):950-5.
  32. Jette AM, Laurence GB. The Framingham disability study: II. Physical disability among the aging. Am J Pub Health, 1981;71(11):1211-6.
  33. Kim IH. Age and gender differences in the relation of chronic diseases to activity of daily living (ADL) disability for elderly South Koreans: based on representative data. J Prev Med Pub Health, 2011;44(1):32-40.
  34. Lee MS. Health-related factors influencing the quality of life of rural elderly subjects-activities of daily living, cognitive functions, prevalence of chronic diseases and nutritional assessment. Korean J community Nutr, 2012;17(6):772-81.
  35. Robertson MC, Devlin N, Gardner MM, et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. BMJ, 2001;322(7288):701-4.
  36. Rosie J, Taylor D. Sit-to-stand as home exercise for mobility-limited adults over 80 years of age-GrandStand System TM may keep you standing?. Age and ageing, 2007;36(5):555-62.
  37. Russell D, Rosati RJ, Andreopoulos E. Continuity in the provider of home-based physical therapy services and its implications for outcomes of patients. Phys Ther, 2012;92(2):227-35.
  38. Sayer AA, Syddall HE, Martin HJ, et al. Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age Ageing, 2006;35(4):409-15.
  39. Sherrington C, Tiedemann A, Fairhall N, et al. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bull, 2011;22(4):78-83.
  40. Shin YS, Kim WS, Shin IS, et al. The comparative study of activity ability of daily livings, body pain and emotional states between elders living alone and those living with others. J Rehab Welf Eng Assist technol, 2018;12(1):29-37.
  41. Stevens-Lapsley JE, Loyd BJ, Falvey JR, et al. Progressive multi-component home-based physical therapy for deconditioned older adults following acute hospitalization: a pilot randomized controlled trial. Clin Rehab, 2016;30(8):776-85.
  42. Stevenson TJ. Detectiong change in patients with stroke using the Berg Balance Scale. Aust J Physiother, 2001;47(1):29-38.
  43. Wolfe CD, Tilling K, Rudd AG. The effectiveness of community-based rehabilitation for stroke patients who remain at home : a pilot randomized trial. Clin Rehab, 2000;14(6):563-9.
  44. Woollacott MH, Shumway-Cook A, Nashner LM, et al. Aging and posture control: changes in sensory organization and muscular coordination. Int J Aging Hum Dev, 1986;23(2):97-114.
  45. Yumin ET, Simsek TT, Sertel M, et al. The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home. Arch Gerontol Geriatr, 2011;52(3):180-4.
  46. Yu-Yahiro JA, Resnick B, Orwig D, et al. Design and implementation of a home-based exercise program post-hip fracture: The Baltimore hip studies experience. PMR, 2009;1(4):308-18.