• Journal of Korean Academy of Nursing
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• v.38 no.3
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• pp.437-444
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• 2008

Purpose: This study aimed to identify the relationships among physical symptoms, activities of daily living, and health-related quality of life (HRQoL) in community-dwelling older adults. Methods: A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Physical symptoms were measured using the Physical Health Questionnaire (PHQ), activities of daily living using the Late-Life Functional and Disability Instrument (LLFDI), and HRQoL using the Medical Outcomes Short-Form Health Survey (SF-36) in 242 community-dwelling elderly Korean people. Results: The HRQoL correlates with the physical symptoms (r=-.31) and the function component (r=.59). Of the two disability parts of the LLFDI, the limitation dimension correlates higher (r=.57) with HRQoL than the frequency dimension (r=.42). The HRQoL is significantly associated with the function component, and disability limitation in capability which explained 44.4% of variance in physical health. Conclusion: These results may contribute to a better understanding of physical symptoms, activities of daily living, and HRQoL in community-dwelling older adults. Therefore, health programs for prompting older adult's health should be planned based on results of the study.

• Proceedings of the Korea Society for Simulation Conference
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• 2005.05a
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• pp.117-122
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• 2005

전투실험은 미래 작전 요구능력을 충족하는 신기술/신체계, 신교리, 신조직의 대안을 반복적으로 실험하고, 성숙시켜서 성공이 보장되는 전투발전 소요를 제기하는 과정으로 우리 군에서도 1999년 이후 육군을 중심으로 교리 및 정책, 전술 등의 분야에 적용되는 전투실험을 수행하고 있다. 전투실험을 수행하는 다양한 방법들이 있으나 국방시뮬레이션 모델을 활용하는 전투실험이 비용 및 효용성 측면에서 매우 유리한 것으로 인식되어 국내의 전투실험 과제수행에 있어서도 다수의 국방시뮬레이션 모델이 활용되고 있다. 특히 한국국방연구원이 1991년 이후 지속적으로 운용하고 있는 JANUS 모델은 단위 무기체계 수준의 상세한 무기체계 모의가 가능하고 무기체계 획득 및 교리검증 시에 탁월한 효용성을 발휘할 수 있으므로 다양한 전투실험과제에 활용되고 있다. 본 연구는 육군 전투실험에서의 JANUS 모델 활용기법을 체계적으로 검토하여 국방시뮬레이션을 활용한 효과적인 전투실험 기법을 분석하고 개선사항을 도출함으로써 우리 군의 시뮬레이션 발전에 기여하고자 한다.

• Journal of agricultural medicine and community health
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• v.24 no.1
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• pp.35-47
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• 1999

Medication non-compliance among the elderly results in medical problems and substantial cost to the health care system. This study investigate predicted variable related to the medication task ability among elderly. This study was done in the selected 4 villages in Kimchun County of Kyungbuk Province from July to August, 1996. The subject was the resident that 202 adults above 60 years of age. The questionnaire of interview included medication task ability, socio-demographic data, COOP/WONCA chart, family ABGAR score. BDI(Beck depression inventory), ADL(activities of daily living), IADL(instrumental activities of daily living), and MMSE-K(minimental state examination-Korean version). The results were as followed : 1. Approximately 49% of study population was taking drug medication currently. We found that 93% of study population was successful at the medication task all alone, 6% was failure at the medication task all alone, so need help partly or completely. 2. Significant variables between group of medication task ability were age, educational attainment, IADL, and MMSE-K in univariate analysis. And significant correlated variables with medication task ability were ADL, IADL, MMSE-K, and BDI in correlation analysis. 3. Major predictors to medication task ability on multiple logistic regression were IADL and sex finally. Findings suggest that IADL is related to medication task ability than other test battery of health status, so IADL could be used to necessary for medication management and add information to conventional methods of assessing mental status.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.301-310
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• 2018

This study was conducted to investigate the relationship between physical function (ADL, IADL) and mental function (depression, cognitive dysfunction) and quality of life in the elderly. The subjects of this study were 524 elderly people aged 65 or older who were admitted to 15 care facilities located in D metropolitan city. Data were collected through a personal interview conducted by interviewers that visited each care facility from November 2015 to January 2016. T-tests and ANOVA were used to compare the quality of life score for each independent variable, while multiple regression was used to determine the explanatory power of independent variables that affected quality of life. Quality of life was significantly lower among those of older age, lower educational level, living alone, with lower relationships with children, lower subjective health status, disability, lower ability for mastication, without regular eating habits, without regular exercise, and without regular health checkups. In addition, quality of life was significantly lower in the ADL and IADL, as well as among those with a higher depression level and lower cognitive impairment scores than their respective counterparts. The results of this study suggest that the quality of life among elderly that have been admitted to care facilities is significantly related to physical and mental functions as well as demographic characteristics, health status and health related behavioral characteristics.

• 한국노년학
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• v.38 no.1
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• pp.225-241
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• 2018

Self-driving is meaningful activity for older persons because it enlarges the range of activity and provides opportunities for social participation. Driving is a complex activity that requires integration of physical, cognitive and sensory functions and is influenced by human and psychological factors. Age related functional deterioration affects the driving ability of older drivers. The purpose of this study is to investigate the factors affecting the risk of accidents and driving cessation of elderly drivers through systematic literature review. MEDLINE, EMBASE, Cochrane Library, KoreaMed, Pubmed were used for searching articles published from 2007 to 2017. 'aged', 'aging', 'automobile driving', 'age factors' were used as search terms and 18 articles were finally selected for analysis among 1,458 articles. In result of the study, the most significant effect showed in the physical domain, the driving habit and the performance function. The most frequent used tools evaluated driving habit and the cognitive function. In demographic characteristics, there was a correlation with the driving discontinue according to sex and age. This study emphasizes the necessity of preparing measures for safety driving with elderly. In addition, it suggests the necessity of systematically services such as individual education programs based on various driving cessation related factors of the elderly.

• 한국노년학
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• v.40 no.3
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• pp.429-442
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• 2020

The purpose of this research was to examine changes in the physical fitness, activities of daily living performance, and cognitive status of the frail elderly by combined exercise programs. The combined exercise program consisted of an aerobic exercise for the elderly and a four-color ladder exercise for improving of cognitive ability and physical fitness. Twenty-one frail elderly participated in this study, they were divided into 12 exercise groups and nine control groups. The exercise group conducted the combined exercise program of 60 minutes, twice a week, for10 weeks, while the control group maintained their normal lives. Strength, flexibility, agility, coordination, ADL and MMSE-K were measured. Exercise group showed significant improvement in grip strength compared to control group. In addition, ADL showed significant improvement only in the exercise group. The results of this study showed that participation in the combined exercise program of the el derl y was effective in improving the grip strength, and in preventing various physical functions and cognitive conditions decline.

• 한국노년학
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• v.32 no.4
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• pp.1101-1118
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• 2012

The purpose of this study is to examine which factors determine self-rated health(SRH) among Korean elderly focusing on gender differences. To achieve this purpose, it uses the Hallym Longitudinal Study of Aging, wave 4 in 2009. Participants aged 65 and over from wave 4 were selected(N=986, male 407, female 579). From wave 4, all variables were selected except for respondents' education which was from wave1. In analyses, $x^2$ or t-test were conducted to examine whether independent variables significantly differ by SRH. Then, since a dependent variable consisted of two categories-being healthy or not being healthy, logistic regressions were run. What makes gender differences in the link of independent variables to SRH were 75-84 age group, education, and IADLs. For females, 75-84 age group rated their health as worse compared to 65-74 age group, but this age group did not have significant effect on SRH for males. Females graduating from junior high school were more likely to higher rate their health compared to their counterparts. However, education was not significant for males. Instrumental activities of daily living(IADLs) is one of variables affecting SRH by making gender differences. Female having problems with IADLs were more likely to be significantly negatively rate their health compared to males. Through focusing on age, education, IADLs making gender difference in evaluating health, governments needs to support males and females differently.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.328-336
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• 2014

This work has performed to find what activities of daily living are required for the intensive interests when inpatient elderly more than 3 months has been supported and convalescent care, where the inpatient elderly were judged by the inpatient assessment report in the time of December, 2013. According to the estimation with logistic function of the relationship between the state of decision making recognition technology and the Activities of Daily Living(ADL), the intensive cares for the elderly are required in the parameters of 'Having meal' and 'transferring sitting' when they are severed and convalescently cared as the degree of functional independence for ADL are severly proceeded. In addition, the senescence and disease the activities except 'Having meal' and 'transferring sitting' seem to be influenced by the decline of body function more than the state of decision making recognition technology for daily living.

• Quality Improvement in Health Care
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• v.15 no.2
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• pp.93-103
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• 2009

문제: 억제대 적용에 대한 구체적 적용 지침 없이 의례적으로 억제대를 사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정 상태 이거나 근력이 약하여 발관 능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를 볼 수 없는 경우, 간호사 본인의 판단이 없이 타인의 요구에 따르는 등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용 및 제거 지침을 마련하고자한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 질 향상 활동: 불필요한 억제대 적용에 영향을 미치는 요인을 선정하여 개선활동 수행. 개선효과: 억제대 적용에 대한 중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p=0.005(p<0.05)로 통계적으로 유의한 것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든 항목이 개선 활동 전 에 비해 2,3차 개선 활동 후에 향상 한 것으로 나타났다. 개선 활동 전에 8.1%였던 간호 기록, 0.7%였던 간호 중재, 0%였던 의사 처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 감소 및 부적절한 억제대 적용율은 유의하게 감소 하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한 태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은 좀 더 나은 간호 제공을 위하여 개발되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은 계속적으로 Feedback 되어야 할 것이다.

• Journal of Digital Convergence
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• v.11 no.1
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• pp.309-314
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• 2013

This study aimed to identify the effect of chronic mind-body function decline on health-related activities of daily living. Data collection was surveyed using interview and questionnaires by 148 subjects in a general hospital located in Seoul from June 8 to July 13, 2011. The results were as follows: First, based on exercise habit, patient group who do exercise regularly showed in male(26.7%) and female(22.7%), respectively. The risk ratio of it was 0.25 times. On the other hand, control group who do exercise regularly showed in male(42.2%) and female(31.8%), respectively. The risk ratio of it was 0.61 times. Secondly, the risk ratio of social factor in male was 45.18 times(p=.04) while the risk ratio of physical factor in female was 237.1 times(p=.001). In conclusion, to prevent declining of chronic mind-body function, it is necessary to solve stress through sound life rhythm maintenance, immunity enhancing food intake and continuous exercise.