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한국 암환자들의 근력운동 빈도, 근력과 건강관련 삶의 질과의 관계: 국민건강영양조사 2014-2016년 (The Association between Resistance Exercise Frequency, Muscular Strength, and Health-Related Quality of Life in Korean Cancer Patients: The Korea National Health and Nutrition Examination Survey (KNHANES) 2014-2016)

  • 안기용;강동우;민지희
    • 한국체육학회지인문사회과학편
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    • 제57권5호
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    • pp.269-279
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    • 2018
  • 본 연구의 목적은 한국 암환자들의 근력운동 빈도, 근력, 그리고 건강관련 삶의 질과의 관계를 조사하는 것이다. 이를 위해 2014~2016년 국민건강영양조사 자료를 통합하여, 총 647명의 암환자들의 주당 근력운동 빈도, 악력, 건강관련 삶의 질의 관계를 복합표본 일반선형모형과 로지스틱 회귀분석 방법을 이용하여 분석하였다. 분석결과, 근력운동빈도가 주당 0~1일인 암환자들은 5일 이상인 암환자들에 비해(0.852±0.016 vs. 0.890±0.020 ; p=0.006), 상대 악력이 낮은 암환자들은 높은 그룹에 비해 (0.850±0.018 vs. 0.911±0.016; p<0.001) 건강관련 삶의 질 지수 (EQ-5D index) 가 유의하게 낮게 나타났다. 또한, 주당 근력운동 빈도가 0~1일인 암환자들은 5일 이상인 암환자들에 비해 운동능력에 문제가 생길 확률이 4.07배 (95% CI=1.31-12.63), 상대 악력이 낮은 그룹은 높은 그룹에 비해 운동능력에 문제가 생길 확률이 4.94배 (95% CI=2.14-11.41), 일상생활에서는 5.18배 (95% CI=1.56-17.14), 통증/불편에서는 2.46배 (95% CI=1.33-4.55) 증가했다. 본 연구결과를 통해 암환자들의 근력운동 빈도와 근력이 건강관련 삶의 질과 유의한 관계에 있는 것으로 나타났으며, 꾸준한 근력운동으로 인한 근력향상은 암환자들의 삶의 질 관리에 큰 도움이 될 것으로 사료된다.

바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과 (Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke)

  • 김금순;이소우;최명애;이명선;김은정
    • 대한간호학회지
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    • 제31권3호
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    • pp.432-442
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    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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베하스(BeHaS) 운동프로그램이 시설에 거주하는 뇌졸중 노인의 악력과 우울 및 생활 만족도에 미치는 효과 (Effects of the BeHaS Exercise Program on Hand strength, Depression and Life Satisfaction in Institutionalized Elders with CVA)

  • 서은희;박선일;김종임
    • 기본간호학회지
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    • 제19권4호
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    • pp.416-424
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    • 2012
  • Purpose: This study was done to identify the effects of the BeHaS exercise program consisting of exercise, education, and cognitive supports on the hand strength, depression and life satisfaction in institutionalized elderly people with CVA. Method: A quasi-experimental design with an experimental group (n=18) and a control group (n=18) was used. The elders in the experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics, Chi-square and t-test with SPSS/Win 18.0. Results: Hypothesis 1 was supported as the hand strength of the elders in experimental group significantly increased compared to those in the control group. Hypothesis 2 was also supported as depression scores for elders in the experimental group significantly decreased compared to those in the control group. Hypothesis 3 was supported as life satisfaction scores for elders in the experimental group significantly increased compared to those in the control group. Conclusion: The results of this study indicate that the BeHaS exercise program can play a useful role in improving depression and life satisfaction in institutionalized elderly people with CVA.

노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인 (Factors Influencing Fear of Falling among Women in the Early Phase of Old Age by Assessing Level of Hand Grip Strength)

  • 노준희;임은주
    • 가정간호학회지
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    • 제25권1호
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    • pp.96-104
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    • 2018
  • Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

근력강화 순서도를 활용한 운동 프로그램이 농촌 여성노인의 유연성, 악력, 우울에 미치는 영향 (Effect on Exercise Program using Muscle Strengthening Flowchart on Flexibility, Hand Strength and Depression in Rural Elderly Women)

  • 손계순
    • 한국농촌간호학회지
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    • 제9권1호
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    • pp.19-32
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    • 2014
  • Purpose: The strudy was done to determine the effect of an exercise program using the muscle strengthening flowchart on flexibility and hand strength and depression of rural elderly women. Methods: For 11 months, from January 9, to November 29, 2013, a survey was done of 37 voluntary participants who were elderly women living in rural areas. This study was a one group pretest-posttest Quasi-experimental research design to identify the effectiveness of self-directed programs. The Korean version of the depression measurement tool (Jo and Kim, 1993) was used. The collected data were analyzed using frequency, descriptive statistics, and paired t-test with SPSS /PC 17.0 program. Results: Comparison of before and after the self-directed program showed that flexibility (p <.001), left grip strength (p <.001), and right grip strength (p <.001) were significantly increased. Depression (p <.001) was significantly reduced. Conclusion: The results of the study show that the exercise program using the muscle strengthening flowchart resulted in of significant muscle strengthening and reduction in depression in rural elderly women. Future use of the muscle strengthening flowchart is recommended to provide long-term operational exercise programs.

소그룹 인지기능강화 프로그램이 인지기능, 일상생활활동, 우울, 생활만족도, 악력에 미치는 영향 (Effects of a Cognitive Improvement Program on Cognition, Activities of Daily Living (ADL), Depression, Life Satisfaction, and Grasping Power in Small Groups)

  • 강서영;이정미
    • 근관절건강학회지
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    • 제23권3호
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    • pp.169-178
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    • 2016
  • Purpose: The purpose of this study was to evaluate effects of a cognitive improvement program on cognition, activities of daily living (ADL), depression, life satisfaction, and grasping power in small groups. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 127 elders who were never diagnosed with dementia and could read (experimental: 61, control: 66). The program was consisted of 8 sessions to improve vocabulary and writing skills and fine motor skills. Each session was applied once a week for 8 weeks. A group was consisted of less than five members. Results: Cognition (t=3.82, p<.001), depression (t=-2.24, p=.027), life satisfaction (t=2.25, p=.027), and grasping power (Rt: t=2.44, p=.016, Lt: t=2.63, p=.010) except ADL (t=-0.49, p=.622) were significantly increased in the experimental group after the cognitive improvement program compared to the control group. Conclusion: This study indicates that the cognitive improvement program was effective to improve cognition, depression, life satisfaction and grasping power. Further study is needed in order to identify continuous effects of this cognitive improvement program.

원예 프로그램이 시설 내 치매환자의 인지기능, 일상생활 수행능력 및 악력에 미치는 효과 (The Effect of Horticultural Program on Cognitive Function, Activities of Daily Living(ADL) and Hand Grip Strength of Institutionalized Dementia Patients)

  • 이윤정;김신미
    • 성인간호학회지
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    • 제16권1호
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    • pp.123-134
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    • 2004
  • Purpose: The purpose of this study was to examine the effect of use of a horticultural program on the cognitive function, activities of daily living, and hand grip strength of institutionalized dementia patients. Method: Twenty three study participants completed a five week protocol comprised of one week of baseline and four weeks of treatment. The study design was a one group repeated measurement study. For the first and fifth week of the study period, data was collected with 3 instruments: Korean Version of Hasegawa Dementia Scale (HDS-K), Katz's ADL index, hand grip strength. Data analysis was conducted by SPSS version 10.0. Result: Total HDS-K score(p=.000), Activities of daily living(p=.013) and hand grip strength(p=.001) was significantly improved after treatment compared to the baseline. Conclusion: The horticultural program was effective for improving cognitive function, ADL and hand grip strength of the dementia patients. Repeated studies utilizing a control group are needed, using various durations, plants and processes, to confirm these results and to standardize the horticultural program protocol.

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수지경혈 마사지가 뇌졸중환자의 일상생활동작 수행 능력과 악력반응에 미치는 효과 (The Effects of Hand Acupoint Massages on ADL Ability and Grip Strength of Stroke Patients)

  • 김현미;전은영;최연희
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.424-431
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    • 2003
  • Purpose: The purpose of this study was to explore the effects of hand acupoint massages on ADL ability and grip strength of stroke patients. Method: This study was designed as a quasi-experimental nonequivalent control group for pre and post-test. Twenty-eight patients were assigned to the experimental group and thirty to the control group. The hand acupoint massage was applied to both hands of the experimental group for sixteen minutes each time, a total of 15 times during five weeks. The patient's ADL ability and grip strength were measured before and after the program. The data were analyzed with mean. percent, chi-square, a paired t-test and t-test. Result: The level of ADL ability was significantly higher in the experimental group than in the control group. Also, the level of grip strength was significantly higher in the experimental group of the plegic side than in the control group, but not in the normal side. Conclusion: We have found that the hand acupoint massage helps the stroke patients improve their ADL ability and grip strength. Through this result, the hand acupoint massage could be considered as an effective application for rehabilitation of hemiplegic patients after stroke.

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남성 제조업 근로자의 근무형태에 따른 건강 체력 평가기준 설정 (Establishment of standards for evaluation of health related fitness according to the working styles of male manufacturing workers)

  • 가성순;이규승
    • 한국산학기술학회논문지
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    • 제18권8호
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    • pp.190-199
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    • 2017
  • 본 연구의 목적은 남성 제조업 근로자의 근무형태에 따른 건강 체력 평가기준을 제시하는데 있다. 피험자는 K 기관에서 실시한 건강 체력검사를 받은 40, 50대 남성 제조업 근로자 15,329명이다. 건강 체력 요인은 심폐지구력, 근력, 근지구력, 유연성, 신체조성이다. 각각의 요인을 확인하기 위해 최대산소섭취량, 악력, 윗몸일으키기, 앉아 윗몸 앞으로 굽히기, 체지방률을 측정했다. 자료는 SPSS version 18.0 프로그램을 이용하여 이원분산분석, T-검정, 일원 분산분석(Scheffe), 백분위 수로 분석하였다. 분석 결과는 다음과 같다. 첫째, 제조업 근로자의 건강 체력은 근무형태에 따라 유의한 차이가 나타나(최대산소 섭취량 : F=88.67 (p<.001), 악력 : F=20.09(p<.001), 윗몸일으키기 : F=42.06(p<.001), 앉아 윗몸 앞으로 굽히기 : F=69.44(p<.001), 체지방률 : F=136.75(p<.001)) 건강 체력 항목의 백분위수를 토대로 평가 기준을 설정하였다. 둘째, 최대산소섭취량, 악력, 앉아 윗몸 앞으로 굽히기는 현장직 근로자의 평균값이 사무직 근로자의 평균값보다 모든 연령에서 높게 나타났다. 반면에 윗몸일으키기와 체지방률은 사무직 근로자의 평균값이 현장직 근로자의 평균값보다 모든 연령에서 높게 나타났다. 셋째, 이러한 평가 기준은 국민체력실태조사 기준치와 비교했을 때 많은 차이가 있었다. 따라서 근로자의 건강 체력 평가 시에는 근로자의 근무 형태에 따라 평가 기준을 다르게 적용해야 한다는 것이 확인되었다.