• Title/Summary/Keyword: 일상생활기능장애

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The relationship between the patient's health beliefs and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patients (뇌졸중 환자의 건강신념과 운동기능 재활 이행 및 일상생활동작 행능력과의 상관성)

  • Mun, Byeong-Mu;Lee, Yeon-Seop;Lee, Byung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3057-3064
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    • 2012
  • In this study, we have tried to identify the relationship between the patient's health belief and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patient, and have done this study to use this as evidence in treating stroke patients in clinical trials by providing a basis data of stroke patients' successful rehabilitation program. We targeted stroke patients who were diagnosed with stroke and are hospitalized in D hospital in J City, Jeollabuk-do, South Korea. More over, we distributed a total of 150 questionnaires to patients who understand the purpose of the research and agreed to participate. We were able to collect 132questionnaires at the end. However, 11 had insufficient data so we only analyzed and evaluated 121 of the said questionnaires. We did frequency analysis to understand the general characteristics by using SPSS for Windows(ver.12.0) program and we used Pearson's Correlation Coefficient and regression analysis to know the relationship between the patient's health beliefs and the implementation of rehabilitation and ability to perform ADL in stroke patients. The results of this study shows that patients with higher perceived sensitivity, perceived benefit and perceived severity equates to an implementation of the rehabilitation better, however patients with a lower perceived disability equates an implementation of functional movement rehabilitation better than those with a higher perceived disability.

연안의 유해물질 오염과 평가에 관한 사례연구

  • 조현서
    • Proceedings of the Korean Society of Developmental Biology Conference
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    • 2001.02a
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    • pp.14-18
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    • 2001
  • 현대의 우리들의 생활환경 중에는 약 10만 종류 이상의 아주 많은 화학물질이 존재하고 있으며 매년 약 1000종류의 새로운 화합물이 상품화되고 있다고 알려져 있다. 이들 중 일부는 우리의 일상생활에 편리한 기능을 가져다 주는 역할을 하고 있으나 최근 생태계 및 인체에 유해한 영향을 미치는 물질로 판명되는 사례가 증가하고 있다. 그들 중에는, 성호르몬과 유사한 구조를 가지기 때문에 호르몬 수용체에 잘못 결합하여 호르몬 활성을 異常히 높이는 등의 영향을 미치는 것이 알려져 있으며, 또, 약물대사 효소의 유도나 효소활성의 저해 등에 의한 물질대사의 교란, 면역계통의 저해, 발암작용 등의 영향에도 미치는 것이 알려져 있다. 이러한 일군의 물질은 내분비계 장애물질(Endocrine disruptors; 환경 호르몬)로 불리며, 최근의 여성에 있어서 유방암의 발생율의 상승이나 남성의 정자수의 감소, 혹은 어떤 종의 야생 생물에 있어서 생식기능 장해(악어 수컷 생식기의 퇴화, 수컷 잉어등의 암컷화, 일부 권패류의 임포섹스 등)는 이러한 내분비계 장애물질에 의하여 유발되고 있다고 하는 가능성이 지적되고 있다. 그렇지만, 이러한 내분비계 장애물질의 환경 중에서의 분포나 다양한 생물에의 영향에 관한 연구는 세계적으로도 아직 부족하고 내분비계 장애물질의 실태나 그 메카니즘 및 그것이 가지는 의미에 대하여는 아직 명확하게 규명되어 있지 않고 있어, 그것에 의한 생체영향의 평가를 총합적으로 검토하기까지에는 이르지 않고 있다. 이러한 물질에 관한 연구는 최근 선진국을 중심으로 활발한 연구가 수행되고 있으나, 우리 나라에 있어서의 연구는 지금까지는 아직 미미한 수준에 머물고 있다. 따라서, 이러한 내분비계 장애물질을 빠른 시기에 발견하여 그것들에 의한 영향을 평가하고, 그 영향을 미연에 방지하는 데에 필요한 대책을 강구하기 위한 많은 연구가 필요 불가결하다. 본고에서는 이러한 환경호르몬 물질 중 본 연구실에서 수행한 내용을 중심으로 유해화학물질 오염 및 대책에 대하여 간단히 발표하고자 한다. 발표내용은, 남해안을 중심으로 조사한 유기주석화합물 오염, 광양만에서의 PAHs(다환방향족탄화수소류) 및 Bisphenol A 오염에 관한 연구결과와 이러한 유해화학물질 오염을 평가하고 관리하는 하나의 유용한 방법으로서 위해성 평가에 대하여 실례를 중심으로 간단히 소개하고자 한다.

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The Effects of Spaced Retrieval Training with Errorless Learning on Memory, IADL, Depression in Mild Cognitive Impairment: Single-Subject Design (오차배제훈련을 병행한 시간차 회상훈련이 경도인지장애 환자의 기억력에 미치는 효과와 수단적 일상생활(IADL) 및 우울에 미치는 영향: 단일대상연구)

  • Kim, Yeonju;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.4 no.2
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    • pp.73-83
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    • 2015
  • Objective: The purpose of this study was to examine the effect of the Spaced Retrieval Training (SRT) with Errorless learning on the elderly with Mild Cognitive Impairment (MCI)'s memory, Instrumental Activities Daily Living, Depression symptom. Methods: A single subject experimental research with ABA design was conducted in this study on the 78-years-old person who was enrolled in day-care center. The total experimental sessions were 16 which composed of 3 sessions for baseline, 10 sessions for intervention and 3 sessions for second baseline. K-Auditory Verbal Learning Test (K-AVLT) was measured for the memory each session. For the measurement of cognitive function, IADL, depression Symptom, Korean version of Montreal Cognitive Assessment (MoCA-K), Philadelphia Geriatric Center Instrumental Activities Daily Living (PGC IADL), Geriatric Depression Scale Korean Version (GDS-K) was measured at pre-post test. Results: Memory at the phase B was improved than Phase A. At the phase B, the scores trend was ascending, but after the intervention at the phase A', the scores trend was descending. The scores of MoCA-K were improved, PGC IADL were maintained, GDS-K were decreased. Conclusion: This results support the evidence of the SRT with EL on the elderly with MCI in the clinical setting. In the future, the correlation researches about MCI's memory and other functional factors will be needed for effective occupational therapy service.

A Systematic Review of Assessment Tools of Activities of Daily Living for Stroke Patients (뇌졸중 환자를 위한 일상생활활동 평가도구에 관한 체계적 고찰)

  • Kang, Jae-Won;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.6 no.2
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    • pp.11-28
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    • 2017
  • Objective: The purpose of this study was conducted to systematic review about assessment tools for Activities of Daily Living (ADL) for stroke patients. Methods: Studies tools was administered by using four electronic databases (Pubmed, Embase, Cochrane and NDSL). For the main key words,"stroke AND activities of daily living AND occupational therapy AND assessment OR evaluation OR measurement"was used. We analyzed the types and frequency of evaluation tools. In addition, the evaluation tools for activities and participation were classified based on the classification criteria of International Classification of Functioning, Disability and Health (ICF). Results: In this study, 111 studies were analyzed and 30 assessment tools were identified. As the number of studies on stroke patients has been increased recently, the types and frequency of evaluation tools have been also increased. The most commonly used evaluation tools were Functional Independence Measure (FIM), Barthel Index (BI) and Canadian Occupational Performance Measure (COPM). In addition, according to classification based on ICF, we found that the types of assessment tools which assess participation were few. Conclusion: Although there were many kinds of assessment tools, the types of evaluation tools which were used in the research or field were very limited. Using various assessment tools, more research should be conducted to support evidence-based occupational therapy. Evaluation tools for participation also should be developed.

The Relationships among Smart phone Use Motivations, Addiction, and Self-control in Nursing students (일 대학 간호학과 학생의 스마트폰 이용 동기, 중독과 자기 통제력의 관계)

  • Cho, Meekyung
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.311-323
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    • 2014
  • The purpose of this study was to identify the relationships among smart phone use motivations, addiction, and self-control in nursing students. Data were collected from June 10-18, 2013. Smart phone use motivations and addiction showed significant differences according to sex, record. Smart phone high-risk users got high-score in use motivations especially entertainment/leisure, service, and functionality, and low-score in self-control. The factors affecting smart phone addiction were record, tolerance, abstinence, difficulty of daily living, and aim for virtual world which accounted for 88.2%. Also factors affecting addiction were entertainment/leisure, flaunt/trend which accounted for 12.9%. In conclusion, smart phone use motivations was correlated positively with addiction, while addiction was correlated negatively with self-control. Therefore more positive and desirable ways of smart phone use, and plans for improvement of self-control should be studied.

외상 후 스트레스 장애의 평가

  • Kim Jeong-Beom
    • 대한불안의학회:학술대회논문집
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    • 2004.06a
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    • pp.185-213
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    • 2004
  • 우리는 살아가면서 흔히 개인적으로 극심한 스트레스를 겪거나 불행히도 어떤 뜻밖의 재난이나 큰 사고를 경험할 수 있다. 이런 외상적 사건들을 겪고 대부분의 사람들은 잘 극복할 수 있으나 일부 사람들은 심각한 의상 후 스트레스 반응을 보여 그런 외상이 지나감에도 불구하고 괴로운 기억 속에서 그것을 회상시키는 활동과 상황을 피하며 늘 불안한 마음으로 몸은 현재에 살고 있지만 마음은 실상 과거에 매달려 있고 과거의 고통 속에서 헤어 나오지 못하고 있다. 외상 후 스트레스 장애는 다른 불안 장애, 우울증처럼 흔한 질환으로 사회생활에 큰 지장을 주며 삶의 질을 손상시킨다. 그렇지만 외상을 당한 당사자들이 이런 이야기를 하기 꺼려하고, 이런 사람들을 진료실에서 종종 만날 수 있는 임상가들도 외상의 심각성과 외상 후 스트레스 장애에 대한 인식이 부족하여, 우리 주위에 많은 사람이 외상 후 스트레스 장애로 고생하고 있지만 외상 후 스트레스 장애로 진단되는 경우가 실제보다 훨씬 적다. 따라서 외상 후 스트레스 장애에 대한 평가를 배움으로써 더 많은 환자들을 정확히 진단하며 다른 질환과의 감별을 쉽게 할 수 있고, 환자들의 고통과 어려움이 과연 무엇인지 잘 알 수 있으며, 치료 표적과 치료 전략을 정하고, 치료 계획을 세우는 데 도움을 얻을 수 있다. 평가 방법으로는 구조화된 면담, 평가 척도, 정신 생리적 측정법, 치료자의 임상적인 결정 등이 있다. 향후에는 외상 후 스트레스 장애의 증상 정도뿐만 아니라 일상생활, 사회적 관계, 직업적, 사회적 적응 및 기능에 미치는 영향도 같이 평가하는 도구들이 개발되고, 현재 개발된 많은 평가 척도들이 새로이 수정되고 표준화되어, 이런 평가 척도들을 통해 외상 후 스트레스 장애의 경과와 외상 후 스트레스 장애로 인한 정신 사회적 영향을 더 잘 알 수 있는 자료들이 많이 수집되길 바란다. 대칭이, 작은대칭이, 펄조개는 저질이 니질인 곳에서 주로 서식하고 있었고 귀이빨대칭이는 사니질과 사질에 주로 서식하고 있었다. 특히 삽교호 수계 채집된 귀이빨대칭이는 사니질과 사질의 저질에서 출현하였다.및 내장낭 조직들이 중요한 에너지 저장소이며, 영양 공급 기관임을 알 수 있었으며, 폐각근 조직과 내장낭 조직들의 영양물질 함량 변화는 생식소의 에너지 요구에 따라 변하고 있음을 알 수 있었다.. 따른 신장 기능에 대한 영향을 평가해 보아야 한다.하를 조사한 결과, 연간 진동해역으로 유입되는 오염부하량은 부유물질 기준으로 전체 37,316 ton/yr로 추정되었고, 이중 육지기원 부하량이 9,809 ton/yr (26.3%) 였고, 해역의 침강량 23,576 ton/yr (63.2%), 양식생물의 배설량이 3,932 ton/yr (10.5%) 로 대부분이 해역의 침강량에 의한 것으로 조사되었다. 육지오염부하량이 변동이 없다는 전제 조건 아래, 진동만의 피조개 채묘장을 미더덕 양식장으로 품종전환시킬 경우, 전체 부하량은 산술적으로 약 196%가 증가한 72,998 ton/yr 가 되고, 양식생물의 배설량은 10배 정도 증가하게 되어 진동만의 오염부하를 가중하게 된다. 진동만은 여름철 빈산소수괴 및 적조가 빈번하게 발생하고 있으므로 미더덕 양식장을 새로이 시설할 경우 오염부하가 가중될 것으로 판단되어, 앞으로 진동만의 양식장 수용능력을 파악하여 적정량의 양식물량이 시설되어야 할 것이다.25 psu에서 가장 높게 나타났다.인 단백뇨는 진행성 경과의 위험성을 동시에 암시해 주는 매우 유용한 지표이다. 본 연구 결과 학교 신체 검사상에서 발견된 단독 단백뇨의 주된 원인은 기립성 단백뇨로 81.8%를 차지하였다. 그러나 지속성 단백뇨의 경우 비록 9.1%의 빈도를 보였지만, 신장 조직검사를 시행한 결과 진행성 경과를 취할 수 있는

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Quality of Life(QOL), Life Satisfaction, and Its Determinents of the Physically Disabled in Taegu City (대구지역 재가 지체장애인의 삶의 질 및 삶의 만족도에 영향을 미치는 요인)

  • Lee, Young-Sook;Kim, Keon-Yeop;Park, Ki-Soo;Son, Jae-Hee;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.503-515
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    • 1998
  • In order to investigate the factors influencing QOL and life satisfaction of the physically disabled, the author interviewed, by using structuralized questionnaire, 440 individuals among the physically disabled who were participated in Health Examination from April to July, 1997. The questionnaire consisted of the general characteristics(sex, age, marital status, family number, etc), the Reintegration to Normal Living Index(RNLI) to assess QOL, and the single item of five-likert scale to evaluate life satifaction. The means of RNLI were $16.2{\pm}4.8$ in total score, $12.2{\pm}3.4$ in daily functioning and $4.0{\pm}2.1$ in perception of self. The respondents were less reintegrated toward social activities and relationships than impairments or disabilities. While the satisfied group was 47.3%, the dissatisfied group was 52.7%. As the results of multiple regression and logistic regression analysis, the significant predictors of QOL were age, education, job, grade of disability and subjective health status. The life satisfaction were related to economic status, job and subjective health status. To improve QOL and life satisfaction of the physically disabled, it is important that we improve their basic socioeconomic status by getting a job through rehabilitation education and induce them to have positive self-assessment by extending the opportunity of social participation.

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A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice (발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로)

  • Shin, Kyung-An;Lee, Eun-A;Kim, Do-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.88-96
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    • 2020
  • The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

An Integrated Literature Review of Non-pharmacological Intervention in Older Adults with Mild Cognitive Impairment (국내외 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰)

  • LEE, JUNGEUN
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.471-482
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    • 2021
  • We aimed to provide evidences for developing non-pharmacological intervention in older adults with Mild Cognitive Impairment(MCI) by integrated literature review. The final 16 papers were selected as a result of an integrated literature analysis. All of them are focused on strengthening cognitive activities, while Korean studies have often merged emotional activities such as music therapy and laughter therapy rather than physical activities such as exercise therapy, international studies have combined physical activities rather than emotional activities. The effects of non-pharmacological intervention differed according to the outcome variables. The primary variables were cognitive function and depression, and secondary variables were found to have effects on physical function, activities of daily living (ADL), and self-efficacy. This study contributes to a multidisciplinary approach that can be applied in the clinical field through the development of various non-pharmaceutical intervention for the prevention of dementia in the older adults with MCI.

Degree of Daily Living Activity and Depression in the Rural Elderly (일부(一部) 농촌지역(農村地域) 재택노인(在宅老人)들의 일상생활(日常生活) 활동(活動) 및 우울정도(憂鬱程度))

  • Lee, Yeung-Seuk;Chun, Byung-Yeol;Kim, Sang-Soon;Lee, Sam-Soon
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.195-207
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    • 1996
  • In other to study functional capacity of the daily living activity and depression in the rural 394 people(154 men and 250 women), over 65 year old, who are living in Koryung County of Kyungpook Province were interviewed using questionnaire during the period February 14 to March 30 1996. The percentage of ADL dependent patient who cannot perform one item or more was 20.1% in men and 22.5% in women. The percentage of IADL dependent people who cannot perform one item or more was 72.1% in men and 56.2% in women. The prevalence of depression in female(68.8%) was higher than that in male(59.1%). There was statistically significant association between ADL score and other variables(sex, age religion, living with spouse, family resident, living expenses, self-rated health status, leisure, satisfactory of pocket money, drinking)(p<0.05). There was statistically significant association between IADL and other variables(age, education, living with spouse, family resident, living expenses, satisfactory of pocket money, smoking, self-rated health status)(p<0.05). The prevalence of depression in dependent elderly was significantly related with ADL in both genders(p<0.05), however, not related with IADL. In conclusion, the functional capacity dependency and the prevalence of depression in the rural elderly was high and depression was significantly related with ADL score.

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