• Title/Summary/Keyword: 일상생활 수행능력

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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.

Comparison of ADL and QoL for the Osteoporosis and Non-osteoporosis in elderly people with disabilities (고령 장애인의 골다공증 유무에 따른 일상생활수행능력과 삶의 질 비교)

  • Kim, Ye-Soon;Nam, Young-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.1
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    • pp.1-9
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    • 2021
  • Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

Factors Influencing Compliance of Patient Role Behavior in Elderly Patients Receiving Hemodialysis (혈액투석을 받는 노인 환자의 환자역할행위이행에 영향을 미치는 요인)

  • Heo, Young-Kyu;Lee, Hyun-Ju
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.157-167
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    • 2023
  • Purpose: The purpose of this study was to measure the relationship among activities of daily living, ego integrity, social support and the compliance of patient-role behavior in elderly patients receiving hemodialysis, including the effect of these variables on the compliance of patient-role behavior. Methods: A descriptive survey was conducted with 150 elderly patients over 65 years of age who were also receiving hemodialysis. Data was collected from September 28 to November 13, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 26.0. Results: The results show that patient compliance had significant correlations with ego integrity (r=.63, p<.001) and social support (r=.28, p=.001). The other factors influencing patient compliance were the sub-domains of ego integrity, such as the acceptance of the past and the presence (β=.46, p<.001) and attitudes toward life (β=.26 p<.001), with an explanatory power of approximately 35.0% (F=17.21, p<.001). Conclusion: This study confirms that the ego integrity of elderly patients receiving hemodialysis has an effect on the compliance of patient role behavior. Nursing intervention programs that improve the ego integrity of elderly hemodialysis patients could help improve the compliance of patient-role behavior, which is an important factor in the disease management process.

Factors Influencing Nursing Care Needs of Patients in Comprehensive Nursing Care Service Wards (간호·간병통합서비스 병동 환자의 간호필요도 수준과 영향요인)

  • Jeong, Ye Sol;Lee, Youngjin;Ahn, Jeong-Ah;Seo, Eun Ji
    • Journal of Home Health Care Nursing
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    • v.31 no.1
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    • pp.44-55
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    • 2024
  • Purpose: This is a retrospective secondary data analysis study based on real-world data to analyze the level of nursing care needs of patients in a comprehensive nursing care service ward, and identify factors influencing nursing needs. Methods: Study participants included patients admitted to two comprehensive nursing care service wards at a tertiary general hospital located in Gyeonggi-do, Korea. After obtaining permission from the health and medical information team of the target hospital, data were collected from their electronic medical records. Nursing care needs were measured using seven items on nursing activity and four items on daily living activities developed by the National Health Insurance Service (NHIS). The collected data were analyzed using the SPSS version 29.0 with frequency and percentage, mean and standard deviation, minimum and maximum values, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression. Results: The level of nursing care needs of patients in comprehensive nursing care service wards was found to be higher for patients with pressure sores (β=.33), older patients (β=.26), patients who underwent procedures (β=.15), patients with present guardians (β=.15), and patients with more comorbidities (β=.10). The total explanatory power was 51.0%. Conclusion: It is necessary to accurately identify patients' nursing care needs and provide nursing care according to priority by considering the characteristics of patients in comprehensive nursing care service wards.

Prevalence and Related Factors of Knee Osteoarthritis in Rural Women (농촌여성의 무릎 골관절염 유병률 및 관련요인)

  • Seo, Joong-Hwan;Kang, Pock-Soo;Lee, Kyeong-Soo;Yun, Sung-Ho;Hwang, Tae-Yoon;Park, Jong-Seo
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.167-182
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    • 2005
  • Objectives: This study was performed to investigate the prevalence of knee osteoarthritis according to the criteria of diagnosing knee osteoarthritis in rural women and the factors related with this disease. Methods: The data obtained from 200 women older than 40 years of age residing in 5 Ri's in Goryeong-gun. Gyeongsanbuk-do by random cluster sampling from September to October 2002. Knee osteoarthritis was determined positive according to the Kellgren and Lawrence classification and knee pain. Results: Among these subjects, 71.0% showed more than grade 2 in radiologic finding and the rate of knee pain according to the survey was 67.0%. The rate of subjects meeting the criteria of knee osteoarthritis was 54.0%. According to univariate analysis, the prevalence of knee osteoarthritis increased with age and those farming people and people working in household industry was significantly high at 58.9% compared with others. The prevalence of knee osteoarthritis showed a significant relationship with the family history and past history of knee injury and knee surgery(p<0.01), and diabetes mellitus(p<0.05). The score of ADL was significantly different in the subjects with knee osteoarthritis compared with normal group(p<0.05). When the presence of knee osteoarthritis and the period of the life style of seating down on the floor were compared, a significant difference was present between the osteoarthritis group and normal group. As for metabolic factors, the blood sugar level, bone density, and body mass index(BMI) were significantly different in the osteoarthritis group compared with normal group. When multiple logistic regression analysis was performed with the presence of knee osteoarthritis as the dependent variable, the prevalence of knee osteoarthritis was significantly affected by older age, subjects farming or working in household industry, the history of knee injury, the history of surgery, higher blood sugar level, and higher BMI. Conclusions: These subjects need an intervention through self-care programs such as exercise for preventing osteoarthritis, weight control programs, other exercise programs strengthening knee joints, and guidelines when working in vinyl houses.

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Correlation Analysis Between Scores of Adolescent/Adult Sensory Profile and Tactile Threshold From Tactile Detection Task (촉각탐지과제를 통한 촉각역치 값과 Adolescent/Adult Sensory Profile 점수의 상관관계 분석)

  • Ju, Yu-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.2
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    • pp.1-9
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    • 2012
  • Purpose : Adolescent/Adult Sensory Profile is the questionnaire to evaluate sensory processing based on daily activities. Self-questionnaire commonly tends to be biased to the characteristics of subject, so its validity is low. This study aims to analyze correlation between questions of Adolescent/Adult Sensory Profile and tactile threshold measured from cognitive behavioral experiment. Methods : The tactile threshold was calculated by tactile detection task and tactile stimuli were provided with the consistent current stimulator. The tactile threshold was compared with results of tactile processing items in Adolescent/Adult Sensory Profile and statistical correlation analysis was performed. Results : Scores in Low Registration and Sensation Seeking had positive correlation with the tactile threshold and scores in Sensory Sensitivity and Sensation Avoiding had negative correlation with the tactile threshold. Among them, only Low Registration was statistically significant. Conclusion : The questions in Low Registration(Tactile Processing)are highly correlated with physiological characteristics. As a result, it was shown that sensory inflow is less, if the tactile threshold is high.

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A Study on the Coping Behavior of Older People in the Warning Phase of Disaster (재난 시 노인의 대처행동에 관한 연구)

  • Chung, Soon-Dool;Park, Hyun-Ju;Choi, Yeo-Hee;Lee, Ji-Hyun
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.5
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    • pp.71-76
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    • 2008
  • The purposes of this study were to examine the coping behavior of the elderly in the warning phase of disaster and to explore factors influencing the coping behavior of the elderly. Data were collected from 130 senior citizens aged over 60 who are residing in Pyungchang and Injae of Kangwon province which had damaged by flood disaster in 2006. Perry & Lindell (1997)'s index, a series of six categories that represent coping behaviors which progressively approximate the action of evacuating in the warning phase of disasters was used. Results showed that respondents have high coping skills. Although Activities of Daily Living (ADL) has positive influence on the coping behavior, length of residence has negative effect on the coping behavior of the elderly. This finding proves the elderly are not uncompliant or uncooperative population in the warning phase of disaster. This result also emphasizes the importance of rapid and accurate giving of public warning system of disaster and necessity of prior notification of useful information about natural disaster and effective evacuation plan for the elderly.

Postural Control in Brain Damage Patients According to Moving Surround (뇌기능 장애 환자의 가상영상(Moving Sorround) 자극에 따른 자세 균형 제어)

  • 김연희;최종덕;이성범;김종윤;이석준;박찬희;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2002.11a
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    • pp.233-244
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    • 2002
  • The purpose of this study is to assess the ability of balance control in moving surround using head mount device and force platform and to examine the clinical usefulness of COP parameters. Fifteen patients with stroke and healthy persons were participated. COP parameters were obtained as total path distance, frequency of anterior-posterior and medial-lateral component by FFT analysis, weight-spectrum analysis in the two different conditions; (1) in comfortable standing with opened or closed eyes, (2) in virtual moving surround delivered using HMD to four different moving pattern. In virtual moving surround setting, moving pattern was composed of close-far, superior-inferior tilting(pitch), right-left tilting(roll) and horizontal rotation(yaw) movement. In all parameters, the reliebility of COP analysis system was significantly high. Also, the construct validity compared between fifteen patients with stroke and normal persons was excellent in virtual moving surround condition(p

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Design and Implementation of a Project Work Unit-based Scheduling Application (프로젝트 작업 단위 기반 일정 관리 애플리케이션의 설계 및 구현)

  • Bomin Kim;Minyoung Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.1173-1178
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    • 2023
  • In modern society, there is a tendency to emphasize efficiency and lead to detailed planning of team projects and individual tasks within organizations. In a 24-hour routine, the ability to use time effectively is considered an indicator of conscientiousness, and people try to imitate planned and organized people and utilize various systems to manage their daily lives. The reason why you want to perform a given task efficiently is because it affects the success or failure of the project by completing the task within a set period of time. Neglecting the project schedule is considered a major risk that threatens a successful outcome. This applies not only to large-scale organizational projects but also to individual life, and utilizes a variety of schedule management tools that emphasize time-based efficient management. In project management, it is necessary to carefully understand the detailed work progress rather than simply based on Today. In this paper, we propose an Android application that can manage schedules by accessing the user's project in units of tasks rather than dates, and introduce its implementation. The application we implemented in this paper can manage the project's goals and schedule by registering the project to which the user belongs. In addition, it provides the ability to approach work efficiently by visualizing the progress of the entire project or individual goals. As a result, users can use the application we propose in this paper to focus on their projects and manage schedules by task, thereby improving the overall efficiency of the project.

Walking test for assessing lung function and exercise performance in patients with cardiopulmonary disease (심폐질환 환자에서 걷기검사를 이용한 폐기능 및 운동기능의 평가)

  • Jung, Hye Kyung;Chang, Jung Hyun;Cheon, Seon Hee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.6
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    • pp.976-986
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    • 1996
  • BACKGROUND : Dyspnea is common among patients with cardiopulmonary disease, and "daily disability" is defined as a functional impairment resulting from exercise intolerance. The maximal oxygen uptake(VO2max) during exhausting work is not only the best single physical indicator of the capacity of a man for sustaining hard muscular work, but also the most objective method by which one can determine the physical fitness of an individual as reflected by his cardiovascular system. However, the expense, time and personnel requirements make this procedure prohibitive for testing large group. The walking test is well-known type of exercise and it cost nothing to perform and have good reproducibility. Thus we performed the walking test and investigated correlations with spirometry, ABG and exercise test. METHOD: We observed the walking test and exercise test by cycle ergometer in 37 patients who visited our hospital because of dyspnea. Arterial blood gas analysis and spiromety, dyspnea index were performed, too. RESULT : (1) The VO2max was significantly lower in patients with COPD and cardiovascular disease than asthma and dyspnea on exertion group(p<0.05). The walking test distance was also lower in former. (2) The 12 minute walking test was significantly correlated with VO2max, PaCO2, FVC(%), FEV1(%) in all patients(p<0.05), and the walking test was only conelated with VO2max in patients with COPD(p<0.05). (3) In COPD patients, the VO2max was best correlated with FEV1(%) and FVC(%) and significantly correlated with walking test. But there was no correlation between walking test and FEV1(%) & FVC(%). (4) The 6 minute walking test was well correlated with 12 minute walking test(r=0.92. p<0.01). CONCLUSION : The walking test is the simple method for assessing exercise performance in patient with cardiopulmonary disease and a reliable indicator for VO2max. And the walking test is practical method for assessing on everyday disability rather than maximal exercise capacity. The 6 minute walking test is highly correlated with 12 minute walking test and a less exhausting for the patients and a time-saving for the investigator.

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