• Title/Summary/Keyword: 일상생활 수행능력 장애

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Examining depressive symptoms of visually impaired adults in Korea (한국 후천적 시각장애인의 우울과 영향요인에 관한 연구)

  • Kim, Hyemee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.666-676
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    • 2016
  • This study was designed to examine the depressive symptoms of individuals who became visually impaired and identify factors associated with the symptom. For the analysis, data from the Korean National Survey of Individuals with Disability 2014 was used. Adults between the ages of 20 and 60 years who became visually impaired after the first year of birth were included with a total of 235 individuals in the final sample. To identify the determinants of their depressive symptoms, a multivariate logistic regression analysis was conducted. The results showed that about twenty percent of the respondents reported having depressive symptoms in the past year. Among the sociodemographic factors, age, gender, and marital status were identified as significant predictors, while smoking status, stress level, and self-reported health status were identified as important health-related predictors. Among the disability-related factors, the length of disability and activities of daily living level were found to be significantly associated with the likelihood of experiencing the symptom. The results indicate the need for practitioners working with visually impaired populations to be better aware of the risks of depression and develop a wide array of preventive measures and techniques to work with individuals suffering from depression.

The Influences of Visual and Hearing Impairment on Activities of Daily Living for the Community Dwelling Elderly (재가노인의 시청각기능장애가 일상생활수행능력에 미치는 영향)

  • Park, Eun-Ok;Kim, Eun-Young;Kim, Hee-Girl;So, Ae-Young;Yi, Ggo-Me;June, Kyung-Ja
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.417-427
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    • 2001
  • Purpose: The aim of this study is to identify the influence of visual and hearing impairment on the activities of daily living of community dwelling elderly. Methods: Data were collected by home visiting interviewers from 452 older people aged 65 years or older living in community. Resident Assessment Instrument MDS-HC(2.0version) was used for data collection. Data analysis for descriptive statistics, Chi-square test and multiple regression was made by SAS 6.2 Results: 34.7% of the subject had hearing impairment and 64.3% had visual impairment Among IADL. one half of them were dependent in ordinary house work and meal preparation. In the case of ADL. 13.9% of subjects were dependent in bathing and 8.9% in personal hygiene. There was significant difference in IADL performance by visual and hearing impairment On the other hand, ADL performance showed the significant difference. only in the case of hearing impairment. As the result of input of visual and hearing impairment in the process of regression. variances were increased from 3% to 11%. Conclusions: Large proportions of older people living in the community have visual and hearing impairment. It could be confirmed that hearing and vision were significant factors influencing on IADL performance of older people. Intervention and support policy for elderly needs to focus on improvement of visual and hearing impairment.

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Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment (경도인지장애 노인의 인지기능, 도구적 일상생활수행능력, 우울 및 삶의 질 관계)

  • Kim, Yeon Ok;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.29 no.2
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    • pp.219-230
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    • 2015
  • Purpose: This research study not only examine the relationship between cognitive function, IADL, depression and quality of life, but also clarifies factors impacting quality of life for the elderly. The purpose of this study is to administer health promotion programs and to improve quality of life for the elderly. Methods: Data were collected from May 20, to June 10, 2014. The participants were 157 elderly persons with mild cognitive injury (MCI), who had under 23 points on MoCa-K from three different senior welfare centers in Daejeon. The questionnaires were conducted by four university students after receiving instruction from the researcher and consisted of general characteristics, cognitive function, depression and quality of life. SPSS WIN 19.0 program was used for data analysis. Results: Cognitive function showed positive correlation with quality of life (r=175, p=.028). IADL did not show correlation with quality of life (r=-.005, p=.947). However cognitive function(r=-.344, p<.001) and depression (r=-.623, p<.001) showed negative correlation with quality of life. In addition, the factors impacting quality of life were cognitive function (${\beta}=.14$, p=.29) and depression (${\beta}=-.61$, p<.001) which accounted for 39% of quality of life. Conclusion: These findings showed that the participants had depression and their cognitive function was low. As a result, the more participants' cognitive function decreased, the more their quality of life decreased. In addition, the more their depression decreased, the more their quality of life improved.

Postural Control During Virtual Moving Surround Stimulation in Patients with Brain Injury (뇌기능 장애 환자의 가상 환경 움직임(Virtual Moving Surround) 자극에 따른 자세 균형 제어)

  • 김연희;최종덕;이성범;김종윤;이석준;박찬희;김남균
    • Science of Emotion and Sensibility
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    • v.5 no.4
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    • pp.67-75
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    • 2002
  • The purpose of this study is to assess the ability of balance control in virtual moving surround stimulation using head mount display (HMD) device and force platform in patients with brain injury. Fifteen patients with stroke (mean age 54.47 yrs) and fifteen healthy normal persons participated. COP parameters were obtained total path distance, frequency of anterior-posterior and medial-lateral component by FFT analysis, weight-spectrum analysis in the two different conditions; (1) during comfortable standing with opened or closed eyes, (2) during virtual moving surround stimulation delivered using HMD with four different moving pattern. Moving patterns consisted of close-far, superior-inferior lilting (pitch) , right-left tilting (roll) and horizontal rotation (yaw) movement. In all parameters, the test-retest reliability was high. Also, the construct validity of virtual moving surround stimulation was excellent (p<0.05). A posturographic balance assessment system equiped with virtual moving surround stimulation using HMD is considered clinically useful in evaluation of balance control in patients with brain injury.

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A Study on Exercise Intervention for Improving Physical Activity for the Disabled: From the Perspective of Convergence Device (장애인 신체활동 증가를 위한 운동중재에 관한 연구: 융합형 디바이스 활용 관점에서)

  • Kang, Sunyoung
    • Convergence Security Journal
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    • v.19 no.5
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    • pp.85-90
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    • 2019
  • The purpose of this study is to analyze the trend of exercise intervention applying various devices to increase the physical activity of the disabled, and to suggest the exercise intervention using converged devices that meet the needs of the times due to the increase of elderly people with disabilities. Exercise intervention using converged devices applicable to the disabled is divided into two types: first, exercise intervention using virtual reality-based gamification, and second, exercise intervention based on wearable devices of wearable or body-attached such as bands and watches. For exercise intervention using converged devices that can be enjoyed by the elderly with disability, minimize of environmental limitations, and easy to personalize, there is a need for configuration requirements such as easy operation and simple rules of operation, easy device installation and wearing, a trainer who can complement immature device utilization. In order to maintain and improve the daily living performance of the elderly with disabilities who experience a significant decrease in their cognitive and physical functions, it is necessary to use a physical activity game that can be experienced and can be interested in everyday life or a variety of devices to increase the amount of physical activity.

Functional Outcome After Complete Spinal Cord Injury With Left Below Elbow Amputation, Medial Nerve Palsy at Right Hand: A Case Report (척수손상과 좌측하박절단, 우측 손의 정중신경손상 등 복합장애를 가진 척수손상 환자의 재활치료: 증례연구)

  • Kim, Tack-Hoon;Cynn, Heon-Seock;Lee, Jae-Ho
    • Physical Therapy Korea
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    • v.6 no.4
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    • pp.30-35
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    • 1999
  • 본 증례연구는 복합손상을 가진 척수손상환자의 재활치료과정을 소개하여 유사한 사례의 치료에 도움이 되고자 하는 것이다. 증례연구의 대상자인 26세의 남자환자는 흉수 4번 완전손상과 사고 당시 전기화상에 의한 좌측하박 절단과 우측손의 정중신경이 마비되었다. 치료초기에는 일상생활동작 검사에서 MBI (Modified Barthel Index) 점수가 22점으로 독립적으로 가능한 것은 거의 없었고, 기능적으로도 모든 도움이 필요한 상태였으나 재활치료결과 독립적으로 가능한 기능수행 능력은 돌아눕기, 일어나 앉기, 침상에서 의자차로 이동하기, 의자차 굴리기였고 제한적이기는 하지만 독립적으로 가능한 일상생활동작은 식사, 상의 입기, 의자차와 같은 높이의 이동 등이 가능하여 MBI 점수가 47점을 나타내었다. 이 환자의 초기의 장기치료목표는 전동 의자차를 이용하여 보호자의 도움을 줄이는 것이었다. 그러나 환자가 익숙하게 의지를 사용하였으며 일반 의자차 사용을 위해 필요한 만큼의 근력증가가 있었고, 의자차에 앉은 상태의 균형감각이 증가하여 목표를 수정하여 일반 의자차를 사용하도록 하였다. 환자 본인이 가지고 있는 재활 잠재력을 최대로 이끌어낼 수 있도록 유도한 결과 부분적으로 제한이 있었지만 실내에서는 의자차를 이용하여 독립적인 생활이 가능하였다.

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Fear of Falling and Related Factors in Elderly Living Alone Based on Fall Experience (독거여성노인의 낙상경험에 따른 낙상두려움과 관련요인)

  • Lee, Myungsuk;Lee, Yunbok
    • Journal of agricultural medicine and community health
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    • v.38 no.4
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    • pp.243-256
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    • 2013
  • Objectives: This study was to investigate fear of falling and related factors in elderly living alone based on fall experience. Methods: Participants were 404 elderly women(faller=148, non-faller=256) over 65 years who were homebound living alone in Jeollanam-do Province. Face-to-face interviews were conducted using questionnaires from April $23^{th}$ to June $9^{th}$ 2013. The questionnaires consisted of demographic variables, fall experience, Fear of falling questionnaire(FOFQ), Falls Efficacy Scale(FES) and Center for Epidemiologic Studies Depression(CES-D). The collected data were analyzed using the SPSS version 14.0. Results: The fear of falling and the influential factors were different according to fall experience. Regression model for fear of falling in fallers significantly accounted for 46.1%(F=6.71, p<0.001); difficulty of performing activity, depression, fall-efficacy, static balance and assistive devices. Regression model for fear of falling in non-fallers significantly accounted for 55.2%(F=15.16, p<0.001); fall-efficacy, environmental hazards, difficulty of performing activity, risk of nutrition, housing type, dizziness and assistive devices. Conclusion: Results demonstrate that fall is an important health problem for elderly women living alone, and show fall experience for factors influencing fear of falling. These results could be used in the developing fall prevention programs.

Exploring Variables Affecting the Willingness to Participate in Lifelong Education for the People with Developmental Disabilities (발달장애인의 평생교육 참여의사에 영향을 미치는 변인 탐색)

  • Kim, Ki-Ryong
    • Journal of the Korea Convergence Society
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    • v.11 no.4
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    • pp.333-341
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    • 2020
  • This study was conducted to present the basic data for the revitalization of lifelong education for people with developmental disabilities by exploring variables affecting their willingness to participate in lifelong education. Among the original data on the disability survey in 2017, data on developmentally disabled people were used, and 16 variables that could affect the intention to participate in lifelong education of the developmentally disabled as independent variables were used as dependent variables. Each set was performed for logistic regression. As a result of this study, the gender, age, disability level, family support, life satisfaction, and Instrumental Activities of Daily Living of the people with developmental disabilities were found to be variables that significantly influence the intention to participate in lifelong education for the people with developmental disabilities. In order to revitalize lifelong education for people with developmental disabilities, it will be necessary to provide a way to improve the willingness of people with developmental disabilities to participate in lifelong education as well as to build infrastructure such as expanding institutions and related personnel and programs.

The Effect of Theratainment Swiss Ball Exercise on the Upper Limb Function, Pain and disability, Daily Activities of a Patient with Axillary Nerve Injury: Single Subject (테라테인먼트 스위스 볼 운동이 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 미치는 영향 : 개별대상연구)

  • Son, Bo-Young;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.431-442
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    • 2020
  • This study examined the effect of the theratainment swiss ball exercise on the upper limb function, pain, and daily activities of a patient with axillary nerve injury. The research duration was from November 5th, 2019 to February 25th, 2020. The research subject was a 23-year-old female patient living in the metropolitan city of G in South Korea, and the A-B-A' type of single-subject experimental research design was used. In this study, repeated training was provided to the patient in the form of exercises employing different directions and gradually increased weights. The training increased the structural stability and mobility of the shoulder and was effective for pain relief as it strengthened shoulder function. The training helped the subject improve her posture change adaptability and reaction ability in different environments and ultimately enabled her to increase and maximize her performance of independent daily activities. This study thus demonstrated the positive effect of the Swiss ball exercise on the upper limb function, pain and disability, daily activities of a patient with axillary nerve injury and confirmed the potential of the exercise as an intervention method. Continued investigation to develop and test the effect of the Swiss ball exercise will be required for it to be used professionally as a therapeutic approach by occupational therapists in treating a variety of patients.

Acceptance of Disability and Related Factors of Hemiplegic Elderly and Non-Elderly (편마비 노인과 편마비 청장년의 장애수용과 관련요인)

  • Kim, Mi-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.5
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    • pp.547-558
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    • 2009
  • Purpose: This study was conducted to study the acceptance of disability and influential factors between hemiplegic elderly and non-elderly after stroke. Methods: Data were collected with questionnaires from 104 elderly and 134 non-elderly with hemiplegia. Data were analyzed by $x^2$-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression. Results: Significant predictors of acceptance of disability were family support, activities of daily living, and age, and these factors accounted for 24.2% of variance in acceptance of disability in the hemiplegic elderly. On the other hand, the significant predictors were family support and employment, and these factors accounted for 32.3% of variance in acceptance of disability in the non-elderly. Family support was the most influential variable in both the elderly and the non-elderly. Conclusion: An acceptance of disability program for the hemiplegic elderly should be designed differently from that for the non-elderly.

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