• Title/Summary/Keyword: 일상생활 장애

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Association between Medial Temporal Atrophy, White Matter Hyperintensities, Neurocognitive Functions and Activities of Daily Living in Patients with Alzheimer's Disease and Mild Cognitive Impairment (알츠하이머병 및 경도인지장애 환자에서 내측두엽 위축, 대뇌백질병변, 신경인지기능과 일상생활 수행능력과의 연관성)

  • An, Min hyuk;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.67-76
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    • 2021
  • Objectives : The aim of this study was to compare activities of daily living (ADLs) according to degenerative changes in brain [i.e., medial temporal lobe atrophy (MTA), white matter hyperintensities] and to examine the association between neurocognitive functions and ADLs in Korean patients with dementia due to Alzheimer's disease (AD) and mild cognitive impairment (MCI). Methods : Participants were 111 elderly subjects diagnosed with AD or MCI in this cross-sectional study. MTA in brain MRI was rated with standardized visual rating scales (Scheltens scale) and the subjects were divided into two groups according to Scheltens scale. ADLs was evaluated with the Korean version of Blessed Dementia Scale-Activity of daily living (BDS-ADL). Neurocognitive function was evaluated with the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet (CERAD-K). Independent t-test was performed to compare ADLs with the degree of MTA. Pearson correlation and hierarchical multiple regression analyses were performed to analyze the relationship between ADLs and neurocognitive functions. Results : The group with high severity of the MTA showed significantly higher BDS-ADL scores (p<0.05). The BDS-ADL score showed the strongest correlation with the word list recognition test among sub-items of the CERAD-K test (r=-0.568). Findings from the hierarchical multiple regression analysis revealed that the scores of MMSE-K and word list recognition test were factors that predict ADLs (F=44.611, p<0.001). Conclusions : ADLs of AD and MCI patients had significant association with MTA. Our study, which identifies factors correlated with ADLs can provide useful information in clinical settings. Further evaluation is needed to confirm the association between certain brain structures and ADLs.

The Effect of Daily Life Restrictions on the Behavior of People with Physical Disabilities on Emergency Behavior: Multiple Mediating Effects of Depression and Residential Environment (지체장애인의 일상생활제한이 위급시 행동에 미치는 영향: 우울과 주거환경의 다중매개효과)

  • Lee, Hyoung-Ha
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.678-688
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    • 2022
  • This study was conducted with the purpose of examining the direct effect of daily life restrictions on the behavior of people with physical disabilities who are easily exposed to 'disaster inequality' on emergency behavior, and comprehensively examining the mediating effect of depression and residential environment in this relationship. For this purpose, a total of 803 persons with physical disabilities aged 20 years or older were analyzed among the panels of the second year(2019) of the Panel Survey for People with Disabilities. As a result of the analysis, first, the daily life restriction of the physically disabled had a positive(+) effect on depression, a negative(-) effect on the residential environment and emergency behavior and depression had a negative(-) effect on the emergency behavior. The residential environment had a positive(+) effect on behavior in case of emergency. Second, it was found that depression and residential environment had a mediating effect between daily life restrictions and emergency behavior of the physically handicapped. In other words, it suggests that the living environment and depression can play an important role in the effect of daily life restrictions on the behavior in case of an emergency. Based on the analysis results, the implications of the study were suggested.

Everyday life difficulties of persons with disabilities on quality (CQR) research (장애인의 일상생활 어려움에 관한 합의적 질적(CQR) 연구)

  • Lee, Hyun-Sim
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.561-570
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    • 2014
  • In this study, people with disabilities experience difficulties in their daily lives evaluate. To this end, eight people with disabilities in Seoul material by conducting consensual qualitative in-depth interviews (CQR) method of analysis. The findings in the three categories and therefore the region 14 to 48 depending on the frequency analysis. Psychology in everyday life of people with disabilities, lack of self-confidence and emotional experience difficulties, health problems, concerns, marriage (remarriage), and the opposite sex, family relationship difficulties, loneliness, worry about aging issues, respectively. Social and economic difficulties experienced difficulties in the relationship, livelihood issues, childbirth and parenting issues, work-life difficulties, trouble appeared when going out. Process to deal with these experiences of meeting the religious institutions, community system used, was used with the help of the people around. By the results of this study, people with disabilities in everyday life so that you can overcome difficulties that practical help and social services to the community through the ongoing support system was required to suggestions.

Characteristics of Employment and Factors Affecting the Employment of Individuals with Brain Disorder (뇌병변장애인 고용특성 및 취업 영향요인)

  • Park, Ju-Young
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.542-552
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    • 2019
  • This study aimed to analyze characteristics of employment and factors affecting of employment of person with Brain disorder. Participants were 317 individuals with brain disorders. Data were analyzed using Chi-square test, regression analyses. according to the Panel Survey of Employment for the Disabled in Korea. These factors were classified into disability and health factors, employment related factors, and household related factors. First, The employment group showed significantly severe disorder, higher health status, absent of daily life helper, absent of assistive devices, higher level education, licenses, public employment service, job arrangement of acquaintance, find a job oneself, married, absent of basic living security assistance, greater supports of family compared to the unemployed group. Second, Factors affecting employment of individuals with brain disorders included daily life helper, education level, job arrangement of acquaintance, married, basic living security assistance. Base on these results, developing dailylife and education system and social supported system and modifying the benefit system can promote employment acquisition of individuals with brain disorder.

Effect of Occupational Therapy Based on Activity Analysis and Forward Chaining on the Promotion of Activities of Daily Living of Children With Developmental Disabilities: A Case Study (활동분석과 전방 연쇄 방법을 이용한 작업치료가 발달장애아동의 일상생활활동 수행 증진에 미치는 효과: 사례연구)

  • Park, So-Yeon;Kim, Beom-Joong;Kim, Jin-Kyung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.87-97
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    • 2024
  • Objective : This study aimed to acquire activities of daily living (ADL) skills through activity analysis and forward chaining in children with developmental disabilities. Methods : In this study, the performance of children with developmental disabilities was guided stepwise using a changing criterion design. The intervention was conducted in forward chaining after the therapist analyzed the activities of three tasks (shoes, shorts, and short-sleeved T-shirts) set as the Canadian Occupational Performance Measure (COPM). The performance rate at each stage of the three tasks was used as an independent variable, and COPM performance and satisfaction scores before and after the intervention were set as dependent variables. Results : The task performance rates of children wearing shoes, shorts, and short-sleeved T-shirts improved over time. Even at home, the scores for performance and satisfaction of all three tasks increased. Conclusion : Hopefully, activity analysis and behavioral chaining methods will be used not only for ADL but also for various tasks in children with developmental disabilities who have difficulty acquiring tasks.

The effect of the degree of need for around help on daily life of the elderly with dementia on life satisfaction : Verification of the mediating effect of depression using PLS-SEM (치매노인의 일상생활에 대한 주변도움 필요정도가 삶의 만족에 미치는 영향: PLS-SEM을 활용한 우울의 매개효과 검증)

  • Lee, Hyoung-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.169-172
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    • 2022
  • 본 연구에서는 고령화패널(KLoSA) 7차년도 데이터 중 60세이상 치매판정 노인(경도인지장애 포함)을 대상으로 치매노인의 삶의 만족에 영향을 미치는 일상생활 주변도움 필요정도와 우울의 영향력을 분석하고, 치매노인의 일상생활 주변도움 필요정도와 삶의 만족 사이에서 우울이 매개효과를 갖는지를 검증하고자 한다.

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Wearable devices for the visually and aurally handicapped (시각 및 청각 장애인의 생활 보조를 위한 착용형 단말기 개발)

  • Kim, Rae-Hyeon;Ha, Seong-Do;Park, Jin-Yeong;Jo, Hyeon-Cheol;Park, Se-Hyeong
    • 한국HCI학회:학술대회논문집
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    • 2007.02a
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    • pp.585-590
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    • 2007
  • 최근 IT기술의 비약적인 발전과 더불어 사용자의 편의성을 극대화 시키는 웨어러블 컴퓨팅 기술이 주목을 받고 있다. 이러한 기술은 일반인뿐만 아니라 장애인들의 일상생활의 보조 도구에 활용되어 큰 도움이 될 것으로 예상된다. 본 논문에서는 시각 및 청각장애인을 위해 개발된 착용형 단말기들을 소개하고자 한다. 시각 장애인용 단말기인 SmartWand는 시각장애인용 지팡이에 부착하거나 손에 휴대할 수 있는 장치로, 시작장애인을 위한 보행 보조 및 색상과 명암 정보 인식 보조 기능을 갖춘 장치이다. SmarWand는 시각장애인이 보행 시 이용하는 기존의 지팡이로는 감지할 수 없는 전방의 장애물을 초음파 센서를 통해 탐지하여 촉각이나 음성으로 경고해주고, 물체의 색깔이나 주변의 밝기 정도를 측정하여 시각장애인에게 알려준다. 청각 장애인용 단말기인 SmarWatch는 손목에 착용하는 장치로서 아기 울음소리, 노크나 초인종 소리, 물 끓는 소리, 화재 경보 등 가정에서 발생하는 일상적인 소리를 인식할 수 있도록 해준다. SmartWatch는 입력 모듈의 마이크로 입력된 소리를 문선통신을 통해 컴퓨터로 전송한 후에 소리의 종류를 인식하고 적절한 제어신호를 다시 무선통신을 통해 전송받아 감지된 소리의 종류를 해당하는 진동과 시각정보로 표시해준다. 이런 착용형 단말기들을 통해 시각 및 청각 장애인의 일상 생활의 안정성과 편의성이 증대 되기를 기대한다.

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Evaluation of Temporomandibular Disorders with Tension-Type Headache by Age (연령에 따른 측두하악장애 환자의 긴장성 두통 양상)

  • Muhn, Kyung-Hwan;Chun, Yang-Hyun;Hong, Jung-Pyo;Auh, Q-Schick
    • Journal of Oral Medicine and Pain
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    • v.34 no.1
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    • pp.103-114
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    • 2009
  • This study was designed to evaluate the Temporomandibular Disorders(TMD) with Tension-Type Headache(TTH) by age. Patients with TMD and/or TTH visited the Department of Oral Medicine, Kyung Hee University Dental Hospital were recruited to this study. Experimental group(n=170) is composed of TMD with TTH and control group(n=222) is composed of TMD without TTH. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows ; 1. In the control group, pain quality was not significantly different by age. But, in the experimental group, pain quality was significantly different by age(p=0.042). 2. In the control group, pain intensity was significantly different by age(p=0.000). And, in the experimental group, pain intensity was significantly different by age(p=0.004). 3. In the control group, pain laterality was not significantly different by age. And, in the experimental group, pain laterality was not significantly different by age. 4. In the control group, pain increase by routine physical activity was not significantly different by age. And, in the experimental group, pain increase by routine physical activity was not significantly different by age. Therefore, it is considered that not temporomandibular disorder patients without tension-type headache but temporomandibular disorder patients with tension-type headache was influenced by age in the pain quality.

Affecting Variables on Subjective Memory Impairment in the Elderly with Benign Prostatic Hyperplasia (전립선비대증 노인의 주관적 기억장애 영향요인)

  • Kim, Jee-won;Choi, Soon-Ock
    • 한국노년학
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    • v.38 no.4
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    • pp.853-869
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    • 2018
  • This study aimed to investigate variables affecting subjective memory impairment in the elderly with benign prostatic hyperplasia. We used 179 survey data collected from the urology department of two metropolitan general hospitals. The subjects were patients with benign prostatic hyperplasia. T-test, one-way analysis of variance, and $Scheff{\acute{e}}^{\prime}s$ test were performed to identify differences among variables. Pearson's correlation-coefficient and stepwise multiple regression were used to identify variables that affect subjective memory impairment. This study revealed that lower urinary tract symptom and activities of daily living were statistically significant variables, with an explanatory power of 30.0%. The lower urinary tract symptom was due to the benign prostatic hyperplasia increasing the risk of subjective memory impairment. Treatment of the lower urinary tract symptom was delayed because as the elderly got older, they increasingly recognized benign prostatic hyperplasia as a reasonable symptom. Timely intervention and early screening are necessary to prevent lower urinary tract symptom. Finally, programs to reduce the incidence of lower urinary tract symptom and educate nurses to assess, evaluate, perform intervention for subjective memory impairment should be developed.