• Title/Summary/Keyword: 일상활동장애

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Association between Cognitive Impairment and ADL of the Elderly in Rural Area (농촌 노인들의 인지기능장애와 일상생활 활동도와의 관련성)

  • Kim, Seok-Beom;Kang, Pock-Soo;Kim, Sang-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.1
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    • pp.65-71
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    • 1999
  • Objectives. The purpose of this investigation was to study the correlation between cognitive impairment and activities of daily living(ADL) In the elderly of rural area. Methods. The study population consisted of 210 elderly people aged 65 years and older, living in a district of Kyongju City. The cognitive impairment was measured with the Korean version of mini-mental state examination(MMSE-K) and newly constructed the Korean version of mini-mental state examination (K-MMSE). Bristol activities of dally living scale developed specifically to be used with people with dementia was used to measure ADL Results. The mean scores of both MMSE-K and K-MMSE were significantly different by sex groups and by .age groups, respectively(p<0.05). The mean scores of ADL were significantly different by age groups(p<0.01) not by sex groups. Among the 4 components of ADL(instrumental activities of daily living(IADL), self care, orientation, and mobility), the mean score of the orientation was significantly higher in men(p<0.01); and IADL, orientation and mobility components were significantly different by age groups(p<0.01). ADL correlated well with MMSE-K (r=0.54) and K-MMSE(r=0.52) and showed higher correlation in female (r=0.73, 0.71) than male(r=0.27, 0.29). IADL and orientation showed significant correlation with MMSE-K(r=0.52, 0.62) and K-MMSE(r=0.50, 0.63), respectively(p<0.01). Conclusions. In developing and establishing a care model for people with dementia in the community, both cognitive impairment and the activities of daily living(ADL) need to be considered.

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The Influence of IADL to Life Satisfaction and the Double-mediating Effects of Self-Rated Health, Leisure Activities in Adolescents with Disabilities (장애청소년의 수단적 일상생활 수행능력이 생활만족도에 미치는 영향과 주관적 건강인식, 문화·여가활동참여의 이중매개효과)

  • Choi, Jang Won
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.582-592
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    • 2019
  • This study was conducted to identify the causal pathways of variables affecting life satisfaction in adolescents with disabilities to establish a basis for concrete intervention in their daily lives. This study was conducted on 239 adolescents with disabilities aged 9 to 24 years who responded to the survey on the actual conditions of people with disability in 2017. The SPSS macro process was used for analysis of the dual mediation effect. The results showed that there was a statistically significant correlation between instrumental daily life performance capacity, life satisfaction, Self-Rated Health, and participation in culture and leisure activities. It confirmed the mediating effects of Self-Rated Health and cultural leisure activities when the instrumental daily life performance capacity affected life satisfaction. This confirmed the dual mediating effect of instrumental daily life performance capacity on life satisfaction through causal pathways of Self-Rated Health and participation in cultural leisure activities. Based on the results of this study, it was possible to identify the focus of practical intervention through the identification of sequential pathways of Self-Rated Health and cultural and leisure activities on influence of instrumental daily life performance capacity and life satisfaction in adolescents with disabilities.

The Effect of Computer-Based Cognitive Rehabilitation Program on Visual Perception and ADL in Children with Intellectual Disaility (전산화 인지프로그램(코트라스)이 지적장애 아동의 시지각과 일상생활에 미치는 효과)

  • Kim, S.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.105-113
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    • 2015
  • The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

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A Study of Activity Participation Level and Functional Disability for The Elderly Aged Over 65 years (65세 이상 노인의 참여활동수준과 기능장애에 관한 연구)

  • Park, Kyoung-Young;Shin, Su-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.222-228
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    • 2020
  • The purpose of this study was to investigate activity participation level and functional disability based on ICF for the elderly aged over 65 years. Subjects were 100 senior citizens. We performed data collection using Korean Activity Card Sorting(KACS) and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Data were analyzed using descriptive statistics, Pearson's correlation, multiple regression. As a result of the survey of activity participation levels, retained level of activity participation of instrumental activity was highest at 75.06%. Among the WHODAS 2.0 sub-domain, 'getting along with people', 'participation in society' had the most difficulties and 'self-care', 'life activities' were the lowest. An analysis of the correlation between the activity retention rate and functional disability showed that there was a significant negative correlation. Significant factors influencing functional disability were activity participation level of social activity, instrumental activity and main work(retirement). We confirmed that activity participation level was important factor on functional disability. Further, we need standardization study for generalization.

Effects of VR based Intervention on Daily Living Skills and Class Attitudes of Students with Intellectual Disabilities (가상현실 기반 중재가 지적장애학생의 일상생활 기술 및 수업태도에 미치는 효과)

  • Lee, Tae-Su
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.155-162
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    • 2021
  • The purpose of this study were to analyze effects of VR-based intervention on daily living skills and class attitudes of students with intellectual disabilities. To do this, 30 students with intellectual disabilities in the second and third grades of middle school were selected for this study and placed three group. A group took part in a class using only VR program, B group participated in experience activities program, and C group got in the intervention program that combine VR program and experience activities on daily living skills. Intervention programs were conducted 4 times in a week for 4 weeks from the fourth week of July to the third week of August and a class time of each class was 50 minutes. Evaluations were carried out in pre- and post-test. The Evaluation data were analyzed by One-way ANOVA and scheffe'. In Result of study, daily living skills of C group was improved more higher than other groups and class attitudes of C group was improved more higher than group B. These results showed that the intervention combining VR program and direct experience activities was more effective than the other methods.

Effects of work ability on the employment status of people with disabilities: Comparing degrees of disability, ICF activity limitations & participation restriction, levels of assistance needed for daily activities, and self-assessed health status (근로능력평가지표의 취업에 대한 영향 비교: 장애등급, ICF 활동참여수준, 일상생활 도움필요정도 및 자기평가건강상태를 중심으로)

  • Lee, Sunwoo
    • Korean Journal of Social Welfare Studies
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    • v.42 no.2
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    • pp.323-350
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    • 2011
  • Work ability is a fundamental factor to determine who are the recipients of disability benefits or employment services. Disability Grade based on medical impairments is used as a work ability assessment in Korea, but it has been heavily criticized that it does not assess disabled person's work ability adequately. This study tried to find out an index which explains employment status of disabled persons the best among four work ability assessment indexes of disability grade, level of ICF activity limitations and participation restriction, level of help needed with daily activities, and self-assessed health status. As a result, the level of ICF activity limitations and participation restriction explained the employment status the best, and help needed for daily activities is the second, disability grade is the third, and self-assessed health status is the last. In conclusion, level of ICF activity limitations and participation restriction is the best work ability assessment in Disabled People Pension and Employment Policy for Disabled People. Therefore, it is the basic premise to develop a new work ability assessment index which consists of items in ICF activity limitations and participation restriction.

A Study on Daily Lives of the Disabled in Residential Facilities -Focusing on Daily Life Activities and Interactions by the Daily Time use Method- (거주시설 성인 지적장애인의 일상에 관한 연구 -생활시간조사를 활용한 일상생활활동과 상호작용 분석을 중심으로-)

  • Kim, Mi-Ok;Kim, Go-Eun
    • Korean Journal of Social Welfare
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    • v.62 no.1
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    • pp.317-342
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    • 2010
  • The purpose of this study is to investigate daily lives of the intellectually disabled living in residential facilities. The daily time use method that monitors and records 24 hours of the subject was used for the analysis of daily lives of the institutionalized disabled and verbal interaction patterns within each facility. In particular, the analysis focused on 'frequency of activities' and 'lives', with the method of time budget. Based on the activity category table of the 2004 nationwide Time Use Survey, the analysis aimed to identify differences and similarities between the non-disabled and the disabled in terms of daily time use. The interaction pattern analysis method on grounds of the Flanders Category system(1963) indicates the level, the type, and the full details of interaction between the institutionalized disabled and the living rehabilitation teachers. This study is all the more significant in that it monitored the daily lives of the institutionalized disabled for the first time to allow in-depth understanding about the daily lives of the disabled; analyzed interaction patterns between the institutionalized disabled and living rehabilitation teachers; applied time budget study method, a frequently used one in adjacent fields, and therefore should serve as a valuable source material for future studies.

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The Effects of Elderly Frailty on Adverse Outcomes (노인 허약이 부정적 결과요인에 미치는 영향)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.87-97
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    • 2020
  • The aim of this study was to examine empirically the causal relationship between significant adverse outcomes of elderly frailty. The 2017 National Survey on Old Adults was used to test this, but only nine variables necessary for the hypothesis test were abstracted from it. The results of the hypothesis test are summarized as follows. The sub-variables of adverse outcomes, such as disabilities in daily living activities, disabilities in instrumental daily living activities, and health care utilization, were analyzed empirically by inputting sub-variables of six frailty factors into hierarchical regression analysis. In the final model, the physical activities, emotional control, and social support were verified as significant variables influencing the disabilities in daily living activities. These included the following: physical activities, sensory functions, cognition, emotional control and social support as those influencing disabilities in the instrumental daily living activities; and nutrition, physical activities, sensory functions, emotional control, and social support as those influencing the health care utilization. Based on the results of the hypothesis test, it is necessary to develop and implement personalized health management programs that specifically identify elderly weakness factors that affect adverse outcomes, such as disabilities or health care utilization.

A Comparative Analysis on Daily Life Satisfaction of the Elderly with Disability by Gender Difference (남녀 장애노인의 일상생활만족도 비교분석)

  • Song, Mi Young
    • 한국노년학
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    • v.31 no.1
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    • pp.143-155
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    • 2011
  • Disabled elderly faced with disability and the aged problems at the same time. So, this research creates two research questions and examines. First research question is how nine dimensions of daily life satisfaction according to gender difference. Second research question is how the factor of daily life satisfaction by gender difference. The data is sixty-five disabled elderly, 386 among Panel Survey of Employment for the Disabled(PSED, 2008). The methods of analysis for identifying research questions is t-test and multiple linear regression. The result of analysis on first research question, the gender difference six dimensions among nine dimensions of daily life satisfaction come out statistically significant. And The result of analysis on second research question, come out statistically significant, too. Socioeconomic status: the lower class, physical condition: bad health, chronic disease is or not, family and other people's social supports, disability: serious turn out to be factors in common. It has been suggested social policies from the results of studies that the provision of health support policy and program, enlarge assistance on daily life, support system on serious disabled elderly. On the other hand, analysis showed that distinctive factors between disabled elderly man and woman was age and education level. In other words, disabled elderly woman come out into the open that the more grow old, the less daily life satisfaction low, while disabled elderly man appeared higher daily life satisfaction in case of junior and senior high school graduate than uneducated.

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.