• 제목/요약/키워드: 허약

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심폐기능 허약자를 위한 보행보조장치 제어기 개발 (Development of Walking Assistant Controller for Patients with Weakness in Cardiopulmonary System)

  • 강성재;김규석;박세훈;문무성;서수원;김진국;류제청
    • 재활복지공학회논문지
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    • 제4권1호
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    • pp.23-28
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    • 2010
  • 심폐기능 허약자의 경우 다른 보행기능은 정상이지만 산소 공급에 문제가 발생된 경우로서, 에너지 소모를 최소한으로 줄여주는 보행보조 시스템이 필요하다. 심폐기능 허약자의 보행을 원활히 보조하기 위하여 본 연구에서는 고관절에 부착된 DC모터를 이용하여, 보행시 고관절 굴곡 및 신전을 제어하는 시스템을 고안하였다. 두 개의 모터를 좌우 고관절에 부착되어 정상 보행패턴을 기준으로 고관절의 굴곡과 신전의 설정각도를 정의하고 보행을 보조한다. 실험결과 보행보조에 의한 에너지 소모도 감소는 14.8%이었다.

전자허약지수(electronic frailty index)를 활용한 만성질환 노인의 허약평가와 건강결과 간의 관계: 체계적 고찰 (Frailty assessed by the electronic frailty index and its impact on health outcomes in older adults with chronic diseases: a systematic review)

  • 신정욱;유민영;손연정
    • Journal of Korean Biological Nursing Science
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    • 제25권4호
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    • pp.229-242
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    • 2023
  • Purpose: The electronic frailty index (eFI), which is derived from electronic health records, has been recommended as screening tool for frailty due to its accessibility and ease of use. The objective of this systematic review was to identify the prevalence of frailty assessed by the eFI and its influence on health outcomes in older adults with chronic diseases. Methods: We searched PubMed, Embase, Web of Science, CINAHL, SCOPUS, Cochrane, Google search, and nursing journals in Korean from January 2016 to December 2022. Results: Twelve studies were analyzed. The eFI score, based on routine clinical data, was associated with adverse health outcomes. The most frequent outcome studied was mortality, and the eFI was associated with increased mortality in nine studies. Other outcomes studied included hospitalization, length of stay, readmission, and institutionalization in relation to hospital care usage, and cardiovascular events, stroke, GI bleeding, falls, and instrumental activities of daily life as health conditions. Conclusion: Early identification of frailty in older adults with chronic diseases can decrease the burden of disease and adverse health outcomes. The eFI has a good discriminative capacity to identify frail older adults with chronic diseases.

노인 허약 예방프로그램이 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질에 미치는 효과 (Effects of elderly people's Frail prevention program on subjective health status, depression, physical fitness and quality of life for in Senior Center Participation of the Elderly)

  • 장경오
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.47-58
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    • 2017
  • 본 연구는 J시 보건소의 노인 허약 예방프로그램이 지역사회 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질 에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후 시차 설계를 이용한 유사실험연구이다. 프로그램에 참여한 대상자는 경로당을 이용하는 노인으로 총 43명으로 이 중 실험군 22명, 대조군 21명 이었으며, 연구기간은 2015년 9월 1일부터 10월 16일까지 8주간, 주 2회 허약노인 예방프로그램을 운영하였다. 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 $x^2-test$와 t-test 등으로 분석하였다. 허약노인 예방프로그램 적용 후 주관적 건강상태(t=-0.35, p=.024), 우울(t=2.76, p=.035), 체력 중 오른손의 압력(t=-3.10, p=.004)과 허리 유연성(t=-2.13, p=.039) 그리고 삶의 질(t=4.36, p<.001)이 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있는 것으로 나타났다. 따라서 지역사회 경로당을 이용하는 노인들을 위한 허약 예방프로그램이 노인들의 주관적 건강상태, 우울, 체력 및 삶의 질을 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다.

허약노인의 건강관련 삶의 질과 영향요인 (The Effects of Related Factors on Health-related Quality of Life for the Frail Elderly)

  • 임은실;노경희
    • 지역사회간호학회지
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    • 제21권1호
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    • pp.12-20
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    • 2010
  • Purpose: The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly. Methods: This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008. Results: The mean health-related quality of life in the subjects was $6.0{\pm}2.0$. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life. Conclusion: Self-rated health, ADL and depression were the predictors of health-related quality of life in the frail elderly.

노인허약에 대한 고찰 (The Concept of Frailty: A Review of the Literature)

  • 최경원;이인숙
    • 재활간호학회지
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    • 제11권2호
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    • pp.67-73
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    • 2008
  • Purpose: The purpose of this study was to review and identify the meaning and components of the concept, Frailty. Method: We conducted literature review of studies that concluded the word of 'frail' or 'frailty between 1980 and 2008, and used MEDLINE, CINAHL database to select the articles. Results: Frailty is defined as a concept with multidomains, which are physical, cognitive, psychological, social. Critical characteristics of Frailty include multidominal deficiency, combined accumulation, diminished ability to keep up the independence of daily living, states beyond one's reserve capacity, dynamic relativity, proximity to adverse health outcome, aggregated symptoms. Frailty is caused by decreased physical activity, loss of sensory function, Chronic symptoms or signs, relationship with Caregiver, social isolation. Moreover, Frail elderly is at risk of falls and institutionalization. Conclusion: Frailty is very useful concept, because it has the potential to identify the elderly population at risk of adverse health outcomes. Based on this results, the appropriate tool for screening Korean Frail elderly and Nursing intervention for them needs to be developed.

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칼슘/비타민D 섭취와 택견운동이 노인 허약에 미치는 효과 (Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty)

  • 이광옥
    • Journal of Korean Biological Nursing Science
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    • 제18권3호
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    • pp.185-191
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    • 2016
  • Purpose: The purpose of this study is to understand the effect of taking calcium/vitamin D supplements and performing Taekkyeon exercises on the frailty of the elderly targeting a vulnerable senior social group. Methods: A total of 124 people aged 65 and older consisting of 60 persons in the experimental group, and 64 persons in the control group participated in this study, and this study is a non-equivalent control group pre/post-test design quasi-experimental study. This study analyzed the homogeneity between the experimental group and the control group using a chi-square test and t-test while analyzing the difference in the degree of frailty and bone density with the practice of Taekkyeon and a calcium agent using t-test and GEE. Results: The study results showed that the frailty and bone density of the experimental group significantly improved. Conclusion: Through this study, it was confirmed that calcium/vitamin D intake and Taekkyeon exercises were an effective intervention which strengthened the elderly's physical condition.