• 제목/요약/키워드: ADL(Activity of daily living)

검색결과 196건 처리시간 0.028초

고관절 주위 골절이 사망률 및 일상생활 동작에 미치는 영향 (The Effects of Hip Fracture on the Mortality and Activity of Daily Living)

  • 김호봉;최용원
    • 대한물리의학회지
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    • 제4권2호
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    • pp.125-131
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    • 2009
  • Purpose:This study performed to evaluate the effect of hip fracture among persons over 50 years old, in Jeju-do, Korea, on mortality, activity of daily living(ADL). Methods:Three hundred eighteen patients over to 50 years of age who lived in Jeju-do and sustained a hip fracture from January 1st 2003 to December 31th 2004 were recruited. The information collected from the hospital records for each patient included age, sex, date of onset, and patients investigated activity grade, ADL, outdoor walking aid on 3month, 6month and 12month. Results:The incidence was 12.5/10,000 for total patients(female 17.0/10,000, male 6.3/10,000) in population over 50 years old. Patients who had lower activity grade and ADL level, showed higher mortality, and patients using outdoor walking aid showed higher mortality. Conclusion:The activity grade, ADL level, Using of outdoor walking aid affect mortality, so more programs about ADL must be developed for the life span and quality of life.

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재가노인의 일상생활활동(ADL)과 수단적 일상생활활동(IADL) 실태 (Activity of Daily Living(ADL) and Instrumental Activity of Daily Living(IADL) of Elderly in Home)

  • 전은영
    • 동서간호학연구지
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    • 제12권1호
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    • pp.56-61
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    • 2006
  • Purpose: The purpose of this study was to identify the ADL and IADL of elderly in home. Method: This was a descriptive study. Data were collected from convenient samples of 76 elderly in home using ADL and IADL scales among MDS-HC V2.0 instrument from October to November. The data were analyzed using SPSS/Win 12.0 with frequency, t-test, and ANOVA at a significant level of=.05. Result: The elderly in home had performance with difficulty at bathing, locomotion outside of home, and transfer. On the other hand, the elderly in home had performance with easy at mobility in bed, dressing lower body and eating. Relation to the IADL the elderly in home had performance with difficulty at transportation, shopping, and managing finance. Conclusion; Based on the results, it is necessary to develop of a nursing intervention program and rehabilitation plan for the bathing and locomotion of the elderly in home.

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뇌졸중 환자의 낮병원 프로그램이 도구적·일상생활활동 수행 능력과 삶의 만족도에 미치는 영향 (Effect of K-ADL·K-IADL and Quality of life in Day Hospital Program for Stroke Patients)

  • 박창식;송병호
    • 한국콘텐츠학회논문지
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    • 제12권11호
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    • pp.267-277
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    • 2012
  • 본 연구는 낮병원 프로그램을 받은 뇌졸중 환자들의 일반적인 특성과 삶의 만족도 중 어떤 항목이 도구적 일상생활활동과 삶의 만족도에 가장 영향력을 미치는지 인과 관계 분석을 하였다. 국립재활병원에 입원한 환자 중 실험군 41명과 대조군 41명을 선정하여 도구적 일상생활활동수행능력을 평가하고 삶의 만족도 검사를 실시하였다. 연구 결과 실험군과 대조군의 도구적 일상생활활동수행능력 비교에서 실험군이 대조군 보다 높은 기능을 보였으며, 삶의 만족도 비교에서도 모든 항목에 대해 실험군이 대조군보다 높게 나타났다. K-ADL과 K-IADL 및 삶의 만족도에 일반적인 특성 항목 중 어떤 항목이 영향을 주는지 알아 본 결과 K-ADL과 K-IADL 모두 연령, 경제상태 순으로 나타났으며, 삶의 만족도에서는 경제상태, 학력, 혼인상태, 직업유무, 일상생활시 조력자 유무 순으로 나타났다. K-ADL과 K-IADL에 삶의 만족도 항목 중 어떤 항목이 영향을 주는지 알아 본 결과 K-ADL은 통증, 사회기능, 정신건강, 신체적 역할 순으로 나타났으며 K-IADL에서는 신체적 역할제한이 가장 설명력이 높은 것으로 나타났다. 이 연구를 통해 뇌졸중 장애인들이 병원에서 재활치료가 끝난 이후에 신체적 기능을 유지하고 이차 장애를 예방하며 사회통합과 삶의 만족도 향상을 도모하기 위해서 지속적인 재활치료가 강조되어야함을 알 수 있었다.

일 지역 재가노인의 일상생활수행능력과 자가간호역량 간의 관계 (The Correlation Between Ability of Activity in Daily living and Self-care Agency Among Elderly in Chunchon Province)

  • 김춘길;장희정;김성실
    • 성인간호학회지
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    • 제13권1호
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    • pp.40-52
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    • 2001
  • The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

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장기요양 이용 재가노인의 인지기능과 일상생활 능력 (Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service)

  • 장현숙;이홍자
    • 보건행정학회지
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    • 제22권4호
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    • pp.522-537
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    • 2012
  • The purpose of this study was to analyze the level of the cognitive function and activities of daily living of the beneficiary older adults at home based on Korean Long-term Care Insurance System. A cross-sectional descriptive survey was conducted from November 2010 to May 2011, the final respondents were 1,026 beneficiary older adults taking home visit care covered in Korean long-term care insurance system. The questionnaire included general characteristics of subjects, cognitive function, ADL(Activity of daily living). The data was analyzed using the SPSS 20.0 version. There was significant difference in cognitive function and ADL between 1st Grade, 2nd Grade and 3rd Grade of long-term care classification. The correlated factors of cognitive function were ADL, long-term care grade, disability of arm and leg, limitation of joint, bed sore and tube feeding. The correlated factors of ADL were cognitive function, long-term care grade, disability of arm and leg, bed sore and tube feeding. This study suggests that cognitive functions have to be mainly considered in long-term care grade. It is necessary to make an effort to develop long-term care grade in Korean long-term care insurance system an cognitive function improvement program for the beneficiary older adults. Above all things government will be seriously contemplating of revise contents for long-term care grade to provide quality of care for the older adults.

자가 재활운동이 장애노인의 일상활동 수행능력에 미치는 영향 (The influnce of Self rehabilition exercise for Activities of DailyLiving of disability elder)

  • 김수민
    • 대한물리치료과학회지
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    • 제17권1_2호
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    • pp.53-66
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    • 2010
  • Background: It's very important method of treatment to improve physical activity for Activities of Daily Living(ADL) disability elder. So, We educated them Self rehabilition exercise and they did it by themselves, Then studied the influence in ADL disability elder. Methods: The participants of this study consited of 185 ADL disability elder in 18 located in Pusan & Kyungnam of elderly care hospital. We provided them 4 weeks of rehabilitation exercise training, and 4 weeks later we collected The state of ADL. Results: The ADL disability elder Who was educated and practiced Self rehabilition exercise, showed improvement on the several items of ADL, especially in Bathing. Conclusion: Self rehabilition exercise proved that it can improve ADL for disability elder I thank the system of Self exercise program has to be progressed.

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류마티스성 관절염 환자의 일상생활활동 조사연구 (A Study of Activities of Daily Living(ADL) in Patients with Rheumatoid Arthritis)

  • 박성희
    • 근관절건강학회지
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    • 제6권1호
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    • pp.7-21
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    • 1999
  • This study attempts to provide the rudimentary data that might help patients with Rheumatoid Arthritis manage an independent life by the analysis of their activities of daily living(ADL). The subjects were forty patients who had been diagnosed Rheumatoid Arthritis and under drug therapy from RA clinics of the two university hospitals in Pusan. Data were collected by performing an individual interview for each of them during June 15th through July 15th 1998. Questionaires were imployed to investigate the general characteristics of patients. the traits of Rheumatoid Arthritis, and actual conditions of their activities of daily living. The questionaires utilized especially for the study of ADL is the version of Lee Eun Ok's tool which modified and complemented Katz scale (Katz, Down, Cogh and Grots 1970) and Bathel index(Bathel. 1973). It's consisted of 31 questions that each question is measured by 0-3points. The high score in the questionaire signifies the high independency in the ADL. The data were analyzed by SPSS/Win in terms of frequency, percentage, mean, and standard deviation, close connection with the contents of the personal interview. Total mean of the ADL shows $1.55{\pm}0.68$, indicating the overall activities of daily living is generally dependent. It also indicates that patients, in the condition of dependent activity. tends either to have recourse to drugs or to take negative strategy, getting help from inside or outside family member. Hence, it is necessary that patients are exposed to the introduction and instruction of self-help devies that might help them manage a comparatively independent ADL, easing their paychological burden.

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뇌졸중 노인의 기능장애 정도, 일상생활 수행능력, 우울과 삶의 질 간의 관계 (The Relationship of Dysfunctions Degree, Daily Living Activity, Depressiveness and Quality of Life among the Elderly Suffering from Stroke)

  • 박인숙;김도연;강창렬
    • 보건의료산업학회지
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    • 제5권2호
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    • pp.173-186
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    • 2011
  • The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.

상지 운동학습에 의한 뇌졸중 환자의 일상생활동작 수행능력의 변화 (The Change of Activity of Daily Living on Motor Learning Program for Upper Extremity in Stroke Patients)

  • 방요순;손경현
    • 한국전문물리치료학회지
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    • 제10권2호
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    • pp.85-98
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    • 2003
  • The purpose of this study was to investigate the changes of the activities of daily living (ADL) by the motor learning program for upper extremity in stroke patients. The subjects were sixty-two members who were treated at the department of occupational therapy. The ADL were measured with Functional Independence Measure (FIM). The result's were as fol1ows; 1. The ability to perform daily activities after treatment was significantly increased independent of age, gender, cause, affected side and speech disability (p<.01). The differences between the pre-treatment and the post-treatment was no significant correlation to sex, cause, affected side and duration of treatment, but the speech disability was significant. Therefore the pre-treatment scores and post-treatment scores were significantly different. 2. The variation of the pre-treatment and the post-treatment in the detail item to the performance of daily life of the stroke patients through the upper extremity motor learning program was significantly increased in self-care, sphincter control, locomotion, mobility, communication and social cognition (p<.01) Consequently, The motor learning program for upper extremity significantly improved the performance level of all ADL areas in stroke patients.

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WSN환경에서 은닉 마코프 모텔 기반의 분산추론 기법 적용한 행위인지 알고리즘 (An Activity Recognition Algorithm using a Distributed Inference based on the Hidden Markov Model in Wireless Sensor Networks)

  • 김홍섭;한만형;임거수
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2008년도 제39차 동계학술발표논문집 16권2호
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    • pp.231-236
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    • 2009
  • 본 연구에서는 집이나 사무실과 같은 일상 공간에서 발생할 수 있는 연간의 일상생활행위 (ADL: Activities of Daily Living) 들을 인지하는 분산 모델을 제시한다. 사용자의 환경 정보, 위치 정보 및 행위 정보를 간단한 센서들이 부착된 가정용 기기들과 가구, 식기들을 통해 무선 센서 네트워크를 통해 수집하며 분석한다. 하지만 이와 같은 다양한 기기의 활용과 충분히 분석되어지지 않은 데이터들은 본 논문에서 제시하는 일상 환경에서 고차원의 ADL 모델을 구축하기 어렵게 한다. 그러나 ADL들이 생성하는 센서 데이터들과 센서 데이터들의 순서들은 어떤 행위가, 이루어지고 있는지 인지할 수 있도록 도와준다. 따라서 이 센서 데이터들의 순서를 특정 행위 패턴을 분석하는 데 활용하고, 이를 통해 분산 선형 시간 추론 알고리즘을 제안한다. 이 알고리즘은 센서 네트워크와 같은 소규모 시스템에서 행위를 인지하는 데 적절하다.

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