• 대한가정학회지
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• 제44권7호
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• pp.177-188
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• 2006

This study evaluated 26 elderly residents living independently in 4 group homes for their abilities in daily living and analyzed their behaviors of space occupancy and activities of daily living. The aim of the study was to identify the relationships between the physical environments of the group homes and the daily activities of the residents. The results of this study are summarized as follows. 1) Most residents in the group home considered bathing and cooking to be the most difficult of their living activities. The residents were categorized into "Independent," "Semi-dependent" and "Dependent" groups, on the basis of their ADL and IADL scores, and individual groups were examined. On ADL scorelt was shown, then, that 65.4% of the residents were was independent in ADL, but there was no any significant difference in IADL between the independent, semi-dependent and dependent groups. In addition, there was a difference in ADL and IADL among the groups. The independent group's residents were shown to be independent in ADL and IADL, whereas the but those of the semi-dependent and dependent groups' residents were lower in IADL than in ADL. 2) When their behaviors of space occupancy were examined, it appeared that the independent group showed a different space sharing pattern among individual residents, with a wide range of behavior of space occupancy. Meanwhile, The semi-dependent group mostly shared a common space with simple activities of daily living while no any service low leisure program was provided. However, the dependent group mainly consisted of residents who had a low level of independence in ADL and IADL, so that their behaviors of space occupancy were entirely negative.

• 동의생리병리학회지
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• 제26권3호
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• pp.386-391
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• 2012

The purposes of this study were to investigate the difference on activities of daily living(ADL), instrumental activities daily of living(IADL) and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. From December 2009 to February 2010, 64 subjects in the institutionalized aged woman with dementia, 22 caregivers were surveyed through structured questionnaires. There was no difference ADL and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. But, there was significant differences in IADL. Also, ADL was positively related to IADL in aged woman with dementia and caregivers. ADL and IADL were negatively related to quality of life in aged woman with dementia and caregivers. In daily activity and life quality, there is no difference recognized by aged woman with dementia and caregivers. So it's not matter for the nursery to recognize the demand of the aged woman with dementia and to care them. It is necessary to study the elderly with dementia at home, and to compare the patients in accordance with severity.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.109-120
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• 2015

Objectives: The purpose of this study was to investigate risk factors for chronic ADL, IADL disability. The study explored clinical and socio-demographic risk factors of functional status decline. Methods: Data from the Survey of Living Condition of Elderly 3-year panel study were analyzed. The study subjects were 5,928 community-dwelling people aged 65 years or older who were no disability in ADL and IADL at baseline. Predisposing factors, pathology, impairment, and functional limitations were regarded as risk factors. Logistic regression analysis was used. Results: During the 3-year study period, 3.9% participants developed chronic ADL disability, 9.4% participants were IADL disabled. After controlling for predisposing factor, the best predictors for ADL disability at 36 months were fall as a pathology factor, cognitive decline, disability judgement, lower limb functional limitation. Comorbidity, fall, cognitive decline, disability judgement, lower limb and upper limb functional limitation were risk factors for IADL disability. Conclusions: Health promotion program focusing elderly is essential to prevent ADL and IADL disability. Mobilizing physical activity should be included in health promotion program for elderly.

• 성인간호학회지
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• 제18권5호
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• pp.798-808
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• 2006

Purpose: The purpose of this study was to investigate the effects of aquatic exercise on rehabilitation in home stroke patients. Method: A quasi-experimental pretest and posttest design was used to examine the change of balance, ADL, IADL, pain, depression and self-efficacy atthe completion of 6-weeks aquatic exercise program. The subjects consisted of 25 adults who had a stroke. Thirteen experimental and twelve control subjects completed pre and post test measures. Outcome variables were balance, ADL, IADL, pain, depression and self-efficacy. Chi-Square test(Fisher's exact method) was used to examine the equality of the subjects and Wilcoxon Rank Sum Test used to examine the group difference by using SAS. Results: There was no significant difference in balance and depression between the two groups. However, there was a significant difference in ADL, IADL, pain and self-efficacy between the two groups. Conclusion: Aquatic exercise can improve ADL, IADL, self-efficacy and reduce pain. Therefore, further research is recommended by increasing the length of aquatic exercise and number of subjects, so that its effects can be more generalizable.

• 지역사회간호학회지
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• 제16권2호
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• pp.137-147
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• 2005

Purpose: This study was conducted to investigate physical health status. depression. activities of daily living (ADL & IADL) of the low-income elderly who live alone in urban areas. Method: The subjects were the 400 low-income elders who live alone in Daegu city and the following instruments were used: 1. The number of self-reported physical health problems and present diseases: 2. CES-D scale for depression by Jo Nam-Oak et al. (1998): and 3. ADL scale by Katz (1989) and IADL scale by Lawton and Brody (1969). Results: 1. Visual difficulty was the most prevailing problem (55.3%) among physical problems. the second bowel elimination and the third hearing disturbance. As for present diseases. arthritis (26.5%), hypertension(24.3%) and DM (11.8%) were the most common diseases. 2. There were significant differences in physical health status according to age (t=3.115. p=.045). kind of medical security (t=-1.973. p=.049). perceived life satisfaction (F=4.966. p=.007) and the number of present diseases (F=2.937. p=.033). 3. There were significant differences in depression according to sex (t=-3.758. p=.000) . kind of medical security (t=-4.368. p=.000). perceived life satisfaction (F=35.743. p=.000) and the number of present diseases (F=4.246. p=.006). 4. There were significant differences in ADL according to sex (t=-2.136. p=.033) and age (F=4.863. p=.008). and in IADL according to sex (t=4.552, p=.000), age (F=3.090. p=.047) and kind of medical security (t=-3.306. p=.001). 5. Physical health state was correlated positively with both the number of present diseases (r=.140. p=.005) and depression (r=.352. p=.000), and negatively with ADL (r=-.176. p= .000) and IADL (r= -.230. p=.000). Depression was correlated positively with the number of present diseases (r=.169. p=.001) and negatively with both ADL (r=-.139. p=.005) and IADL (r=-.203. p= .000). Conclusion: The results of this study suggest that general characteristics are important factors for physical health status, depression. ADL and IADL of the low-income elderly who live alone and there are close relations among physical health status, the number of diseases, depression, ADL and IADL. Therefore, these results must be reflected in community health programs for the low-income elderly who live alone. In addition, this kind of study must be extended to the low-income elderly who live alone in rural areas.

• 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.

• 지역사회간호학회지
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• 제24권1호
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• pp.11-19
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• 2013

Purpose: This study was carried out to investigate relations among daily livingabilities, self-efficacy, and Yangsaegn behavior, and influencing factors on Yangsaeng behavior among elderly men. Methods: Data were collected from 497 male elders in the D metropolitan city. Research tools included ADL, IADL, and the scale for self-efficacy and Yangsaeng behavior. The data were analyzed using frequency analysis, average and standard deviation, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 program. Results: The subjects' ADL score was 2.86, their IADL score of subjects 2.66 out of 3, and their self-efficacy score was 2.68 out of 4, and their Yangsaeng behavior score 3.46 out of 5. There were significant differences in Yangsaeng behavior among the subjects due to age, education level, monthly income, marital status, family structure, religion, health status, andperiodic health examination. There were significant positive correlations among ADL, IADL, self-efficacy, and Yangsaeng behavior. According to the research, influencing factors on Yangseng behavior in elderly men included self-efficacy, health status, ADL, education level, IADL, and family structure. Conclusion: Findings from this study can be used as basic data to develop Yangsaeng behavior programs for elderly men.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1998년도 제50차 추계 학술대회 연제집
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• pp.68-69
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• 1998

• 한국사회복지학
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• 제61권4호
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• pp.243-263
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• 2009

본 연구는 복합적인 욕구를 가지고 있는 재가노인을 대상으로 강점관점 사례관리 프로그램을 적용하여 실제로 운영해 보고, 이 프로그램이 노인의 욕구에 기반한 장기목적과 단기목표를 달성하는데 효과적인지, 그리고 일상생활 기능(ADL, IADL 수행능력) 및 생활만족도에 미치는 영향을 분석함으로써 노인대상 강점관점 사례관리의 적용 및 확산 가능성을 모색하려는 것이었다. 이를 위해 6명의 사례관리자가 G시에서 재가보호를 받고 있는 노인 8명을 대상으로 2008년 11월 부터 2009년 4월까지 약 6개월에 걸쳐 강점관점 사례관리서비스를 직접 실시하였다. 또한 본 연구를 통해 개발된 강점관점 사례관리의 효과성을 분석하고, 강점관점 사례관리가 대상 노인의 일상생활 기능 및 생활만족도에 미치는 영향을 조사하기 위해 연구대상 노인별 사전, 사후평가와 함께 비교집단노인(24명)과의 비교분석을 실시하였다. 본 강점관점 사례관리 프로그램의 효과성을 분석한 결과, 본 프로그램은 단기목표를 달성하는데 큰 효과가 있었던 것으로 나타났다. 노인의 ADL이나 IADL 수행능력에는 통계적으로 유의한 영향을 미치지 못한 것으로 나타났으나 본 프로그램이 생활만족도에는 매우 긍정적인 영향을 준 것으로 입증됨으로써 본 프로그램이 6개월이라는 짧은 기간 내에도 노인의 욕구를 해결하기 위한 단기목표를 달성하고, 생활만족도를 향상시킬 수 있다는 고무적인 결론에 도달하였다. 이러한 결과는 선진국에서 개발되어 적용되고 있는 강점관점 사례관리 프로그램이 우리나라 노인들에게도 효과적이며, 앞으로 노인복지 설천현장에서 적용되고 확산되어야 할 당위성을 보여준다.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.185-193
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• 2012

본 연구는 경남지역의 백세인(100세 이상 자) 88 명을 대상으로 2011년 4월부터 6월까지 약 90여 일간장수 요인과 일상생활 수행능력 도구적 생활수행능력 정도를 파악하기 위한 목적으로 수행하였다. 장수요인으로는 7시간 이상의 충분한 수면(93.6%), 규칙적인 식사(95.5%,) 짠 음식 적게 섭취(69.8%), 그리고 자살을 생각하지 않는 낙관적 사고(86.9%)와 금연(92.0%) 과 절주(86.4%,)로 나타났다. 일상생활수행능력(ADL) 중 목욕하는 것이 가장 힘들었으며 도구적 생활수행능력(IADL)의 경우는 버스나 전철 혼자타기가 가장 힘든 것으로 나타났다. 모든 영역에서 여성이 남성에 비해 일상생활수행능력, 도구적 생활수행능력이 높은 것으로 나타났으나 통계적으로 유의한 차이는 없었다(p<0.05). 따라서 향후 연구에서는 본 연구의 결과를 토대로 점차 늘어나고 있는 백세인의 신체수행능력 저하를 보완 지지할 수 있는 정책의 개발이 필요한 것으로 사료된다.