• 문화기술의 융합
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• 제6권4호
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• pp.517-525
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• 2020

본 연구의 목적은 응급실 간호사가 경험하는 요통이 우울에 미치는 영향력과 일상생활 활동장애의 매개효과를 알아보는 것이다. 연구대상은 대구·경북 지역 상급병원 응급실에 근무하는 임상간호사 188명이다. 수집된 자료는 SPSS 22.0 program을 활용하여 분석하였으며, 기술통계, t-test와 ANOVA, Pearson의 상관관계 분석, 회귀분석을 실시하였다. 연구결과로 첫째, 응급실 간호사의 요통은 일상생활 활동장애 및 우울과 정적 상관관계를 보였고, 일상생활 활동장애도 우울과 정적 상관관계를 보였다. 둘째, 응급실 간호사의 요통은 우울에 영향을 미쳤으며, 이는 일상생활 활동장애에 의해 매개되는 것으로 밝혀졌다.

• 센서학회지
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• 제26권1호
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• pp.7-14
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• 2017

A threshold-based fall recognition algorithm using a tri-axial accelerometer and a bi-axial gyroscope mounted on the skin above the upper sternum was proposed to recognize fall-like activities of daily living (ADL) events. The output signals from the tri-axial accelerometer and bi-axial gyroscope were obtained during eight falls and eleven ADL action sequences. The thresholds of signal vector magnitude (SVM_Acc), angular velocity (${\omega}_{res}$), and angular variation (${\theta}_{res}$) were calculated using MATLAB. When the measured values of SVM_Acc, ${\omega}_{res}$, and ${\theta}_{res}$ were compared to the threshold values (TH1, TH2, and TH3), fall-like ADL events could be distinguished from a fall. When SVM_Acc was larger than 2.5 g (TH1), ${\omega}_{res}$ was larger than 1.75 rad/s (TH2), and ${\theta}_{res}$ was larger than 0.385 rad (TH3), eight falls and eleven ADL action sequences were recognized as falls. When at least one of these three conditions was not satisfied, the action sequences were recognized as ADL. Fall-like ADL events such as jogging and jumping up (or down) have posed a problem in distinguishing ADL events from an actual fall. When the measured values of SVM_Acc, ${\omega}_{res}$, and ${\theta}_{res}$ were applied to the sequential processing algorithm proposed in this study, the sensitivity was determined to be 100% for the eight fall action sequences and the specificity was determined to be 100% for the eleven ADL action sequences.

• 대한통합의학회지
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• 제5권3호
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• pp.11-19
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• 2017

Purpose : This study examined the effects of balance training using virtual reality program on sitting balance ability and activities of daily living (ADL) in stroke patients. Method : In the study, 20 patients with hemiplegia were divided into two groups: experiment group (EG) of 10 patients and control group(CG) of 10 patients. The two groups received general occupational therapy for 30 minutes, per day, at a rate of 5 times per week for 6 weeks. The EG was additionally conducted which was performed virtual reality balance training and the CG was conducted general occupational therapy balance training for 30-minutes, once a day, 3 times a week for 6 weeks. Result : The evaluations of this study included: limit of stability(LOS), modified Functional Reach Test(mFRT), and modified Barthel Index(MBI). The patients were evaluated before and after their six week training programs. Significant differences in the LOS, mFRT, MBI were found between pretest and posttest scores in both the EG and CG groups(p<.05). Also, LOS, mFRT, MBI were significant different between the groups at post-test(p<.05). Conclusion : The study findings suggest that virtual reality balance training can improve sitting balance and ADL ability in stroke patients.

• 보건의료산업학회지
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• 제8권1호
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• pp.113-123
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• 2014

The purpose this study was to investigate the relationship between Upper extremity's function and Activities of Daily Living(ADL) in stroke patients. The participants were 112 stroke patients who underwent occupational therapy. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple linear regression analysis. The results are as foolows. MFT of both unaffected upper limbs and affected upper limbs were significantly correlated with total MBI score. The all area of MFT on the affected upper limbs were significantly correlated with sub-item of MBI. And finger manipulation area of MFT on the unaffected upper limbs were significantly correlated with sub-item of MBI. Significant factors influencing MBI, both unaffected upper limbs and affected upper limbs total score. Significant factors influencing sub-items of MBI, the function of affected upper limbs by MFT were MBI all sub items exculsive bowel, bladder control and the function of unaffected upper limbs by MFT were personal hygiene, bathing, feeding, toilet, bowel & bladder control, chair/bed transfer of MBI sub items. Above results show that ADL is highly correlated with affected upper limbs and unaffected upper limbs function in the stroke patients.

• The Journal of Korean Physical Therapy
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• 제30권2호
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• pp.58-62
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• 2018

Purpose: This study evaluated the effects of respiratory muscle training on respiratory function, balance, and activities of daily living (ADL) in patients with stroke. Methods: The study included 21 patients with stroke, divided into the experimental group and control group. Both groups underwent traditional physical therapy once a day for 30 minutes, five times weekly for 6 weeks. The experimental group underwent additional respiratory muscle training once a day, five times a week during the study period. Maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), Berg balance scale (BBS), and Korean-modified Barthel index (K-MBI) were measured before and after the study period. For statistical analysis, paired t-test was used to compare the difference between the pre and post values. Independent t-test was used compare the differences between groups. Results: Both groups had significantly improved MIP, MEP, BBS, and K-MBI scores after the study period. The experimental group had significantly improved MIP, MEP, BBS, and K-MBI scores. Conclusion: These results suggest that respiratory muscle training improves respiratory function, balance, and ADL in patients with stroke.

• 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.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 추계종합학술대회 B
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• pp.265-269
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• 2008

Home health care with compact wearable units sounds to be a convenient solution for the elderly people living independently. This paper presents a method to detect fall from the other activities of daily living and also to classify those activities. This kind of ambulatory monitoring enables them to get an emergency help in the case of the fatal fall event and can provide their general health status by observing the activities being performed in daily life. A tri-axial accelerometer sensor is used to get the acceleration anomalies associated with the user's movements. The three axis acceleration data are transferred to the base station sensor node via an IEEE 802.15.4 compliant zigbee module. The base station sensor node sends the data to base station PC for an offline processing. This work shows the feature set preparation using the principal component analysis (PCA) for the designing of neural network. The work includes the most common activities of daily living (ADL) like Rest, Walk and Run along with the detection of fall events from ADL. The angle from the vertical is found to be the most significant feature parameter for classification of fall while mean, standard deviation and FFT coefficients were used as the feature parameter for classifying the other activities under consideration. The accuracy for detection of fall events is 86%. The overall accuracy for ADL and fall is 94%.

• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.375-380
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• 2015

Purpose: The purpose of this study was to evaluate the impact of differences in computer-aided cognitive rehabilitation aimed at stroke patients on cognitive function and daily life. Methods: The study subjects were Gwangju, Jeonnam including the attention group (group I), memory group (group II), and visual perception group (group III), who were randomly placed in each of a 10 by one problem solving group (group IV). The PSSCogRehab was applied to all subjects who underwent eight weeks once a week after 20 minutes in each group by strengthening mediation 10 minutes 30 minutes total, with a five minute break in the middle. Results: Cognitive function and activities of daily living is security and inter-group differences before intervention, and post-test results in the memory training group II, the intervention group I, III, IV and more on cognitive function and activities of daily living compared to it was effective. Conclusion: The results of computer-aided cognitive rehabilitation measuring cognitive function and ADL in patients with stroke in accordance with the group I, III, and IV group cognitive function and activities of daily living compared to IV showed that it was more effective.

• Journal of Korean Biological Nursing Science
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• 제10권1호
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• pp.41-52
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• 2008

Purpose: This study was to evaluate and compare the effectiveness of a progressive functional training program on ADL performance in stroke patients at home after selecting subjects through Resident Assessment Instrument for Home Care (RAI-HC). Method: Ninety stroke patients had a structured training which was 50 min in duration, six times per week for a period of 6 weeks. The subjects were divided into three groups as measured using the RAI-HC progressive functional training program group; the resident rehabilitation exercise group and the control group. Result: The study observed that the functional training program for stroke patients increased the level of activities of daily living (ADL), performance of functional fitness and balance. It also reduced blood lipid and the score of client assessment protocols (CAPs). The functional training program is expected to improve the quality of life in the stroke patients at home. Conclusion: The authors, with the results of this study concluded that, the functional training program is necessary for the stroke patients to improve their quality of life. Hence, the program should be employed immediately.

• 동서간호학연구지
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• 제16권1호
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• pp.19-25
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• 2010

Purpose: This study was conducted to identify relationships among Yangsaeng, activities of daily living (ADL), and physical activity in the elderly in Korea. Methods: A total of 257 subjects (ranged 60-88 yr of age) was recruited through convenient sampling. Data were collected with a self-reported questionnaire from March 2 through 25, 2009. Collected data were analyzed with SPSS/PC WIN 15.0. Results: The level of Yangsaeng was significantly different according to the level of health recognition (p<.05). The level of ADL was differed significantly according to age, successful aging, cohabitation, and health recognition. Physical activity was also significantly different according to age, educational level, cohabitation, (r=.385; p<.05) and health cognition (p<.05). The level of Yangsaeng was significantly correlated with ADL (r=.448) and physical activity (r=.385; p<.05). Conclusions: These findings help in understanding the health status of community-dwelling elders and suggest that promoting the Yangsaeng can be an effective intervention as a health promotion program for the elderly in Korea.