• 대한간호학회지
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• 제18권2호
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• pp.197-210
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• 1988

The purposes of this study were : 1) to assess the level of pain and to identity the varieties and the degree of pain-related behavior, 2) to measure the level of correlation between the level of pain and the degree of pain- related behavior, 3) to test the correlation between the Korean Pain Rating Scale (KPRS) and Graphic Rating Scale(GRS), and 4) to gather data relevant to the Socio-demographic status of the subjects. The level of pain was measured by KPRS and GRS developed by the researchers. The KPRS consists of three dimensions ; the sensory, the affective and the miscellaneous and the GRS of two separate scales ; the intensity scale and the unpleasantness scale. Of the 2, 025 who had visited orthopedic and neurosurgical out-patients department of 11 university hospitals in various districts of Korea with the episode of Joint pain, 405 subjects were self-selected by responding to the data gathering tools and questionaires mailed. The results are summaried as follows : 1. Maale(217, 53.6%) exceeded female patients(188, 46.4%) in number and the onset of joint pain was more prevalent in the age groups of the 20s and the 30s. 160(39.5%) had been hospitalized for the treatment of, and 87(21.5%) had retired because of the joint pain. 2. Mean pain score measured by KPRS was 128.31 (range; 0-1.344.8) ; mean sensory score was 43.23(range ; 0-645.88%), mean affective score was 46.09(range ; 0- 356.72), and mean miscellaneous score was 39.99(range ; 0-341.68). Mean pain scores measured by GRS were ; sensory intensity score ; 109.1(range ; 0-200) and distress score ; 99.1 (range ; 0-200). 3. The prevalent sites of joint pain revealed to be the right knee joint(203; 50.1%), left knee joint(181(44.7%), left ilium(147, 36.3%), lumbar region (106; 26.2%), hip joint(92; 22.7%) and the ankle(84; 20.7%). 4. The average sleep hour was 6.8hours per day and the average rest hour during the day hours was 3.3hours (range 0-20). 5. The average duration of suffering from joint pain was 49.1 months. 6. Most of the subjects(298; 73.6%) used some sorts of pain relieving practices ; the most prevalent pain relieving practice was the compliance with the physician prescribed treatments(34.4%). 7. The level of discomfort in carrying out the ADL(activities of daily living was 101.16(38.83) and the level of needs for aid in carrying out the ADL was 76.62(31.79). 8. The interrelation between KPRS total score and GRS sensory intensity score(.4438), as well as that of GRS distress score(r＝.4446) were not highly correlated, however, sensory and affective dimension within KPRS (.7547) and pain intensity and distress score of GRS(.6975) revealed moderate intercorrelation. 9. Pain-related behaviors such as discomfort in carrying out ADL, the need for aids in carrying out ADL, frequency of pain relieving practices, varieties of pain sites and length of rest hours during the day hours revealed to be highly correlated with the level of pain measured by KPRS, GRS sensory intensity scale and GRS distress scale. The following are recommended ; 1. Test for the correlation of KPRS total score and the summated score of GRS ; sensory intensity and distress scores. 2. Possibilities of utilization of the pain-related behaviors which revealed high correlation as indirect assessment tool for measuring the level of pain.

• 한국운동역학회지
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• 제17권4호
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• pp.99-106
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• 2007

The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.

• 한국사회복지학
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• 제66권4호
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• pp.5-23
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• 2014

본 연구는 한림고령화패널(Hallym Aging Study, HAS)과, 고령화연구패널(Korean Longitudinal Study of Ageing, KLoSA)을 이용하여 규칙적 운동 여부가 우울증에 영향을 미치는지를 분석하였다. 경향성 점수를 이용한 분석을 통해 두 패널 데이터를 분석하여 규칙적 운동이 우울증에 미치는 효과를 측정하였다. 또한 규칙적 운동이 어떻게 우울증에 영향을 미치는 지의 이론적 설명을 검증하기 위해 5가지 간접효과 모형의 분석을 수행하였다. 분석결과는 첫째, 두 표본에서 규칙적으로 운동하는 노인들이 규칙적으로 운동하지 않는 노인에 비해 우울증 수준이 더 낮은 것으로 나타났다. 둘째, 5개의 간접효과 모형의 분석 결과는 모두 유의미한 것으로 나타났다. 일상생활수행능력과 악력 등의 변수를 이용해 규칙적 운동이 우울에 미치는 영향을 분석한 심리생리학적 모형들과 사회활동관련 변수들을 이용해 규칙적 운동의 효과를 설명한 심리사회적 모형들이 모두 유의미한 것으로 나타났다. 분석 결과를 바탕으로 우울증 경감을 위한 운동 프로그램의 적용에 관해 논의하였다.

• 근관절건강학회지
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• 제5권2호
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• pp.155-173
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• 1998

The purpose of this study was to evaluate the effects of self-help programs which had been conducted at each health center of Seoul using the protocol developed by Korean Rheumatology Health Professionals Society(KRHPS). This program was developed to initially increase self-efficacy, and then to decrease the symptoms and finally to increase the functions of the patients. This study was designed as one group pretest-posttest design. Data were collected by self-administered questionnaires for 140 out of 303 program participants, and only 102 subjects were analyzed because of missing values. The subjects were composed of 25.5% of rheumatoid arthritis patients and 60.8% of degenerative arthritis patients. The results showed that arthritis self-help program was effective in increasing self-efficacy and then improving pain, fatigue, depression, and activities of daily living. But the number of pain sites was not decreased. This result explains that degenerative arthritis patients composed of more than half of the participants has less number of pain sites than rheumatoid arthritis, and their pain was not completely relieved. As a result, it was confirmed that arthritis patients' physical and psychological states can be improved by self-help program in the community. These findings emphasize the implication of this program for each institute to promote health of arthritis patients.

• 재활치료과학
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• 제8권1호
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• pp.7-25
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• 2019

목적: 본 연구는 장기요양시설에 입소한 치매 환자의 삶의 질에 영향을 미치는 다양한 요인을 확인하기 위해 국외 연구를 중심으로 체계적 문헌고찰 방법을 시행하였다. 연구방법: 2000년 1월부터 2018년 7월까지 국외 학술지에 게재된 논문을 CINAHL, MEDLINE complete를 통하여 검색하였다. 주요 검색 용어로는 'dementia or Alzheimer's', 'quality of life', 'long-term care', 'care home', 'nursing home', 'care institution', 'residential care', 'small scale setting'을 사용하였다. 최초 검색된 논문은 1706편이었으나 선정 및 배제기준을 거쳐 10편의 연구가 선정되었다. 결과: 횡단적 연구 8편을 분석하여 신체적 기능상태, 일상생활활동(ADL) 수행능력, 인지 등의 요인들은 삶의 질과 긍정적 상관관계를, 우울증 및 불안, 치매의 중증도(severity), 신경 정신병적 증상 및 약물 사용 여부 등의 요인들은 삶의 질과 부정적 상관관계를 보이는 요소로 작용함을 확인했다. 또한, 2편의 종단적 연구를 통해 삶의 질의 변화와 그에 미치는 요인들이 환자가 있는 시설 규모 및 형태보다는 개인적 기능상태 및 사회적 환경 요인들에 의해 변화됨을 확인했다. 결론: 본 연구는 국외 장기요양시설에 입소한 치매 환자를 대상으로 삶의 질 결정요인을 분석한 10편의 논문을 정리하고, 체계적 문헌고찰을 통해 분석하였다. 개인의 다양한 특성과 사회적 환경과 같은 요소들이 치매 환자의 삶의 질을 결정하는 요인으로 작용함을 확인했다. 본 연구를 통해 치매 환자의 삶의 질에 영향을 미치는 요인을 확인하고, 이를 활용해 치매 환자의 삶의 질을 증진시킬 수 있는 다양한 중재 방법이 장기요양시설에서 개발 및 이용되어야 할 것이다.

• 재활치료과학
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• 제2권2호
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• pp.21-36
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• 2013

목적 : 본 연구의 목적은 뇌졸중 환자에서 로봇보조치료의 효과를 알아보기 위해 체계적 고찰을 통해 연구결과를 종합하고, 로봇보조치료에 관한 연구들을 비교하고 분석하고자 하는 것이다. 연구방법 : 2012년 6월부터 2012년 9월까지 외국학회지에 게재된 논문을 EMBASE, MEDLINE등을 통하여 검색하였다. 최종적으로 12개의 Randomized Controlled Trials(RCT) 논문을 대상으로 분석하였다. 결과 : 선정된 12편의 연구는 Pedro score 2~7점까지 다양했으며, 다양한 중재방법을 통하여 로봇보조치료의 효과를 극대화시키기 위한 연구들이 많았다. 주된 결과 측정도구로는 상지기능, 일상생활활동 수행능력을 평가하는 도구가 사용되었다. 로봇보조치료의 결과로는 상지기능과 일상생활활동 수행능력에서 향상을 보이나 로봇보조치료군과 고식적인 재활치료군 사이에 유의한 차이는 보이지 않았다. 결론 : 로봇보조치료는 뇌졸중 환자에게 그 효과를 극대화시키기 위해 다양한 중재방법으로 적용되고 있으며, 중재방법에 따라 효과의 차이가 나는 것으로 나타났다. 본 연구는 로봇보조치료의 임상적 적용에 대한 근거를 제시하며, 향후 연구에서는 다양한 중재방법을 적용하여 로봇보조치료의 효과를 극대화할 수 있는 방법에 대한 연구가 필요하다.