• Title/Summary/Keyword: ADL Prevalence

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Degree of Daily Living Activity and Depression in the Rural Elderly (일부(一部) 농촌지역(農村地域) 재택노인(在宅老人)들의 일상생활(日常生活) 활동(活動) 및 우울정도(憂鬱程度))

  • Lee, Yeung-Seuk;Chun, Byung-Yeol;Kim, Sang-Soon;Lee, Sam-Soon
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.195-207
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    • 1996
  • In other to study functional capacity of the daily living activity and depression in the rural 394 people(154 men and 250 women), over 65 year old, who are living in Koryung County of Kyungpook Province were interviewed using questionnaire during the period February 14 to March 30 1996. The percentage of ADL dependent patient who cannot perform one item or more was 20.1% in men and 22.5% in women. The percentage of IADL dependent people who cannot perform one item or more was 72.1% in men and 56.2% in women. The prevalence of depression in female(68.8%) was higher than that in male(59.1%). There was statistically significant association between ADL score and other variables(sex, age religion, living with spouse, family resident, living expenses, self-rated health status, leisure, satisfactory of pocket money, drinking)(p<0.05). There was statistically significant association between IADL and other variables(age, education, living with spouse, family resident, living expenses, satisfactory of pocket money, smoking, self-rated health status)(p<0.05). The prevalence of depression in dependent elderly was significantly related with ADL in both genders(p<0.05), however, not related with IADL. In conclusion, the functional capacity dependency and the prevalence of depression in the rural elderly was high and depression was significantly related with ADL score.

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Prevalence of sarcopenia in association with ADL, nutritional status and depression among community dwelling elderly women (지역사회 거주 여성노인들의 근감소증 실태와 일상생활능력, 영양상태, 및 우울과의 관련성 연구)

  • Shin, Yeonghee;Hong, Yong Hae;Kim, Hae-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.126-134
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    • 2016
  • The aim of this cross sectional study was to examine the prevalence of sarcopenia in association with ADL, nutritional status and depression among community dwelling elderly women. The study subjects were 90 elderly women, 65 years and over, who were living in the communities of B and D metropolitan cities from May to July, 2014. The measurements were anthropometric measures, The mini-nutritional assessment instrument (MNA), ADL, IADL, MMSE, and SGDS-K were used. The mean age of the subjects was 74.7(8.22), the prevalence of sarcopenia of this population was 37.8%, almost none of them (94.4%) required assistance in ADL, 15.6% had a risk of undernutrition, and 12.2% had the symptom of depression. The sarcopenic subjects were characterized as low income, low education, living alone, and had more co-morbidity than those of the non-sarcopenic subjects. The sarcopenic subjects were undernourished, and had higher depression scores (SGDS-K), but not in the ADL, than those of the non-sarcopenic subjects. The calf and thigh circumferences, and cognitive ability were the best predictors of sarcopenia, In conclusion, low calf and thigh circumferences and low cognitive ability will increase the risk of sarcopenia in those 65 and over in community dwelling facilities and those three predictors will be useful in the early detection of sarcopenia in the future.

Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis (관절염 노인의 연령별 우울정도와 위험요인)

  • An, Ji-Yeon;Tak, Young-Ran
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.72-83
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    • 2009
  • Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

Predictors of Post Stroke Depression in Community-indwelling Older Adults (재가노인의 뇌졸중 후 우울 예측요인)

  • Oh, Eunmi
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.167-176
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    • 2018
  • Purpose: Post Stroke Depression (PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health (OR=5.90, CI=3.70~9.40), economic state (OR=2.97, CI=2.07~4.24), independent activities of daily living (IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living (ADL) (OR=2.02, CI=1.07~3.80), and education (OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living (IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.

Disturbance in ADL from Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Cancer Patients: The Mediating Effect of Psychological Distress (암 환자의 말초신경병증 관련 일상활동장애와 삶의 질: 심리적 디스트레스의 매개효과)

  • Kim, Kyung Yeon;Lee, Seung Hee;Kim, Jeong Hye;Oh, Pok Ja
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.661-670
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    • 2015
  • Purpose: The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients. Methods: A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (${\beta}$= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.

Patients' Experiences of Sensations After Breast Cancer Surgery in Korean Women (유방암 수술 환자의 감각 변화에 대한 연구)

  • Jeong, Young-Hee;Kim, Dal-Sook
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.145-154
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    • 2009
  • Purpose: The purpose of this study was to obtain information about the experiences of sensations after breast cancer surgery characterized by prevalence, frequency, and severity, distresses, and disturbances in ADL using the BSAS (Breast Sensation Assessment Scale) and to develop the standardized Korean BSAS. Methods: Thirty two women from 3 to 100 days after breast cancer surgery (BCS) completed Roberta's BSAS. The 18 sensations of BSAS were translated using the references of Lee's Korean Pain Rating Scale and English-English, English-Korean dictionaries and the consultation from two native Americans, one bilingual permanent resident of the States, and one nursing professor. The Korean-translated BSAS has high reliability in test-retest. Likert type 4-point scale and 100 mm VAS were used for assessment. Results: Certain sensations remained prevalent (tender, pull, pain), frequent (numb, nag, throb), severe (throb, shoot, numb), causing distress (throb, penetrate, shoot), and influencing on ADL (throb, penetrate, nag). The most frequently experienced sensation other than BSAS was itching. There was little difference in the prevalence of symptom experiences between sentinel lymph node biopsy and axillary lymph node dissection. Conclusion: The women after BCS are suffering from neuropathic sensations. The Korean- translated BSAS could be used in effectively assessing breast sensations after BCS in Korean women.

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Follow-up study on Activities of Daily Living of the Elderly in Rural Community (농촌지역노인의 일상생활 동작능력에 관한 추적연구)

  • Lee, Sung-Kook;Baek, Eun-Jung;Chun, Byung-Yeol;Yeh, Min-Hae;Jung, Jin-Wook;Kim, Hye-Kyung;Kai, Inchiro
    • Journal of agricultural medicine and community health
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    • v.23 no.1
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    • pp.65-78
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    • 1998
  • This study was conducted to find out the factors which have an effect on the rural aged's natural history by disability in Activities of Daily Living(ADL) and ADL decline with 475 old people which were chosen except the dead 90 and unconfirmable 56 old people by performing follow-up survey for 4 years since 1993 on the basis of presurveyed data about 621 home old people over 60 years residing in 13 villages at Kangdong-myon, Kyongju-city, Kyongsangbuk-do Province, Korea. Such activities of daily living as bathing, dressing, going to toilet, transfer, feeding and continence were examined. 1. In the follow-up survey for 4 years, the ADL distribution of the dead was remarkably lower than the subject group. 2. It was also shown in the 4-year follow-up survey that 82.1% of high ADL group maintained high ADL while 77.8% of low ADL group died within 4 years. 3. The occurrence percentage of disabilities of each group by ADL item for 4 years appeared high in such an order as bathing, continence, dressing, going to toilet, transfer and feeding. 6.7%(8.1% for female and 4.6% for male) of the old people who were the high ADL group at the time of the first survey had disabilities that occurred after 4 years. 4. In the change of ADL according to general characteristics used to analyse the factors which have an effect on ADL decline, there was a significant difference in age and job, that is, the jobless old people had the higher degree of ADL decline. In the change of ADL according to behavioral pattern, for the male old people there was a significant difference in support of living expenses and subjective health condition. In this case, the degree of ADL decline was higher if they depended on their sons & daughters or spouses and felt that they were not healthy.

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Comparison of ADL and QoL for the Osteoporosis and Non-osteoporosis in elderly people with disabilities (고령 장애인의 골다공증 유무에 따른 일상생활수행능력과 삶의 질 비교)

  • Kim, Ye-Soon;Nam, Young-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.1
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    • pp.1-9
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    • 2021
  • Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

Gender Difference in the Prevalence of Disabilities in Activities of Daily Living among the Korean Elderly (한국 노인의 성별 일상생활활동 장애율)

  • Kang, Eunjeong
    • 한국노년학
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    • v.27 no.2
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    • pp.409-425
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    • 2007
  • The purposes of this study were to compare the disability prevalence and its related factors between men and women. The data used for the analysis was the National Health and Nutrition Survey, 2005, and the instrument of measuring disability was the K-ADL which had been developed by Won(2002). Chi-square test and multivariate logistic regression were used to test the gender difference. In the bivariate analyses, women had more disabilities than men among the entire elderly and the young elderly. However, there was not gender difference of disability among the old elderly. After controlling for age and other factors related to disability, no gender differences in the prevalence of disability were found. However, in the same analyses for the individual activities of daily living, men had more disabilities than women for all the activities except bathing and incontinence control. In conclusion, women's higher prevalence of disability in the univariate and bivariate analyses were spurious, because it was disappeared when other related factors to disability were controled for and women's disability became lower than men for some activities of daily living.

A Pilot Survey for the Community Based Rehabilitation In Uiwang (지역사회중심재활사업을 위한 기초 조사)

  • Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.75-80
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    • 1999
  • The purpose of this study nun to obtain basic information about the state of the physically disabled due to neurological impairments in order to provide precise data for planning and evaluating the Community Based Rehabilitation in Uiwang. The results were 1) the total number of registered disabled adults with cerebral vascular accident in this city consulted was 80 and the Prevalence rate was 1.0575 of total disabled Persons, 2) under 100 of the score of activity of daily living(ADL) with the subjects was 41.245 as Functional Independence Measure(FIM) and 3) ender 20 of the score of motor ability with the subjects was $45.1\%$ as Motor Assessment Scale(MAS). This results show that rehabilitation program for community based rehabilitation(CBR) should set up for each level of motor ability and ADL.

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