• 제목/요약/키워드: Activities daily living

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일상생활 수행능력의 제한이 노인의 우울에 미치는 영향 : 가족 도움과 요양보호사 도움의 조절효과를 중심으로 (Effect of Restrictions on the Activities of Daily Living on Depression of the Elderly : Focused on the moderating effect of family and care worker assistance)

  • 강동훈
    • 한국콘텐츠학회논문지
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    • 제22권1호
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    • pp.545-556
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    • 2022
  • 본 연구는 일상생활 수행능력의 제한이 노인의 우울에 영향을 미치는 과정에서 가족 및 요양보호사의 도움이 조절효과를 갖는지 확인하는데 있다. 이를 위해 한국복지패널 15차 자료(2020년)를 기반으로, 65세 이상 노인 4,214명을 대상으로 기술통계, 평균차이분석, 상관관계분석, 회귀분석, 조절효과분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 일상생활 수행능력의 제한은 노인의 우울에 유의한 영향을 미치는 것으로 나타났다. 둘째, 일상생활 수행능력의 제한과 노인의 우울 간에 가족의 도움은 노인의 우울을 완화하는 조절변수로서 기능하는 것으로 나타났다. 셋째, 일상생활 수행능력의 제한과 노인의 우울 간에 요양보호사의 도움은 노인의 우울을 완화하는 조절변수로 기능하지 않는 것으로 나타났다. 이러한 결과를 근거로 함의를 도출하고 정책적 제언을 제시하였다.

노인의 근력, 인지기능, 일상생활수행능력 및 우울의 인과적 관계 (The Casual Relationship among Muscular strength, Cognitive function, Activities of daily living, Depression of the elderly)

  • 최재원;김상범;정혜연
    • 융합정보논문지
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    • 제11권5호
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    • pp.242-250
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    • 2021
  • 본 연구는 서울·경기에 위치하고 있는 노인복지관과 노인정에서 자발적으로 참여의사를 밝힌 65세 이상노인 514명을 대상으로 노인의 근력, 인지기능, 일상생활수행능력 및 우울의 통합적 인과관계를 분석하였다. 자료수집은 근력은 상·하지근력, 악력(좌,우), 인지기능은 간이 정신상태검사, 선로잇기검사, 숫자외우기검사, 스트룹검사를 실시하였으며, 일상생활수행능력 및 우울은 설문지를 이용하여 측정하였다. 그 결과 첫째, 노인의 근력과 인지기능, 일상생활수행능력 및 우울간에는 통계적으로 유의한 상관관계가 나타났다. 둘째, 노인의 근력과 인지기능, 일상생활수행능력 및 우울의 통합적 관계성에 대한 분석에 모든 변인 간에 통계적 유의성이 나타났다. 본 연구는 노인의 근력, 인지기능, 일상생활수행능력 및 우울의 관계성을 확인하여 노인의 성공적인 노화와 자립적인 노후생활을 위한 기초자료를 제공할 수 있을 것이다.

노인 허약이 부정적 결과요인에 미치는 영향 (The Effects of Elderly Frailty on Adverse Outcomes)

  • 이정욱
    • 한국산학기술학회논문지
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    • 제21권8호
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    • pp.87-97
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    • 2020
  • 본 연구는 노인허약의 유의미한 부정적 결과요인들을 검증해 그 인과적 관계를 실증하는 데 연구 목적을 두었다. 이를 검증하기 위해 본 연구는 전국노인실태조사 자료 중 2017년도 조사 자료를 활용하되 본 연구에서 설정한 가설 검증에 필요한 9개 변수만을 추출해서 활용하였다. 가설 검증 결과를 요약하면 다음과 같다. 6가지의 허약요인의 하위 변수들을 위계적 회귀분석에 투입해 부정적 결과요인의 하위 변수인 일상생활활동 장애, 도구적 일상생활활동 장애, 의료서비스 이용에의 영향관계에 대한 실증 결과 일상생활활동 장애에 미치는 영향 실증 결과에서는 최종 모형에서 신체활동, 감정 조절, 사회적 지지가 유의한 영향변수로 검증되었고 도구적 일상생활활동 장애에 미치는 영향 실증 결과에서는 최종 모형에서 신체활동, 감각기능, 인지력, 감정 조절, 사회적 지지가 유의한 영향변수로 검증되었으며 의료서비스 이용에 미치는 영향 실증 결과에서는 최종 모형에서 영양, 신체활동, 감각기능, 감정 조절, 사회적 지지가 유의한 영향변수로 검증되었다. 본 연구의 가설 검증 결과에 기초할 때 장애나 의료서비스 이용과 같은 부정적 결과에 영향을 미치는 노인허약요인을 구체적으로 식별해 그에 상응하는 개별화된 건강관리프로그램의 개발 및 실행이 필요하다.

뇌병변 장애 아동의 아동용 전산화 인지재활 프로그램(CoTras-C) 사용 전·후 비교 (Comparison Before and After the Application of the Computerized Cognitive Rehabilitation Program(CoTras-C) for Children with Cerebral Palsy)

  • 박소원
    • 대한통합의학회지
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    • 제9권3호
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    • pp.9-18
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    • 2021
  • Purpose : In this study, we applied a computerized cognitive rehabilitation program (CoTras-C) for children with cerebral palsy. Research was conducted to investigate the impact of upper limb function, sensory function, and activities of daily living. Methods : The study period lasted 10 weeks from October 2019 to December 2019. The study subjects were 12 subjects according to the selection criteria, and a computerized cognitive rehabilitation program (CoTras-C) was conducted twice a week for 30 minutes before and after the application of basic occupational therapy. Results : As a result of the computerized cognitive rehabilitation program, scores of upper limb function (QUEST), sensory function (SSP-2), and daily life activity (WeeFIM) were significantly improved (p>.05). From the result of examining the motor area, improvement in fine-motor function and protective extension through touch pad or controller operation was found. It also showed improvement in activities of daily living including motor and activities of daily living including social cognition. In the sensory function evaluation, it was not significant in movement sensitivity. Significant differences were shown in the items excluding olfactory/taste sensitivity. Conclusion : The application of the computerized cognitive rehabilitation program (CoTras-C) showed significant results in upper limb function, sensory function, and daily life activities of children with brain lesions. Based on these results, future studies need to generalize the study by expanding the age or population of children with brain lesions, or by expanding the diversity of diseases and environments.

노인병원과 노인전문요양시설 생활공간의 이용에 관한 연구 (A Study on the Utilization of Living Space in Geriatric Hospital and Nursing Home)

  • 양금석
    • 한국농촌건축학회논문집
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    • 제9권3호
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    • pp.103-110
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    • 2007
  • The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in recuperating facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in recuperating facilities for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and nursing home for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in recuperating facilities are influenced by the physical environments and the basic characteristics of the elderly with dementia.

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수정된 건측억제-환측유도치료(mCIMT)가 아급성기 뇌졸중환자의 상지기능과 일상생활수행능력에 미치는 영향 (The Effects of the modified Constraint-Induced Movement Therapy on Upper Function and Activities of Daily Living in Subacute Stroke Patients)

  • 방대혁;최성진;신원섭
    • 대한물리의학회지
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    • 제8권2호
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    • pp.245-252
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    • 2013
  • PURPOSE: The aim of this study is to verify the effectiveness of modified constraint-induced movement therapy(mCIMT) on upper function and activities of daily living in people with subacute stroke patients. METHODS: Eighteen participants, with subacute stroke that were randomly assigned to either the experimental group(n=9) or the control group(n=9). For subjects from the experimental group modified Constraint-Induced Movement Therapy was performed. exercise program, the patient trained in affected side upper extremity with restricted non-affected side for 1 hour and using in activity daily living for 4 hours for five times per week, during 4 weeks. For subjects from the control group, conventional upper extremity training was performed. Outcomes such as the box and block test(BBT), Fugl-Meyer motor function assessment(FMA), and modified Barthel index(MBI) were measured before and after training. Between-group and within-group comparisons were analyzed by using Independent t-test and Paired t-test respectively. RESULTS: These finding suggest that experimental group was significant increase in BBT, FMA, MBI(p<.05). In comparison of two group, experimental group was high upper function and activity daily living than control group. CONCLUSION: This study showed experimental group can be used to improve upper function and activity daily living than control group. Thus it indicates that mCIMT will be more improved through the continued upper extremity exercise program.

노인소비자의 구매문제 인식 유형과 관련변수: 울산광역시를 중심으로 (Elderly Consumers' Perception of the Purchasing Problems and Related Variables : in Ulsan Metropolitan City)

  • 서정희
    • 한국생활과학회지
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    • 제20권2호
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    • pp.365-376
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    • 2011
  • This paper measured elderly consumers' perceptions of purchasing problems, and classified elderly consumers into 5 categories of purchasing problems using cluster analysis, and analyzed the relationships between the elderly consumers' perception type, socio economic variables, activities of daily living, and activities of healthy living. The data was collected from 500 elderly consumers in Ulsan Metropolitan City. Three clusters were extracted. 56.4% of the sample was included in 'redress and contract problems group', and 22.6% of the sample was included in 'less perception of purchasing problems group, and 21.0% of the sample was included in 'the perception of strong purchasing problems group. The elderly consumers' perception type of purchasing problems were related with socio-economic variables such as sex, existence of a spouse, the number of family living together, the number of children, education, the average monthly household income and allowance, activities of daily living, and activities of healthy living. The redress and contract problems group was found to be of midium level in socio-economic and health status, and included more females and less spouselessness. The perception of less purchasing problems group was found to be the highest level in socio-economic status, and included more males and less spouselessness. The perception of strong purchasing problems group was found to be at the lowest level of socio-economic status.

노인의 인지상태가 일상생활활동 수행정도에 미치는 영향 (The Effect of the Cognitive State of the Elderly on the Performance Level in the Activities of Daily Living(ADL))

  • 김순자
    • 대한물리치료과학회지
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    • 제15권2호
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    • pp.41-51
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    • 2008
  • Background: The purpose of this study is to determine how the cognitive state of the elderly influences the activities of daily living(ADL) in order to increase their achievement capacity and their ability to exercise this capacity in daily life. The MMSE-K(Mini-Mental State Examination-Korean) was used to evaluate the daily activities and cognitive state of a group of subjects more than 65 years of age. The goal was to understand (1) How their achievement level in their daily activities changes according to the increase and decrease of their cognition points by analyzing and comparing their achievement points in the mental state examination, and (2) What variables influence that daily achievement level. Methods: The survey was conducted by a group of students from AnSan College who were trained for this method of data collection. The group surveyed 224 senior citizens older than 65 to determine their ADL performance. The subjects were selected from Silver Care Centers in the Gyounggi Province area including centers in Suwon, Anyang, Kwachun, and Sanbon City. The subjects were given enough information to fully understand the purpose of the study and the method by which it would be conducted. The survey method was a direct interview: which involved an interviewer reading the questionnaire to the subject and recording the answer. Result: The following results were calculated using SPSS WIN ver. 13.0: In the lower score of the MMSE-K regarding ADL performance (K-MBI) for activities such as individual hygiene, bathing activity, food activity, toilet management, going up stairs, getting dressed ad undressed, controlling stools and urination, walking, and chair/bed movement, most of the subjects responded that they could not perform these activities by themselves (p<.01). In the higher scores for the same activities, most response that they could perform the tasks by themselves (p<.01). In the results of the multiple regression analysis, there influence of the variables for ADL performance (K-MBI) and MMSE-K score was higher for females than males. Conclusion: This study evaluated the cognitive state of the elderly using the MMSE-K, which is the most convenient method, and examined how the cognitive state influences the achievement capacity of the daily lives with other variables. In conclusion, the higher the score on the MMSE-K, the more independent the elders are in the activities of daily living, especially among women more than men.

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정상인의 생활습관이 신체에 미치는 영향 (The Effects of Living Habit in Normal people on Body)

  • 백현희
    • 대한물리치료과학회지
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    • 제8권2호
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    • pp.1051-1057
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    • 2001
  • This was to study the possible changes of living habit and the resultant changes of human body who indulged in an oriental sitting down culture. our living habits make us take a conveninent direction unconsciously. Also studied the correlation between changes in body related with these living habits. The subjects were 44(22 males and 22 females)normal persons. Frequency and percentage were used in the analysis of data. analysis certain items which require the division of sex seperately in the analysis of result. The limitations of this were the lack of equality and variety in region. age. and sex. This was attempted to get significant results by providing an apportunity to think of activities of daily living habit and studying the relation among living habits with effects of living habit on body.

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B광역시 4개 요양병원 입원노인의 우울 관련요인 (The Factors Related to Depression of the Elderly patients in Four Geriatric Hospital Located in B Metropolitan City)

  • 윤가빈;지영주;김윤지
    • 성인간호학회지
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    • 제22권6호
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    • pp.561-569
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    • 2010
  • Purpose: The purpose of this study was to identify the factors related to depression of elderly patients in geriatric hospitals. Methods: The subjects were 195 elderly patients who met the inclusion criteria of scores more than 18 on the K-MMSE score and no reported mental disease. The data were collected from February 20 to March 20, 2009. The research instruments utilized in this study were depression (GDSSF-K), activities of daily living and self esteem (RSES), social support, life satisfaction. Data were analyzed Pearson correlation and Multiple Stepwise Regression using SPSS 15.0. Results: Depression score were negatively correlation with ADL, social support, life satisfaction and self-esteem. Among the factors studied related to depression, life satisfaction had highest explanatory power of 36.5% and it was followed by physical health status and activity of daily living. These explained 43.7% of the depression. Conclusion: The mean GDSSF-K 8.94, which indicates the higher than middle levels of depression. The findings suggest that it is important to develop educational programs to increase life satisfaction, physical health status and activity of daily living. Nursing interventions, including volunteer activities, health promotion program, and sports program could be useful in enhancing these factors.