• Title/Summary/Keyword: Activities daily living

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Depression of Stroke Patient자s Family Caregivers and the Relating Factors (뇌졸중 환자 가족 간호자의 우울 및 영향 요인에 관한 연구)

  • 최희정;서문자;김금순;김인자;조남옥
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1531-1542
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    • 2000
  • In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.

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A Study on Ergonomic Uncomfortableness on ADL for Korean Elderly People (우리나라 노인들을 대상으로 한 일상생활에서의 인간공학적 불편성 조사 연구)

  • Lee, Yong-Hui;Lee, Dong-Chun;Lee, Sang-Do
    • Journal of the Ergonomics Society of Korea
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    • v.23 no.3
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    • pp.101-109
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    • 2004
  • This paper reports the results on age and gender of Korean elderly people for the level of difficulty in performing household tasks (meal preparation, grocery shopping, house cleaning, laundry), personal tasks (dressing, bathing, grooming), transfer tasks (getting in and out of chairs, getting in and out of bath-tub, using stairs) and management tasks (using telephone, accessing mail, operating door locks). A questionnaire based on the Activities of Daily Living (ADL) scale was constructed and administered to 40 Korean elderly subjects aged from 65 to 84(mean age: 74.5, SD: 5.8) in Busan. Additionally, a logistic regression was performed with age (continuous variable) and gender as predictor variables, and reponses to individual questions as the categorical ordinal response variables. To determine appropriate age separation at which difficulty levels in performing activities of daily living change, a discriminant analysis was performed on the responses. All predictor variables were used in the analysis. Accommodating age related changes in functional abilities, and increasing functional independence of elderly people will entail significant design modifications to products, systems and environments for daily use and living.

Relationships Among Cognition, Activities of Daily Living and Depression in Persons With Decreased Memory (기억력저하 인식 대상자의 인지기능, 일상생활수행능력 및 우울에 관한 연구)

  • Kim, Min Suk;Yoon, Soon Young;Oh, Eun Young
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.404-416
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    • 2012
  • Purpose: The purpose of this study was to explore relationships among cognition, activities of daily living, and depression in persons with decreased memory. Method: Data were collected from 121 out-patients with decreased memory and analysis was performed using descriptive statistics, t-test, ANOVA, Bonferroni test, and Pearson's correlation coefficients with the SPSS/WIN 18.0 program. Result: K-MMSE was significantly increased by BADL (r=.40, p<.001), whereas K-MMSE was significantly decreased by K-IADL (r=-.51, p<.001) and K-IADL significantly decreased by BADL (r=-.51, p<.001). Conclusion: The K-MMSE of persons with decreased memory showed association with BADL and K-IADL. Management of patients complaining of decreased memory and development of nursing interventions will slow down the progression of cognitive impairment.

An Improved Case after Treating Chi-Vertigo Patient with Boheo-eum (기훈 환자의 보허음 투여 후 호전 1례)

  • 김진석;홍종희;박재우;전우현;조남희;오수완;김진성;류봉하;류기원
    • The Journal of Korean Medicine
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    • v.21 no.4
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    • pp.253-259
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    • 2000
  • The subject was a 46-year-old woman who was suffering from severe vertigo. Her major symptoms were vertigo, headache, neck pain, feverishness, and her minor symptoms were intermittent nausea and tinnitus, mild chest discomfort, facial flushing and sweating. Her symptoms were diagnosed as Chi-Vertigo and the patient was treated with Boheo-eum(Buxu-yin). Next, the patient's vertigo was evaluated with Vestibular disorders activities of Daily Living scale and Dix-Hallpike maneuver per 3days. An improved state in vestibular disorders activities of daily living scale, a frequency and duration of Dix-Hallpike maneuver were observed. In this case Boheo-eum(Buxu-yin) has an effect on a patient with vertigo due to Chi-Vertigo.

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A study on Changes in ADL Functioning of Residents in Taejon City (가정간호환자의 일상생활작동수행능력 변화에 대한 연구)

  • Choi, Myoung-Han
    • Journal of Home Health Care Nursing
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    • v.4
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    • pp.53-64
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    • 1997
  • This study was done to investigate the ADL differences between before and after home care. For this survey, the Barthel index, an ADU(activities of daily living) assessment, and general history questions were asked. Functional performance, i.e. ADL, was studied in a population a total of 56 men and women aged 65 and older from the city of Taejon. Among the independent subjects, women, 73 years of age and older, married status, 1-2 times taking home care per month, the case answering 'Quite' about satisfactory of home care, elderly dwelling with others and who have helper and spouse, elderly having a snack regularly, are statistically significant. Also ADL differences were found in grooming, getting in and out chair, getting on and off toilet, walking 500 meters on the level. Further studies should evaluate the activities of daily living to predict important disability-related outcomes.

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Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

  • Ko, Myung-Sook;Jeon, Yong-Jin
    • Physical Therapy Korea
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    • v.22 no.2
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    • pp.59-69
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    • 2015
  • The purpose of this study was to identify the effects of an upper extremities group exercise program based on motor learning in chronic stroke patients and to assess improvements in upper sensory motor function and activities of daily living (ADL). Five chronic stroke patients participated for the duration of 25 weeks. On the assessment of motor and process skills, there was a statistically significant improvement in motor area functioning in 4 of the subjects. In process area functioning, there was a statistically significant change in 3 of the subjects. Therefore, further studies are needed to assess sensorimotor area and ADL changes in chronic stroke patients to reduce medical cost and assess for positive psychological changes.

A Study of Activities of Daily Living(ADL) in Patients with Rheumatoid Arthritis (류마티스성 관절염 환자의 일상생활활동 조사연구)

  • Park, Sung-Huy
    • Journal of muscle and joint health
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    • v.6 no.1
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    • pp.7-21
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    • 1999
  • This study attempts to provide the rudimentary data that might help patients with Rheumatoid Arthritis manage an independent life by the analysis of their activities of daily living(ADL). The subjects were forty patients who had been diagnosed Rheumatoid Arthritis and under drug therapy from RA clinics of the two university hospitals in Pusan. Data were collected by performing an individual interview for each of them during June 15th through July 15th 1998. Questionaires were imployed to investigate the general characteristics of patients. the traits of Rheumatoid Arthritis, and actual conditions of their activities of daily living. The questionaires utilized especially for the study of ADL is the version of Lee Eun Ok's tool which modified and complemented Katz scale (Katz, Down, Cogh and Grots 1970) and Bathel index(Bathel. 1973). It's consisted of 31 questions that each question is measured by 0-3points. The high score in the questionaire signifies the high independency in the ADL. The data were analyzed by SPSS/Win in terms of frequency, percentage, mean, and standard deviation, close connection with the contents of the personal interview. Total mean of the ADL shows $1.55{\pm}0.68$, indicating the overall activities of daily living is generally dependent. It also indicates that patients, in the condition of dependent activity. tends either to have recourse to drugs or to take negative strategy, getting help from inside or outside family member. Hence, it is necessary that patients are exposed to the introduction and instruction of self-help devies that might help them manage a comparatively independent ADL, easing their paychological burden.

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The Effects of Dual-task Action Observation Physical Training on the Walking Ability and Activities of Daily Living in Chronic Stroke Patients (이중과제 동작관찰 신체훈련이 만성 뇌졸중 환자의 보행 능력과 일상생활 활동에 미치는 영향)

  • Lee, Hyun-Min;Lee, Jeong-A
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.2
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    • pp.83-91
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    • 2016
  • PURPOSE: The purpose of this study was to determine the efficacy of dual-task action observation training (AOT) and single-task AOT related with daily living task on walking ability and ADL performance in chronic stroke patients. METHODS: Twenty-seven chronic stroke subjects were included in the study. They were randomly assigned to three task categorieds as follows: whole dual-task AOT or partial dual-task AOT or single-task AOT rehabilitation. Whole dual-task AOT observed the movement at once and partial dual-task AOT observed the movement divided into 4 parts related functional gait and activities of daily living task for 2 minutes 30 seconds. Single-task AOT observed the movement related functional gait for 2 minutes 30 seconds. Both groups had physical training session for 12 minutes 30 seconds. The study was conducted for four weeks, with three training sessions a week, for twelve weeks. All subjects were evaluated for their walking ability and activities of daily living through devices, 10m walking test (10MWT), dynamic gait index (DGI), and Korea-Modified Barthel Index (K-MBI). RESULTS: A significant improvement of walking ability and ADL performance happened among dual-task AOT subjects, compared with a single-task AOT subjects, during the 4-weeks course treatment. The results of the study showed statistically significant differences in 10MWT (p<0.05) and DGI (p<0.05), and K-MBI (p<0.05). CONCLUSION: Our results indicated that dual-task AOT has a positive additional impact on recovery of walking ability and ADL performance in chronic stroke patients.

A Study on Physical Symptom, Activity of Daily Living, and Health-Related Quality of Life (HRQoL) in the Community-Dwelling Older Adults (재가 노인의 주관적 신체 증상, 일상생활수행능력 및 건강관련 삶의 질)

  • Shin, Kyung-Rim;Byeon, Young-Soon;Kang, Youn-Hee;Oak, Ji-Won
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.437-444
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    • 2008
  • Purpose: This study aimed to identify the relationships among physical symptoms, activities of daily living, and health-related quality of life (HRQoL) in community-dwelling older adults. Methods: A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Physical symptoms were measured using the Physical Health Questionnaire (PHQ), activities of daily living using the Late-Life Functional and Disability Instrument (LLFDI), and HRQoL using the Medical Outcomes Short-Form Health Survey (SF-36) in 242 community-dwelling elderly Korean people. Results: The HRQoL correlates with the physical symptoms (r=-.31) and the function component (r=.59). Of the two disability parts of the LLFDI, the limitation dimension correlates higher (r=.57) with HRQoL than the frequency dimension (r=.42). The HRQoL is significantly associated with the function component, and disability limitation in capability which explained 44.4% of variance in physical health. Conclusion: These results may contribute to a better understanding of physical symptoms, activities of daily living, and HRQoL in community-dwelling older adults. Therefore, health programs for prompting older adult's health should be planned based on results of the study.

Effects of Repetitive Transcranial Magnetic Stimulation on Upper Extremity Function and Activities of Daily Living in Acute Stroke Patients (반복 경두개 자기 자극이 급성기 뇌졸중 환자의 팔 기능과 일상생활 수행능력에 미치는 영향)

  • Jung-Hee Won;Kyeong-Mi Kim;Moon-Young Chang
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.167-175
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    • 2023
  • Purpose : The study aim was to apply high-frequency repetitive transcranial magnetic stimulation to and investigate the effects on upper extremity function and activities of daily living. Methods : This study was conducted at Hospital D in U City from April to June 2018. Thirty-two patients diagnosed with stroke according to prior research criteria were selected and divided into two groups. Sixteen people in the experimental group received high-frequency repetitive transcranial magnetic stimulation and traditional occupational therapy, and sixteen people in the received sham stimulation and traditional occupational therapy. Both groups received 20 minutes of transcranial magnetic stimulation and 30 minutes of traditional occupational therapy per session, five times per week, for a total of 10 sessions over two weeks. Upper extremity functional evaluation, MFT and activities of daily living (Korean Version of the Modified Barthel Index, K-MBI) were conducted before and after the intervention, and an independent t test was used to confirm the effects of the intervention. Results : No statistically significant difference between the aforementioned groups' MFT and K-MBI scores was noted before the intervention. After the intervention, however, a statistically significant difference was found in K-MBI scores (p<.001). Additionally, after the intervention, a significant difference between the groups' MFT scores was found (p<.05). Conclusion : The results of this study showed that the combination of high-frequency repetitive transcranial magnetic stimulation and occupational therapy was effective in recovering upper extremity function and activities of daily living in patients diagnosed with acute stroke.