• Title/Summary/Keyword: Activities of daily living (ADL)

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Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers (치매노인 주부양자의 자기효능감에 영향을 미치는 요인)

  • Choi, Eun-Sook;Kim, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.21 no.2
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    • pp.210-219
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    • 2010
  • Purpose: The study evaluated the determinants of caregiving self-efficacy among dementia caregivers. Methods: Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving selfefficacy. Results: Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer. Conclusion: To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.

A Study on Children Suffering from Cerebral Palsy in Terms of ADL Evaluation (일상생활동작 평가를 통한 뇌성마비아동에 대한 연구)

  • Park Youn-ki;Lim Ho-Chan;Ahn Byung-Jub;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.1 no.1
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    • pp.27-45
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    • 1989
  • This study aims at helping cerebrally palsied children to overcome and minimize their sufferings, inducing them to perform ordinary activities of daily living for themselves by coducting ADL Tests which are fundamental activities in daily life and presenting treatment plan for their overall rehabilitation and basic data for achieving the training objective. For that purpose, 173 cerebrally palsied children were selected and given ADL performance Tests from Dec. 1987 to Oct. 1988 and the following results were obtained. 1. Correlation coefficients for each ADL category indicated significant statistical value at .01 level. 2. Correlation coefficient between school-year variable and ADL category variable was significant at .01 level. 3. Correlation between age variable and ADL variable category proved significant at .01 level as well. 4. Correlation coefficients between each category in terms of functional state of extremities were significant at .01 level. 5. The difference in ADL achievements between each category by school year were as follows ; 1) In the category of meeting nature's tall, the age span of more than 4 school years showed statistical significance. 2) In the category of putting off and on clothing, the age span of 3 school years indicated statistical significance. 3) In taking meals statistical significance was found in the age span of 4 school years. 4) In finger movements the age span of more the 4 school years indicated statistical significance. 5) In walking activities statistical significance was noticed in the age span of 2 or 3 school years. Besides, in category by school year, and exceptional case was noticed that the 6th graders were lower than the 5th graders in self-reliance rate. 6. the difference in ADL achievements by type of palsy, children of triplegia were the lowest, while those of monoplegia were the highest. 7. The difference in ADL achievements by kind of palsy, patients of athetosis showed lower rate of self-reliance than those of spasticity, and particularly the latter showed a high rate of self-reliance in taking meals$(83.5\%)$. The former were relatively low in self-reliance and lowerst in meeting nature's call $(59.8\%)$.

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The Effect of Meridian Massage on Muscle Power, ROM, and ADL in Persons with Cerebral Palsy (경락 마사지가 뇌성마비장애인의 근력, 관절운동범위 및 일상생활활동에 미치는 영향)

  • Oh Mi-Jung;Choi Kyong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.1
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    • pp.68-77
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    • 2003
  • Purpose: This study analyzed the effects of meridian massage on the muscle power, ROM, and ADL in persons with cerebral palsy. Method: A non-equivalent pre-test/post-test design was used. The data were collected from August to October, 2000 from 10 persons with cerebral palsy (a control group of 5 and an experimental group of 5). Muscle power was evaluated with the Brunnstrom-Dennen gravity test, ROM with a goniometer, and ADL with a self developed ADL scale. T-test, repeated measure ANOVA were used for statistical analysis. Result: The results are; 1. For muscle power, both time series group difference (F=10.66, p=0.000) and the total period group difference (F=72.67, p=0.000) were significant between the two groups. 2. ROM was not significantly different between the two groups. 3. For ADL, both time series group difference (F=7.09, p=0.001) and total period group difference (F=35.99, p=0.000) were significant between the two groups. Conclusion: Overall, this study shows that Meridian massage is effective for muscle power, ROM, and ADL in persons with cerebral palsy person. So it can be used to develope effective nursing programs to improve the function of motion of persons with cerebral palsy.

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The Effects of elderly's ADL, Depression and Social Participation on Suicidal Ideation (일개지역 노인의 일상생활수행능력과 우울, 사회 참여가 자살생각에 미치는 영향)

  • Jeon, Sang Nam
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.2
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    • pp.105-118
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    • 2021
  • Objectives: This study aimed to examine the effect of Activities Daily Living(ADL)(physical health), depression(mental health), social participation(social health) on suicidal ideation among community dwelling elderly. Methods: Samples were obtained from 184 people aged over 65 years old in one county of Kyungsangbukdo. The survey samples were divided into the presence and absence group of the suicidal ideation. Data were analyzed with x2 test, t-test and logistic regression analysis. Results: First, suicidal ideation were significantly different by religion. Secondly, after adjusting for socio-economic variables, logistic regression analysis showed that only depression was associated with higher odds of suicidal ideation Conclusions: It was suggested to develop customized depression and suicide prevention program were required to reduce suicide rate of the elderly.

Factors associated with Health-related Quality of Life in Vulnerable Elderly Women (취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인)

  • Shin, Gyeyoung;Kim, Eun Kyung
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.419-431
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    • 2014
  • Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

Application of Proprioceptive Neuromuscular Facilitation to Improve Upper Extremity Function and Activity of Daily Living in Stroke Patients: A Case Report (뇌졸중 환자의 상지 기능과 일상생활수행능력 향상을 위한 고유수용성신경근촉진법 적용: 증례보고)

  • Song, Myung-Soo;Kim, Beom-Ryong
    • PNF and Movement
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    • v.13 no.3
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    • pp.155-162
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    • 2015
  • Purpose: The current study (case report) seeks to examine the effects of a proprioceptive neuromuscular facilitation (PNF) exercise program on the upper extremity function and activities of daily living (ADLs) in a stroke patient. Methods: The subject was a 42 year-old woman diagnosed with right-sided hemiplegia due to stroke. Exercise therapy was provided for 50 minutes per day (5-minute warm-up, 40-minute exercise, 5-minute wrap-up) three times per week for a four-week period. The manual function test (MFT) was used to evaluate upper extremity functions. The modified Barthel index (MBI) was utilized to measure ADL. Results: After intervention using various PNF program, the MFT score increased from 23 to 26 and the MBI score increased from 62 to 66. Conclusion: After the application of the PNF program, the MFT and MBI scores increased. As compensative movement of the upper extremities declined, the movement of the upper extremities became faster and softer.

The effect of otago exercise-based fall prevention education activities on balance, fall efficacy and activities of daily living in the subacute stroke patients: A randomized controlled clinical trial (오타고운동 기반 낙상예방교육활동이 아급성 뇌졸중 환자의 균형, 낙상 효능감 및 일상생활동작능력에 미치는 영향: 무작위 대조군 임상 연구)

  • Yoon, Hyun Sik;Han, Kyu Bum;Oh, Seung In;Lee, Da Bee;Song, Ha Hee;Song, Jeong Eun;Cha, Young Joo
    • Journal of Korean Physical Therapy Science
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    • v.27 no.1
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    • pp.1-8
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    • 2020
  • Background: This study analysed the effect of the fall prevention education activities on balance, fall efficacy, activities of daily living (ADL) of sub-acute stroke patients. Design: Randomized controlled trial. Methods: The subjects of the study were 24 subacute patients, who have onset period of less than 6 months. They are randomly allocated in the conventional therapy group (n=12) and fall prevention education group (n=12) and observed with frequency for 5 times a week for four weeks. Measuring took place before and after the experiment leading to following results of the Fall efficacy scale (FES), Berg balance scale (BBS) and Functional Independence Measure (FIM). Results: FES, BBS and FIM score was significantly greater in the post-test than in the pre-test in both groups (p<0.01). Independent t-test confirmed that the fall prevention education group showed much greater improvement change in the FES, BBS and FIM score than conventional therapy group (p<0.05). Conclusion: The present study demonstrated the importance of clinical contribution of the fall prevention education in the individuals with subacute stroke patients to the balance, fall efficacy and ADL following the stroke rehabilitation.

The Effect of Horticultural Therapy on Cognitive Function, Self-esteem, Depression and ADL of Elderly with Dementia (원예요법이 치매노인의 인지기능, 자아존중감, 우울 및 일상생활수행능력에 미치는 영향)

  • Park Jeong Sook;Lee Hyun Gi;Kim Mi Eun
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.69-82
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    • 2003
  • Purpose: The purpose of this research was to evaluate the effect of horticultural therapy on cognitive function, self-esteem, depression and activities of daily living of elderly with dementia. Method: The research design was an one group pre and post-test study design. The subjects of this study were 7 elderly with dementia in K elderly institution in Daegu. Instruments used in this research were MMSE-K(Mini-mental state Examination Korean Version) developed by Kwon & Park, SES(Self-Esteem Scale) developed by Rosenberg. SDS(Self-Rating Depression Scale) developed by Zung and BADL(Bathel Activity Daily Living) developed by Bethel. One-hour horticultural therapy was offered to the study participants weekly for 12 weeks. Results: The results showed that self-esteem was significantly increased after the horticultural therapy. However, in terms of cognitive function. depression and ADL, there was no significant change after the horticultural therapy among these elderly. Conclusion: In this research. there were no obvious change in cognitive function. depression, and ADL after the horticultural therapy among participants. Although the difference was not statistically significant. descriptive statistics showed some difference in scores on these variables after the intervention. So, it is suggested to conduct a further research with larger samples and pre and post-test design with control group.

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Analysis of the Habit of Space Occupancy of Residents in Group Homes for the Elderly (고령자 그룹홈 거주자의 공간이용패턴 분석)

  • Kim, Hyun-Jin;An, Ok-Hee
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.401-405
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    • 2006
  • This study evaluated 23 elderly residents living independently in 4 group homes for their behaviors of space occupancy and activities of daily living. The aim of the study was to analysis the habit of space occupancy of residents in group homes for elderly people. As the results, the habit of space occupancy of residents in group homes was analysed and categorized into four types: (1) bedroom occupancy, (2) common space occupancy, (3) 2-space occupancy and (4) several spaces occupancy. It was shown, then, that the common space occupancy in ‘ㅂ' group home, 2-space occupancy and several spaces occupancy in 'ㅇ' and 'ㄱ' group homes, and bedroom occupancy in ‘ㅅ' group home were highest, respectively, so that the type of their space occupancy varied in accordance with individual group homes. Moreover, there was a difference in the habit of their space occupancy according to the degree of achieving both ADL and IADL. This fact seems to indicate that the higher the degree of their independence in ADL and IADL, the more the number of their occupying space. Accordingly, the degree of their independence in achieving ADL and IADL should be taken into account in planning residential spaces for elderly people, including individual and commonly sharing spaces, traffic lines, layout and facilities.

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A study on the extraction of risk factor and its application for senile dementia patient at home based on accidental cases (사고사례를 통한 재가치매환자의 위험요소 추출 및 그 활용에 관한 연구)

  • Lee, Hang-Woon;Eom, Jin-Sup;Choi, Mi-Hyun;Lee, Soo-Jeong;Choi, Jin-Seung;Moon, Seok-Woo;Tack, Gye-Rae;Chung, Soon-Cheol
    • Science of Emotion and Sensibility
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    • v.12 no.1
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    • pp.11-18
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    • 2009
  • The purpose of this study was, first, to extract the risk factor by investigating several cases of accident of senile dementia patient at home, and second, based on these results to provide basic information for the determination of monitoring factor for the care of senile dementia patient. Basic and behavioral characteristics, Short form of Samsung Dementia Questionnaire (S-SDQ), Activities of Daily Living (ADL), and cases of accident were investigated with 55 senile dementia patient at home (16 male, 39 female). Based on these questionnaires, risk factors were extracted and frequency, cooccurrence frequency, and occurring place of risk factors, presence or not, region, and degree of injury were investigated. Frequency between risk factors and behavioral characteristics, ADL, and S-SDQ was analyzed by crosstabulation frequency analysis. Results showed that 12 risk factors were extracted, and the frequency of 'going out' was the highest, and risk factors for injury were 'tumble', 'bump', 'slip', and 'fall'. Cooccurrence frequency analysis showed that the occurrence of 'fall', 'going out', 'fire of gas', and 'violence' with other factors was relatively higher than others. The occurring place of risk factor was the highest in home neighborhood, and the region of injury in knee, and the degree of injury with bruise. Crosstabulation frequency analysis showed that factors which had difference in frequency of risk factor were behavioral disorder, disorder of daily living and ADL. Factor which had difference in frequency due to the degree of behavioral disorder and disorder of daily living was 'going out', and factors which had difference in frequency due to the degree of ADL were 'slip' and 'fire of gas'.

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