• 재활간호학회지
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• 제9권2호
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• pp.117-125
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• 2006

Purpose: The objectives of this study were to explore the relationships between the fear of falling and daily activities, and physical functioning of older people in community. Method: A descriptive study design was used in this study. 295 people aged over 65 and living in community participated. Data of demographic characteristics, fear of falling, activity daily living, physical functioning were collected. Result: 13.2% of the participants reported that they have falling accident last one year. 75.6% of participants reported fear of falling. 67.7% of them expressed restricting activity because of fear of falling. There were no significant relationship between fear of falling and BADL(Basic Activity Daily Living) but fear of falling and IADL(Instrumental Activity Daily Living) were related. It was also found that older people with higher fear of falling expressed more pain and uncomfortable feelings especially on their lower body and had higher scores of morbidity of neurologic diseases such as neuralgia and cerebrovascular diseases. Conclusion: There were significant relationships between fear of falling and IADL, and physical functioning on lower body, and morbidity of neurologic diseases such as neuralgia and cerebrovascular diseases.

• 대한물리의학회지
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• 제9권2호
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• pp.171-179
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• 2014

PURPOSE: The objectives of this study were to investigate the effects of physical therapy provided at home on the motor function, activity of daily living (ADL), and level of pain in veterans men with disabilities, and to provide the information. METHODS: The participants were 108 patients men with disabilities living in the cities Seoul, Pusan, Daegu, Gwangju and Daejeon; they performed physical therapy at home-provided by physical therapy services- that included therapeutic exercise for 50 minute, 1~2 times a week for 24 weeks. The motor function was measured by using motor assessment scale (MAS) and ADL, the level of pain were recorded both before and after physical therapy. The data form both before and after physical therapy were analyzed by using the paired t-test. All statistical tests in this study were performed with the level of significance set at .05. RESULTS: After 24 weeks of physical therapy, we observed significant improvement in the MAS and ADL scale, as well as significant decrease in the level fo pain in the participants (p<.01). Significant improvement was also observed in the MAS and ADL scale, as well as a decrease in the level of pain among participants with stroke and spinal disease (p<.05). CONCLUSION: The findings of this study show that physical therapy provided at home can lead to an improvement in the motor function as well as improved ADL and pain control; physical therapy also has positive effects in relieving symptoms of veterans with disabilities.

• 보건의료산업학회지
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• 제7권1호
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• pp.167-177
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• 2013

This study was to evaluate the influences of swallowing function on quality of life and activity of daily living of inpatients in geriatric hospital. The subjects were consisted of elderly patients over the age of 65, 50 people in geriatric hospital of gwangju and jeonnam area. The results are as follows: First, swallowing function score of the subjects is $29.90{\pm}5.27$, SWAL-QOL score is $158.12{\pm}33.36$, ADL score is $80.40{\pm}22.91$. Second, swallowing function, SWAL-QOL details and ADL details of each other showed a statistically significant correlation. Third, the items of swallowing function affecting on quality of life are 'oral cavity in residue', 'to eat solid food', and 'phlegm obstructs the throat'. In conclusion, this study showed that swallowing function of inpatients in geriatric hospital is closely associated with the quality of life and the activity of daily living. Therefore, future development of programs for the improvement of swallowing function is required in order to improve the quality of life of inpatients in geriatric hospital.

• 재활간호학회지
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• 제14권1호
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• pp.5-12
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• 2011

Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

• 한국응용과학기술학회지
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• 제38권3호
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• pp.786-800
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• 2021

본 연구는 서울·경기 소재 65세 이상 노인 463명을 대상으로 신체활동 참여에 따른 체력요인과 인지기능, 일상생활수행능력, 도구적 일상생활수행능력 및 심리적 변인에 대한 차이를 분석하였다. 수집 된 자료는 SPSS 25.0 통계프로그램을 이용하여 빈도분석, 신뢰도 분석, 독립 t-검증과 일원분산분석 그리고 피어슨의 상관관계분석을 실시하였으며 모든 통계적 유의수준은 p<.05로 설정하였다. 그 결과 첫째, 노인의 신체활동 참여유무에 따라 체력, 인지기능, 일상생활수행능력, 도구적일상생활수행능력 및 심리적 변인인 우울과 삶의 질에 통계적으로 유의한 차이가 나타났으며, 신체활동에 참여하는 노인의 참여빈도에 따라 체력, 인지기능, ADL, IADL, 우울 및 삶의 질에 통계적 유의한 차이가 나타났다. 신체활동에 참여하는 노인의 참여시간에 따라 체력에서 통계적 유의한 차이가 나타났다. 둘째, 체력과 인지기능, ADL, IADL, 우울 및 삶의 질의 상관관계를 살펴본 결과 대부분의 요인에서 상관관계가 나타났다. 이러한 연구결과를 바탕으로 노인의 성공적인 노화와 자립적인 노후생활을 위해 신체활동을 포함한 체계적인 중재 전략의 개발이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.32-40
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• 2011

Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

• 동서간호학연구지
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• 제16권1호
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• pp.19-25
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• 2010

Purpose: This study was conducted to identify relationships among Yangsaeng, activities of daily living (ADL), and physical activity in the elderly in Korea. Methods: A total of 257 subjects (ranged 60-88 yr of age) was recruited through convenient sampling. Data were collected with a self-reported questionnaire from March 2 through 25, 2009. Collected data were analyzed with SPSS/PC WIN 15.0. Results: The level of Yangsaeng was significantly different according to the level of health recognition (p<.05). The level of ADL was differed significantly according to age, successful aging, cohabitation, and health recognition. Physical activity was also significantly different according to age, educational level, cohabitation, (r=.385; p<.05) and health cognition (p<.05). The level of Yangsaeng was significantly correlated with ADL (r=.448) and physical activity (r=.385; p<.05). Conclusions: These findings help in understanding the health status of community-dwelling elders and suggest that promoting the Yangsaeng can be an effective intervention as a health promotion program for the elderly in Korea.

• 한국산학기술학회논문지
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• 제13권1호
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• pp.185-193
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• 2012

본 연구는 경남지역의 백세인(100세 이상 자) 88 명을 대상으로 2011년 4월부터 6월까지 약 90여 일간장수 요인과 일상생활 수행능력 도구적 생활수행능력 정도를 파악하기 위한 목적으로 수행하였다. 장수요인으로는 7시간 이상의 충분한 수면(93.6%), 규칙적인 식사(95.5%,) 짠 음식 적게 섭취(69.8%), 그리고 자살을 생각하지 않는 낙관적 사고(86.9%)와 금연(92.0%) 과 절주(86.4%,)로 나타났다. 일상생활수행능력(ADL) 중 목욕하는 것이 가장 힘들었으며 도구적 생활수행능력(IADL)의 경우는 버스나 전철 혼자타기가 가장 힘든 것으로 나타났다. 모든 영역에서 여성이 남성에 비해 일상생활수행능력, 도구적 생활수행능력이 높은 것으로 나타났으나 통계적으로 유의한 차이는 없었다(p<0.05). 따라서 향후 연구에서는 본 연구의 결과를 토대로 점차 늘어나고 있는 백세인의 신체수행능력 저하를 보완 지지할 수 있는 정책의 개발이 필요한 것으로 사료된다.

• 동서간호학연구지
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• 제13권2호
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• pp.138-146
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• 2007

Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

• 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.