• 근관절건강학회지
• /
• 제23권3호
• /
• pp.152-158
• /
• 2016

Purpose:The purpose of this study was to examine the degree of joint pain, limitation of daily activities, and frequency of outpatient visits. Methods: This secondary analysis study used the data from the fifth Korean National Health and Nutrition Examination Survey (KNHNES). The data about general characteristics, prevalence and treatment of osteoarthritis, limitation of activities of daily living (ADL) and frequency of outpatient visits and hospitalization in 424 osteoarthritis patients over 50 years old were derived from the database. Data were analyzed with complex samples in SPSS ver. 20.0. Results: Among people with knee joint pain, 79.3% reported they had more than 4 out of 10 points of the degree of pain. Meanwhile, 97.3% of people with hip joint pain reported that they had more than 4 out of 10 points of the degree of pain. People reporting 10 out of 10 point of pain were 21.4% of those with knee joint pain and 25% of those with hip joint pain. The mean of the degree of knee joint pain was 6.35, and the mean of the degree of hip joint pain was 6.89 out of 10 points. About 50% of people with osteoarthritis visited an outpatient clinic within the last 2 weeks, and 27% had limitation of ADL. Conclusion: It is necessary to develop an integrated intervention program to improve quality of life in patients with osteoarthritis.

• 한국노년학
• /
• 제39권2호
• /
• pp.285-304
• /
• 2019

본 연구는 여가를 통한 작업치료가 노인 환자의 여가 만족도, 일상생활활동 수행 능력, 재활 동기에 미치는 영향을 알아보는 데 목적을 두고 있다. 연구 방법은 실험집단 10명, 통제집단 14명을 대상으로 실험집단에는 인간작업모델(MOHO) 이론 및 Dattilo(2015)의 여가 교육 프로그램 4th Ed. 을 참고하여 구성한 여가를 활용한 작업치료를, 통제집단에는 전통적 작업치료를 실시하였다. 캐나다작업수행측정(COPM)과 일상생활활동 수행 능력 평가(K-ADL·K-IADL), 재활 동기 설문지(PAREMO)를 사용하여 여가 만족도, 일상생활활동 수행 능력, 재활 동기를 측정하였으며 이를 통하여 중재 전, 후 비교와 각 변수 간 상관관계를 분석하였다. 연구 결과, 여가를 통한 작업치료는 여가 만족도, 재활 동기에 유의한 효과를 주는 것으로 나타났다(p<.01). 둘째, 일상생활활동 수행 능력에서는 전통적 작업치료 중재 집단이 통계적으로 더 유의한 결과를 보였다(p<.01). 셋째, 기본적 일상생활활동, 수단적 일상생활활동 사이에서 유의한 상관관계를 보였다(p<.01). 마지막으로, 재활 동기-여가 만족도 사이에서 유의한 상관관계를 보였다(p<.01). 따라서 여가를 활용한 작업치료 중재는 노인 환자의 여가 만족도, 재활 동기에, 전통적 작업치료 중재는 노인 환자의 일상생활활동 수행 능력에 더 긍정적인 효과를 가져온다는 것을 확인할 수 있었다. 후속연구를 진행하여 효과의 일반화 및 지속성, 과정 분석의 객관성을 검증해 나가야 할 필요성이 있으며 구조화된 작업치료 중재 프로토콜에 대한 연구가 추가적으로 진행되어야 할 필요성이 있다.

• 한국산학기술학회논문지
• /
• 제17권12호
• /
• pp.371-380
• /
• 2016

본 연구의 목적은 성인 신체장애인을 부양하는 배우자의 부양스트레스, 우울, 장애인의 일상생활활동능력을 살펴보고, 각 영역들의 상관관계 및 장애인의 일상생활활동능력이 배우자의 부양스트레스와 우울에 미치는 영향을 알아보고자 하는 것이다. 2016년 7월부터 8월까지 S시와 K도에 소재한 2개의 병원에서 재활치료를 받고 있는 장애인들의 배우자 86명을 대상으로 연구를 진행하였다. 연구결과 부양스트레스 총점은 $71.43{\pm}17.78$점 이었으며, 부양스트레스 하위항목 중 경제적 스트레스와 심리적 스트레스가 다른 항목보다 높았다. 우울총점은 $50.34{\pm}26.41$점으로, 일반 정상 성인들의 평균점수보다 다소 높았다. 대상자의 일반적 특성에 따른 부양스트레스와 우울을 살펴본 결과, 연령이 많은 여성의 경우, 부양비에 대한 지출이 많고 부양시간이 많은 경우, 장애인의 연령이 젊고, 병명이 뇌졸중인 경우 부양스트레스와 우울지수가 높았다. 부양스트레스에 영향을 미치는 요인으로는 장애인의 연령, 장애기간으로 나타났으며, 장애인의 일상생활활동능력은 부양스트레스에 영향을 미치지 못하였다. 우울에는 장애인의 연령, 장애유형 및 등급, 장애인의 일상생활활동능력 모두 영향을 미치는 것으로 나타났다. 부양가족들의 스트레스 및 우울을 감소시키기 위하여 경제적, 신체적 혹은 심리적으로 도움을 줄 수 있는 실질적인 정책적 지원이 마련되어야 할 것이다.

• 대한물리치료과학회지
• /
• 제28권3호
• /
• pp.88-97
• /
• 2021

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.

• 대한지역사회작업치료학회지
• /
• 제1권2호
• /
• pp.11-20
• /
• 2011

목적 : 시설노인들의 시간 사용이 일상생활 수행 능력에 미치는 영향을 알아보고, 이를 시설노인의 작업 중재 기법으로 시간 관리 및 라이프스타일 재설계의 기초 자료를 제공하고자 한다. 연구방법 : 2008년 8월 11일부터 2008년 8월 22일까지 대전광역시에 소재한 S요양시설에 입소되어 있는 65세 이상의 노인 20명을 대상으로 인터뷰, 타임테이블, FIM을 사용하여 자료를 수집을 하였다. 결과 : 연구 대상자들의 일반적 특성과 일상생활수행능력에는 유의한 차이가 없었다. 능동적 기본적 일상생활활동과 수단적 일상생활활동의 시간 사용이 많을수록 일상생활수행능력은 높았다(p<0.01). 능동적 여가의 시간 사용량이 많을수록 일상생활수행능력은 높았다(p<0.05). 결론 : 본 연구를 통해 대전지역 시설 노인들의 시간 사용량을 알 수 있었고, 시설 노인들의 시간 사용량이 일상생활수행능력과 관련이 있음을 알 수 있었다. 시설 노인들의 시간 사용량의 효율성을 높이기 위해서 작업치료사의 역할이 요구되며 시설 노인들이 보다 능동적이며 긍정적인 삶을 유지할 수 있는 중재 방안을 마련해야 할 것이다.

• 기본간호학회지
• /
• 제25권2호
• /
• pp.79-88
• /
• 2018

Purpose: The purpose of this study was to identify the factors that affect quality of life in elderly people with dementia. Methods: The participants for this descriptive correlational study were 97 elderly patients with dementia who were attending a daycare center or were being cared for at home. Data were collected from the participants using the Mini-Mental Status Examination-Dementia Scale, the Geriatric Depression Scale (Short Form), Activity of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Scale. Results: There were statistically significant differences in quality of life of elders with dementia according to mobility, using dementia day-care center, and cohabitation. In multiple regression analysis, depression, activity of daily of living, using dementia day-care centers and cohabitation were significant predictors of quality of life and the four variables explained 60% of the variance in quality of life. Conclusion: Findings indicate that to enhance the quality of life for elders with dementia, depression needs to be decreased and regular use of daycare service recommended. Further, various programs enhancing physical ability need to be developed and used with these elders.

• 한국노년학
• /
• 제28권4호
• /
• pp.1023-1039
• /
• 2008

본 연구는 집단인정치료가 치매노인에게 미치는 영향에 대해 알아보고자 하였으며 구체적으로는 집단인정치료가 치매노인의 인지기능, 일상생활활동, 문제행동, 우울 및 치매노인의 삶의 질에 미치는 영향에 대해 알아보았다. 이를 위하여 대상자인 치매노인 40명을 실험집단 및 통제집단으로 각각 20명씩 무작위 배정하였고, 두 집단의 동질성 검사와 사전검사 후 집단인정치료를 실시하였다. 이후 사후 검사를 실시하였으며 36명의 최종 결과를 얻게 되었다. 본 연구의 분석 결과, 통계적으로 집단인정치료는 치매노인의 인지기능의 향상, 일상생활활동 증가, 우울 감소, 삶의 질 향상에 유의미하였으나 문제행동 감소에는 유의미하지 않았다. 결론적으로 집단인정치료는 치매노인의 인지기능 향상뿐만 아니라 일상생활활동을 증진시키고 우울을 감소시켰으며, 삶의 질을 높이는데 효과적이었다. 그러므로 향후 집단인정치료는 치매노인을 돕는데 효율적인 심리사회적인 치료방법으로 실무에서 충분히 활용할 수 있을 것으로 기대된다.

• 기본간호학회지
• /
• 제2권2호
• /
• pp.155-168
• /
• 1995

Many arthritis patients experience physical and psychological impairment. The influence psychological factors on physical functioning beyond disease & demographic factors has been investigated. Unlike others studied the relationship between just two variables (i. e., depression & helplessness or self-efficacy & depression), the relationships among several variables such as depression, helplessness and self-efficacy were examined altogether. Foully-two patients were examined to identify the relationship between the variables. It was found that ADL is significantly negatively related to depression and helplessness, and positively related to self-efficacy. And ADL was more strongly correlated with self-efficacy and helplessness than depression. Contrary to ADL, pain was significantly negatively related to self-efficacy, and positively related to depression and helplessness. Then stepwise regression analysis was performed to identify the variables to predict ADL. It revealed that helplessness was the only significant predictor of ADL. Finally, it is suggested that the inclusion of the method to increase self-efficacy & to decrease helplessness in any nursing intervention is very important.

• 대한간호학회지
• /
• 제36권1호
• /
• pp.189-196
• /
• 2006

Purpose: The purpose of this research was to test the effects of ST35 & Sulan moxibustion on knee joint pain, range of motion, and discomfort during Activies of Daily Living (ADL) in elderly with knee joint pain. Method: A nonequivalent control group pre-post test research design was used. Thirty four elderly who had knee joint pain were studied. Of them, sixteen were in the experimental group and eighteen the control group. The instruments used for this study were NRS, goniometer, and a modified ADL questionnaire developed by Lee. Result: The pain scores of right & left knee joint after moxibustion were significantly different between the experimental group and the control group (Right: F=26.27, p=0.000, Left: F=20.77, p=0.000). Right and left knee ROM scores were significantly different between the experimental group and the control group after moxibustion (Right: F=10.74, p=0.003, Left: F=9.239, p=0.005). Discomfort during ADL scores were significantly different between the experimental group and the control group after moxibustion (F= 32.31, p=0.000). Conclusion: It is necessary that nurses provide the elderly with knee joint pain with moxibustion to reduce joint pain and to increase knee ROM as an alternative therapy.

• 한국보건간호학회지
• /
• 제17권1호
• /
• pp.69-82
• /
• 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.