• 한국산학기술학회논문지
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• 제20권4호
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• pp.311-319
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• 2019

본 연구는 경도치매노인을 대상으로 컴퓨터 인지훈련 프로그램이 인지기능, 우울, 생활만족도와 일상생활활동에 미치는 효과를 알아보기 위해 시행되었다. 연구대상자는 요양병원에 거주하는 경도치매노인 32명으로, 무작위 대조군 전후설계를 사용하여 실험군과 대조군으로 16명씩 무작위 할당하고 실험군에는 8주 동안 주 1회, 총 8회 컴퓨터 인지훈련프로그램을 적용하였다. 컴퓨터 인지훈련 프로그램은 CoTras-G를 사용하였으며, 컴퓨터 인지훈련 프로그램의 효과를 알아보기 위해 실험군과 대조군에 사전, 사후 동일하게 MMSE-K, SGDS-K, ELS, BI를 실시하였다. 컴퓨터 인지훈련 프로그램이 미치는 효과에 대한 전 후간 차이 검증은 paired t-test, 중재 후 실험군과 대조군간의 변화량 차이 검증은 Mann-Whitney U 검정을 실시하였다. 그 결과 실험군이 대조군에 비해 중재 후 인지기능(t=-4.39, p=0.001), 우울(t=4.11, p=0.001), 생활만족도(t=-8.53, p=0.000)와 일상생활활동(t=-3.10, p=0.007)에서 유의미한 향상을 보였으며, 실험군과 대조군의 사후 비교결과 인지기능(U=54.00, p=0.005), 우울(U=76.50, p=0.045), 생활만족도(U=56.00, p=0.007)와 일상생활활동(U=59.50, p=0.008)에서 유의미한 차이를 보였다. 따라서 본 연구는 컴퓨터 인지훈련 프로그램이 경도 치매노인의 인지기능, 우울, 생활만족도와 일상생활활동을 향상시키기 위해 활용 가능한 효과적인 프로그램임을 제시한다.

• 대한물리치료과학회지
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• 제28권3호
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• pp.88-97
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• 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.

• 가정간호학회지
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• 제21권2호
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• pp.156-165
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• 2014

Purpose: This study aimed to investigate the effects of a program for increasing self-care with activities of daily living among the elderly living at home. Methods: The study adopted a non-equivalent control group pretest-posttest design. The number of participants were 30 in the experimental group and 30 in the control group. Participants were persons aged 65 years and above in Busan. The experimental group was provided with for 16 different types of self-care behaviors by family nurses who made weekly home visits to these participants. Each visit lasted for more than 30 minutes, and the visits were conducted for 12 weeks. The research instrument used in this study was a scale developed by Shimanouchi et al. (2003) which assessed self-care behavior, activities of daily living, and depression. Results: The experimental group showed an increase in self-care behavior compared to the control group. Time and group variables were also found to have an interaction effect on the daily living activity level. The experimental group showed an increase in the activities of daily living compared to the control group. Depression scores dropped from 9.4 to 5.8 in the experimental group and from 8.6 to 7.0 in the control group. Conclusion: We found that the self-care behavior program improved the levels of independence and activities of daily living among the elderly living at home.

• 재활치료과학
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• 제13권2호
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• pp.85-94
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• 2024

목적 : 본 연구는 성인 발달장애인을 대상으로 수단적 일상생활활동 프로그램을 제공하였을 때 일상생활활동 및 삶의 질에 미치는 영향을 확인하고자 하였다. 연구방법 : 본 연구는 단일집단 사전-사후 실험설계로, E 장애인복지관의 성인 발달장애인 17명을 대상으로 시행하였다. 프로그램은 사전-사후 평가를 포함하여 총 10회기로 이루어졌으며, 장보기, 식사준비 및 정리, 가정관리, 안전 및 응급관리와 관련된 훈련 및 교육을 제공하였다. 평가도구는 삶의 질 설문지(Quality of Life: QOL), 한국어판 생활공간 평가(Korean version of the Life Space Assessment: K-LSA), 한국어판 수단적 일상생활활동(Korean version of the Instrumental Activities of Daily Living: K-IADL)을 사용하였다. 결과 : 수단적 일상생활활동 작업치료 프로그램 전과 후의 QOL과 K-IADL 점수에서 통계적으로 유의한 차이가 나타났으며, K-LSA 점수는 통계적으로 유의한 차이가 없었다. 결론 : 본 연구는 성인 발달장애인 대상으로 수단적 일상생활활동 프로그램을 시행함으로써 수단적 일상생활활동 수행도와 삶의 질에 긍정적인 영향을 주는 것을 확인하였다. 성인 발달장애인의 일상생활 및 사회참여를 영위하기 위해 일상생활활동 훈련을 포함한 작업참여의 중재가 확대되어야 한다.

• 가정간호학회지
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• 제12권2호
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• pp.87-101
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• 2005

Purpose: The purpose this study was to investigate the relationship between self-care performance and influential factors in hemodialysis patients. Method: The subjects of this study were 102 hemodialysis outpatients who had been visiting C University Hospital in Seoul. The data were collected through the scale of self care, self efficacy family support, daily living activity and hope from the 1st to 31st of December 2004. The collected data were analysed using SPSS PC Win 10.0. Result: The average score of self-care performance of subjects was $3.2\pm0.4$ points(4points scale) and significantly different among groups according to age and duration of dialysis. Self care performance of subjects was in a significant positive correlation with family support and hope. Factors affecting self care performance of subjects were family support, duration of hemodialysis, age and daily living function, and the explanatory power of these factors was 31.4%. Conclusion: These findings indicate that is necessary to enhance family support, to develope and apply self-care education programs in consideration of duration of dialysis and age, to have hope-giving communication with patients and their families, and to provide nursing interventions for maintaining patients' daily living function in order to improve the self care performance of hemodialysis patients

• 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.

• 전기학회논문지
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• 제56권7호
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• pp.1324-1330
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• 2007

In this paper, we propose pattern recognition algorithm for activities of daily living by adopting extreme learning machine based on single layer feedforward networks(SLFNs) to the signal from bidirectional accelerometer. For activity classification, 20 persons are participated and we acquire 6, types of signals at standing, walking, running, sitting, lying, and falling. Then, we design input vector using reduced model for ELM input. In ELM classification results, we can find accuracy change by increasing the number of hidden neurons. As a result, we find the accuracy is increased by increasing the number of hidden neuron. ELM is able to classify more than 80 % accuracy for experimental data set when the number of hidden is more than 20.

• 한국항행학회논문지
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• 제19권1호
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• pp.85-90
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• 2015

본 논문은 실버 세대에게 양질의 돌봄 서비스를 제공하기 위한 사물인터넷 기반의 텔레케어 시스템을 제안한다. 제안한 시스템은 활동량 감지기를 포함한 각종 센서와 사용자 휴대용 응급호출기, 게이트웨이 역할을 수행하는 응급전화기와 텔레케어 서비스 플랫폼인 서버로 구성된다. 특히 활동량 분석을 위해 활동량 인덱스라는 계량화 방안을 제시하고 이를 통해 수집된 일간/주간/월간 활동량 정보를 통해, 실버세대 마다 활동 패턴을 도출하고 변화 감지를 통해 이상 상황을 적절하게 대응할 수 있도록 구현하였다.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.193-199
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• 2017

본 연구의 목적은 노인의 낙상두려움, 일상생활수행능력, 삶의 질 정도를 낙상경험유무, 만성질환유무, 거주지역별로 비교분석하여 결과를 지역노인의 삶의 질을 증진시키기 위한 낙상방지 프로그램의 개발에 기초자료를 제공하고자 함이다. 본 연구는 J시의 시내 경로당 4곳과 농촌지역 주민 센터 4곳에서 지역 노인 185명을 대상으로 2016년 8월 15일부터 2016년 9월 17일까지 시행 되었다. 본 연구의 결과를 보면 낙상경험유무별 낙상두려움, 일상생활수행능력, 삶의 질 비교분석 결과 모든 항목에서 통계적으로 유의한 차이가 없었고, 만성질환유무별 낙상두려움, 일상생활수행능력, 삶의 질 비교에서는 낙상 두려움과 삶의 질에서 통계적으로 유의한 차이를 보였다. 그리고 거주지역별 낙상두려움, 일상생활수행능력, 삶의 질 비교에서는 일상생활수행능력 및 삶의 질에서 통계적으로 유의한 차이를 보였다. 낙상두려움, 일상생활수행능력, 삶의 질 간의 상관관계를 보면 낙상두려움은 일상생활수행능력과 유의하게 음의 상관관계를 보이고 있고(r=-.386, p<.000), 일상생활수행능력과 삶의 질과의 관계는 유의하게 양의 상관관계가 있음을 확인하였다(r=.513, p<.000). 따라서 노인의 낙상두려움을 낮추기 위한 안전한 환경을 마련이 중요함을 인식하여 환경개선교육 프로그램의 개발이 필요하고 노인들의 일상생활에서 낙상관련 필수적인 정보들을 얻을 수 있는 시스템 개발이 되어야하며, 일상생활수행능력을 높일 수 있는 프로그램을 삶의 질이 증진될 수 있음을 알 수 있다.

• The Journal of Korean Physical Therapy
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• 제24권6호
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• pp.398-404
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• 2012

Purpose: This is designed to study the effect of weight-support walking training through motor learning on motor functions of children with cerebral palsy, in particular their activity of daily living and balance. Methods: Thirteen children with spastic cerebral palsy, at gross motor function classification system (GMFCS) levels III~IV, underwent treadmill walking training. It used principles of weight support, 4 times a week for 7 weeks, 10 minutes at a time, before and after neurodevelopmental physical therapy. Everyday functions were measured using Functional Independence Measure for Children (Wee-FIM). The ability to keep their balance was measured using electronic measuring equipment from good balance system and the assessment was made before and after the experiment. Results: There were significant differences (p<0.05) between pre and post experiment levels of functional independence in everyday life, in self-care activities, mobility, locomotion and social cognition. With regard to changes in standing balance, there were significant differences before and after the experiment (p<0.05) in GMFCS level III. There was a reduction in the agitation velocity in the x- and y-axes which measures the left-to-right shaking; in GMFCS level IV, velocity moment was reduced. Conclusion: Walking training using a treadmill can help improve the everyday activity and balance in children with spastic cerebral palsy. It can also be served as a useful purpose as a method of intervention in pediatric care.