• Title/Summary/Keyword: Activity of daily living

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The effect of Jeon-buk area daytime ward occupational therapy convergent activity on hand function, cognitive function and IADL in people with dementia (전북지역 낮 병동 작업치료 융복합활동프로그램이 치매환자의 손기능, 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Hyun-Gi;Lee, Min-Young;Kim, Ko-Un;Oh, Hye-Won
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.511-519
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    • 2017
  • This study developed a occupational therapy convergent activity program to provide dementia patients admitted to the daytime ward, and investigated the program's effect on the hand and cognitive functions and instrumental activities of daily living. A total of 34 dementia patients were divided into two groups: a convergent occupational therapy program and medication were provided for 17 patients, and medication alone was provided for a control group of 17. The intervention was performed for 24 weeks, 8 times per week, 192 times in total. A handgrip strength test was performed to examine hand function before and after the intervention, and the MMSE-K and GDS were performed to evaluate cognitive function. In addition, the K-IADL was used to assess instrumental activities of daily living. With intervention, the experimental group showed significant improvements in hand and cognitive function and instrumental activities of daily living. In contrast, the control group did not show improvements in hand and cognitive function or instrumental activities of daily living. In conclusion, the study showed that a convergent/integrated activity program for occupational therapy has a positive effect on hand and cognitive function as well as instrumental activities of daily living.

Factors Influencing Quality of Life of Elderly People with Dementia (치매노인의 삶의 질에 영향을 미치는 요인)

  • Kim, Hwasoon;Lee, Young Whee;Choi, Sung Hee;Ham, Youn Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.79-88
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    • 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.

The Relationship between Depression, Cognitive Function and the Instrumental Activities of Daily Living of Elderly Women Living Alone (재가 독거 여성노인의 우울, 인지기능 및 도구적 일상생활 수행능력 간의 관계)

  • Lim, Eun Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1849-1856
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    • 2013
  • The purpose of this study is to understand differences in cognitive function and the instrumental activities of daily living depending on whether elderly women living alone in Korea have depression and to determine the correlation between variables. The data were collected from April 2011 to April 2012 with a total of 1,426 women interviewed using a structured questionnaire. Based on examining the correlation between variables, a weak inverse correlation was shown between depression and cognitive function(r=-.208, p<.001), between cognitive function and the instrumental activities of daily living(r=-.256, p<.001), and a weak positive correlation was shown between depression and instrumental activities of daily living(r=.222, p<.001). According to these results, We should pay attention to come up with ways to promote and maintain the mental health of elderly women so that depression level can be reduced through the improvement of cognitive function and social activity level.

Cognitive Function, Physical Function, Problematic Behaviors of Elders using Dementia Daycare Service and Reasons for Stopping Daycare (치매주간보호센터 이용 노인의 인지·신체기능, 문제행동 및 이용중단 이유)

  • Kim, Hwasoon;Lee, Young Whee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.1
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    • pp.61-72
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    • 2016
  • Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.

The Impacts of Cognitive Function, Disease Severity, and Disability on Ability to Perform Activities of Daily Living after Stroke (뇌졸중 환자의 인지기능, 질병의 심각도 및 장애 정도가 일상생활수행능력에 미치는 영향)

  • Oh, Eunyoung;Kim, Minsuk;So, Heeyoung;Jung, Misook
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.2
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    • pp.90-99
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    • 2013
  • Purpose: This study aimed to examine influence of cognitive function, disease severity and disability on ability to perform activity of daily living (ADL) after ischemic stroke. Methods: A total of 88 patients with ischemic stroke were recruited from January 1, 2008 to December 31, 2012 and assessed with the standardized cognitive test battery and self-reports about disease severity, disability, and ADL. To analyze the data, ANOVA, Pearson correlation coefficients and multiple regression were conducted using SPSS/WIN program. Results: Significant correlations were found between ADL and visuospatial function, visual memory, executive function, and disability (r=.29~.38). Executive function and disability explained 17.3% of total variability in ADL performance after ischemic stroke. Conclusion: Executive function may be a promising target for cognitive rehabilitation after ischemic stroke. Thus, effective therapeutic interventions such as cognitive training for stroke patients should be considered to improve their ability to perform ADL.

Design and Implementation of a User Activity Auto-recognition System based on Multimodal Sensor in Ubiquitous Computing Environment (유비쿼터스 컴퓨팅환경에서의 Multimodal Sensor 기반의 Health care를 위한 사용자 행동 자동인식 시스템 - Multi-Sensor를 이용한 ADL(activities of daily living) 지수 자동 측정 시스템)

  • Byun, Sung-Ho;Jung, Yu-Suk;Kim, Tae-Su;Kim, Hyun-Woo;Lee, Seung-Hwan;Cho, We-Duke
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.21-26
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    • 2009
  • A sensor system capable of automatically recognize activities would allow many potential Ubiquitous applications. This paper presents a new system for recognizing the activities of daily living(ADL) like walking, running, standing, sitting, lying etc. The system based on the state-dependent motion analysis using Tri-Accelerometer and Zigbee tag. Two accelerometers are used for the classification of body and hand activities. Classification of the environment and instrumental activities is performed based on the hand interaction with an object ID using.

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An Analysis of Time Use on Activities of Daily Living : Considering Korean Adults in Seoul (일상생활활동에 대한 생활시간 분석 : 서울에 거주하는 한국 성인을 대상으로)

  • Lee, Dong-Hun;Lee, Ho-Jin;Chung, Min-K.
    • Journal of Korean Institute of Industrial Engineers
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    • v.37 no.2
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    • pp.105-117
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    • 2011
  • This study describes behavioral characteristics of Korean population over twenty years old in a variety of activities of daily living by analyzing the raw data of the time use survey provided by Statistics Korea (KOSTAT). Seven activities and forty four sub-activities of daily living were selected for analysis : personal care, employment, household care, family care, voluntary work and community participation, social life, recreation and leisure, and travel. In order to quantitatively understand how Korean adults spend their time for a day and how their lifestyle changes over time, we collected the time recorded by 3,673 respondents in three surveys over the past ten years (in 1999, 2004, and 2009). Then, we performed analysis of variance to compare the behavioral characteristics by user age and gender based on the mean time of each activity. The differences in behavior among user groups and over time could be used to design ergonomic products and services based on user experience, especially for universal design of housing and transportation facilities.

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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The Effect of Strengthening Exercise Program on the Physical Activity, Activities of Daily Living, Social Behavior and Functional Performance of the Elderly in a Home for the Aged (양로원 노인의 신체활동, 일상생활동작, 사회행동 및 기능수행에 대한 근력강화 운동프로그램의 효과)

  • Kim, Hyun-Sook;Chung, Chee-Kyung;Lee, Kang-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.107-115
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    • 2002
  • Objectives : To evaluate the effects of a strengthening exercise program on the physical activity, activities of daily living(ADL), social behavior and functional performance of the elderly in a home for the aged. Methods : We administered a survey questionnaire that consisted of questions to establish general characteristics, health habits and status, physical activity, ADL, and social behavior. Additionally, a physical fitness and functional performance examination was peformed on subjects who were 65 years old or older. Study subjects numbered 33 in the experimental group and 35 in the control group. For intervention, we used a strengthening exercise program of the upper and lower limbs for 12 weeks(5 times/week) using dumbbells and lead-packed weights. Results : After the strengthening exercise program, the scores of physical activity and social behavior were significantly higher than the control group and the before exercise measurements. Moreover, the variables of functional performance were significantly higher than in the control group or the before exercise records. Conclusion : These results Indicate that a strengthening exercise program can improve the score of physical activity, ADL and social behavior, as well as decrease the time(sec) of functional performance of the elderly in a home for the aged.

The Relationship Between the Quality of Sleep and the Cognitive Function, Depression, and Activities of Daily Living in the Institutionalized Elderly (요양시설 노인의 수면의 질이 인지기능 및 우울감, 일상생활활동과의 관련성 연구)

  • Kang, Eun-Yeong;Chong, Sang-Mee;Chong, Bok-Hee
    • The Journal of Korean Society for Neurotherapy
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    • v.22 no.3
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    • pp.37-42
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    • 2018
  • Purpose. The purpose of this study was to determine the relationship between sleep quality and cognitive function, depression, and institutionalized elderly activity. The goal is to improve the quality of life through early intervention in the sleeping problems of the elderly hospitalized in the nursing home. Method Twentythree patients who were diagnosed with CDR (clinical dementia grade) 0.5 ~ 2 stages by a psychiatrist from September 3 to 30, 2017 were measured for sleep status, depression, cognitive function and activities of daily living at the same time once a day. The collected data were analyzed using SPSS (v.21, IBM, USA) program. Results The correlation between sleep status and cognitive function, depression, and activities of daily living was not statistically significant, and there was a moderate correlation between cognitive function and depression. Conclusion The results of this study suggest that the development and application of a program that activates the cognitive function that is institutionalized with a positive correlation between cognitive function and depression will be effective in decreasing depression in the elderly patients hospitalized in the nursing home.