• Title/Summary/Keyword: Community rehabilitation

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Racial Discrimination and Substance Use among Korean American Adolescents

  • Nam, Gloria Youngju
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.100-107
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    • 2016
  • Purpose: The goal of this study was to examine the association between perceived racial discrimination and substance use and the potential moderating effect of perceived parental affection between the two variables. Methods: A total of 101 Korean American adolescents participated in this cross-sectional study utilized an online survey. Descriptive statistics were used to describe for means and frequencies and the patterns of substance use. Logistic regression analysis was also used to examine the association between perceived discrimination and substance use. Results: Ninety percent of the participants reported perceiving racial discrimination, and 21% had used at least one kind of substance in the month prior to taking the survey. The most frequently used substance was alcohol, followed by marijuana and tobacco products. Logistic regression analysis revealed a link between perceived racial discrimination and substance use (OR = 1.74, 95% CI = 1.01, 3.00). However, parental affection did not moderate between racial discrimination and substance use. Conclusion: These findings suggest that perceived racial discrimination is positively associated with substance use among Korean American adolescents, and health care providers, counselors, and school nurses should screen for discrimination-related stress and substance use in this population.

Effect of Net-Step Exercise on Gait Ability, Depression, Cognitive Function and Activities of Daily Living in Older Adults (Net-Step Exercise가 노인의 보행기능, 우울, 인지기능 및 일상생활 수행능력에 미치는 영향)

  • Lee, Eun Ja;Yoo, Jae Boone
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.108-117
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    • 2016
  • Purpose: This study aimed to prove the effects of the net-step exercise (NSE) on gait ability, depression, cognitive function and activities of daily living (ADL) in older adults. Methods: The study employed a non-equivalent control group non-synchronized design. A total of 64 community-dwelling older adults were recruited and divided equally into two groups; 32 subjects for an experimental group and 32 subjects for a control group. In the experimental group, the NSE was applied to an hour, two times per week for 4 weeks. The level of gait ability, depression, cognitive function and ADL were measured before and after NSE. The study conducted from July to August, 2016. Data were analyzed with descriptive statistics, $x^2$ test, Fisher's exact test, t-test, ANCOVA, and Pearson correlation coefficients using SPSS/WIN 22.0 version. Results: Gait ability, depression, cognitive function were significantly better in the experimental group than the control group. However, the difference in ADL was not significant between the two groups. Conclusion: These findings in this study showed that the NSE was an efficient intervention for older adults. Nurses could apply non-pharmacological interventions to avoid pharmacological side-effects.

Conservation and Revitalization Strategies of Traditional Korean Lodges:Focused on the Jeonju Hanok Village (전통 한옥 숙박시설의 활성화 방안: 전주 한옥마을을 중심으로)

  • Kim, Young-Joo;Lee, So-Young
    • Journal of the Korean Home Economics Association
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    • v.47 no.10
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    • pp.97-108
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    • 2009
  • As one of the conservation strategies, the city of Jeonju established regulations to conserve and revitalize the Hanok village as an attractive tour site. Some of old traditional houses were renovated into traditional inns. A couple of traditional houses were additionally built for lodging houses. The need for urban rehabilitation and adaptive re-use has been growing in Jeonju province. The purpose of this study was to examine how the traditional houses were converted into lodging places balancing the conflict issues such as preserving the unique characteristics of Hanok and updating functional requirement of modern lodging in terms of sustainable reuse and development. For this study, site visits and intensive interview with the owners of the seven traditional lodges were conducted. There was lack of guidelines and strategies renovation or rehabilitation of Hanok as lodging facility for sustainable use and revitalization of city. For the seven traditional Hanok inns, layout of rooms characterized as separate and disconnected, while traditional houses were open, flexible and connected regarding room arrangement. In addition, for sustainable development, the living environment of the community should be secured and align with developing strategies of the area.

The Effects of Multidimensional Program on Cognition, Physical Function and Depression for Institutionalized Elderly (다차원적 프로그램이 시설노인의 인지, 신체기능 및 우울에 미치는 영향)

  • So, Hee-Young;Whang, In-Ok
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.72-80
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    • 2006
  • Purpose: This study was conducted to examine the effect of multidimensional program on cognition, physical function and depression among institutionalized elderly and the relationship between study variables and resident's characteristics and health related variables. Method: This study involved a one group pre and post test, comparison of variables over a 12 month period. To investigate this research question, data of 114 residents of a nursing home were analyzed. Results: There was statistically significant difference in MMSE-K (t=-2.63, p=.010), ADL (t=-2.85, p=.005), and depression (t=4.66, p=.000) before and after program participation. Conclusion: These results indicate that, for a year their regular involvement in a broad spectrum of multidimensional program activities can improve in cognitive, physical and emotional perspectives, but the level of IADL decreased significantly (t=-6.72, p=.000). Further testing is required with the control group, to compare with community resident elders in order to explore the effects on social skill of elderly.

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Effects of a Fall Prevention Program on Physical Functions and Psychological Functions in Rural Elderly Women (낙상예방 프로그램이 농촌여성노인의 신체기능과 심리기능에 미치는 효과)

  • Kim, Sung-Min;Choi, Go-Ya
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.1
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    • pp.63-71
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    • 2012
  • Purpose: The purpose of this study was to determine the effects of a fall prevention program on gait ability, one leg standing-right, one leg standing-left, fear of falling, fall efficacy, and depression in the elderly. Methods: A fall prevention program was consisted of fall preventing exercise with laughter therapy. Quasi-experimental design with one group pre- and post-test was used. Twenty-two elderly were participated in this study from a community health center located in a rural area, South Korea. SPSS/WIN 18.0 was used for descriptive analysis and paired t-test. Results: After 12 weeks with a fall prevention program, gait ability (t=3.44, p=.002), one leg standing-right (t=-3.73, p=.001), one leg standing-left (t=-4.17, p<.001) and fear of falling (t=2.12, p=.046) in the elderly were significantly improved. Conclusion: A fall prevention program was effective on physical and psychological functions. This study suggested that control groups and a larger sample should be included in order to validate the effects of a fall prevention program for the elderly. Key Words: Elderly, Fall prevention program, Physical functions, Psychological

The Effect of Perceived Stress on Suicidal Ideation Due to COVID-19 of College Students: Focusing on the Mediating Effect of Hopelessness

  • KIM, Yun Gyeong;JEONG, Jiyoon;LIM, Jaejeong;SEO, Bo-Kyung
    • The Korean Journal of Food & Health Convergence
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    • v.7 no.5
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    • pp.19-31
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    • 2021
  • The purpose of this study is to examine whether there is a mediating effect of hopelessness the relationship between perceived stress and suicidal ideation in college students. For this study, a survey was conducted on perceived stress, suicidal ideation, and mental health, self-esteem, problem drinking, and stress among 103 college studentsin Gyeonggi do. The results of this study are as follows. It was found that COVID-19 correlated with perceived stress, hopelessness, and suicidal ideation of college students. The hopelessness completely mediated between perceived stress and suicidal thoughts of college students, which is consistent with previous studies. This study is meaningful in that it confirmed relationship between the perceived stress, hopelessness, and suicidal ideations in college students due to COVID-19, reflecting the new situation of the times. Coronavirus will worsen people's mental health disorders and cause new stress-related disorders. Therefore, mental health researchers, clinicians, and people working in trauma-related fields should find ways to reduce the incidence of coronavirus-related trauma stress and prevent its effects. It is necessary to expand the psychological vaccine program to improve the resilience of the public. Since there are individual differences in resilience, it is necessary to strengthen the psychological vaccine program for each subject considering resilience.

Effect of Carrying Weight on the Gait of Elderly Women when using a Walking Assistant Vehicle

  • Roh, Hyo-Lyun;Son, Sung-Min;Kwag, Sung-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.1-8
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    • 2018
  • PURPOSE: This study was conducted to analyze the effects of carrying weight on the gait of elderly women using a walking-assistant vehicle (WAV) as the weight increased. METHODS: A total of 30 elderly women living in the local community were included as subjects and instructed to walk 50 m using a WAV loaded with sandbags corresponding to 0%, 5%, 10%, or 15% of their mean weight. The subjects' gait was analyzed using a gait analyzer to measure stride length, step length, step width, and gait time. RESULTS: Stride and step lengths were longest when carrying 5% of their weight and shortest when carrying 15% of their mean body weight. Step width and gait time were lowest when carrying weights corresponding to 5% and highest for 15% of their mean body weight. When observing gait with a WAV, the gait time was greatly affected by weights, with carrying weight equivalent to 5% of the body weight positively affected the gait with a WAV, whereas carrying weights of >15% resulted in slower gait speed. CONCLUSION: When walking with a WAV, an appropriate carrying weight of approximately 5% of the body weight stabilizes gait, while a weight of 15% leads decreased gait efficiency. Therefore, when using a WAV during outdoor activities, elderly women should add some weight to the WAV; however, the carrying weight should be <15% of the body weight.

The Effect of a Home Visit Cognitive Training Program Using Tablet-Based Recognition Rehabilitation Application (Brain Doctor) on Local Elderly People's Cognitive Function and Depression (태블릿 PC형 전산화 인지재활 프로그램(Brain doctor)을 이용한 가정방문 인지훈련 프로그램이 지역사회 노인의 인지기능 및 우울감에 미치는 영향)

  • Kim, Minho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.49-58
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    • 2020
  • Purpose : This study examined the effect of a home visit cognitive training program that uses a tablet-based digital recognition rehabilitation application, Brain Doctor, on local elderly people's cognitive function and depression. Methods : This study featured 20 elderly people living in Busan Metropolitan City, South Korea, who received a voucher for a home visit service to prevent dementia. The subjects were evenly divided into an intervention group provided with Brain Doctor and a control group provided with a conventional cognitive training program. Korean version of Mini Mental State Examination (MMSE-K) and Korean version of Montreal Cognitive Assessment (K-MoCA) were used to assess cognitive function in each group. Patient Health Questionnaire-9 (PHQ-9) was used to evaluate the depression levels. Results : The intervention group showed a significant change in cognitive function and depression after the intervention (p<.05). There was a statistically significant change in cognitive function and depression between the intervention and control groups (p<.05). Conclusion : This study confirmed that Brain Doctor had a positive effect on the cognitive function and depression of elderly people in the local community. It is expected to become a useful home visit program for dementia prevention in the future.

The Effect of Wrist and Trunk Weight Loading using Sandbags on Gait in Chronic Stroke Patients (모래주머니를 이용한 팔목과 몸통의 무게 증가가 만성 뇌졸중 환자들의 보행에 미치는 영향)

  • Park, Sangheon;Lim, Hee Sung;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • v.31 no.1
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    • pp.50-58
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    • 2021
  • Objective: This study aimed to determine the effect of wrist and trunk weight loading using sandbags in stroke patients in order to provide the quantitative data for enhancement of gait movement. Method: Twelve stroke patients, who have been diagnosed with hemiplegia over a year ago, were participated in this study. All subjects were asked to perform normal walking [N], wrist sandbag walking [W], wrist & trunk sandbag walking [WT], and both wrist sandbag walking [B] and both wrist & trunk sandbag walking [BT], respectively. Eight infrared cameras were used to collect the raw data. Gait parameters, arm swing, shoulder-pelvic kinematics, and lower extremity joint angle were calculated to examine the differences during walking. Results: As a result, there were no significant differences in the gait parameters, shoulder-pelvis, and lower extremities joint angles, but significant differences were found in the range of motion and the anteversion in arm swing. Conclusion: Wrist and trunk weight loading using sandbags affected the movement of the upper extremities only while it did not affect the movement of the lower extremities. It implies that it can reduce the risk of falling caused by a sudden movement change in lower extremities. In addition, the wrist and trunk weight loading using sandbags can induce changes in movement of the upper extremities independently and contribute to functional rehabilitation through resistance training.

Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

  • Kim, Heesuk;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.185-196
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    • 2021
  • Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.