• 대한지역사회작업치료학회지
• /
• 제10권2호
• /
• pp.47-61
• /
• 2020

목적 : 본 연구에서는 노인들의 신체적 활동을 일 관련 신체활동, 운동 및 여가 신체활동, 이동 관련 신체활동, 앉아서 하는 활동으로 나누어 신체적 활동 유형 별 참여 여부가 노인들의 건강 관련 삶의 질과 정신건강에 어떤 관계가 있는지 알아보았다. 연구방법 : 본 연구는 2016년에 수행된 제7기 1차년도 국민건강영양조사(The 7^th Korea National Health and Nutrition Examination Survey KNHANES VII-1)에서 건강 설문조사에 응한 65세 이상 978명을 대상으로 수행되었다. 신체활동유형, 건강관련 삶의 질(EQ-5D), 우울지수(PHQ-9), 스트레스 인지수준, 수면시간 등의 관계성을 복합표본설계선형회귀분석으로 알아보았다. 결과 : 신체활동은 건강 관련 삶의 질과 정신건강에 있어, 강도 높은 일이나 가사활동에 참여할 경우는 부정적인, 중강도 이상의 여가에 참여하는 경우 긍정적인 영향을 주고 있음을 알 수 있었다. 앉아서 하는 활동의 시간이 많을수록 건강 관련 삶의 질에 부정적 영향을 준다는 다른 연구 결과와는 다르게 노인들의 앉아서 하는 활동은 건강 관련 삶의 질과 정신건강에 긍정적 영향을 주었다. 결론 : 연구 결과, 우리나라 노인은 여가 관련 신체활동과 앉아서 하는 활동은 건강 관련 삶의 질에 긍정적이며, 일과 관련된 신체활동은 삶의 질을 낮추는 부정적 요인으로 작용한 것으로 해석할 수 있었다. 이러한 국내 노인들을 대상으로 한 신체활동의 수준과 건강 관련 결과를 바탕으로 노인 대상의 의미·목적있는 작업중심 활동 프로그램을 수립할 때 참고하도록 해야 할 것이다.

• 대한간호학회지
• /
• 제45권1호
• /
• pp.84-96
• /
• 2015

Purpose: This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women. Methods: The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation. Results: There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group. Conclusion: The exergame could be an effective alternative for older adult women to group exercise classes.

• Perspectives in Nursing Science
• /
• 제3권1호
• /
• pp.73-89
• /
• 2006

Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.

• 한국콘텐츠학회논문지
• /
• 제13권12호
• /
• pp.1036-1047
• /
• 2013

본 연구는 불면과 관련된 무작위임상시험의 해외 연구 동향을 살펴보기 위하여 시계열적 키워드 비교 분석 및 네트워크 분석을 실시하였다. 분석에 사용된 자료는 'Insomnia'와 'Randomized Clinical Trial'의 연관 키워드를 사용하여 ClinicalTrials의 379건, Web of Science의 132건을 선정하였다. 분석 결과, ClinicalTrials에서는 불면과 약물요법을 중심으로 인지행동요법, 우울 등의 키워드가 네트워크를 이루고 있었다. WOS에서는 ClinicalTrials의 결과에 멜라토닌 키워드가 추가적으로 나타났다. 또한, 연구 대상자 중 특징적으로 노인과 여성에 대한 연구가 꾸준히 진행되는 것으로 파악되었다.

• 가정∙방문간호학회지
• /
• 제30권3호
• /
• pp.298-310
• /
• 2023

Purpose: This study synthesized the literature on non-pharmacological interventions for chronic pain in older adults in long-term care facilities. Methods: Scoping review and thematic analysis methods were combined. On June 1, 2023, searches of primary electronic databases, including PubMed, Embase, PsycINFO, CINAHL DBpia, KMbase, NDSL, and RISS, were performed, restricting the publication date from January 1, 2010 to December 31, 2022. Guidelines from the Joanna Briggs Institute were used as a framework to set and conduct the scoping review. Results: The review identified 1,095 abstracts, from which 14 studies were included in the review. Consequent to the study, there were 10 randomized controlled experimental study designs, and 6 out of 14 studies were conducted in China. The numeric rating scale was widely used for pain assessment. Exercise intervention was provided in 7 studies and physiotherapy was provided in three studies. The outcome variables measured were pain self-efficacy, physical functions, and depression. Conclusion: This comprehensive overview guided nursing staff in long-term care facilities for planning and intervention of effective non-pharmacological interventions for chronic pain in the elderly.

• 한국간호교육학회지
• /
• 제18권2호
• /
• pp.332-344
• /
• 2012

Purpose: The purpose of this study was to identify the current status of Asian research and suggest a direction for the future development of nursing research in Asian countries Methods: To examine the current status of Asian nursing research, 539 abstracts presented at the 2011 East Asian Forum of Nursing Scholars in Seoul were analyzed according to the structured analysis format. Results: The results showed that most of the studies (77.6%) were quantitative design, but qualitative design was also conducted. Most of quantitative studies were quasi experimental designs and questionnaires are most frequently used for data collection. Only 8.5% of the studies used physiological measures. Key words were categorized into four nursing metaparadigms: clients, environment, health and nursing. The most frequently mentioned domain was health. Main themes of research were elderly, chronic disease, health promotion, and nurse/nursing management. Most frequently used key words were elderly, social support, depression, and stress. Conclusion: Major trends were similar in Asian countries, and mostly conducted with quantitative designs. Research topics were varied and major interests in nursing research topics were elderly, health promotion, and mental health in all countries. We need to develop nursing science based on closer communication and cooperation among Asian countries.

• Journal of Korean Biological Nursing Science
• /
• 제20권2호
• /
• pp.122-131
• /
• 2018

Purpose: This study was conducted to ascertain the effectiveness of forest healing therapy by analyzing researches on forest healing therapy applied to Korean adults and to confirm that forest healing therapy can be used as a therapeutic intervention program for elderly nursing or rehabilitation nursing. Methods: We searched 972 research papers on forest therapy applied to Korean adults. We reviewed appropriate 25 research papers with experimental design among them in the final analysis. Results: Forest healing therapy had physiological and psychosocial effects. First of all, it showed physiological effects to reduce stress index such as heart rate variation. Forest therapy also improved melatonin level in blood of middle-aged women with menopause and increased alpha wave in electroencephalogram and decreased lipid level and superoxide dismutase in blood. Second, forest healing therapy showed psychosocial effects to reduce depression and to improve mental health. But the effects appeared differently depending on the implementing type, period of forest healing therapy, and the professionalism of therapists. Therefore, if forest healing therapy would be applied to nursing, it should be based on its key principle, in other words, its principle of action-interaction-response of forest healing therapy. Conclusion: The results of this study could be used to develop a forest healing program as an intervention of nursing.

• 보건의료산업학회지
• /
• 제9권3호
• /
• pp.187-199
• /
• 2015

Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

• 융합정보논문지
• /
• 제9권11호
• /
• pp.22-27
• /
• 2019

스마트폰 보편화와 함께 스마트폰 중독은 신체적/정신적으로 사회적인 문제가 되고 있다. 본 연구는 청소년, 성인, 노인 300명을 대상으로 중독으로 인한 문제점에 대한 관련성을 조사하였다. 분석결과 스마트폰 중독으로 나타나는 건강문제, 우울증, 반사회성, 정신분열, 자존감 저하, 사회적 기대감 저하 등 SNS와 메신저 사용이 부정적인 요소와 가장 관련이 높은 것으로 나타났다. 이외 게임과 동영상 등은 비교적 부정적인 문제점이 낮은 것으로 분석되었다. 주요 중독비율이 높은 항목을 중심으로 조사 대상자에게 문제점 해결책에 대한 선호도를 추가 분석하였고, 스마트폰 중독 감소를 위한 개선책을 논의하였다.

• 대한지역사회작업치료학회지
• /
• 제7권1호
• /
• pp.37-47
• /
• 2017

목적 : 본 연구는 치료를 받고 있는 뇌졸중 환자 중 후유증의 유무에 따라 건강관련 삶의질(HRQOL)에 영향을 주는 건강상태의 중요도가 어떻게 달라지는지를 조사하여, 건강 관련 삶의 질 향상 방안을 위한 기초자료로 활용하는데 있다. 연구방법 : 뇌졸중 환자의 후유증 유무에 따라 HRQOL에 영향을 미치는 요인들의 중요도를 분석하기 위하여 국민건강영양조사 제5기의 자료를 활용하여 65세 이상 치료를 받고 있는 뇌졸중 환자 91명을 대상으로 2차 분석을 실시하였다. 결과 : 첫째, 후유증이 있는 뇌졸중 환자의 경우 없는 그룹보다 HRQOL과 주관적 건강상태가 유의하게 낮았으며(p<0.05), 자살 생각이 있을 위험도는 3.64였다. 둘째, 전체 그룹의 경우 주관적(${\beta}=0.39$), 정신적(${\beta}=0.29$), 의학적(${\beta}=0.23$) 건강상태가, 후유증이 있는 그룹의 경우 정신적(${\beta}=0.45$), 주관적(${\beta}=0.36$) 건강상태가, 후유증이 없는 경우 의학적(${\beta}=0.45$), 기능적(${\beta}=0.32$), 정신적(${\beta}=0.25$) 건강상태 순으로 HRQOL에 크게 영향을 주는 요인으로 추출되었다(p<0.05). 결론 : 종합하면 재활치료에 있어 뇌졸중 환자의 HRQOL 향상을 위해서는 후유증이 중증일 경우는 정신적 건강상태에 영향을 미치는 우울과 자살에 대한 조기 발견 및 조기 중재가 중요하며, 후유증이 경증이거나 없는 경우에는 기능적 회복에 초점을 맞추어 진행해야 하고, 후유증 유무와 상관없이 자신의 현 상태를 긍정적으로 받아들일 수 있도록 지속적인 지지를 해준다면 뇌졸중 환자의 기능적 회복과 더불어 HRQOL을 더욱 향상시켜 최종적으로 뇌졸중 환자의 독립적 자립에 긍정적인 영향을 줄 수 있을 것으로 사료된다.