• 재활간호학회지
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• 제17권1호
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• pp.48-55
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• 2014

Purpose: In this study, we attempted to provide an evidence for the effects of meridian acupressure on relieving and preventing constipation in the institutionalized elderly. Methods: The research design was a non-equivalent control group, non-synchronized design. The subjects consisted of 31 institutionalized elderly (experimental group: 16, control group: 15). The experimental group was given meridian acupressure for 10 minutes daily for 2 weeks. The data was analyzed by the ${\chi}^2$-test, Fisher's exact test, t-test and repeated measures ANOVA. Results: The number of bowel movements per week of the experimental and control group performed meridian acupressure verified by repeated-measures analysis of variance revealed that interaction existed between the meridian acupressure availability and the measurement point (F=98.183, p<.001). Repeated measures analysis of variance to compare the changes in Bristol stool form scale scores of the experimental and control group performed meridian acupressure revealed that interaction existed between the meridian acupressure availability and the measurement point (F=48.896, p<.001). Conclusion: The results of this study show the meridian acupressure is a useful nursing intervention on constipation in the institutionalized elderly.

• The Journal of Korean Physical Therapy
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• 제10권2호
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• pp.161-171
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• 1998

낙상은 노인에서 중요한 건강문제와 직결된다. 노인의 활동력 저하와 노화로 인한 생리학적 변화는 균형과 기능적 가동성 감소를 초래하고 낙상의 주요 요인이 된다. 노년기의 신체활동은 근력유지뿐만 아니라 균형감각 같은 신경계의 기능유지를 위해서도 필요하다. 노화 되어감에 따라 활동이 줄어들고 대근의 활동보다는 소근의 활동을 중심으로 소일하는 경우가 대부분이다. 따라서 신체의 운동범위가 좁아짐에 따라 활동할 때 신체균형감각이 둔화되어 낙상을 일으키게 되고 심각한 사회적 문제를 초래하게 된다. 그러므로 노인의 낙상방지와 생활의 질적 향상을 위해 적당한 강도의 운동과 균형수행력을 향상시키는 훈련이 필요하다.

• 재활간호학회지
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• 제9권1호
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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.

• 재활간호학회지
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• 제7권1호
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• pp.48-57
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• 2004

Introduction : The purposes of this study was to examine physical function and psychological status in the elderly caused by a fall. Method : The study was designed as a descriptive survey. Its subjects consisted of the 299 elderly over 65 years. Collected data were analyzed by the SPSS 10.0 program package. Results : The result of this study are as follows : 1) The score for ADL was significantly lower in the fall group. 2) Grip strength was significantly lower in the fall group. 3) Lapse of the motion sitting and standing was significantly longer in the fall group. 4) One-leg-standing time with the eyes open and closed was significantly shorter in the fall group. 5) Return time of 3m walk was significantly longer in the fall group. 6) The score for dizziness was significantly higher in the fall group. 7) The score for fear for a fall and depression were significantly higher in the fall group. 8) The score for falls efficacy was significantly lower in the fall group. Conclusion: ADL, muscle strength, balance, dizziness, fear for a fall, falls efficacy and depression turned out to be closely related to the fall of the elderly. Therefore, it would be required to develop and applicate the fall prevention program regarding these above risk factors.

• 국제물리치료학회지
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• 제9권4호
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• pp.1591-1595
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• 2018

The number of healthy older adults is rapidly increasing recently owing to the increase of the elderly population. Therefore, programs for improving the cognitive functions of these healthy seniors are actively being expanded. This study aimed to prevent the decline of cognitive function due to aging by applying a program enhancing cognitive functions to healthy older adults. The objective of this study was to evaluate the effects of Korean computer-based cognitive rehabilitation program (CoTras), which is commonly used in cognitive therapy for the aging, on the memory of the elderly. The subjects had scored at least 24 points in MMSE-K. CoTras was applied once a week (30 minutes) for one month. Electronic pegboard programs were used as an evaluation tool: order memory (difficulty=low) and location memory (difficulty=medium). The order and location memories were compared before and after the intervention. The Wilcoxon signed rank-sum test was used for the study at the significance level of ${\alpha}=.05$. The results showed that CoTras significantly improved order memory and location memory. Therefore, CoTras can be applied to the healthy elderly for improving that memory improvement training has a positive impact on healthy older adults result in the development of memory enhancement programs can be expanded in the future.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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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.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.391-399
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• 2022

Objective: This study aimed to investigate the effects of fall-prevention exercise programs on fall efficacy, depression and health-related quality of life in elderly. Design: a randomized controlled trial Methods: A total of 57 participants over 65-years-old have been allocated to control and experimental groups. The experimental group received 8 weeks of fall-prevention exercises that included strengthening of lower extremities, balance and gait training. They received the exercises twice a week for 50 minutes as a group.Both groups were assessed using Modified Falls Efficacy Scale (MFES), Geriatric Depression Scale (GDS), and 36-Item Short-Form Health Survey (SF-36) prior and post to the intervention. The control group also received the same exercise program after the post evaluation. Results: The experimental group showed overall improvement in MFES, GDS, and physical components of SF-36 (p<0.05). The MFES was significantly increased in the experimental group after the intervention (p<0.05). The GDS was significantly decreased in the experimental group after the intervention (p<0.05). The SF-36, only physical Function, Role limitations due to physical health, general health, and energy and fatigue categories were improved in the experimental group after the intervention (p<0.05). Conclusions: The results showed 8 weeks of fall-prevention exercise programs can increase fall efficacy and physical related quality of life while reducing depression of elderly over 65.

• 대한물리치료과학회지
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• 제5권1호
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• pp.557-571
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• 1998

The purpose of the study is (i) to investigate the operating situation of physical therapy department in public health centers, (ii) to analyze the difference of elderly satisfaction from non-elderly satisfaction of physical therapy services among the public health center visitors, and finally (iii) to suggest facilitating improvement on programs that can supply the elderly health service through public health centers. A questionnaire survey was carried out 212 patients of 25 public health center in Seoul, Korea from 15 July to 10 August 1996. Major results of the study are as follows : 1. Among the respondents. the largest group was the elderly who are over 65 years old (72.6%). 2. The averge of general patients' satisfaction for physical therapy services was 3.98, especially fee of treatment(4.76), attitude of physical therapist(4.33), and reliance of physical therapist(4.20) were higher by 5-score Likert scale. 3. The correlation factors with general patients' satisfaction were process of treatment (r =.6301). results of treatment(r=. 6186), and guide facilities(r=.5999). 4. The results of multiple-regression analysis between general patients' satisfaction and affecting factors identify following variables as the statically significant determinants : general stisfaction comparing with other physical therapy services, physical therapy services using forwardly, fee of treatment. 5. There was no significant defference between elderly and non-elderly patients' satisfaction of physical therapy service, except attitude of physical therapist(t=-2.07), explanation of treatment for disease(t=-2.19), fee of treatment(t=6.29).

• 디지털콘텐츠학회 논문지
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• 제19권2호
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• pp.319-325
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• 2018

최근 급속한 고령화로 인해 치매가 사회적 문제로 대두되면서 치매에 대한 일반 대중의 관심이 증가하였다. 늘어나는 치매환자수에 따라 치매 재활센터, 노인 복지관에서는 여러 치매 예방 및 재활 프로그램이 진행되고 있다. 본 논문에서는 3차원 손가락 및 동작 스캔이 가능한 립 모션(leap motion)을 활용하여 다양한 시설에서 진행되고 있는 치매 예방 및 인지 재활 프로그램과 접목시킨다. 개발하고자 하는 기술은 재활 치료사들의 치료 및 재활 내용을 재미와 효과를 함께 제공할 수 있는 기술을 제안하고자 한다. 손가락 추적을 이용하여 다양한 인지 증강 콘텐츠를 설계하고, 재활 교육의 기록이 데이터베이스에 기록되도록 구성하여 재활 프로그램의 관리의 효율성을 증대시키고자 하였다.

• 한국융합학회논문지
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• 제13권5호
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• pp.313-325
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• 2022

본 연구의 목적은 노인 헬스케어앱 시장의 변화 추이를 텍스트 마이닝 분석을 통해 살펴보고 노인 헬스케어앱 활성화를 위한 기초자료를 제시하고자 한다. 데이터 수집은 네이버, 다음, 블로그 웹, 까페를 대상으로 이루어졌으며, 연구방법은 빅데이터 분석 프로그램인 텍스톰(Textom)과 Ucinet6를 이용하여 텍스트마이닝, TF-IDF(Term frequency-inverse document frequency), 감성분석, 의미연결망분석을 실시하였다. 워드 클라우드를 실시한 결과 빈도 순으로 현장교육, 헬스케어, 전신재활운동기구, 서비스, 운동 등으로 나타났으며, TF-IDF 순위로는 현장교육, 헬스케어, 재활운동기구, 서비스, 건강 순으로 나타났다. 노인 스포츠 어플리케이션에 대한 감성분석을 실시한 결과 긍정비율로 81.3%, 부정비율이 18.7%로 나타났으며, 헬스케어앱 정보격차 해소, 융복합 헬스케어기술, 확산매체, 노인헬스케어앱 산업, 사회적 배경, 콘텐츠로 총 6개의 범주가 최종적으로 도출되었다. 결론적으로 노인 헬스케어앱이 노인들에게 수용 및 활용되기 위해 확산 인프라가 잘 갖추어져 있어야 하며, 융복합 기술의 적극적인 도입과 노인도 쉽게 사용할 수 있는 콘텐츠 개발을 통해 헬스케어 앱의 효과를 극대화하여야 한다.