• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.626-635
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• 2004

Purpose: The purpose of this study was to explain the effects of upper extremity exercise program on hemiplegic stroke patients. Method: The research was designed by a non-equivalent pretest-posttest way. The data were collected from February to August 2003 at a community health center located in Seoul. The study subjects were a conveniently selected group of 27 hemiplegic patients. The subjects were divided into two groups, the experimental group and the control group. 14 subjects were assigned to the experimental group in which the subjects did the upper extremity exercise training for 2 hours once a week during four weeks, while 13 subjects were assigned to the control group. The outcomes were evaluated on the basis of the upper extremity motor ability(hand power, pinch power, upper extremity ROMs), amount of motor use and the degree of depression. Result: 1. After treatment, the motor abilities of the affected upper extremity(hand power, pinch power, ROMs of wrist flexion/extension, shoulder extension) were significantly different between the two groups. However, there were no significant differences in elbow and shoulder flexion between experimental and control group. 2. After treatment, amount of motor use of affected upper extremity were significantly different between the two groups. 3. After treatment, the degree of depression were significantly different between the two groups. Conclusion: In considering these results, the upper extremity exercise program could be effective for hemiplegic patients by improving the function of their upper extremity. Long-term studies are needed to determine the effects of upper extremity exercise program.

• Journal of Life Science
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• v.19 no.6
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• pp.825-831
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• 2009

The purpose of this study was to investigate the influences of immune function and respiratory system on aerobic exercise of 75 %HRmax intensity in an exposed acute hypobaric hypoxic environment. The subjects were 20 male college students, 10 of which were soccer players (19.6${\pm}$0.8 yr, BMI 22.3${\pm}$1.0, V02max 56.5${\pm}$4.8 mljkgjmin) and 10 general students (22.2${\pm}$2.3 yr, BMI 22.7${\pm}$2.1, $VO_{2max}$ 50.5${\pm}$6.6 ml/kg/min). Items of measurement after exercise on level and high altitude were $O_{2}$, $CO_{2}$, ventilation (VE), respiratory frequency, respiratory quotient, RBC, MCV, MCH, MCHC, Hb, Hct, reticulocyte, WBC, neutrophil, lymphocyte, monocyte, basophil, and immunoglobulin (IgA, IgD, IgG, IgM). As the result of the verifying hypothesis, these results may suggest three new findings: first, to produce hypoxic ventilatory depression not only at level land but also at 3,000 m high altitude during 30 minute aerobics exercise of 75 %HRmax intensity, second to be more excellent for soccer players in adaptation and sensibility on response of respiratory system at high altitude, and third, to change each other by regular exercise habits or altitude in the monocyte.

• PNF and Movement
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• v.7 no.4
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• pp.9-16
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• 2009

Objective : The purpose of this study was to analyze the effect on psychosocial status in elderly women with chronic low back pain after practicing lumbar stabilizing exercise using the gym ball, and to developed and activated on exercise program for healthy senile life. Methods : The subjects were 23 elderly women with chronic low back pain. Mean age of subjects was $67{\pm}13$ years. The lumbar stabilizing exercise using the gym ball was performed 3 times a week during the 8 weeks study period. The research tool were ODI(Oswestry Disability Index), VAS(Visual Analogue Scale), SES(Self-esteem Scale), GDSSF-K(Geriatric Depression Scale Short Form Korea Version), PSS (perceived stress scale), Life satisfaction, and MMSE-K. The analysis of data was processed by the statistical program SPSS 12.0 and paired t-test and frequency analysis were used to compare psychosocial status between the pretest and post tests. Result : The lumbar stabilizing exercise using the gym ball increased significantly SES and Life satisfaction of subjects, and ODI, VAS(trunk flexion & trunk extention), GDSSF-K, and PSS were decreased significantly(p<.05). While VAS(trunk rotation) were not significantly. Conclusion : The lumbar stabilizing exercise using the gym ball improved psychosocial status in elderly women with chronic low back pain.

• Journal of muscle and joint health
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• v.8 no.1
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• pp.51-64
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• 2001

The purposes of this study were to examine and to predict the affecting factors on exercise participation of Rheumatoid arthritis Patients. The subjects were 161 adult out-patients who visited the hospital for rheumatic disease in H-university. Data were composed of self-reported questionnaire. The conceptual model of this study consisted of that personal characters(age, marriage, education, income), situational characters(pain intensity, fatigue, IADL, depression), behavioral characters(formerly exercise behavior, life-style), and cognitive-perceptional characters(perceived health status, perceived benefit, perceived barrier, perceived self-efficacy) affected directly to exercise participation. Logistic regression analysis was applied for testing model of this study. The results were as follows : 1. Personal characters(education), situational characters(pain intensity), behavioral characters(formerly exercise behavior, life-style), and cognitive characters(perceived barrier, perceived self-efficacy) were significant difference between current exercise participants(127subjects) and non-exercise participants(34). 2. Personal characters(income), situational characters(pain intensity), behavioral characters(life-style), and cognitive-perceptional characters(perceived barrier, perceived self-efficacy) were correlated to exercise participation. 3. Formerly exercise behavior, perceived barrier, and perceived self-efficacy were significant predictor of exercise participation. The logistic equation predicted overall 81.94% of this study subjects 161.

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.2
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• pp.49-58
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• 2014

Purpose : This study was to evaluate the effectiveness of exercise therapies for breast cancer patients through review analysis of the rehabilitation they had usually received to increase the quality of their lives. Exercise therapy for breast cancer patients has proven to be highly effective, so it is strongly recommended. Method : Focusing on breast cancer-related journal articles published since 1990, an analysis using the Spolit and Medline search engines was undertaken of breast krebs, tumors, cancer, sportaktivitaet, and exercise in patients with breast cancer. Exercise for breast cancer patients has been considered to have positive effects on fatigue, muscle weakness, and the range of motion of upper extremities, as well as on depression. Breast cancer patients have to be divided according to their identifying clinical characteristics, and then have to be prescribed a suitable exercise program. In accordance with previous articles, a varied exercise program was organized in terms of frequency, duration, and intensity. The frequency was more than three times per week. Its duration was about 30 minutes per session. Result : The intensity of exercise was moderate. The types of exercises included recommended strengthening exercises, as well as various aerobic exercises. Based on previous data, a new exercise method for breast cancer patients was introduced in this study. Conclusion : Above all, exercise programs should be planned according to the different characteristics of breast cancer patients, in order to reduce physical impairments and psychological problems.

• Journal of muscle and joint health
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• v.10 no.1
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• pp.62-76
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• 2003

This study was a quasi-experimental study of non-equivalent control group pretest and posttest design. The purpose of this study was to determine the effect of Tai Chi exercise program on physical functions, psychological functions, and fall among the fall-prone elderly. The data were collected from September 19, 2001 to January 31, 2002. The study, conducted at two facilities located in Kwang-ju, was targeted to the ambulatory aged 60 years or older who had at least one of the key fall risk factors. Experimental group participated in Tai Chi exercise for 40 minutes per one time and three times a week for 12weeks at an auditorium. Fifty nine fall-prone elderly were assigned to 12-week Tai Chi exercise program (n=29) and control group (n=30). They underwent tests of lower muscle strength, time for chair stand, balance, flexibility, depression, falls efficacy, fear of falling, and numbers of fall at the baseline and at the 12th week. Numbers of fall and fall injuries were monitored for 16 weeks(12-weeks intervention plus 4-week follow-up periods) using fall calendar. Each participant was given a calendar to record the numbers of fall per day for a month. The calendars were collected at the last week of each month. 1. Tai Chi exercisers showed significant improvement in the strength of knee flexors, and ankle dorsiflexors and plantarflexors compared to the control group. The experimental group had improvement in the strength of knee extensors while the control group did not, with no statistical significance. 2. Tai Chi exercisers reported positive change in the average time of chair stand as compared to the control group. 3. Tai Chi exercisers had significant improvement in flexibility as compared to the control group. 4. There was no significant difference in the depression between the two groups, even though the Tai Chi exercisers maintained depression score in the same level while the others were increased. 5. Tai Chi exercisers showed significant improvements in the falls efficacy as compared to the control group. The falls efficacy was significantly improved among the experimental group while the opposite was identified among the control group. 6. The experimental group reported the significant reduction of the fear of fall, whereas control group reported the opposite. 7. Of the 59 subjects for 16weeks(12weeks intervention period and 4weeks follow up), 9 (31.0%) of the 29 in exercise group and 15 (50%) of the 30 in the control group fell (relative risk=0.62. 95% CI 0.32-1.19), even with no statistical difference. The results suggest that the Tai Chi exercise program can improve the strength of knee flexors, ankle dorsiflexors and plantarflexors, chair stand. flexibility, falls efficacy, and fear of falling for the fall-prone elderly.

• Journal of Korean Biological Nursing Science
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• v.13 no.1
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• pp.37-43
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• 2011

Purpose: This study has been performed to identify the correlation between depression and physical fitness of the elderly women living in a rural area. Methods: The target people were chosen and visited on February, 2011. We could meet them at a community health center in Jeonnam. The questionnaire answered by 321 was conducted to figure out the degree of depression. Also, physical fitness using senior fitness test was measured. This study was analyzed using $x^2$ test, Fisher exact test, t-test and Pearson's correlation coefficient by SAS program. Results: It was analyzed that distribution of depression was 31.9%, and depression was correlated with upper flexibility (p<.001). There was no significant relation to physical fitness by depression except weight (p=.039) and back scratch (p=.007) as well. Conclusion: These results can not only contribute to understanding of the depression of the elderly women, but also suggest that depression prevention program is necessary for them.

• Journal of Korean Academy of Nursing
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• v.43 no.3
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• pp.442-451
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• 2013

Purpose: This descriptive study was done to develop a predictive model of depression in rural elders that will guide prevention and reduction of depression in elders. Methods: A cross-sectional descriptive survey was done using face-to-face private interviews. Participants included in the final analysis were 461 elders (aged${\geq}$ 65 years). The questions were on depression, personal and environmental factors, body functions and structures, activity and participation. Decision tree analysis using the SPSS Modeler 14.1 program was applied to build an optimum and significant predictive model to predict depression in rural elders. Results: From the data analysis, the predictive model for factors related to depression in rural elders presented with 4 pathways. Predictive factors included exercise capacity, self-esteem, farming, social activity, cognitive function, and gender. The accuracy of the model was 83.7%, error rate 16.3%, sensitivity 63.3%, and specificity 93.6%. Conclusion: The results of this study can be used as a theoretical basis for developing a systematic knowledge system for nursing and for developing a protocol that prevents depression in elders living in rural areas, thereby contributing to advanced depression prevention for elders.

• Journal of East-West Nursing Research
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• v.23 no.2
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• pp.180-189
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• 2017

Purpose: This study was conducted to identify the perception of and attitude toward dementia and depression among residents in a community. Methods: Data were collected using the questionnaire from 226 residents in Incheon city from February to May, 2017. The data were analyzed using t-test, ANOVA and Scheffe's test to identify differences in perception of and attitude toward dementia and depression. Pearson correlation coefficients were used to identify the correlation between the study variables, and multiple regression was used to identify factors affecting depression. Results: There were significant differences in perception of dementia according to age, education, marital status, and exercise. Also, significant differences in attitude toward dementia were found in occupation, family history of dementia and education about dementia. Depression was significantly different depending on the type of health insurance coverage and alcohol drinking. The scores of perception of dementia and depression were 11.09, 2.37, respectively on a 2-point scale and for attitude toward dementia was 85.94 on a 7-point Likert scale. The perception of dementia was positively correlated with the attitude toward dementia and there were negative correlations between perception of dementia and age and between depression and attitude toward dementia. Conclusion: The results of this study suggest that we should improve perception of and attitude toward dementia and reduce depression to prevent and manage dementia effectively.

• Korean Journal of Human Ecology
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• v.24 no.6
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• pp.811-827
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• 2015

The purpose of this study was to explore the factors related to depression of female elderly living alone by region. Data for this study was based on the 2011 National Survey on Elderly. Total of 1,684(689 rural elderly, 995 urban) community samples of female elderly living alone participated in this study. Even though there was no difference of depression score by region, this study found that the effects of factors on depression were significantly different by region. Yearly income, subjective health, balanced exchange of emotional support and satisfaction with their children were significantly associated with depression of both rural and urban female elderly living alone. For rural female elderly living alone, average daily television viewing time, number of close friends and frequency of contact with friends/neighbors were significant predictors to their depression. In the case of urban female elderly living alone, exercise, frequency of message, email or telephone contact with friends/ neighbors and balanced exchange of economic support contributed significantly to the prediction of depression. Subjective health had the strongest effect on depression for both rural and urban female elderly living alone.