• 대한간호학회지
• /
• 제48권5호
• /
• pp.506-520
• /
• 2018

Purpose: To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women. Methods: A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0). Results: The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG. Conclusion: These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.

• 근관절건강학회지
• /
• 제15권1호
• /
• pp.5-23
• /
• 2008

Purpose: This study aims to conduct a systematic review of the physical, psychosocial and physiological effects of Tai Chi exercise in elderly. Method: 37 articles from Medline search of foreign journals (1966-2006) were surveyed by the key words 'Tai Chi', 'Tai-chi program' and 'Tai-chi and elderly' limiting the range to age 65 or older, choosing clinical trial and randomized controlled trial research in English articles. Four articles were excluded due to methodological study, pilot study and review. The research was analyzed according to health status of the subjects, styles and forms of Tai Chi exercises, factors for physical, psychosocial and physiological measures. Result: A short forming Yang style was commonly used in chronic diseases and health for elderly. Variable outcome measures were used in Tai Chi studies relating to balance, muscle strength, walking and mobility, flexibility and cardiorespiratory function in physical measure, quality of life, depression, self-efficacy, health status, cognition and impact questionnaire in psychosocial measure, lipids, insulin resistance and hormone in physiological measure. Conclusion: Tai Chi exercise appears to have physical and psychosocial benefits and also appears to be safe for elderly and chronic diseases. It is suggested that future studies analyze statistical part of systematic reviews through meta analysis.

• The Journal of Korean Physical Therapy
• /
• 제20권4호
• /
• pp.61-69
• /
• 2008

Purpose: We evaluated caregivers' understanding of patients' diseases and disuse syndrome, the understanding of exercise and massage related to rehabilitation and the necessity of education about these, the difference in education and realities of the care-giving field, and the extra services needed in the field. Methods: The survey using questionnaires was performed from June 2008 to August 2008 with 220 people participated in caregive education programme in daegu city and area near dagu city. Among the 220 submitted questionnaires, 184 which were faithfully answered were selected and they were analyzed by i-STATistics statistical program. Results: The educational focus of the first and second level caregivers, as defined by the second clause of the 29th article of the Elderly Welfare law, is on basic knowledge of diseases such as dementia, stroke, and depression. However, other diseases are not covered and the information does not include information on decreased function, complications, functional rehabilitating exercises, or preventing disuse syndrome for long term patients. The most common diseases, in order of prevalence, are stroke, dementia, diabetes mellitus, Parkinson disease, arthritis, and geriatric inertness. The general level of awareness about disuse syndrome was low, and patients, while understanding the need for massage and rehabilitative exercise, receive little education about the proper methods and therefore cannot use them. Patients also did not understand how participating in these activities could reduce medical fees, indicating that further education on massage and rehabilitative exercise is needed. Caregivers desired to include positive rehabilitation, massage, and exercise-related services in their services. Finally, differences in caregiver education and reality resulted from a lack of diversity in education. Conclusion: We suggest providing education on disuse atrophy and improving the lack of diversity in the care-giving education system.

• 근관절건강학회지
• /
• 제7권2호
• /
• pp.227-240
• /
• 2000

The purpose of this article was to identify trend in Arthritis research and to provide ba an approach of Arthritis research. The results of analysis of 69 Arthritis articles public year of between 1970-1999 found that most articles(27.6%, n=19) were published since few(10.1%, n=7) were before 1994. Vast majority of articles(79.8%, n=55) were printed in The Journal of Rheumatology Health, and 79.8%(n=55) of those were quantitative research, 8.7%(n=6) were qualitative research, and 14%(n=1) was methodological research. 29.0%(n=20) of quantitative research were carried in experimental design and over half(50.8%, n=35) in nonexperimental design. Having concerned the types of treatment(or intervention) used in experimental study, the most common treatment was 'exercise' (45.0%, n=9), and other less common were 'self-help education(15.0%, n=3), home care(10.0%, n=2) supportive care(10.0%, n=2), flexibility exercise combined with local heat therapy(5.0%, n=1), relaxation training(5.0%, n=1). Of the types of exercise, aquatic exercise was 30.0%(n=6). The effect of exercise on outcome variable was found to be most strong among the other types of treatment. 18 articles of nonexperimental research were correlational research. From the analysis of correlational research, 29 concepts were identified, and the relationship between depression and other variable were strongly reported. In descriptive studies, most commonly physiological variables were examined in 5 articles(29.5%). Only one study(5.9%) explored patient's perception of the causal factors and those causality. In qualitative researches, two study were carried out by the means of grounded theory. Majority of those subjects were RA patients, and the largest number of sample were 23 and the smallest was 1 In two studies, patient's perceived causality of RA was identified as a research problems, and an experience of ADL, fatigue Phenomenon, an experience of having a total knee replacement with osteoarthritis were each found in one study. Methodological research was carried out to test validity and reliability of the RA Fatigue Scale.

• 생명과학회지
• /
• 제20권1호
• /
• pp.71-76
• /
• 2010

본 연구는 중년 남성들을 대상으로 3년간 1년에 1회씩 3차례에 걸쳐 운동부하 검사 시 심전도 반응을 측정하여 야외 및 트레드밀 걷기 운동 참여 여부에 따라 부하 심전도의 변화에 어떠한 양상이 나타나는지를 규명하고자, 안정 시 신체조성 분석, 운동부하 검사 시 심전도 반응을 측정하였다. 안정 시 신체조성 분석은 체지방율과 BMI를 측정하였고, 안정 시 및 운동부하 검사 시 심전도 반응은 ST/HR 경사 및 QRS 벡터를 측정하였는데, 그 결과는 다음과 같다. 1. ST/HR 경사의 변화에 있어서 운동 6분부터 통제 집단은 감소하기 시작하여 운동 9분과 peak시에 $2.4\;{\mu}V/bpm$ 이하로 감소하여 허혈 증상이 나타났다. 2. QRS 벡터의 축 각도에 있어서 안정 시 전면 축은 시간이 경과함에 따라 통제 집단이 우측으로 유의하게 편향되었고, 안정 시 수평면 축은 시간이 경과함에 따라 통제 집단이 등 쪽으로 유의하게 향하였다. 안정 시 수평면 파고의 길이에 있어서 통제 집단은 시간이 경과함에 따라 유의하게 감소하였고 걷기 운동 집단은 유의하게 증가하였다. 결론적으로 비 활동의 중년 남성들은 운동 중 심근 허혈 유발, QRS 벡터의 편향 등이 현저하게 나타난 반면, 규칙적인 야외 및 트레드밀 걷기 활동에 참여한 중년 남성들은 심혈관계 질환 위험 요소의 감소로 심장기능이 향상된 결과를 알 수 있었다.

• 한국보건간호학회지
• /
• 제16권1호
• /
• pp.77-94
• /
• 2002

This study was a quasi-experimental study of nonequivalent control group pretest- posttest design to investigate the effect of home rehabilitation exercise program on the physical and psychological functions of home stayed chronic hemiplegic stroke patients. The data were collected during the period of May 20th to August 15th, 200l. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital, (b) suffering from stroke for 6 months to 5 years, (c) without recognition disorder with the MMSE-K(Mini-Mental State Examination-K)score above 25, (d) below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease, (f)able to walk beyond 15 minutes for themselves, (g) not taking regular exercises. The program for the experimental group provided 8 weeks' home rehabilitation exercise, two times of group education during the first week and individual education and supportive care after the second week through home visiting and telephoning more than once a week. The amount of time spent on rehabilitation exercise by the experimental group was 35 to 50 minutes a day, three times a week. In order to understand the effects of experiment the two groups were compared and verified by measuring the physical and psychological functions of both groups. The data were analysed by $\chi^{2}-test$, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. In terms of physical variables: grip strength. lower extremity muscle strength, walking time, ADL and serum lipid levels 1) There was no significant difference in the unaffected and affected grip strength between the two groups, even though the unaffected and affected grip strength was more improved in the experimental group than in the control group. 2) There was no significant difference in the unaffected lower extremity muscle strength between the two groups, even though the unaffected lower extremity muscle strength was more improved in the experimental group than in the control group. There was no significant difference either in the affected lower extremity muscle strength between the two groups, even though the affected lower extremity muscle strength was more improved in the experimental group than in the control group. 3) There was significant difference in walking time between the two groups. Walking time was significantly reduced in the experimental group whereas it increased in the control group. 4) There was significant difference in ADL score between the two groups. ADL score was significantly increased in the experimental group, but it significantly decreased in the control group. 5) There was significant difference in serum total cholesterol level between the two groups. After experiment the serum T-C level became lower in the experimental group whereas it became sigficantly higher in the control group. 2. In terms of psychological variables: depression and self-esteem 1) There was no significant difference in the depression between the two groups, even though the depression showed constant in the experimental group, but it showed a significant increase in the control group. 2) There was no significant difference in the self-esteem between the two groups, even though the self-esteem showed some increase in the experimental group, but it significant decrease in the control group. As shown above, the results of 8 weeks' home rehabilitation exercise program for chronic hemiplegic stroke patients produced positive effects on walking time, ADL score and serum T-C level, shortening walking time, improving activities of daily living(ADL) and lowering serum total cholesterol level.

• 한국산학기술학회논문지
• /
• 제17권3호
• /
• pp.638-651
• /
• 2016

본 연구는 중년여성을 대상으로 한 비약물적 우울중재연구를 고찰하고 그 효과를 탐색하기 위해 수행되었다. 체계적 문헌고찰은 국내 데이터베이스인 RISS, KISS, DBPia의 온라인 검색을 통해 2006년부터 2015년 9월까지 국내 학술지에 게재된 연구 논문을 대상으로 하였으며. 자료 검색어는 중년여성과 우울, 폐경기와 우울, 갱년기와 우울로 하였다. 그 결과, 280편이 검색되었고, PICOTS-SD에 따라 최종 12편이 분석에 이용되었다. 그 중 4편은 간호학 분야 연구였고, 6편은 무작위 배정이 이루어진 무작위 대조군 실험연구였다. 비약물적 우울중재는 에어로빅 등 신체적 활동을 포함하는 형태가 4편으로 가장 많았고, 웃음요법과 단전 등 명상 각각 3편, 아로마 마사지와 상담 각각 2편, 미술요법이 1편으로 나타났고, 복합중재가 적용된 논문은 3편이었다. 중재 프로그램의 1회 적용 시간은 20분에서 120분, 중재 적용 기간은 2주에서 24주, 총 중재 회기는 8회에서 72회로 나타났고, 이들 프로그램은 우울뿐만 아니라 비만과 관련된 신체적 측면과 불안, 삶의 질, 삶의 만족도 등 사회 심리적 변수에 유의한 영향을 주는 것으로 나타났다.

• 한국노년학
• /
• 제37권3호
• /
• pp.583-600
• /
• 2017

이 연구의 목적은 한국의 도시 노인들이 우울을 겪을 때 어떤 대처 전략을 사용하는지, 그 이유와 맥락은 무엇인지에 대해 질적으로 탐색하는 것이다. 연구 참여자는 서울시 소재 한 노인복지관의 60세 이상 이용자와 미 이용자이며, 이 중 우울을 경험한 34명의 응답을 분석에 활용하였다. 수집한 자료는 내용분석을 통해 분석하였다. 분석 결과, 참여자들이 사용했던 우울 대처 전략은 크게 6가지 영역과 11가지 하위영역-건강 행동(의료적 접근/운동 및 섭식), 가족 및 사회적 접촉(사회적 교류/외출 및 여행/가족과 소통), 종교 활동(종교 활동), 평생 교육(취미 활동/교육 활동), 생산적 활동(노동), 건강 위험 행동(음주 및 도박/체념)으로 나타났다. 노인들의 우울 대처 전략과 그 맥락에서 나타난 특징은 다음과 같다. 먼저, 우울에 대처하기 위해 노인들은 문제 중심(problem-focused)의 대처 전략들을 사용하였다. 둘째, 다양한 대처 전략을 함께 고려하고 동시에 사용했다. 셋째, 노인을 위한 시설공간은 쉼터 혹은 피난처로서 기능하였다. 넷째, 의료적 접근을 사용한 사례도 있으나 재이용 의향은 매우 낮았다. 이 연구를 통해 노인들이 우울에 보다 성공적으로 대처할 수 있도록 다음과 같이 제안하였다. 첫째, 다양한 대처 전략의 접근성을 증진해야 한다. 둘째, 노인이 편안하게 시간을 보낼 수 있는 장소들을 제공해야 한다. 셋째, 정신건강 치료에 대해 느끼는 부담감을 해소시켜야 한다.

• 대한간호학회지
• /
• 제19권1호
• /
• pp.108-117
• /
• 1989

The purpose of this study was to identify factors related to daily activities of post myocardial infarction patients. Data were collected from Aug. 1 to Aug. 31, 1988 through an interview schedule lasting for about 30~60 minutes by the investigators. Tools for this study were a daily activities scale and a subjective physical symptom scale developed by the researchers, and Zung's self rating depression scale. The subjects were 45 men 18 women post myocardial infarction patients who were receiving follow up care at SNU Hospital. The data were analyzed by percentage, mean t-test ANOVA, the Pearson moment Correlation Coefficient test, and Cronbach's $\alpha$ reliability test. The results were as follows. \circled1 Reliability of the daily activities scale was 0.91 by Cronbach's $\alpha$. In the daily activities scale, items about transfer, exercise, and job related activities were most highly rated as meaningful to the post myocardial infarction patients. \circled2 The average daily activities score of these patients was 3.30 (maximum point ; 4) all scores were high except for exercise and job related activities. \circled3 There was a significant difference in daily activities according to sex ; men had a higher daily activities score than women (T＝2.32, p＜0.05). \circled4 There was a significant difference in daily activities according to job status. Subjects having a job had a higher daily activities score. \circled5 The lower the depression score, the higher the daily activities score(${\gamma}$＝-0.5748, P＜0.05). \circled6 The lower the subjective physical symptoms score, the higher the daily activities score(${\gamma}$＝ -0.6015, p＜0.05).

• 문화기술의 융합
• /
• 제5권4호
• /
• pp.217-225
• /
• 2019

본 연구는 노인이 주관적으로 평가하는 건강상태를 알아보고 이와 관련된 요인을 파악하기 위한 서술적 상관관계 연구이다. 연구 대상은 60세 이상의 재가 노인으로, 일반적 특성, 생활습관, 질병, 투약, 우울, 불면증 등의 건강관련 특성이 포함되어 있는 질문지를 이용하여 설문조사를 하였고, 혈압 측정 및 신체계측, 지질 및 공복 혈당을 측정하였다. 211명의 자료를 분석한 결과 주관적으로 건강한 편이라고 평가한 경우는 78.2%로 나타났으며 이와 관련된 요인은 질병(OR:10.83, 95% CI:2.47-47.43), 우울(OR=2.50, 95% CI=1.20-5.18), 운동(OR=3.01, 95% CI=1.40-6.47)으로 나타났다. 그러므로 신체적 질병, 우울과 같은 정신 건강문제 뿐 아니라 운동과 같은 생활습관을 고려한 노인 건강증진 프로그램 개발이 필요하다.