• Title/Summary/Keyword: Exercise Depression

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Impact of coronavirus disease 2019 on patients with chronic pain: multicenter study in Korea

  • John, Hyunji;Lim, Yun Hee;Hong, Sung Jun;Jeong, Jae Hun;Choi, Hey Ran;Park, Sun Kyung;Kim, Jung Eun;Kim, Byung-soo;Kim, Jae Hun
    • The Korean Journal of Pain
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    • v.35 no.2
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    • pp.209-223
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    • 2022
  • Background: The coronavirus disease 2019 (COVID-19) pandemic has caused significant changes. This study aimed to investigate the impact of COVID-19 on patients with chronic pain. Methods: Patients with chronic pain from 23 university hospitals in South Korea participated in this study. The anonymous survey questionnaire consisted of 25 questions regarding the following: demographic data, diagnosis, hospital visit frequency, exercise duration, time outside, sleep duration, weight change, nervousness and anxiety, depression, interest or pleasure, fatigue, daily life difficulties, and self-harm thoughts. Depression severity was evaluated using the Patient Health Questionnaire-9 (PHQ-9). Logistic regression analysis was used to investigate the relationship between increased pain and patient factors. Results: A total of 914 patients completed the survey, 35.9% of whom had decreased their number of visits to the hospital, mostly due to COVID-19. The pain level of 200 patients has worsened since the COVID-19 outbreak, which was more prominent in complex regional pain syndrome (CRPS). Noticeable post-COVID-19 changes such as exercise duration, time spent outside, sleep patterns, mood, and weight affected patients with chronic pain. Depression severity was more significant in patients with CRPS. The total PHQ-9 average score of patients with CRPS was 15.5, corresponding to major depressive orders. The patients' decreased exercise duration, decreased sleep duration, and increased depression were significantly associated with increased pain. Conclusions: COVID-19 has caused several changes in patients with chronic pain. During the pandemic, decreased exercise and sleep duration and increased depression were associated with patients' increasing pain.

The Effects of Exercise on Functional Status, Activity of Daily Living and Social Re-adjustment in Stroke Patients (운동요법이 뇌졸중 환자의 기능상태, 일상생활활동, 사회재적응에 미치는 효과)

  • Park, Sang-Youn
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.1
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    • pp.12-20
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    • 2007
  • Purpose: The purpose of this study was to evaluate the effects of exercise on functional status, activity of daily living and social re-adjustment(social function, depression) in stroke patients. Method: A quasi-experimental pretest and posttest study was used. The subjects consisted of 33 adults who were stroke in the G hospital, and the period of data collection was from February 8, 2006 to August 30, 2006. Seventeen patients were assigned to experimental group and sixteen to the control group. The subjects of the experimental group performed an exercise for 15-20 minutes twice a day, 3-5 times per week, during six weeks. Outcome variables were functional status, activity of daily living and social re-adjustment. Chi-Square test and T-test were used to examine the equality of the subjects and ANCOVA used to examine the group difference using SAS. Results: There ware significant differences in functional status, activity of daily living, and social re-adjustment(social function, depression) between the two groups. Conclusion: The above results state the exercise can be an effective intervention to improve the functional status, activity of daily living, and social re-adjustment(social function, depression) of stroke patients.

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Effects of Group Exercise Program Tailored by Physical Fitness on Perceived Health Status, Physical Strength, Depression and Cognitive Function of the Elderly (체력에 따른 그룹별 맞춤형 운동 프로그램이 노인의 지각된 건강 상태, 체력, 우울 및 인지기능에 미치는 효과)

  • Shin, Mee-Kyung;Shin, Su-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.4
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    • pp.613-625
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    • 2008
  • Purpose: The purpose of this study was to identify the effects of the tailored group exercise program on perceived health status, physical strength, depression and cognitive function in seniors. Methods: The subjects were 42 seniors of the experimental group and 28 seniors of the control group. The exercise program tailored by physical fitness was carried out for 16 weeks. The dependent variables were measured by Perceived Health Status Scale, The Senior Fitness Test, MMSE-K, and GDS-K. The collected data were analyzed by Fisher's exact test, Chi-square test and t-test, and ANCOVA using the SAS program. Results: In terms of physical strength and depression there was significant difference among groups. Perceived health status and cognitive function were not significant different among groups. Conclusion: In this study, the tailored exercise program was effective and safe for the elderly, and resulted in improving physical and psychological health status in the elderly. This demonstrated that the tailored group exercises program on the basis of the subject's fitness, played an essential role in maintaining and improving the health.

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The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center

  • Kim Jeungim
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1427-1433
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    • 2004
  • Purpose. The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. Methods. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. Results. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. Conclusion. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

Effect of Proprioceptive Exercise on Walking Velocity, Activities of Daily Living and Depression in Elderly Women (고유수용성 운동이 여성노인의 보행속도, 일상생활활동 및 우울에 미치는 영향)

  • Kim, Nan-Soo;Bae, Young-Sook;Um, Ki-Mai
    • The Journal of the Korea Contents Association
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    • v.9 no.2
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    • pp.233-241
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    • 2009
  • The purpose of this study was to evaluate the effects of proprioceptive exercise on walking velocity, activities of daily living(ADL) and depression in elderly women. This study was nonequivalent control group pre-post test design. Subjects were divided into two group(exercise group=17, control group=15). Experimental group conducted proprioceptive exercise program for eight-week. Walking velocity was assessed by 10m-walk test and depression and ADL were assessed by questionnaire. The collected data analyzed by Wilcoxon singed rank test and Mann-Whitney U test. The exercise group significantly improved walking velocity. But control group changes were negligible. The program was effective on walking in elderly women.

Effects of Stretching Exercise on Quality of Life, Depression, Total Cholesterol in the Elderly (스트레칭운동이 노인의 삶의 질, 우울, 총콜레스테롤에 미치는 효과)

  • Park, Jae-Kyoung;Jang, Sook-Hee;Min, Soon
    • Journal of Korean Biological Nursing Science
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    • v.4 no.2
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    • pp.139-150
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    • 2002
  • The purpose of this study was to examine the effect of stretching exercise on quality of life, depression, total cholesterol in the elderly. The one group pre-post test quasi-experimental design was used. 22 subjects were selected from elderly in G-city. The experimental group. The data were collected from April, 2002 to June, 19, 2002, and analyzed by frequency, t-test using SPSS/PC program. The results of this study were summarized as follows ; 1) The quality of life didn't show significant improvement by stretching exercise(t=-1.734, p=0.097). 2) The depression didn't show significant improvement by stretching exercise(t=-0.200, p=0.843). 3) The total cholesterol didn't show significant improvement by stretching exercise(t=-1.050, p=0.083).

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The Effect of Tai Chi Exercise in Elderly Women (여성노인에 대한 타이치 운동의 효과)

  • Park, Young-Ju;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.15 no.2
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    • pp.119-129
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of Tai Chi exercise program on pain, fatigue, depression, self-efficacy, and quality of life in elderly women. Method: A quasi-experimental design, a nonequivalent control group pretest-posttest was the method of this study. Elderly women who agreed to participate in the study were conveniently placed into an experimental group (n=33) or an control group (n=34). The experimental group participated in Tai Chi exercise program, which was held for 60 minutes per session and 3 times a week for 8 weeks. Tai Chi exercise program consisted of a 10 minute warm-up, a 45 minute main session, and a 5 minute cooling down. In order to evaluate the effects of Tai Chi exercise program, pain, fatigue, depression, self-efficacy, and quality of life were measured with a questionnaire. The data were analyzed using Chi-square test, Fisher's exact test, t- test, and ANCOVA by SPSS WIN 13.0 program. Results: Compared with the control group, the experimental group reported higher level of quality of life (F=7.67, p=.007) and self-efficacy (F=20.9, p=.000) and lower level of pain (F=10.93, p= .002), fatigue (F=6.28, p=.015), and depression (F=10.02, p=.002). Conclusions: This study suggests that Tai Chi exercise program may be one of the effective nursing interventions for elderly women.

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The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly (지역사회 재가노인의 사지근력과 낙상의 관계에서 우울의 매개작용)

  • Park, Hyoung-Sook;Park, Kyung-Yeon
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.730-738
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    • 2008
  • Purpose: The purpose of this study was to identify the mediating effect of depression in the relationship between muscle strength of extremities and falls among community-dwelling elderly. Methods: Two hundred forty-seven participants were recruited from a public health center, a hall for the aged and a school for the aged in B city. Face-to-face interviews were conducted using questionnaires from May to September of 2007. Data was analyzed with descriptive statistics, Pearson correlation, and multiple regression using the SPSS WIN 14.0 program. Results: There was a significantly negative relationship between muscle strength of lower extremities and falls, muscle strength of left upper extremity and falls, and muscle strength of right upper extremity and falls. Depression positively correlated with falls. Depression showed mediating effects between muscle strength of extremities and falls. Weakness of muscle strength of extremities increased depression and the increased depression increased the frequencies of falls. Conclusion: For the effective management and prevention of community-dwelling older adults' falls, exercise programs including depression-decreasing strategies should be established. These exercise programs can decrease depression which is the mediator role between the degrees of muscle strength of extremities and falls.

The effect of desk height on upper extremity muscles tension in spinal cord injured patients during computer work (시간차 회상 훈련을 병행한 운동프로그램이 치매노인의 일상생활동작, 우울, 인지에 미치는 영향)

  • Lee, Hosanna;Kim, Hyung Geun;Jung, Jee Woon;Kim, Sung-Shin
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.47-57
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    • 2018
  • Objective: The purpose of this study was to compare the effects of exercise program combined with spaced retrieval and exercise program to show the effects on elderly people with dementia by presenting them to clinics and welfare facilities such as long-term care facilities. Method: This study was conducted in 20 elderly patients with dementia and randomly assigned to exercise program combined with spaced retrieval and exercise program. After screening the subjects for compliance with the criteria, Before starting the experiment, activites of daily living, depression, and nitive evaluation were performed. After 8 weeks, 3 times per week, 40 minutes per intervention, and 4 and 8 weeks, respectively K-MBI, GDSSF-K and MMSE-K were used to evaluate the differences between the experimental and control groups. Results: There was no statistically significant difference in the daily activities, depression, and cognitive scores between the groups of exercise program combined with spaced retrieval and exercise program group. However, there was a significant difference between the two groups after training (p<.05). Particularly, there was statistically significant difference in post-training cognitive evaluation (MMSE-K) only in the exercise program combined with spaced retrieval group (p<.05) Conclusion: This study suggests that exercise program combined with spaced retrieval is more effective in improving cognitive ability. This suggests that the exercise program combined with spaced retrieval is more effective.

The Risk Factors of Depression for Home Care Patients 65 Years of Age and Older (일부지역 가정간호 노인환자의 우울 요인에 관한 연구)

  • Choi, Myoung-Han
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.5
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    • pp.61-72
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    • 1998
  • The purpose of this study was to identify the risk factors affecting home care patients 65 years of age and older with symptoms of depression. The author conducted this study for 80 depressed and non-depressed who were taking home care. Data was colleted from November 1996 to October 1997. The major findings of this study were as follows. Significant mean group differences were found on age and income in old home care patients with symptoms of depression, compared with non -depressed. Old home care patients who have less than 300,000won of income, smoking, exercise, unsatisfactory of home care, living in saparateness, rent, living alone, unbalanced diet, irregular diet were statistically significant risk factors by logistic regression. Old home care patients who do not exercise, less than 300,000won of income, unsatisfactory of home care, smoking, living alone were the risk factors by final logistic regression model predicting depression.

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