• 한국보건간호학회지
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• 제30권2호
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• pp.247-258
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• 2016

Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

• 생명과학회지
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• 제34권3호
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• pp.208-213
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• 2024

본 연구는 노인의 우울증 예방 및 치료를 위해 신체활동과 운동이 어떠한 효과가 있는지를 확인하는 것이다. 전 세계적으로 우울증은 지속적으로 증가하는 추세이며 특히 가속화되어 가는 고령화 사회에서 노인의 우울증은 더욱 심각한 문제라고 볼 수 있다. 노인의 우울증은 젊은 층에 비해 예후가 좋지 않으며 노화로 인한 신체적 질병의 증가와 신체적 장애에 의한 자존감 저하로 더욱 취약하다고 할 수 있다. 그러나 노인들의 우울증 관리, 노쇠로 인한 우울증 등의 문제에도 불구하고 지금까지 예방 및 치료에 관한 연구는 미미하다고 판단된다. 따라서 본 연구는 중요한 매개 변인인 수면장애와 우울증, 우울증에 대한 운동과 해마의 연관성, 우울증 관리를 위한 신체활동 및 운동의 과학적 효과를 분석하였다. 추후 노인의 우울증 개선과 자살예방에 관한 다양한 연구들이 수행되어져야 할 것으로 여겨진다.

• 성인간호학회지
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• 제24권3호
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• pp.317-326
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• 2012

Purpose: The purpose of this study was to identify the effects of an exercise program on muscle strength, Activities of Daily Living (ADL), health perception, and depression among post-stroke elders. Methods: Nonequivalent control group design with pretest and posttest was used. A total of 23 post-stroke elders who met inclusion criteria were recruited. Muscle strength in upper and lower extremities, ADL, health perception, and self-rated symptoms of depression were measured. The exercise program consisted of deep breathing, range of motion, and muscle strengthening exercises using Thera-band, 30~40 min/day, three days a week, for 12 weeks. Results: Muscle strength of right shoulder (U=11.50, p=.001), right leg (U=13.50, p=.002), and health perception (U=24.00, p=.010) in the experimental group was significantly higher compared to the control group at 12 weeks of post-intervention. Depression scores were significantly lower in the experimental group compared to the control group at 6 weeks (U=28.00, p=.021), at 12 weeks (U=22.00, p=.006) of an exercise program. Conclusion: By applying this program, post-stroke elders showed increases in muscle strength and a decrease in depression as well as improvement of health perception. Further study is needed to verify the effects of the exercise program on cardiovascular physiologic variables through long-term follow-up.

• 근관절건강학회지
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• 제9권2호
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• pp.135-143
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• 2002

Exercise is an important strategy for health promotion in patients having osteoarthritis. But, lots of patients with osteoarthritis were underexercised. Exercise pattern and influencing factors of exercise barrier are not well-known. To address this issue, we studied the exercise pattern and influencing factors of exercise barrier in patients with osteoarthritis. The subjects of the study were 463 adult osteoarthritis (Mean age = 61.63 years) who had diagnosed osteoarthritis by rheumatologist. Data were gathered from May 1999 to February 2000 using a questionnaire and exercise barrier(Sallis et al, 1989), exercise pattern(Lee et al., 2000), physical status by WOMAC(Bellamy, 1989), socail support(Sallis et al., 1989), fatigue and pain using graphic rating scale, depression by CES-D(Radloff,1977). Data were analyzed with the SPSS win 6.0 using frequency, ANOVA, Stepwise multiple regression. The results of this study were as follows; 1) 56.4% of sample was 'do not exercise at all', 'longer rest than exercise', was 15.9%, 'longer exercise than rest' was 7.2%, 'exercise regularly' was 20.5%. 2) Social support (F=10.349, p=0.000) and exercise barrier(F=4.455, p=0.004) were showed significantly difference by exercise pattern. 3) Influencing factors of exercise barrier were depression and social support. Thoses explained 13.3% of exercise barrier. In conclusion, half of osteoarthritis patient did not do exercise and it was shown that depression and social support were major influencing factors to exercise barrier. The results of this study can be applied to develop the health promoting educational program for patients with osteoarthritis.

• 한국컴퓨터정보학회논문지
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• 제21권12호
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• pp.157-163
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• 2016

Purpose : This study purposed on the understanding of psychology in the elderly women using depression scale and electroephalography. The subjects were thirty elderly women in geriatric care hospital. All participants were elderly women over 65 years old. The subjects signed up with informed consent and they were divided into a normal elderly group, an exercise elderly group and a hospital elderly group. They were randomly assigned with 10 persons. Methods : The study instruments were Geriatric Depression Scale(GDS) and Poly-G-I. Brain wave activity was measured by 'power spectrum analysis' of TeleScan program. Statistic analysis consisted of average, standard deviation, One-way ANOVA and post-hoc Tukey using SPSS 21.0 version. The significance was set at .05. Results : Depression scale results showed that the exercise elderly group were $10.60{\pm}5.36$ points which was the lowest among the three groups. The Normal elderly group was $16.20{\pm}5.59$, and the hospitalized elderly group was $16.70{\pm}6.76$ points. There was no significant difference between the normal elderly group, exercise elderly group and hospitalized elderly group. The hospitalized group showed statistical difference in relative theta power in the area of Fp1, F3, F4, T3, P3 as compared to the normal elderly group and the exercise elderly groups. There was no significant difference between relative beta power and relative gamma power in three groups. Conclusion : Geriatric depressed scale showed no significant difference in each group. This is indicated in the mental problems associated with depression. This indicates a higher level of depression in the hospitalized elderly women, more than in the normal elderly women and exercise elderly women groups.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.32-42
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• 2022

Objective: This study was conducted to verify the effectiveness of a cognitive rehabilitation program consisting of physical exercises and mental activities for patients with chronic stroke with mild cognitive impairment (MCI). We aimed to investigate how this cognitive rehabilitation program affects patients' cognitive ability, depression, and sleep quality. Design: One group pretest-posttest design Methods: The study was conductedon 12 patients who participated in thecognitive rehabilitation complex exercise program for 16 weeks. The Korean version of the Montreal Cognitive Assessment (MoCA-K), Hamilton Depression Rating Scale (K-HDRS), and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the measured variables before and after study participation. The cognitive rehabilitation complex exercise program included 30 minutes of cognitive exercise and 30 minutes of Brill Exercise. The Wilcoxon signed-rank test was used to compare the variables before and after program participation. Cronbach's ɑ was used to assess the reliability of the test variables. Results: The post-program assessment showed a statistically significant increase in the MoCA-K score, which measures cognitive function (Z=-2.628, P=0.009). For depression ratings, there was a statistically significant decrease in the K-HDRS score (Z=-2.041, P=0.041). For sleep quality, although there was a numerical increase in the PSQI score, the difference was not statistically significant (Z=-0.702, P=0.483). The reliability test confirmed that all the individual test variables exhibited high reliability (cognitive function, 0.859; depression, 0.872; sleep, 0.822). Conclusions: We found that cognitive rehabilitation program used in this study had a positive effect on the cognitive function and depression in patients with chronic stroke with MCI.

• 한국노년학
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• 제41권1호
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• pp.107-125
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• 2021

본 연구의 목적은 성별과 운동참여 형태에 따라 노인의 우울증과 인지기능 수준에 차이가 존재하는지 규명하는 것이다. 본 연구의 대상은 2017년에 보건복지부 한국보건사회연구원에서 진행한 노인실태조사에 참여한 만65세 이상의 노인 10,059명이다. 연구대상의 우울증은 SGDS를 활용하여 측정하였고 인지기능은 MMSE-DS를 활용하여 측정하였다. 수집된 데이터는 빈도분석, 신뢰도 분석, 이원분산분석을 활용하여 분석의 목적에 따라 분석하였다. 본 연구를 통하여 나타난 결과는 다음과 같다. 첫째, 성별과 운동참여 여부에 따른 우울증 수준 차이를 분석한 결과, 성별 및 운동참여 여부에 따른 주효과 모두 통계적으로 유의한 것으로 나타났으나 상호작용 효과는 통계적으로 유의하지 않았다. 둘째, 성별과 운동참여 빈도에 따른 우울증 수준 차이를 분석한 결과, 성별에 따른 주효과는 통계적으로 유의한 것으로 나타났으나 운동참여 빈도에 따른 주효과와 상호작용 효과는 통계적으로 유의하지 않은 것으로 나타났다. 셋째, 성별과 운동참여 시간에 따른 우울증 수준 차이를 분석한 결과, 성별 및 운동참여 시간에 따른 주효과는 통계적으로 유의한 것으로 나타났으나 상호작용 효과는 통계적으로 유의하지 않은 것으로 나타났다. 넷째, 성별과 운동참여 여부에 따른 인지기능 수준 차이를 분석한 결과, 성별 및 운동참여 여부에 따른 주효과는 통계적으로 유의한 것으로 나타났으며 상호작용 효과도 통계적으로 유의한 것으로 나타났다. 다섯째, 성별과 운동참여 빈도에 따른 인지기능 수준 차이를 분석한 결과, 성별 및 운동참여 빈도에 따른 주효과는 통계적으로 유의한 것으로 나타났으나 상호작용 효과는 통계적으로 유의하지 않은 것으로 나타났다. 여섯째, 성별과 운동참여 시간에 따른 인지기능 수준 차이를 분석한 결과, 성별 및 운동참여 시간에 따른 주효과와 상호작용 효과 모두 통계적으로 유의한 것으로 나타났다. 결론적으로 본 연구를 통해 남성과 여성 모두 운동에 참여하는 것이 우울증 감소 및 인지기능 향상을 돕는다는 것을 알 수 있었고 운동 참여시 여성의 인지기능의 향상 폭이 남성에 비해 더 큰 것을 확인하였다.

• 재활간호학회지
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• 제19권2호
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• pp.108-117
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• 2016

Purpose: This study aimed to prove the effects of the net-step exercise (NSE) on gait ability, depression, cognitive function and activities of daily living (ADL) in older adults. Methods: The study employed a non-equivalent control group non-synchronized design. A total of 64 community-dwelling older adults were recruited and divided equally into two groups; 32 subjects for an experimental group and 32 subjects for a control group. In the experimental group, the NSE was applied to an hour, two times per week for 4 weeks. The level of gait ability, depression, cognitive function and ADL were measured before and after NSE. The study conducted from July to August, 2016. Data were analyzed with descriptive statistics, $x^2$ test, Fisher's exact test, t-test, ANCOVA, and Pearson correlation coefficients using SPSS/WIN 22.0 version. Results: Gait ability, depression, cognitive function were significantly better in the experimental group than the control group. However, the difference in ADL was not significant between the two groups. Conclusion: These findings in this study showed that the NSE was an efficient intervention for older adults. Nurses could apply non-pharmacological interventions to avoid pharmacological side-effects.

• 기본간호학회지
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• 제17권2호
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• pp.159-168
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• 2010

Purpose: The purpose of this study was to identify the effects of 12 weeks of Tai Chi exercise on physical function, stress and depression in middle aged women with osteoarthritis. Method: The research design was a nonequivalent control group pretest-posttest design. Forty two participants were assigned to either the experimental group (21) or control group (21). Frequency, percentages, mean, standard deviations, $X^2$-test, Wilcoxon rank sum test and repeated measured ANOVA with SPSS 12.0/PC program were used to analyzed the collected data. Results: For physical function the physical fitness of the experimental group improved significantly more than the control group: Leg strength, balance, flexibility and grip strength. Difficulty of performing activity had a tendency of decrease. Stress showed a tendency of as time passed but the decrease was not significant. Depression decreased and the change was significant. Conclusion: The Tai Chi exercise was effective in improving physical function and reducing the stress and depression of middle aged women with osteoarthritis. Therefore the Tai Chi exercise could be used as a nursing intervention for osteoarthritis in middle aged women.

• 대한간호학회지
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• 제46권4호
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• pp.542-551
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• 2016

Purpose: The purpose of this study was to examine the effects of a facial muscle exercise program including facial massage on the facial muscle function, subjective symptoms related to paralysis and depression in patients with facial palsy. Methods: This study was a quasi-experimental research with a non-equivalent control group non-synchronized design. Participants were 70 patients with facial palsy (experimental group 35, control group 35). For the experimental group, the facial muscular exercise program including facial massage was performed 20 minutes a day, 3 times a week for two weeks. Data were analyzed using descriptive statistics, ${\chi}^2$-test, Fisher's exact test and independent sample t-test with the SPSS 18.0 program. Results: Facial muscular function of the experimental group improved significantly compared to the control group. There was no significant difference in symptoms related to paralysis between the experimental group and control group. The level of depression in the experimental group was significantly lower than the control group. Conclusion: Results suggest that a facial muscle exercise program including facial massage is an effective nursing intervention to improve facial muscle function and decrease depression in patients with facial palsy.