• 성인간호학회지
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• 제18권5호
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• pp.727-736
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• 2006

Purpose: The purpose of this study was to compare the degree of attitude toward elders, cognitive level, and mood state by living arrangements of the elderly. Method: The subjects consisted of 238 elderly who divided by living arrangements(living alone, living with spouse, living with children). The data were collected by structured questionnaire that included general characteristics, attitude toward elders, MMSE-K and mood state scale, from March to December, 2005. The collected data were analyzed by Windows SPSS program including descriptive statistics, ${\chi}^2-test$, Fisher's exact test, ANCOVA, $Scheff{\grave{e}}$ test and Pearson Correlation Coefficient. Results: In MMSE-K and mood state, there were statistically significant differences among the three groups. In depression and anxiety factor of mood state, the living alone group showed higher scores than the other two groups. There was a positive correlation between attitude toward elders and MMSE-K in the elderly living with a spouse group and a negative correlation between MMSE-K and mood state in all three groups. Conclusion: It is necessary to develop a supportive program for decreasing the risk of health in the elderly and perform a differential approach according to their living arrangementa. Especially, more concern and intervention are needed to be performed for the elderly living in solitude.

• 재활치료과학
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• 제2권2호
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• pp.47-59
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• 2013

목적 : 뇌졸중 환자를 대상으로 과제 지향적 훈련을 집단과 개별로 실시하게 하여 상지 기능, 인지 기능과 일상생활 수행력에 미치는 영향을 알아보고자 실시하였다. 연구방법 : 2012년 6월부터 11월까지 약 5개월간 A병원에 입원하여 뇌졸중 진단을 받은 사람 중에 재활치료를 받은 환자를 대상으로 하였다. 과제 훈련군과 개별 훈련군은 각각 13명씩 무작위 배정 하였다. 두 군 모두 동일한 내용의 과제 지향 훈련을 1일 30분씩 3주간 시행하도록 하였다. 결과 : 훈련 전 두 군의 상지 기능과 인지 기능은 유의한 차이를 보이지 않았다. 훈련 전 일상생활 영역에서 목욕하기(p<.001), 식사하기, 개인위생과 총점(p<.05)이 집단 훈련군에서 더 높은 것으로 나타났고 훈련 후 상지 기능은 개별 훈련군에서 유의하게 높았다(p<.001). 두 그룹 모두 훈련 전후 상지 기능 식사하기, 개인위생,목욕하기, 옷 입기, 용변처리, 이동, 보행, 계단, 총점(p<.05)에 유의한 향상이 있었다. 두 그룹의 훈련 전후 변화량 비교에서 개별 훈련군이 상지 기능(p<.001)과 일상생활 영역에서 식사하기와 총점에서 더 유의한 향상을 나타냈다(p<.05). 결론 : 과제 지향적 훈련을 시행 시 집단 훈련군과 개별 훈련군 모두 상지기능, 일상생활 수행력에 향상을 가져오며, 특히 상지 기능의 향상이 클 경우에 더 높은 일상생활 수행력의 변화를 가져 올 수 있다. 앞으로 보다 많은 환자를 대상으로 장기간에 걸친 종단적인 사례 연구가 필요하다.

• 가정과삶의질연구
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• 제35권1호
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• pp.1-16
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• 2017

Using data from the 2015 Korea Welfare Panel Study, we examined the predictors of psychological well-being (life satisfaction and depression) of single elderly people living alone across development stages (young-old, mid-old, and old-old) and suggested implications for elderly policy. For this purpose, we selected 1,364 elderly people who lived alone but preserved their family relationships, and were 65 years of age or older. Separate analyses were conducted for the three groups of single elderly people living alone. Overall, the psychological well-being of single elderly people living alone was higher than moderate level, and they were generally satisfied with their everyday lives and less depressed. However, there were group differences: the young-old group was more satisfied than the old-old group with in their everyday lives and less depressed than the mid-old and old-old groups. In the young-old group, life satisfaction was significantly associated with subjective health, non-physical conflict with family, disposal income, house ownership, dietary deficiency, cost of living, and public pension. In addition, depression was significantly associated with subjective health, non-physical conflict with family, dietary deficiency, and physical conflict with family. In the mid-old group, life satisfaction was significantly associated with subjective health, housing non-physical conflict with family, disposal income, and dietary deficiency. Depression was significantly associated with subjective health, housing deficiency. In the old-old group, life satisfaction was significantly associated with subjective health and non-physical conflict with family. Depression was significantly associated with subjective health. Therefore, 'health'and 'family'are important key concepts to consider when making elderly policy.

• 가정과삶의질연구
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• 제35권1호
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• pp.139-158
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• 2017

Following the global trend of the delayed transition to adulthood, the number of unmarried middle aged adult children living with, or economically dependent on their parents has increased in Korea. Middle aged adult children in Korea are traditionally expected to satisfy their duty to support their elderly parents both in economic and emotional needs. This study aims to explore group differences in unmarried adult children in their mid 30s or older and in parents having unmarried middle aged child(ren) depending on co-residency and the children's eonomic dependency in Korea. Using quota sampling in terms of living arrangements (living together vs. living apart), 500 unmarried adult children 35 years of age or older and 500 elderly parents, having at least one unmarried child in the mid of 30s or over, were selected in Seoul, Korea in June 2016. First, the findings show that unmarried adult children living together with their parents and depending on their parents economically were in the lowest level of educational achievement and the lowest level of monthly average income among the respondents. Second, both unmarried adult children and parents from the group of co-residency and economically dependent showed the lowest level of psychological well-being. Third, parents from the group of co-residency and economically independent had mostly positive relationships with children, whereas, parents from the group of living apart and economically dependent reported the most negative relationships. Finally, respondents included in the group of co-residency had positive attitudes toward marriage and the support for their elderly parents regardless of the child's economic dependency. This study has implications for the increasing number of unmarried middle aged adult children and their elderly parents.

• 고령자･치매작업치료학회지
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• 제12권2호
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• pp.75-85
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• 2018

목적 본 연구는 라파엘 스마트 글러브가 경도인지장애 환자의 인지기능 및 일상생활 수행능력에 미치는 영향에 대해 알아보고자 하였다. 연구방법 라파엘 스마트글러브를 적용한 실험군 15명과 전통적인 인지재활을 적용한 대조군 15명으로 진행하였다. 두 집단의 중재 전 후 인지기능 및 일상생활 수행능력을 비교하기 위해 LOTCA, NCSE, MBI를 시행하였다. 연구결과 라파엘 스마트 글러브를 적용한 실험군과 대조군의 각 집단 내에서 중재 전 후 인지기능과 일상생활수행은 모두 통계학적으로 유의하게 향상되었으나(p>.05), 통계학적으로 실험군에서 유의하게 향상되었다. 결론 본 연구의 결과를 통하여 기존 재활치료와 같이 라파엘 스마트 글러브를 적용할 경우 경도인지장애 환자의 인지기능과 일상생활 수행능력 향상에 도움이 될 것으로 보인다.

• 대한통합의학회지
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• 제9권4호
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• pp.201-210
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• 2021

Purpose : There is a lack of research on this field in the Republic of Korea, especially those that have seen the effect of interaction between transcranial direct current stimulation and computerized cognitive rehabilitation therapy. This study divided 30 dementia patients into a treatment group, which received transcranial direct current stimulation and computerized cognitive rehabilitation, and a control group, which received pseudo-transcranial direct current stimulation and pseudo-computerized cognitive rehabilitation. This study evaluated the effects of these treatments on the visual perception, cognition functions, and daily activities of dementia patients. Methods : Fifteen subjects were allocated to the treatment group and the other 15 subjects were allocated to the control group. Treatments were given at intervals of five sessions per week (30 minutes per session) for six weeks (30 times in total). This study used the Neurobehavioral Cognitive Status Examination (NCSE) to examine cognitive functions, MVPT to evaluate visual perception, and FIM to test daily living activities before and after applying the treatments. Results : The results of this study showed that cognitive functions, visual perception, and daily living activities significantly (p<.05) improved after the intervention in the treatment group and the control group. The changes in cognitive functions, visual perception, and daily living activities due to the treatments were significantly different between the groups (p<.05). Conclusion : The results indicated that transcranial direct current stimulation and computerized cognitive rehabilitation therapy improved visual perception and daily living activities by increasing cognitive functions. Consequently, it was found that the simultaneous application of transcranial direct current stimulation in conjunction with a computerized cognitive rehabilitation program was an intervention method that could positively affect the visual perception, cognitive function, and daily living activities of dementia patients. Based on the results of this study, the study of arbitration protocols for demential will have to be more active.

• 근관절건강학회지
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• 제18권2호
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• pp.137-146
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• 2011

Purpose: The purpose of the study was to compare the effects of Tai Chi exercise program on arthritic pain, difficulties in performing activities of daily living, and fear of falling in women with osteoarthritis (OA) and rheumatoid arthritis (RA). Method: A quasi-experimental design with two intervention groups was used. According to the inclusion criteria, 35 women with OA and 22 with RA were recruited and participated in the Tai Chi for arthritis program for 12 weeks. In 12 weeks, 21 in the OA group and 15 in the RA group completed both pretest and posttest measures. Outcome variables consisted of pain, difficulties in performing activities of daily living, and fear of falling for both groups. Results: The women with OA (64 years) were significantly older and perceived better health than those with RA (49 years) with more than 6 years of diagnosis. The pain scores and the performance of activities of daily living were significantly improved in the OA group at the completion of 12 week Tai Chi exercise, but RA group decreased pain only. The improvements in pain and activities of daily living were significantly more in women with OA than those with RA. No significant changes were found in fear of falling for both groups. Conclusion: The 12 week Tai Chi exercise was more effective on pain and activities of daily living for women with OA than those with RA. Considering that the women with RA perceived more pain and had limited activities of daily living, Tai Chi exercise should be applied slowly and gradually for longer period of time than those with OA.

• 한국농촌건축학회논문집
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• 제14권1호
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• pp.9-19
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• 2012

The object of this study is to investigate the satisfaction level of group homes for the elderly living alone in rural areas. Sixty-four elderly people, living alone, were selected from ten regions operated by the Gimje city council in Jeonlabuk-do, and then a survey was conducted during January 17 to 26 in 2011. The results of the investigation are as follows: first, roughly 90.6 percent of the participants responded that they were satisfied with cohabitation. Second, average point of satisfaction was going to bed together, which is 4.39, also each unit in all the ten regions was recorded above 4.00. Third, the satisfaction of eating together averaged highly at 4.37. Fourth, 95 percent of them were satisfied with the conditions of the residential space. Fifth, the satisfaction with the amenities, such as electricity, phone, heating and sanitation, averaged 96.9 and 98.4 percent each, which was rated highest. Through analytical research, elderly people who live in 'group homes' are satisfied with their lives. It is thought that this 'group home' can play the role of an alternative family better than existing 'senior citizen centers' and 'welfare centers for the elderly'. The study means that 'group homes' in rural areas could be established successfully.

• 대한지역사회영양학회지
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• 제8권6호
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• pp.938-950
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• 2003

We conducted a case-control study to examine the relationship of depression and dietary related factors with the hyperlipidemia for urban living elderly women from low income group. The case group consisted of 45 elderly females with hyperlipidemia (serum cholesterol $\geq$ 240mg/dl or serum TG $\geq$ 250mg/dl and the control group of 95 age matched elderly women with serum cholesterol levels less than 240mg/dl and serum TG less than 250mg/dl. In a univariate analysis, vitamin C intake, the number of family members living with the subject, and their depression scores were significantly higher in the hyperlipidemic group than in the control group. In the logistic regression analysis, the vitamin C intake ($\geq$75% Korean RDA), the number of family members living with the subject ($\geq$ 1), depression scores ($\geq$7), BMI ($\geq$27), and subscapular skinfold thickness ($\geq$18mm) were associated with significantly higher (p<0.05) risks of hyperlipidemia in the elderly women. However after adjustment for other covariables, the depression scores (Odds Ratio 2.48 for depression score$\geq$7;95%CI:1.10-5.60) and subscapular skinfold thicknesses (Odds Ratio 5.69 for SBT$\geq$18mm, 95%CI:1.87-17.32) were the significant risk factors associated with hyperlipidemia in the elderly women.

• 근관절건강학회지
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• 제17권2호
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• pp.151-161
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• 2010

Purpose: The purpose of this study was to identify the effect of Tai Chi exercise on loneliness, sleep pattern, and instrumental activities of daily living in elderly women. Methods: A quasi-experimental design, a nonequivalent control group pretest-posttest was used. Elderly women who agreed to participated in the study were assigned into an experimental group (n=20) or a control group (n=20). The experimental group participated in Tai Chi exercise program (Sun-style 12 forms) for 50 minutes per session, 2 times a week for 8 weeks. Tai Chi exercise program consisted of 10 minutes for warm-up, 35 minutes for main session, and 5 minutes for cooling down. Study outcomes were measured through study questionnaires. Data were analyzed using Chi-square test, t-test and Mann-Whitney test by SPSS WIN 14.0 program. Results: Compared with the control group, the experimental group showed significant improvement in loneliness (t=-2.733, p=.009), sleep pattern (t=2.552, p=.015), and instrumental activities of daily living (z=-2.171, p=.030). Conclusion: Tai Chi exercise program may be an effective nursing intervention for elderly women.