• 보건의료산업학회지
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• 제5권2호
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• pp.173-186
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• 2011

The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.

• 한국노년학
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• 제38권1호
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• pp.243-259
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• 2018

본 연구는 노인의 일상생활수행능력(ADL)과 도구적 일상생활수행능력(IADL)이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과를 탐색하는 데에 그 목적이 있다. 이를 위해 고령화연구패널 5차(2014년)자료와 지역사회 재가노인복지시설 수에 대한 보건복지부 현황 자료(2014년)를 결합하여 다층분석을 실시하였다. 연구대상은 65세 이상 노인 4,139명이다. 종속변수는 우울감이며, 개인수준 독립변수는 ADL과 IADL이다. 지역수준의 조절변수는 시 도의 노인인구 1만 명당 재가노인복지시설의 수(재가노인복지시시설 비율)이다. 연구결과, ADL이 우울에 미치는 영향은 재가노인복지시설의 비율에 따라서 달라진다. 즉, 노인인구 1만 명당 재가노인복지시설의 수가 많은 지역에 거주하는 노인일수록 ADL이 우울에 미치는 영향력이 작은 것으로 나타났다. IADL에 관해서는 제한 수준이 높을수록 노인이 더 우울해지는 경향이 있었으나 IADL과 재가노인복지시설 비율의 상호작용 효과는 발견되지 않았다. 본 연구결과는 일상생활수행과 관련된 개입 서비스를 지역사회 재가노인복지시설을 통해 전달하는 것이 노인의 우울감 완화에 효과적일 수 있음을 시사한다. 특히 재가노인복지시설이 지역사회 노인 수요에 맞추어 충분히 제공될 때 복지제도의 효율성이 높아질 수 있음을 뒷받침한다.

• 기본간호학회지
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• 제14권2호
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• pp.221-229
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• 2007

Purpose: To investigate the instrumental activities of daily living (IADL), leg muscle strength, cognitive and visual functions according to the participants' demographic characters and experiences of falling in Korean elder who are residents in the community. Method: Data were collected from 351 participants aged 65 or more, who were ambulatory, A structured questionnaire and several physical function measurements were used to collect the data which were analyzed using the SAS program. Results: The participants' IADL scores were significantly different according to their age, educational level and living situation. The leg muscle strength of the elders were significantly different according to gender and age, and were also related the risk of falling. Cognitive scores were significantly different according to gender, age, education level and marital status. Visual acuity and depth perception were significantly different according to age, education level, and marital status. Conclusion: Demographic variables and experience of falling were identified as variables related to IADL, leg muscle strength, cognitive and visual function of elders. Further study with a larger and nation-wide sample is needed to identify the variables related to the physical and cognitive functions of elders.

• 재활간호학회지
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• 제14권1호
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• pp.5-12
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• 2011

Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

• 한국응용과학기술학회지
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• 제38권3호
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• pp.786-800
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• 2021

본 연구는 서울·경기 소재 65세 이상 노인 463명을 대상으로 신체활동 참여에 따른 체력요인과 인지기능, 일상생활수행능력, 도구적 일상생활수행능력 및 심리적 변인에 대한 차이를 분석하였다. 수집 된 자료는 SPSS 25.0 통계프로그램을 이용하여 빈도분석, 신뢰도 분석, 독립 t-검증과 일원분산분석 그리고 피어슨의 상관관계분석을 실시하였으며 모든 통계적 유의수준은 p<.05로 설정하였다. 그 결과 첫째, 노인의 신체활동 참여유무에 따라 체력, 인지기능, 일상생활수행능력, 도구적일상생활수행능력 및 심리적 변인인 우울과 삶의 질에 통계적으로 유의한 차이가 나타났으며, 신체활동에 참여하는 노인의 참여빈도에 따라 체력, 인지기능, ADL, IADL, 우울 및 삶의 질에 통계적 유의한 차이가 나타났다. 신체활동에 참여하는 노인의 참여시간에 따라 체력에서 통계적 유의한 차이가 나타났다. 둘째, 체력과 인지기능, ADL, IADL, 우울 및 삶의 질의 상관관계를 살펴본 결과 대부분의 요인에서 상관관계가 나타났다. 이러한 연구결과를 바탕으로 노인의 성공적인 노화와 자립적인 노후생활을 위해 신체활동을 포함한 체계적인 중재 전략의 개발이 필요하다.

• 대한치매학회지
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• 제23권2호
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• pp.107-114
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• 2024

Background and Purpose: Each item in the instrumental activities of daily living (IADL) questionnaire has differential importance to an individual's life functioning based on gender. However, IADL has mostly been utilized for its total score alone, without gender specificity. We identify the impact of each item on the transition from amnestic mild cognitive impairment (aMCI) to Alzheimer's disease dementia (ADD), and determine if the impact of each item differs by gender. Methods: Subjects were aMCI or ADD with a global clinical dementia rating of 0.5 or 1. The sample size was 146 men and 154 women. We used logistic regression analysis to determine the effect of each item of IADL on the transition from aMCI to ADD. Results: The odds ratio (OR) for "remembering recent events" had similar values: 27.2 for men, and 27.7 for women. Gender difference was identified in the item with the highest OR value. For women, the "using transportation" item was 63.3, and for men, "conducting financial affairs" was overwhelmingly high at 89.1. Conclusions: Functional decline on items with relatively higher ORs may indicate higher probability of a transition from aMCI to ADD. The OR of "conducting financial affairs" was relatively higher for both genders. In terms of gender differences, "conducting home repair" for men, and "using transportation" for women, have relatively higher impact. This study demonstrates that during the transition from aMCI to ADD, each item of IADL shows a staggered decline in functioning, and that this decline is gender-specific.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.296-304
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• 2016

Objective: The purpose of this study was to explore the effects of a senior functional game (Rejuvenescent village) on cognitive function, instrumental activities of daily living (IADL), depression, and life satisfaction in Korea. Methods: An one-group pretest-posttest design was used in this study. Data were collected twice (at the beginning and the end) from 100 elderly adults in S city who played "Rejuvenescent village" 8 times (twice per week, one hour per session) for a month. Also they completed questionnaires on their cognitive function, IADL, depression, life satisfaction, and general characteristics. The data were analyzed using SPSS 20.0 programs. Results: The mean age was 70.06(${\pm}3.77$) years, with a range of 65-80 years old. Among 100 subjects, 21% were male and 85% were young old. There were statistically significant differences in cognitive function (t=-3.32, p=.001), IADL (t=1.98, p=.049), and life satisfaction (t=-2.15, p=.034). Although there was no statistically significant difference in mean depression score (t=1.06, p=.292), categorized depression was statistically significant (${\chi}^2=62.97$, p<.001). Conclusion: The findings in this study show that the serious game (Rejuvenescent village) was effective for older Koreans' cognitive function, IADL, depression, and life satisfaction. Thus, we need to consider senior functional games to get health benefits by making elderly adults active with enjoyment.

• 노인간호학회지
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• 제20권3호
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• pp.167-176
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• 2018

Purpose: Post Stroke Depression (PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health (OR=5.90, CI=3.70~9.40), economic state (OR=2.97, CI=2.07~4.24), independent activities of daily living (IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living (ADL) (OR=2.02, CI=1.07~3.80), and education (OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living (IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.

• 대한물리치료과학회지
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• 제8권1호
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• pp.821-831
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• 2001

Motor ability were hypothesized to be major factors that may have an influence on IADL(instrumental activities of daily living). The purpose of this study was to investi gate the effect of motor ability of elderly on IADL. This study consisted of forty eight elder male and ninety elder female. The subjects were selected from L, S, Y-institution in kyoung ki do. The average age of elder male and female was 73.81, 71.38 years. The data were analyzed with t-test, repeated measurement, correlation test, regression test, using SPSS PC+ and MINITAB program. The measurement item of motor ability was muscle strength(left, right- grip strength), flexibility(sitting trunk flexion, trunk extension, leg raising while in a standing position), agility(whole body reaction test, standing up), power(sargent jump), balance (stork stand). IADL was measured with Philadelphia Geriatric Center IADL. The result of this study were the following : 1. The factor of significant difference of between elder male and female was muscle strength, flexibility, power but no significant difference was agility, balance. 2. Between IADL of elder male and female was no significant difference. 3. Correlation of IADL and Motor ability of elder male had effect on muscle strength and power, agility. Correlation of Body composition and Motor ability of elder female had effect on muscle strength and power, agility. As a result of this study, optimal motor ability of elder male and female had improved IADL. In addition to, this result of this study, it can suggested the consideration of the Health promotion program for elderly.

• 한국치위생학회지
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• 제15권3호
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• pp.461-475
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• 2015

Objectives: The purpose of the study is to investigate the related factors of oral health-related quality of life in the severely disabled people. Methods: The subjects were 205 severe disabled people in Busan and Gyeongnam. Data were collected by direct interview with the severe disabled persons from June to August, 2011. The study instruments included oral health impact profile(OHIP)-14 and Korean instrumental activities of daily living(K-IADL). Data were analyzed by SAS version 9.2. The questionnaire consisted of eight questions of the general characteristics of the subjects, five questions of oral health related problem, seven questions of K-ADL, ten questions of K-IADL, fourteen questions of oral health related quality of life. Results: The severely disabled's IADL was $19.9{\pm}7.8$ and the oral health-related quality of life was $17.5{\pm}10.5$. In multiple regression analysis, oral health-related quality of life was closely related to multiple disorders and IADL. Conclusions: The oral health-related quality of life was poor in the severely disabled people. It is necessary to provide the severely disabled people with self-supporting tools that help ADL and IADL.