• The Korean Journal of Health Service Management
• /
• v.5 no.2
• /
• pp.173-186
• /
• 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
• /
• v.38 no.1
• /
• pp.243-259
• /
• 2018

The purpose of this study is to investigate the moderating effect of home-based welfare facilities for older adults on the associations between the activities of daily living (ADL) / instrumental activities of daily living (IADL) and the depressive symptoms among Koreans in later life. Multilevel analysis was conducted with Korean Longitudinal Study of Aging 5th data and the public report about welfare facilities from Ministry of Health and Welfare in Korea. Samples were 4,139 older adults over 65 years old. The dependent variable was depressive symptoms, and individual level independent variables were ADL and IADL. The ratio of home-based welfare facilities out of 10,000 older adults in each city and province was the moderator. As a result, the effects of ADL on depressive symptoms vary according to the proportion of elderly welfare facilities out of the old population in the community. In specific, the older adults who live in the place where the elderly welfare facility rate was higher were less affected by ADL. Also, the more IADL people had, the more depressive symptoms they had. However, the interaction effect between IADL and the proportion of home-based welfare facilities was not significant. It suggests that delivering welfare services helping ADL through the home-based welfare facilities may be useful for decreasing depressive symptoms. Moreover, considering the proportion of facilities and older population will be helpful to make the welfare facilities efficiently work.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.14 no.2
• /
• pp.221-229
• /
• 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.

• The Korean Journal of Rehabilitation Nursing
• /
• v.14 no.1
• /
• pp.5-12
• /
• 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.

• Journal of the Korean Applied Science and Technology
• /
• v.38 no.3
• /
• pp.786-800
• /
• 2021

The subjects of this study were 463 people aged 65 and older in the senior welfare center in Seoul and Gyeonggi. The purpose of the study is to analyze the differences between physical fitness factors and cognitive functions, activities of daily living, instrumental activities of daily living, and psychological variables in the participation of the elderly in physical activities. Data ware analyzed by frequency analysis, reliability analysis, independent sample t-test and one-way ANOVA, and Pearson's correlation analysis, with SPSS 25.0 statistics program. The results of this study are as follows. First, there are statistically significant differences in physical fitness, cognitive function, activities of daily living, instrumental activities of daily living, and psychological factors such as depression and quality of life, depending on whether the elderly participate in physical activity. There were statistically significant differences in physical fitness, cognitive function, ADL, IADL, depression and quality of life, depending on the frequency of participation of older people in physical activity. A statistically significant difference in physical fitness appeared depending on the participation time of the elderly who participated in physical activity. Second, a study of the correlation between physical fitness and cognitive function, ADL, IADL, depression, and quality of life revealed a correlation for most factors. Based on these research results, it is necessary to develop a systematic arbitration strategy including physical activity for the successful aging of the elderly and the independent life of old age.

• Journal of Korean Biological Nursing Science
• /
• v.18 no.4
• /
• pp.296-304
• /
• 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.

• Journal of Korean Gerontological Nursing
• /
• v.20 no.3
• /
• pp.167-176
• /
• 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.

• Journal of Korean Physical Therapy Science
• /
• v.8 no.1
• /
• pp.821-831
• /
• 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.

• Journal of Korean society of Dental Hygiene
• /
• v.15 no.3
• /
• pp.461-475
• /
• 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.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.5
• /
• pp.273-280
• /
• 2019

The purpose of this study is to provide basic data for improving the life satisfaction of elderly women with chronic diseases by analyzing the factors affecting life satisfaction. Using the 6th Korean Retirement and Income Study, 1846 elderly women aged 65 years or older with chronic diseases were included in the study. In order to investigate life satisfaction, instrumental activities of daily living and interpersonal relationship according to general characteristics, descriptive statistics, t-test and ANOVA were used. We used hierarchical multiple regression analysis to find out the factors affecting life satisfaction. The results showed that elderly women with chronic illness were more satisfied with life when they were younger, spouses, higher education, proper sleep, regular exercise, and regular health checkups. This study has limitations in that the number of chronic diseases, types, and psychosocial aspects are not considered. However, it is significant that the elderly panel with the representative of the whole nation was used to grasp the life satisfaction of the elderly women with chronic diseases. Therefore, in order to improve the life satisfaction of elderly women with chronic illness, appropriate sleep, exercise, instrumental daily life ability, interpersonal intervention will be needed.