• 제목/요약/키워드: Independent Living

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상지 운동학습에 의한 뇌졸중 환자의 일상생활동작 수행능력의 변화 (The Change of Activity of Daily Living on Motor Learning Program for Upper Extremity in Stroke Patients)

  • 방요순;손경현
    • 한국전문물리치료학회지
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    • 제10권2호
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    • pp.85-98
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    • 2003
  • The purpose of this study was to investigate the changes of the activities of daily living (ADL) by the motor learning program for upper extremity in stroke patients. The subjects were sixty-two members who were treated at the department of occupational therapy. The ADL were measured with Functional Independence Measure (FIM). The result's were as fol1ows; 1. The ability to perform daily activities after treatment was significantly increased independent of age, gender, cause, affected side and speech disability (p<.01). The differences between the pre-treatment and the post-treatment was no significant correlation to sex, cause, affected side and duration of treatment, but the speech disability was significant. Therefore the pre-treatment scores and post-treatment scores were significantly different. 2. The variation of the pre-treatment and the post-treatment in the detail item to the performance of daily life of the stroke patients through the upper extremity motor learning program was significantly increased in self-care, sphincter control, locomotion, mobility, communication and social cognition (p<.01) Consequently, The motor learning program for upper extremity significantly improved the performance level of all ADL areas in stroke patients.

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The Factors Affecting on Elderly' Life Satisfaction in the Residential Environments

  • Jeong, Jae Hoon
    • Architectural research
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    • 제16권4호
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    • pp.149-156
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    • 2014
  • This research is designed to identify factors that affect life satisfaction of the Korean elderly by studying residential environments and individual personalities as independent variables, and life satisfaction of the elderly as a dependent variable. It also includes emotional and instrumental support to describe relations between variables as mediating variables. It utilizes a questionnaire survey as its research method and studies those aged 65 and over living in urban, suburban and rural areas. In addition, regression and path analysis is used to identify casual links between different variables. The results are as follows: (1) Direct factors that impact emotional support are home ownership (direct effect= -.18) and transportation services (.15). That is, those who own their home and have easy access to public transpiration show increased levels of emotional support. (2) Direct factors that affect instrumental support are economic status (direct effect= .311) and living arrangement (.17). In other words, those who are financially stable and live with their children have more instrumental support. (3) Factors linked directly to life satisfaction of the elderly are their age (direct effect= -.10), health status (.19), economic status (.25), region of living (.22) and housing type (.19). (4) Among the mediating variables, emotional support has direct effect (.45) while instrumental support has indirect effect (.16).

도시주부의 시간절약서비스 지출과 관련요인 연구 (A Study on Time-Saving Services and Related Variables)

  • 제미경
    • 대한가정학회지
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    • 제31권3호
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    • pp.1-13
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    • 1993
  • This study examined the expenditure on time-saving services and related variables. The time-saving services are food away from home, delivery food, dry cleaning, clothing care, helper and total service. The specific objectives of this study were: (1) to investigate the differences in the expenditure on time saving services according to social economic and demographic variables. (2) to investigate the differences in the expenditure on time-saving services according to role-overload, home goal orientation and work goal orientation. (3) to investigate the independent influence of variables related to the expenditure on time-saving services. For this objectives survey was conducted using interview. The data used in this study included 160 women living in Seoul from employed professional housewives, employed non-professional housewives and non-employed housewives. Statistical analyses were conducted using frequencies, percentiles, mean, oneway ANOVA, DUNCAN-test and multiple regression. The major findings were: (1) Wife's education, wife's age, income, tenure, level of living and employment status were significantly related to the expenditure on time-saving services by using the one-way ANOVA. (2) Income, education, level of living, number of children, and employment status explained the variance of the expenditures on time-saving services about 20%-39% by using a multiple regression method.

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Effects of Respiratory Muscle Training on the Respiratory Function, Balance, and Activities of Daily Living in Patients with Stroke

  • Kang, Tae-Woo;Kim, Beom-Ryong
    • The Journal of Korean Physical Therapy
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    • 제30권2호
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    • pp.58-62
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    • 2018
  • Purpose: This study evaluated the effects of respiratory muscle training on respiratory function, balance, and activities of daily living (ADL) in patients with stroke. Methods: The study included 21 patients with stroke, divided into the experimental group and control group. Both groups underwent traditional physical therapy once a day for 30 minutes, five times weekly for 6 weeks. The experimental group underwent additional respiratory muscle training once a day, five times a week during the study period. Maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), Berg balance scale (BBS), and Korean-modified Barthel index (K-MBI) were measured before and after the study period. For statistical analysis, paired t-test was used to compare the difference between the pre and post values. Independent t-test was used compare the differences between groups. Results: Both groups had significantly improved MIP, MEP, BBS, and K-MBI scores after the study period. The experimental group had significantly improved MIP, MEP, BBS, and K-MBI scores. Conclusion: These results suggest that respiratory muscle training improves respiratory function, balance, and ADL in patients with stroke.

간호결과 분류체계의 타당성 검증 - 지역사회 간호결과를 중심으로 - (Validation of the Nursing Outcomes Classification (NOC) to Nursing in Korea)

  • 이은주
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.523-531
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    • 2002
  • Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

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사회복지 업무 종사자의 HIV/AIDS 감염인에 대한 신체적・사회적 거리감 (Social Worker's Physical・Social Distance for People Living with HIV/AIDS)

  • 이영선;이인정
    • 보건교육건강증진학회지
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    • 제30권5호
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    • pp.177-188
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    • 2013
  • Objectives: The purpose of this study was to evaluate the feeling of distance of social work practitioners for people living with HIV/AIDS(PLWHA) and to identify related factors. Methods: A total of 409 data were collected as convenience sampling from social welfare service providers. Independent variables were socio-demographic data, AIDS related knowledge, authoritarian personality, prejudice for minority(handicapped, women, foreigner, old aged), cultural competency. Data were analyzed by t-test, ANOVA, multiple regression analysis were conducted. Results: Multiple regression model was developed by integrating the significant variables from univariate analysis. Significant factors of physical distance were social prejudice against handicapped, knowledge about AIDS and critical awareness/knowledge about other culture. And significant factors of social distance were social prejudice against handicapped, knowledge about AIDS, authoritarian personality, critical awareness/knowledge about other culture. At last, we found that social prejudice against handicapped was the biggest factor for physical distance and authoritarian personality was the biggest factor for social distance of social work practitioners. Conclusions: The area of social services for PLWHA have to be expanded. Physical and social distance of professionals to provide services to PLWHA and factors affecting it is necessary to continue research. In addition, on the basis of these findings, specific training programs is need to be developed.

미국 노인주거시설의 현황분석 -캘리포니아주 콘트라 코스타 카운티를 중심으로- (A Study on the Present Condition of Elderly Housing Facilities in USA - Focused on Contra Costa County, California -)

  • 주서령;송빛나
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2004년도 추계학술발표대회 논문집
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    • pp.157-158
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    • 2004
  • In this study, we try to understand the present condition of elderly housing facilities in Contra Costa County, California, USA. We got the basic information of 92 facilities through the interview with the chief of elderly housing department in Contra Costa County, California. In practical way of research, this study bears various components of the elderly housing facilities, which are type of facility, financial aids, type of apartment, and provided living services. The short summerising of researches are; The present conditions of elderly housing facilities can be classified as Independent Living(53), Congregate Housing(23), Assisted Living(33), Dementia Care(12). The financial aid conditions are shown like SSI, HA, HUD. The types of apartment are studio type, 1 bedroom type, 2 bedroom type. These facilities provides meals, housekeeping, transportation, small pets. As a result of studying the present condition of elderly housing facilities in Contra Costa County, we propose the basic statistical report on the most general type of housing, financial aids, type of services that people of the states want to get.

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농촌지역개발의 주민참여와 사업성과에 관한 사례 연구 - 미얀마 농촌공동체 개발사업을 중심으로 - (A Case Study on Villagers' Participation and Project Achievement in Rural Development - Focusing on Saemaul Undong Project in Myanmar -)

  • 이승원;심성희
    • 농촌계획
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    • 제26권3호
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    • pp.79-89
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    • 2020
  • Since the Republic of Korea had been registered as the 24th member of OECD DAC in 2009, recent trend of Korea's ODA has showed drastic increase including agriculture and rural development sector. Particularly, various rural development projects have been implemented adopting development experience and methodology of Saemaul Undong (SMU, New Village Movement). This study implemented statistical analysis between villagers' participation and achievement of rural community development project, based on practical data out of 'Saemaul Undong Project in Myanmar', to suggest meaningful implication in terms of participatory rural development. It emphasized the importance and necessity of villagers' participation in rural development through regression analysis that proved positive correlation between villagers' participation and rural development project. It proves that income-generation part has significantly greater influence than capacity-building and living environment part in terms of rural community development project: Based on the analysis, comparing impact of each independent variable, income generation has 1.88 and 1.68 times greater impact than capacity-building and living environment respectively. The result, on the other side, rather raise the importance of careful consideration for project design and implementation to harmonize those three parts altogether especially rural development for developing countries: capacity-building and living environment parts suggests essential foundation to make income generation successful that enables to secure project achievement and sustainability.

사회자본이 농촌 거주 노인의 우울 상태에 미치는 영향: 2019년도 지역사회건강조사를 이용한 단면연구 (Influence of Social Capital on Depression of Older Adults Living in Rural Area: A Cross-Sectional Study Using the 2019 Korea Community Health Survey)

  • 정민호;김진현
    • 대한간호학회지
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    • 제52권2호
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    • pp.144-156
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    • 2022
  • Purpose: This study aimed to investigate the influence of social capital on the depression of older adults living in rural areas. Methods: Data sets were obtained from the 2019 Korea Community Health Survey. The participants were 39,390 older adults over 65 years old living in rural areas. Indicators of social capital included trust, reciprocity, network, and social participation. Depression-the dependent variable-was measured using the Patient Health Questionnaire-9 (PHQ-9). Hierarchical ordinal logistic regression was conducted to identify factors associated with depression after adjusting the data numbers to 102,601 by applying the Synthetic Minority Oversampling Technique (SMOTE). Results: The independent variables-indicators of social capital-exhibited significant association with the depression of older adults. The odds ratios of depression were higher in groups without social capital variables. Conclusion: To reduce depression, we recommend increasing social capital. Factors identified in this study need to be considered in older adult depression intervention programs and policies.

자립적 식사 향상을 위한 조사연구: 식사보조도구를 중심으로 (A Cross-Sectional Survey for the Improvement of Self-Feeding: Focusing on Assistive Eating Devices)

  • 이영아;최연숙;이경희
    • 한국보건간호학회지
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    • 제37권2호
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    • pp.261-274
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    • 2023
  • Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.