• Title/Summary/Keyword: Instrumental Factors

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경도인지장애 노인의 인지기능, 도구적 일상생활수행능력, 우울 및 삶의 질 관계 (Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment)

  • 김연옥;심문숙
    • 한국보건간호학회지
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    • 제29권2호
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    • pp.219-230
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    • 2015
  • Purpose: This research study not only examine the relationship between cognitive function, IADL, depression and quality of life, but also clarifies factors impacting quality of life for the elderly. The purpose of this study is to administer health promotion programs and to improve quality of life for the elderly. Methods: Data were collected from May 20, to June 10, 2014. The participants were 157 elderly persons with mild cognitive injury (MCI), who had under 23 points on MoCa-K from three different senior welfare centers in Daejeon. The questionnaires were conducted by four university students after receiving instruction from the researcher and consisted of general characteristics, cognitive function, depression and quality of life. SPSS WIN 19.0 program was used for data analysis. Results: Cognitive function showed positive correlation with quality of life (r=175, p=.028). IADL did not show correlation with quality of life (r=-.005, p=.947). However cognitive function(r=-.344, p<.001) and depression (r=-.623, p<.001) showed negative correlation with quality of life. In addition, the factors impacting quality of life were cognitive function (${\beta}=.14$, p=.29) and depression (${\beta}=-.61$, p<.001) which accounted for 39% of quality of life. Conclusion: These findings showed that the participants had depression and their cognitive function was low. As a result, the more participants' cognitive function decreased, the more their quality of life decreased. In addition, the more their depression decreased, the more their quality of life improved.

가상 커뮤니티 이용 욕구(needs)와 행위(behavior)에 관한 연구: 대학생들의 인터넷 카페 이용을 중심으로 (A Study of Needs and Behavior on a Virtual Community: Focused on College Student's Internet Cafe Activities)

  • 구교태
    • 한국언론정보학보
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    • 제30권
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    • pp.7-33
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    • 2005
  • 본 논문은 가상 커뮤니티 이용과 관련된 이용 욕구(needs) 유형들을 살펴보고 이용행위에 영향을 미치는 동기적 그리고 비동기적 요인들이 성별에 따라 차이가 있는지 여부를 분석하고 있다. 또한 동기적 요인인 이용 욕구와 비동기적 요인인 '지각된 행위통제(perceived behavior control)'에 따른 가상 커뮤니티 이용 행위 과정을 살펴보고자 하였다. 가상 커뮤니티와 관련된 연구문제들을 위해서 인터넷 카페와 동호회 활동을 하는 230명의 지역 대학생을 대상으로 설문조사가 실시되었다. 연구결과에 의하면 가상 커뮤니티 이용 욕구로 '관계지향성 욕구', '오락 욕구, 그리고 '도구적 욕구' 요인이 추출되었다. 그러나 이용 욕구나 '지각된 행위통제'에 대한 성별 변인의 영향은 거의 없는 것으로 나타났다. 또한 가상 커뮤니티 이용 행위와 관련된 경로분석은 동기적 요인이 비동기적 요인보다 행위에 많은 영향을 미치는 것을 보여주었다. 또한 동기적 요인 가운데 오락적 욕구는 이용 행위에 가장 많은 영향을 미치는 것으로 나타났다. 이는 정보기술을 통한 공동체 회복이 가능한가에 대해 다소 부정적인 결과를 보여주는 것이다.

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노인의 성공적 노화와 영향요인 (Factors Influencing Successful Aging in Elders)

  • 한수정;한진숙;문영숙
    • 성인간호학회지
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    • 제21권4호
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    • pp.423-434
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    • 2009
  • Purpose: This study was conducted to evaluate successful aging (SA) in elderly individuals and to determine the factors that influence SA. Methods: The subjects included 207 elderly individuals from D city, Korea. The data were obtained between July 1 and August 30, 2008. The participants were assured of anonymity and confidentiality. For the evaluation, Kim & Shin's SA scale, Lawton's instrumental activities of daily living (IADL) scale, Jon's self-esteem scale, Kee's geriatric depression scale short form-Korean (GDSSF-K), and Hong's productive activities scale were used. The data were analyzed using descriptive statistics, the t-test, analysis of variance (ANOVA), and Pearson correlation coefficients; multiple regression analysis was performed using the SPSS/WIN 10.0 program. Results: The maximum score for SA was 34, and the mean score was 22.62. It was found that SA was significantly correlated to IADL, self-esteem, depression, and productive activity. Depression was the most powerful predictor of SA and it accounted for 40.6% of the total variance in SA. Self-esteem, productive activity, living situation, economic status, and age together accounted for 62.1% of the total variation in SA. Conclusion: Depression, self-esteem, and productive activity were identified as variables that influence SA. On the basis of these results, we conclude that nurses should assist elderly individuals in order to facilitate SA. Moreover, individualized nursing management strategies must be developed in order to facilitate SA.

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뇌졸중 환자의 가족 간호자가 지각하는 부담감과 사회적 지지와의 관계 분석 (Relations between Perceived Burden and Social Support of Stroke Patient호s Family Caregiver)

  • 홍여신;서문자;김금순;김인자;조남옥;최희정;정성희;김은만
    • 대한간호학회지
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    • 제30권3호
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    • pp.595-605
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    • 2000
  • The purpose of this study was to describe the perceived burden of the stroke patient's caregiver and related factors to analyze relationships between perceived burden and social supports. A convenient sample of 225 caregivers who take care for a stroke patient at home participated in this study. Caregiver's perceived burden was measured by the objective and subjective burden scale developed by Montgomery (1985). Related factors of burden were studied in terms of the patient's instrumental activties of daily living, cognitive function, caregiver's demographic variables and caregiver's illness intrusiveness. The results were as follows: (1) The mean of objective burden score was 4.5, and subjective burden score was 3.1. These scores show that caregivers perceive moderate level of burden. (2) Caregivers' objective burden was significantly related to caregivers's illness intrusiveness (r=.62), patient's IADL (r=-.33), and patient's cognitive function (r=-.15). The subjective burden was related to the caregiver's illness intrusiveness (r=.29), the patient's IADL (r=.24), and the caregiver's age(r=.23). (3) The percentage of stroke caregivers who perceived physical support was 49.1%. The percentage of those who perceived emotional support was 61.0%, and those who perceived financial support totaled 37.6%. (4) Caregivers who received any type of social supports perceived lower subjective burden, and caregivers who received physical or psychological support perceived lower objective burden. These results emphasized the necessity of a rehabilitation programs for stroke patients and support program for family caregivers.

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순수 베이지안 분류기 모델을 사용하여 이상지질혈증을 예측하는 노모 그램 구축 (Nomogram building to predict dyslipidemia using a naïve Bayesian classifier model)

  • 김민호;서주현;이제영
    • 응용통계연구
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    • 제32권4호
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    • pp.619-630
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    • 2019
  • 이상지질혈증은 한국인의 대표적인 성인병이며 지속적인 관리가 필요한 만성질환이다. 또한 고혈압이나 당뇨병과 함께 심혈관계 질환의 위험 요인으로 잘 알려져 있다. 하지만 혈관 질환은 검사 없이는 질병 판단을 하기 어려운 것이 현실이다. 본 연구에서는 이상지질혈증의 인지와 예방을 위하여 관련된 위험 요인을 확인한다. 이들을 종합하여 시각화하면서 발병률 예측까지 가능한 통계적 도구 노모그램을 구축하였다. 데이터는 국민건강영양조사 6기, 7기 제1차년도 (2013-2016) 데이터를 사용하였다. 분석 순서로는 먼저 이상지질혈증의 총 12가지 위험 요인을 교차분석을 통해 확인하였다. 그리고 순수 베이지안 분류기를 이용하여 이상지질혈증에 대한 모형으로 노모그램을 구축하였다. 구축한 노모그램은 ROC 곡선과 Calibration plot을 사용하여 신뢰성을 검증하였다. 마지막으로 이전에 제시했던 로지스틱 노모그램과 본 연구에서 제안한 베이지안 노모그램을 비교하였다.

여성노인의 사회적 지지가 삶의 질에 미치는 영향 (The Effect of Social Support on Elderly Women's Quality of Life)

  • 홍성희
    • 가족자원경영과 정책
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    • 제19권2호
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    • pp.1-26
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    • 2015
  • The purpose of this study was to analyze the quality of life (QoL) of elderly women and the effect of social support on their QoL. The data were used 'urvey on the Elderly in 2011', which was held from 'Ministry of Health & Welfare' and 'Korea Institute for Health and Social Affairs'. Among the total 15,146 respondents, 3,880 of elderly women whose age was over 65, and who did not live together with their married children were included in the analysis. Multiple regression analysis and path analysis were used to analyze the research model. The findings were as follows. First, from the fact that the elderly women showed the highest mean in 'contact frequency with friends' among social support, it seemed that the elderly women contacted their friends more than their children in their old age. Among the support types from their children, elderly women received emotional support, physical support, instrumental support in order and irregular cash as a way of economic support. Second, from the regression results, the most critical factor that affected the QoL of elderly women was 'subjective physical condition level' and 'subjective standard of living' comes next. Third, the most important factor was 'subjective standard of living' from path analysis results, and 'subjective physical condition level' and 'total amount of annual income' in order. Also, social supports such as 'phone call contact frequency with children', 'emotional support from children', phone call contact frequency with relatives', 'phone call contact frequency with friends' positively affected the QoL of elderly women. Therefore, raising social supports from children, relatives, and friends positively contributes to improve the QoL of elderly women directly and indirectly. The results show that social supporters, which is a part of the structural aspects of social support, and types of social support, which lies in functional aspects, directly affect QoL of the elderly women and turn out to be factors that improve the QoL as mediating variables. It is concluded that the social supports can be the most important resources that make up declining personal and social resources in old age and maintain the QoL of elderly women.

65세 이상 노인의 참여활동수준과 기능장애에 관한 연구 (A Study of Activity Participation Level and Functional Disability for The Elderly Aged Over 65 years)

  • 박경영;신수정
    • 융합정보논문지
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    • 제10권9호
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    • pp.222-228
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    • 2020
  • 본 연구의 목적은 65세 이상 노인들의 참여활동수준과 ICF에 기반한 기능장애에 대해 조사하는 것이다. 도시에 거주하고 있는 노인 100명을 대상으로 하였으며, 한국형 활동분류카드(KACS)와 세계보건기구 장애평가척도 2.0(WHODAS 2.0)를 통해 자료를 수집하였다. 수집된 자료는 기술통계 및 상관분석, 다중회귀분석을 이용하여 분석하였다. 참여활동수준에 대한 조사결과, 도구적 일상생활 영역이 75.06%로 가장 높게 나타났다. WHODAS 2.0 하위영역 중 사람들과 어울리기, 사회참여 영역에 어려움이 가장 많았고, 자기관리와 일상생활활동에서의 어려움이 가장 낮게 나타났다. 참여활동 보유율과 기능장애에 대한 상관성을 분석한 결과, 모두 유의한 음의 상관관계가 있는 것으로 나타났다. 기능장애에 영향을 미치는 요인들로는 사회활동과 도구적 일상생활의 참여활동수준, 직업상태(은퇴)가 유의미한 것으로 나타났다. 연구를 통하여 참여활동수준이 기능장애를 설명하는 중요한 요인임을 확인할 수 있었다. 추후 연구결과의 일반화를 위한 표준화 연구가 이뤄질 필요가 있다.

노인들의 사회적 지지와 건강행태 및 건강수준과의 관련성 (The Relations of Social Support to the Health Behaviors and Health Status in the Elderly)

  • 김태면;이석구;전소연
    • 보건교육건강증진학회지
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    • 제23권3호
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    • pp.99-119
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    • 2006
  • Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

노인에 대한 가족의지지 : 가족원 유형별 연구 (Family Support for the Elderly : A Study by Types of Family Members)

  • 홍순혜
    • 한국사회복지학
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    • 제39권
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    • pp.322-349
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    • 1999
  • 이 논문의 연구문제는 다음의 세 가지이다. 노인은 서로 다른 가족원 유형으로부터 어떤 종류의 사회적 지지를 받고 있는가? 노인이 가족원으로부터 지지를 받느냐 혹은 받지 못하느냐와 관련된 노인의 개인적 특성, 가족망의 특성은 무엇인가? 어떤 가족원이 제공하는 어떤 종류의 지지가 노인의 정신건강(우울)과 관련성을 가지고 있는가? 이 연구를 위해 가족원 유형으로는 배우자, 아들, 며느리, 딸, 사위, 손자 손녀, 부모, 형제자매가 포함되었으며, 지지의 종류로는 정서적, 활동적, 도구적, 금전적 지지의 4가지가 조사되었다. 서울 경기지역에 거주하는 60세 이상의 노인 208명이 유의 표집되었다. 분석결과, 노인들은 여러 가족원들로부터 다양한 지지를 받고 있었다. 배우자는 정서적 지지를, 아들은 금전적 지지를, 며느리는 도구적, 딸은 정서적, 금전적 지지를 가장 많이 제공하고 있었다. 부모, 형제가 있는 경우에는 정서적 지지를 받는 비율이 높았으며, 그 밖에도 사위, 손주의 지지제공자로서의 가능성이 제시되었다. 노인의 특성과 관계망의 특성 중 여러 요인들이 각 가족원 유형이 제공하는 다양한 지지와 유의한 관련성을 보였는데, 일반적으로 남자보다는 여자가, 나이 적고, 도구적 일상생활동작능력이 좋고, 그 가족원과의 접촉빈도가 높은 노인들이 지지를 받는 경향이 있었다. 그러나 예외적으로 며느리의 지지는 기능이 떨어지는 노인들이 더 많이 제공받고 있었다. 배우자의 지지여부는 노인의 우울정도와 관련이 많았으며, 아들과 며느리의 경우는 지지의 제공 여부보다는 그들의 존재여부에 의해 우울정도가 달라지고 있었다. 노인의 정신건강을 위해 다양한 지지적 활동을 강화해 줄 수 있는 실천적 방안들이 요구되고 있다.

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대전 3, 4 공단지역의 미세분진에 대한 화학적 특성과 오염원 연구 (Chemical characteristics and sources of fine ambient particulate matter from the third and fourth industrial complex area of Daejeon city, Korea)

  • 임종명;이진홍;정용삼
    • 분석과학
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    • 제20권1호
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    • pp.33-40
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    • 2007
  • 대전시 3, 4 공단지역의 대기 중 미세분진을 대상으로 기기 중성자방사화분석법을 이용하여 유해금속을 포함한 약 27종의 미량원소를 분석하였다. 원소분석에 대한 정확도를 평가하기 위해 NIST SRM 2783(air particulate on filter media)을 사용하여 동일한 조건에서 분석한 결과, Sb, Mn, V, Mg, Na, K, Ti, Co, Zn, Sm은 상대오차 5% 이내의 매우 정확한 분석결과를 보였고 Cr, Fe, Ba, Th, Ce, Al, Cu는 10% 이내로 나타났다. 유해금속인 As, Mn, Se, V, Zn의 농도는 각각 $3.26{\pm}2.72$, $9.86{\pm}4.71$, $2.18{\pm}1.25$, $4.91{\pm}2.41$, $158{\pm}78ng/m^3$로 나타났고 인자분석 결과 연구대상지역의 미세분진에 대한 오염원은 6개로 추정되었다.