• Title/Summary/Keyword: K-ADL

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Health Concern, Health Practice and ADL of The Elderly Who Stay at Home in a Rural Community (농촌(農村) 재택노인(財宅老人)들의 건강관심도(健康關心度), 건강실천행위(健康實踐行爲)와 일상생활동작능력(日常生活動作能力))

  • Eom, Young-Hee;Kam, Sin;Han, Chang-Hyun;Cha, Byung-Jun;Kim, Sang-Soon
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.269-289
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    • 1999
  • This study was conducted to examine the relationship among health concern, health practice and ADL of elderly staying at home in a rural community and their affecting factors. Data were collected through direct interviews made with 480 old people aged more than sixty-five from November 15, 1998 to December 20, 1998. Out of 189 male and 291 female, the high-level group that showed high health concern accounted for 44.4%, the medium-level group for 13.1%, and the low-level group for 42.5%, in the health practice, the high-level group accounted for 3.8%, the medium-level group for 18.8%, and the low-level group for 77.5%. In the self-rated health status, the high-level group accounted for 29.0%, the medium-level group for 31.0%, and the low-level group for 40.0%, and in the ADL, the high ADL group accounted for 91.5%, and the low-level ADL group for 8.5%. The result of the chi-square test showed that for male, there was a significant relation between the health concern and the health practice index score. In the relation between the health practice index score and the self-rated health status, there was significant positive relationship between health practice index and self-rated health status, and in the relation between the health practice Index score and the ADL, old people with higher health practices showed good ADL(but not significant). Old people with good ADL also showed good self-rated health status. In the multiple regression analysis where the health practice was used as a dependent variable, the health concern was added to the sociodemographic variables as an independent variables, a formula was formed for male old people only and ones with high concern in health showed good health practice. In the multiple logistic regression analysis where the sociodemographic variables to which the health practices was added were used as an independent variable and the ADL as a dependent variable, the ADL appeared to be not good if for male old people the living costs were born by their sons and daughters and as for female old people their ages increased, but it was good if old people had sources of health information such as hospitals or health centers. The self-rated health status was worse, for male old people, if they had short living costs or diseases and for female old people, if they had spouses, living costs born by their sons and daughters or diseases, but it was better, for male old people, if they had periodical gatherings or carried out health practices a lot, and for female old people, if they had sources of health information such as hospitals or health centers or carried out health practices a lot. In view of the results stated above, the higher the old people had health concern, the more they carried out health practices, and the more they carried out health practices, the better they had ADL and self-rated health status that served as the level of health. Further, the better ADL, the better self-rated health status.

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Disturbance in ADL from Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Cancer Patients: The Mediating Effect of Psychological Distress (암 환자의 말초신경병증 관련 일상활동장애와 삶의 질: 심리적 디스트레스의 매개효과)

  • Kim, Kyung Yeon;Lee, Seung Hee;Kim, Jeong Hye;Oh, Pok Ja
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.661-670
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    • 2015
  • Purpose: The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients. Methods: A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (${\beta}$= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.

Effect of early robot-assisted training using virtual reality program in patient with stroke (가상현실을 이용한 조기 로봇보조 보행 훈련이 뇌졸중 환자에 미치는 영향)

  • Lee, Dong-Soon;Lee, Kyung-Hwa;Kang, Tae-Woo;Cho, Sung-Tae
    • The Journal of Korean Physical Therapy
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    • v.25 no.4
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    • pp.195-203
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    • 2013
  • Purpose: The purpose of this study was to determine the effect of early Robot-assisted training on gait ability, function and ADL in patients with stroke. Methods: 26 patients with stroke were recruited for this study. The subjects were randomly assigned to either the experimental group (EG) or the control group (CG), with 13 patients in each group. All subjects received a routine physical therapy. The robot-assisted training was for 30 min in the case of the EG subjects. The assessment tools of this study involved the gait ability, balance ability, function and ADL. The measurements were recorded before the intervention and after the intervention. Results: EG subjects and CG subjects, the variables measured after the intervention significantly differed from gait ability, balance ability, function and ADL without the FMA (p<0.05). The FMA was only effective experimental group after intervention. Also, there were significant differences in gait ability, balance ability, function and ADL without the FMA at post-test between the 2 groups (p<0.05). Conclusion: The findings indicate that early robot-assisted training exerts a positive effect on gait ability, balance ability, function and ADL in patients with stroke. This result indicates the possibility of application of the early Robot-assisted training to the management for stroke patients. Further studies are required to generalize the result for this study.

Affects of Pilates Exercise Program on Balance Ability and Activities of Daily Living(ADL) Performance Ability for Patient With Chronic Cerebellum Infarction (필라테스 운동 프로그램이 만성 소뇌경색 환자의 균형능력과 일상생활활동 수행능력에 미치는 영향: 단일 사례연구)

  • Ruy, Sung-Hyun;Cho, Young-Nam
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.77-86
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    • 2013
  • Objective : The purpose of this study is to assess affects of pilates exercise program on balance ability and ADL performance ability of patient with chronic cerebellum infarction. Methods : The object of this study K-hospital located in daegu, 62-year-old woman who have receiving inpatient treatment with cerebellum infraction. Before and after the intervention in order to compare balance ability was assessed using berg balance scale(BBS) and ADL performance ability was assessed by modified barthel index(MBI). Results : Balance ability of the object score improved from 19 to 29, the ADL performance ability score increased from 74 to 87. Conclusion : The result of this study pilates exercise program in patients with chronic cerebellum infarction balance ability and ADL performance ability to promote was found that the effect. this pilates exercise program in the occupational therapy, if appropriately utilized more on the functional recovery of patients is expected to be helpful.

Effect of upper extremity coordination exercise during standing on the paretic side on balance, gait ability and activities of daily living in persons with stroke

  • Kim, Ju-O;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.6 no.2
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    • pp.53-58
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    • 2017
  • Objective: The purpose of this study was to determine the effect of upper extremity coordination exercise (UECE) during standing on the paretic side on balance, gait ability and activities of daily living (ADL) in persons with stroke. Design: A randomized controlled trial. Methods: A total of 27 patients with hemiplegic diagnosis after stroke were divided into two groups. Fourteen patients were in the study group and 13 patients were in the control group. The study group received conventional physical therapy and UECE during standing on the paretic side. The control group received conventional physical therapy and simple upper extremity exercise (SUEE). Subjects in both groups were given upper extremity training for 30 minutes per day, five times a week for 4 weeks. Initial evaluation was performed before treatment and reevaluated 4 weeks later to compare the changes of balance, gait ability and ADL (Korean version of modified Barthel index, K-MBI). Results: Both groups showed a significant effect for balance, gait ability and ADL (p<0.05). In the Independent t-test, between both groups showed a significant effect for balance and gait ability except ADL (p<0.05). Conclusions: In this paper, we investigated the changes in balance, walking, and ADL through UECE. We found significant changes in the study group and the control group. Results of the present study indicated that UECE during standing on the paretic side for 4 weeks had an effect on balance, gait ability and ADL (K-MBI) in persons with hemiplegia after stroke.

The Effect of Apraxia on Activity of Daily Living in Stroke Patients (뇌졸중 환자의 실행증이 일상생활에 미치는 영향)

  • Shin, Su-Jung
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.527-533
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    • 2016
  • This study was conducted to investigate the apraxia affects activitys of daily living. 38 patients with stroke were participated and conducted to both Birminham Cognitive Screen(BCoS) apraxia test and K-MBI for ADL. Using a cutoff score of BCoS apraxia test, all patient was determine whether with apraxia or not and were distinguished by various types of apraxia. They were compared to the level of ADL using ANOVA. Apraxia patients 18, patients without apraxia is 20. The difference of ADL between the two groups was not. However, the result of classifying patients with apraxia subtypes, it showed a significant difference in grooming, eating, toileting, step, bowel control, and bladder control(F=4.431~9.193, p<0.05). As apraxia is cause of a negative effect on ADL, expert in the area to manage stroke patients should have to share information about whether apraxia is or not and make policy and treatment program considering the potential problem in ADL.

Study of Difference on Activities of Daily Living and Quality of Life of Dementia Patients Reported by Dementia Patients and Caregivers (일상생활활동과 삶의 질에 대한 치매노인과 요양보호사의 지각 차이에 대한 연구)

  • Song, Min-Sun;Choi, Chan-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.386-391
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    • 2012
  • The purposes of this study were to investigate the difference on activities of daily living(ADL), instrumental activities daily of living(IADL) and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. From December 2009 to February 2010, 64 subjects in the institutionalized aged woman with dementia, 22 caregivers were surveyed through structured questionnaires. There was no difference ADL and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. But, there was significant differences in IADL. Also, ADL was positively related to IADL in aged woman with dementia and caregivers. ADL and IADL were negatively related to quality of life in aged woman with dementia and caregivers. In daily activity and life quality, there is no difference recognized by aged woman with dementia and caregivers. So it's not matter for the nursery to recognize the demand of the aged woman with dementia and to care them. It is necessary to study the elderly with dementia at home, and to compare the patients in accordance with severity.

A Study on Daily Living Abilities, Self-efficacy and Yangsaeng Behavior in Elderly Men (Yangsaeng; 養生 traditional oriental health promotion) (남성노인의 일상생활 수행능력과 자기효능감 및 양생행위)

  • Kwag, Oh-Gye;Kwon, Yunhee
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.11-19
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    • 2013
  • Purpose: This study was carried out to investigate relations among daily livingabilities, self-efficacy, and Yangsaegn behavior, and influencing factors on Yangsaeng behavior among elderly men. Methods: Data were collected from 497 male elders in the D metropolitan city. Research tools included ADL, IADL, and the scale for self-efficacy and Yangsaeng behavior. The data were analyzed using frequency analysis, average and standard deviation, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 program. Results: The subjects' ADL score was 2.86, their IADL score of subjects 2.66 out of 3, and their self-efficacy score was 2.68 out of 4, and their Yangsaeng behavior score 3.46 out of 5. There were significant differences in Yangsaeng behavior among the subjects due to age, education level, monthly income, marital status, family structure, religion, health status, andperiodic health examination. There were significant positive correlations among ADL, IADL, self-efficacy, and Yangsaeng behavior. According to the research, influencing factors on Yangseng behavior in elderly men included self-efficacy, health status, ADL, education level, IADL, and family structure. Conclusion: Findings from this study can be used as basic data to develop Yangsaeng behavior programs for elderly men.

A Study of Activities of Daily Living and Its Influencing Factors in Patients with Chronic Arthritis (만성관절염 환자의 일상생활 기능에 영향을 미치는 요인에 관한 연구)

  • Sohng Kyeong Yae;Kang Sung Sil
    • Journal of Korean Public Health Nursing
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    • v.14 no.2
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    • pp.342-354
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    • 2000
  • This study was conducted to identify the characteristics of activities of daily living(ADU) and its influencing factors in patients with chronic arthritis. The data were obtained from 104 patients with chronic arthritis in one university hospital from May to August. 2000. For analysing data. SAS program was used for t-test. ANOVA, Schefte test. Pearson correlation. and stepwise multiple regression. The results were as follows: 1. The variables which influenced self-efficacy were duration of disease. number of painful joint, quality of sleep and alcohol drinking. 2. The variables which influenced fatigue were diagnosis and number of painful joint. 3. The variables which influenced ADL were age. duration of disease. diagnosis. number of painful joint. number of exercise and alcohol drinking. 4. ADL was positive correlation with self-efficacy and negative correlation with fatigue. And self-efficacy was negative correlation with fatigue. 5. The predictors to explain ADL were self-efficacy. number of painful joint. lupus. duration of disease and religion. These predictors explained $66.01\%$ of the activites of daily living. According to these findings. the most significant influencing factor of ADL was self-efficacy. therefore the development of nursing intervention for enhancing self-efficacy would be needed. Also. it is suggested that an exercise program should be recommended as one of useful and appropriate nursing intervention for reducing fatigue and increasing ADL.

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The Effect of Activity of Daily Living Exercise for Self-care Ability and Family Burden in Stroke Patients (일상생활동작 훈련이 뇌졸중 환자의 자가간호 수행능력과 가족의 부담감에 미치는 효과)

  • Kim, Myung-Shin;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.165-174
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of ADL exercise in stroke patients and to define to strategy to promote their self-care ability, decrease to their family burden. Method: The experimental design was designed nonequivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionaire on 33 patients. ADL exercise was conducted by the researcher and was carried out experimental group once per day for 20 minutes for daily 28 days. Results: For the ADL exercise, self-care ability score was increased and family burden score was decreased significantly. Conclusion: The exercise increased the self-care ability and effect of family burden of stroke patients. Based upon these results, it is recommended that the nurses who take care of stroke patient carry out them the ADL exercise continuously.

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