• 대한가정학회지
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• 제44권7호
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• pp.177-188
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• 2006

This study evaluated 26 elderly residents living independently in 4 group homes for their abilities in daily living and analyzed their behaviors of space occupancy and activities of daily living. The aim of the study was to identify the relationships between the physical environments of the group homes and the daily activities of the residents. The results of this study are summarized as follows. 1) Most residents in the group home considered bathing and cooking to be the most difficult of their living activities. The residents were categorized into "Independent," "Semi-dependent" and "Dependent" groups, on the basis of their ADL and IADL scores, and individual groups were examined. On ADL scorelt was shown, then, that 65.4% of the residents were was independent in ADL, but there was no any significant difference in IADL between the independent, semi-dependent and dependent groups. In addition, there was a difference in ADL and IADL among the groups. The independent group's residents were shown to be independent in ADL and IADL, whereas the but those of the semi-dependent and dependent groups' residents were lower in IADL than in ADL. 2) When their behaviors of space occupancy were examined, it appeared that the independent group showed a different space sharing pattern among individual residents, with a wide range of behavior of space occupancy. Meanwhile, The semi-dependent group mostly shared a common space with simple activities of daily living while no any service low leisure program was provided. However, the dependent group mainly consisted of residents who had a low level of independence in ADL and IADL, so that their behaviors of space occupancy were entirely negative.

• 지역사회간호학회지
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• 제21권2호
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• pp.229-241
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• 2010

Purpose: The purpose of this study was to evaluate the effects of hand acupuncture moxibustion therapy on elders' shoulder pain, ADL/IADL and sleep disorder. Methods: This is quasi-experimental with none equivalent control group pretest posttest design. The subjects were randomly assigned to one of Experimental Group A (Ceramic Seoammoxa therapy) (n=20), Experimental Group B (Seoampellet therapy) (n=18), Experimental Group C (Ceramic Seoammoxa and Seoampellet therapy) (n=20), and a control group (n=20). The intervention was applied 3 times per week for 6 weeks. NRS, Song's ADL/IADL scale, Oh, Shin and Kim's sleep disorders scale were used. Results: Hypothesis "Both shoulder pain and the level of sleep disorders of the experimental group A, B and C would be lower than the control group" was supported (p<.001). Hypothesis "ADL/IADL of the experimental group A, B and C would be higher than the control group" was supported (p<.001). In 3 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p=.013). In 6 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p<.001) and sleep disorders (p<.001). Conclusion: Consequently, the hand acupuncture moxibustion was an effective therapy in relieving shoulder pain and sleep disorders and improving ADL/IADL among elders.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1998년도 제50차 추계 학술대회 연제집
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• pp.68-69
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• 1998

• 농촌의학ㆍ지역보건
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• 제30권1호
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• pp.75-88
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• 2005

본 연구는 지역사회에서 자립생활을 유지하기 위한 식생활지침을 확립하는데 기초자료를 제공할 목적으로 농촌지역 노인을 대상으로 식품섭취의 다양성과 일상생활수행동작(ADL) 및 도구적 일상생활수행동작(IADL)의 관련성을 분석하고자 하였다. 조사대상은 충청남도 금산군과 청양군 두 지역에 거주하고 있는 65세 이상 노인 439명(남자 196명, 여자 243명)을 대상으로 하였으며, 면접조사를 통해 조사대상의 인구사회학적 특성, 일상생활습관, 식품섭취 다양성, ADL 및 IADL 상태를 조사하였다. 조사는 2004년 6월에 실시하였으며 주요 결과는 다음과 같다. 1. 조사대상자의 식품종류별 섭취빈도를 보면, 어패류, 육류, 계란류, 해조류 및 유지류의 섭취는 남자가 여자보다 높은 비율을 보였으나, 우유 및 유제품류, 콩 및 콩제품류, 녹황색채소류, 감자류 및 과일류 섭취빈도는 여자가 남자보다 높은 비율이었다. 각 식품군에 대해서 "거의 매일 먹는다"라고 응답한 비율을 보면 녹황색채소류가 가장 높은 비율이었고, 다음으로 감자류, 콩 및 콩제품류, 과일류 등의 순위를 보였으나, 어패류, 육류, 계란류, 우유 및 유제품류, 해조류 등은 매우 낮은 비율을 보였다. 2. 전체 조사대상자의 식품섭취 다양성 점수 분포를 보면, 1~3점이 68.3%, 4~6점이 23.2%, 7~10점이 8.4%의 분포를 보여 점수가 높은 군일수록 비율이 낮아졌으며, 남자보다 여자에서, 75세 이상 군보다 74세 이하 군에서, 학력이 높아질수록, 독신으로 사는 경우보다 부부가 함께 살거나 가족과 함께 생활할수록, 월수입이 높을수록, 좋은 일상생활습관을 갖고 있는 군에서 식품섭취 다양성 점수가 높았다. 3. 조사대상자의 ADL과 IADL 상태를 보면 정상범위 노인군(normal-range group)이 각각 93.2%, 72.9%의 분포였으며, 기능장애 노인군(impaired ADL group)이 6.8%, 27.1% 분포였다. 한편 남자보다 여자에서, 74세 이하 군보다 75세 이상 군에서, 학력이 낮을수록, 독신보다는 부부세대나 가족과 함께 사는 경우, 월수입이 낮을수록, 좋지 않은 일상생활습관 군에서 기능장애 노인군의 비율이 높았다. 4. 조사대상자의 식품섭취 다양성에 따른 ADL과 IADL의 관계를 보면 식품섭취 다양성 점수가 높은 군일수록 정상범위 노인군의 비율은 높아지는 반면, 기능장애 노인군의 비율은 낮아지는 경향이었으며, ADL에서는 통계적인 유의한 차이는 인정되지 않았으나 IADL에서는 통계적으로 유의한 차이를 보였다. 5. ADL과 IADL을 종속변수로, 식품다양성 점수 군을 설명변수로 하여 다중로지스틱회귀분석을 실시한 결과 ADL 기능장애노인군의 상대위험도는 식품다양성 점수 4~6점군에서 0.84, 7~10점군에서 0.63으로 점수가 높아질수록 낮아졌으나 통계적인 유의성은 없었다. IADL 기능장애노인군의 상대위험도는 식품다양성 점수 4~6점군에서 0.52(p<0.01), 7~10점군에서 0.41(p<0.05)로 점수가 높아질수록 낮아졌으며 통계적으로도 유의한 차이가 인정되었다. 이상의 결과는 식품섭취의 다양성이 낮을수록 일상생활기능이 저하됨을 알 수 있으며, 식품섭취의 다양성이 일상생활기능과 관련성이 있음을 시사하고 있다.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.209-217
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• 2016

본 연구의 목적은 관절염 노인을 대상으로 스트레스, 건강생활동기, 도구적 일상생활 수행능력에 대한 연구를 통해 관절염 노인의 활동을 연구하기 위함이다. 자료수집은 65세 이상의 관절염 노인 117명을 대상으로 구조화된 설문지로 조사하였다. 수집된 자료는 SPSS WIN 12.0을 이용하여 independent t-test, Pearson Correlation Coefficients, Stepwise multiple regression으로 분석하였다. 연구대상자의 스트레스와 도구적 일상생활 수행능력간에 유의한 역상관관계, 건강생활동기와 도구적 일상생활 수행능력 간에 유의한 순상관관계가 있었다. 대상자의 도구적 일상생활 수행능력에 영향을 미치는 요인은 스트레스 하위영역 중 신체적 요인(${\beta}=-0.354$, p<.001), 건강생활동기 하위영역 중 자기효능감(${\beta}=0.250$, p<.001)이 도구적 일상생활 수행능력에 영향요인으로 나타났으며, 총 설명력은 18.5%였다. 본 연구를 통하여, 관절염 노인의 도구적 일상생활 수행능력에 영향을 미치는 다양한 요인을 파악하고 효율적인 건강생활을 증진할 수 있는 교육프로그램개발이 필요하다.

• 성인간호학회지
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• 제18권5호
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• pp.798-808
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• 2006

Purpose: The purpose of this study was to investigate the effects of aquatic exercise on rehabilitation in home stroke patients. Method: A quasi-experimental pretest and posttest design was used to examine the change of balance, ADL, IADL, pain, depression and self-efficacy atthe completion of 6-weeks aquatic exercise program. The subjects consisted of 25 adults who had a stroke. Thirteen experimental and twelve control subjects completed pre and post test measures. Outcome variables were balance, ADL, IADL, pain, depression and self-efficacy. Chi-Square test(Fisher's exact method) was used to examine the equality of the subjects and Wilcoxon Rank Sum Test used to examine the group difference by using SAS. Results: There was no significant difference in balance and depression between the two groups. However, there was a significant difference in ADL, IADL, pain and self-efficacy between the two groups. Conclusion: Aquatic exercise can improve ADL, IADL, self-efficacy and reduce pain. Therefore, further research is recommended by increasing the length of aquatic exercise and number of subjects, so that its effects can be more generalizable.

• 지역사회간호학회지
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• 제9권2호
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• pp.374-384
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• 1998

This study was designed to investigate and compare levels of Instrumental Activities in Daily Living(IADL), Self-efficacy and Social support, and their relationships among the aged who lived in urban and rural areas. The subjects consisted of 239 persons (urban = 120, rural = 119), aged 65 over. Data was collected through interviews and questionnaires from July 20 to August 30, 1998, and analyzed by frequency, percentage, means, Pearson Correlation, t -test $X^2$-test and ANOVA, using an SAS program. The Results of this study were as follows. 1) The mean score of IADL was 2.06/5, the mean score of Self-efficacy was 49.61/100 and the mean score of Social support was 2.37/5. 2) Concerning house ownership, the group of urban elderly were significantly higher than rural elderly while in the handling of pocket money, the rural elderly were significantly higher than the urban elderly. 3) Concerning Self-efficacy, the group of urban elderly were significantly higher than rural elderly. 4) The IADL was significantly related to Self-efficacy and to Social support. 5) Concerning the demographic characteristics of the subjects, age, educational level, religion, living with a spouse, money and participation in social activities were significantly resated to the IADL scores, to Self-efficacy and to Social support.

• 대한간호학회지
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• 제36권5호
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• pp.701-709
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• 2006

Purpose: The purpose of this study was to examine the effects of 'Logotherapy with Exercise' on the meaning of life, ego integrity and IADL's in the Elderly. Method: This quasi-experimental study was designed for a nonequivalent control group repeated measurement study. This study was done from Oct. 13, 2004 to Dec. 18. 2004. The subjects were between the ages of 65 to 75, who were literate in Korean and able to communicate and participate in physical exercise without any discomfort. The experimental group was 25 subjects and the control group was 26. The 5-week 'Logotherapy with Exercise' program was given to the experimental group. Data was analyzed by X$^2$, t-test, ANCOVA, ANOVA, and post-hoc comparison by Bonferroni correction with the SPSS/WIN 12.0. Results: The experimental group had a greater difference in meaning of life, ego integrity and IADL's than the control group. The experimental group had differences in changes in meaning of life, ego integrity and IADL's during time period. Conclusion: 'Logotherapy with Exercise' can be recommended as an effective nursing intervention for the elderly.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.109-120
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• 2015

Objectives: The purpose of this study was to investigate risk factors for chronic ADL, IADL disability. The study explored clinical and socio-demographic risk factors of functional status decline. Methods: Data from the Survey of Living Condition of Elderly 3-year panel study were analyzed. The study subjects were 5,928 community-dwelling people aged 65 years or older who were no disability in ADL and IADL at baseline. Predisposing factors, pathology, impairment, and functional limitations were regarded as risk factors. Logistic regression analysis was used. Results: During the 3-year study period, 3.9% participants developed chronic ADL disability, 9.4% participants were IADL disabled. After controlling for predisposing factor, the best predictors for ADL disability at 36 months were fall as a pathology factor, cognitive decline, disability judgement, lower limb functional limitation. Comorbidity, fall, cognitive decline, disability judgement, lower limb and upper limb functional limitation were risk factors for IADL disability. Conclusions: Health promotion program focusing elderly is essential to prevent ADL and IADL disability. Mobilizing physical activity should be included in health promotion program for elderly.

• 지역사회간호학회지
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• 제24권1호
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• pp.99-109
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• 2013

Purpose: The purpose of this study is to identify levels of quality of health-related life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Methods: The subjects of this study were vulnerable elders aged 65 or higher receiving visiting health care benefits by a public health center in a county. Results: Levels of health-related EQ-5D were high when the subjects were males, their ADL and IADL were high. The EQ-5D of the vulnerable elders and social supports had a positive correlation, while their IADL and depression had a negative correlation with the EQ-5D. We can see that the EQ-5D related factors are variables that have significance influence on gender, subjective health status, BMI, IADL, depression levels, and social support. Conclusion: To improve the EQ-5D of the vulnerable elderly, it needs maintenance of independent IADL levels, social supporting systems using small meeting of the elderly in community. It is necessary to maintain independent IADL levels, enhance social supporting systems including small group gatherings for elders living alone by means of places like community halls, and develop specific intervention programs for the prevention and management of depressive elders.