• Title/Summary/Keyword: K-IADL

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The Study on Functional State, Self Efficacy, and Life Satisfaction in the Elderly with Decreased Visual Acuity (시력저하노인의 기능상태, 자기효능감, 삶의 만족에 관한 연구)

  • Cha, Ki Jung;Eun, Young
    • Journal of muscle and joint health
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    • v.20 no.3
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    • pp.225-234
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    • 2013
  • Purpose: This purpose of study was to investigate the relationships among functional state, self-efficacy, and life satisfaction in the elderly with decreased visual acuity. Methods: The subjects were 162 elderly people from the G university hospital. Functional state was measured by Late-Life Function and Disability Instrument (LLFDI) and Minimum Data Set-Home Care version 2.0 (MDS HC 2.0). Self-efficacy and Life satisfaction were measured by the tool of Rho & Lee (2011) and Yoon (2007). Data were analyzed using t-test, ANOVA, Pearson's Correlation Coefficient, and logistic regression. Results: The daily life function was significantly associated with self-efficacy and vision decrease. The regression model with these two variables explained 35.6% of the variance of daily life function. IADL was significantly associated with vision decrease, age, gender, and self-efficacy. The regression model with the three variables explained 52.9% of the variance of IADL. Life satisfaction is significantly associated with self-efficacy, daily life function, vision decrease and IADL. The last regression model with the four variables explained 51.8% of the variance of life satisfaction. Conclusion: The levels of functional state, self-efficacy and life satisfaction in the elderly with decreased visual acuity were low. Self-efficacy was an important factor that influences on the functional state and life satisfaction. Therefore, nursing interventions that can enhance the self-efficacy are required in order to increase the functional state and life satisfaction in the elderly with decreased visual acuity.

Effect of Computerized Cognitive Therapy for the Elderly with Mild Cognitive Impairment in the Community on Cognitive Function and Instrumental Activities of Daily Living for Wellness (지역사회 경도인지장애 노인을 대상으로 한 전산화 인지 치료가 인지기능 및 수단적 일상생활활동에 미치는 영향)

  • Kim, Sun-Ho;Kwak, Ho-Soung
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.7
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    • pp.215-223
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    • 2021
  • The purpose of this study is to investigate the effect of computerized cognitive therapy on cognitive function and Instrumental Activities of Daily Living for elderly people with mild cognitive impairment living in the community. 22 MCI elderly people were randomly assigned to 11 experimental group and 11 control group. For a total of 10 weeks, 3 times a week, 30 minutes per session, the experimental group received CoTras and the control group received traditional cognitive rehabilitation. Neurobehavioral Cognitive Status Examination(NCSE) and Korean Instrumental Activities of Daily Living(K-IADL) were used to investigate the changes in cognitive function and performance of instrumental activities of daily living before and after the intervention. As a result of the study, the experimental group showed improvement in overall cognitive function, including attention and memory, and performance in IADL. The use of CoTras may be considered to improve cognitive function and performance of instrumental activities of daily living for the elderly with mild cognitive impairment in the community.

The Association of Physical and Mental Function with Quality of Life among the Elderly at Care Facilities (요양시설 노인의 신체적 및 정신적 기능과 삶의 질과의 관련성)

  • Lim, Young-A;Shin, Taek-Soo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.301-310
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    • 2018
  • This study was conducted to investigate the relationship between physical function (ADL, IADL) and mental function (depression, cognitive dysfunction) and quality of life in the elderly. The subjects of this study were 524 elderly people aged 65 or older who were admitted to 15 care facilities located in D metropolitan city. Data were collected through a personal interview conducted by interviewers that visited each care facility from November 2015 to January 2016. T-tests and ANOVA were used to compare the quality of life score for each independent variable, while multiple regression was used to determine the explanatory power of independent variables that affected quality of life. Quality of life was significantly lower among those of older age, lower educational level, living alone, with lower relationships with children, lower subjective health status, disability, lower ability for mastication, without regular eating habits, without regular exercise, and without regular health checkups. In addition, quality of life was significantly lower in the ADL and IADL, as well as among those with a higher depression level and lower cognitive impairment scores than their respective counterparts. The results of this study suggest that the quality of life among elderly that have been admitted to care facilities is significantly related to physical and mental functions as well as demographic characteristics, health status and health related behavioral characteristics.

Health Status of Institutional Elderly in a Rural Area (일부 농촌지역 시설노인의 건강상태)

  • Nam, Hae-Sung;Park, Kyeong-Soo;Rhee, Jung-Ae
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.291-299
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    • 1999
  • This study was conducted to evaluate the health status including mainly cognitive function and activities of daily living of institutional elderly in a rural area. We studied 466 subjects dwelling in ten institutions at Chonnam province, Korea. The participants consist of 148 males(31.8%) and 318 females(68.2%). We collected the information of socioeconomic state, mini-mental state examination(MMSE), activities of daily living(ADL), instrumental activities of daily living(IADL), and Dartmouth Primary Care Cooperative Information Project(COOP) chart. The results were followed: 1. Severe cognitive function impairment was appeared in 45 males(30.4%) and 115 females(36.2%). 2. The percentage of fully independent in the six ADL items was 50.0% of males and 42.8% of females, but 31.1% of males and 26.1% of females were fully dependent. 3. Males had more impairment in mode of transportation among IADL, but females had most impairment in laundry. 4. Observing health status by COOP chart, both had more grade in feeling and social activity than physical fitness.

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The Correlation Between Ability of Activity in Daily living and Self-care Agency Among Elderly in Chunchon Province (일 지역 재가노인의 일상생활수행능력과 자가간호역량 간의 관계)

  • Kim, Chun Gill;Jang, Hee Jung;Kim, Sung Sil
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.40-52
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    • 2001
  • The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

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Change of Functional Health Status according to Healthy Life-style of the Elderly Living in Rural Community (일부 농촌지역 노인의 건강생활습관에 따른 기능적 건강상태의 변화)

  • Hwang, Byung-Deog;Lee, Sang-Won;Moon, Hyo-Jung;Lee, Sung-Kook
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.151-165
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    • 2005
  • Objectives: This study was to examine those life style factors which could affect the changes of health status indices such as ADL and IADL of the Elderly living in rural community. Methods: The subjects of the study were 1,295 elderly people of age over 65 years living in Gyungbook Sung-Ju area selected by random sampling for one month at October 1996. After 4 years, the follow-up study in those subjects were performed, ADL, IADL and general characteristics were measured. Those subjects who had shown high functional health status in first investigation were measured as how their health were changed in relation with their general characteristics and life styles in second investigation. Results: The factor analysis were performed in life style questions, and 6 factors composed of 15 questions of all were selected as the indices of life style. For ADL level, logistic regression analysis, age and educational level in men, and age and economic status in women had significant relation with health status change. Among life style factors, diet factor in men and diet factor, social activity factor in women were found to be significantly related. For IADL level, simple analysis showed that age in men and age, education level in women among general characteristics had related with health status change. Among life style factors, diet factor, stress relieving factor were related in women when general characteristics were also controlled diet factor, stress relieving factor were related in women. Conclusions: In order to prevent functional health status altering in the elderly, it is recommended that the intervention which could promote healthy life styles such as good diet habit, active social participation, and pertinent stress relieving should be considered.

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Dietary Patterns among the Elderly in Jeollanam-do Area based on Their Physical and Mental Function State (전라남도 일부 지역 노인들의 신체적·정신적 기능 원활 정도에 따른 식생활 패턴의 차이)

  • Yoon, Eunju;Chun, Soon-Sil
    • The Korean Journal of Food And Nutrition
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    • v.26 no.4
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    • pp.783-796
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    • 2013
  • This study investigated dietary patterns among the elderly over 75 years old living in Jeollanam-do area in May 2012. Although structured interviews were conducted with 236 consenting subjects, only 194 who completed the ADL, IADL, and K-MMSE tests were used for statistical data analysis. Using ADL, IADL, K-MMSE scores, cluster analysis was first performed and resulted in two groups: IFG (Insufficiently Functioning Group) and SFG (Sufficiently Functioning Group). Chi-square tests for nominal scales, Mann-Whitney tests for ordinal scales, and ANOVAs and t-tests for interval and ratio scales were conducted to compare two groups. More than 70% of IFG were illiterates compared to 28.1% of SFG. 'Excessive eating', 'appetite', 'digestion', and 'balanced diet' did not differ between groups. SFG more frequently had snacks and ate out and were more likely to take health supplements than IFG. Among the 100 major food items, consumption frequencies of several foods differed between groups. Study implications and limitations were discussed.

Analysis of Functional Status and Determination for Improvement of ADLs: Korean Elderly (고령자 ADL 개선을 위한 기능적 운동 분석 및 선정)

  • Kim, Sa-Yup;Park, Seong-Bin;Hyeong, Joon-Ho;Chung, Kyung-Ryul
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.915-924
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    • 2010
  • Muscular strength in the elderly is important factors deciding on functional state in daily lives, and functional state shows a health condition. Resistance training to prevent loss of muscle mass and muscle fiber atrophy due to aging can increase muscle mass and strength. Recently, resistance training to improve muscular strength and endurance has been actively researched. Resistance training increases activities of daily living and ability of the elderly, which makes healthy senescent. ADL/IADL is suitable for measuring health condition of the elderly. In this study, target muscles of resistance training were chosen through a correlation analysis between ADLs and elementary motion, and we presented a procedure to select target muscles and exercise equipments. This procedure consist of a survey method that were described detailed motion of ADL/IADL. So we should be to extract resistance training machine to improve functions of regarding fundamental motion. Result of study may improve daily life activities of the elderly through objectives and scientific approaches. Furthermore, it will be helpful to studies about various fields of the elderly.

Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services (맞춤형 방문건강관리 대상 노인의 우울 및 삶의 질 영향요인)

  • Kwon, Yun-Hee;Kim, Chung-Nam;Kwag, Oh-Gye
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.262-271
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    • 2011
  • Purpose: The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services. Methods: A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0. Results: Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL. Conclusion: The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.