• Title/Summary/Keyword: K-IADL

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Related Factors with Medication Task Ability in Rural Elderly (일부 농촌 노인에서의 약물복용 수행능력과 관련된 요인)

  • Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.24 no.1
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    • pp.35-47
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    • 1999
  • Medication non-compliance among the elderly results in medical problems and substantial cost to the health care system. This study investigate predicted variable related to the medication task ability among elderly. This study was done in the selected 4 villages in Kimchun County of Kyungbuk Province from July to August, 1996. The subject was the resident that 202 adults above 60 years of age. The questionnaire of interview included medication task ability, socio-demographic data, COOP/WONCA chart, family ABGAR score. BDI(Beck depression inventory), ADL(activities of daily living), IADL(instrumental activities of daily living), and MMSE-K(minimental state examination-Korean version). The results were as followed : 1. Approximately 49% of study population was taking drug medication currently. We found that 93% of study population was successful at the medication task all alone, 6% was failure at the medication task all alone, so need help partly or completely. 2. Significant variables between group of medication task ability were age, educational attainment, IADL, and MMSE-K in univariate analysis. And significant correlated variables with medication task ability were ADL, IADL, MMSE-K, and BDI in correlation analysis. 3. Major predictors to medication task ability on multiple logistic regression were IADL and sex finally. Findings suggest that IADL is related to medication task ability than other test battery of health status, so IADL could be used to necessary for medication management and add information to conventional methods of assessing mental status.

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Related factors of oral health-related quality of life in the severely disabled people (중증 장애인의 구강건강 관련 삶의 질 관련요인)

  • Bae, Mi-Jeong;Hwang, Se-Hyun;Kim, Sung-Ae;Lee, Ji-Young;Yoon, Jung-Ae;Park, Jung-Hyun;Urm, Sang-Hwa;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.461-475
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    • 2015
  • Objectives: The purpose of the study is to investigate the related factors of oral health-related quality of life in the severely disabled people. Methods: The subjects were 205 severe disabled people in Busan and Gyeongnam. Data were collected by direct interview with the severe disabled persons from June to August, 2011. The study instruments included oral health impact profile(OHIP)-14 and Korean instrumental activities of daily living(K-IADL). Data were analyzed by SAS version 9.2. The questionnaire consisted of eight questions of the general characteristics of the subjects, five questions of oral health related problem, seven questions of K-ADL, ten questions of K-IADL, fourteen questions of oral health related quality of life. Results: The severely disabled's IADL was $19.9{\pm}7.8$ and the oral health-related quality of life was $17.5{\pm}10.5$. In multiple regression analysis, oral health-related quality of life was closely related to multiple disorders and IADL. Conclusions: The oral health-related quality of life was poor in the severely disabled people. It is necessary to provide the severely disabled people with self-supporting tools that help ADL and IADL.

Physical and Mental Health Status and Its Related Factors among Centenarians in Korea (100세 이상 고령자의 신체적·정신적 건강수준 및 관련 요인)

  • Song, Young-Su;Kim, Tae-Baek;Bae, Nam-Kyou;Kim, Ki-Hyang;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.268-277
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    • 2017
  • This study was performed to determine the level of physical health(ADL, IADL) and mental health (cognitive impairment, dementia) among centenarians and to find the related factors. The study subjects were 268 centenarians who received medical check-ups from the National Health Insurance Corporation during 2011-2014. From the results, the factors that significantly influenced the ADL of the study subjects were gender, residential area, IADL, cognitive impairment and dementia. ADL and cognitive impairment were selected as the influencing factors of IADL, smoking status, ADL and IADL were selected as the influencing factors of cognitive impairment, and gender and ADL were selected as the influencing factors of dementia. These results suggested that the levels of physical and mental health of the centenarians were significantly affected by socio-demographic characteristics and health-related variables. Especially, the levels of physical and mental health were decreased with the poor group of health-related variables such as smoking, alcohol drinking and regular exercise.

Effects of The Oldwomen's Muscular Strength Flexibility and IADL by Exercise Therapy (운동요법이 노인의 근력, 유연성 및 IADL에 미치는 영향)

  • Um, Ki-Mai
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.795-807
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    • 1998
  • The purpose of this study was to investigate the effects of exercise therapy to oldwomen's muscle strength, flexibility and IADL. To identify the effect of exercise therapy on oldwomen's muscle strength, flexibility and IADL, this study attempted to determine grip strength, back strength, leg strength, flexibility of upper and low(flexion, extension, abduction), flexibility of trunk(flexion, extension) and IADL, using dynamometer, goniometer and Geriatric center IADL, for 34 female. Thirty-four subjects participating in this study consisted of A group(from sixty-five to sixty-nine, eleven person), B group(from seventy to seventy-four, twelve person), C group(over seventy-five years old, eleven person). Data from the findings of this experiment were computed for and standard deviation by using repeated measurement of MINI TAB. As a result, the following conclusion was drawn : 1. Subject group showed significantly higher scores on effect of exercise between three age group after regular exercise. 2. Subject group showed significantly higher scores on muscle strength(grip strength, back strength, leg strength) and there is a difference between three age group after regular exercise of muscle strength. 3. Subject group showed significantly higher scores on flexibility (upper, lower, trunk) and there is a difference between three age group after regular exercise of flexibility. 4. Subject group showed significantly higher scores on IADL(Instrumental activities of daily living) and there is a difference between three age group after regular exercise. As a result of this study, the effect of exercise training program had improved muscle strength, ROM (range of motion) of joint, IADL. Thus exercise training program could be beneficially applied for the prevention of disability and promotion of health and wellbeing in the aged easily and safely.

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The Effect of Rhythmic Activity Program on IADL, Depression and Sleep of the Elderly (율동적 동작프로그램이 노인의 일상생활 수행능력, 우울 및 수면에 미치는 효과)

  • Lee, Kang-Yi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.28-35
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    • 2006
  • Purpose: This study was performed to verify the effect of rhythmic activity program on the elderly particularly their level of instrumental activities of daily living(IADL), depression and sleep. Method: The design of this study is one-group pretest-post test design. Three self-reported questionnaires were used as follows: first, the IADL Scale developed by Lawton and Brody(1969) and revised by Suh(1996) for measuring IADL, second, the Geriatric Depression Scale developed by Sheikh and Yesavage(1986) and revised by Song(1991) for measuring depression, third, Korean Sleep Scale developed by Oh, Song, & Kim(1998) for measuring sleep aspects; fourth, the applied version of Facial Pain Scale developed by Wong & Baker(1988) and revised by Song(2004) for measuring sleep quality. Twenty-seven elderlies carried out 50 minutes of rhythmic activity program for 4 weeks. Before and after the experiment, they were tested for IADL, depression and sleep. Collected data were processed using the SPSS/WIN 12.0 program analyzed by the frequency, percentage, mean and paired t-test. Results: The improvement in IADL of the elderly was not enhanced significantly but depression and sleep disorders significantly decreased. Conclusion: Rhythmic activity program is an effective nursing intervention for the elderly.

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A Comparative Study of ADL, IADL in Urban and Rural Elderly - Taejon, Koje Area (일 도시.농촌노인의 ADL, IADL 비교연구 -대전.거제지역을 중심으로-)

  • Li, Chun-Yu;Kim, Keum-Ee;Kim, Hyun-Li
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.225-236
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    • 1997
  • This study was conducted to investigate the elderly in urban and rural ares. The subjects were selected in a convenient sampling and the total number was 189(Urban : 95, Rur al : 94). The data were collected by one to one interviews in the period of Sep. 1-30, 1995(Koje) and March 15-28, 1997 (Taejon). The study tools for this study were 1) ADL and IADL 2) Self rating scores for health status. The data were analyzed by percentage, T-test, ANOVA, $X^2$ Test, Pearson correlation coefficiency by SPSS pc WIN. 7.0 program. The results were as follows: 1. The self rating score for health status of the elderly in urban area was lower than that of the rural when compared in the same age group. 2. In the comparison of ADL scores between the elderly in urban and rural areas, there was no statistically significant difference. The IADL score of the rural elderly were higher than that of the urban elderly and there was a statistically significant difference. 3. In the comparison of ADL & IADL scores according to the self rating score for health status, there was a statistically significant difference among health status levels.

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Effect of K-ADL·K-IADL and Quality of life in Day Hospital Program for Stroke Patients (뇌졸중 환자의 낮병원 프로그램이 도구적·일상생활활동 수행 능력과 삶의 만족도에 미치는 영향)

  • Park, Chang-Sik;Song, Byung-Ho
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.267-277
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    • 2012
  • This study was to evaluate the effects how to have an influence on activities daily living and quality of life in day hospital program for the stroke patient. 41 experimental groups and 41 control groups in National rehabilitation hospital selected and examined K-ADL, K-IADL and quality of life. The result of this study indicated that experimental group was higher than control group in activity daily living performance and instrumental activity daily living performance. also experimental group was higher than control group all of total items in quality of life. age and economic state of general characteristic had an effect on K-ADL, K-IADL and quality of life and economic state, scholarship, marriage, job, helper had effect on quality of life. pain, social function, mental health, physical role in item of quality of life had effect on K-ADL and limit of physical role had best effect on K-IADL. Consequently we found that it needs to continuous rehabilitation to maintain body function, to prevent secondary disability, to improve social integration and quality of life for stroke patient actually.

Physical Function(ADL, IADL) and Related Factors in the Elderly People Institutionalized in Long-term Care Facilities (장기요양시설 노인들의 신체적 기능(ADL, IADL) 수준 및 관련요인)

  • Ahn, Kwon-Suk;Park, Sung-Kyeong;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.480-488
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    • 2016
  • This study examined the levels of ADL and IADL among elderly people who were institutionalized in long-term care facilities and determined their association with socio-demographic characteristics, health status, and health related behaviors. Interviews were performed, during the period from June 1 to July 31, 2015, to 205 elderlies received from long-term care service. As a results, the total mean score was $16.67{\pm}2.11$ for ADL (range: 6~8) and $15.13{\pm}3.79$ for IADL (range: 7~21). The selected factors associated with ADL were with or without a spouse, frequency of going out, subjective health status, and mastication ability. The factors associated with ADL were selected, such as gender, with or without a spouse, frequency of going out, subjective health status, disability of body, and amnesia. In conclusion, the level of ADL and IADL in the elderly people selected from long-term care insurance were influenced by the socio-demographic characteristics, health status and health-related behaviors.

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 the IADL Affecting Subjective Health Index of the Aged in Some Area (일부지역(一部地域) 노인(老人)들의 주체적(主體的) 건강수준(健康水準)에 영향을 미치는 IADL에 관한 연구(硏究))

  • Kim, Keun-Jo;Park, Heung-Ki;Koon, Hyeok-Su;Bae, Soo-Chan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.7 no.1
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    • pp.29-50
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    • 2001
  • This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact. For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality. We had analyzed all the data obtained through this research by the method of : - analysis of frequency as per specific factors by SPSS 1O.0/PC+, - $x^2$ test, - t-test, - ANOVA, - multiple regression analysis by factors. The research concludes followings : a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p<0.01) b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p<0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing. In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent. It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p<0.001) c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point). In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p<0.001) In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged living at these two residential types express they are obviously in a bad situation of health. (p<0.001) d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions. e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak. As a result, we were able to conclude that the IADL performance is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising. As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health. From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.

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