• Title/Summary/Keyword: K-IADL

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The Behavior of Space Occupancy as Demonstrated caused by Activities of Daily Living of Residents in Group Homes for Elderly People (고령자 그룹홈 거주자의 일상생활능력에 따른 공간이용행태)

  • Kim, Hyun-Jin;Lim, Hi-Kyung;An, Ok-Hee
    • Journal of the Korean Home Economics Association
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    • v.44 no.7 s.221
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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.

The Effects of Hand Acupuncture.Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders (수지요법이 노인의 견비통, 일상생활활동 및 수면에 미치는 효과)

  • Lee, Young-Ock;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.21 no.2
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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.

Relationships between Dietary Variety and Activities of Daily Life in Elderly People Living in Rural Areas of Chungnam Province (충남 일부 농촌지역 노인들의 식품섭취 다양성과 일상생활기능과의 관련성)

  • Chi, Kyung-Hee;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.30 no.1
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    • pp.75-88
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    • 2005
  • Objectives: This survey was intended to provide basic data which can be available as a baseline in the set up of dietary guidelines for assuring community-based self-support of the rural elderly, through investigation of the relationship of the various dietary consumptions with their ADL and IADL. Methods: The study subjects, 439 rural residents(male: 196, female:243) aged over 65 in Kumsan Kun and Chongyang Kun, Chungchongnamdo Province were interviewed, in June of 2004, about their sociodemographic characteristics, daily life styles, the variety of dietary consumption, ADL and IADL with the following major findings: Results: In terms of the scores' distribution to show variety of food consumption among all subjects, 68.3% got 1~3 points, 23.2% 4~6 points, and 8.4% 7~10 points with a decreasing proportion of subjects in higher points. In terms of their functional status, normal-range groups showed 93.2% of ADL and 72.9% of IADL whereas, impaired ADL group 6.8% of ADL and 27.1% of IADL, respectively. Concerning the relation of ADL and IADL with the variety of their consumed food, the greater scores for food variety was associated with the significantly higher proportion of normal ADL group and the lower proportion of impaired ADL group. Multiple logistic regression analysis with ADL and IADL as dependent variables, and food variety scores as explanatory variables, the relative risk of impaired-ADL group was 0.84 in the food variety group of 4~6 points, 0.63 in 7~10 points with no statistical significance. The relative risk of impaired- IADL group was 0.52(p<0.01) in the food variety group of 4~6 points, 0.41(p<0.05) in 7~10 points with statistical significance. Conclusions: These study results suggest that the lower dietary variety, the lower functional capacity of daily living, and the variety of dietary is associated with the functional capacity of daily living in rural elderly.

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A Study on IADL, Stress and Motivation on Healthy Lifestyle among Elderly People with Arthritis (관절염 노인의 IADL과 Stress, 건강생활동기에 대한 연구)

  • Kim, Jong Gun;Moon, Kyeung Hee;Lim, Eun Sun;Yoo, Jang Hak
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.209-217
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    • 2016
  • The aim of this study was to identify stress, motivation for a the healthy lifestyle and IADL of the elderly with arthritis. This study examined 117 elderly person over the age of 65 years living in S city. The data were analyzed using an independent t-test, Pearson correlation coefficients, and stepwise multiple regression with the SPSS Win 12.0 Program. Significant negative correlations were observed between stress and IADL, significant positive correlations between motivation on healthy lifestyle and IADL. The predictors on IADL were the physical area of stress (${\beta}=-0.354$, p<.001) and self-efficacy of motivation on healthy lifestyle (${\beta}=0.250$, p<.001). The model explained 18.5% of the variance. More study will be needed to explore a range of factors influencing the IADL and develop education programs for effective healthy lifestyle of elderly people with arthritis.

An Effects of Aquatic Exercise on in Home Stroke Patients (수중운동이 재가 뇌졸중 환자의 재활에 미치는 효과)

  • Park, Sang Youn
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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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.

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A Study on the Instrumental Activities of Daily Living, Self- Efficacy, and Social Support in Urban and Rural Elderly (일부 도시.농촌 노인의 일상생활 활동, 자기효능 및 사회적 지지에 관한 연구)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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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.

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Effects of Logotherapy with Exercise on Meaning of Life, Ego Integrity and IADL in the Elderly (운동을 병행한 의미요법이 노인의 생의 의미, 자아통합감 및 일상활동 수행에 미치는 효과)

  • Lee Chun-Hee
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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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.

Risk factors for functional disability among community dwelling elderly (지역사회 재가 노인의 기능장애 위험요인)

  • Song, Hyun-jong
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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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.

Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas (일부 농촌지역 맞춤형 방문건강관리 대상 취약계층 노인들의 건강 관련 삶의 질 (EQ-5D) 수준 및 관련요인)

  • Kim, Jong Im
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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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.