• Title/Summary/Keyword: Living independence

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Comparative Analysis of Rural and Urban Residential Interior Elements Affecting Physically Disabled's Independence (재가지체장애인의 자립을 저해하는 농촌과 도시의 주거실내 환경요소에 대한 비교연구)

  • Park, Ji-Young;Jang, Mi-Seon;Lee, Yeun-Sook
    • Korean Institute of Interior Design Journal
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    • v.25 no.1
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    • pp.132-141
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    • 2016
  • For those with disabilities, the residential area is the primary place to adapt the disabilities. Since the quality of the area gives a critical impact on their quality of life, it is essential to finding the measures to create the residential environment that supports their independence. In this regard, this study aimed to compare and analyze the interior elements of the houses that hinder the independence of the physically handicapped in the rural and urban areas, and conducted a survey on a total of 80 physically challenged in Seoul and Yeongwol (40 for each area). As a result, the respondents answered that the houses where they are currently living are hindering their independence regardless of area, and there were regional differences in the level of inconvenience with the size of living room, size of utility room, location of room, lighting and heating environment, ventilation system, deteriorated wallpapers and finishing materials, threshold and floor level difference and humidity control. This study has significance by providing the realistic measures to improve the housing environment of the physically challenged living in the rural and urban areas to be customized to them to increase their quality of life.

The Impact of Participation in Sports for All on Independent Living and Social Physique Anxiety in People with Physical Disabilities (지체장애인의 생활체육 참여도가 자립생활도 및 사회적 체형불안에 미치는 영향)

  • Kim, Dae Kyung;Park, Jin-Woo;Lee, Hyun Su;Yun, Seok-Min
    • 한국체육학회지인문사회과학편
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    • v.55 no.2
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    • pp.657-667
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    • 2016
  • The purpose of this study was to investigate the effects of participation in sports for all on independent living and social physique anxiety in people with physical disabilities. Participants were 311 individuals with physical disabilities who participated in local sports competition and sports for all in B-city, U-city, and K-province. Data were analyzed using SPSS 21.0 in this study. Several data analyses were used: frequency analysis, reliability analysis, validity analysis, and simple regression analysis. The results were as follows. First, participation in sports for all positively influenced social independence, psychological independence, physical independence, and overall independence in individuals with physical disabilities. Second, participation had a negative effect on social physique anxiety. Third, physical independence and overall independence showed a negative effect on social physique anxiety, whereas, social independence and psychological independence showed a no effect on social physique anxiety.

Changes in physical and cognitive functions according to the activities of daily living performance in stroke patients (일상생활활동 수행능력에 따른 뇌졸중 환자의 신체 및 인지기능의 변화)

  • Hye Eun Kim;Ki Hun Cho
    • Journal of Korean Physical Therapy Science
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    • v.31 no.1
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    • pp.98-109
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    • 2024
  • Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.

Analysis of Sub-Behaviors according to Elderly Resident's Level of Independence for Performing the Behaviors at Home (주거공간에서의 고령자 행위별 자립도에 따른 세부행위 분석)

  • Kwon, Oh-Jung;Kim, Dongsook;Lee, Yongmin
    • Journal of the Korean housing association
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    • v.27 no.6
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    • pp.125-136
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    • 2016
  • This study specifies daily behaviors that elderly residents perform in their living space and verifies the behaviors that they have difficulties in performing. The study categorized elderly people according to the level of difficulties they have when performing household activities (independence of behavior performance) and verified characteristics of the sub-behaviors and the level of difficulties of performing them in each type. For this purpose, the study conducted observation investigation on the behavior of elderly people by directly visiting houses of 52 elderly people over the age of 65. The characteristics of sub-behavior were also examined through photograph shooting and in-depth interview. In this study, behaviors of elderly people inside living space were categorized into the following nine behaviors. The study investigated the difficulties of performing these sub-behaviors according to the elderly people's level of independence by each behavior. Analyzing the difficulties of sub-behaviors according to the independence level, elderly people felt more structural problems and inconvenience in using facilities when they have lower independence level. Moving from independence to dependence, their performance of behaviors gradually became difficult, making them inevitable to use tools. At last, they came to need caregiver's help. For continuous sustenance of elderly people's independent living inside house, policy measures are required that can address the difficulties of sub-behaviors that are observed in a series of process of one's becoming dependent from independent in this study.

Residents' Awareness of Assisted Living Facility(ALF) as a 'Home': Cases of Virginia, U.S.A. (미국 노인보호주택 거주자들의 '집'으로서의 속성에 관한 사례 연구)

  • Kim Young-Joo
    • Journal of Families and Better Life
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    • v.23 no.4 s.76
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    • pp.67-77
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    • 2005
  • The purpose of this study was to identify housing attributes that make residents feel 'at home' in ALFs in Southwest Virginia. For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methods of data analysis. In addition to face-to-face interviews with 25 residents and 5 administrators of five ALFs, observations were conducted with personal journal. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. Most of the respondents were satisfied with their current dwelling as a 'home' in terms of homelike attributes such as 'autonomy/ privacy', personalization,' safety and security,' services and care,' independence,' social interaction/friendship,' family support,' and 'rules and regulations.' In spite of high satisfaction with the facility, however, many people did not think of their current dwelling as a real 'home'. As the biggest difference between living in their own homes and living in the ALF, people feinted out a lack of independence and social interaction. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and caie were more important to them than fooling "at home."

Functional Independence Measure of Disabled Persons Living at Home in Rural Community (농촌지역 재가장애인의 일상생활 수행능력 실태조사)

  • Yi, Chung-Hwi;Park, Kyoung-Hee;Lee, Hyun-Ju
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.49-61
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    • 2000
  • Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

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An Ethnographic Study on a Welfare Facility for Single Father Families: Focusing on the Experiences of Single Fathers (부자가족복지시설에 대한 문화기술지 연구: 부자가족아버지의 경험을 중심으로)

  • Kim, Gihwa;Yang, Sungeun
    • Journal of Families and Better Life
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    • v.33 no.6
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    • pp.15-33
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    • 2015
  • The present study conducted ethnography of a welfare facility for single-father families. The participants were 13 single-fathers living in a welfare facility. To explore life within the welfare facility, the qualitative research method of ethnography was used with Spradley's developmental research sequence (DRS). The major results of this study were as follows. The first theme was 'finding a way to overcome the crisis: the facility is a lifeline.' For fathers, choosing to enter a facility meant enduring a social stigma, but the decision was made with the hope of achieving successful parenting and economic independence amidst pressing difficulties. The category of living in the facility was represented by the theme 'build the family: preparing for independence through living in a welfare facility.' The fathers achieved psychological recovery through the decrease in parenting stress, improvements in their economic situation brought by living in a facility, and used this time as the foundation to gain independence and build a stable life. The event of departure from the facility was seen as 'incomplete preparation for departure' by the single fathers. The fathers with infants or younger children admitted to being anxious about leaving the facility, which involved the burden of raising the children on their own. There are practical and policy-related implications based on the results of this study.

Effects of Active Vibration Exercise on Trunk Muscle Activity, Balance, and Activities of Daily Living in Patients with Chronic Stroke

  • Lee, Dong-Kyu;Kim, Eun-Kyung
    • The Journal of Korean Physical Therapy
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    • v.30 no.4
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    • pp.146-150
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    • 2018
  • Purpose: This study aimed to investigate the effect of active vibration exercise on trunk muscle activity, balance, and activities of daily living in patients with chronic stroke. Methods: Twenty-four patients with chronic stroke were randomly assigned to an experimental (n=12) or a control (n=12) group. The experimental group performed an active vibration exercise workout for 20 minutes a day five times a week for 4 weeks using a flexi-bar. Trunk muscle activity was measured using surface electromyography. Balance was measured using the Berg balance scale. Activities of daily living were measured using the functional independence measure. Results: The intragroup comparison showed significant differences in the rectus abdominis, internal oblique, and external oblique muscle activity values, Berg balance scale score, and functional independence measurement values in the experimental group. The intergroup comparison showed that differences in the rectus abdominis and internal oblique external oblique muscle values, Berg balance scale score, and functional independence measurement value for the experimental group were significantly related to those in the control group. Conclusion: Based on these results, this study proved that the active vibration exercise effectively improved trunk muscle activity, balance, and activities of daily living in patients with chronic stroke.

Effects of Goal-Oriented Functional Tasks on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy -A Single Case Study-

  • Lee, Eun-Jung;Kwon, Hae-Yeon
    • PNF and Movement
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    • v.18 no.2
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    • pp.159-172
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    • 2020
  • Purpose: The study sought to determine whether goal achievement, performance, satisfaction, activities of daily living, and gross motor function in children with spastic cerebral palsy are positive affected by goal-oriented functional task training. Methods: In a single case study, two 7-year-old girls diagnosed with spastic cerebral palsy were given functional task training based on individualized goals for 24 60-minute sessions over a period of 6 months. The individualized goals reflected the needs of both children and parents. The Canadian occupational performance measure (COPM) and the goal attainment scale (GAS) were used to measure goal performance and satisfaction before and after intervention. Independence of activities of daily living before and after intervention were assessed using the functional independence measure for children (Wee-FIM). And change of gross motor function were assessed using gross motor function measure (GMFM). Results: Clinically significant changes were observed in COPM and GAS, as well as positive changes in independence of gross motor function and activities of daily living. Conclusion: The findings indicate that goal-oriented functional task training addresses the needs of children with spastic cerebral palsy, which increases treatment satisfaction and has a positive effect on independent activities and participation in daily life.

The Effects of Family System on Psychological Independence from Parents among Unmarried Women (미혼여성의 부모로부터의 심리적 독립에 미치는 가족체계의 영향)

  • Lee Jin-Ha;Choi Youn-Shil
    • Journal of Families and Better Life
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    • v.24 no.4 s.82
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    • pp.75-92
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    • 2006
  • This study examines the psychological independence in the family system of unmarried women to see how well they become psychologically independent within the relationships with family. A total of 452 subjects of the study were sampled from 20 to 30 unmarried women living in Seoul, Incheon and Gyeonggi-do. The results of the study are as follows: First, the scores of unmarried women's perception of family system were normal category. The scores of family system of unmarried women showed to be distributed to high scores among the overall ranges of scores which means they recognized their family system in general in a healthy way. Second, the level of the subjects' psychological independence from their fathers was shown to be higher than that from their mothers. The result means unmarried women were more dependent on their mothers than fathers. Third, the family system of unmarried women affected the level of psychological independence from their parents. The sub-factors of the family system significantly affected the level of psychological independence. Particularly, enmeshed and disengaged boundary and cooperative factors between spouses and generations affected the level of psychological independence. Fourth, the family system affected each sub-factor of psychological independence of unmarried women. Even though family system were different depending on each sub-factor of psychological independence, they affected the level of psychological independence.