• Title/Summary/Keyword: Living independence

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A Study on the Activities of Daily Living and Life Quality of Stroke Patients after the Client-centered Occupational Therapy Intervention According to the Periods of its Outbreak (발병기간에 따른 뇌졸중 환자의 클라이언트 중심 작업치료 중재가 일상생활활동과 삶의 질에 미치는 효과)

  • Jang, Chel;Song, Minok;Sa, Gongsang;Byeon, Seungbae
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.2
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    • pp.79-87
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    • 2015
  • Purpose: This study was conducted to provide occupational performance evaluated by stroke patients themselves as an intervention according to the periods of its outbreak and examine the effects of it on their activities of daily living and life quality by using the Canadian Occupational Performance Measure (COPM). Method: The subjects of this research were divided into nine persons for the experimental group receiving the client-centered occupational therapy intervention and another nine for the control group getting the conventional occupational therapy intervention. And the intervention was performed for 30 minutes, three times a week, for total eight weeks. The level of activities of daily living was evaluated by the Functional Independence Measure (FIM), and life quality was tested by using SS-QOL. Results: First, about the difference of change in the FIM points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Second, about the difference of change in the SS-QOL points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Third, regarding the coefficient of difference in the change of FIM and SS-QOL points according to the two groups, there existed statistically significant correlation in all the evaluations of before, in the middle of, and after the FIM points and also before, in the middle of, and after the SS-QOL points (p<.05). Conclusion: With the findings of this research, we can see that the client-centered occupational therapy training group shows more improved activities of daily living and life quality than the conventional occupational therapy training group. Therefore, it is expected that the client-centered occupational therapy training will be applied usefully to clinical situations as an intervention to improve stroke patients' activities of daily living as well as life quality.

A study on the experience of loneliness in elderly living alone: Focus group interview (독거노인의 심리적 외로움 경험분석: 포커스그룹 면담)

  • Kim, Doo Ree;Kang, Kyung-hee;Lee, Byunglim;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.85-91
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    • 2018
  • This is a qualitative research that was carried out to analyze the experience of loneliness of the elderly people living alone using the result of focus group interviews. This study conducted interviews with 28 subjects in the Senior Welfare Center of D city. For the purpose, 28 persons were divided into 5 groups, and interviews were carried out with each group for 50-70 minutes. and the voluntary character of research participation was sufficiently explained. As a result of the research, three topic collections consisting of 'Unavoidable lonesomeness', 'Inevitable death', and 'Acceptance of my life' and seven subjects, which consist of 'Absence of spouse', 'Independence for children', 'Death of neighbor (friend)', 'Fear of death left alone', 'Laying down', 'Taking care of my health', and 'Soothing loneliness in my own way', were derived. The elderly persons living alone who participated in this research expressed their feeling of unavoidable loneliness and their effort to overcome the loneliness. Based on the findings of this research, it is hoped that diverse plans to overcome psychological loneliness of the elderly people living alone will be developed.

The Effect of the Selective Cognitive Program Training on the Cognition, Activity Daily Living and Depression of the Elderly with Dementia (선택형 인지자극프로그램 훈련이 경도 치매노인의 인지, 일상생활활동 및 우울에 미치는 효과)

  • Hwang, Min-Ji;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.521-529
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    • 2019
  • The purpose of this study was to examine the effects of customized cognitive stimulation therapy on cognition, depression, and activities of daily living in elderly with dementia in the community. The program consisted of 7 sessions, 50 minutes once a week, from March 4 to April 26, 2019. As a result, customized cognitive stimulation therapy improved the overall cognitive function, and it also increased the level of independence in the daily living and reduced the depression of the experimental group. It also showed significant differences in cognitive function when compared with control group. Therefore, the customized cognitive stimulation therapy of this study was to grasp the cognitive function of the elderly with dementia and present the cognitive tasks to the subjects for selection that induced interest and proved to be effective. Afterward, the activities were organized by difficulty according to the level of cognitive function for each session, leading to the improvement of cognitive function. Additionally, the subjects were experienced success by participating actively and continually in the activities selected with interest. Through this, it was thought to have a positive effect on the spontaneity of activities of daily living and decrease depression.

A Study on Parenting Competency of Mothers with Mental Illness (여성정신장애인의 양육능력에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.77-98
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    • 2008
  • For women living with mental illness, motherhood may be a normalizing life experiences and offers the opportunity to develop competencies in a major life roles. So, the main premise of this study that social contexts, social support of spouse and extended family, is very important for successful parenting of mothers with mental illness. Thus this study analyzes the impact of marital relationship and social support of networks on three dimensions of parenting competency(expression of love, encouragement of independence, rational discipline) when the socioeconomic(age, number of offsprings, subjective economic level) and disability variables(diagnosis, severity of symptoms, chronicity, frequencies of psychiatric admission) are controlled. This study conducted the survey with 145 mothers with schizophrenia and mood disorder. The major finding of the study are : i) Using step-wise multiple regression, marital relationship, social supports and economic level affect significantly on the expression of love. ii) Using step-wise multiple regression, the most powerful influenced factor on encouragement of independence is marital relationship. iii) Using step-wise multiple regression, diagnosis, severity of symptoms, chronicity and economic level affect significantly on the rational discipline. That is two dimensions of parenting competency, expression of love and encouragement of independence, can be explained well by social contexts variables(marital relationship, social support, economic level). But only rational discipline can be explain well by disability factors. In conclusion, this study recommends service providers to use family based comprehensive case management for the mothers with mental illness.

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Economic Valuation of an Urban Landscape - With a Focus on Independence Park - (도시 녹지경관의 경제적 가치평가 - 독립공원을 중심으로 -)

  • Moon, Yoon-Seok;Lee, Jung-A;Chon, Jin-Hyung;Park, Ho-Jeong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.37 no.2
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    • pp.70-77
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    • 2009
  • The purpose of this study is to evaluate the economic value of an urban landscape. The site of this study was Independence Park in Seoul. Before measuring economic valuation, an amount of view analysis was performed to learn the visual characteristics of the landscape. As a result, the green space ratio of the park is approximately 64%. This study estimates the intrinsic value of an urban landscape that might be included in housing prices using a hedonic price model. The hedonic price model is a statistical analysis that is often used to estimate intrinsic values of certain attributes of a product. The Box-Cox model was adopted as an analysis tool while the housing price for $3.3m^2$ was used as a dependent variable and housing and landscape features as independent variables. Results show that the value of the landscape of the Independence Park is approximately 2.2% of the housing market price. The Landscape variables of the park is the second most significant of the 8 variables. This shows that residents perceived the view of the urban landscape as one of the most significant factors in their living environment. The study also indicates that urban landscapes play important roles in improving quality of life and in influencing housing prices. The implication of the study can be said to be the potential of the urban landscape as a significant urban infrastructure. These results can be used to help make policy decisions to preserve and/or develop urban landscapes.

A Review of the Modified Constraint Induced Movement Therapy in Stroke Patients (뇌졸중 환자에게 적용된 수정된 강제유도 운동치료에 대한 고찰)

  • Lee, Jong-Min
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.5-20
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    • 2013
  • Constraint Induced Movement Therapy(CIMT) is intense in that patient's unaffected arm is restrained for 90% of waking hours during a two-week period while they also participate in activity sessions using the affected arm for 6 hours/day. However CIMT showed that an issue for applying it to clinics of patients with stroke, and then modified constraint induced movement therapy(mCIMT) was designed to minimize the issue. Application on mCIMT for the patients has been studied in various ways. As a result, it has proved the effect on functional improvement of patients with stroke through methods such as MAL, FMA, WMFT, ARAT, FIM, SIS and so forth. It's considered that modified constraint induced movement therapy can be useful applied on clinical experiments of occupational therapy, as it is a way of treatment of upper extremity function, activities of daily living and an improvement of the quality of life for stroke patients.

Airflow Characteristics of Natural Air Drying for Rough Rice (벼 상온통풍건조시설의 송풍특성)

  • Lee, Hyo-Jai;Kim, Hoon;Han, Jae-Woong
    • The Korean Journal of Community Living Science
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    • v.24 no.3
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    • pp.391-397
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    • 2013
  • This study was conducted to define the characteristics of the fan according to the bed depth of rough rice for the silo used in South Korea. In this study, the characteristics like air flow resistance and air flow rate of the fan were investigated for an independent blowing system with 1 fan and the serial blowing system with 2 fans. In the experiment, the depth of rough rice was determined by 0, 1, 2, 3.2 and 4.5 m for an independent blowing system and the depth of rough rice was 4.5 m for the serial blowing system. The air flow resistances of the blowing fan and the suction fan in an independent blowing system were 55 mmAq and 88 mmAq respectively. In addition, the air flow resistance of the serial blowing system was 61% lower than the blowing fan and 28% lower than the suction fan of the independent blowing system. The air flow rates of the blowing fan and the suction fan in the serial blowing system were 516 $m^3/min$, 570 $m^3/min$, respectively. The former was 22% higher than the blowing fan while the latter was 29% higher than the suction fan in the independence blowing system. In other words, the serial blowing system was superior to the independent blowing system in blowing characteristics because the air flow rate was lower and air flow resistance was higher than the independent blowing system. However, the fan power consumption of the serial blowing system was more than 100% comparing with the independent blowing system.

A Study on the Powerlessness, Perception of Health and Cognitive Level of Elderly Home Residents (재가노인들의 무력감, 건강상태 및 인지기능에 관한 조사 연구)

  • Lee, Kang-Yi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.1
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    • pp.48-63
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    • 2000
  • This study was designed and undertaken to find out the degree of powerlessness, perception of health and cognitive level of elderly home residents and to determine the factors influencing powerlessness, perception of health and cognitive level. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E. Chung(1998), the other for measuring perception of health was a self-rating scale defined by Mossey & Shapiro (1982), and the tool for measuring cognitive level was developed by Kahn, Goldfarb, Pollack and Peck(1960). Data were analysed for percentage, mean, t-test, and ANOVA using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, perception of health and cognitive level was scored above the median. 2. The degree of the elderly' powerlessness was statistically significantly different in three demographic variables; sex, one's state of health compared to other elderly' and living expense load. 3. Perception of one's health was statistically significantly different in four demographic variables; sex, marital status, educational level and monthly money. 4. Cognitive level of the elderly was statistically significantly different in three demographic variables; age, educational level and one's health of state compared to other elderly' health. In conclusion, the factors influencing the elderly' powerlessness, perception of health and cognitive level generally were age, sex, their economic independence, marital status, and educational level. Also, this study indicates that social welfare for the elderly could be effective in reducing their powerlessness and enhancing their health of state and cognitive level.

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Complexity of Productive Activities and Life-Satisfaction of Korea's Older People (노인 생산적 활동의 복합성과 생활만족도)

  • Kim, Ju-Hyun
    • Korea journal of population studies
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    • v.30 no.3
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    • pp.57-81
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    • 2007
  • Current discussions on productive aging are going towards the direction to sustain a social productivity and lessen a social burden, and this becomes distinct as it gives a strong value to the activity and independence of older people. This study highlights complex situations of productive activities in the group of older people by analyzing the survey of Among the productive activities of older people, two areas of activities - paid labor and social support - were interpreted differently according to their economic stability, spontaneity and family relations. This difference becomes more remarkable in the analysis on life satisfaction of older people. In paid work, which is the most common productive activity, there was a big difference in life satisfaction between those who work spontaneously and those who work inevitably to make a living. And in the comparison of life satisfaction for those who participate in homemaking and care working according to their economic situations and family relations, those who were unsatisfied with family relations showed lower life satisfaction.

Effect of Forward-and-Backward Shift Trunk Exercise Using Proprioceptive Neuromuscular Facilitation Diagonal Pattern in Closed Kinematic Chain Exercises on Upper Limb Function and ADL in Stroke Patient -A Single-Subject Design- (닫힌사슬에서의 PNF 대각선 패턴을 이용한 몸통 전·후방 이동운동이 뇌졸중환자의 상지 기능 및 일상생활에 미치는 영향 -단일 사례 연구-)

  • Park, Si-Eun;Moon, Sang-Hyun
    • PNF and Movement
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    • v.15 no.3
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    • pp.237-246
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of forward-and-backward shift trunk exercise using a proprioceptive neuromuscular facilitation (PNF) diagonal pattern in a closed kinematic chain exercise on the upper limb function and activity of daily living (ADL) in a stroke patient. Methods: One subject participated in this study. The study used a reversal A-B-A' design, where A and A' were the baseline period (no intervention), and B was the intervention period. The intervention was a forward-and-backward trunk shift exercise, using a PNF diagonal pattern on both a stand-on-hand position and a quadruped position of closed kinematic chain exercises, for 20 min per day for 2 weeks. The range of motion (ROM) of the shoulder joint was measured and a Fugl-Meyer assessment of upper extremity (FMA-UE) and a functional independence measure (FIM) were performed to measure upper limb function and activity of daily living (ADL). Results: ROMs of shoulder joint (flexion, extension, abduction, and external rotation) increased in the intervention phase. The FMA-UE score increased (from 28 to 36) in the intervention phase. The FIM score increased (from 20 to 25) in the intervention phase. These increases were maintained after intervention (Baseline II). Conclusion: These results suggest that forward-and-backward shift trunk exercises using a PNF diagonal pattern in a closed kinematic chain exercise have a positive effect on stroke patients' upper limb function and ADL ability.