• Title/Summary/Keyword: Living independence

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The Effect of Self-Efficiency and Instrumental Activities of Daily Living of Local Community Stroke Patients on Quality of Life in Caregiver (지역사회 거주 뇌졸중환자의 수단적 일상생활동작과 자기 효능감이 보호자의 삶의 질에 미치는 영향)

  • Ko, June;Lee, Seung-Hee;Lee, Tae-Kwan;Jung, Hye-Rim;Hong, Geun-Ho;Hong, Ki-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.11-21
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    • 2015
  • Objective : This study is aimed to examine the degree of independence in stroke patients residing in a community based on their self-efficacy and Instrumental Activities of Daily Living and also correlation between community-residing stroke patients and their guardians by figuring out the life quality of their guardians. Methods : For total two weeks between May 12th and 23rd, 2014, this researcher collected data by using a survey (K-IADL, a scale to measure self-efficacy, WHOQOL-BREF) targeting 138 stroke patients who received over 24 points in MMSE-K among the outpatients of three hospitals located in Busan Metropolitan City and two hospitals located in Geoje-si, Gyeongsangnam-do, and total 125 sheets were finally used for analysis. Results : Among the 125 patients, 70 were males, and 55 were females, and their average age was 58.72 (16 to 82). The subjects' general self-efficacy (p<0.01) and detailed self-efficacy (p<0.01) indicated significant correlation with their guardian's life quality, and there was no significant correlation found between their Instrumental Activities of Daily Living and their guardian's life quality. Conclusion : Their general self-efficacy and detailed self-efficacy indicated correlation with their guardian's life quality, and among their general characteristics, the factor of their financial situation indicated correlation with their guardian's life quality. In conclusion, when stroke patients' self-efficacy is higher, their guardian's life quality increases, too, and if their financial situation is more favorable, their guardian's life quality gets higher. However, stroke patients' Instrumental Activities of Daily Living did not indicate correlation with their guardian's life quality. When looking at the chronic trend of outpatients, therapeutical plan must be established about the self-efficient recovery for the development of those who are not satisfied.

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Effects of Music-based Sling Exercise Program on Cognition, Walking, and Functional Mobility in Elderly with Dementia: Single-blinded, Randomized Controlled Trial (음악 기반 슬링운동 프로그램이 치매환자의 인지, 보행 및 기능적 운동성에 미치는 효과)

  • Park, Hyun-Ju;Kang, Tae-Woo;Oh, Duck-Won
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.143-152
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    • 2019
  • PURPOSE: This examined the effects of a sling exercise based on music on the cognition, physical performance of patients with dementia. METHODS: Thirty subjects with dementia volunteered to participate in this study. All subjects were allocated randomly to either the experimental group or control group, with 15 subjects in each group. All subjects underwent the exercise program for an average of 60 minutes per day for 16 weeks. The experimental group performed sling exercise based on music, and the control group performed the general exercise program. Assessments were made using the Korean version of mini-mental state examination (MMSE-K), 10 m walk test (10MWT), Tinetti mobility test (TMT), and Katz's Index of Independence in activity daily living (KIIADL) to detect changes in the cognitive level and physical performance before and after the 16-week training period. A paired t-test was conducted to compare the within-group change before and after the intervention. An independent t-test was performed to compare the between-group difference. The statistical significance level was set to α=.05 for all variables. RESULTS: The experimental group showed significant within-group changes in the MMSE-K, 10MWT, TMT, and KIIADL (p<.05). The control group showed a significant change in only the KIIADL (p<.05). A significant difference was observed between the experimental group and the control group regarding the change in MMSE-K and KIIADL after the interventions (p<.05). CONCLUSION: A music-based sling exercise program effectively improves cognition, physical performance, and ADL in patients with dementia. Further studies with a wider range of subjects and scientific equipment will be needed to strengthen the results of this study.

Assistive Product Users' Need Analysis on Job Competence of Assistive Product Specialist (복지용구 전문가 직무 역량에 대한 복지용구 이용자 요구도 분석)

  • Cho, Mi-Lim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.137-143
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    • 2018
  • As the elderly population grows, the use of assistive products that facilitate independent living by the elderly is increasing. Assistive product specialists are important to selecting the correct assistive products. Therefore, it is necessary to grasp the needs of assistive product users. This study was conducted to identify the key tasks that should be prioritized through analysis of the needs of assistive product users of assistive product specialist's job competence Questionnaires were administered to 84 assistive product users in person and by mail. The questionnaire was designed to investigate the importance of work and educational needs based on the job of the assistive product specialist. Based on the results, the priorities of five duties and 12 key tasks were derived. The key tasks are highly demanded by assistive product users and must be included in the performance of the job of the assistive product specialist. Based on this study, it is expected that elderly people will gain independence and improve their quality of life in their homes and communities through an individualized approach.

The Characteristics of the Households Prepared for the Stable Elderlyhood Financially and Analysis of Factors Influencing on them (안정적 노후준비 가계의 특성 및 이에 영향을 미치는 요인 분석 - 예비노인의 경제적 노후준비를 중심으로 -)

  • Lee, Sun-Hyung;Choe, Eun-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.14 no.4
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    • pp.193-212
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    • 2010
  • The pre-elderly approaching old age in our society confront having a harsh economic status. The main purpose of this study was to explore the factors influencing the preparation of the pre-elderly for overcoming this status. In particular, it focused on financially stable pre-elderly persons. The data from the 2008 Chungcheongnam-do Welfare Plan for Five Years collected by the Chungnam Women's Policy Development Institute was used to analyze the research questions. The participants in this study included 735 persons (ages 55-64) living in Chungcheongnam-do. Five hundred and eighty-one self-reported questionnaires were used for the final analysis using SAS, version 9.1. This study attempted to identify the important variables needed to find the factors related to socio-demographic and economic characteristics, the adult-child relationship, the preparation plan for old age, etc. The results showed that job and health status were key to preparation for financial stability among the elderly. Another finding was the importance of concrete financial planning for the elderly; that is to say, the pre-elderly who made more concrete plans than indefinite ones were likely to belong to stable households. Another significant finding was that it is important to consider both objective and subjective factors for the financial preparation of the elderly. These results should serve as reference data for the future welfare policy for the elderly, because the financial independence of the elderly will be vital for a healthy relationship between new and old generations.

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Daoyin Exercise Therapy for Stroke : A Systematic Review (뇌졸중에 대한 도인 운동요법의 효과: 체계적 문헌 고찰)

  • Lee, Sang-Hyun;Shin, Byung-Cheul;Hwang, Eui-Hyoung;Heo, In;Park, Sun-Young;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.29-42
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    • 2019
  • Objectives : This study aimed to review the effects of Daoyin exercise on stroke patients in clinical studies. Methods : In this study, we reviewed 11 electronic databases (CAJ, EMBASE, Cochrane Library, Web of Science, Pubmed, RISS, Dbpia, NDSL, KISTI, KISS, KMBASE) on October 27, 2019. We included only randomized controlled trials (RCTs) which evaluated the effect of Daoyin exercise on stroke patients. The methodological quality of the included studies was checked using the Cochrane risk of bias tool. Results : After screening the papers, eleven RCTs fulfilled the inclusion criteria. The results of the meta-analysis showed that Daoyin exercise improves the measurement value on the Fugl-Meyer Assessment, Modified Barthel Index and National Institutes of Health Stroke Scale in stroke patients. Conclusions : We concluded that Daoyin exercise has therapeutic effects in functional recovery and in enhancing the independence of daily living activities for stroke patients. However, the quality of the original articles was low and the number of papers included were few. Thus, to confirm these results, further well-designed RCTs should be conducted.

A Study on Reconstructing of Local Administrative Districts Using Spatial Analysis and Modeling (공간분석 및 모델링을 이용한 지방행정구역 재설정에 관한 연구)

  • Kim, Kam-Young;Lee, Gun-Hak;Shin, Jung-Yeop
    • Journal of the Korean association of regional geographers
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    • v.16 no.6
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    • pp.673-688
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    • 2010
  • The purpose of this study is to develop an optimization model for reconstructing local administrative districts using spatial analysis and modeling. For this, literature related to reorganization of local administrative systems was critically reviewed and criteria for redistricting were extracted. An optimization model for reconstructing administrative districts was formulated based on these criteria. The model considered three criteria; homogeneity within a reconstructed district, equity among reconstructed districts, and spatial arrangement. Homogeneity for relieving spatial mismatch between administrative and living(economic) boundaries is measured by spatial interaction within a district. Equity among districts is evaluated using population, area, and financial independence. Finally, spatial arrangement is measured by compactness and contiguity. The developed optimization model was implemented using Automated Zoning Procedure(AZP) in GIS environment and applied to a problem aggregating Si-Gun administrative units into broader districts. Application results demonstrate that the model can provide optimal districts according to alternative objective functions.

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Effects of Virtual Reality Based Video game and Rehabilitation Exercise on the Balance and Activities of Daily Living of Chronic Stroke Patients (가상현실기반 비디오게임과 재활운동이 만성기 뇌졸중 환자의 균형 및 일상생활동작에 미치는 영향)

  • Lee, Hyun-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.201-207
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    • 2013
  • 연구목적: 닌텐도 위를 이용한 가상현실기반 비디오게임 프로그램을 만성기 뇌졸중 환자에게 적용하여 균형능력 및 일상생활동작에 어떠한 영향을 미치는지 알아보고, 뇌졸중 환자의 재활프로그램으로서 적용 가능성이 있는지 알아보고자 한다. 연구방법: 만성기 뇌졸중 환자를 무작위로 가상현실기반 비디오게임 프로그램을 적용한 실험군(n=7)과 적용하지 않은 대조군(n=10)으로 구분하여 연구를 진행하였다. 연구에 참여한 모든 대상자에게 30분의 Bobath therapy와 15분간의 FES 치료를 기본적으로 실시하였다. 이에 더하여 실험군은 가상현실기반 비디오게임 프로그램을 1일 30분이내, 주 5회, 3주간 실시하였다. 대조군은 자전거 운동과 보행훈련으로 30분간 시행하였다. 실험 전 후 눈뜨고 외발서기(OLST; open leg standing test), Timed Up and Go(TUG) 검사, 10m 걷기 검사, Functional Independence Measure(FIM)를 측정하였다. 실험 전과 실험 후 측정값의 차이를 비교하기 위해 Wilcoxon Signed Ranks Test를 실시하였다. 그리고 각 측정값의 변화량에 대한 실험군과 대조군 사이의 차이를 알아보기 위해 Mann-Whitney U Test를 실시하였다. 연구결과: 실험결과는 다음과 같다. 1) 실험군에서는 FIM의 유의한 증가와 TUG, 10m 걷기 검사의 유의한 감소를(p<.05) 보였다. 대조군에서는 OLST의 증가와 TUG, 10m walking test의 감소가 나타났지만 통계적으로 유의하지 않았다. 오직 FIM에서만 유의한 증가가 나타났다(p<.05). 2) 실험 전 후의 실험군과 대조군의 각 측정값들의 평균차를 비교한 결과 실험군은 대조군보다 실험 전 후 OLST, TUG, 10m walking test 차이의 평균은 컸지만 통계적으로 유의하지 않았다. 결론: 이상의 결과로부터 가상현실기반 비디오게임이 만성기 뇌졸중 환자의 동적균형능력 및 일상생활동작 향상에 효과가 있음을 알 수 있었다.

A Study on the Aesthetic Characteristics and Sociocultural Meanings of Outerization (속옷의 겉옷화 현상(outerization)의 미적 특성과 사회문화적 의미)

  • Lee, Sung-Hee;Cho, Kyu-Hwa
    • Journal of Fashion Business
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    • v.14 no.4
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    • pp.23-40
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    • 2010
  • The purpose of this study is to explore the aesthetic characteristics of outerization phenomenon of contemporary fashion. Outerization, transforming underwear as outerwear, is one of the most dominant and widespread fashion trends in the dawning of new millenium. Fashion always exists for living body and tributes to express idealized beauty of human body and aesthetics of the era. If so, exploring the formative expressions and aesthetic characteristics of outerization would be an meaningful guideline to deduce changed relationship between fashion and body of the 21st century. The methodology of this study is to research of fashion collections such as Paris, Milan and New York which were held the first decade of new millenium, from 2000 Spring/Summer to 2009 Spring/Summer. The styles expressing outerization were selected and assorted based on the main formative expression. Then the aesthetic characteristics were classified. The way of expression of outerization is categorized into 4 parts ; Transition, Exposure, Transparency, and Deconstruction. Aesthetic Characters of outerization is classified 4 assortments as well ; Eroticism, Fun with parody and kitch, cyber culture, Gender politics, and Power fetish. Eroticism is the most clearly identified one. Coming out of underwear imply naked body itself, so it has erotic appeal. Fun is the second character. A pleasant sensation from the outerization of undergarments maximizes a disposition of play from parody, kitch, and cyber culture. The third is Gender Politics and it introspects how the society consumes woman body in history and modern times. Power Fetish, the last one, speaks for the female body with changed vision for femininity underneath the sphere of influence of feminism and post modernism, then emphasizes the subjectivity and independence of woman. From the research above, this study will help to understand the overwhelming outerization phenomenon and contribute to expansion of the horizon of the study of fashion aesthetics. It will serve fashion creative source through various outerization cases as well.

A Study on the Regional Factors Affecting the Death Rates of Cardio-Cerebrovascular Disease Using the Spatial Analysis (공간분석을 이용한 심뇌혈관질환 사망률에 영향을 미치는 지역요인 분석)

  • Park, Young Yong;Park, Ju-Hyun;Park, You-Hyun;Lee, Kwang-Soo
    • Health Policy and Management
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    • v.30 no.1
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    • pp.26-36
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    • 2020
  • Background: The purpose of this study was to analyze the relationship between the regional characteristics and the age-adjusted cardio-cerebrovascular disease mortality rates (SCDMR) in 229 si·gun·gu administrative regions. Methods: SCDMR of man and woman was used as a dependent variable using the statistical data of death cause in 2017. As a representative index of regional characteristics, health behavior factors, socio-demographic and economic factors, physical environment factors, and health care factors were selected as independent variables. Ordinary least square (OLS) regression and geographically weighted regression (GWR) were performed to identify their relationship. Results: OLS analysis showed significant factors affecting the mortality rates of cardio-cerebrovascular disease as follows: high-risk drinking rates, the ratio of elderly living alone, financial independence, and walking practice rates. GWR analysis showed that the regression coefficients were varied by regions and the influence directions of the independent variables on the dependent variable were mixed. GWR showed higher adjusted R2 and Akaike information criterion values than those of OLS. Conclusion: If there is a spatial heterogeneity problem as Korea, it is appropriate to use the GWR model to estimate the influence of regional characteristics. Therefore, results using the GWR model suggest that it needs to establish customized health policies and projects for each region considering the socio-economic characteristics of each region.

Humanism of The Movie by Foucault (푸코로 읽는 영화 <네버 렛 미 고>의 휴머니즘)

  • Choi, Young-Mi;Jo, I-Un
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.395-402
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    • 2018
  • This study aims to analyze the film "Never Let Me" by human value which is to be realized in the social structure suppressed by the power of life and the power of discipline in Foucault 's power theory. After 18century having changed monarch power holding the power of life-and-death that enforced corporal punishment, bio-power that corrected body and granted ability suitable discipline to people makes people worked like machine. In control of the bio-power, human achieved safe desire that cure disease and prolong life-span and worked as producer goods. School controls body and make people internalized rule using discipline for working bio-power efficiently. There is differentiation between this movie and the other about human clone. The clones adapt role as organ donator without resistance and there is no conflict between original and copy. Instead of preexistence novel and movie that is set in future, it is a form of past retrospect from the 1970s to 1990s. having emotions, They find independence ego and realize value of life in finite living by depending relation or undergoing loss.