• Title/Summary/Keyword: Living independence

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The Meaning of Elder Abuse and Interventions for It : A Qualitative Study of Older People's Perceptions (노인학대의 의미와 사회적 개입에 대한 노인들의 인식 연구 : 질적 조사연구)

  • Woo, Kug-Hee
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.109-129
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    • 2002
  • Studies of elder abuse are increasing in our country since the 1990s. But few studies have researched how older people may perceive and give meaning to the phenomenon of elder abuse. Old people have been alienated from their own problems. Elder abuse was constructed as a social problem by experts, not by older people themselves. The purpose of this study was to explore the older people's perceptions ell the meaning of elder abuse and interventions for it, using a qualitative approach based on the grounded theory. The findings from in-depth interviews with 10 the elderly were as follows: The elderly participated in this study has been constructing the aged as independence, privacy, and carer, which conflicts the existing social construction of the aged. They also had their own definition of elder abuse. They perceived all the psycho-emotional sufferings as major elder abuse. So, they understood that elder abuse was the pervasive problem which everyone would experience. They proposed that desirable interventions for it was to guarantee and to sustain their existing independent living.

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A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides (제초제 음독 후 발생한 신경학적 후유증으로 사지마비, 인지저하를 호소한 환자의 한의치료 증례보고 1례)

  • Shim, Sang-song;Ahn, Jae-yoon;Jin, Hyo-won;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.904-915
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    • 2021
  • This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.

A Comparative Study of Korea and Qingdao's Long-term Care Insurance Policy and its Enlightenment (청도와 한국의 장기요양보험 제도 비교연구와 시사점 검토)

  • Kim, Keunhong;MENG, Xiangqi
    • 한국노년학
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    • v.38 no.3
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    • pp.453-466
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    • 2018
  • The purpose of this study is to explore the enlightenment of the Korean long-term care insurance policy on Qingdao's long-term care insurance policy through policy comparison. China and Korea are very similar in terms of cultural background, living habits, and population structure. Therefore, the successful experience of Korean long-term care insurance has great implications for Qingdao even China to build a long-term care insurance system. Through the literature review, this article compares the long-term care insurance policy implemented by Qingdao City and Korea in Gilbert & Terrell's social welfare policy analysis framework. With the comparison this article discusses about the existing problems of the current pilot policy system in Qingdao, such as lack of legislation support and financial independence, assessment standards are not detailed, and human resources are insufficient. The author raises five suggestions to improve Qingdao's long-term care policy as the conclusion of this paper: legislation support, detailed assessment standard, expand categories of benefits, enrich delivery network, optimize financing sources.

Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey

  • Boo, Sunjoo;Han, Young Ran;Choi, Hye Young
    • Research in Community and Public Health Nursing
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    • v.31 no.spc
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    • pp.549-562
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    • 2020
  • Purpose: This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults. Methods: Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity. Results: Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials. Conclusion: Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

Study For Silver Generation System Furniture (고령세대의 시스템가구 방향성 고찰에 관한 연구)

  • Moon, Hyungjoon;Kim, Sung Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.114-120
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    • 2021
  • Furniture is an essential element in the area of human residence, and the necessity of system furniture suitable for the pursuit of unity in design, which clearly distinguishes the various and flexible arrangements and characteristics of space, is gradually expanding. The elderly population in Korea currently exceeds 15%, and is expected to be close to 40% by 2050. An increasing number of elderly generations are showing different behavioral patterns, such as sharing information, health care, and seeking independence from children. In order to maintain an independent daily life, a stable living environment has become essential, but as a result of a study that safety accidents caused by households increase due to a decrease in cognitive ability and physical ability, the need for a suitable household has increased. Therefore, the biological changes and characteristics of the elderly were investigated, and the concept definition, scope and limitations of system households were studied. In addition, by grasping the changes in the home appliance market and trends in the home appliance market, the design direction of system furniture required by the elderly was presented.

The Effects of Dual Task Training According to Variability of Walking Environment on Balance, Gait and Function of Stroke Patients (보행환경 가변성에 따른 이중과제 훈련이 뇌졸중 환자의 균형, 보행 및 기능에 미치는 영향)

  • Kim, Su-Jin;Lee, Hyo-Jeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.23-33
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    • 2021
  • Purpose : This study aimed to investigate the effects of dual-task training according to the variability of the walking environment on balance, gait, and function in patients with stroke. Methods : Twenty-five patients with stroke were randomly assigned to experimental group I (n=12) and experimental group II (n=13). Experimental group I and II performed obstacle and non-obstacle walking training, respectively, along with cognitive tasks for 21 minutes per session, 3 times a week for 6 weeks. Both groups received additional general physical therapy for 30 minutes per session. The functional reach test (FRT), gait analyzer (G-Walk), and functional independence measure (FIM) were used to evaluate balance, gait and function of pre- and post-interventions, respectively, while gait cadence, gait velocity, and stride length were evaluated using a gait analyzer. Results : In the within-group comparison of FRT, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of gait cadence, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of gait velocity, all the two groups showed significant post-intervention improvements (p<.05). In within-group comparison of stride length, experimental group I showed significant post-intervention improvements (p<.05), while experimental group II did not show significant post-intervention improvements (p>.05). In within-group comparison of FIM scores, experimental group I showed significant post-intervention improvements (p<.05), while experimental group II did not show significant post-intervention improvements (p>.05). There was a significant difference in the change of FIM scores pre- and post-intervention (p<.05) in the between-group comparison. Conclusion : The results of this study show that dual-task training with cognitive tasks and walking training can improve the balance, gait and function of patients with stroke, and obstacle walking training is effective for improving functions including activities of daily living compared to non-obstacle walking training.

Smart Growth Measurement System for Aquaponics Production Management (아쿠아포닉스 생산 관리를 위한 지능형 성장 측정 시스템)

  • Lee, Hyounsup;Kim, Jindeog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.357-359
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    • 2022
  • The market for eco-friendly food materials by online distribution is rapidly growing due to major environmental pollution such as air, soil, and water quality, and radical changes in living patterns caused by COVID-19. In addition, because of the aging population and the decrease in agricultural-related population due to social structural changes, aquaponics is emerging as a system that can solve problems such as independence of old economic activities, environmental protection, and securing healthy and safe food. This paper aims to design an intelligent plant growth measurement system among intelligent aquaponics production management modules for optimal growth environment derivation and quantitative production prediction by converging various ICT technologies into existing aquaponics systems. In particular, the focus is on designing systems suitable for production sites that do not have high-performance processing resources, and we propose a module configuration plan for production environments and training data and prediction systems.

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The Effect of Bilateral Arm Training for the Chronic Phase After Stroke in Activities of Daily Living (양측성 상지 활동이 만성 뇌졸중 환자의 일상생활활동에 미치는 영향)

  • Lee, Hyun-Jin;Kwon, Hyuk-Cheol;Chang, Moon-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.36-47
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    • 2013
  • Objective : To identify the effect of bilateral arm training for activities of daily living(ADL) of the chronic phase after stroke. Methods : 20 patients with stroke, randomized to an experimental group(n=10) and a control group(n=10). Both groups received the usual occupational therapy. In addition, an experimental group received an bilateral arm training, 30-min sessions per a day for 6 weeks. The Functional Independence Measure(FIM) was used to evaluate ADL for both groups. Results : First, there is a significant difference before and after receiving the bilateral arm training(p <.05). Second, there are significant differences in all ADL areas of Self-care, Transfer, Social cognition after bilateral arm training(p<.05). Third, there are significant differences in all sub-areas of Self-care, only stairs of Locomotion, and only Problem solving of Social cognition by comparing sub-areas as bilateral arm activity(before and after) and occupational therapy intervention(before and after). Conclusion : Using bilateral arm training for the chronic phase after stroke improved their abilities of ADL. Therefore, there are an expectation to use bilateral activity training for the chronic after stroke clinically and a need of further study about bilateral arm training related to ADL in the future.

A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice (발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로)

  • Shin, Kyung-An;Lee, Eun-A;Kim, Do-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.88-96
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    • 2020
  • The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

Changes in Activities of Daily Living of Children with Spastic Cerebral Palsy According to Gross Motor Function Classification System After One Year of Physical and Occupational Therapy (물리 및 작업치료 1년 후 대동작 기능분류체계에 따른 경직성 뇌성마비 아동의 일상생활동작 변화)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.431-440
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    • 2019
  • This study was conducted to investigate changes in activities of daily living (ADLs) according to the Gross Motor Function Classification System (GMFCS) after one year of physical and occupational therapy and to compare the responsiveness of ADL tools. A total of 48 children with spastic cerebral palsy participated in the study. The GMFCS, Functional Independence Measure for Children (WeeFIM), and Pediatric Evaluation of Disability Inventory (PEDI) were measured. The results showed that the GMFCS was significantly correlated with the PEDI (p<0.05), while there was a significant difference in the change of ADLs measured by the PEDI, but not the WeeFIM. There was a significant difference in the changes in ADLs according to the GMFCS, and the change in ADLs in the high functional level group was significantly higher than in the low functional level group (p<0.05). After physical and occupational therapy, the degree of improvement of ADLs varied according to the GMFCS, but seemed to be improved in a clinically meaningfully way. The PEDI is sensitive to changes in ADLs, so it may be used widely in clinical practice.