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Assessment Criteria and Capability Scores for Upper Extremity Functions from Inclusive Design Perspectives

  • Kim, Taesun
    • 감성과학
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    • 제19권2호
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    • pp.89-100
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    • 2016
  • Inclusive design is increasingly gaining attention, as some people find using products difficult after becoming physically impaired, despite daily use. However, making inclusive products is a challenge for designers or companies, as a lack of knowledge and tools stems their low involvement in it. Developing inclusive design tools is thus needed. This study developed criteria to assess upper extremity capabilities corresponding to specific daily activities. A questionnaire survey was conducted among 58 physiatrists and orthopedists. Non-parametric statistics were employed and medians were adopted as representative scores in the assessment criteria based on normality and reliability test results, non-normal data, and strong reliability of respondents in ranking. Consequently, an assessment tool was developed with 14 criteria (divided into range of motion and strength) and capability scores between 0 and 100, which discerned the moderately impaired from the severely disabled and fully capable. Since the doctors agreed to adopt the criteria but assign numeric values, especially for mild impairments, their capability assessment perception was likely influenced by dichotomy. To compensate for these deficits, qualitative or ergonomic approaches are considered simultaneously.

식사 Pattern의 차이가 단백질 영양상태에 미치는 영향 (The Effect of Different dietary Patterns (between Non-Vegetarian and Vegetarian) on Protein Nutritional Status during Short-term)

  • 박귀선;김정임
    • 동아시아식생활학회지
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    • 제7권1호
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    • pp.1-11
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    • 1997
  • The purpose of this study was to describe the protein nutritional status of female collegians between nonvegetarian diet groups(14) and vegetarian diet groups(19). Daily intake, protein were calculated from food direct measurement. Urea/creatinine, muscle mass, fatique conditions and hematological parameter were calculated. Blood samples were analyzed for total protein, albumin ammonia, urea, uric acid, creatinine, BUN contents. The results obtained are summarized as following : 1) On total dietary intake, especially Fe, vitamin C, niacin intake, vegetarian groups were higher than non vegetarian groups. 2) On composition of EAA(essential amino acids), vegetarians were highter than non vegetarian of leucine contents, but were lower lysine and threonine contents. 3) On urea / creatinine excretion, vegetarians were higher than non begetarians. Muscle mass were non signicant, fatique condition, vegetarians were normal state. 4) Non vegetarians were increased serum albumin total protein, uric acid, ammonia but vegetarians were decreased BUN, ammonia after experimental diet intake. 5) In process of time after meal, non vegetarians were increased serum albumin total protein, BUN, but vegetarians were decreased ammonia.

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인지재활 프로그램이 뇌졸중환자의 인지기능, 우울 및 일상생활수행능력에 미치는 효과 (Effect of Cognitive Rehabilitation Program on Cognitive Function, Depression, and Activities of Daily Living among Patients with Strokes)

  • 장윤정;전성숙
    • 성인간호학회지
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    • 제24권3호
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    • pp.305-316
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    • 2012
  • Purpose: The purpose of this study was to test the effectiveness of a cognitive rehabilitation program for the patients having an acute stroke. The variables evaluated were cognitive function, depression and activities of daily living (ADLs). Methods: A non-equivalent control group pretest-posttest design with sixty-two subjects from two separated institutions was the design for the study. Thirty-three patients were assigned to the treatment group and 29 patients comprised the comparison group. The treatment group participated in the nursing intervention for cognitive rehabilitation for a three week period of time. The study was conducted from September 2010 to April 2011. Results: Following the three week intervention, the cognitive function and activities of daily living of the treatment group were significantly improved compared to the comparison group (t=6.33, p<.001; t=4.57, p<.001). Specifically, depression was significantly decreased in the treatment group (t=3.95, p<.001). Conclusion: The cognitive rehabilitation program was effective in increasing the treatment group cognitive function and activities of daily living along with a decrease in depression scores. Therefore, Cognitive Rehabilitation Program could be expected a beneficial nursing intervention in stroke patients.

이압요법이 재가 뇌졸중 환자의 상지기능, 지각된 건강상태 및 일상생활동작에 미치는 효과 (Effects of Auricular Acupressure Therapy on the Upper Extremity Function, Perceived Health Status and Activities of Daily Living among Stroke Patients at Home)

  • 차남현;김윤경
    • 재활간호학회지
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    • 제18권2호
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    • pp.67-74
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    • 2015
  • Purpose: The purpose of this study was to identify the effects of auricular acupressure therapy on the upper extremity function, perceived health status and Activities of Daily Living for rehabilitation among stroke patients at home. Methods: As a quasi-experimental study, non-equivalent control group pretest-posttest design was used. Data were collected from August 1st to September 31st, 2012. Participants were 28 (Experimental 17, Control 11) stroke patients at home. Using the SPSS/WIN 12.0 program, data were analysed by the $x^2$-test, Fisher's exact test, Mann-Whitney U test and Wilcoxon signed rank test. Results: Upper extremity function (U=28.00, p=.001) and activities of daily living (U=47.50, p=.029) were significantly higher in the experimental group compared to the control group. However, perceived health status was not significantly different between the two group. Conclusion: This study proved that auricular acupressure therapy was effective for upper extremity function and activities of daily living among stroke patients at home.

재가노인을 위한 자가관리증진 프로그램의 효과 (Effects of the Self-care Promotion Program for the Elderly in Home Health Nursing)

  • 이경복;김순례
    • 가정간호학회지
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    • 제21권2호
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    • pp.156-165
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    • 2014
  • Purpose: This study aimed to investigate the effects of a program for increasing self-care with activities of daily living among the elderly living at home. Methods: The study adopted a non-equivalent control group pretest-posttest design. The number of participants were 30 in the experimental group and 30 in the control group. Participants were persons aged 65 years and above in Busan. The experimental group was provided with for 16 different types of self-care behaviors by family nurses who made weekly home visits to these participants. Each visit lasted for more than 30 minutes, and the visits were conducted for 12 weeks. The research instrument used in this study was a scale developed by Shimanouchi et al. (2003) which assessed self-care behavior, activities of daily living, and depression. Results: The experimental group showed an increase in self-care behavior compared to the control group. Time and group variables were also found to have an interaction effect on the daily living activity level. The experimental group showed an increase in the activities of daily living compared to the control group. Depression scores dropped from 9.4 to 5.8 in the experimental group and from 8.6 to 7.0 in the control group. Conclusion: We found that the self-care behavior program improved the levels of independence and activities of daily living among the elderly living at home.

무릎 골관절염 환자에게 시행한 아로마 마사지가 통증, 일상활동 능력 및 피로에 미치는 효과 (Effects of Aroma Massage on Pain, Activities of Daily Living and Fatigue in Patients with Knee Osteoarthritis)

  • 김인자;김은경
    • 근관절건강학회지
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    • 제16권2호
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    • pp.145-153
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    • 2009
  • Purpose: The effects of aroma massage on pain, activities of daily living, and fatigue were investigated in the patients who have knee osteoarthritis. Method: A quasi-experimental design with non-equivalent control group pretest-posttest measures was used. Twenty one and twenty subjects were included in control and experimental group, respectively. Subjects in experimental group had aroma massage which used lavender, chamomile, and ginger oil on painful knee. They were encouraged to implement aroma massage at least two times a day for 2 weeks. Subjects in the control group had conventional oil massage implementing by exactly same method as did in the experimental group. GRS(graphic rating scale), Korean version of WOMAC (Western Ontario and McMaster) osteoarthritis index, and MAF(multidimensional assessment of fatigue) were used to measure the outcome variables such as pain, activities of daily living and fatigue, respectively. Results: After 2 weeks, those in the experimental group reported significantly less pain and fatigue and better activities of daily living than those in the control group. Conclusion: Based on these results, aroma massage could be recommended as a self managed intervention for the patients with knee osteoarthritis.

일상생활에서의 비자살적 자해에 영향을 미치는 요인: 생태순간평가 일기법 연구 (Factors affecting Non-suicidal self-injury: Ecological Momentary Assessment using a Daily Diary Method study)

  • 권호인;김선진
    • 한국심리학회지 : 문화 및 사회문제
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    • 제29권3호
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    • pp.321-340
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    • 2023
  • 본 연구는 일상생활에서 비자살적 자해가 발생하는 정서 및 상황적 맥락을 파악하고자 하는 목적으로 수행되었다. 이를 위해 만 19세 이상 35세 이하의 성인 60명이, 14일 동안 하루에 한 번씩 전자일기에 접속하여 그날의 긍정 및 부정 정서, 스트레스 사건, 자해 사고 및 행동 여부에 대해 기록하였다. 수집된 총 663건의 엔트리를 활용하여 비자살적 자해 사고 및 행동과 관련된 개인의 정서, 스트레스 사건을 분석하였다. 그 결과, 개인 간 수준의 높은 부정 정서와 낮은 긍정 정서, 스트레스 사건 총점은 각각 자해 사고 및 행동과 유의한 관련성을 보였다. 부정 및 긍정 정서와 스트레스 모두가 투입된 모형에서는 개인 간 수준의 낮은 긍정 정서가 비자살적 자해 행동과 유의한 관련성을 보였다. 이러한 결과는 비자살적 자해 경험자의 정서 조절 개입에 있어 부정 정서 관리뿐 아니라 긍정 정서 강화가 중요하다는 것을 시사한다. 본 연구는 단기 종단적 방법을 통해 일상생활에서 비자살적 자해의 위험 요인을 탐색했다는 것에 연구의 의의가 있다.

의료재활교육이 요통에 미치는 실증적 연구 (The Experimental Study Effected on Low Back Pain by MRE(medical rehabilitation education))

  • 문상은
    • 대한물리치료과학회지
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    • 제2권2호
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    • pp.563-568
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    • 1995
  • The purpose of study was to analyze and clarify the new facts which might help the patients with low back pain be rehabilitated by giving MRE(medical rehabilitation educations) for DLH(Daily Living Habit) based on body types. The outcome of examining hypothesis is as following. 1. The 1st hypothesis : It has been proved that the patients of experimental group which received the DLH will recovery and rehabilitate to social lives much faster than those of non-experimental group(p<.001). 2. The 2nd hypothesis : It has been proved that those of experimental group have much more changes in bodies and body types than those of non-experimental group(p<.001). 3. The 3rd hypothesis : It has been proved that those of experimental group will be better at self-care of back pain and satisfied with it much more than those of non-experimental group(p<.001). In above results, DLHE(daily living habit education) based on body types can be recommended to be a desirable education for low back patients who need a long-care. As it is more subdivided and specialized than the existing MHE, the effects of therapeutic self -care involving spinal manipulation are expected to be higher.

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도심 교차로 노면 지표유출수의 초기수질특성에 관한 연구 (Water Quality of the First Flushes in the Surface Runoff at an Intersection)

  • 최상용;고광백;이지영;임세호
    • 한국환경과학회지
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    • 제15권4호
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    • pp.359-364
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    • 2006
  • Two sites with different average daily traffic volume at an intersection were selected in order to investigate water quality of the first flushes in the surface runoffs. The effects of rainfall intensities and accumulated non-rainy days before rainfall events on the water quality were also delineated. Samples were collected at every 2 min. interval from each first flush from February to May, 2004 for 4 major rainfall events. $COD_{cr}$ or SS concentrations at the site with an average daily traffic volume (ADTV) of 23,000 vehicles were 2-7 times higher than those at the site with an ADTV of 1,400 vehicles. The longer the accumulated non-rainy days were, the higher the concentration of heavy metals were than those of $COD_{cr}$ and SS in the first flushes.

흡연여대생의 지질섭취와 혈중지질 및 지방산 조성에 관한 연구 (Studies on Lipid Intake, Serum Lipid Profiles and Serum Fatty Acid Composition in College Women Who Smoke)

  • 안홍석;이금주;김나영
    • 대한지역사회영양학회지
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    • 제7권1호
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    • pp.102-110
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    • 2002
  • Cigarette smoking has long been recognized as a major risk factor in the development of coronary heart disease. Several investigators have reported the strong association between smoking and high serum cholesterol, triglyceride concentration, SFA and low HDL cholesterol, PUFA and $\omega$6 concentrations. Therefore, this study was done to investigate the effect of smoking on the serum lipid profile and fatty acid composition of college women. Sixty-one non-smokers and twenty-seven smokers were selected from college women students in the Seoul area. Their lipid intake, serum lipid concentration and fatty acid composition were examined. There were no differences in the general characteristics and anthropometric indices between the smokers and non-smokers. However, alcohol consumption was significantly higher in smokers than non-smokers (p<0.001). The daily caloric intake of smokers and non-smokers were 1875.84 kcal and 1915.53 kacl, respectively. On the other hand, the mean daily intake of lipids and cholesterol were significantly lower in smokers (p<0.05). In smokers, the mean concentrations of serum total cholesterol, LDL-cholesterol and the LDL-C/HDL-C ratio were higher, and the compositions of EPA and DHA were lowe than in non-smokers. There was a negative correlation between the serum triglyceride and PUFA levels in the two groups. Also, serum HDL-C correlated negatively with MUFA in smokers and non-smokers (p<0.01). These results suggest that smoking cause inadequate changes in serum lipid profile and serum fatty acid composition, thereby increasing the tendency for coronary heart disease.