• 대한통합의학회지
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• 제3권2호
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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.

• 한국전자통신학회논문지
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• 제9권1호
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• pp.123-130
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• 2014

본 연구는 유비쿼터스 환경에서 동작관찰-신체훈련이 뇌졸중 환자의 상지기능과 일상생활활동에 어떠한 영향을 미치는 지 알아보고자 실시하였다. 연구 대상자는 19명이며 실험군 10명, 대조군 9명으로 나누었다. 실험군은 일반 작업치료와 동작관찰-신체훈련을 병행하였고, 대조군은 일반 작업치료와 동작관찰만을 시행하였다. 훈련 과정은 4주였으며, 주 3회, 회당 30분씩 훈련에 참여하였다. 대상자 선별 후 WMFT와 MBI 평가를 시행하였으며 전-후 평가를 실시하여 증진 정도를 보고자 하였다. 그 결과 대상자들의 상지기능과 일상생활활동은 두 그룹 모두중재 후 유의한 증진을 보였다(p<.05). 하지만 각 측정 시점간의 두 군의 차이는 유의한 차이를 보이지 않았다.

• 융합정보논문지
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• 제9권8호
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• pp.268-273
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• 2019

본 연구는 서울 경기지역 만 65세 이상의 건강한 재택 노인을 대상으로 항목별 일상생활수행능력에 따른 주관적 건강상태, 즉 건강불안감의 정도를 알아보는 서술적 조사연구이다. 대상자에게 일상생활수행능력(ADLs)에 따른 1-5점까지 주관적 건강상태(건강불안감)를 설문하고, 항목별 일상생활수행능력의 정도에 따라 4개의 집단(매우 어려움, 어려움, 쉬움, 매우 쉬움)으로 나누어 Jonckheere-Terpstra검정과 선형회귀선을 활용하여 순위추세를 비교하였다. Jonckheere-Terpstra검정에서 "화장실 이용하기", "목욕하기", "물건 사러가기" 항목에 어려움을 호소할수록 주관적 건강상태의 불안감이 상응하는 순위차이를 보였고, 선형회귀선 상에서 "화장실 이용하기"의 기울기가 가장 큰 것으로 나타났다. 건강한 재택 거주 노인의 경우 "화장실 이용하기", "목욕하기", "물건 사러가기"가 어려울수록 건강불안의 증가 즉, 주관적 건강상태가 나빠지므로 이에 적절한 다각적인 사회복서비스를 개발할 필요가 있다.

• 한국치위생학회지
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• 제18권6호
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• pp.903-910
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• 2018

Objectives: The study aimed to identify the oral health factors that affect the nutritional status of the elderly. Methods: The study was conducted over ten months from September 2013 to June 2014, and included senior citizens who were supported by the visiting health service. The rate of saliva release, the number of remaining teeth, and the ability of the elderly to identify nutritional conditions were evaluated. Statistical analyses were performed using the t-test, ANOVA, and multiple linear regression using SAS 9.4 (SAS Institute Inc., Cary, NC, USA.). Results: The study participants had an average irritation saliva secretion rate of $2.26{\pm}1.11mg$ per minute. The higher the rate of saliva secretion, the higher the mini nutritional assessment (MNA) score (p<0.001). The average number of remaining teeth was $8.21{\pm}9.76$. The MNA scores were highest in groups with 11 or more remaining teeth (p=0.001). The factors that affected the nutritional condition of the elderly were their ability to perform activities of daily living, saliva flow rate, and number of remaining teeth. The highest correlation among them was that of the standardized regression coefficient was - 0.386 by activity daily living, followed by a 0.170 saliva secretion rate and 0.118 remaining teeth in daily life performance. Conclusions: Activities of daily living and rate of saliva secretion showed the highest correlations to nutritional status of the elderly.

• 한국가정과학회지
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• 제5권2호
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• pp.1-8
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• 2002

In this study, we made a survey of the degree of satisfaction and performance of daily life activities on independent elderly households in the detached house. The purpose of this study is to suggest basic data for elderly housing design to be considered elder's characteristics. A survey carried out for 110 respondents with face to face interview visiting each house between May and June, 1999 with modified and drawn questionnaire from analysis of preparatory investigation data. The questionnaire was composed of the general characteristics of respondents, general characteristics of housing, residents' satisfaction with the use of housing space, performance degree of the elder's daily activities. To analyze the data of 106 cases, frequency, percentage, mean, standard deviations, one-way ANOVA, reliability analysis and Scheffe test were used by running SPSSWIN program. The results on the housing satisfaction and performance of activities in daily life of elderly in the detached house were as follows.: In this survey, the elderly had high value in satisfaction with the size of current house as the mean 3.14 points, but they were dissatisfied with the rising of house as the mean 2.82 points. The satisfaction with living room space was the highest but the satisfaction with toilet space was lower than others. Among the activities of daily life in housing space, housing related activity was the hardest to perform as the mean of 3.15 points. In consequence, consideration on and interest in the planning of residential spaces are needed so that the elderly can perform the action of housing life effectively and efficiently.

• 한국전문물리치료학회지
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• 제5권2호
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• pp.47-64
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• 1998

The purposes of this research were to understand the realities of health management and to analyze the subjective, functional, psychological, and social health effects of the application of an exercise and education program to manage health on an elderly population residing in an agricultural community. The specific purposes of this research were: 1. to determine the subjective, functional, psychological health conditions, and performance level of instrumental activities of daily living of both the experimental and control groups before introducing a health management program, and then 2. to compare these with both the experimental and control groups' subjective, functional, psychological health condition and performance level of instrumental activities of daily living after applying the health management program. The health management program was introduced to the experimental group (50 people) but not to the control group (50 people). The health management program was composed of a health exercise program and a health education program. A comparative study of subjective health conditions was done to examine the effect of the health management program and the characteristics of health related variables before and after the program application. The results were as follows: 1. When the experimental group, which had received the 8-week health management exercise and education program, was compared with the control group, which had not, the experimental group's subjective health condition scored higher than that of the control group (p

• 한국산학기술학회논문지
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• 제10권12호
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• pp.3879-3887
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• 2009

본 연구는 손상된 사지의 기능적 활동 수행에 대한 상상연습이 뇌졸중 환자의 편측무시와 일상생활활동에 미치는 효과를 알아보는 것이었다. 연구는 개별실험연구방법(single-subject experimental research design) 중 ABA 설계를 사용하였다. 실험은 총 18회로 구성하였으며, 기초선 과정이 5회, 상상연습을 시행한 중재 과정이 10회, 기초선 회귀 과정은 중재 과정을 마친 2주 뒤에 3회를 측정하였다. 상상연습은 3개의 기능적인 활동(옷 입기, 화장품을 사용하여 화장한 뒤 정리하기, 옷을 개기)을 수행하는 것으로, 각 활동에 대해서 5분씩, 1일 총 15분을 상상하도록 하였다. 편측무시는 읽기 검사, 쓰기 검사, Baking Tray Task를 사용하여 측정하였고, 일상생활활동은 COPM(Canada Occupational Performance Measure)으로 평가하였다. 연구 결과 상상연습 후 편측무시 검사의 점수가 모두 감소되었고, 일상생활활동에 대한 검사 점수도 임상적으로 유의한 효과가 있는 것으로 나타나, 상상연습이 뇌졸중 환자의 편측무시를 감소시키고, 일상생활활동을 증진시키는 것으로 나타났다.

• 대한통합의학회지
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• 제7권3호
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• pp.51-59
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• 2019

Purpose : To evaluate the effect of comprehensive art therapy on physical function and activities of daily living in children with cerebral palsy (CP). Methods : Ten ambulant children with diplegic (n=8) or hemiplegic (n=2) CP participated in this study. All were randomly assigned to either the art therapy group (n=5) or the control group (n=5). Both groups received physical therapy based on neurodevelopmental techniques for 20 minutes a day, 1 day a week, for a period of 12 weeks. Children in the art therapy group received additional comprehensive art therapy for 70 minutes once a week for 3 months. Tests for various measurements-Motricity Index (MI) for strength, Trunk Control Test (TCT) for trunk ability, Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System (GMFCS) for gross motor function, Denver Developmental Screening Test-II (DDST-II) for developmental milestones, Functional Independence Measure of Children (WeeFIM) for abilities to complete daily activities, Leg and Hand Ability Test (LHAT) for limb function-were performed before and after treatments. Results : The upper extremity and whole extremity strengths of MI, self-care and total scores of WeeFIM, and leg and arm functions of LHAT improved significantly only for individuals in the art therapy group after the art therapy (p<.05). The value of MI after treatment was at the upper extremity and whole extremity strengths the leg function of LHAT was also significantly improved compared to the control group (p<.05). Conclusion : This study revealed that comprehensive art therapy along with physiotherapy was effective in increasing upper extremity strength and leg ability in children with CP. This suggests that comprehensive art therapy may be a useful adjunctive therapy for children with CP.

• 지역사회간호학회지
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• 제13권3호
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• pp.523-531
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• 2002

Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.287-295
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• 2019

본 연구는 지체장애인의 성별에 따른 정신적 건강상태에 미치는 요인을 파악하여 그들의 건강한 삶을 도모하고자 시도되었다. 제6차 국민노후보장패널을 이용하여 지체장애인 333명을 연구 대상으로 하였다. 도구적 일상생활 수행능력, 물질적 지지, 우울, 삶의 만족도, 정신적 건강상태를 알아보기 위하여 기술통계, t-test를 사용하였고, 정신적 건강상태에 미치는 영향요인을 알아보기 위하여 다중회귀분석을 이용하였다. 지체장애인의 정신적 건강상태에 영향을 주는 요인을 성별로 구분하여 알아본 결과 남성의 경우 도구적 일상생활 수행능력, 물질적 지지, 우울, 삶의 만족도가 영향을 주었고 여성의 경우 배우자 여부, 우울, 삶의 만족도가 영향을 주었다. 본 연구결과를 토대로 지체장애인들을 이해하고 정신건강 증진 프로그램 개발에 기초자료로 사용될 수 있을 것이다.