• 대한물리의학회지
• /
• 제10권2호
• /
• pp.47-54
• /
• 2015

PURPOSE: The purpose of this study is to examine the relationship between the physical activities of individuals post-stroke and their HRQL, as well as to determine whether their functional abilities contribute to their amounts of physical activity. METHODS: The study's subjects included 90 individuals post-stroke. Their amounts of physical activity were measured using the International Physical Activity Questionnaire (IPAQ), and their HRQL was measured using the Medical Outcomes Study 36-Item Short-form Health Survey (SF-36). In addition, the functional abilities of the subjects were measured. For the measures of physical activities and the HRQL, Pearson's correlation coefficients were used to identify the strengths of the associations between the measures. A hierarchical linear regression model was used to determine whether physical activities had independent impacts on the HRQL. RESULTS: This study found that the physical activities performed by the subjects affected the SF-36 physical component score (PCS) (12%). However, the physical activities and the SF-36 mental component score (MCS) showed no statistically significant relationship, whereas functional abilities and physical activities had a statistically significant relationship (r = .57~.86, p<.001). CONCLUSION: The present study identified a correlation between physical activity and the PCS. Therefore, individuals post-stroke should be encouraged to carry out more physical activities, including more frequent walking activities.

• 근관절건강학회지
• /
• 제19권2호
• /
• pp.210-222
• /
• 2012

Purpose: This study examined the effects of taekwondo exercise program on the physical function, fitness and quality of life in women with osteoarthritis. Methods: With nonequivalent control group quasi-experimental design, 17 outpatients with osteoarthritis were recruited from June to August, 2010. The subjects were divided into 14 in experimental group and 13 in control group. The taekwondo exercise program was consisted of public taekwondo gymnastics with stretching movement and carried out every 60 minutes, 2 times a week for 12 weeks. Physical fitness of sit up, sit and reach, and agility, KWOMAC, and quality of life were measured. Data were analyzed by t-test and Mann-Whitney test using SPSS program. Results: After the intervention, the physical fitness for muscle endurance (Z=-4.40, p<.001), flexibility (Z=-2.75, p=.006), and agility (Z=-1.95, p=.050) were significantly improved in the experimental group. The mean scores of KWOMAC in the experimental group were significantly decreased (Z=-2.94, p=.003) and the mean difference of quality of life in the experimental group was also significantly increased than that of the control group (Z=-3.50, p<.001). Conclusion: The taekwondo exercise program may have affirmative effects on physical fitness, physical function, and quality of life in women with osteoarthritis.

• 대한통합의학회지
• /
• 제4권3호
• /
• pp.101-108
• /
• 2016

Purpose : The primary objective of this study was to examine the status of continuing education, and to identify the current state and employment status of these physical therapists. Moreover, the study also aimed to provide basic data for establishing improvement measures in various continuing education programs to enhance the quality of physical therapists, thereby providing high quality service to patients and contributing to the increasing productivity of hospitals. Method : The present study analyzed the basic data obtained from KPTA regarding the 671 physical therapists throughout Korea. Questionnaires were sent by mail to from direct visits were used in the final data analysis. The questionnaire consisted of 45 questions in 3 categories: general characteristics, continuing education. Collected data were analyzed using frequencies, percentages, means, and standard deviations. Result : Subjects 88 (87.1%) indicated that they continuing education, showing that most had taken continuing education courses. The importance and necessity of continuing education was much higher for those with doctoral degrees than for those who graduated from college, or who possessed bachelors or master's degrees. Conclusion : A necessary follow-up study using these findings would contribute to providing a high quality medical service and to enhancing the quality of physical therapists. Moreover, systematic management of continuing education is necessary to devise comprehensive and effective measures for the development and acquisition of updated skills by health care professionals.

• 대한안전경영과학회지
• /
• 제17권2호
• /
• pp.215-228
• /
• 2015

A creative innovation and an innovative problem-solving of industrial companies can be achieved by overcoming the challenges of technical and physical contradictions. The approaches to address conflicting and paradoxical problems, such as technical and physical contradictions have a crucial role in advancing the quality assessment for manufacturer and service provider. The term, technical contradiction, depicts the state that improvement of one ends of IFR (Ideal Final Result) leads to unfavorable condition of the other ends, and results in conflicting problem. Another type of contradictions that's discussed in this study is a physical contradiction which is due to two mutually opposing states of the means of ends, and gives paradoxical situation. By integrating the means-ends chain perspectives, the physical contradiction that is a specifically root-causes, "means", can be initially addressed to resolve the downstream problem of technical contradiction which represents a general and abstract goals, "ends". This research suggests IFR resolution processes to handle both physical contradiction of means and technical contradiction of ends by employing causal relationship with IFR, effects and causes. In summary, the study represents three major processes that resolve such contradictions are demonstrated as follows: 1) Derivation of causal and hierarchical relationship among IFR, ends and means by considering CAED (Cause-And-Effect Diagram) and LT (Logic Tree). 2) Identification of causal relationship between physical contradiction and technical contradiction by using TPCT (TRIZ Physical Contradiction Tree) and TCD (Technical Contradiction Diagram). 3) Application of integrated TRIZ principles by classifying 40 inventive principles into 4 general conditions of the separation principle of mutually opposite states in space, in time, based on conditions, and between the parts and the whole. In order to validate the proof of proposed IFR resolution processes, the analysis of the TRIZ case studies from National Quality Circle Contest in the years, 2011 to 2014 have been proposed. The suggested guidelines that are built based on TRIZ principles can uniquely enhance the process of quality innovation and assessment for quality practitioners.

• 디지털융복합연구
• /
• 제11권5호
• /
• pp.335-345
• /
• 2013

본 연구는 일개 지역사회노인을 대상으로 신체적 기능, 수면의 질, 삶의 질 정도를 파악하고 상관관계를 분석하였다. 연구 대상자는 K광역시에 거주하는 65세 이상 노인 253명이었다. 통계분석은 SPSS WIN 14.0 program을 이용하여 descriptive statistics, t-test, ANOVA, Pearson's correlation, Scheffe test를 실시하였다. 본 연구의 주요 결과는 다음과 같다. 신체적 기능은 성별, 연령, 주거형태, 월수입에 따라 통계적으로 유의한 차이가 나타났다. 삶의 질은 동거형태, 월수입에 따라 통계적으로 유의한 차이가 나타났다. 노인의 신체기능이 좋을수록 삶의 질이 높아짐을 알 수 있었으며(r=.303, p=.000) 수면의 질 역시 삶의 질에 영향을 준다는 것(r=-.294, p=.002)을 확인할 수 있었다. 이러한 결과에 기초하여 지역사회 노인의 삶의 질을 향상시키기 위해서 노인의 신체적 기능 상태와 수면의 특성을 고려한 간호중재 프로그램이 필요하다는 것을 제언하였다.

• 대한치과기공학회지
• /
• 제34권3호
• /
• pp.273-281
• /
• 2012

Purpose: This study conducted a survey on the elderly of 65 years and over with physical debilities and ones capable of living at home residing in Jeju Special Self-Government Province to compare and analyze demo-sociological characteristics and factors influencing on oral health related living quality. And also this study intended to provide basic data for developing effective public medical policies and health promotion programs to increase oral health related living quality of the elder. Methods: The elderly of 65 years and over living in Jeju Special Self-Government Province were interviewed individually from 7 February 2011 to 18 April and interview results of a total of 220 subjects were analysed for this study. Results: Current status of the elderly including ones with & without physical debilities influenced functional limitation and behavioral aspects of GOHAI criteria used in this study. The elderly with physical debilities experienced less limitation in food chewing and swallowing, and pronunciation than ones capable of living at home. On the analogy of the previous study(by Park, N. G., 2010) in which oral health related quality and satisfaction of life of the elderly with physical debilities were different due to their physical, circumstantial and psychological limitations, the former's oral health conditions are worse than the ones capable of living at home and because of medical care accessability limitation they suffer from deteriorated oral condition. By the comparison of factors influencing on the living quality relating to the oral health of the elderly with physical debilities and ones capable of living at home, 2 factors, age and living area, were meaningful factors commonly influencing on the oral health related living qualities of both. The elderly of 75 years and over were more affected by psychological and behavioral aspects of oral health related living quality than the ones of 65-74 years, and the ones living in country suffered from functional limitations, pains and discomfort more than ones in city. Additionally, being different from the elderly capable of living at home, the ones with physical debilities were influenced by the factors of average monthly income and medical security type. Conclusion: Improvement of programs and systems to increase oral health related quality of life needs to be carried out preferentially for the elderly of 75 years and over, and dwelling in country. Also this study suggests that the policy of paying the denture insurance allowance in 2012 need effective planning considering the elderly's current status, age, living area, medical security type.

• 성인간호학회지
• /
• 제16권1호
• /
• pp.49-59
• /
• 2004

Purpose: This study is a descriptive research study to measure the quality of life of those who suffer from breast cancer and take the chemotherapy. Method: The Subjects were 70 breast cancer patients who took the chemotherapy from September 2 to October 31, 2003. Quality of life was measured by Ferrell's measurements. Result: Quality of life indicators were spiritual domain=6.44, physical domain=5.45, social domain=4.15, and mental domain=3. 95. Whole quality of life was 4. 68 out of 10 points. The quality of life of those with a practicing religion was significantly higher than those without(F=3.88, P=0.026). Subjects who were less than 2 months post-operation had higher points in the physical domain than those who were more than 2 months post-operation (t= 2.76, p=0.007). Subjects who had less than 4 treatments of chemotherapy had higher points in the physical domain than those who had more than 4 treatments of chemotherapy (t=2.03, p=0.046). Conclusion: The results of this study serve as a meaningful source to promote quality of life of breast cancer patients who undergo chemotherapy. The results can also be applied to the development of education programs and counseling materials for chemotherapy patients. Health care strategy can also raise the quality of life of brest cancer patients.

• 성인간호학회지
• /
• 제25권1호
• /
• pp.13-23
• /
• 2013

Purpose: The purpose of this study was to investigate the factors that influence health-related quality of life in patients with atrial fibrillation. Methods: The subjects were 150 outpatients with atrial fibrillation who visited the cardiology clinic of a university hospital in U city. The instruments used for this study were Mhel Uncertainty in Illness Scale (MUIS), Center for Epidemiologic Studies-Depression Scale (CES-D), State Trait Anxiety Inventory (STAI), and the Short-Form-36 Health Survey (SF-36) Korean version II. The date were analyzed by ANOVA, Pearson-correlation coefficient, and hierachial multiple regression using SPSS/WIN 18.0. Results: The mean score of physical health-related quality of life (PCS) was $38.92{\pm}6.22$ and mental health-related quality of life (MCS) was $41.49{\pm}5.71$. Physical and Mental health-related quality of life had the significant correlations with uncertainty, anxiety and depression. In multiple regression analysis, physical health-related quality of life was significantly influenced by duration of disease, NYHA class, uncertainty. Mental health-related quality of life was significantly influenced by family income, NYHA class, anxiety and depression. Conclusion: These results suggest that these influencing factors should be consider in developing the nursing interventions to improve the healthrelated quality of life in patients with atrial fibrillation.

• 대한물리의학회지
• /
• 제5권2호
• /
• pp.143-150
• /
• 2010

Purpose : In this study, by recognizes the legal constraints of a independent physical therapy clinic open, the other countries's law on physical therapist and the expected effect of independent clinic open, we suggest the need for independent clinic open in South Korea. Methods : To recognize the necessity and expected effect of independent physical therapy clinic open, by comparing the system and situation in South Korea with the countries joined in The World Confederation for Physical Therapy. Results : Effects of the independent physical therapy clinic open were following; 1. it could be guaranteed the option of the medical consumer 2. reduce the economic and time burden 3. provide a good quality medical service Conclusion : Independent physical therapy clinic open will provide a better therapeutic environment for consumer and contribute much to improving the benefit of welfare part of the nation. For provide a good quality to medical consumer, independent physical therapy clinic open and the amendment of related law and institutional device are positively necessary.

• The Journal of Korean Physical Therapy
• /
• 제28권1호
• /
• pp.46-51
• /
• 2016

Purpose: This study intended to classify voluntary respiratory exercise and exercise using breathing training equipment to suggest proper respiratory exercise to relieve symptoms of patients with severe chronic obstructive pulmonary disease. Methods: Sixteen subjects were randomly selected for experimental group I, which performed feedback breathing exercise and 15 subjects were randomly selected for experimental group II, which performed a complex breathing exercise. The mediation program was performed 30 minutes a session, once a day, three times a week, for five weeks. This study analyzed before and after results within groups and between groups through measurement of respiratory muscle activity and health-related quality of life. Results: Activity of sternocleidomastoid muscle and scalene muscle increased meaningfully within experimental group I and activity of diaphragm increased significantly within experimental group II (p<0.05) and there was a meaningful difference in health-related quality of life within experimental group II (p<0.05). Significant differences in change of activity of respiratory muscle and health-related quality of life were observed between groups (p<0.05). Conclusion: This study showed conflicting results between activity of agonist and synergist in patients with severe chronic obstructive pulmonary disease according to types of respiratory exercise and that complex respiratory exercise is more effective in health-related quality of life. Therefore, it found that the more severity increase, the more self-respiratory technique is an effective program. Diversified approach methods will be needed to improve respiratory function and quality of life for patients, and continuous clinical studies will be needed in the future.