• 재활복지공학회논문지
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• 제9권4호
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• pp.293-299
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• 2015

본 연구는 균형 운동시스템을 사용한 고령자를 대상으로 설문조사를 실시하여 운동시스템 및 하지 균형의 사용성 평가를 조사하는데 그 목적이 있다. 대상자(고령자)들이 가장 불편한 신체부위인 하지의 균형을 증진하기 위한 운동시스템을 9주 동안 사용하였으며, 정기적인 기간동안 조사한 사용성 평가 결과를 분석하였다. 대상자(고령자)들은 사용한 운동시스템에 관한 문항과 하지 균형에 관한 문항으로 구분하여 응답을 하였다. 흥미를 유발할 수 있는 콘텐츠와 연동된 균형 운동시스템은 단순동작의 반복 보다는 개인별 맞춤 운동이 가능하며 그로 인해 균형 유지가 개선되었음을 알 수 있다. 또한 신체 움직임 중에서 하체의 불편함이 운동을 통해 개선되어 고령자의 일상생활 활동과 삶의 질 향상에 도움이 될 것으로 생각된다.

• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.90-114
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• 2004

This study was conducted to examine the influence and effect of muscle enforcement program on Activity of daily living(ADL) improvement and posture balance of the old, and to provide more effective muscle enforcement program and educational data. The muscle enforcement exercise program was performed on the old(institution, 16 men, 10 women) for 8 weeks from April 22, 2002 through June 17,2002. Programed Exercise 1 - Exercise 10 were practised 8 times per program for 3 days a week. The load of exercise was increased per two weeks. The methods of measurement were questionnaire, Indiana 47903(action-response analysis machine) and Sample exercise protocol for KAT 2000(balance training device). SAS/PC statistic analysis was used for data analysis. T-test was used for analysis of change before and after exercise in this study. The summary and conclusions are as follows. 1. On subjectively recognized health states, the healthy were $42.3\%$. On the satisfaction with health states, the satisfied were $50.0\%$. On the factors of effects on daily-life behavior performance, the group who had troubles was $50\%$ and the group who was so and so was $34.6\%$ compared with the old of the same age. On prospect about health states in the future, the group who would be better was $38.\%$. On effective methods for problem solving, exercise was $42.3\%.\;88.5\%$ of respondents answered the need of health care. The participation intention in health program was $92.3\%$. 2. On the change of psychological emotion and behavior aspects, the group who had repeated complaints or anxieties and reduced activities or interests was effective(P<0.01). 3. On the improvement effects of IADL difficulties, the group who had difficulties in doing daily-life indoors was improved effectively compared with before and after exercise(P<0.01). On medication management, the effects of improvement after exercise were high compared with before exercise(P<0.01), the effects of improvement was high on the whole. 4. On the effects of ADL function improvement, putting on upper clothing and lower clothing was improved effectively(P<0.05), toilet use and individual sanitation was improved effectively(P<0.05). 5. On the effects of action-response, the results of 8weeks regular exercise program were not different significantly compared with before and after exercise. The behavior quickness of the old by muscle enforcement program was not increased. This means that the old needs much time for exercise sense training because of the regression of cognition sense. 6. In the effect of posture balance, the whole grades were effective from 1272.69 before excercise to 476.92 after exercise(P<0.01). Especially right balance 657.65 was lowered to 208.57 after exercise most effectively(P<0.01). Rear balance 776.34 before exercise was lowered to 136.65 after exercise. The results of measurement were significant(P<0.05).

• 한국콘텐츠학회논문지
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• 제21권9호
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• pp.696-703
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• 2021

본 연구는 성인 뇌병변장애인의 생활만족도를 분석하고 이를 향상하는 방안을 제시하는데 목적이 있다. 연구자료는 한국장애인고용공단의 2차 웨이브 4차 장애인고용패널 자료를 활용하였다. 연구대상은 성인 뇌병변장애인 1인 가구 54명, 다인가구 227명이다. 분석은 χ², ANOVA, 로지스틱 회귀분석으로 SPSS 25.0 프로그램을 활용하였다. 연구결과 첫째, 성인 뇌병변장애인 1인 가구는 다인가구에 비해 중년층과 노년층 비율이 높고, 소득이 낮으며, 수급자, 일상생활도움이 필요없고, 낮은 사회활동참여로 나타났다. 둘째, 다인가구 성인 뇌병변장애인의 생활만족도 영향 요인은 장애정도(p<.05), 건강상태(p<.05), 사회활동 참여(p<.001), 장애차별경험(p<.05)이 유의미하게 나타났고, 1인 가구 성인 뇌병변장애인의 생활만족도 영향 요인은 성별(p<.05), 연령(p<.05), 건강상태(p<.001), 고용(p<.05), 장애차별경험(p<.001)이 유의미하게 나타났다. 결과를 바탕으로 가구유형에 따른 성인 뇌병변장애인의 생활만족도 향상 방안을 제시하였다.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.517-526
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• 2018

본 연구는 최근 10년간 해외 학술지에 게재된 복지관 이용 노인의 생활만족도에 영향을 미치는 요인들의 체계적 문헌 고찰 및 메타분석을 통해 노인의 생활만족도를 증진하기 위한 한국형 노인 생활만족도 도구 개발 및 복지관 운영 및 정책 개발 시 기초 자료로 제시하고자 한다. 분석에 사용된 문헌은 2017년 11월 1일까지 게제 된 국외 논문을 Medline complete, Pubmed central, Scopus를 통해 검색하였다. 검색 용어는 "Elderly. OR aged/) AND Personal Satisfaction/ or life satisfaction. mp"를 사용하였고, 검색된 595편의 초록을 통해 최종 6편의 연구를 분석 대상으로 선정하였다. 각 연구의 내용을 정성적으로 분석한 후 3편 이상의 정량값이 있는 요인들은 메타분석을 시행하였다. 연구 결과 노인 생활 만족도에 영향을 주는 요인으로는 신체적 건강(통합효과크기 0.582, p=.000), 정신적 건강(통합효과크기 0.423, p=.000), 경제적인 문제(r=.51, p=.001), 사회활동, 일상생활정도가 영향요인을 분석되었다. 본 연구를 통해 노인의 생활 만족도의 폭넓은 이해뿐만 아니라 초고령화 사회를 대비한 고령자 취업의 사회적인 함의 및 체계적인 건강관리를 통해 생활만족도를 높이는데 기여할 수 있을 것이다.

• 농촌의학ㆍ지역보건
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• 제21권1호
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• pp.47-60
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• 1996

Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

• 대한간호학회지
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• 제50권2호
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• pp.191-199
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• 2020

Purpose: The purpose of this study was to compare sociodemographic characteristics of a normal cognitive group and mild cognitive impairment group, and establish prediction models of Mild Cognitive Impairment (MCI). Methods: This study was a secondary data analysis research using data from "the 4th Korea Longitudinal Study of Ageing" of the Korea Employment Information Service. A total of 6,405 individuals, including 1,329 individuals with MCI and 5,076 individuals with normal cognitive abilities, were part of the study. Based on the panel survey items, the research used 28 variables. The methods of analysis included a χ²-test, logistic regression analysis, decision tree analysis, predicted error rate, and an ROC curve calculated using SPSS 23.0 and SAS 13.2. Results: In the MCI group, the mean age was 71.4 and 65.8% of the participants was women. There were statistically significant differences in gender, age, and education in both groups. Predictors of MCI determined by using a logistic regression analysis were gender, age, education, instrumental activity of daily living (IADL), perceived health status, participation group, cultural activities, and life satisfaction. Decision tree analysis of predictors of MCI identified education, age, life satisfaction, and IADL as predictors. Conclusion: The accuracy of logistic regression model for MCI is slightly higher than that of decision tree model. The implementation of the prediction model for MCI established in this study may be utilized to identify middle-aged and elderly people with risks of MCI. Therefore, this study may contribute to the prevention and reduction of dementia.

• 대한간호학회지
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• 제40권6호
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• pp.872-881
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• 2010

Purpose: This study was done to evaluate the formal education program provided by the Korean government for care workers for frail elderly people. Methods: This study was a cross-sectional survey in which 438 certified care workers who had completed the education program participated. Data were collected from June to October 2009, using a self-report questionnaire consisting of satisfaction with, and understanding of the education program. Results: The participants had a mean age of 46.7 yr, 87.9% were female and 58.2% were high school graduates. For the theory part of the education, the highest score for understanding was for 'supporting household & activities of daily living' while the lowest score for understanding was for 'care for death and dying'. For the practical education, the highest score for understanding was for 'talking with the client' and the lowest score was for 'first aid & basic life support'. There was a significant difference in satisfaction and understanding of the theoretical and practical parts according to educational level. Conclusion: Continuing education programs are needed for care workers for elders, both in the theoretical and practical areas. Also the content of programs should address the weak points of this formal education program.

• 대한가정학회지
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• 제41권6호
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• pp.143-156
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• 2003

The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.

• 대한감각통합치료학회지
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• 제18권1호
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• pp.44-55
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• 2020

목적 : 본 연구에서는 통계청의 '2014년 생활시간 조사' 원자료를 사용하여 장애 청소년의 시간 사용 분석과 작업 유형별 시간 사용에 대한 자기 만족도를 알아보고자 한다. 연구방법 : 통계청에서 추출한 자료를 활용해 10세에서 24세 장애 청소년 84명을 작업치료실행체계-3을 기준으로 6개의 작업 영역으로 재분류했다. 작업 유형은 개인의 시간 사용량을 기준으로 하여 분류하였다. 마지막으로 작업 유형에 따라 시간 사용에 대한 자기 만족감을 확인하였다. 결과 : 장애 청소년의 전체 시간 사용량은 휴식과 수면 영역(42.33%)의 시간 사용이 가장 많았고 그 다음 일상 영역(21.69%), 교육 영역(16.44%), 여가 영역(14.15%), 사회참여 영역(3.46%), 놀이 영역(1.93%) 순이었다. 작업 유형을 분석한 결과, 역균형 유형 10.71%, 활동과다 유형 50.00%, 활동과소 유형 28.57%, 균형 유형 10.71% 이었으며, 휴식과 수면 영역, 일상 영역, 교육 영역, 여가 영역에서 유형별 유의한 차이를 보였다. 시간 사용 부족감에 대해서는 유의한 차이가 없었으나 시간 사용 만족감에서는 유형별 유의한 차이를 보였다. 특히 균형 유형이 가장 만족한다고 느꼈다. 결론 : 장애 청소년의 시간 사용을 활용한 작업 균형 분석과 시간 사용에 관한 부족감 및 만족감 분석을 통하여 장애 청소년의 삶의 질과 건강을 증진 시킬 수 있는 중재 활동의 기초 자료로 제공하고자 한다.

• 대한지역사회작업치료학회지
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• 제7권1호
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• pp.59-70
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• 2017

목적 : 본 연구의 목적은 뇌졸중 환자를 대상으로 가상 현실 기반의 원격재활 효과를 체계적으로 고찰하여 그 효과와 국내 적용방법을 알아보고자 하였다. 연구방법 : 자료의 검색을 위해 EMBASE, CINAHL의 데이터베이스를 이용하였다. 주요 용어는 "Virtual Reality", "Telerehabilitation", "Stroke"으로 관련 연구를 검색하였다. 선정기준에 적합한 총 7편의 연구를 대상으로 질적 수준, 일반적 특성, PICO를 사용하여 연구 주제에 따른 자료를 분석하였다. 결과 : 선정된 7편의 연구는 가상현실 기반으로 한 원격재활 시스템으로 중재를 실시하였으며, 가상현실은 게임 프로그램과 수동적인 팔 보조 그리고 Balance Trainer등을 활용하여 원격재활 중재를 실시하였다. 주된 결과 측정도구는 상지기능, 균형 및 보행, 일상생활 등을 평가하기 위한 도구가 사용되었다. 가상현실 기반의 원격재활 중재방법은 모든 연구에서 상지기능, 균형감각능력에서 효과를 보였으며, 일상생활 활동에서의 부분적인 효과를 확인하였다. 환경적 특이성을 보완하기 위한 원격재활 서비스는 클라이언트의 만족감을 향상시키고 기능의 유지를 위한 중재법으로 그 효과를 확인할 수 있었다. 결론 : 가상현실 기반의 원격재활 시스템은 대부분 상지기능과 균형감각, 일상생활 활동을 위한 중재가 적용되었으며, 가정환경에서도 치료사의 중재, 감독, 교육 등을 통해 기능향상에 도움이 되는 것으로 나타났다. 본 연구는 가상현실 기반의 원격재활의 임상적 적용에 대한 근거와 가능성을 제시하고자 한다. 향후 연구에서 다양한 가상현실의 중재방법과 원격재활을 활용한 재활 프로그램 개발과 같은 추가적인 연구가 필요할 것이다.