• Title/Summary/Keyword: community-dwelling

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Reliability and Validity of Gait Assessment Tools for Elderly Person (노인의 보행에 대한 평가 도구의 신뢰도와 타당도 조사 연구)

  • Kim, Jae-Hyun
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.41-48
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    • 2009
  • Purpose: The examine the Reliability and Validity of the modified Emory Functional Ambulation Profile (mEFAP), Tinetti. Gait (TG), Timed Up & Go Tes t (TUG), Comfortable Gait Speed (CGS), Berg Balance Scale (BBS) in assessing gait function and balance in elderly person. Methods: The 45 community-dwelling subjects were participated in this study. Reliability was determined by intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method (Standard Error of Measurement (SEM), Smallest Real Difference (SRD)). Results: Validity was examined by correlation the mEFAP, TG, TUG, CGS, BBS. The intra-rater reliability were High (ICC$_{3,1}$ : mEFAP=0.95, TG=0.96, TUG=0.94, CGS=0.96, BBS=0.92) and Absolute reliability were excellent (SEM: mEFAP=1.90, TG=0.21, TUG=0.28 CGS=0.25, BBS=0.52), (SRD: mEFAP=5.26, TG=0.58, TUG=0.77, CGS=0.69, BBS=1.44). There were significant correlations between assessment tool (r=.0.58$\sim$0.78, p<0.01) indicating good validity. Our results provide strong evidence that the assessment tool has good reliability, validity for assessing elderly person undergoing rehabilitation. Conclusion: The gait assessment tool is a useful scale for measuring walking function and recovery in elderly person.

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The Effect of Obstacle Height on Balance Control While Stepping Over an Obstacle From a Position of Quiet Stance in Older Adults (노인의 정적인 자세로부터 장애물 보행 시 장애물 높이의 변화가 평형감각에 미치는 효과)

  • Kim, Hyeong-Dong
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.75-80
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    • 2009
  • Purpose: The purpose of this study was to examine the effect of an obstacle height on the balance control of older adults while stepping over an obstacle from a position of quiet stance. Methods: Fifteen community-dwelling healthy older adults (mean age, $74.4\pm4.27$ yrs; age range, 67-82 yrs) volunteered to participate in this study. The subjects performed gait initiation (GI) and they stepped over obstacles of two different heights (10 cm and 18 cm) at a self-paced speed from a position of quiet stance. Their performance was assessed by recording the changes in the displacement of the COP in the anteroposterior (A-P) and mediolateral (M-L) directions using a force platform. Results: The M-L displacement of the COP significantly increased for an 18 cm obstacle height condition as compared to the GI and a 10 cm obstacle height condition (p<0.01). Furthermore, the M-L displacement of the COP for a 10 cm high obstacle was significantly greater for that for the GI (p<0.01). However, the mean of the A-P displacement of the COP was similar between the stepping conditions for the A-P displacement of the COP (p>0.05). Conclusion: This study suggests that the M-L COP displacement could be a better parameter to identify the dynamic balance control in older adults when negotiating obstacles.

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The Effect of Self-Streching Exercise on the Ankle Dorsiflexion Range of Motion and Gait of Older Women (노인의 발둥굽힘 관절가동범위와 보행에 대한 자가 신장 운동의 효과)

  • Choi, Bo-Kyung;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.15 no.3
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    • pp.8-16
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    • 2008
  • The range of motion (ROM) of ankle dorsiflexion in older women was associated with gait abnormalities and the risk of falls. The purpose of this study was to investigate the effect of self-stretching exercise on the flexibility of the plantar flexors of the ankle and the characteristics of gait in healthy elderly women. Fifteen participants were assigned randomly into an exercise (n=8) or control (n=7) group. The exercise group attended a self-stretching program approximately 30 minutes for 3 days per week for 4 weeks. The active ankle dorsiflexion ROM and gait measurements were taken prior to beginning the stretching program and 1 day after the last stretching day. Results showed that the active ankle dorsiflexion ROM was significantly increased in the exercise group than in the control group after the stretching program (p<.05). However, gait parameters, including gait speed, cadence, and stride length were not significantly different between the two groups (p>.05). The results suggest that a 4-week self-stretching program is capable of provoking a significant increase in ankle dorsiflexion ROM in elderly, community-dwelling women. Additional research is needed to investigate the effect of gait-specific exercise combined with stretching exercise on gait ability.

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A Study on the External Effect of 'Dagagu' Housing Purchase and Public Rental Housing to Nearby Area (다가구매입임대주택이 주변지역에 미치는 외부효과에 관한 연구)

  • Kim, Sang-Don;Lee, Joo-Hyung
    • Journal of the Korean housing association
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    • v.19 no.5
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    • pp.29-36
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    • 2008
  • The objective of his study is to research the effect of the 'Dagagu' housing purchase and the public rental housing supply on the nearby community. In the case of public rental housing, many studies have demonstrated that the perception that a public rental house is a low income dwelling has an external effect on the residents immediately outside the area such as the perception of the lowering of house prices. However, an advanced research concerning the 'Dagagu' housing purchase and public rental housing has not been carried out because it has only recently been enforced. Through a survey conduced of residents who live nearby the 'Dagagu' housing purchase and public rental housing the aim of his study is to show how the residents perceive the renal houses and are influenced by them. At the same time, this study demonstrates the external effect of rental house supply by analyzing the housing price around the area. Most people who live in the near by 'Dagagu' housing purchase and public renal housing have a negative opinion of his housing because they believe that the residential prices will depreciate. However, only about 40% of the people felt that the residential price depreciation as a result of the 'Dagagu' housing purchase and public rental housing supply was not visible.

Discourse Analysis on ICT and Home - From Electronic Cottage to Sharable Home - (정보통신기술과 주거에 대한 중요 담론 분석연구)

  • Han, Sooyeon;Kim, Mi Jeong
    • Journal of the Korean housing association
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    • v.25 no.3
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    • pp.115-121
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    • 2014
  • This paper draws the home into the stream of information and communications technology (ICT) development. Considering that homes and our home life are constantly affected by persistent change influenced by ICT, it is remarkable that ICT has been relatively neglected as an object of research in the field of housing studies. This study provides an overview of conceptual movements in ICT/home relationships and their design and social impact through a critical discourse analysis. The conceptual movements must be considered by professionals in the field of housing and built environment to stay attuned to changes in the 21st Century. Diverse debates took place in the discourse about ICT in relation to home. The stream of thought was started by futurists who saw the electronic cottage as a solution to the social problems caused by the separation of work and home life in industrial cities. ICT has now entered a new phase, with WiFi P2P networks and location-based social media that encourage sharable homes. Based on the analysis of the discourse on ICT and home, we drew from three issues related to the paradigm shifts in homes in the context of ICT development to provide future directions for housing studies: from space programming to time scheduling, from individual ownership to shared access, and from live+work dwelling to live+work+community.

The Courtyard as a Microcosm of Everyday Life and Social Interaction

  • Lee, Myung-Sik;Park, Youjung
    • Architectural research
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    • v.17 no.2
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    • pp.65-74
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    • 2015
  • The habitual rooms and other structures related to everyday life are almost always grouped around the courtyard and together make up a house. There are many kinds of variety in types of courtyard houses depending on location, composition, allocation and relationship with inner space of the house. Every type of courtyard house accumulates many factors, which are social and economic circumstances, weather and geographical conditions. They are still well harmonized with life style and weather conditions in each area and basic unit of city organization. A courtyard can be shown as a place for everyday conversation like a community. Everyday space is the connective tissue that binds daily lives together, amorphous and so persuasive that it is difficult even to perceive. In spite of its ubiquity, everyday space is nearly invisible in the professional discourses of the city, like everyday life. Therefore Courtyards are special places that are outside yet almost inside, open to the sky, - a microcosm which gives relief to the inner rooms, gives the inhabitants a sense of ease and calm, and the feeling that they have their own piece of sky to use and protect them. This research will explore a variety of space use and dwelling types through courtyards based on field research and design projects.

Relationship between Life Satisfaction and Sexuality among Community-dwelling Elderly (지역사회 거주 노인의 성생활과 삶의 만족도 간 관계)

  • Hwang, Eun-Hee;Shin, Su-Jin
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.183-190
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    • 2012
  • Purpose: The purpose of this study was to investigate the reported patterns of sexuality and life satisfaction of the elderly. Methods: Study participants were 490 older than 60 years of age who participated in a sexuality education program over five provinces. Data were collected from August to October, 2009 by using a structured questionnaire. The data were analyzed using PASW/WIN 18.0 program. Results: 163 participants (33.3%) reported being sexually active with a frequency on an average of 3.16 times per month. The reported life satisfaction of the participants was significantly different in terms of education level ($p$ <.001), health status ($p$ <.001), economic status ($p$ <.001), sexual behaviors ($p$ <.001), and attitude on the sexuality ($p$=.023). The reported life satisfaction was significantly associated with sexual attitudes and the frequency of sexual behaviors. Conclusion: These results suggest that the elderly person has a positive sexual attitude although not all elderly people are sexually active. There are several influencing factors on life satisfaction of the elderly. Therefore, it is needed to investigate the sexuality of the elderly more closely to enhance their life satisfaction.

Frequency of Irritable Bowel Syndrome, Perceived Stress, and Mental Health Among Women (서울·경인지역사회 성인여성의 과민성 장 증후군 빈도와 스트레스, 정신 건강에 관한 연구)

  • Park, Hyo-Jung;Lim, Soo-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.5
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    • pp.685-696
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    • 2008
  • Purpose: This study was performed to examine the frequency of irritable bowel syndrome(IBS), perceived stress, and mental health among community-dwelling women. Methods: This study conducted a survey to collect data on 869 women in Seoul and Gyeonggi-do. The measurements included the Rome III criteria(to diagnose IBS), the Global Assessment Recent Stress(GARS scale to evaluate perceived stress), and symptom check list 90R(SCL-90R to evaluate psychological distress). Data were analyzed using SPSS 15.0 program by frequency, $x^2$-tests, t-test, and analysis of variance(ANOVA). Results: The frequency of IBS in women was 15.1%. Eighty-six women(65.6%) had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly higher scores on GARS, all subscales of GARS, SCL-90R, all subscales of SCL-90R, and the global severity index(GSI). No significant differences were observed among stress, mental health, and the IBS subtypes. Conclusion: Nursing interventions targeting women with IBS should be developed in order to reduce the associated stress and psychological distress.

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Factors associated with Life Satisfaction among Older Adults in Korea according to Living Arrangements (거주형태에 따른 한국 노인의 삶의 만족도 관련 요인)

  • Lee, Si Eun
    • Korean Journal of Adult Nursing
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    • v.28 no.6
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    • pp.659-668
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    • 2016
  • Purpose: This study utilized secondary data and investigated the factors associated with life satisfaction by living arrangements among community-dwelling adults aged 65 years or older in Korea. Methods: A total of 2,134 participants were selected from the 2014 Korean Longitudinal Study of Aging (KLoSA). Univariable and multivariable logistic regression were used for data analysis. Results: The significant factors associated with life satisfaction in older adults living with others were education level (odds ratio [OR] 1.73, 95% confidence interval [CI] 1.41~2.11), place of residence in medium-size city (OR 1.57, 95% CI 1.25~1.97), place of residence in rural town(OR 1.52, 95% CI 1.19~1.95), depression (OR 2.99, 95% CI 2.43~3.68), frequency of contact with neighbors (OR 1.39, 95% CI 1.10~1.76), and social participation (OR 1.48, 95% CI 1.14~1.93). In contrast, factors associated with life satisfaction among older adults living alone were education level (OR 1.93, 95% CI 1.15~3.24) and depression (OR 2.49, 95% CI 1.48~4.19). Conclusion: These findings indicated that nursing interventions for improving life satisfaction among older adults should take into account their specific living arrangements.

A Study on the Research for the Planning of in Environmental friendly Village -Focused on Yeochan-ri and Unjeong-dong, Gangneung City- (친환경 마을 조성을 위한 현황 조사 연구 -강릉시 구정면 여찬리와 운정동 마을을 중심으로-)

  • Byun, Kyeong-Hwa;Kim, Heung-Gee
    • Journal of the Korean Institute of Rural Architecture
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    • v.16 no.1
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    • pp.79-86
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    • 2014
  • As the seeking of environmental condition, the environmental friendly village has became important to planning and designing with neighbor communities. Our village was inferior to new order and identity is weakened, environmental maintenance. According to the situation the purpose of this paper is derived the plan point of environmental elements to be good for living in urban countryside villages. The primary research was to be planning directions and improvements through the present situation investigation. The results of this study are as follows. Through the two case study-village ; Yeochan-ri, Unjeong-dong in Gangwon province, environmental elements are classified such as superior 5parts and 17points in order to happiness of neighbor community. There are summarized a historical & traditional part, building, street/park/furniture, living and vision of village. Specially residents appealed to inconvenience by infringement of a large building in a small dwelling village. The data of this paper is effective in specialists carry out the planning and evaluation indicators regarding rural village. Finally regional experts by a rural field and local residents are necessary collaboration at the planning and maintenance of residential settlement through the pleasant participation.