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.
Purpose: The purpose of this study was to examine the satisfaction level of care services depending on the activities of daily living and types of care services for inpatients with chronic disease. Methods: The participants consisted of 156 chronically ill patients. A structured questionnaire and personal interviews were used for collecting the data. The data were analyzed using SPSS (ver. 12.0) program for frequency, t-test, ANOVA, multiple regression analysis. Results: The chronically ill patients taken care of by family members were more satisfied with care services than those taken care of by paid caregivers. Also, the more able the patients were for their daily living activities, they were more satisfied with care services. In addition, type of care services was the most important factor in terms of affecting patients' satisfaction with care services most. Conclusion: The result of this study suggests that nurses need to pay more attention to those with low activities of daily living and taken care of by paid caregivers, who have the probability of low satisfaction of care services.
The growth in the number of single-member households is a critical issue worldwide, especially among the elderly. For those living alone, who may be unaware of their health status or routines that could improve their health, a continuous healthcare monitoring system could provide valuable feedback. Assessing the performance adequacy of activities of daily living (ADL) can serve as a measure of an individual's health status; previous research has focused on determining a person's daily activities and extracting the most frequently performed behavioral patterns using camera recordings or wearable sensing techniques. However, existing methods used to extract common patterns of an occupant's activities in the home fail to address the spatio-temporal dimensions of human activities simultaneously. Though multiple sequence alignment (MSA) offers some advantages - such as inherent containment of the spatio-temporal data in sequence format, and rapid identification of hidden patterns - MSA has rarely been used to extract in-home ADL routines. This research proposes a method to extract a household occupant's ADL routines from a cumulative spatio-temporal data log of occupancy collected using a non-intrusive method (i.e., a tomographic motion detection system). The findings from an occupant's 28-day spatio-temporal activity log demonstrate the capacity of the proposed approach to identify routine patterns of an occupant's daily activities and to reveal the order, duration, and frequency of routine activities. Routine ADL patterns identified from the proposed approach are expected to provide a basis for detecting/evaluating abrupt or gradual changes of an occupant's ADL patterns that result from a physical or mental disorder, and can offer valuable information for home automation applications by enabling the prediction of ADL patterns.
Purpose: This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities. Methods: The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression. Results: The score of low back pain was $6.27{\pm}1.69$ (10 points), that of social support $2.92{\pm}0.76$ (1~5 points), and that of impediment in activity of daily living $2.01{\pm}0.82$ (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%. Conclusion: This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.
This study describes behavioral characteristics of Korean population over twenty years old in a variety of activities of daily living by analyzing the raw data of the time use survey provided by Statistics Korea (KOSTAT). Seven activities and forty four sub-activities of daily living were selected for analysis : personal care, employment, household care, family care, voluntary work and community participation, social life, recreation and leisure, and travel. In order to quantitatively understand how Korean adults spend their time for a day and how their lifestyle changes over time, we collected the time recorded by 3,673 respondents in three surveys over the past ten years (in 1999, 2004, and 2009). Then, we performed analysis of variance to compare the behavioral characteristics by user age and gender based on the mean time of each activity. The differences in behavior among user groups and over time could be used to design ergonomic products and services based on user experience, especially for universal design of housing and transportation facilities.
Designing environments for the elderly includes studying changes in the elderly themselves, changes in their environment, and changes in the intercommunication between the elderly and their environment. The purpose of this study is to provide guidelines for a ubiquitous environment in which seniors can "age in place," using an environment-behavioral approach. 305 subjects aged 45 to 78 take part in the survey research. Temporal sequence (age groups) and behavior (daily activities) are considered as the significant variables to design digital services for the elderly in the perspective of an environment-behavioral approach. Several conclusions can be made. (1) The characteristics of subjects in the over-65 age group shows that they manage an independent lifestyle even if they realize some body functions deteriorate as they age. (2) Over-65 age group is more engaged in healthcare and pastime activities. The male subjects of it are most inactive. (3) The IDA (importance of daily activities) and FDA (frequency of daily activities) are classified by five to six factors in each group. The IDA and FDA of the group aged over 65 differ from other age groups. (4) Five affordance dimensions of digital services for the elderly are proposed: Healthcare, Domesticity, Mobility & Security, Network, and Recreation & Pastime. These affordance dimensions will help research groups or companies design ubiquitous environments to enhance the quality of life of seniors.
This cross-sectional study was designed to describe in nutritional and health status of the Korean elderly residing in America using demographic variables, dietary, anthropometric and functional status indicators, and to investigate possible relationships among these variables. Sixty elderly persons aged 61-91 years were assessed in their homes. Dietary intake was estimated by the 24-hour recall and brief dietary questionnaire. The following anthropometric measures were taken : weight, height, knee height, triceps skinfold, and midarm circumference. Functional status was measured by activities of daily living(ADLs), instrumental activities of daily living(IADLs) questionnaires, and a measure of psychosocial status as "happiness score"(a life satisfaction questionnaire). Intakes of energy, calcium, magnesium, folacin, vitamin B6, and zinc were low in this elderly sample. Females 75 years of age and older had extremely low energy intakes. A large percentage of subjects reported difficulty with both activities of daily living and instrumental activities of daily living. Subjects over 75 years of age reported more difficulty than younger subjects for most activities. Gender differnces were seen in anthropometric variables and energy intake. Happiness scores were similar in subjects, regardless of age or gender, however, happiness score was significantly correlated with the energy and protein intake(p<0.05). Several difficulties were encountered during the assessment of this elderly sample. The conditions in the home were unpredictable and often inadequate for the anthropometric measures in particular. Further research is needed to improve current methodologies so that they may be more adaptable to the conditions found in homes. in homes.
This study was conducted to examine the effects of the application of family-centered training over the 12-week period by the pediatric physiotherapist on functional balance and activities of daily living in children with cerebral palsy. Among the 26 children with cerebral palsy as the subjects were allocated to the experimental and control group. Both groups were subjected to neurodevelopmental treatment by the pediatric physiotherapist. The experimental group, participated in family-centered training program 3 times a week over a period of 12 weeks for the total of 36 sessions, functional balance and activities of daily living were verified through intergroup comparison. There was no significant difference between the outcomes prior to training and after 6 weeks of training, (p>.05) Pediatric Berg's Balance Scale(PBS) and Functional Independence Measure for children(Wee-FIM) increased significantly from those measures after 6 weeks to those after 12 weeks of training (p<.05). Therefore, these results suggest that on family-centered training on children with cerebral palsy has beneficial effects on functional movements and physical activities.
Purpose : In this study, we applied a computerized cognitive rehabilitation program (CoTras-C) for children with cerebral palsy. Research was conducted to investigate the impact of upper limb function, sensory function, and activities of daily living. Methods : The study period lasted 10 weeks from October 2019 to December 2019. The study subjects were 12 subjects according to the selection criteria, and a computerized cognitive rehabilitation program (CoTras-C) was conducted twice a week for 30 minutes before and after the application of basic occupational therapy. Results : As a result of the computerized cognitive rehabilitation program, scores of upper limb function (QUEST), sensory function (SSP-2), and daily life activity (WeeFIM) were significantly improved (p>.05). From the result of examining the motor area, improvement in fine-motor function and protective extension through touch pad or controller operation was found. It also showed improvement in activities of daily living including motor and activities of daily living including social cognition. In the sensory function evaluation, it was not significant in movement sensitivity. Significant differences were shown in the items excluding olfactory/taste sensitivity. Conclusion : The application of the computerized cognitive rehabilitation program (CoTras-C) showed significant results in upper limb function, sensory function, and daily life activities of children with brain lesions. Based on these results, future studies need to generalize the study by expanding the age or population of children with brain lesions, or by expanding the diversity of diseases and environments.
PURPOSE: This study examined the effects of the chopping pattern of proprioceptive neuromuscular facilitation (PNF) on the neglect, balance ability, and activities of daily living in stroke patients with hemi-spatial neglect. METHODS: Twenty stroke patients with neglect volunteered for this study. The subjects were assigned randomly to either the experimental group (EG, n=10) or control group (CG, n=10). The chopping pattern of PNF and exercise therapy were applied in the EG and CG, respectively, for four weeks. Neglect, balance, and activities of daily living were evaluated at the pre-and post-intervention. The assessment tools included a line-bisection test, balance test using Space balance 3D, and modified Barthel index. The pre-and post-intervention values were compared in each group using a paired t-test and the between-group differences were assessed using an independent t-test. Statistical significance was set to ${\alpha}=.05$ for all variables. RESULTS: Significant differences were observed between the EG and CG in terms of neglect, balance, and activities of daily living (p<.05). Both groups showed significant improvement in neglect, balance, and activities of daily living (p<.05). CONCLUSION: These results suggest that the chopping pattern of PNF is effective in improving the hemi-spatial neglect, balance, and activities of daily living in stroke patients with neglect.
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