• Title/Summary/Keyword: daily living

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Effects of The Home Physical Therapy on Recovery of Muscle Strength and Gait for Discharged Patients Who Underwent Total Knee Replacement

  • Jang, Yong Su;Kim, Moo Ki;Kim, Ji Sung;Koo, Ja Pung;Park, Si Eun;Choi, Wan Suk;Kim, Bo Kyoung;Kim, Yong Youn;Kim, Soon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.5 no.2
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    • pp.743-751
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    • 2014
  • This study aims to identify the effect of home physical therapy on patients who left the hospital after total knee arthroplasty, compared to the Daily living group, when it was applied to them, under the guidance of physical therapists. As research subjects, 20 patients that were scheduled to leave the hospital after unilateral total knee arthroplasty, were chosen, and they were randomly divided into a home physical therapy group(10 patients) and an Daily living group(10 patients) in order to conduct an experiment. During the 4-week research, home physical therapy was offered for 40 mins once for 5 days a week, and muscular strength, gait components were measured. For muscular strength, quadriceps muscle strength, hamstring muscle strength were measured, and as gait components, endurance, speed, step time, single-limb support were analysed. For this experiment, pre- and post-measurement were performed, and collected data were analyzed using SPSS ver. 18.0 statistical program. From the analysis of data, the following study results were obtained. Home physical therapy group and Daily living group both showed significant improvements in quadriceps muscle strength, hamstring muscle strength, and quadriceps muscle strength, hamstring muscle strength of home physical therapy group more significantly improved than Daily living group's. In relation to gait components, gait endurance, gait speed, step time significantly improved in both of home physical therapy group and Daily living group, whereas home physical therapy group only showed significant improvements in single-limp support. According to the comparison between two groups, gait speed, single-limp support and step time improved more significantly in the home physical therapy group than in the Daily living group. In conclusion, positive results were revealed in both home physical therapy group and Daily living group, with regard to muscular recovery of lower limbs of patients discharged from the hospital after total knee arthroplasty and walking, but considering the comparison results between two groups, it seems that applying home physical therapy is more effective than maintaining a daily life.

The Effect of Decline in Functional Ability on Relocation among the American Elderly aged 70 or older (노년기 생활기능 감소와 주거이동에 관한 연구 -미국의 70세 이상 노인들을 대상으로-)

  • 전경숙
    • Journal of the Korean housing association
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    • v.14 no.5
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    • pp.117-128
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    • 2003
  • The purpose of this study is to investigate the effect of functional ability on relocation among the elderly. Longitudinal data from the Asset and Health Dynamics among the Oldest Old (1993, 1995) were analyzed for 6,225 respondents aged 70 or older. Among functional ability measures, difficulties in advanced activities of daily living (i. e., making telephone calls, taking medications, and managing money), lower body activities (i. e., walking several blocks, climbing one flight of stairs, pulling or pushing large objects, and carrying over 10 pounds), and household activities of daily living (i. e., preparing hot meals and shopping for groceries) were the predictors of increased residential move. Difficulties in basic activities of daily living (i. e., bathing, dressing, getting in and out, and using the toilet) were strongly related to increased entrance into an institutional care facility. Efforts to enhance the independent living of the elderly in the community setting should target the compensation of these functional difficulties.

A Study on Ward Design for the Elderly with Dementia (치매노인을 위(爲)한 병동계획(病棟計劃)에 관(關)한 연구(硏究))

  • Yang, Kum-Suek
    • Journal of the Korean Institute of Rural Architecture
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    • v.3 no.3
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    • pp.35-46
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    • 2001
  • The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in medical facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 geriatric hospitals and 1 special hospital for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and special hospital for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in hospitals are influenced by the physical environments and the basic characteristics of the elderly with dementia.

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Psychosocial Adjustment in Korean Colorectal Cancer Survivors

  • Sun, Hyejin;Lee, Jia
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.545-553
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    • 2018
  • Purpose: The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors. Methods: A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model. Results: The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (${\beta}=.33$, p<.001), followed by difficulty in activities of daily living (${\beta}=-.24$, p=.001), posttraumatic growth (${\beta}=.20$, p=.004), and having a stoma (${\beta}=-.19$, p=.004). Conclusion: Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

Predictors of Post Stroke Depression in Community-indwelling Older Adults (재가노인의 뇌졸중 후 우울 예측요인)

  • Oh, Eunmi
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.167-176
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    • 2018
  • Purpose: Post Stroke Depression (PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health (OR=5.90, CI=3.70~9.40), economic state (OR=2.97, CI=2.07~4.24), independent activities of daily living (IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living (ADL) (OR=2.02, CI=1.07~3.80), and education (OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living (IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.

Tingling Sensation and Difficulty in Daily Living of Clients Treated FOLFOX Chemotherapy after Colon Resection (FOLFOX 항암화학요법을 받는 대상자의 저림감과 일상생활 어려움)

  • Lee, Hye-Seon;Kim, Myung-Hee;Kang, Eun-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.97-104
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    • 2010
  • Purpose: This study was to investigate difficulties in daily activities and tingling from patients having treatment of FOLFOX chemotherapy after colon resection. Method: This study included 103 patients hospitalized for FOLFOX chemotherapy in one of the university affiliated hospital from August 1, 2008 through September 30, 2009. Data were collected using the questionnaire comprised general symptoms, tingling, difficulties in daily activities and coping behavior. Using the SPSS 14.0 program, data analytic methods include Chi-Square test, ANOVA, Scheffe's test. Results: The tingling sensation occurred in hands, feet, mouth, throat. Contacts with cold objects and the number of chemotherapy cycle worsen tingling sensation. Patients experienced difficulties in daily activities such as personal hygiene, kitchen work, eating cold food, sleeping cold, using fine motors like button up, writing, or using knife. The coping behavior included drinking warm water, sleeping warm, using gloves and socks, wearing comfortable shoes, massaging hands and getting help from supporters. Conclusion: An educational guideline for promoting coping behavior to relieve tingling sensation and difficulty in daily living in patients with FOLFOX chemotherapy is needed.

Effects of Home Visiting Physical Therapy on Activites of Daily Living and Function in Disabled Persons Living at Home (가정방문물리치료가 재가장애인의 일상생활동작과 기능에 미치는 영향)

  • Park, Seung-Kyu;Ji, Hey-Young;Heo, Jae-Won
    • The Journal of Korean Physical Therapy
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    • v.23 no.2
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    • pp.61-68
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    • 2011
  • Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.

A Study on the Functional Health Status of Living-alone Elderly (독거노인의 건강기능상태에 관한 연구 -광주광역시를 중심으로-)

  • Kim Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.94-105
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    • 1997
  • The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.

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Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke (뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계)

  • Kim, Won-Ock;Kang, Hyun-Sook;Wang, Myoung-Ja;Kim, Jeong-Hwa;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.138-146
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    • 2007
  • Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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