• 대한통합의학회지
• /
• 제7권2호
• /
• pp.69-76
• /
• 2019

Purpose : This study examined the effects of a virtual reality rehabilitation program on stroke patients' upper extremity functions and activities of daily living (ADL). Methods : The subjects were equally and randomly divided into an experimental group (n=16) to whom a virtual reality rehabilitation program was applied and a control group (n=16) who received traditional occupational therapy. The intervention was applied five times per week, 30 minutes per each time, for six weeks. Jebsen-Taylor hand function test was conducted and the subjects' Manual Function Test was measured to examine their upper extremity functions before and after the treatment intervention, and a Korean version of modified Barthel index was calculated to look at their activities of daily living. Results : After the intervention, the upper extremity functions and activities of daily living of the participants in both groups significantly improved (p<.05). However, the improvements in these parameters among the participants in the virtual reality rehabilitation program were significantly greater than those in the control group (p>.05). Conclusion : The virtual reality rehabilitation program is a stable and reliable intervention method for enhancing the upper limb functions and activities of daily living of stroke patients.

• 한국콘텐츠학회논문지
• /
• 제14권11호
• /
• pp.328-336
• /
• 2014

본 연구는 2013년 12월 현재 요양병원에 입원생활 중인 노인들 중 환자평가표의 평가구분에서 계속입원중인 환자 평가를 받은 3개월 이상 입원중인 노인들을 대상으로 실질적으로 부양 및 요양간병 시 집중적으로 관심을 가져야 하는 일상생활활동이 무엇인지를 파악해 보고자 하였다. 연구결과, 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태와 일상생활활동수행능력들 간의 인과관계를 로지스틱 함수를 이용하여 추정한 결과, 일상생활사 의사결정 인식기술 상태가 심하게 손상된 경우에는 노인들에게 실질적으로 부양 및 요양간병 시 '식사하기' 활동과 '옮겨 앉기' 활동에 집중적으로 관심을 가져야 한다는 것을 확인하였다. 또한 '식사하기' 활동과 '옮겨 앉기' 활동 외의 활동들은 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태보다는 노화나 질병으로 인한 신체적 기능이 떨어져서 나타난 결과로 유추해 볼 필요성이 있을 것이다. 따라서 이 경우에는 부양이나 요양간병 시 도움을 받는 노인들의 인격이나 수치심 등 자존감을 고려하여 수발자들은 행동과 언어에 각별히 신경을 써야 할 것이다.

• 성인간호학회지
• /
• 제13권2호
• /
• pp.247-261
• /
• 2001

This study was conducted to compare activities of daily living, fatigue and depression between rheumatoid arthritis patients and healthy persons. The subjects consisted of 53 rheumatoid arthritis patients and 53 healthy persons at a university hospital in Daegu City. Data were collected by means of structured interviews with questionnaires from July 20, 1999 to August 25, 1999. The instrument used in this study were the activities of daily living scale developed by Katz et al. (1970) and Barthel(1973), Multidimensional Assessment of Fatigue by Belza et al.(1995) and CES-D(Center for Epidemiologic Studies-Depression) scale. Analysis of data was done by use of descriptive statistics, Pearson Correlation, Chi-square test, t-test, ANOVA, MANCOVA and Duncan with the SPSS program. The major findings are summarized as follows : 1. The first hypothesis that the rheumatoid arthritis patients will have a lower degree of activities of daily living than the healthy persons was supported (F=4.584, p=.035). 2. The second hypothesis that the rheumatoid arthritis patient will have a higher degree of fatigue than the healthy persons was supported (F=7.799, p=.006). 3. The third hypothesis that the rheumatoid arthritis patients will have a higher degree of depression than the healthy persons was supported (F=4.768, p=.031). With the above results, it can be concluded that rheumatoid arthritis patients had a lower degree of activities of daily living and a higher degree of fatigue and depression than the healthy persons. Therefore, by providing appropriate nursing intervention, activities of daily living would be much better and fatigue and depression would be alleviated.

• 대한통합의학회지
• /
• 제8권2호
• /
• pp.121-130
• /
• 2020

Purpose : The objective of the current study was to evaluate the impact of the Computer-Based Cognitive Rehabilitation Program (CoTras) on the cognitive function and daily living activities of elderly and adult stroke patients. Methods : Twenty stroke patients were divided into two groups comprising 10 elderly stroke patients and 10 adult stroke patients. The CoTras was applied as the intervention for 30 minutes at a time, three times a week, for nine weeks (i.e., a total of 27 times), to both groups. The Neurobehavioral Cognitive Status Examination was used to assess cognitive function, and the Functional Independence Measure was utilized to evaluate daily living activities, prior to, during, and after the intervention. Results : The CoTras was demonstrated to have a statistically significant and positive effect on the cognitive function and daily living activities of stroke patients. However, the effect of the program on the restoration of weight-shifting capacity, as a component of the daily living activities of stroke patients, was without statistical significance. The program had a greater influence on improving the cognitive function and daily living activities of elderly stroke patients than adult stroke patients. Conclusion : This study makes a meaningful contribution to the literature on the topic as the intervention was demonstrated to lead to a more significant recovery of cognitive function and daily living activities in elderly stroke patients, compared to adult patients. Therefore, it is proposed that the CoTras should be used as a clinical intervention for elderly stroke patients. Future studies that evaluate the application of the CoTras, along with other occupation-based intervention programs, are warranted.

• The Journal of Korean Physical Therapy
• /
• 제27권5호
• /
• pp.375-380
• /
• 2015

Purpose: The purpose of this study was to evaluate the impact of differences in computer-aided cognitive rehabilitation aimed at stroke patients on cognitive function and daily life. Methods: The study subjects were Gwangju, Jeonnam including the attention group (group I), memory group (group II), and visual perception group (group III), who were randomly placed in each of a 10 by one problem solving group (group IV). The PSSCogRehab was applied to all subjects who underwent eight weeks once a week after 20 minutes in each group by strengthening mediation 10 minutes 30 minutes total, with a five minute break in the middle. Results: Cognitive function and activities of daily living is security and inter-group differences before intervention, and post-test results in the memory training group II, the intervention group I, III, IV and more on cognitive function and activities of daily living compared to it was effective. Conclusion: The results of computer-aided cognitive rehabilitation measuring cognitive function and ADL in patients with stroke in accordance with the group I, III, and IV group cognitive function and activities of daily living compared to IV showed that it was more effective.

• 동의생리병리학회지
• /
• 제26권3호
• /
• pp.386-391
• /
• 2012

The purposes of this study were to investigate the difference on activities of daily living(ADL), instrumental activities daily of living(IADL) and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. From December 2009 to February 2010, 64 subjects in the institutionalized aged woman with dementia, 22 caregivers were surveyed through structured questionnaires. There was no difference ADL and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. But, there was significant differences in IADL. Also, ADL was positively related to IADL in aged woman with dementia and caregivers. ADL and IADL were negatively related to quality of life in aged woman with dementia and caregivers. In daily activity and life quality, there is no difference recognized by aged woman with dementia and caregivers. So it's not matter for the nursery to recognize the demand of the aged woman with dementia and to care them. It is necessary to study the elderly with dementia at home, and to compare the patients in accordance with severity.

• 한국주거학회:학술대회논문집
• /
• 한국주거학회 2002년도 추계학술발표대회
• /
• pp.161-166
• /
• 2002

Functional ability is an important criterion to predict the capability of older persons to maintain independent living in the community setting. This study focused on the effect of built-environment features to ameliorate declines in functional ability and reduce the likelihood of relocation. Using longitudinal data from the Asset and Health Dynamics Among the Oldest Old (1993, 1995), relocation was analyzed for 6,225 respondents aged 70 or older. Findings are that while functional decline in household activities of daily living among older persons increased their residential moves in the community, functional declines in basic activities of daily living, household activities of daily living, and advanced activities of daily living among them increased their entrance into an institutional care facility However, they were less likely to enter an institutional care facility when their home was equipped with built-environment features such as street level ramps, special railings, modifications to allow someone in a wheelchair, grab bars or shower seat in the bathroom, and special call device or system to get help.

• 한국전문물리치료학회지
• /
• 제10권3호
• /
• pp.41-51
• /
• 2003

The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to T$\breve{a}$e-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

• 재활치료과학
• /
• 제13권2호
• /
• pp.85-94
• /
• 2024

목적 : 본 연구는 성인 발달장애인을 대상으로 수단적 일상생활활동 프로그램을 제공하였을 때 일상생활활동 및 삶의 질에 미치는 영향을 확인하고자 하였다. 연구방법 : 본 연구는 단일집단 사전-사후 실험설계로, E 장애인복지관의 성인 발달장애인 17명을 대상으로 시행하였다. 프로그램은 사전-사후 평가를 포함하여 총 10회기로 이루어졌으며, 장보기, 식사준비 및 정리, 가정관리, 안전 및 응급관리와 관련된 훈련 및 교육을 제공하였다. 평가도구는 삶의 질 설문지(Quality of Life: QOL), 한국어판 생활공간 평가(Korean version of the Life Space Assessment: K-LSA), 한국어판 수단적 일상생활활동(Korean version of the Instrumental Activities of Daily Living: K-IADL)을 사용하였다. 결과 : 수단적 일상생활활동 작업치료 프로그램 전과 후의 QOL과 K-IADL 점수에서 통계적으로 유의한 차이가 나타났으며, K-LSA 점수는 통계적으로 유의한 차이가 없었다. 결론 : 본 연구는 성인 발달장애인 대상으로 수단적 일상생활활동 프로그램을 시행함으로써 수단적 일상생활활동 수행도와 삶의 질에 긍정적인 영향을 주는 것을 확인하였다. 성인 발달장애인의 일상생활 및 사회참여를 영위하기 위해 일상생활활동 훈련을 포함한 작업참여의 중재가 확대되어야 한다.

• 한국보건간호학회지
• /
• 제14권1호
• /
• pp.131-146
• /
• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.