• 제목/요약/키워드: physical functioning

검색결과 320건 처리시간 0.027초

재가 암 환자의 증상관리를 위한 심리교육 중재효과 (The Effect of Psychoeducational Intervention for Symptom Management of Home Cancer Patient)

  • 서순림;이원기
    • 종양간호연구
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    • 제3권1호
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    • pp.56-65
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    • 2003
  • Purpose: The study was to develop psychoeducational intervention and identify its effect for symptom management of home cancer patient. Method: Study subjects were 24 patients in control group and 18 patients in experimental group. In experimental group, individualized psychoeducation was done after pretest and then continued to educate and consult through calling by telephone once a week for 4 weeks. The data were collected using several tools such as symptom distress by McCorkle(2000). Physical functioning, a part of Medical Outcome Study by Ware and Sherbouine(1992) and QOL- cancer patient version by Ferrell and Grant(1995) from 18th of Feb. to 30th of July. Data were analysed to ${\chi}^2$ test and t test using SAS VER8.12. Results: The mean score of symptom distress was 21.6 in experimental group and 24.2 in control group. Experimental group was shown lower score than control group. Physical functioning of experimental group was better as mean score 23.3 than 20.6 in control. Psychological wellbeing was 69.7 in experimental group and 66.1 in control group. Social wellbeing was 32.2 in experiment and 25.8 in control. Psychosocial wellbeing of experimental group was higher than control group. However there was no significant differernce between two groups among these variables. Conclusion: The psycho educational intervention was not made symptom mangement, physical functioning, and psycho social wellbeing improved but shown positive tendency. It is expected having a statistically significant finding if enlarged sample size and prolonged the intervention term in future. Therefore it is suggested psycho educational intervention study do repeatedly.

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유산소 운동이 조혈모세포이식자의 건강상태와 체력에 미치는 효과 (The Effect of Aerobic Exercise Program on Health Status and Physical Fitness in Patients after the Stem Cell Transplantation)

  • 한신희
    • 재활간호학회지
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    • 제4권1호
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    • pp.7-19
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    • 2001
  • The Objectives of this research is to determine the effect of aerobic exercise program on health status and physical fitness in patients after the stem cell transplantation. This research design is one-group pretest-post test design. Sixteen subjects were selected from one university hospital in Seoul for the study, they was carried out aerobic exercise three to five times a week for 12 weeks. The period of data collection was from February to July, 2000. The collected data was analysed by descriptive analysis, paired t-test, content analysis SAS program was used for the statistical analysis. The results are as follows : 1. There was a significant improvement in the Physical functioning, Vitality and Reported change (t=2.39, p=0.03; t=2.35, p=0.03; t=2.58, p=0.02) but no change was observed in the Role physical, General health perception, Bodily pain, Social functioning, Role emotional and Mental health. 2. There was a significant improvement in the physical fitness (higher VO2 max, t=2.43, p=0.02; lower systolic pressure, t=-4.09, p=0.001; lower diastolic pressure, t=-3.43, p=0.002; lower pulse rate, t=-3.43, p=0.004; higher muscle sustaining power, t=2.79, p=0.015; higher muscle power, t=5.18 p=0.000; higher power of beginning, t=5.55, p=0.001; higher the sense of equilibrium, t=3.57, p=0.003; higher Hemoglobin, t=5.92, p=0.000; higher Hematocrit, t=5.38, p=0.000). Therefore, this study will provide a theoretical back ground for patients after stem cell transplantation to understand the importance of physical exercise and maintain physical exercise; and for other researches to refer to the results for exercise protocol of rehabilitation program.

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일상적 여가의 심리적 기능성에 대하여: 진지한 여가와의 비교를 중심으로 (The Study for the Psychological Functioning of Casual Leisure: Compared with Serious Leisure)

  • 오세숙;손영미;신규리;오경아
    • 한국체육학회지인문사회과학편
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    • 제51권3호
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    • pp.273-284
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    • 2012
  • 지난 10여년간 진지한 여가에 대한 연구가 활발히 진행되었던 데 반해 일상적 여가에 대한 여가학적 관심은 상대적으로 부족하였다. 그리고 일상적 여가에 비해 진지한 여가를 더욱 바람직하고, 건강한 여가생활로 간주하는 경향이 있어 왔다. 본 연구는 진지한 여가와의 비교를 통해 일상적 여가의 심리적 기능성을 밝히고자 하였다. 이를 위해 대학생 291명의 자료가 분석되었으며, 주요 결과를 살펴보면 다음과 같다. 첫째, '진지한 여가형'과 '일상적 여가형' 집단 간에 여가이득과 여가만족도에 차이가 있는지 살펴본 결과, '진지한 여가형'이 '일상적 여가형'에 비해 여가를 통해 신체건강과 대인관계, 자기조절감이 통계적으로 유의하게 향상되는 경험을 하는 것으로 드러났다. 그리고 여가만족도도 '진지한 여가형'이 '일상적 여가형'에 비해 통계적으로 유의하게 높게 나타나났다. 그러나 '진지한 여가형'과 '일상적 여가형' 집단 간에 자아 및 삶 기능성 변수(긍정적·부정적 자아존중감, 행복, 삶의 질)에 차이가 있는지 살펴본 결과, 두 집단 모두 높은 수준의 긍정적 자아존중감과 행복, 삶의 질을 보고하고 있으며, 집단간 차이는 유의하지 않은 것으로 드러났다. 이는 일상적 여가를 즐기는 것으로도 사람들은 자신에 대한 긍정적 자존감을 유지하면서 삶에 대한 행복과 즐거움을 느낄 수 있음을 시사한다.

단일 문항 척도의 타당도 조사 - 심부전 환자의 건강관련 삶의 질을 중심으로 - (The Validity of a Single Item Scale - Health Related Quality of Life in Heart Failure Patients -)

  • 김용숙
    • 기본간호학회지
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    • 제16권4호
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    • pp.490-496
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    • 2009
  • Purpose: The purpose of this study was to examine the validity of a single item scale by comparing a single item scale of health related quality of life to subscopes of the multi-item scales in the Medical Outcome Study Short Form-36 (SF-36), and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Method: The data from 103 patients with heart failure were analyzed. The statistics program SPSS 12.0 used for descriptive statistics. Results: Significant correlations were found between the single item scale and subscopes of SF-36, for physical functioning (r= .42), role physical (r= .22), general health perception (r= .46), vitality (r= .40), social functioning (r= .20) and mental health (r= .51), but not for body pain (r= .12) and role emotional (r= .06). Physical (r= -.41), emotional (r= -.49) and total scores (r= -.49) of MLHFQ were significantly related to the single item scale. Conclusion: The single item scale of health related quality of life showed low to moderate correlation with multi-item scales. Even though the single item scale was correlated with several subscopes of multi-item scales, the correlation was not high, so we have to use caution when using the single item scale instead of multi-item scales.

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The Effect of wool in patients with chronic obstructive pulmonary disease

  • Emine, Kiyak
    • 셀메드
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    • 제7권3호
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    • pp.12.1-12.6
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    • 2017
  • The purpose of this study was to analyze the effect wool in patients with chronic obstructive pulmonary disease. The study was conducted experimentally on 53 patients with chronic obstructive pulmonary disease attending the chest diseases polyclinic of a hospital located in Erzurum. A randomized selection method was used to categorize patients into two groups; a treatment (n = 27), and a control group (n = 26). Patients in the treatment group (pre-test measurements were taken) wore wool vests for a period of three months, while patients in the control group wore cotton vests (placebo) for the same duration; post-test measurements were taken for both groups at the end of the three-month period. The Medical Outcomes Study Short Form 36, the St. George's Respiratory Questionnaire, and pulmonary function tests were used to collect data. Results concluded that there was a significant decrease (p < 0.05) in the overall score of the St. George's Respiratory Questionnaire, and the symptom, effect, and activity mean scores, while there was a significant increase (p < 0.05) in the SF-36 physical functioning, general health, bodily pain, role physical, vitality, role emotional, social functioning, mental health, physical and mental component summary mean scores of patients in the treatment group. Results of the study concluded that the symptoms, activity, disease effectiveness, and quality of life improved in patients that wore wool vests.

관절염 환자를 위한 자조관리과정의 장기효과 연구 (Long-Term Effects of the Self-Help Program for Arthritis Patients)

  • 이경숙;이인옥;장인옥;이은옥;서문자
    • 근관절건강학회지
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    • 제10권1호
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    • pp.32-43
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    • 2003
  • The purpose of this study was to identify the long-term effects of the self-help program for arthritis patients. The subjects were 126 patients who have participated in the 6-week self-help program from 1997 to 2000, agreed to participate in this study by telephone interview and responded the mailed questionnaires. The measurement tools of this study were all self-reported questionnaires such as Numerical Pain Rating Scale, the number of pain sites, Korean Health Assessment Questionnaire, Numerical Fatigue Rating Scale, CES-D depression scale, Self-efficacy scale, Social support scale. The repeated measure ANOVA revealed the significant differences among the pre post follow-up pain and fatigue. Whileas there were no significant differences the pre post follow-up pain site and physical functioning. And there were also no significant differences the pain, pain site, fatigue and physical functioning among three groups according to the duration of follow-up. These results suggested that the follow-up program after the self-help program was completed would be helpful for the physical wellbeing of arthritis patients.

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Differential Item Functioning of the Oswestry Low Back Pain Questionnaire Between Participants With and Without Low Back Pain

  • Choi, Bong-Sam
    • 한국전문물리치료학회지
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    • 제21권4호
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    • pp.40-48
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    • 2014
  • Differential item functioning (DIF) based on Rasch model can be used to examine whether the items function similarly across different groups and identify items that appear to be too easy or difficult after controlling for the ability levels of the compared groups. The Oswestry low back pain disability (Oswestry) has traditionally been proved as an effective instrument measuring disability resulting from low back pain (LBP). In this study, DIF method was used to explore whether items on the Oswestry perform similarly across two different groups (participants with LBP and no LBP). A series of Rasch analyses on the 10 items of the Oswestry were performed using Winsteps$^{(R)}$ software. Forty-two participants with back pain were recruited from 3 rehabilitation hospitals in Gainesville, Florida. Another 42 participants with no LBP were recruited from several public places in the rehabilitation hospitals. Based on the DIF analysis across the two groups, several items were found to have an uniform DIF. Participants with no LBP had more difficulty on lifting and personal care items and participants with LBP had more difficulty on sleeping and social life items. For non-LBP group, a high ceiling effects (83% of participants with non-LBP) was detected, which was not be able to be effectively measured with the Oswestry items. Although 4 items of the Oswestry function differently across the two groups, all items of the Oswestry were well targeted the LBP group.

신장질환자의 운동프로그램에 관한 고찰 (A study of exercise program in renal disease patients)

  • 오정림;손호희;김중선
    • 대한물리치료과학회지
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    • 제18권2호
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    • pp.9-15
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    • 2011
  • Purpose: The purpose of this study was to provide the information of renal disease patients and to provide evidence the physical therapy recipient of renal disease patients. The reviews suggest that renal disease patients are physical inactivity situation, increase on cardiopulmonary risk factor, developed complication disease, increased psychosocial factor like depress and anxiety, decreased Quality of life because their disease effects. Thus. exercise program seems to have beneficial effect on physiologic and psychosocial functioning, Quality of life. It is expected that this study will consider rehabilitation program for internal medicine patients and should be consider as availability of therapeutic exercise program on understanding renal disease in physical therapy.

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여성 갑상선암 환자의 불안, 우울, 불확실성, 사회적 지지가 삶의 질에 미치는 융복합적 영향 (Convergent Effects of Anxiety, Depression, Uncertainty, and Social support on Quality of Life in Women with Thyroid cancer)

  • 이인숙;박창승
    • 한국융합학회논문지
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    • 제8권8호
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    • pp.163-176
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    • 2017
  • 본 연구는 여성 갑상선 암환자의 불안, 우울, 불확실성, 사회적 지지와 삶의 질의 정도를 파악하고, 불안, 우울, 불확실성, 사회적 지지가 삶의 질에 미치는 영향을 파악하고자 수행되었다. 본 연구는 서술적 조사연구로 2014년 4월부터 10월까지 불안, 우울, 불확실성, 사회적지지, 삶의 질 측정도구를 이용하여 설문조사를 시행하였다. 연구대상자는 갑상선암을 진단 또는 치료받고 일 병원 내분비외과 외래를 방문중인 갑상선암 환자를 편의 표출하였으며, 자료수집이 완료된 106명의 자료를 SPSS 22.0을 이용하여 분석하였다. 연구결과 대상자의 삶의 질은 중간정도로 나타났으며, 불안은 신체기능과 정서기능, 사회기능에 유의하게 영향을 미치는 것으로 나타났고, 불확실성은 신체기능과 인지기능에 유의하게 영향을 미치는 것으로 나타났다. 본 연구결과를 통해 드러난 여성 갑상선암 환자들의 삶의 질 향상을 위해 불안과 불확실성을 감소시키기 위한 중재방안의 모색이 필요하다. 또한 후속 연구들에서는 보다 다양한 환경과 다양한 치료시기의 대상자를 표집하여 삶의 질에 대한 영향요인을 융복합적인 측면에서 파악할 필요가 있다.

ICF 구성요소 기반 이중과제 훈련이 만성 뇌졸중 환자의 보행 능력과 자기효능감에 미치는 영향 (The Effect of Dual Task Training based on the International Classification of Functioning, Disability, and Health on Walking Ability and Self-Efficacy in Chronic Stroke)

  • 이정아;이현민
    • 대한물리의학회지
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    • 제12권1호
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    • pp.121-129
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    • 2017
  • PURPOSE: This study was conducted to determine the effect of dual-task training (based on the International Classification of Functioning, Disability, and Health; ICF) on walking ability and self-efficacy in individuals with chronic stroke. METHODS: 22 chronic stroke patients participated in this study. Participants were randomly allocated into either the single-task group (n=11) or the dual-task group (n=11). Both groups had physical training three a week for 4 weeks, and at a three-week follow-up. Outcome measures included the 10m walking test (10MWT), figure of 8 walk test (F8WT), dynamic gait index (DGI), and Self-efficacy scale. All data were analyzed using SPSS 18.0 for Windows. Between-group and within-group comparison were analyzed by using the Mann-Whitney U test and Wilcoxon singed-rank test respectively. RESULTS: In the dual-task group, the 10MWT, time and steps of F8WT, DGI, and self-efficacy showed significant differences between pre- and post-test (p<.05). The Changes between the pre- and post-test values of 10MWT (p<.05), DGI (p<.05), and self-efficacy scale (p<.05) showed significant differences between the dual-task group and single-task group. CONCLUSION: Participants reported improved walking ability and self-efficacy, suggesting that dual-task training holds promise in the rehabilitation of walking in chronic stroke patients. This study showed that ICF-based on a dual-task protocol contiributes to motor learning after chronic stroke.