• Title/Summary/Keyword: 건강관리 프로그램

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Effects of a Computer-based Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community (지역사회 경증치매환자를 대상으로 한 전산화 인지재활 치료(COMCOG) 효과)

  • Jeong, Won-Mee;Hwang, Yun-Jung;Youn, Jong Chul
    • 한국노년학
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    • v.30 no.1
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    • pp.127-140
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    • 2010
  • This study aims to understand the effects of a Computer - based Cognitive Rehabilitation Therapy(CBCRT) evidence based on mild dementia patients' ability to activities daily living(ADL), cognitive function and measure of occupational performance and to suggest basic data for a cognitive rehabilitation therapy for dementia patients. Method : A CBCRT was applied two times a week for 5 weeks to 14 mild dementia patients who visited Yongin Center for Managing Dementia in Gyeongi-do between February and August 2009. Based on frame of reference for Visual-Perception a CBCRT was applied at home. Moreover, a one group pretest-post test design was, which is a quasi-experiment and research, also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability to ADL, cognitive function and occupational performance skills. Results: A significant effect was confirmed (p<.05) from the CBCRT which Assessment of Motor and Process Skills(AMPS) processing skills and cognitive function and occupational performance skills. Neither was found any significant effect in improving motor skills from AMPS. Conclusion: It seems that a CBCRT based on evidence and has an effect on the improvement of the ability to ADL and cognitive function of mild dementia patients living in a community. The present author hopes that, in the future, more cognitive rehabilitation programs will be developed to improve the functions of mild dementia patients living in a community.

The Use and Needs of Activity Spaces Near Housing Environments of Single Elderly Men Households in Korea (남자노인 1인가구의 거주지 주변 활동공간 이용실태 및 요구 분석)

  • Pak, Sungsine;Lee, Minah;Shin, Younghwa;Park, Youngrye
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.265-297
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    • 2017
  • This study aims to provide basic information about the policy and system improvements relevant to single elderly men, through an investigation concerning the use and needs of activity spaces near their housing environments. Eighteen single elderly men over 60-years-old living in Gunsan city of Jeonbuk province in Korea participated in in-depth interview, and the data were qualitatively analyzed. The results of the study are as follows: The social networks of the participants were focused on friends or colleagues, while mutual exchanges with their children were intermittently undertaken. Natural networks of the elderly were formed mainly in third places, such as parks, restaurants, or community facilities, and about a half of the elderly participants had no spatial needs, and the rest required spaces for meal services, the elderly living community, jobs, leisure/hobby activities, or facility improvements. The elements influencing use of activity spaces were access from the residence, health, social networks, and economic conditions. The results suggest the following: Exercise or leisure facilities supporting elderly mobility should be set up close to their residential environments. Senior facilities centered on systematic supports and shuttle buses circulating around the places that the elderly visit frequently should be considered. On the other hand, regular maintenance and education on residents' proper use of the facilities, and sufficient information and fee discounts for the general programs are needed so that the elderly could interact with the younger generation. From a public perspective, a rational system and policy based on understanding single elderly men's needs should be prepared for provision and management of the activity space.

A Convergence Study on the Revitalization of Medical Tourism of Introducing Mobile Healthcare Applications (모바일 헬스케어 애플리케이션 도입이 의료관광 활성화에 미치는 융합연구)

  • Hwang, Mi-Kung;Lee, Won Jae
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.91-98
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    • 2019
  • The research focused on plastic surgery clinics in Seoul, which recently responded to foreign patients who wanted to get plastic surgery, to recognize the need for the use of mobile healthcare applications to promote medical tourism and to see the expected effects in the future. For the analysis of data, SPSS 21.0 was used. Based on personal characteristics and medical institution characteristics, the future expected effects of using mobile healthcare applications were analyzed to find ways to help vitalize medical tourism. The result showed that the more mobile applications they wants to use in the future and the higher the number of foreign patients of the medical institutions, the more positive the expectation on the use of mobile healthcare application in the future. Also, the higher evaluation on the need for mobile healthcare application, the more helpful in vitalizing the medical tourism in the future, and the higher the positive awareness. I hope that this research will provide an IT foundation for the and expansion of mobile service app on demand analysis and service utilization of medical workers in order to promote medical tourism.

Factors Influencing Psychological Well-being of Nursing Students (간호대학생의 심리적 안녕감에 영향을 미치는 요인)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.448-457
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    • 2019
  • This descriptive study was conducted to identify the factors affecting the psychological well-being of nursing students. A questionnaire survey was conducted on 298 nursing college students attending two universities in G city from April 10 to May 9, 2018. The research tools were used 27 items of Professor Trust Scale, 25 items of emotional regulation, 25 items of Connor-Davison Resilience Scale, and 18 items of psychological well-being scale. psychological well-being was significant different according to gender(p=.019), grade(p=.011), motivation of choosing a nursing(p=.003), major satisfaction(p<.001), stress of clinical practice(p=.002), and current health status(p<.001). There were significant positive correlations between psychological well-being and professor trust, active emotion regulation, support-seeking emotion regulation, and ego-resilience and negative correlation between psychological well-being and avoidant-distractive emotion regulation. The results of multiple regression analysis are as follows. Factors influencing the psychological well-being of nursing students were ego-resilience, support-seeking emotion regulation, avoidant-distractive emotion regulation, major satisfaction and these variables explained the psychological well-being by 55.0%(F=30.92, p<.001). It is necessary to develop a curriculum/comparative programs and student coaching plans for improving ego-resilience which is the most influential variable. Also internal or environmental and social support should be strengthened so that negative emotions caused by various causes can be efficiently managed.

Factors Influencing Suicidal Ideation by Life Cycle of Korean Adults (한국 성인의 생애주기별 자살생각 영향요인)

  • Bang, So-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.60-70
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    • 2021
  • The purpose of this study was to promote an understanding of suicidal ideation and identify the factors that influence suicide ideation according to the life cycle of Korean adults. This study was a secondary analysis study using the Korea Health Panel 2016 data. Among adults over 19 years of age, 14,538 people with no missing values in suicidal ideation and influencing factors were classified into young adults (19-39 years old), middle-aged adults (40-64 years old), and the elderly (65 years or over). The data were analyzed by multiple logistic regression. The results showed that 2.9% (108 people) of young adults, 3.2% (181 people) of middle-aged adults, and 3.7% (80 people) of the elderly had suicide ideation over the past year. Factors influencing suicidal ideation by life cycle were anxiety, depression, drug use and quality of life for young adults, subjective health status, stress, anxiety, depression, drug use and quality of life for middle-aged adults. The factors affecting the elderly were body mass index, stress, anxiety, depression, and quality of life. Therefore, factors influencing suicidal ideation should be considered as a major factor for screening risk groups according to the life cycle, and differentiated intervention programs should be developed and provided to prevent and manage suicide in risk groups.

A study on the mediating effect of intellectual wellness in the relationship between physical and emotional wellness of caregivers of children with disabilities (장애아동 주양육자의 물리적환경과 정서적 환경 관계에서 지적 웰니스의 매개 작용)

  • Kang, Jisoon;Lee, Hyunju;Shim, Oksu
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.497-510
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    • 2021
  • The purpose of this study is to investigate the mediating effect on intellectual wellness between the physical and emotional wellness of the caregivers of children with disabilities and to provide the relevant data necessary for the response of the caregivers of disabled children. The study subjects were 177 caregivers of children with disabilities, and data were collected from June 2019 to November 2019. Data analysis was performed using the PROCESS macro. Independent sample t-test and one-way batch analyses were conducted to analyze the general characteristics and variables of the collected data. Through this, Scheffé's post-test was performed for variables with statistically significant differences. The relationship between variables was analyzed by Pearson correlation and hierarchical multiple accounting analyses. The results of the study indicate that the physical and intellectual wellness of the main caregivers of children with disabilities provide a direct effect on their emotional wellness as well, and that intellectual wellness provides a mediating effect between physical wellness and emotional wellness. It was found that the influence of the physical environment of children with disabilities is also important, but emotional wellness can be improved only when the main caregivers are provided with an appropriate and sufficient intellectual education. Therefore, the expansion of various educational programs for the main caregivers of children with disabilities could contribute to the improvement of their own overall wellness.

Effects on the Respiratory Function, Lower Extremity Muscle Activity and Balance for the Wellness of Stroke Patients - Focused on Whole Body Vibration Exercise Combined with Breathing Exercise - (뇌졸중 환자의 웰니스를 위한 호흡기능, 하지근활성도 및 균형에 미치는 효과 - 호흡운동을 결합한 전신진동운동을 중심으로 -)

  • Kang, Jeong-Il;Yang, Sang-Hoon;Jeong, Dae-Keun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.397-405
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    • 2020
  • The purpose of study was to compare respiratory function and quadriceps muscle activity in stroke patients by applying inspiratory muscle training combined with whole body vibration. In addition, the purpose of study is to present an exercise method for improving the respiratory function of stroke patients and the function of the lower limb muscles of stroke patients. Totally, 21 patients with Stroke patients were randomly assigned to two groups through clinical sampling. 11 patients who applied whole body vibration combined with respiratory exercise were randomly assigned to Experiment Group I, and 10 patients who applied placebo exercise combined with breathing exercise were randomly assigned to Experiment Group II. And for 5 weeks, 4 days/week, 1 time/day, 4 sets/1 time intervention program was implemented. Before intervention, the respiratory function was measured with a maximum inspiratory pressure meter, the lower extremity muscle activity was measured using the surface EMG, and the balance ability was measured using a bug balance test. And after 5 weeks, the post-test was re-measured and analyzed in the same way as the pre-test. In the comparison of changes within the group of experimental group I, there were significant differences in the activity and balance of the respiratory muscle strength, the biceps femoris, and the anterior tibialis muscle (p<.05). In the comparison of the changes in the experimental group I, there was a significant difference in respiratory strength and balance (p<.05). In the comparison of changes between groups, there was a significant difference in the activity of the biceps femoris and anterior tibialis (p<.01). In the future, research on protocols for respiratory exercise and whole body vibration to improve neuromuscular function is considered to be necessary.

The Effect of Shoulder Pain on the Quality of Life of Manual Wheelchair Users With Spinal Cord Injuries (수동휠체어를 사용하는 척수손상자의 어깨통증이 삶의 질에 미치는 영향)

  • Lee, Jung Kyu;Kang, Mo Yeol;Jeon, Eun Mi
    • Therapeutic Science for Rehabilitation
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    • v.12 no.3
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    • pp.33-44
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    • 2023
  • Objective : The purpose of this study was to identify the risk factors for shoulder pain in manual wheelchair users with spinal cord injuries and to explore the correlation between shoulder pain and quality of life. Methods : Out of 182 participants initially included, 168 were selected for analysis. The questionnaire had 41 questions, with 15 on the Wheelchair User's Shoulder Pain Index (WUSPI) and 26 on the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Results : It was found that participants' scored 50.75 in the WUSPI, whereas they scored higher in mobility and overhead activity. In addition, participants' WHOQOL-BREF scored 70.48, with a mean score of 2.71, which was lower than ordinary adults' WHOQOL-BREF (mean: 3.11) and that of older people suffering from chronic musculoskeletal system pain (total score: 77.92). Conclusion : The participants' WUSPI showed negative correlations with all items, including the total scores on the WHOQOL-BREF. This suggests that the participants' shoulder pain had a negative impact on their quality of life. Therefore, clinical experts, including occupational therapists, should provide manual wheelchair users with spinal cord injuries with programs aimed at preventing and managing shoulder pain, thereby contributing to improving their quality of life.

Effect of Senior Simulation on Geriatric Unit Nurses' Attitude and Job Satisfaction toward the Elderly (노인유사체험이 노인병동 간호사의 노인에 대한 태도와 업무만족에 미치는 영향)

  • Choi, Soowon;Park, Myonghwa
    • 한국노년학
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    • v.29 no.2
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    • pp.513-527
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    • 2009
  • The purpose of this study was to verify the effect of senior simulation on geriatric unit nurses' attitude and job satisfaction toward the elderly with one group pretest-posttest design. The subjects of this study were the 30 nurses who are working in geriatric units in a general hospital in Daegu, Korea and who were well informed about the purpose of this study and allowed to join the study. The data were collected from August 23 to September 6, 2006. The experimental procedure was to do activities for daily living for 45 minutes wearing senior simulation suit. Self administered questionnaires were used to ask the nurses' attitude toward the elderly and job satisfaction in their work before, right after, and one week after senior simulation. According to the results of this study, there were significant changes in the geriatric nurses' attitude toward the elderly and job satisfaction after aging simulation implying that senior simulation is an effective intervention to facilitate nurses to do quality care for the elderly with sympathetic understanding and attitude. Senior simulation needs to be applied to geriatric education for the nursing students and health care providers who are involved in care for the elderly.

The Effects of Spousal Bereavement and Complicated Grief on Death Anxiety among Older Adults (배우자 사별여부와 복잡성비애 수준이 노인의 죽음불안에 미치는 영향)

  • Kim, Kyung Hee;Lyu, Jiyoung
    • 한국노년학
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    • v.39 no.1
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    • pp.21-35
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    • 2019
  • The purpose of this study was to empirically verify the effects of spousal bereavement and complicated grief level on death anxiety of the elderly. The sample consisted of 1,998 adults who were aged 65 or older. Dependent variable was measured with the Death Anxiety Scale-Korean version (DAS-K). Independent variable was measured with both spousal bereavement and the Inventory of Complicated Grief-Korean version (ICG-K). Multiple regression analysis was performed using SPSS 23.0, adjusting for demographics, psycho-social and health variables. The results indicated that death anxiety level was lower among the bereaved with normal grief (p<.01) than non-bereaved. In contrast, death anxiety level was higher among the bereaved with complicated grief than non-bereaved (p<.01). The study result suggests that the most risky factor for death anxiety is complicated grief rather than the bereavement. Although the bereavement can be a universal experience, the severity and duration of symptoms after the bereavement may not be general. The unhealed emotional and physical pain after the bereavement stimulates death anxiety, and senior citizens who suffer from complicated grief often fail to integrate the bereavement and loss into reality, therefore, may not accept the death phenomenon itself. Anxiety and fear of death can emerge when they cannot acknowledge the bereavement. To manage complex sorrows and mitigate death anxiety, intervention programs should be provided to increase adaptability to the bereavement.