• Title/Summary/Keyword: 노인 뇌졸중 환자

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Factors of Bodily Pain Among Stroke Patient's Female Caregivers in Their Middle to Older Age (뇌졸중 환자를 돌보는 중·고령층 여성 간병인의 신체통증 영향 요인)

  • Moon, Jong-Hoon;Bak, In-Hye
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.63-71
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    • 2019
  • Objective: This study aimed to examine the factors affecting bodily pain in women in their middle to older age who are caregivers of stroke patients. Methods: This study selected 75 stroke inpatients and 75 female caregivers in their middle to older age from five hospitals in Daegu and Gyeongbuk. Measurements included general characteristics, cognitive function, upper limb function, and activities of daily living of stroke patients, and general characteristics and bodily pain for the caregivers. We used stepwise multiple regression analysis to determine the factors affecting the bodily pain and Pearson's correlation analysis to confirm the correlation. Results: The factors affecting bodily pain in women in their middle to older age caregivers were the activities of daily living(${\beta}=-.489$, p<.001) and caregiver duration(${\beta}=-.309$, p=.003)($R^2=.276$). Correlation analysis showed that the activities of daily living, upper limb function, and cognitive function of stroke patients were significantly correlated (r=.434~.751, p<.001). Conclusions: The results of this study demonstrate that the functional level of stroke patients being cared for and the caregiver duration are important variables for reducing bodily pain in women in their middle to older age.

A Convergent Study of the Physical Related Quality of Life Using SF-8 of Stroke Patient's Caregiver (뇌졸중 환자 보호자의 SF-8을 이용한 신체건강관련 삶의 질 융복합적 연구)

  • Kim, Young-Ran;Kim, Young-il;Kim, Min-jeong
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.119-127
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    • 2017
  • This paper convergent examined caregiver burden, depressive symptoms and health related quality of life of 226 caregivers of stroke patients, who had been hospitalized in 7 general hospitals located in Cheongju and Daejeon Metropolitan city. The quality of life was measured using SF-8, which is a short version of HRQoL. According to Multiple regression Analysis, dependence of a patient were important factors in the physical related quality of life. These results suggest that in order to improve the quality of life related to the physical health of the stroke patient's caregiver, the elderly long-term care insurance system and the caregiver system and the ward of the Ministry of Health and Welfare are expanded ward without a caregiver. There is a need to raise expectations for recovery through education and family support groups.

Effects of Fluid Therapy Education Program for Aged Stroke Patients (노인 뇌졸중환자의 수분섭취교육 프로그램의 적용 효과)

  • Lim, Jee Sun;Jo, Hyun Sook
    • Journal of Korean Biological Nursing Science
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    • v.17 no.3
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    • pp.277-285
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    • 2015
  • Purpose: This study was to verify the effects of a fluid therapy education program for aged stroke patients for preventing dehydration, pyuria and bacteriuria. Methods: The study employed a non-equivalent control group pretest-posttest design in quasi experimental basis. Subjects were 38 stroke patients (20 in the experimental group and 18 in the control group) older than 65, hospitalized in a senior care center in S city, Korea. Results: The amount of daily average fluid intake, normal ratio of blood urea nitrogen-creatinine ratio, serum $Na^+$ and urine white blood cells were increased significantly in the experimental group. Normal ratio of bacteriuria increased in the experimental group, but not significantly. Conclusion: The education program is considered to be an effective nursing intervention tool for preventing dehydration and urinary tract infections which related to the secondary wellness of aged stroke patients. However, longer term study is necessary for better quality of nursing and developing more specific education programs for aged stroke patients usually hospitalized for a long period of time.

The Level of Fatigue and Motor Performance During Drum Playing Depending on Co-Presence of Singing Tasks in Patients With Chronic Stroke (전자 드럼 연주 시 노래부르기 유무에 따른 만성 뇌졸중 환자의 피로도 및 운동 수행력 비교)

  • Kim, Hyun Ji
    • Journal of Music and Human Behavior
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    • v.14 no.2
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    • pp.71-90
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    • 2017
  • The purpose of this study was to compare immediate differences in fatigue and motor performance during instrumental playing in patients with chronic stroke depending on whether singing task was concurrently presented. A total of 12 patients with chronic stroke were recruited from community and daycare centers for older adults in Seoul. Six subjects were randomly assigned to the experimental group and six to the comparison group. The experimental group was asked to sing while playing the electronic drum, and the comparison group only played the drum. The results of this study showed that statistically significant differences in perceived fatigue and exertion were found between the two groups, while no significant group differences were found in level of engagement in playing or force of tapping during drum playing. This study supports the inclusion of a singing task in instrument playing rehabilitation to effectively decrease perceived fatigue and level of intensity of exercises, although this may not lead to immediate changes in motor function or level of target exercises. The results indicate that singing while instrument playing may help stroke patients shift their attention from the executed motor movements to singing and alleviate the attentional and emotional load from intense movements. This study presents implications for how to select and pattern target movements in music therapy intervention for better motor outcomes.

Clinical Usefulness on K-MBI for Decision of Driving Rehabilitation Period in Patients with Stroke: A pilot study (뇌졸중 환자의 운전재활 시기 결정을 위한 K-MBI의 임상적 유용성: 예비 연구)

  • Park, Myoung-Ok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.91-98
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    • 2017
  • Background & Object: Basic daily activity screening tool such as the Modified Barthel Index (MBI) has been used commonly in rehabilitation clinic and community based rehabilitation setting. Previous studies have shown the significant relations between the level of daily activities and driving ability on stroke or elderly people. However, there is a lack of studies to investigate the usefulness of MBI on prediction of driving ability for stroke patient. This study was to predict driving abilities of stroke survivor using Korean version Modified Barthel Index (K-MBI). Methods: A sample of 48 patients with stroke in rehabilitation hospital was recruited. All participants were tested level of basic daily activities using K-MBI. The driving ability of participants was tested using virtual reality driving simulator. The predictive validity was calculated of the K-MBI among pass or fail group of driving simulator test using receiver operating characteristics curves. Results: The cut-off score of >86.5 on the K-MBI is proper sensitivity to predict on driving performance ability. Conclusion: This pilot result offers clinical reference to therapists and caregivers for reasoning on driving recommendation period during rehabilitation stage of stroke survivors. Further studies need to identify prediction using real on-road test in a large population group.

The Epidemiology of Delirium (섬망의 역학)

  • Kim, Jeong-Lan
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.81-86
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    • 2008
  • Delirium is not developed naturally and is not an endogenous disease. However, delirium has occurred in some specific populations, such as the elderly or medically compromised patients. These become limitations on the systematic study of the epidemiology of delirium. Many epidemiologic studies of delirium have been focused on the elderly due to the fact there are relatively few in the general population. In addition, assessment tools with various sensitivity and specificity have been used. Advanced age, male, poorer cognitive and functional status, and alcohol abuse are well known risk factors of delirium. the epidemiological data will be reviewed in the elderly, patients with dementia, hip fractures, patients hospitalized in intensive care units, terminal cancer and patients with stroke.

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Rehabilitation System through Image Analysis Method (이미지 분석 방식을 적용한 인지 재활 시스템)

  • Lim, Myung-Jae;Jung, Hee-Woong;Kwon, Young-Man
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.6
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    • pp.209-214
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    • 2010
  • In this paper, We analyzes the image along the platform (Open Eye), through prevention of dementia or stroke patients and cognitive rehabilitation for the proposed system. This way through the camera image according to user's movement gained OpenCV image processing library, which is based on motion analysis, a part of this rehabilitation is to apply to cognitive rehabilitation. Therefore, this paper proposes a new image analysis system has been exposed to the elderly or stroke patients with dementia, their hand gestures through which patients can detect the image of the cognitive rehabilitation to help them in the analysis of the image analysis system is proposed.

The Relating Factors of Elder Abuse among Community-dwelling Elderly with Stroke (지역사회에 거주하는 노인 뇌졸중 환자의 학대 관련 요인)

  • Kim, Oksoo;Jeon, Hae Ok;Kim, Bo Hye
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.466-476
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    • 2012
  • Purpose: The purpose of this secondary analysis study was to examine the incidence of abuse and the contributing factors for that abuse among the Korean elderly with stroke. Methods: Data were derived from the 2008 Korean National Survey on Older Adults. The participants were 934 community-dwelling elderly with stroke. Data were analyzed using the Rao-Scott $x^2$-test, simple logistic regression and multiple logistic regression with the PASW 18.0 complex samples analysis module. Results: The prevalence of elder abuse was 13.5%. Emotional abuse (10.0%) was the most frequently reported abuse, followed by financial neglect (3.8%), caring neglect (3.3%), financial abuse (2.1%), and physical abuse (1.9%). 44.6% of the perpetrators of emotional abuse were coresidential family members. Participants without spouses (odds ratio=2.05, 95% CI=1.14~3.68), those without diabetes (odds ratio=2.24, 95% CI=1.15~4.39), and depressed participants (odds ratio=2.72, 95% CI=1.34~5.52) were more likely to be abused. Conclusion: Emotional abuse was the most frequently reported type of abuse while physical abuse was least frequent among the elderly with stroke. Nurses caring for the elderly with stroke should be aware of the types of abuse and risk factors such as lack of spouse and incidents of depression.

The Effects of Depression, Cognitive Function, and Activities of Daily Living on Quality of Life for Patients with Stroke (뇌졸중 환자의 우울, 인지, 일상생활활동이 삶의 질에 미치는 영향)

  • Lee, Jong-Min;Kim, Hyeong-Min;Kim, Ji-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.1-9
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    • 2015
  • Objective : To purpose of the this study was to investigate the effect of depression, cognitive function, and activities of daily living on quality of life for patients with stroke. Methods : This study was conducted at K hospital located in Daegu, inpatients or outpatients in 50 stroke patients. Appropriate selection criteria for the study subjects who study subjects to evaluate the cognitive function, activities of daily living. General characteristic, depression and quality of life were examined through a questionnaire, which was in the final analysis. Results : Factors that affect the quality of life of the correlation as a result of negatively correlated with their depression(r=-.460, p<.01), age(r=-.481, p<.001), cognitive function(r=.458, p<.01), activities of daily living(r=.560, p<.001), education standard(r=.338, p<.05) was found in the positively correlated. Finally, the effect on quality of life for patients with stroke in variables affecting depression(${\beta}=-.253$, p<.05), age(${\beta}=-.272$, p<.05), and activities of daily living (${\beta}=.279$, p<.05) were the order of analysis. Conclusion : Through this study result, depression and activities of daily living that affect their quality of life has been identified as the main variable.

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Concept Analysis of the Rehabilitation in Elderly with Stroke Disease (노인 뇌졸중 질환자의 재활에 대한 개념분석)

  • Lee, Sug Young;Sung, Byung-Ju
    • Journal of Korean Public Health Nursing
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    • v.36 no.3
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    • pp.402-416
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    • 2022
  • Purpose: The goal of this study was to define and clarify the concept of 'rehabilitation' of stroke patients in the elderly. Method: For analyzing the concept of rehabilitation, this study used the hybrid model, which involves an in depth interview six stroke patients. Result: The concept of rehabilitation of patients with a stroke condition can be categorized with two dimensions; overcoming, new recovery aspects. Besides, three attributes and twelve indicators were analyzed. The concept of rehabilitation of patients with a stroke condition can be expressed as one of the following processes; It can be said that it is a process of accepting and overcoming one's physical limitations in order to overcome, and to grow resilience by making a leap from crisis to recovery with inner enforcement in dimension of new recovery. Conclusion: The rehabilitation is important for stroke conditioned patients in order to control their disease in the long term. The attributes and indicators drawn by this study could be used for tool development and useful resources of rehabilitation competence for stroke conditioned patients.