• Title/Summary/Keyword: 신체적 장애

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Sleep Disturbance, Physical Activity and Health Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환자의 수면장애, 신체활동 및 건강관련 삶의 질)

  • Lee, Haejung;Lim, Yeonjung;Jung, Hee Young;Park, Hye-Kyung
    • 한국노년학
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    • v.31 no.3
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    • pp.607-621
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    • 2011
  • Purpose The purpose of this study was to examine the relationship between physical activities, sleep disturbance, and health related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD). Methods A descriptive survey design used pretest dataset of COPD symptom management intervention study (N=245). Measures included the international physical activity questionnaire, the COPD and asthma sleep impact scale, and the St. George's respiratory questionnaire of HRQOL. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and simultaneous multiple regression by the SPSS WIN 18.0 program. Results The mean scores (SD) of HRQOL and sleep disturbance were 36.04 (19.43) and 14.33 (6.20), respectively. About 32% of participants were physically inactive. The multivariate approach showed the patients who have more sleep disturbance (β=.27), lower levels of FEV1 % predicted (β=-.23), lower physical activities (β=-.19), lower household income (β=-.16), and diagnosed longer than 5 years (β=.14) reported lower HRQOL (R2=.34). Conclusion The findings of this study suggest that improving the quality of sleep and physical activities can be efficient strategies for HRQOL in patients with COPD. Future research in enhancing HRQOL through improving sleep quality and physical activities is needed.

Physical and Mental Health Status and Its Related Factors among Centenarians in Korea (100세 이상 고령자의 신체적·정신적 건강수준 및 관련 요인)

  • Song, Young-Su;Kim, Tae-Baek;Bae, Nam-Kyou;Kim, Ki-Hyang;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.268-277
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    • 2017
  • This study was performed to determine the level of physical health(ADL, IADL) and mental health (cognitive impairment, dementia) among centenarians and to find the related factors. The study subjects were 268 centenarians who received medical check-ups from the National Health Insurance Corporation during 2011-2014. From the results, the factors that significantly influenced the ADL of the study subjects were gender, residential area, IADL, cognitive impairment and dementia. ADL and cognitive impairment were selected as the influencing factors of IADL, smoking status, ADL and IADL were selected as the influencing factors of cognitive impairment, and gender and ADL were selected as the influencing factors of dementia. These results suggested that the levels of physical and mental health of the centenarians were significantly affected by socio-demographic characteristics and health-related variables. Especially, the levels of physical and mental health were decreased with the poor group of health-related variables such as smoking, alcohol drinking and regular exercise.

The Effects of Nordic Walking on Body Composition and Physical Fitness in Obese Women with Intellectual Disability (비만 지적장애 성인여성의 노르딕워킹이 신체조성 및 체력요인에 미치는 영향)

  • Kim, Seok-Jin;Kang, Yoo-Seok
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.427-435
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    • 2018
  • The purpose of the study was to investigate the effects of nordic walking on body composition and physical fitness in obese women with intellectual disability(ID). The subjects in experimental group(n=12) participated in nordic walking program for 12 weeks while those in control group(n=9) was controled not to participate in physical activities. After the training, weight, muscle mass and fat mass% showed significant improvement in experimental group. In physical fitness, strength, balance and coordination in experimental group showed significant improvement. In conclusion, these results suggest that nordic walking can be recommended as an effective intervention program to change body composition and to improve physical fitness in obese women with ID.

Covariance Structure Analysis of the Influence of Social Support, Physical and Mental Health Status on Quality of Life among the Elderly at Care Facilities (요양시설 노인의 사회적지지, 신체적 및 정신적 건강수준이 삶의 질에 미치는 영향에 대한 공분산구조분석)

  • Lim, Young-A;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.210-220
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    • 2017
  • This study investigated the effect of social support (MOS-SSS), and physical (ADL, IADL) and mental (CES-D, MMSE-K) function on the quality of life (WHOQOL- BREF) among the elderly at care facilities. The survey respondents were 524 elderly aged 65 and older living in 15 care facilities located in D city. Data were collected through a personal interview conducted by interviewers who visited each care facility from November 2015 to January 2016. As a result, the quality of life was significantly lower in the elderly group with lower social support, with dysfunction in ADL and IADL than in the normal range group, with depression and cognitive impairment group than in the normal range group. The quality of life had a significant positive correlation with social support, ADL, IADL and cognitive impairment, but a significant negative correlation with depression. According to the results of covariance structure analysis, physical function had a greater impact on the quality of life than mental function or social support. Lower quality of life was associated with lower physical and mental function and lower social support. Therefore, concrete measures need to be devised to enhance physical function in order to improve the quality of life among the elderly in care facilities.

Development of PTSD Web-based learning (소방공무원을 위한 외상후스트레스장애(PTSD) 웹기반교육 개발)

  • Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.212-213
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    • 2009
  • 본 연구의 목적은 소방공무원이 현장에서 겪는 충격 스트레스로 발생하는 외상 후 스트레스장애 (posttraumatic stress disorder, PTSD) 분석을 통해 위기상황 스트레스 해소 교육 프로그램 기초 자료를 제시하고자 하는 데 있다. 연구 목적을 달성하기 위하여 독립변인(업무부담감, 스트레스, 스트레스 대응) 3개, 매개변인(현장충격 스트레스) 1개, 종속변인(신체적 증상)으로 구성하여 영향력을 파악하였다. 본 연구 대상자는 전국 970명 소방공무원으로 2007년 3월부터 12월까지 구조화된 설문지를 이용하여 조사하였다. 자료분석은 SPSS 14.0과 구조방정식 모형인 AMOS 7.0 통계패키지를 사용하였으며, 정확한 코딩데이터의 입력확인을 위해 데이터클리닝(data cleaning) 작업을 실시하였다. 가설검증을 위하여 구조방정식 모형분석을 실시한 결과, 업무부담감, 스트레스, 현장충격 스트레스가 낮고, 스트레스 대응이 높을 때 신체적 증상이 낮아지는 것으로 나타났다. 서울소방학교와 공동으로 총 10개 차시로 웹기반 교육을 구성하였으며, 2010년 1월부터 소방공무원 전체를 대상으로 웹기반 교육을 실시하고자 한다.

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The Psychophysicosocial Distresses in Nurses with Shift Work (교대근무 간호사의 정신신체사회적 문제에 대한 연구)

  • Kang, Beom-Mo;Yang, Chang-Kook
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.61-67
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    • 1999
  • Objectives: The aim of this study was to examine the impact of shift work on psychological, physical and social adjustment in nurses. Methods: Two hundred ninety-nine female nurses(179 shift worker, 120 non-shift worker) filled out a questionnaire, which consisted of fifty-six items including demographic characteristics. Subjective ratings of psychological, physical, social and sleeprelated distresses were assessed with a visual analogue scale(100mm). Results: Shift work exerted significantly negative impacts on all psychological, physical, social and sleep-related variables of the shift work nurses. The subjective perception about psychological and physical health of shift work nurses was significantly negative as compared to that of non-shift work nurses. Shift work nurses complained of more shift work related social dysfunction and limited social activity. Shift work nurses were also suffering from significant sleep difficulties as compared to non-shift work nurses. Conclusions: This study suggests that shift work can exert a negative impact on psychological and physical health of nurses as it can cause disturbances of the normal circadian rhythms of the psychophysiological functions, beginning with the sleep-wake cycle. Shift work can also cause difficulties in maintaining the usual relationships both at family and social levels. These results may suggest that we need appropriate coping strategies to overcome adverse effects of shift work.

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Analysis and Development Direction of Paralympics in Mass Media (대중매체에 나타난 패럴림픽에 대한 분석 및 발전방향)

  • Lee, Chang-Hee;Park, Bum-Young
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.235-240
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    • 2018
  • The purpose of this study is to analyze the texts of the mass media reported mainly on the hosting of the Seoul Ferrules and the upcoming Pyeongchang Paralympics in Korea, and to present the interest of the current paralympics and future development directions of the paralympics. First, the broadcasting / communication sector accounted for 21%, and second, the intellectual disability was more than twice as much as the mental retardation. In conclusion, it is expected that positive and continuous reporting and analysis will be needed through the quantitative growth of mass media.

Evaluation Method of Slipperiness of Inclined Floors from a Viewpoint of Safety in Case of the Physically Handicapped Persons in Walking (신체장애자의 안전성 관점에서 경사로 바닥의 미끄럼 평가방법에 관한 기초적 연구)

  • Choi, Soo-Kyung
    • Journal of the Korea Institute of Building Construction
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    • v.9 no.5
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    • pp.145-153
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    • 2009
  • The purpose of this research is to compare and analyze the change that must be applied to the evaluation of the slipperiness of an inclined floor, when considering its use by the physically handicapped and by the able-bodied. For this study, a simulator that can reproduce the characteristics of the body sway of a physically handicapped person was developed through a comparative experiment between able-bodied people and people with hemiplegia. In addition, as cale for the evaluation of the slipperiness of flat floors and inclined floors was composed by the sensory test result targeting physically handicapped persons (able-bodied persons wore the body sway for the handicapped and ageing in the experiment) and the able-bodied. In terms of the evaluation of the slipperiness of an inclined floor, it was evaluated that it is safe when the C.S.R' (Coefficient of Slip Resistance) of a healthy person is over 0.30, while it was evaluated that it is dangerous when the C.S.R' of a physically handicapped person is over $0.45{\sim}0.50$. Concerning this difference, it is judged that the reason for this difference is that the walking mechanism differs between an able-bodied person and a physically handicapped person.

The legal status of the breast in assessing physical disability (신체장애 평가에서 유방의 법적 지위 - 장기 해당 여부, 수유장애, 노동력상실에 대하여 -)

  • Kim, Bong Kyum
    • The Korean Society of Law and Medicine
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    • v.18 no.1
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    • pp.265-295
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    • 2017
  • Breast tissue is composed of skin, mammary gland(including lactiferous duct), subcutaneous fat layer. The anatomical position is on the anterior chest wall(the outside of the chest cavity) but not on the inside of the thorax. Therefore, when the internal organs in the thoracic cavity are defined and expressed as 'organs' and the internal organs of each are labeled for a long time, for the breast located outside the thoracic cavity, it is thought that there is considerable difficulty in defining and recognizing the breast tissue as organs. For this reason, it is necessary to discourage the controversy over whether or not the breast is contained in the chest(or intra-thoracic cavity). In order to completely exclude it, it is assumed that the "chest-abdomen" can be called the "intra-thoraxic or intra-abdominal." But it is difficult to change the terms in various laws and regulations, I think that it would be necessary to insert only the clue clause "Breasts are excluded" in the detailed criteria for grading. In order to include it, it is necessary to change the terms of the ordinance or to say that the breast is exceptionally included.

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