• Title/Summary/Keyword: 일상생활동작수행

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The Physical and Social Disability of Aged Persons Who Live Alone in Goksung Area (곡성지역(谷城地域) 독거노인(獨居老人)의 신체적(身體的) 사회적(社會的) 능력장애(能力障碍)에 관(關)한 조사(調査))

  • Kim, Shin-Woel;Kim, Young-Lak;Ryu, So-Yeon;Park, Jong;Kim, Ki-Soon;Kim, Yang-Ok
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.245-268
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    • 1999
  • It is necessary that the old should have the physical and social ability to perform their daily life. This study is to grasp their degree of disability and problems and suggest their solutions. It surveyed the 87 old people over 65 years old from September 1st until September 30th, in 1997. The findings are as follows. 1) The activities of daily living(ADL) to find their degree of physical disability shows that their average performance ability is 75.9% of all the action while 24.1% of all the old people needs the others' help. As they get older and older, the aged drop off in their physical ability, which is related to a statistical sense (p<0.001). 2) The social disability shows that the aged have their great difference from 9.2% to 85.1% in their instrumental activities of daily living(IADL), intellectual ability and social role. 3) A simple analysis shows that the activities of daily living are, in a statistical sense, related to age(p<0.001), the use of elder's hall(p<0.001), the understanding degree of health(p<0.01) and so forth. 4) A simple analysis shows that the instrumental activities of daily living are, in a statistical sense, related to age(p<0.001), the degree of education(p<0.05), the life of leisure(p<0.001), the understanding degree of health and so forth. 5) A multivariate logistic regression analysis shows that the disability of daily living is related to age, the visit of elder's hall, the period of solitary living, instrumental activities of daily living is age and the visit of elder's hall, and social role is the visit of elder's hall and the decree of education, while intellectual activity has no related variables in a statistical sense.

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Effect of Upper Extremity Function and Activities of Daily Living of Mirror Therapy on Patients Who Have a Stroke, with or without Unilateral Neglect (편측무시 유무에 따른 거울치료가 뇌졸중 환자의 상지기능과 일상생활활동에 미치는 효과 비교)

  • Lee, Seul-A;Kim, Hee-Jung;Hong, Ki-Hoon;Lee, Chun-Yeop
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.1
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    • pp.33-45
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    • 2014
  • Objective : We tested the effect of mirror treatment on patients with and without unilateral neglect over a period of 4 weeks. We also wanted to know the effect of mirror treatment with regards to improving upper extremity function and dealing with activities of daily living. Methods : Subjects were 10 hemiplegia patients with unilateral neglect and 10 hemiplegia patients without unilateral neglect. They visited the department of occupational therapy. We performed mirror treatment for 30 minutes, 5 times a week for 4 weeks. We used Albert Test to compare our results from before and after the treatment, Fugl-Meyer motor function Assessment(FMA) and Box & Block Test(BBT) for upper extremity function, and Functional Independence Measure(FIM) for activities of daily living. Results : The results showed that mirror treatment had an effect on stroke patients with unilateral neglect. The treatment also had an effect on upper extremity function and activities of daily living regardless of unilateral neglect. Conclusion : The mirror treatment showed improvements on upper extremity function and activities of daily life as well as a reduction in the unilateral neglect after a stroke. In conclusion, the mirror treatment is useful for recovering function and improvement and for helping the patients complete activities of daily living.

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The Effects of Trunk Stabilization Training on a Stroke Patient's Postural Control and Activities of Daily Living: A Sing Subject Design (뇌졸중 환자의 체간안정화 훈련이 자세조절과 일상생활동작에 미치는 영향: 단일사례연구)

  • Nam, Ju-Hyeon;Shim, Gyeong-Bo;Gwak, Seong-Won
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.1
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    • pp.75-84
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    • 2014
  • Objective : This study intends to suggest an effective clinical intervention method for stroke patients by applying a trunk stabilization training program to a single stroke patient and investigating and analyzing the effects of the program on postural control and activities of daily living. Methods : The subject of this study was a 75 year-old female stroke patient hospitalized in C Hospital located in Gyeongju, Gyeongsangbuk-do. As for the research design, A-B-A reversal design was used with a single subject design; and the research period was a total of five weeks from April 21, 2014 to May 23, 2014. As for the research process, a total of 15 sessions were carried out including three sessions of baseline(A), nine sessions of an intervention period(B), and three sessions of maintenance(A'); and the trunk stabilization program was applied during the intervention period. To evaluate the participant's postural control and activities of living life, the Postural Assessment Scale for Stroke(PASS) and the modified Barthel Index(MBI) were used. Visual analysis was used in which collected data were plotted on a graph, using Microsoft Office Excel 2013. Results : In the postural control test, the mean scores improved from 11.7 in the baseline phase to 14.8 in the intervention phase and 15.3 in the maintenance phase. In the evaluation of activities of daily living, the score improved from 66(medium dependence) during the baseline period to 80(low dependence) after intervention and at the maintenance phase. Conclusion : It was found that the trunk stabilization training program showed effects on the stroke patient's postural control or alignment, and furthermore a beneficial improvement in the patient's performing the activities of daily living, as well.

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의료기기의 전자파 적합성

  • 강태원;원성호;이주광;김정환
    • The Proceeding of the Korean Institute of Electromagnetic Engineering and Science
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    • v.16 no.3 s.55
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    • pp.80-88
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    • 2005
  • 본 고에서는 의료 분야의 전자파 장해 사례를 들었으며, 국내 및 국외 의료용 전기 기기의 전자파 적합성 규격에 대하여 간략하게 살펴보았다. 의료 기기 전자파 업무를 수행하는 국내 기관들을 소개하였으며, 주요 국제 규격인 IEC 60101-1-2의 동향을 간략하게 다루었다. 비록 외국이기는 하지만 의료 기기와 전자파 장해에 대한 실례를 들어서 일상생활에 편리한 전자파가 의료기기 동작에도 영향을 끼침을 보았다. 본고를 통하여 정보 통신 및 전기 전자 산업 분야 뿐만 아니라 의료 기기 분야에서도 전자파 적합성 문제가 중요함을 일깨우는 계기가 마련되기를 바란다.

Study of Quality of Life and Related Factors in Veterans with Physical Dysfunction (신체적 기능장애를 가진 국가유공자의 삶의 질 수준 및 관련 요인 연구)

  • Kwon, Chun-Suk;Kim, Suhn-Yeop;Jang, Hyun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.490-497
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    • 2015
  • The aim of this study was to examine the quality of life (QOL) and its related factors in veterans with physical dysfunction. The survey data was collected from 412 patients with physical dysfunction managed at five veterans' hospitals in Seoul, Pusan, Daegu, Gwangju, and Daejeon city. The baseline for the quality of life was measured using the SF-36 (Short-Form 36), activities of daily living was measured using a Modified Barthel Index (MBI), pain level was determined using Quadruple Visual Analogue Scale (QVAS), and the depression level was assessed using Korean version of the Geriatric Depression Scale: Short-Form (SGDS-K). The SF-36 scores showed a significant correlation with age (r=-0.132), self-rated current health status (r=-0.545), active daily living (r=0.514), pain level (r=-0.243), and depression level (r=-0.565) (p<0.05). The most influential variables on the QOL were the depression level (B=-.969, p<0.001), QVAS (B=-0.163, p<0.001), and MBI (B=0.140, p<0.001). The results of this study showed that that depression, pain and activities of daily living are significant predictors of the QOL in veterans with a physical dysfunction. Therefore, healthcare providers need to consider these parameters for interventions to improve the QOL in veterans with a physical dysfunction.

The relationship between the patient's health beliefs and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patients (뇌졸중 환자의 건강신념과 운동기능 재활 이행 및 일상생활동작 행능력과의 상관성)

  • Mun, Byeong-Mu;Lee, Yeon-Seop;Lee, Byung-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3057-3064
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    • 2012
  • In this study, we have tried to identify the relationship between the patient's health belief and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patient, and have done this study to use this as evidence in treating stroke patients in clinical trials by providing a basis data of stroke patients' successful rehabilitation program. We targeted stroke patients who were diagnosed with stroke and are hospitalized in D hospital in J City, Jeollabuk-do, South Korea. More over, we distributed a total of 150 questionnaires to patients who understand the purpose of the research and agreed to participate. We were able to collect 132questionnaires at the end. However, 11 had insufficient data so we only analyzed and evaluated 121 of the said questionnaires. We did frequency analysis to understand the general characteristics by using SPSS for Windows(ver.12.0) program and we used Pearson's Correlation Coefficient and regression analysis to know the relationship between the patient's health beliefs and the implementation of rehabilitation and ability to perform ADL in stroke patients. The results of this study shows that patients with higher perceived sensitivity, perceived benefit and perceived severity equates to an implementation of the rehabilitation better, however patients with a lower perceived disability equates an implementation of functional movement rehabilitation better than those with a higher perceived disability.

Accelerometry of Upper Extremity During Activities of Daily Living in Healthy Adults (정상인에서 일상생활활동 수행시 상지의 가속도 분석)

  • Kim, Tae-Hoon;Park, Kyung-Hee
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.1
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    • pp.23-31
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    • 2014
  • Objective : The objectives of this study were to compare the variables from Fitmeter accelerometer with them from CMS-70P(Zebris Medizintechnik Gmbh, Germany) and to suggest the availability the accelerometer in the field of occupational therapy. Methods : Twenty participants performed calling, drinking water, washing face and spooning and we measured Sum of Single Vector Magnitude(SSVM) and range of motion(ROM) on the wrist and elbow joints. Results :With respect to the wrist and elbow joints, SSVM and ROM differed significantly according to the task(calling, drinking water, washing face and spooning)(p<.001; p<.001; p<.001; p<.001). As for the wrist joint, SSVM and ROM did not show the significant correlation(p>.05) but as for the elbow joint, SSVM and ROM did show the significant correlation according to the task(p<.01; p<.001; p<.01; p<.05). With regard to the SVM-difference of wrist and elbow joints, calling and washing showed the significant difference (p<.001; p<.05) but drinking and spooning did not show the significant difference(p>.05; p>.05). Conclusion : We suggest that Fitmeter accelerometer would be use to record the kinematic variables during performance of ADL and it can compensate the function of CMS-70P as for the elbow joint than the wrist joint.

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Design and Implementation of Real-Time Information Appliance Control Simulator Based on TMO Scheme (TMO 스키마 기반의 실시간 정보가전 제어 시뮬레이터의 설계 및 구현)

  • Jung, Eun-Jae;Shin, Chang-Sun;Joo, Su-Chong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2003.05a
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    • pp.149-152
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    • 2003
  • 본 논문에서는 분산 실시간 서비스를 지원하는 TMO(Time-triggered Message-triggered Object) 객체를 기반으로 정보가전 기기들을 관리하기 위한 실시간 정보가전 제어 시뮬레이터를 설계 및 구현한다. TMO객체는 기존 객체를 확장한 실시간 특성을 자체적으로 가지는 객체를 UCI의 DREAM연구소에서 제안한 분산 실시간 객체이다. 이러한 TMO 객체를 기반으로 TMOSM(TMO Support Middelware) 상에서 실시간 정보가전 제어를 위한 TMO 객체들의 상호 동작과 실시간 속성을 설계하여 보장된 실시간 서비스를 지원하도록 한다. 본 시뮬레이션 모델은 온도제어, 조도제어, 방법제어 서비스를 지원하는 컴포넌트들로 구성된다. 온도제어 서비스를 위해 Fan_TMO와 Air_Conditioner_TMO, Heater_TMO가 상호 작용하여 적정 실내 온도를 유지하도록 하며, 조도제어 서비스를 위해 Light_TMO가 조도의 변화에 따라 동작하여 일상생활에 적당한 조명 환경을 제공한다. 또한 방범제어서비스를 위해 Camera_TMO가 정해진 시간을 주기적으로 동작하여 방범 활동을 수행한다. 그리고, 각각의 TMO 정보가전 객체들의 동작을 관리하고 서비스 수행 결과를 모니터링 하는 Home_Server_TMO가 존재한다. 마지막으로 설계된 시뮬레이션 환경을 구현하여 본 모델의 실시간 정보가전 제어 서비스를 정확하게 지원하는지를 검증한다. 제안한 시뮬레이션 환경은 일반 정보가전기기를 추가 작업 없이 실시간 서비스 지원 객체로 적용할 수 있는 모델이다.

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A Study of the effects of Health Contract on the performance Level for Activity of Daily Living in the Hemiplegic patients (건강계약이 편마비 환자의 일상생활동작 수행정도에 미치는 영향)

  • 김병은;이향련
    • Journal of Korean Academy of Nursing
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    • v.21 no.1
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    • pp.63-78
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    • 1991
  • The purpose of this study was to test the effects of health contract on the performance level for activity of daily living(ADL) in the hemiplegic patients. A quasi - experimental research for health contract, which was approved as an effective method of nursing intervention, was attempted to increase the performance of the hemiplegic patients' ADL. As a purpose sample, 69 hemiplegic patients hospitalized at Oriental medicine hospital of K university were taken and devided into the experimental group and the control group by means of random assignment. After Contracting with the experimental group, they were reinforced everyday for 20 minutes. The experimental group and the control group were observed and interviewed for five times at the in terval of 3~4 days by the trained nurses for this research. The data Collected through above mentioned methods were compute analyzed by t-test and ANOVA according to the purpose of this study. The data collected through above mentioned methods were computer analyzed by t-test and ANOVA according to the purposre of this study. strate increased the performance level for ADL than the Control group” was supported(t=2.96, df=52.76, p= .004). Sub Hypothesis 1,2,4,5 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for eating(t=2.29, df=42.70, p= .027), personal hygiene and grooming (t=4.04, df=43.10, p= .000), dressing(t=3.32, df=67, p= .001) and undressing (t=3.47, df=48.44, p= .001) than the control group” was supported. Sub Hypothesis 3.6 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for toiletting(t= .19, df=67, p= .849) and mobilization (t= .30, df=67, p= .765) than the control group” was not supported. The conclusion can be that the positive relationship between the nurse and the patient results in the desired performance level for ADL in the hemiplegic patients.

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An Effect of Beach Ball Play for Depression, Powerlessness, Self-Esteem, Activity of Daily living in Stroke patients (비치볼놀이가 뇌졸중환자의 우울, 무력감, 자아존중감, 일상생활동작 수행에 미치는 효과)

  • Woo, Gyung-Mye;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.15-25
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    • 1998
  • The purposes of this study was to determine the effect of beach ball play in stroke patients, and to define the strategy to promote their depression, powerlessness, self-esteem, activity of daily living. The experimental design was designed non-equivalent control group, non-synchroniged design. The study method had been done by investigating the experimental group and control group through the questionnaire on 57 patients who had been in patient department in D University hospital in Pusan from January 5th 1998 to the end of February 28th, 1998. Beach ball play was carried out experimental group once per day for 10 minute's for two weeks period from Jan 1998 to Feb 1998. Data was collected before and after the experimenation. Collected data was analyzed by means of frequency, percentage, chi-square test, mean, S.D, t-test with SPSS/PC. The results were summarized as follows : 1. The 1st hypothesis : "The experimental group which received the beach ball play should be higher in depression than the control group" was supported(t=3.11, p=.003). 2. The 2nd hypothesis : "The experimental group which received the beach hall play should be higher in powerlessness than the control group" was supported(t=3.32, p=.002). 3. The 3rd hypothesis : "The experimental group which received the beach ball play should be higher in self-esteem than the control group" was not supported(t=-1.90, p=.064). 4. The 4th hypothesis : "The experimental group which received the beach ball play should be higher in activity of daily living than the control group" was not supported(t=-.47, p=.637). In conclusion, the patients who received beach ball play showed the increase in the degree of depression and powerlessness of stroke patients. So the beach ball play had been judged the nursing intervention to improve their emotional problem in stroke patients.

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