• Title/Summary/Keyword: 일상수행능력

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Effect of Cognitive Rehabilitation Program on Cognitive Function, Depression, and Activities of Daily Living among Patients with Strokes (인지재활 프로그램이 뇌졸중환자의 인지기능, 우울 및 일상생활수행능력에 미치는 효과)

  • Jang, Yun-Jung;Jun, Seong-Sook
    • Korean Journal of Adult Nursing
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    • v.24 no.3
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    • pp.305-316
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    • 2012
  • Purpose: The purpose of this study was to test the effectiveness of a cognitive rehabilitation program for the patients having an acute stroke. The variables evaluated were cognitive function, depression and activities of daily living (ADLs). Methods: A non-equivalent control group pretest-posttest design with sixty-two subjects from two separated institutions was the design for the study. Thirty-three patients were assigned to the treatment group and 29 patients comprised the comparison group. The treatment group participated in the nursing intervention for cognitive rehabilitation for a three week period of time. The study was conducted from September 2010 to April 2011. Results: Following the three week intervention, the cognitive function and activities of daily living of the treatment group were significantly improved compared to the comparison group (t=6.33, p<.001; t=4.57, p<.001). Specifically, depression was significantly decreased in the treatment group (t=3.95, p<.001). Conclusion: The cognitive rehabilitation program was effective in increasing the treatment group cognitive function and activities of daily living along with a decrease in depression scores. Therefore, Cognitive Rehabilitation Program could be expected a beneficial nursing intervention in stroke patients.

Instrumental Activities of Daily Living, Leg Muscle Strength, Cognitive and Visual Function According to Demographic Variables and the Experience of Falling in Community Resident Elderly Koreans (지역사회 재가 노인의 인구학적 특성과 낙상경험에 따른 일상생활 수행능력, 하지근력, 인지기능 및 시각기능)

  • Sohng, Kyeong-Yae;Choi, Dong-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.221-229
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    • 2007
  • Purpose: To investigate the instrumental activities of daily living (IADL), leg muscle strength, cognitive and visual functions according to the participants' demographic characters and experiences of falling in Korean elder who are residents in the community. Method: Data were collected from 351 participants aged 65 or more, who were ambulatory, A structured questionnaire and several physical function measurements were used to collect the data which were analyzed using the SAS program. Results: The participants' IADL scores were significantly different according to their age, educational level and living situation. The leg muscle strength of the elders were significantly different according to gender and age, and were also related the risk of falling. Cognitive scores were significantly different according to gender, age, education level and marital status. Visual acuity and depth perception were significantly different according to age, education level, and marital status. Conclusion: Demographic variables and experience of falling were identified as variables related to IADL, leg muscle strength, cognitive and visual function of elders. Further study with a larger and nation-wide sample is needed to identify the variables related to the physical and cognitive functions of elders.

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The Effects of Somatosensory Stimulation on Cognitive Function and ADL of Patients after Stroke (체감각자극이 뇌졸중 환자의 인지기능과 일상활동 수행능력에 미치는 효과)

  • Kim, Dae-Ran;Hur, Hea-Kung
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.239-250
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    • 2008
  • Purpose: The purpose of this study was to determine the effect of a 2-week somatosensory stimulation program on cognitive function and ADL of patients with brain damage. Methods: The sample consisted of two groups of patients with stroke: 10 patients with a mean age of 59.0 years who were treated with somatosensory stimulation, and 9 patients with a mean age of 51.78 years, who were not treated with somatosensory intervention. A nonequivalent control group non-synchronized design was used to assess the functional recovery after stroke. Instruments used in this study were MMSE-K for cognitive function and FIM for ADL. Results: The hypothesis 1 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher MMSE-K score than that of the non-treatment group" was supported(Z = -2.390, p = .017). The hypothesis 2 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher FIM score than that of the non-treatment group", however, was partially supported(social cognition: Z = -2.204, p = .045). Conclusion: Somatosensory stimulation was effective to patients with stroke in improving their cognitive function. These findings suggest that somatosensory input can be adopted to nursing intervention for functional recovery after stroke.

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A Study on the Depression, Somatic Symptom, Activities of Daily Living for, the Elderly Women in an Urban Area (도시지역 여성노인의 우울, 주관적 신체증상 일상생활 수행능력에 관한 연구)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Jung, Duk-Yoo;Choi, Kyung-Ae
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1131-1138
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    • 2007
  • Purpose: The purpose of this study was to investigate the relationships among depression, somatic symptoms, and activities of daily living of elderly women in urban areas. Method: After obtaining participant's consent forms, a one-time, face-to-face, and private interview was conducted with each participant from Sep, 2006 to Jan, 2007 by trained graduate-level students. The questionnaire consisted of K-GDS, PHQ-15, Barthel Index, and Instrumental Activity of Daily Living. The collected data was analyzed with the SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, Pearson correlation coefficients, and multiple regression. Results: The major findings of this study were as follows 1) 34.1% of participants belonged to the depression group. 2) There were significant relationships between depression and monthly income, somatic symptoms, ADL, IADL, and number of chronic disease. 3) Significant factors influencing depression were somatic symptoms, ADL, and monthly income. Conclusion: The results of this study give useful information for designing interventions and program development for appropriate depression management and care for elderly women.

Effect of Net-Step Exercise on Gait Ability, Depression, Cognitive Function and Activities of Daily Living in Older Adults (Net-Step Exercise가 노인의 보행기능, 우울, 인지기능 및 일상생활 수행능력에 미치는 영향)

  • Lee, Eun Ja;Yoo, Jae Boone
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.108-117
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    • 2016
  • Purpose: This study aimed to prove the effects of the net-step exercise (NSE) on gait ability, depression, cognitive function and activities of daily living (ADL) in older adults. Methods: The study employed a non-equivalent control group non-synchronized design. A total of 64 community-dwelling older adults were recruited and divided equally into two groups; 32 subjects for an experimental group and 32 subjects for a control group. In the experimental group, the NSE was applied to an hour, two times per week for 4 weeks. The level of gait ability, depression, cognitive function and ADL were measured before and after NSE. The study conducted from July to August, 2016. Data were analyzed with descriptive statistics, $x^2$ test, Fisher's exact test, t-test, ANCOVA, and Pearson correlation coefficients using SPSS/WIN 22.0 version. Results: Gait ability, depression, cognitive function were significantly better in the experimental group than the control group. However, the difference in ADL was not significant between the two groups. Conclusion: These findings in this study showed that the NSE was an efficient intervention for older adults. Nurses could apply non-pharmacological interventions to avoid pharmacological side-effects.

A Study on Daily Living Abilities, Self-efficacy and Yangsaeng Behavior in Elderly Men (Yangsaeng; 養生 traditional oriental health promotion) (남성노인의 일상생활 수행능력과 자기효능감 및 양생행위)

  • Kwag, Oh-Gye;Kwon, Yunhee
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.11-19
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    • 2013
  • Purpose: This study was carried out to investigate relations among daily livingabilities, self-efficacy, and Yangsaegn behavior, and influencing factors on Yangsaeng behavior among elderly men. Methods: Data were collected from 497 male elders in the D metropolitan city. Research tools included ADL, IADL, and the scale for self-efficacy and Yangsaeng behavior. The data were analyzed using frequency analysis, average and standard deviation, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 program. Results: The subjects' ADL score was 2.86, their IADL score of subjects 2.66 out of 3, and their self-efficacy score was 2.68 out of 4, and their Yangsaeng behavior score 3.46 out of 5. There were significant differences in Yangsaeng behavior among the subjects due to age, education level, monthly income, marital status, family structure, religion, health status, andperiodic health examination. There were significant positive correlations among ADL, IADL, self-efficacy, and Yangsaeng behavior. According to the research, influencing factors on Yangseng behavior in elderly men included self-efficacy, health status, ADL, education level, IADL, and family structure. Conclusion: Findings from this study can be used as basic data to develop Yangsaeng behavior programs for elderly men.

The Effect of Activity of Daily Living Exercise for Self-care Ability and Family Burden in Stroke Patients (일상생활동작 훈련이 뇌졸중 환자의 자가간호 수행능력과 가족의 부담감에 미치는 효과)

  • Kim, Myung-Shin;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.165-174
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of ADL exercise in stroke patients and to define to strategy to promote their self-care ability, decrease to their family burden. Method: The experimental design was designed nonequivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionaire on 33 patients. ADL exercise was conducted by the researcher and was carried out experimental group once per day for 20 minutes for daily 28 days. Results: For the ADL exercise, self-care ability score was increased and family burden score was decreased significantly. Conclusion: The exercise increased the self-care ability and effect of family burden of stroke patients. Based upon these results, it is recommended that the nurses who take care of stroke patient carry out them the ADL exercise continuously.

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The Impacts of Cognitive Function, Disease Severity, and Disability on Ability to Perform Activities of Daily Living after Stroke (뇌졸중 환자의 인지기능, 질병의 심각도 및 장애 정도가 일상생활수행능력에 미치는 영향)

  • Oh, Eunyoung;Kim, Minsuk;So, Heeyoung;Jung, Misook
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.2
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    • pp.90-99
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    • 2013
  • Purpose: This study aimed to examine influence of cognitive function, disease severity and disability on ability to perform activity of daily living (ADL) after ischemic stroke. Methods: A total of 88 patients with ischemic stroke were recruited from January 1, 2008 to December 31, 2012 and assessed with the standardized cognitive test battery and self-reports about disease severity, disability, and ADL. To analyze the data, ANOVA, Pearson correlation coefficients and multiple regression were conducted using SPSS/WIN program. Results: Significant correlations were found between ADL and visuospatial function, visual memory, executive function, and disability (r=.29~.38). Executive function and disability explained 17.3% of total variability in ADL performance after ischemic stroke. Conclusion: Executive function may be a promising target for cognitive rehabilitation after ischemic stroke. Thus, effective therapeutic interventions such as cognitive training for stroke patients should be considered to improve their ability to perform ADL.

Factors Affecting Activities of Daily Living, Depression and Life Satisfaction among Aged Women (여성노인의 일상생활 수행능력, 우울, 생활만족도와의 관련 영향요인)

  • Park, Sunhee;Suh, Soonrim;Kim, Hongsoon
    • Journal of East-West Nursing Research
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    • v.21 no.2
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    • pp.119-125
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    • 2015
  • Purpose: The purpose of this study was to identify the impact of activities of daily living, instrumental activities of daily living and depression on life satisfaction among aged women. Methods: The sample consisted of 309 aged women of over 60. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and multiple regression analysis. Results: Significant factors affecting the life satisfaction were spouse, religion, perceived health status, age, and depression. The most significant variables among them were depression and perceived health status. The explanatory power on life satisfaction was 57% in regression model. Conclusion: Depression and perceived health status are important variables to influence on life satisfaction. Therefore, it is suggested that nursing intervention to reduce or prevent depression and enhance health status should be developed to promote quality of life in aged women.

Activity of Daily Living, Interpersonal Relationship, Depression and Health-related Quality of Life in Patients with Hand Microsurgery (수부손상 환자의 일상생활 수행능력, 대인관계, 우울 및 건강 관련 삶의 질)

  • Gang, Moon-Hee;Yoon, Soon-Young;Kwon, Myoung-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.289-298
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    • 2011
  • Purpose: The purpose of this study was to explore status of activity of daily living, interpersonal relationship, depression and health-related quality of life in patients with traumatic hand injury and identify factors that influence health-related quality of life. Methods: The participants were 104 outpatients with impending hand microsurgery from D city. The data were analyed using Pearson's correlation, t-test, ANOVA, and hierarchical regression with SPSS/WIN 12.0. Results: There were statistically significant differences in HRQoL to gender, age, marital state, and level of pain. HRQoL had significant correlations with ADL, IADL, relationship change, and depression. In regression analysis, depression, marital state, ADL, and level of pain explained 48% of the HRQoL. Conclusion: Findings of this study allow a comprehensive understanding of patients with traumatic hand injury. It is necessary to develop nursing intervention program for improving the health-related quality of life in patients with traumatic hand injury by considering psychological care for depression as well as physical care.