• 성인간호학회지
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• 제12권4호
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• pp.641-653
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• 2000

A quantitative descriptive survey was conducted to assess the needs of elderly people in relation to accessibility of medical care. Identifying their functional status was done and accessibility of medical care was ascertained. Using a convenient sampling method, 856 elderly aged 65 and over in Taejon-city participated. A multi-dimensional questionnaire containing sections on health status, Activities of Daily Living(ADLs) and accessibility of medical care in terms of use, time, distance, transport, cost and feeling at ease was developed by the researchers of this study to collect data. Data were collected between October and December, 1999. In general, the result of the self-reports from this study found that approximately 40% of participants had difficulties with their health status and ADLs while about 45% of the population did not access medical care. The majority of respondents stated that they had no difficulties with time distance and transport to access medical care. About two-thirds of the respondents felt that they had many or some difficulties with expenses and strategies for emergency to access medical care. Even though these findings need to be generalized, several recommendations for appropriate medical care delivery for the elderly still can be outlined from the study findings. Recommendations suggested are: To identify impediments to access medical care in emergency in elderly people and to remove those factors preventively are required. Responsible governmental involvement for solving problems of the medical care cost and additional costs in relation to separation of dispensary from medical practice for the elderly is required. More constructive and practical uses of public health community centers are recommended.

• 재활간호학회지
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• 제3권2호
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• pp.169-181
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• 2000

The purpose of this study was to identify the effect of follow-up care for stroke survivors on primary caregivers' quality of life. Quasi-experimental research was conducted in which an experimental group and a control group-each of 15 stroke survivors and their primary caregivers-were consecutively sampled. Data collected from July to September, 1999 by interview using a structured questionnaire with both the experimental and the control groups. After a month, the two groups were given the same questionnaire. The experimental group was also given a telephone follow-up every week for a month, as well as a home visit. The survey instruments used in this study were Saha and Cooper's "Modified Barthel Index" (11 items) for checking the stroke survivors' level of activities of daily living, and a modified form of Jeong's "Quality of life" (18 items) for primary caregivers' QOL level. The obtained data were analyzed by percentage, t-test, $X^2$-test, Kruscal-Wallis test, Spearman correlation coefficient by SAS/PC program. The results were as follows: 1. There was no significant difference in the stroke survivors' ADL level, though the level of the experimental group was higher than that of the control group. 2. There was a statistical difference in the before and after treatment of the primary caregivers' QOL level. In conclusion, the follow-up care program had a useful effect on the quality of life of primary caregivers.

• 대한한방내과학회지
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• 제42권5호
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• pp.904-915
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• 2021

This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.

• 재활치료과학
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• 제4권1호
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• pp.39-51
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• 2015

목적 : 본 연구의 목적은 뇌졸중 환자의 삶의 질에 영향을 끼치는 잠재적인 요인들을 체계적인 고찰을 통해 알아보고자 하였다. 연구방법 : 국회도서관, 과학기술정보통합서비스, 학술연구정보서비스, 한국의학논문데이터베이스를 통해 문헌을 검색하였다. 검색 용어는 뇌졸중, 삶의 질, 상관관계였고 한국어로 출판된 연구만을 포함하였다. 결과 : 총 256편의 연구가 검색되었고 그 중 12편의 연구가 본 주제와 부합하여 분석되었다. 분석된 12편의 연구는 모두 비 실험적 연구였고 상관관계 논문이었다. 삶의 질과의 상관관계는 일상생활활동 r=.293~.622, 우울증 -.804~-.533, 인지 기능 .090~.610, 수면의 질과 만족도는 각각 .107과 .367, 피로 -.260, 상지 기능 중 움직임의 질 .208, 사용 양 .364, 가족지지 .824, 통증 -.306, 재활 동기 .51~.86, 균형 .740, 자기효능감 .388로 분석되었다. 결론 : 뇌졸중 환자의 삶의 질은 다양한 요인에 의해 영향을 받으며, 환자의 삶의 질을 향상시키기 위해 작업치료사는 상지 기능과 일상생활동작뿐만 아니라 우울, 인지, 수면, 가족지지, 통증, 자기 효능감 등의 요인에 관심을 가질 필요가 있다.

• 재활간호학회지
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• 제4권2호
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• pp.207-218
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• 2001

This study was carried out to find out the basic data required to plan and develop Rehabilitation Day Care Program for the stroke survivor's family in Korea. The subjects comprised of 92 stroke survivor's family who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of daily living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN 10.0 program. The results obtained are as follows; 1. The mean score of the general need of rehabilitation day care program of stroke survivor's family was 3.10(range 1-4). The highest need among the service categories of the rehabilitation day card program was self-care and restorative activities category(3.30), and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows. In the health services referral category, the need for dental examination and medical examination were highest, followed by the need for physical therapy and occupational therapy. In the psychosocial activities category, the need for family counselling was highest. In the self-care and restorative activities category, the need for ROM exercise training was highest, followed by bowel training, and ambulation training. 2. The need of family for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age, illness intrusiveness, depression, knowledge, subject and object burden and relationship with stroke survivors. 3. The stepwise multiple linear regression analysis revealed following results. For the need for rehabilitation day care program service, 22.6% of the variance was initially explained by level of family's knowledge about caring method for stroke survivors, 8.8% was the level of subjective burden and 5.4% was relationship with stroke survivors. In conclusion, above characteristics should be considered to develop stroke survivors' rehabilitation day care program.

• 한국심리학회지 : 문화 및 사회문제
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• 제18권3호
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• pp.367-387
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• 2012

본 연구는 고령화 사회에서 점점 증가하고 있는 배우자 부양자의 부양부담과 우울에 미치는 부양자의 심리적 요인의 영향을 확인하고자 하였다. 서울과 인천에 거주하고 있고 50세 이상의 배우자 부양자 142명(여자 89명, 남자 52명)을 대상으로 피부양자의 객관적인 요인, 부양자의 인구학적인 요인, 그리고 심리적 요인으로 부양자의 외향성, 신경증적 성향, 부양 전 부부관계 만족, 사회적 지지가 부양부담과 부양자 우울에 미치는 영향을 조사하고자 설문을 실시하였다. 부양부담과 우울에 대한 변인들의 영향력 검증을 위해 위계적 회귀분석을 실시한 결과, 부양부담에는 피부양자의 일상생활활동수준과 신경증적 성향이, 우울에는 부양자의 신경증적 성향과 부양 전 부부관계 만족이 영향을 주는 것으로 나타났다. 특히 피부양자의 객관적 요인이나 부양자의 인구학적 요인에 비해 부양자의 심리적 요인이 부양부담과 우울을 더 잘 예측함을 확인할 수 있었다. 연구결과를 바탕으로 부양자의 심리적 요인이 부양경험에 미치는 영향에 대해 논의했으며, 마지막으로 배우자 부양부담 완화를 위한 제언, 연구의 제한점, 그리고 미래 연구 방향에 대해 제안하였다.

• PNF and Movement
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• 제10권3호
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• pp.7-18
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• 2012

Purpose : This study was to compare the difference Trunk Control Test(TCT), Postural Assessment Scale for Stroke(PASS-TC), and Trunk Impairment Scale(TIS) and its subscales in relation to the difference MBI(Modified Barthel Index), BBS(Berg Balance Scale), and to establish the association between MBI, BBS, Fugl Meyer-motor function(FM-M), and to predict MBI-subscales from the variables. Methods : 58 stroke patients, attending a rehabilitation programme, participated in the study. Trunk control was measured with the use of the TCT, PASS-TC, TIS, and the performance of Activities daily living was obtained by MBI, and dynamic balance ability(by BBS). Trunk control scores from the difference MBI, BBS were compared using the 1-way ANOVA(Mann Whitney U test) and the data were analyzed using Pearson product correlation. Multiple stepwise regression analyses were performed to identify prognostic factors for ADL subscale. Results : Trunk control scores showed significant differences between MBI(F=2.139~13.737, p<.05~.001), BBS(t=3.491~7.705, p<.01~.001). It was significantly related with value of the MBI(r=.25~.50), BBS(r=.38~.68), FMM( r=.31~.48). Stepwise linear regression analysis showed an additional, significant contribution of the TCT, in addition to the PASS-TC, dynamic sitting balance subscale of the TIS for measures of MBI subscales. Conclusion : Measures of trunk control were significantly related with values of MBI, BBS score, so the management of trunk rehabilitation after stroke should be emphasized. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general performance of the stroke patients. Further study about trunk control is needed using a longitudinal study design.

• 전자공학회논문지
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• 제50권8호
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• pp.232-237
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• 2013

동영상에서 추출한 변수값을 은닉 마르코프 모델(Hidden Markov Model; HMM)에 적용한 새로운 낙상 인식 알고리듬을 제안한다. 개인간 낙상 양식의 차이나 유사 낙상을 실제 낙상과 구분하기 위한 기계 학습 방법으로 HMM알고리듬을 사용하였다. 비디오의 낙상 특징 변수를 얻기 위해 동영상의 광류를 구한 후 이를 주성분 분석 방식에 적용하여 움직임을 정량화하였다. 주성분 분석으로 얻어진 전체 움직임 벡터의 각도, 장단축의 비, 속도등의 조합으로 새로운 여러 종류의 낙상 특징 변수를 정의한 후 이를 HMM에 적용하여 결과를 비교, 분석하였다. 이들 변수들 중에 각도에 의해 얻어진 변수가 가장 좋은 결과를 보여 본 실험에서 91.5%의 민감도(성공 감지율)와 88.01% 의 특이도(실패 감지율)를 나타내었다.

• 대한간호학회지
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• 제45권1호
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• pp.35-45
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• 2015

Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.1946-1956
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• 2015

이 연구는 골관절염 대상자에게 자가관리를 실시한 연구에 대한 체계적인 문헌고찰과 메타분석을 통해 객관적인 근거를 제시하는 것이었다. 이를 위해 Ovid Medline, CINAHL, PubMed, RISS, KISS 등을 통해, 주요어 '골관절염(osteoarthriti* OR OA)', '자가관리(self-(management OR care OR help))'를 사용하여 1999년부터 2012년까지 출판된 논문을 선정하였다. 최종 선정된 논문은 총 11편(무작위 대조군 실험연구는 7편, 유사실험연구는 4편)으로 RevMan 5.2 프로그램을 사용하여 메타분석을 실시하였다. 자가관리 중재방법으로 운동, 교육, 마사지, 환우모임이 있었다. 메타분석 결과, 자가관리는 골관절염 대상자의 통증, 신체기능, 일상생활능력, 자기효능감에 유의한 효과가 있었다. 특히, 자가관리가 일상생활능력에 대하여 큰 효과가 있었으며, 통증 및 신체기능에 대하여 중간 정도의 효과가 있었다. 이를 바탕으로 골관절염 대상자를 위한 표준화된 자가관리 프로그램의 개발이 필요하다.