• 한국산학기술학회논문지
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• 제17권12호
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• pp.371-380
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• 2016

본 연구의 목적은 성인 신체장애인을 부양하는 배우자의 부양스트레스, 우울, 장애인의 일상생활활동능력을 살펴보고, 각 영역들의 상관관계 및 장애인의 일상생활활동능력이 배우자의 부양스트레스와 우울에 미치는 영향을 알아보고자 하는 것이다. 2016년 7월부터 8월까지 S시와 K도에 소재한 2개의 병원에서 재활치료를 받고 있는 장애인들의 배우자 86명을 대상으로 연구를 진행하였다. 연구결과 부양스트레스 총점은 $71.43{\pm}17.78$점 이었으며, 부양스트레스 하위항목 중 경제적 스트레스와 심리적 스트레스가 다른 항목보다 높았다. 우울총점은 $50.34{\pm}26.41$점으로, 일반 정상 성인들의 평균점수보다 다소 높았다. 대상자의 일반적 특성에 따른 부양스트레스와 우울을 살펴본 결과, 연령이 많은 여성의 경우, 부양비에 대한 지출이 많고 부양시간이 많은 경우, 장애인의 연령이 젊고, 병명이 뇌졸중인 경우 부양스트레스와 우울지수가 높았다. 부양스트레스에 영향을 미치는 요인으로는 장애인의 연령, 장애기간으로 나타났으며, 장애인의 일상생활활동능력은 부양스트레스에 영향을 미치지 못하였다. 우울에는 장애인의 연령, 장애유형 및 등급, 장애인의 일상생활활동능력 모두 영향을 미치는 것으로 나타났다. 부양가족들의 스트레스 및 우울을 감소시키기 위하여 경제적, 신체적 혹은 심리적으로 도움을 줄 수 있는 실질적인 정책적 지원이 마련되어야 할 것이다.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.301-310
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• 2018

본 연구는 요양시설 노인의 신체적 기능(ADL, IADL) 및 정신적 기능(우울, 인지기능장애) 수준과 삶의 질과의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 15개 요양시설에 입소하고 있는 65세 이상 노인 524명으로 하였으며, 자료 수집은 2015년 11월부터 2016년 1월까지의 기간 동안에 조사원이 조사대상 요양시설을 직접 방문하여 면접 조사하였다. 자료의 분석은 각 독립변수에 대한 삶의 질을 종속변수로 하여 평균점수를 비교하기 위해 t-test 및 ANOVA로 검정하였다. 또한, 삶의 질에 영향을 미치는 관련 독립변수들의 설명력을 파악하기 위하여 다중회귀분석을 실시하였다. 연구결과, 조사대상자의 삶의 질은 연령이 높을수록, 학력이 낮을수록, 가족과 함께 산다는 군보다 혼자 산다는 군, 자녀와의 관계가 좋다는 군보다 좋지 않다는 군, 주관적인 건강상태가 건강하다는 군보다 건강하지 않다는 군, 신체의 부자유가 없다는 군보다 있다는 군, 치아상태가 좋다는 군보다 좋지 않다는 군, 아침식사를 한다는 군보다 하지 않는다는 군, 규칙적인 운동을 한다는 군보다 하지 않는다는 군, 정기적인 건강검진을 한다는 군보다 하지 않는다는 군에서 유의하게 낮았다. 또한, 일상생활수행능력(ADL)과 도구적 일상생활수행능력(IADL)이 낮을수록, 우울수준이 높을수록, 인지기능장애점수가 낮을수록 삶의 질 수준이 유의하게 낮은 것으로 나타났다. 이 같은 연구결과는 요양시설 노인의 삶의 질은 인구사회학적특성, 건강상태 및 건강관련행위특성뿐만 아니라 신체적 기능 및 정신적 기능과도 유의한 관련성이 있음을 시사하고 있다.

• 대한물리의학회지
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• 제6권2호
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• pp.235-246
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• 2011

Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

• 보건의료산업학회지
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• 제5권2호
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• pp.173-186
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• 2011

The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.

• Clinical Pain
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• 제20권1호
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• pp.25-29
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• 2021

Upper limb morbidity including shoulder pain, lymphedema, adhesive capsulitis, myofascial pain syndrome, and limited range of motions (LROMs) occurs frequently in breast cancer patients. Especially restricted upper limb motion aggravated by chronic lymphedema results in functional limitation and impaired activities of daily living (ADL). However, conventional rehabilitation therapy including complex decongestive therapy and stretching exercise is insufficient for managing advanced breast cancer patients with complex upper limb morbidity. Here, we report a case of breast cancer-related chronic lymphedema in a 62-years old female with severe LROM in all joints of the affected upper extremity that caused severe disability in ADL. Significant improvements in range of motion and upper extremity function were observed after serial extracorporeal shock wave therapy (ESWT), combined with conventional rehabilitation therapy. Therefore, ESWT might be recommended for managing the extensive limited joint motion which causes functional decline in a patient of chronic lymphedema with trophic skin change.

• 대한물리치료과학회지
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• 제6권1호
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• pp.905-913
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• 1999

The hand is a part of the body which has various functions and a sophisticated structures bone, Joint, tendon, ligament and logical nerve organ are aggregated densely in the hand of anatomy its functions are delicate. The hand's functions are very important for doing ADL and a worker's As the hand is structure which is used often and commonly it is a site that can be easily damaged by a accident on work. This study was investigated and analyzed by the results from 238 workers who had hand injury and physical therapy from January, 1997 to June, 1998 at Shin-Pung, Jang-Lim industrial complex which is located in Pusan. 1. A hand injury most frequertly happened in worker in their 30's and 20's(66 case, 28%), second was 57 case(24%) their 40's. 2. Among workers suffering from injury, who had one or less than 2 years on the job, a injury most frequently occurred. 3. Scale of workers, A injury most frequently happend in a place where had workers from 10 to 50. 99 workers from that place were 42% of total. 4. Month of occurrence rate in March were the highest compared to other months 40 injury workers in march were 17% of the total. Second was July, and the least was April that injury appeared with 10 workers. (4.2% of the total) 1. Frocture was the most common lesion 82 workers had that lesion(34%) soft tissue rupture was 71 workers who were 30% of total in type of lesion. 2. Of the site of lesion multiple case was the most common in which 57 workers had that lesion it were 24% of the total. The next was the index finger site in which 44 workers were 19% of the total. The index finger was the most common mono-site that can be lesion 36 workers were the middle finger lesion workers who were 15% of the total. Of the joint lesion, PIP was the most in which 76 workers were 44% and in MC 27 workers were 15% of the total. 3. Interval of physical therapy 79 workers from one month to 2 months, was 33% of the total and 174 workers who had therapy below 3 months were 71% 4. Post injury of disablity of the site, phalangeous disability was the most in which 148 workers had that injury and they were 62% of the total of the grade of disability 110 workers who were 46% of the total state from less than 25% disability in hand-function and 59 patients who were 25% had no disability. There were 6 workers (3% of the total) who had over -75%-dibability in the hand-function.

• 한국사회복지학
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• 제59권1호
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• pp.223-249
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• 2007

본 연구는 개인에 대한 직업재활서비스의 적격성이 장애 등급만으로 결정될 수 있는지를 탐색하기 위해 수행되었다. 이론적 검토를 통해 '기능제한(functional limitation)'개념이 이에 대한 대안이 될 수 있음을 확인하였고 변형바델지수(Modified Barthel Index)를 이용하여 기능제한 정도를 측정하였다. 전체 381명의 뇌성마비인을 대상으로 신체적 손상(impairment)과 기능제한 그리고 취업여부의 관계를 파악한 결과, 뇌성마비유형과 부위 등 신체적 손상과 관련된 변인은 취업여부에 직 간접적 영향을 미치지 않았으나 통증문제와 이동능력은 간접적인 경로를 통해, 자기관리능력은 직접적인 경로를 통해 취업여부에 영향을 미침을 알 수 있었다. 이러한 연구결과를 통해 향후 각종 장애관련 연구나 서비스 전달체계의 적격성을 파악하는 과정에서 무엇을 '장애'로 규정할 것인지에 대해 고민해야 하며, 그 대안으로 신체적 '기능제한' 정도를 개념화 하는 것에 대한 추가적인 연구가 수행되어야 함을 알 수 있었다.

• 성인간호학회지
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• 제25권6호
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• pp.610-621
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• 2013

Purpose: The study was designed to identify influencing and mediating factors of health behaviors of stroke patients based on the hypothetical model constructed in this study. Methods: Non-experimental correlational research design was used. One hundred and five stroke patients were conveniently selected from one university hospital located in Incheon. Data were collected with survey and analyzed by path analysis to examine the significant influencing and mediating factors of health behaviors in stroke patients. Results: Age, diagnosis, disability in ADL, knowledge related to health behavior, and self-efficacy had significant direct causal influences on health behavior. And it was shown that knowledge and self-efficacy mediated influence of cohabitation status with family( whether or not living together with family) on health behavior. Self-efficacy also mediated influence of knowledge on health behavior. Conclusion: From the results, it was proposed that providing knowledge related to health behavior and enhancing self-efficacy by educating skill necessary for health behaviors and promoting health related beliefs might increase health behavior particularly for stroke patients living together with family.

• 지역사회간호학회지
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• 제21권4호
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• pp.439-447
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• 2010

Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

• 보건의료산업학회지
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• 제6권1호
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• pp.231-245
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• 2012

This study was focused on experience of adult offsprings with disabled parents, and thereby on the evaluation of their family-of-origin environment. Adult offsprings's experience and understanding of the evolution in terms of subjects were explored. This study reviewed the effects of the family-of-origin environment and the analysis of data based on qualititative research depending on Saiki Greig Hill theory. The summary of this is as follows; perception and attitudes about disables parents tended to strengthen the steps 'process of recognition about disabled parents', 'process of escape about disabled parents',' precess of integration about disabled parents'. The alternative programs of the strengthen the steps 'process of integration about disabled parents' should be developed government policy support according to age group, ADL(activity of daily life) support according to disability status and emotional support with a focused on health family support center, public health center, religion meeting. This study was to provided basic material needed to do further research on this issue by identifying the effects of family-of-origin environment on adult offsprings with disabled parents.