• 대한물리의학회지
• /
• 제10권3호
• /
• pp.47-55
• /
• 2015

PURPOSE: Stoke is one of most common disabling conditions and it is still lacking of measuring patient's functioning level. The aim of the study was to develop Korean language version of stroke impact scale 3.0. METHODS: Korean version of stroke impact scale 3.0 was developed in idiomatic modern Korean with a standard protocol of multiple forward and backward translations and an expert reviews to achieve equivalence with the original English version. Interviews with clinicians who were currently managing patients with stroke were also conducted for language evaluation. A reliability test was performed to make final adaptation using a pre-final version. To assess the reliability of the translated questionnaire, the intraclass correlation coefficient (ICC) was calculated for each domain of the scale. RESULTS: Thirty subjects (16 male, 14 female) aged from 20 to 75 years old participated to review the translated questionnaire. Reliability of each domain of the questionnaire was found to be good in strength (ICC=0.74), ADL (ICC=0.81), mobility (ICC=0.90), hand function (ICC=0.80) and social participation (ICC=0.79), communication (ICC=0.77) with total (ICC=0.76). However, domains of memory and thinking (ICC=0.66), and emotion (ICC=0.27) and showed poor reliability. CONCLUSION: This study indicates that the Korean version of SIS 3.0 was successfully developed. Future study needed for obtaining the validity of the Korean version of SIS 3.0.

• 보건교육건강증진학회지
• /
• 제26권2호
• /
• pp.35-47
• /
• 2009

Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.

• 대한간호학회지
• /
• 제34권1호
• /
• pp.123-131
• /
• 2004

Purpose: This study was aimed to identify the effects of a ten-week stretching exercise program on physiological, psychological functions, and activities of daily living(ADL) among elderly women. Methods: Using a quasi-experimental design, the experimental group received a ten-week stretching exercise program 3 times a week from March to May in 2002. They were divided into 22 persons in the experimental groups in 2 halls where the program was incorporated, and 22 persons in the control group in 2 halls, where the program wasnot incorporated. Data was analyzed with descriptive statistics, the chi-square test, Fisher's Exact test, and ANCOVA was considered significant as a 2-tailed test. Results: There was a significant improvement in diastolic blood pressure(P=0.023), total cholesterol (P=0.019), triglycerides (P=0.002), spine ROM(P=0.000), trunk and hip-joint ROM(P=0.000), percent of body fat(P=0.039) as physiological functions, depression(P=0.041) as a psychological function, and activities of daily living(P=0.001) in the experimental group compared to the control group. Conclusion: A stretching exercise program showed good effects on improving physiological functions, psychological functions and activities of daily living among the elderly women in a city. Therefore, we recommend this program be utilized as a health promoting program for the elderly in the community.

• 지역사회간호학회지
• /
• 제20권3호
• /
• pp.361-370
• /
• 2009

Purpose: This study attempted to identify family functioning recognized by caregiver who support the elderly. Methods: Data was collected from 264 caregivers who live with elderly using questionnaires. The performance, satisfaction and importance of family functioning was assessed using the modified FFFS by Kang (1987) consisted of three dimension-'Relationship between Individual Family Members', 'Relationship between family and subsystem' and 'Relationship between family and broader social units'. The data was analyzed using SPSS/WIN by descriptive statistics, ANOVA and pearson's correlation. Results: The subjected Families showed a median level of performance (mean $4.06{\pm}0.65$) and a high level of satisfaction (mean $1.04{\pm}0.71$) in family functioning. Families recognized importance of family functioning above median level (mean $4.65{\pm}0.99$). There was statistically significant difference in family functioning according to and duration of illness, illness and ADL of the elderly. In dimension of the relationship between individual family members and relationship between family and subsystem, there are significantly positive correlation among all aspect of family functioning. In relationship between family and social units, there are negative correlations between performance and importance (r=-.215) and between satisfaction and importance (r=-.194) while there are positive relationship between performance and satisfaction. Conclusion: Considering the results of this study, family-focused nursing interventions for families with the elderly need to be developed.

• 기본간호학회지
• /
• 제18권3호
• /
• pp.317-327
• /
• 2011

Purpose: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. Methods: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. Results: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. Conclusion: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.

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

• The Journal of Korean Physical Therapy
• /
• 제25권3호
• /
• pp.126-131
• /
• 2013

This case report described a single case of adult stoke patient due to Moyamoya disease through long-term follow-up observation, which included his demographics, brain images, and change of motor function and functional activities. The subject was the 54-year-old male diagnosed with left hemiparesis from a stroke due to multifocal encephalomalacia in both hemispheres. At the time of the stroke attack, he took brain surgery intervention including external ventricular drain. Physical and occupational therapy for stroke rehabilitation were admitted including muscle strengthening exercises, functional activity/ADL training, neurofacilitative techniques with bobath or proprioceptive neuromuscular facilitation concepts, and compensatory strategy. Patient's MRI showed that right frontal lobe, right peri-ventricular area, left parietal, and left occipital lobes were damaged, and MRA showed that abnormal collateral vessel was richly developed in both hemispheres by occlusion of proximal internal carotid arteries in both sides. His motor strength was improved from poor to good grade in all of upper and lower limb motions, that MBC was improved from stage 1 to stage 5. In FAC and barthel index, at the initial evaluation, he could not perform any functional movement, but his FAC and barthel index were on 3 and 14 points at present, respectively. During long-term follow-up for approximately 4 years, the subject's functional motor ability was improved, as similar with recovery progression of usual stroke patient. We believe that this single case report will provide clinical information and concern regarding Moyamoya disease with physical therapist, in terms of such as epidemiology, pathogenesis, diagnostic procedures, clinical features, recovery process, and prognosis.

• 보건교육건강증진학회지
• /
• 제18권1호
• /
• pp.93-108
• /
• 2001

The purpose of this study was to identify the factors that affected to physical functions, activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The subjects for this study, 236 persons, 65 years and over, who were living at rural area in Chun-Cheon city. This survey was carried out from march 3rd to April 25th, 1998. The data was analysed by using SPSS PC+ program. The results were as follows. 1.The variables that were related to the conditions of physical functions were as follows; age, sex, educational level among the general characteristics; raising ways of money, monthly using money for life, states of pocket money, obtaining method of pocket money, state of weight, problems in mind, whether or not chronic illness among socio ㆍeconoㆍphysical conditions; the level of satisfactions in life, subjective condition of health among the subjective thinking ; controlling state in smoking and drinking of alcohol among the lifestyles for promoting health. But the variables for medical utilization were not related to the level of physical function. 2. The variables that were associated with the condition of ADLs were as follows; age among the general characteristics; monthly using money for life, working amount among the socioㆍeconoㆍphysical conditions; subjective conditions of health among the subjective thinking. But The variables for medical utilization, lifestyle for promoting health were irrelevant to the conditions of ADLs. 3. The variables that were related to the conditions of IADLs were as follows; age, educational level among the general characteristics; raising ways of money, monthly using money for life, resident type in the household, procurement method of pocket money, level of weight, problems in mind, wether or not chronic illness among socioㆍeconoㆍphysical condition; regularity of health checking among lifestyles for promoting health; kinds of utilizing medical agent among the variables about utilization patterns of medical agencies; subjective condition of health among the subjective thinking In this study, in the aged there were related factors of physical and life functions, were age, working amount, subjective condition of health.

• 디지털융복합연구
• /
• 제19권3호
• /
• pp.471-482
• /
• 2021

본 연구의 목적은 국내외 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰을 통해 비약물적 중재 프로그램 개발을 위한 기초자료를 제공하기 위함이다. 국내외 경도인지장애 노인의 비약물적 중재연구에 대한 통합적 문헌분석 결과, 최종 16개의 논문이 선정되었다. 비약물적 중재 프로그램의 전반적인 경향은 모두 인지강화를 주목적으로 하되 국내연구는 운동요법 등의 신체적 활동보다 음악치료와 웃음요법 등의 정서적 활동이 병합된 경우가 많은 반면, 국외연구는 정서적 활동보다는 신체적 활동을 병합한 연구가 많았다. 중재 프로그램 효과는 결과변수에 따라 다르게 나타났는데 일차적 변수는 인지기능과 우울로 나타났고, 이차적 변수는 신체적 기능, 일상생활수행능력과 자기효능감에 중재 효과가 있는 것으로 나타났다. 본 연구결과를 토대로 경도인지장애 노인의 치매예방을 위한 다양한 비약물적 중재 프로그램 개발을 통해 임상현장에서 적용할 수 있는 다학제적 접근에 기여할 수 있을 것이다.

• 한국콘텐츠학회논문지
• /
• 제22권1호
• /
• pp.545-556
• /
• 2022

본 연구는 일상생활 수행능력의 제한이 노인의 우울에 영향을 미치는 과정에서 가족 및 요양보호사의 도움이 조절효과를 갖는지 확인하는데 있다. 이를 위해 한국복지패널 15차 자료(2020년)를 기반으로, 65세 이상 노인 4,214명을 대상으로 기술통계, 평균차이분석, 상관관계분석, 회귀분석, 조절효과분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 일상생활 수행능력의 제한은 노인의 우울에 유의한 영향을 미치는 것으로 나타났다. 둘째, 일상생활 수행능력의 제한과 노인의 우울 간에 가족의 도움은 노인의 우울을 완화하는 조절변수로서 기능하는 것으로 나타났다. 셋째, 일상생활 수행능력의 제한과 노인의 우울 간에 요양보호사의 도움은 노인의 우울을 완화하는 조절변수로 기능하지 않는 것으로 나타났다. 이러한 결과를 근거로 함의를 도출하고 정책적 제언을 제시하였다.