• Title/Summary/Keyword: Activity Daily Living(ADL)

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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.

A Comparative Study of Changes in Cognitive Function, Depression and Activities of Daily Living in Patients with Dementia, Mild Cognitive Impairment and Ischemic Stroke (치매, 경도인지장애, 허혈성 뇌졸중 환자에서 인지기능, 우울 및 일상생활수행능력의 변화 비교)

  • Jung, Mi-Sook;Oh, Eun-Young;Cha, Kyeong-In
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.517-527
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    • 2022
  • This study aimed to compare changes in cognitive function, depression and ability to perform activity of daily living (ADL) in patients with dementia, mild cognitive impairment (MCI), and ischemic stroke (IS) and to identify factors associated with changes in instrumental ADL. A total of 86 patients (dementia=30, MCI=32, and IS=24) were included to analyse cognitive function, depression, and basic and instrumental ADL obtained at the time of diagnosis and 1 year after baseline. Repeated measures analysis of variance and multiple linear regression were used. A significant group by time interaction was found in executive function (p=.037) and instrumental ADL (p=.023) across groups. The MCI group has little change in executive function and instrumental ADL from the baseline to 1 year after diagnosis while other two groups showed changes with the dementia group showing declines and the group of IS having improvement in these factors over time. Changes in executive function(p=.030) and basic ADL (p<.001) explained 26.9% in the variance of changes in instrumental ADL. These findings showed a different changing pattern in executive function during the first year after diagnosis of dementia, MCI, and IS which have cognitive changes as their main symptoms, probably leading to a different changing pattern in instrumental ADL. Healthcare professionals should routinely assess for executive function and instrumental ADL problems and intervene to maintain and improve these functional outcomes immediately after disease.

The Effect of Exercise for Activity of Daily Living and Depression in Stroke Patients (운동요법이 뇌졸중 환자의 일상생활동작과 우울에 미치는 효과)

  • Song, Kyoung-Hwa;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.146-154
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    • 2001
  • The purposes of this study was to determine the effect of exercise in stroke patients and to define to strategy to promote their activity of daily living, decrease to their depression. The experiemental 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 60 patients who had been in patient department in D University hospital and K University hospital in Busan from November 5th, 2000 to the end of February 28th, 2001. Exercise was conducted by the researcher and was carried out experimental group once per day for 20 minutes for daily fourteen days. ADL check List tool by Kang and Center of Epideilogic Studies-Depression (CES-D) were used for measurement in this study. The data was analyzed by means of freqency, percentage, $mean{\pm}SD$, t-test, chi-square test and ANOVA with SPSS/PC. The results were summarized as follow; 1. The experimental group which received exercise should be higher in activity of daily living than the control group was supported (t=2.70, P=.009). 2. The experimental group which received exercise should be lower in depression than the control group was not support(t=-1.120, P=.267) but experimental group post-pre depression score support(t=7.247, P=.000). 3. Factors influencing the activity of daily living measured are payer of medical expenses (F=3.98, P=.018) and complications(t=3.97, P=.056). 4. Factors influencing the depression measured are economic status(F=5.71, P=.009) and caregivers (F=3.09, P=.045). In conclusion, the exercise incresed the activity of daily living and effect on depression of stroke patiens. Based upon these results, it is recommended that the nurses who take care of stroke patients such as exercise.

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Comparison of Life Satisfaction with Daily Activities of Elderly Solitaries (독거노인의 생활만족도와 일상생활활동에 관한 비교)

  • Ryu, Dong-Hoon;Kwon, So-Hee;Lee, Sung-Kook;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.9 no.1
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    • pp.65-75
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    • 2005
  • This study aims to explore the difference in life satisfaction and daily activities of elderly solitaries through a survey conducted from May to June 2004 to 152 who hare moi the criteria set forth for this study. Used for the survey were such tools as 11 items of questions concerning characters of the subjects, Life Satisfaction and Daily activities(K-ADL). The outcomes could be summarized as follows: 1. The majority of 152 subjects are females, aged $70{\sim}79$, living in the urban areas, non-educated with miscellaneous religions(including non-believers), jobless, self-dependent (or living expenses, without leisure, with disease, suffering from sickness despite of treatment and, thus not self-confident in health. 2. The Life Satisfaction and K-ADL of all subjects appear in general to be good with $20.03{\pm}9.74$ and $8.25{\pm}2.74$, respectively. 3. The difference in Life Satisfaction by characters of the subjects is found significantly high in those who are females, living in rural area, educated, with religions and jobs, have diseases treated and currently confident in health. 4. The difference in K-ADL by characters of the subjects is significantly high for those who are older than 80, Buddhists, jobless, affordable with living expenses by themselves, sick currently and not confident in health. Thus, it is thought vastly important to help the elderly solitaries to realize quality of life by social (including family) assistance, economic self-reliance and health promotion and prevention. Measures drawn from the analysis into issues of the elderly solitaries from various aspects may definitely contribute to avoiding and complimenting the causes of various issues relating to the elderly people and to assisting them to cope with the problems in the highly geriatric society to come.

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A Study on the Determinants of the Elderly's ADL/IADL: Focused on the Comparison of Urban and Rural Areas (노인의 일상생활수행능력(ADL/IADL) 결정요인에 관한 연구: 도시와 농촌 비교를 중심으로)

  • Lee, Sang-Boong;Hur, Nam-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.419-429
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    • 2021
  • This study examined the differentiation and influence of socio-demographic factors that affect the daily living ability of the elderly living in urban and rural areas. The research data is 「Korean Social Life, Health and Aging Project」. The analysis target was 400 urban elderly people (K-gu, Seoul: surveyed Apr. ~ Jun. 2017) and 524 rural elderly people (B-myeon, Gyeonggi-do: surveyed Dec. 2015 ~ Feb. 2016). The research methods included descriptive statistical analysis, chi-square test through cross-analysis, correlation analysis, and logit analysis. The summary of the research results is as follows. First, the ratio of 'complete independence' in ADL/IADL was 'ADL(city)> ADL(rural)> IADL(city)> IADL(rural)". Second, the probability that the elderly living in rural areas will experience a lower ADL level and lower IADL level was 7.1 times and 3.25 times higher than that of the urban elderly. Lastly, the statistically significant variable affecting the ADL level of urban elderly was depression, and the IADL level was gender, age, economic activity, spouse presence, and depression. Age and economic activity were statistically significant variables for the ADL level of the rural elderly, and the IADL level was gender, age, and economic activity.

Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke (바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과)

  • 김금순;이소우;최명애;이명선;김은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.432-442
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    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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An Evaluation of the Visiting Nursing Service Model Based on the District Management System - focused on stroke patients - (대도시지역 동단위 지역담당 방문간호소서비스 효과분석 - 뇌졸중 환자를 대상으로 -)

  • Ryu, Ho-Shin;Hwang, Rah-Il;Jin, Dal-Rae;Suk, Min-Hyun
    • Research in Community and Public Health Nursing
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    • v.16 no.1
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    • pp.5-12
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    • 2005
  • Purpose: This study was conducted to examine the effect of visiting nursing of the visiting nursing services based on the district management system on the subjects of stroke patients. Method: A nonequivalent control group pretest-posttest design was applied to 50 stroke patients (31 from the experimental group, 19 from the control group). To evaluate the effects of visiting nursing services. health status(SF-36) and activity daily living(ADL/IADL) were measured from June 2003 to November 2004. Result: Health condition and the activities of daily living (ADL/IADL) of the subjects who received visiting nursing service were shown to be improved. Conclusion: Visiting health service model based on the district management system in public health center is considered to be an effective measure of visiting nursing services in large cities.

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The Factors Related to Depression of the Elderly patients in Four Geriatric Hospital Located in B Metropolitan City (B광역시 4개 요양병원 입원노인의 우울 관련요인)

  • Yoon, Ga-Bin;Jee, Young-Ju;Kim, Yoon-ji
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.561-569
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    • 2010
  • Purpose: The purpose of this study was to identify the factors related to depression of elderly patients in geriatric hospitals. Methods: The subjects were 195 elderly patients who met the inclusion criteria of scores more than 18 on the K-MMSE score and no reported mental disease. The data were collected from February 20 to March 20, 2009. The research instruments utilized in this study were depression (GDSSF-K), activities of daily living and self esteem (RSES), social support, life satisfaction. Data were analyzed Pearson correlation and Multiple Stepwise Regression using SPSS 15.0. Results: Depression score were negatively correlation with ADL, social support, life satisfaction and self-esteem. Among the factors studied related to depression, life satisfaction had highest explanatory power of 36.5% and it was followed by physical health status and activity of daily living. These explained 43.7% of the depression. Conclusion: The mean GDSSF-K 8.94, which indicates the higher than middle levels of depression. The findings suggest that it is important to develop educational programs to increase life satisfaction, physical health status and activity of daily living. Nursing interventions, including volunteer activities, health promotion program, and sports program could be useful in enhancing these factors.

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 Effect of Apraxia on Activity of Daily Living in Stroke Patients (뇌졸중 환자의 실행증이 일상생활에 미치는 영향)

  • Shin, Su-Jung
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.527-533
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    • 2016
  • This study was conducted to investigate the apraxia affects activitys of daily living. 38 patients with stroke were participated and conducted to both Birminham Cognitive Screen(BCoS) apraxia test and K-MBI for ADL. Using a cutoff score of BCoS apraxia test, all patient was determine whether with apraxia or not and were distinguished by various types of apraxia. They were compared to the level of ADL using ANOVA. Apraxia patients 18, patients without apraxia is 20. The difference of ADL between the two groups was not. However, the result of classifying patients with apraxia subtypes, it showed a significant difference in grooming, eating, toileting, step, bowel control, and bladder control(F=4.431~9.193, p<0.05). As apraxia is cause of a negative effect on ADL, expert in the area to manage stroke patients should have to share information about whether apraxia is or not and make policy and treatment program considering the potential problem in ADL.