• 제목/요약/키워드: Difficulty of daily living

검색결과 79건 처리시간 0.026초

Functional Status in Turkish Women with Gynecological Cancer

  • Akkuzu, Gulcihan;Talas, Melek Serpil;Ortac, Firat
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2045-2049
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    • 2014
  • Background: Functional status is the ability to perform daily activities. Little is known about quality of life and health status of gynaecological cancer patients. The present study therefore aimed to evaluate the functional status of women receiving treatment for gynecological oncological disease while not hospitalised. Materials and Methods: This descriptive study covered 42 patients monitored by the Gynecological Oncology Unit in 2011. Data were collected using the Functional Living Index-Cancer and analysed with the chi square test, independent samples t-test, Mann-Whitney U test, one-way ANOVA test and the Kruskal-Wallis H test. Results: Of the 42 cases, 66.7% had been diagnosed within the previous year and 90.5% were undergoing chemotherapy. The most severe symptoms experienced were pain (35.7%), fatigue-weakness (40.5%) and nausea and vomiting (56.5%). Daily activities where the most difficulty was experienced were housework (28.6%), average pace walking (31.0%), carrying more than 5 kg (28.6%). The mean Functional Living Index score was quite high ($103.5{\pm}24.1$). FLIC-C scale scores did not vary with the educational status, diagnosis duration, and family history of cancer (p>0.05). Conclusions: Evaluation of the functional status of gynecological cancer patients and how they cope with problems should indicate to healthcare professionals what help can be given to maintain quality of life.

일부 무의농촌 지역 노인의 건강관리경험: 신체적 변화를 스스로 견뎌내기 (Grounded Theory Approach to Health Care of Older Adults at a Doctorless Farm Village)

  • 한영란;김영희
    • 대한간호학회지
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    • 제34권5호
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    • pp.771-780
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    • 2004
  • Purpose: The purpose of this study was to explore how older adults kept their health good at a doctorless farm village. Method: Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin's (1990) grounded theory methodology. Result: The Core Category of health care of older adults was identified as 'enduring physical changes by themselves'. The process of this could be divided into 4 stages: the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally. Conclusion: We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

Correlations among the Continence Function, Cognitive Function and Activities of Daily Living in Elderly Male Patients with Dementia in a Geriatric Hospital

  • Kim, Hong Rae;Shin, Hee Joon;Wang, Joong San
    • 국제물리치료학회지
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    • 제7권1호
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    • pp.972-978
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    • 2016
  • The purpose of this study was to identify correlations among the continence function, cognitive function, and activities of daily living(ADL) in elderly male patients with dementia in geriatric hospitals. The subjects were 64 patients aged 65 or above who were diagnosed with dementia among the hospitalized male patients in a geriatric hospital. For the subjects' cognitive function, a questionnaire developed for the Korean Mini Mental Status Examination(K-MMSE) was used. For the continence function and ADL, data were collected using a patient evaluation table. As a result, a lower level of cognitive function resulted in corresponding higher levels of dependence in all items of ADL except bathing(p<.05), and a lower level of cognitive function led to corresponding declines in the continence function(bowel control, bladder control)(p<.01). In addition, a higher level of dependence in ADL resulted in corresponding higher levels of difficulty in bowel and bladder control(p<.01). This study showed correlations among the cognitive function, ADL, and continence function of elderly men with dementia. The results of this study may be used as basic data for the management and treatment of hospitalized elderly male patients with dementia in geriatric hospitals.

노인요양시설의 평면 특성에 관한 고찰 (A Study on the Characteristics of the Floor Plan of Skilled Nursing Facilities for the Elderly in Rural Areas)

  • 양금석
    • 한국농촌건축학회논문집
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    • 제18권1호
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    • pp.39-46
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    • 2016
  • The purpose of this study is to clarify the actual conditions of the floor area of skilled nursing facilities in rural area. The thorough investigation and observation works were made from the viewpoints of floor area of the skilled nursing facilities. This article discusses about the basic condition and the floor area for daily living activities of the elderly in 3 skilled nursing facilities in west gyeongnam province. As the result, There is a wide gap between floor area ratio of skilled nursing facilities. The characteristics of the private establishment skilled nursing facilities in the west gyeongnam province were figured out through the analysis of spatial composition in skilled nursing facilities for the elderly. The skilled nursing facilities in west gyeongnam mainly focus on the living environment orientated toward the bedroom. The difficulty is to encourage the communication between the skilled nursing facility patients because the facilities are composed of small semi-public zone.

자가 뜸 요법이 여대생의 생리통과 일상생활 수행에 미치는 영향 (Effect of Self Moxibustion on Dysmenorrhea and Activities of Daily Living in Female College Students)

  • 이인숙;최혜숙
    • 여성건강간호학회지
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    • 제11권1호
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    • pp.77-82
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    • 2005
  • Purpose: This study was to verify the effect of self moxibustion on dysmenorrhea and ADL. Method: This study was undertaken from October 25th to December 31st, 2004. The subjects of this study consisted of 31 female college students attending two colleges. Of those subjects, 16 and 15 subjects were assigned to the experimental and the control groups respectively. Self moxibustion was performed daily for 7 days before the expected menstrual date, and subjects performed moxibustion on both palms. Result: After self moxibustion, the scores of dysmenorrhea and difficulty of ADL by GRS decreased significantly in the experimental group. There was a significant difference between both groups in the changes of the scores of dysmennorhea and difficulties of ADL after self moxibustion. Conclusion: Self moxibustion had a practical effect on reducing dysmenorrhea and difficulties of ADL. Accordingly, we can use self moxibustion as a useful nursing intervention in the community.

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의사결정나무 분석법을 활용한 우울 노인의 특성 분석 (Analysis of the Characteristics of the Older Adults with Depression Using Data Mining Decision Tree Analysis)

  • 박명화;최소라;신아미;구철회
    • 대한간호학회지
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    • 제43권1호
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    • pp.1-10
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    • 2013
  • Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.

뜸요법이 생리통과 월경곤란증 및 일상생활수행에 미치는 효과 (Effect of Moxibustion Heat Therapy on Menstrual Cramps, Dysmenorrhea, and Activities of Daily Living)

  • 이인숙
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.39-49
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    • 2004
  • The purpose of this study was to investigate the effect of moxibustion heat therapy(Koryo hand acupuncture) on menstrual cramps. dysmenorrhea and ADL. The experiment was carried out during the period from March 24 to April 30, 2003. The subjects in the study were drawn from female students attending two colleges in Chungcheongbuk-do and Kyunggi-do. Of all those subjects. 19 and 14 subjects were assigned to the experimental and the control groups respectively. The moxibustion heat therapy were performed three times a week, subjects were treated twice a time. Data was analyzed using SPSS/WIN10.0 by $x^2$test. Wilcoxon sign rank. and Wilcoxon rank sum test. The result of this study were as follows : 1) After moxibustion heat therapy. the graphic rating score of menstrual cramps was decreased significantly from 7.79(SD=1.22) to 4.47(SD=2.25) in experimental group(z=-3.731. p=.000). And there was significant difference in the change of graphic rating score of menstrual cramps between both groups(z=-3.637. p=.000). 2) After moxibustion heat therapy. the score of face rating scale of menstrual cramps was decreased significantly from 3.95(SD=0.71) to 2.32(SD=1.00) in experimental group(z=-3.457. p=.000). And there was significant difference in the change of face rating score between both groups(z=-2.713. p=.007). 3) After moxibustion heat therapy. the score of adjective labor pain rating scale rank (ALPRS) of menstrual cramps was decreased significantly from 23.63(SD=4.19) to 17.27(SD=6.34) in experimental group(z=-2.941. p=.001). But there was no significant difference in the change of adjective labor pain rating score(ALPRS) of menstrual cramps between both groups(z=-1.918. p=.059). 4) After moxibustion heat therapy. the score of dysmenorrhea was decreased significantly from 7.0(SD=2.89) to 5.26(SD=3.54) in experimental group(z=-2.183. p=.029). But there was no significant difference in the change of the score of dysmenorrhea between both groups(z =-1.555. p=.125). 5) After moxibustion heat therapy, the score of ADL difficulty was decreased significantly from 33.26(SD=4.58) to 28.83(SD=9.44) in experimental group(z=-3.552. p=.000). And there was significant difference in the change of score of difficulty of ADL between both groups(z=-4.110. p=.000). The above finding indicated that the moxibustion heat therapy showed a practical effect on reducing menstrual cramps, dysmenorrhea and ADL difficulty in female. Accordingly. we can adopt the moxibustion heat therapy as a useful intervention in the community nursing.

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양평군 노인에서 우울 지수, 영양불량과 식생활 실천 요인 (Dietary Habits and Factors Associated with Depression in Yangpyeong-gun Elderly)

  • 박희정;이재영;조우균
    • 한국식생활문화학회지
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    • 제38권6호
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    • pp.381-391
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    • 2023
  • This study was conducted to analyze relationships between depression indices, mini nutritional assessment scores, and nutritional quotients among 80 elderly in Yangpyeong-gun and to identify factors that help prevent depression and malnutrition. Nutrition assessment scores were low in the high-risk group (PHQ-9 score ≥10), and nutritional quotient scores were lower in the high-risk group than in the normal group (PHQ-9 score ≤4). Interestingly, the consumption frequencies of fruits, eggs, and nuts were low in the high-risk group, and subjective health awareness, dental condition, and sleep were poorer. The total PHQ-9 score was correlated with malnutrition, body mass index, calf circumference, weight change, independent daily living, reduced meal amount, water intake, and the need for help when eating. Analysis of correlations between items of the PHQ-9 and nutritional status evaluation indices showed that a self-perceived feeling of depression, low energy, difficulty controlling sleep or appetite, negative thoughts (e.g., failure, disappointment), and difficulty concentrating were negatively correlated with total nutritional status scores. These results show that attention is required when food or water intake decreases and that deviation from normal sleep and appetite cycles flags the need to prepare guidelines to prevent depression.

인클루시브 디자인 특성을 적용한 가구 디자인 사례에 관한 연구 (A Case Study of Furniture Design Applied Inclusive Design)

  • 백은;황소연
    • 한국가구학회지
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    • 제28권1호
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    • pp.1-15
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    • 2017
  • Even though, a quality of the daily goods and furniture are improving as increasing living standard, the neglected people have been left behind as ever. However, tools and furniture of everyday life a certain class that are alienated are left to the inconvenience of everyday life such as the difficulty of purchase route or incongruity with the surround living space. The design that can solve this problem is the inclusive design. When we look closely the previous researches on the inclusive design, we can find that researches on public facilities and industrial products are actively carried out based on the principles and features of the inclusive design, but studies in the field of furniture design are very insufficient. In this paper, we try to study the furniture design incorporating the inclusive design and to include specific stratum without alienating it. The research method is centered on product case analysis and suggested furniture design that 'everyone can use together'. This helps designs in realizing their social values by giving everyone the right to live an equal life.

Delayed surgical repair of the deltoid following acromioplasty: a case report

  • Zohaib Sherwani;Chase Kelley;Hassan Farooq;Nickolas G. Garbis
    • Clinics in Shoulder and Elbow
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    • 제25권4호
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    • pp.334-338
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    • 2022
  • Currently, the literature contains few studies that describe any potential complications following arthroscopic acromioplasty. Because part of the anterior deltoid originates from the anterior acromion, there is a risk for violation and subsequent iatrogenic rupture or avulsion during this procedure. This type of injury can be a devastating problem for patients that may lead to poor function and debilitating pain. We present a patient with deltoid insufficiency following arthroscopic acromioplasty who elected to proceed with operative management with a planned arthroscopic evaluation of the shoulder followed by an open deltoid repair. At the final follow-up visit 2.5 years postoperatively, the patient reported improved pain from baseline and no residual disability and was able to perform most activities of daily living without difficulty. This case serves as an example of a surgical repair for a deltoid avulsion following arthroscopic acromioplasty. As there is still a lack of standard guidelines, our suture repair technique can be considered one method of treatment for this type of injury.