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검색결과 192건 처리시간 0.023초

도시지역 노인들의 도구적 일상생활 수행능력(IADL)에 영향을 미치는 요인 (Factors Affecting to the Instrumental Ability of Daily Living(IADL) in the Urban Elderly)

  • 이인학;문성기;김근조;박재영
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.238-272
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    • 2002
  • This study was intended to find out the factors affecting to the IADL, allowing objective assessment of physical function status of increasing elderly populations. The subjects of 635 elderly persons aged over 65 years old who live in Taejon metropolitan city were interviewed during the two-month period from June to July of 2000. The IADL of Older American Resources and Services(OARS), developed in Duke medical college of USA, was interpreted for use. The study results were statistically processed using SPSSWIN(ver 10.0) and conferred the following results: 1. Among the seven items of IADL, the women showed higher rates of 'yes' in items about using the telephone, getting to the places out of walking distance, going shopping for groceries, taking their own medicine while outnumbered by the men only in the item about managing their own money, without significant differences between them in items about preparing their own meals and doing their own housework. 2. In terms of IADL scores, $82.0\%$ of subjects showed the normal range of scores and $18.0\%$ were under the normal range, meaning dysfunction IADL. Specifications of general characteristics revealed that more dysfunctional were the male subjects, the higher age groups who are more than 75 years old, the higher educated groups, the groups who live in nursing homes, the groups without a spouse. 3. Based on daily activities, lower scores of IADL were found in the subjects who don't go out, who don't have recreational activities, who don't attend elderly gatherings in their neighborhood, who don't hold social meetings. Specifications of psychological traits revealed that more dysfunctional were IADL in the subjects who don't feel satisfied with their lives of the past or the present, who have a deep feeling of isolation, and who don't have the will to live. 4. Among 7 items of health habits, only the subjects who don't regular exercise had lower scores of IADL than those who do. According to HPI, the lower HPI, the more dysfunctional. 5. Based on the factors associated with IADL, the odds ratio of the subjects who don't live together with their families were 1.53 times that of the ones who do, who are educated 3.22 times that of the ones who are not, who don't have spouses 2.09 times that of the ones who do, who don't go out 4.35 times that of the ones who frequently go out, who don't recreational activities for an interest 2.64 times that of the ones who do, who don't attend elderly gatherings in their neighborhood 1.47 times that of the ones who do, who don't hold social meetings 2.23 times that of the ones who do, who don't feel satisfied with their present living 1.43 times that of the ones who do, who have a feeling of isolation 1.53times that of the ones who don'1, who have the weak will to live 3.21 times that of the ones who have the strong one, and who don't regular exercise 2.45 times that of the ones who do. 6. Logistic regression analysis of the study results found that such factors are significantly related as the degree of education, with/without spouse, social meetings, the will to live, and regular exercise, and that higher rates of dysfunctional subjects were in the more educated group, in the group without spouse, in the group who don't frequently go out, who don't have social meetings, who have the weak will to live, and who don't exercise.

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제주도 1개 군 지역에서의 취학 전 아동의 영양상태 조사 (Survey on Nutritional Status for Preschool Children in a County in Jeju Island)

  • 홍성철;이상이;고순배
    • 농촌의학ㆍ지역보건
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    • 제27권1호
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    • pp.165-181
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    • 2002
  • 본 연구는 제주도 농촌지역의 취학 전 아동들의 영양상태를 파악하고, 이들 아동들의 건강관리에 기여하기 위해 고안되었다. 1999년부터 2001년까지 3개 연도에 걸쳐 제주도 북제주군 보건소에서 실시한 보육시설 및 유치원 아동건강검진 자료를 이용하였으며, 대상인원은 3-6세 아동 5,990명이다. 그리고 대조군으로 인근 제주시 지역의 아동 412명을 포함시켰다. 연구대상 항목으로는 키, 신장 그리고 혈색소 수치를 포함하였다. 연구의 주요 결과는 다음과 같다. 1. 남녀 아동의 신장은 남자 3-6세 연령별로 각각 96.35cm, 102.14cm, 109.94cm, 111.00cm로 나타났으며, 여자는 94.96cm, 100.93cm, 108.33cm, 110.54cm로 나타났다. 체중은 각 연령별로 남자 15.42kg, 16.93kg, 19.65kg, 19.67kg, 여자 14.90kg, 16.45kg, 18.88kg, 19.50kg으로 나타났다. 2. 표준신장에 대해 90% 미만의 아동이 남자 4.3%, 여자 4.1%로 나타났다. 그리고 표준체중에 대한 비가 80% 미만인 경우가 남자 7.6%, 여자 6.8%로 나타났으며, 120% 이상은 남자 10.4%, 여자 11.4%로 나타났다. 3. 비만정도는 남아의 경우 저체중이 11.6%, 여자 9.5%로 나타났으며, 비만 아동의 경우 남녀 각각 3.6%, 4.4%로 나타났다. 4. 혈색소 수치는 남자 11.83g/$d\ell$, 여자 11.83g/$d\ell$로 한국소아정상치(12.511.5g/$d\ell$)에 비해 낮았으며, 제주시 아동(12.311.5g/$d\ell$)에 비해서도 유의하게 낮았다. 빈혈아 동의 비율은 아동은 남녀별로 각각 38.1%, 37.2%의 아동이 빈혈기준(혈색소<11.5g/$d\ell$) 이하에 해당하였다. 5. 비만도가 정상범위에 해당하는 아동의 비율을 제주시와 비교한며 남아(80.2%, 71.6%), 여아(77.4%, 72.4%)로 북제주군의 정상범위 아동 비율이 유의하게 낮았다. 6. 1999년부터 2001년까지 3개 연 간 체질량지수(BMI)의 변화는 없었으나, 빈혈소견을 보인 아동의 비율은 유의하게 증가하였다.

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