• 한국산학기술학회논문지
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• 제13권1호
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• pp.185-193
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• 2012

본 연구는 경남지역의 백세인(100세 이상 자) 88 명을 대상으로 2011년 4월부터 6월까지 약 90여 일간장수 요인과 일상생활 수행능력 도구적 생활수행능력 정도를 파악하기 위한 목적으로 수행하였다. 장수요인으로는 7시간 이상의 충분한 수면(93.6%), 규칙적인 식사(95.5%,) 짠 음식 적게 섭취(69.8%), 그리고 자살을 생각하지 않는 낙관적 사고(86.9%)와 금연(92.0%) 과 절주(86.4%,)로 나타났다. 일상생활수행능력(ADL) 중 목욕하는 것이 가장 힘들었으며 도구적 생활수행능력(IADL)의 경우는 버스나 전철 혼자타기가 가장 힘든 것으로 나타났다. 모든 영역에서 여성이 남성에 비해 일상생활수행능력, 도구적 생활수행능력이 높은 것으로 나타났으나 통계적으로 유의한 차이는 없었다(p<0.05). 따라서 향후 연구에서는 본 연구의 결과를 토대로 점차 늘어나고 있는 백세인의 신체수행능력 저하를 보완 지지할 수 있는 정책의 개발이 필요한 것으로 사료된다.

• 재활간호학회지
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• 제13권1호
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• pp.32-43
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• 2010

Purpose: The purpose of this study was to determine factors that affect poor quality of life (QOL) of older adults who received home health service. Method: The sample 492 older adults participated in the study. The QOL was measured using the scale of QOL of Ware and other data were collected through face-to-face interviews from September to August, 2009. Results: The level of QOL was moderate (Mean 24.4, SD 7.4). The QOL was poorer in older adults (p<.05) and in those living alone (p<.01) compared to older adults and those living with couple or family respectively. The QOL was positively correlated with a sense of mastery (r=.213, p<.05), connection of health (r=.160, p<.05) and a cognitive function (r=.119, p<.01), and negatively correlated with Activities of Daily Living (r=-.266, p<.01) and Instrumental Activities of Daily Living (r=-.339, p<.01). Sense of mastery, connection of health & welfare, and IADL were significant predictors of QOL. Conclusion: Finding suggest that home health service program should incorporate strategies for increasing sense of mastery and capability of performing IADL, and strengthening connection of health service that may improve QOL of older home health service recipients.

• 대한간호학회지
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• 제25권2호
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• pp.259-278
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• 1995

This study was done to investigate levels of physical fitness, self efficacy(SE), instrumental activities of daily living(IADL), and quality of life (QL), and their relationships among the elderly Data were collected from 47 noninstitutionalized elderly dwell-ing in their own homes and 43 institutionalized elderly living in homes for older people. The ages of the subjects were 65 years and over. The data were col lected from January 20th to February 20th, 1995. Physical fitness was measured with T.K. K dyna mometer, grip dynamometer, stop watch, and Purdue pegboard. Structured questionnaires developed by Kim by Lawton & Brody, and by Ro were adopted to measure SE, IADL, and QL, respectively. The data were analyzed using t-test, ANOVA, and Pearson correlation coefficients. The results were as follows : 1. The noninstitutionalized elderly had higher scores in such measures of physical fitness as body weight, skinfold thickness, flexibility and coordination as compared to the institutionalized elderly. 2. On the following measures of physical fitness, men showed higher levels than women ; in height when standing, height when sitting, body weight, and muscle strength. Women had more trunk flexibility than men. 3. Muscle strength was positively correlated with height when standing, height when sitting, and body weight. The following measures of physical fitness, muscle strength, flexibility and coordi nation, were negatively correlated with "up and go”. 4. The noninstitutionalized elderly had higher scores in SE(t=2.28, p<0.05), IADL(t=2.24, p<0.05), and QL(t=2.41, p<0.05) as compared to the institutionalized elderly. 5. SE was positively correlated with both IADL(r=0.41, p<0.001) and QL(r=0.54, p<0.001), and the latter two variables were a positively correlated (r=0.30, p<0.001). 6. SE was positively correlated with the physical fitness measures of height when standing, body weight, strength of leg muscles, strength of back muscles, grip strength, and level of touching the floor, but negatively correlated with "up and go”. 7. Positive correlations were revealed between IADL and the physical fitness measures of height, strength of leg muscles, level of trunk muscle extension, level of touching the floor, and coordination. The IADL was negatively correlated with “up and go”. 8. QL was positively correlated with body weight (r=0.28, p<0.01) and skinfold thickness (r=0.26, p<0.05). 9. Age was negatively correlated with the physical fitness measures of height when standing, height when sitting, “up and go”, strength of leg muscles, strength of back muscles, grip strength, level of trunk muscle extension, and coordination. 10. Age was also negatively correlated with SE (r=-0.24, p<0.05) and IADL(r=-0.22, p<0.05). The above results suggest that caring elderly in their own homes were more effective and that nursing interventions to enhance physical fitness, SE, IADL, and QL especially for the institutionalized elderly are stressed.

• 고령자･치매작업치료학회지
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• 제12권2호
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• pp.29-35
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• 2018

목적 본 연구는 복지관 노인을 대상으로 인지증진활동을 시행 한 후 손의 기민성, 인지능력, 도구적 일상생활활동, 우울에 미치는 영향을 알아보는 것이 목적이다. 연구방법 복지관에 다니는 노인 20명을 대상으로 인지증진활동을 총 10회기에 걸쳐 시행했다. 손의 기민성은 grooved pegboard, 인지능력은 MOCA-K, 도구적 일상생활활동은 K-IADL, 우울감은 K-GDS를 사용하여 평가했다. 연구결과 인지증진활동을 시행하고 나서 시행 전 보다 손의 기민성에 긍정적인 향상을 나타냈으며, 인지능력과 우울감은 유의미한 개선을 보였다. 하지만 도구적 일상생활활동 수행 능력에는 인지증진활동이 영향을 미치지 않았다. 결론 인지증진활동은 손기능, 인지능력, 우울감에 유용하게 적용되었으며, 복지관 노인의 만족도도 높았다. 하지만, K시의 노인복지관에 한하여 연구가 진행되었기 때문에, 지역적 특색에 맞는 프로그램을 개발하고, 더 많은 수의 대상자를 대상으로 후속 연구가 필요할 것이다.

• 대한물리의학회지
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• 제9권2호
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• pp.213-222
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• 2014

PURPOSE: This study was conducted to determine the effect of patient-selected, task-oriented training on activities of daily living, quality of life, and depression for stroke patients. METHODS: This study included 40 stroke subjects, randomly assigned to either an experimental group or a control group. Both the experimental group and the control group included 20 stroke patients. Patients from the experimental group selected and performed task-oriented training. In the exercise program, the patient chose two categories from six categories and trained for 30 minutes a day, three times a week, for four weeks. Patients from the control group performed conventional task-oriented training. Outcomes were measured using the Korean version of a modified Barthel Index (K-MBI), the Korean Instrumental Activities of Daily Living (K-IADL), the Stroke-specific Quality of Life (SS-QOL), the Short Form 8 (SF-8), and the Beck Depression Inventory (BDI), both before and after training. RESULTS: There were significant differences between the before- and after-intervention data of the K-MBI and the K-IADL (p<.05) for both groups. Also, there were more significant improvements in the experimental group compared to the control group (p<.05) for the SS-QOL, SF-8 and BDI. CONCLUSION: The results of this study showed that patients-selected, task-oriented training had positive effects on stroke patients' activities of daily living, quality of life, and depression.

• 대한간호학회지
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• 제30권6호
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• pp.1531-1542
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• 2000

In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.

• 대한물리치료과학회지
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• 제10권2호
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• pp.131-136
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• 2003

The purpose of this study was to investigate the effect of body composition on IADL (Instrumental Activities of Daily Living) of the elderly. This study consisted of male elder(n=50) and female elder(n=60). The average age of elder male and female was 73.79, 70.42 years. The data were analyzed with correlation test and regression test using SPSSWIN ver 10.1 and MINITAB program. Body composition was measured using InBody 3.0(seoul, korea) of Segmental Multifrequncy Bioelectical Impedance Analyzer technique. IADL was measured with Philadelphia Geriatric Center IADL. The result of this study were the following : A correlation of body composition between IADL. 1. Body composition of the elderly had effect on IADL. 1)The free fat mass(kg) and total body water(1) in Body composition of male elder had positive effect on IADL. 2)The WHR(waist-to-hip ratio %) in Body composition of male elder had negative effect on IADL.

• 기본간호학회지
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• 제23권1호
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• pp.61-72
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• 2016

Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.

• 지역사회간호학회지
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• 제6권1호
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• 여성건강간호학회지
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• 제15권2호
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• pp.99-107
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• 2009

Purpose: This study was aimed to identify the factors related to the health related quality of life (HRQoL) in elderly women. Method: This study used data from cross-sectional surveys conducted for the 2005 National Health and Nutrition Survey, which was performed by using a face to face interview method. Data was analyzed by ANOVA, t-test, logistic regression and multiple regression using the SPSS program. Demographic characteristics, subject health state, activity limitation, K-ADL, K-IADL, EQ-5D were included in the study instruments. Result: The mean HRQoL index in the subjects was 0.68 $\pm$ 0.25. The significant predictors of the HRQoL were health status, activity limitation, activities of daily living (ADL), instrumental activities of daily living (IADL) and income. The factors accounted for 41.0% of variance in the health related quality of life of female elderly. Conclusion: These results may contribute to development of nursing strategy to improve health related quality of life. The health related quality of life program for the elderly should be planned based on results of the study.