• 지역사회간호학회지
• /
• 제22권4호
• /
• pp.389-398
• /
• 2011

Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

• 산경연구논집
• /
• 제14권1호
• /
• pp.57-65
• /
• 2023

Purpose: The purpose of this research paper, therefore, is to explore the role of lifelong learning in improving HRM policies in a company. This research begins with a literature review of existing research on the topic, followed by a discussion of the findings and their implications for practitioners. Research design, data and methodology: The present author of this research collected textual dataset based on the numerous literature which has been investigated thoroughly in terms of the HRM policy and lifelong learning. For this reason, the author could obtain adequate prior studies, checking their validity and reliability. Results: The present research figured out that demonstrating that physical activity and exercise can enhance life expectancy, improve physical and mental health, and improve functional ability, and Examining the broad topic of socialization and interaction's function in raising elderly adults' living standards is necessary. Also, this research found that the social change and social isolation of older individuals in relation to the impact of digital technology. Conclusions: This research suggests that companies should also ensure that their HRM policies are designed in such a way that they allow employees to pursue further learning and development opportunities without having to sacrifice their current job responsibilities.

• Journal of Acupuncture Research
• /
• 제31권4호
• /
• pp.185-193
• /
• 2014

Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on sense of balance by cerebral hemorrhage. Gaitview analysis and Berg balance scale(BBS) research were used to evaluate it. Methods : We selected patients who were hospitalized at the Kangnam Korean Hospital, Kyung Hee University Hospital from May 2014 to August 2014 that satisfied inclusion/exclusion criteria. Before taking treatment, we took gaitview analysis and BBS first to analyze the ability of balance and gait of patients. In gaitview analysis, we checked Center of gravity(COG), pressure ratio, ave pressure, gait time ratio, statistic score. For about 10 days, patients were given acupuncture treatment, herbal medicine and physical therapy. Afterwards, we compared patients' progression between before-treatment and after-treatment with the same evaluation scale. Results : In the period of treatment, patients showed static and dynamic index change within the normal range or increase. And in statistic score, 2 cases score are increased. In BBS, all cases score are increased. Conclusions : Korean medical treatment improves imbalance symptom of cerebral hemorrhage patient. So the ability of gait and activity of daily living is improved. But, this study has only 3 cases, and has no comparable study. Prospective and Larger study will be necessary.

• 대한간호학회지
• /
• 제27권4호
• /
• pp.807-819
• /
• 1997

The purpose of the study was to identify the effects of a 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited, eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the postest, measurements of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly higher for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.

• 한국산학기술학회논문지
• /
• 제14권5호
• /
• pp.2338-2348
• /
• 2013

본 연구는 재가급여 장기요양인정노인들을 대상으로 그들의 신체적 기능 상태를 평가하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 대전광역시에 거주하고 있으면서 재가급여 요양자로 등록되어 있는 65세 이상 노인 618명으로 하였다. 자료 수집은 2011년 12월 1일부터 2012년 3월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시하였다. 연구결과, 전체 조사대상자의 ADL에 대한 기능장애군의 분포는 45.6%로 나타났으며, IADL에 대한 기능장애군의 분포는 48.4%로 나타나 ADL보다 IADL에서의 기능장애 비율이 더 높았다. ADL과 IADL에서의 기능장애군에 속할 위험비는 여자보다 남자에서, 혼자 산다는 군보다 배우자나 자녀와 함께 산다는 군에서, 생활비조달을 자신이 한다는 군보다 자녀가 해 준다는 군에서, 의료보호군보다 건강보험군에서, 규칙적인 운동을 한다는 군보다 하지 않는다는 군에서, 외출을 자주 한다는 군보다 거의 하지 않는 다는 군에서, 취미활동을 자주 한다는 군보다 거의 하지 않는 다는 군에서, 주관적인 건강상태가 좋다는 군보다 좋지 않다는 군에서, 신체의 부자유가 없다는 군보다 있다는 군에서, 눈의 부자유가 없다는 군보다 있다는 군에서, 귀의 부자유가 없다는 군보다 있다는 군에서, 치아의 부자유가 없다는 군보다 있다는 군에서, 요실금이 없다는 군보다 있다는 군에서, 건망증이 없다는 군보다 있다는 군에서 유의하게 증가하였다. 결론적으로 재가급여인정노인들의 신체적 기능 상태는 ADL보다 IADL 기능이 더 감소되어 있었으며, ADL과 IADL 모두 인구사회학적 특성, 건강관련행위 특성 및 건강상태의 다양한 요인이 관련되어 있었다.

• Physical Therapy Rehabilitation Science
• /
• 제6권2호
• /
• pp.77-82
• /
• 2017

Objective: Swimming and water-based exercise (WE) programs can provide vigorous physical activity in a fun and a motivating environment. The properties of water, may make it easier for children with cerebral palsy (CP) to move and to participate in an WE program. The aims of this study was to evaluate the effect of WEs on postural control in children with spastic CP. Design: Quasi-experimental design (one group pretest-posttest design). Methods: Twenty preschoolers with spastic CP participated in this study. Prior to the application, sufficient warm-up training was performed to allow the subjects to adapt to the water. Afterwards, three different types of underwater leg exercises for the flexor, extensor, and adductor/abductor of muscles of the lower limb were performed. The WE program lasted during 8 weeks, with one-40 minute sessions per week (8 training session). The usual care was performed during the training session. The Korean-trunk control measurement scale (K-TCMS) and weight distribution variability (difference of both Fz) were measured before and after training session. Results: According to the results, the K-TCMS scores of the three sub-levels, including static sitting, dynamic sitting, and dynamic reaching, was significantly increased after the training session (p<0.05). Also, the weight distribution variability was significantly decreased after 8 weeks (p<0.05). Conclusions: We suggest that WEs may improve the postural control ability in children with spastic CP. Furthermore, we support the need for additional research on the effect of WE on gait or activity of daily living performance with a control group included.

• 인간식물환경학회지
• /
• 제24권6호
• /
• pp.639-649
• /
• 2021

Background and objective: Various images from visual display terminals (VDTs) as well as living lighting are important parts of our daily life; thus, properly controlling the lighting environment - that is, illuminance, color temperature and good images from VDTs - can have a substantial effect on improving the mental health and work efficiency in everyday life. We examined electroencephalography (EEG) and heart rate variability (HRV) responses to various lighting conditions in 25 university students as they viewed images of a green landscape or traffic congestion. Methods: EEG was performed in darkness and when the room was illuminated with 10 different light-emitting diode (LED) color temperatures, while the EEG and HRV responses to green landscape or traffic congestion image stimuli were measured in darkness and during room illumination with three different LED color temperatures. Results: We found a significant difference between darkness and high LED illumination (400 lx) at 7 (CZ, F4, FZ, O1, O2, OZ, and T6) of 30 channels, while the alpha wave activity increased during darkness. In the second experiment, the green landscape image stimuli in the 30 lx-2600 K lighting condition elicited theta wave activity on the EEG, whereas the traffic congestion image stimuli under high LED illumination elicited high beta and gamma wave activities. Moreover, the subjects exhibited better stress coping ability and heart rate stability in response to green landscape image stimuli under illuminated conditions, according to their HRV. Conclusion: These results suggest that lower color temperatures and illumination levels alleviate tension, and that viewing green landscape image stimuli at low illumination, or in darkness, is effective for reducing stress. Conversely, high illumination levels and color temperatures are likely to increase tension and stress in response to traffic congestion image stimuli.

• 의료법학
• /
• 제15권1호
• /
• pp.185-209
• /
• 2014

While the local health insurance and the employment-based insurance were integrated in July 2000, the insured is divided into employment-based insured and the local insured and the relevant premium has been applied to both groups. The health insurance premium having the feature of social solidarity has to be determined depending on income, that is, the ability to pay in accordance with the principles of social insurance. While employment-based insurance premium has been determined depending on the earned income, the local insurance premium for the local insured has been determined by scoring gross income(evaluated income), property and possession of automobiles. A variety of improvement approaches has been implemented including introduction of the employment-based insurance premium ceiling system (2002) and the change of property scoring system for the local insured (2006). However, the health insurance system which was merged in 2000 has been implemented up to now without significant change even though there were lots of socio-demographic change including increase of income level and the population structure such as low birth and aging. In other words, it is required to implement the premium rating system securing the income-based equity. Nevertheless, it was inevitable to apply the diverse rating standards in the early stage because it was very difficult to verify the income of the self-employed. Although the income verification rate was significantly increased from 23% in 1989 to 44% in 2010, the irrational standards including property, automobiles, living standard and activity rate have been still applied to the local insured because it is difficult to secure the validity of insurance premium rating system and it severely lacks of security. This paper investigated whether the current insurance premium rating system for the local insured imposing the premium on the basis of 'gender' and 'age' complies with the basic human rights secured by the current Constitution of the Republic of Korea with respect to the practical and theoretic irrationality of insurance premium rating system and standards for he local insured. In accordance with the analysis results, this paper proposed the approach to improve the system.

• 한국신경인지재활치료학회지
• /
• 제10권2호
• /
• pp.45-52
• /
• 2018

목적: 본 연구는 뇌졸중 환자를 대상으로 BBS, MoCA-K, MBI와의 상관관계를 제시하고 각 변수들과의 영향력을 분석하여 뇌졸중 환자의 기능적 수행능력 평가에 기초연구가 되고자 한다. 방법: 연구 대상자는 고양시에 소재하는 Y재활병원에 입원하여 치료받고 있는 뇌졸중 환자 34명을 대상으로 2017년 12월부터 2018년 3월까지 실시하였으며 선정기준은 첫째, 뇌졸중으로 진단받고 6개월 이상 경과한 자, 둘째, 의사소통이 가능하며 MMSE-K 20점 이상인 자, 셋째, 편측무시가 없는 자, 넷째, 하위운동신경 병변이 없고 양하지 및 척추에 정형외과적 질환이 없는 자, 다섯째, 시청각계 이상이 없고 운동기능에 영향을 주는 약물 또는 수술을 받지 않은 자, 여섯째, 환자본인이 연구 참여에 동의한 자로 하였다. 평가는 재원 중 물리치료사와 작업치료사에 의해 BBS, MoCA-K, MBI를 측정하였으며 균형능력 평가 시 안전을 위하여 한명의 보조자가 동반하여 측정하였다. 결과: BBS와 MoCA-K r=.459, BBS와 MBI r=.550, MoCA-K와 MBI r=.565로 비교적 높은 상관관계가 있었다(p<.01). 결론: 본 연구는 임상적인 평가도구로서 BBS, MoCA-K, MBI의 적극적인 활용과 그 유용성에 대한 근거를 제시하였다는데 의미가 있다.

• 한국노년학
• /
• 제31권1호
• /
• pp.129-141
• /
• 2011

본 연구의 목적은 맞춤형 작업 활동 프로그램이 지역사회 거주하는 치매환자의 일상생활수행능력, 인지기능과 우울수준, 그리고 보호자 부담 정도에 미치는 효과를 알아보고자 하였다. 연구방법은 2009년 10월부터 2010년 5월까지 경기도 Y시 치매예방관리센터에 내소한 지역사회에 거주하는 치매환자 15명과 보호자 15명을 대상으로 하였다. 맞춤형 작업 활동 프로그램은 목표활동과 과제를 통해 습득한 기술을 습관화하고 규칙적으로 일상화 할 수 있도록 구성되어 있으며, 전 후 평가를 포함하여 7주 동안 주 2회(1회 가정방문, 1회 전화점검), 총14회를 치매환자와 보호자에게 실시하였다. 연구결과는 운동 및 처리기술평가에서 운동기술은 1.10±1.14점에서 1.34±1.2점으로, 처리기술은 0.32±0.55점에서 0.77±0.66점으로, 인지수준판별검사는 3.86±0.65점에서 4.17±0.64점으로, 간이정신상태검사는 17.33±4.6점에서 19.33±4.97점으로, 우울수준은 11.73±6.87점에서 8.53±7.09점으로, 보호자 부담은 31.80±20.06점에서 26.13±18.07점으로 맞춤형 작업 활동 프로그램 실시 전에 비하여 실시 후에 치매환자의 일상생활 수행능력, 인지기능이 증가하였으며 치매환자의 우울수준과 보호자의 부담이 감소하였다(p<0.05). 이러한 연구결과는 지역사회에 거주하는 치매환자에 있어 맞춤형 작업 활동 프로그램은 인지기능 향상, 우울 수준의 감소로 인해 일상생활 수행능력이 증가하였고, 그로 인해 보호자 부담 감소에 효과적인 것으로 보인다. 향후 지역 사회에 거주하는 치매환자의 기능향상과 보호자 부담 감소를 위한 보다 다양한 맞춤형 작업 활동 프로그램의 치료효과에 대한 연구가 필요하다.