• Korean Journal of Applied Biomechanics
• /
• v.21 no.4
• /
• pp.487-494
• /
• 2011

The purpose of this study was to evaluate the effects of metatarsal pad (MP) compared with barefoot and MP with using different insoles on gait. 15 healthy females who had no history of injury in the lower extremity with an average age of 22.7 year(SD=1.35), height of 160 cm(SD=3.4), weight of 48.8 kg(SD=5.52) and average foot size of 232.5 mm(SD=6.8) participated in this study as the subjects. The subjects walked on a treadmill under four different experimental conditions: 1) walking with barefoot, 2) walking wearing MP 3) walking wearing a soft insole with MP(SIMP), 4) walking wearing a rigid insole with MP(HIMP). During walking, foot pressure data such as force, contacting area, peak pressure, and mean pressure was collected using Pedar-X System(Novel Gmbh, Germany) and EMG activity of lower limb muscles such as tibialis anterior(TA), lateral gastrocnemius(LG), rectus femoris(RF), and musculus biceps femoris(MBF) was gathered using Delsys EMG Work System(Delsys, USA). Collected data was then analyzed using paired t-test in order to investigate the effects of each of experimental conditions. As a result of the analysis, when MP and HIMP were equipped, overall contacting area was increased while the force, peak pressure and the mean pressure were decreased. Especially, when the SIMP was equipped, every data were significantly decreased. In case of EMG, wearing MP, SIMP and HIMP made three muscles(TA, LG, RF)'s activity decrease. A result of the analysis will be able to apply for manufacturing functional shoes, diabetes shoes, senior shoes and lower extremity orthosis. Significance of the study due to a metatarsal pad and the insole is to analyze the changes in muscle strength.

• Journal of Convergence for Information Technology
• /
• v.10 no.9
• /
• pp.222-228
• /
• 2020

The purpose of this study was to investigate activity participation level and functional disability based on ICF for the elderly aged over 65 years. Subjects were 100 senior citizens. We performed data collection using Korean Activity Card Sorting(KACS) and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Data were analyzed using descriptive statistics, Pearson's correlation, multiple regression. As a result of the survey of activity participation levels, retained level of activity participation of instrumental activity was highest at 75.06%. Among the WHODAS 2.0 sub-domain, 'getting along with people', 'participation in society' had the most difficulties and 'self-care', 'life activities' were the lowest. An analysis of the correlation between the activity retention rate and functional disability showed that there was a significant negative correlation. Significant factors influencing functional disability were activity participation level of social activity, instrumental activity and main work(retirement). We confirmed that activity participation level was important factor on functional disability. Further, we need standardization study for generalization.

• Journal of dental hygiene science
• /
• v.8 no.2
• /
• pp.57-63
• /
• 2008

This study conducted a questionnaire survey for some local senior populations in Jeonbuk province, Korea, and came to the following conclusions: This study analyzed possible differences in elders' oral health beliefs and oral health behaviors depending on their general characteristics. As a result, it was found that there were significant differences in their oral health beliefs depending upon their religion, academic career and oral health conditions. It was found that high oral health beliefs group showed more significant differences in 'toothbrushing' and 'diet control' than low oral health beliefs group(p < .05). It was found that active oral health behavior group had higher quality of life than inactive oral health behavior group(p < .05), and 'regular visit of dental clinic' was a critical determinant of life quality(p < .05).

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.6
• /
• pp.495-509
• /
• 2016

In this study, 60 seniors aged at least 65 years who attended C Senior College in Daegu were selected and randomly allocated to test and control groups of 30 subjects each. The Clean Diet Program was only applied to the test group, and the differences in self-efficacy, depression, health behavior, subjective perception of health, wellness, and physiological indices (blood pressure, blood glucose levels, hyperlipidemia, and BMI) between the test and control groups were compared. The results show a significant difference in the test group exhibiting improved or mitigated self-efficacy (t=6.003, p<.001), depression (t=4.038, p<.001), health behavior (t=6.196, p<.001), subjective perception of health (t=6.624, p<.001), and wellness (t=7.069, p<.001). Among the physiological indices, there was a significant decrease in BMI (t=5.974, p<.001). The results demonstrate the mediation effects of the Clean Diet Program. Since the Clean Diet Program can be implemented through walking, simple exercises, and eating habits, it provides great economic efficiency and usefulness and provides a very reasonable intervention program for the elderly. Based on the results, we discuss how to improve the elderly's attitude toward health promotion and their quality of life.

• Journal of Hospice and Palliative Care
• /
• v.17 no.3
• /
• pp.161-169
• /
• 2014

Purpose: This study was conducted to comprehensively investigate nursing students' experience of their first encounter with death of a patient during clinical practice. Methods: This study took place from January 27 through March 6, 2012 with eight female senior nursing students enrolled at Pusan National University located in Y city who have experienced patient death. We collected their experience of their first death encounter during their clinical rotation by asking, "What is your first experience of patient's death during the clinical practice?" Husserl's phenomenological approach was applied in this study. Results: In this study, 17 themes, 15 clusters of themes and eight categories were derived. The categories included "Desire to avoid the reality of death", "Powerlessness", "Anticipation for recovery shifted to fear of death", "Various interpretations of death", "Limitations in their nursing practice", "Resentment of lack of nurses", "Longing to better understand death", and "Motivation for inner growth". Conclusion: Through their first encounter with death of a patient, nursing students experienced various emotions and viewed their role as hospice caregiver by projecting themselves as fully trained nurses in future. Participants considered terminal care as a part of nursing care. The result of this study indicates the need to include education of death in the nursing school curriculum.

• Journal of Korean society of Dental Hygiene
• /
• v.9 no.1
• /
• pp.15-26
• /
• 2009

The purpose of this study was to prepare improved education guideline by grasping parts and items felt difficult to apply instruments by the students of the dental hygiene department in the practice of oral prophylaxis using manikin and analyzing factors influencing the satisfaction at the oral prophylaxis subject. To achieve this purpose, 285 senior students of the dental hygiene department located in the Kwangju. Jeonnam area who took theory and practice courses of oral prophylaxis but only practiced the manikin from the second semester of 1st year were selected as the subjects. The following results were obtained. 1. In the manikin, the most difficult part was maxillary anterior lingual in the use of explorer, sickle scaler, and universal curet, and maxillary right posterior lingual was in the use of gracey curet. In the dentiform, the most difficult item was instrument stroke in the use of explorer, sickle scaler, universal curet and gracey curet. 2. The highest stressor was the lack of knowledge and skill in practice of oral prophylaxis, followed by the lack of confidence, and difference between theory and practice in oral prophylaxis. The overall practice satisfaction was 3.23 at oral prophylaxis. The highest satisfaction was found in patient and operator position(3.51), followed by basic skill(3.34), the way to use hand instrumentation(3.16), and the way to use oral examination instrumentation(3.01). 3. According to school records, satisfaction at oral prophylaxis practice satisfaction was 3.36 of good, 3.24 of fair, and 3.06 of poor, suggesting significant difference(p<0.05). Students who participated just in practice during a school term showed 3.47 of satisfaction. The highest satisfaction was found in a full-time professor as a professor in charge(3.24) and there was significant difference(p<0.05). 4. The highest correlated factor between oral prophylaxis theory and practice satisfaction was curriculum satisfaction. The use of hand instrumentation was found to have the greatest effect on the practice satisfaction at oral prophylaxis, followed by basic skill, the way of basic instrumentation, and position. There was statistically significant difference(p<0.01).

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.6
• /
• pp.319-329
• /
• 2017

As Korea is now an aging society, the demand and necessity of assistive products for senior citizens are increasing. On the other hand, their satisfaction with the assistive-product payment service is pretty low, so that the necessity of assistive-product specialists is newly rising. Therefore, it is important to establish a frame of assistive product specialist and clarify the duties. This study aimed to define and analyze the job of assistive-product specialists. This study was carried out from June 1, 2015 to February 10, 2016. After the literature consideration and analysis of the current status, a job analysis(plan) of assistive product specialists was drawn after the job of assistive product specialists was defined, and the duties, tasks, and task elements were analyzed by experts through an advisory conference. A Delphi method was conducted with five professional panels to verify the validity. For the job contents of assistive product specialists, 5 duties, 12 tasks, and 23 task elements were identified. The significance of this study was to establish the system and standard for assistive device specialists defining and analyzing the job of assistive product specialist. Through this study, it would be possible to secure the professionalism of an assistive-product specialist and qualitative improvement of an assistive-product payment service.

• Journal of Korean Physical Therapy Science
• /
• v.15 no.2
• /
• pp.41-51
• /
• 2008

Background: The purpose of this study is to determine how the cognitive state of the elderly influences the activities of daily living(ADL) in order to increase their achievement capacity and their ability to exercise this capacity in daily life. The MMSE-K(Mini-Mental State Examination-Korean) was used to evaluate the daily activities and cognitive state of a group of subjects more than 65 years of age. The goal was to understand (1) How their achievement level in their daily activities changes according to the increase and decrease of their cognition points by analyzing and comparing their achievement points in the mental state examination, and (2) What variables influence that daily achievement level. Methods: The survey was conducted by a group of students from AnSan College who were trained for this method of data collection. The group surveyed 224 senior citizens older than 65 to determine their ADL performance. The subjects were selected from Silver Care Centers in the Gyounggi Province area including centers in Suwon, Anyang, Kwachun, and Sanbon City. The subjects were given enough information to fully understand the purpose of the study and the method by which it would be conducted. The survey method was a direct interview: which involved an interviewer reading the questionnaire to the subject and recording the answer. Result: The following results were calculated using SPSS WIN ver. 13.0: In the lower score of the MMSE-K regarding ADL performance (K-MBI) for activities such as individual hygiene, bathing activity, food activity, toilet management, going up stairs, getting dressed ad undressed, controlling stools and urination, walking, and chair/bed movement, most of the subjects responded that they could not perform these activities by themselves (p<.01). In the higher scores for the same activities, most response that they could perform the tasks by themselves (p<.01). In the results of the multiple regression analysis, there influence of the variables for ADL performance (K-MBI) and MMSE-K score was higher for females than males. Conclusion: This study evaluated the cognitive state of the elderly using the MMSE-K, which is the most convenient method, and examined how the cognitive state influences the achievement capacity of the daily lives with other variables. In conclusion, the higher the score on the MMSE-K, the more independent the elders are in the activities of daily living, especially among women more than men.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.1
• /
• pp.669-678
• /
• 2017

This study aimed to identify the mediating effect of resilience on the relationship between stress during clinical practices and clinical competence in nursing students. A total of 137 senior nursing students in three different universities located in C city were included. The study period was between October 15 and November 15, 2016, and the data were collected using by structured questionnaires. Collected data were analyzed by descriptive analysis, t-test, ANOVA, Pearson's correlation, and Multiple regression using the SPSS 22.0 statistical program. The average score of stress in clinical practice, clinical competence, and resilience were $3.09{\pm}0.43$, $3.54{\pm}0.45$ of 5 and $4.93{\pm}0.66$ of 7. There were significantly negative correlations between stress in clinical practice and resilience (r=-.24, p=.005), as well as stress in clinical practice and clinical competencies (r=-.21, p=.012), while there were significantly positive correlations between resilience and clinical competencies (r=.59, p<.001). Resilience had a full mediated effect between stress in clinical practices and clinical competencies, which showed the significance upon Sobel test (Z=-3.02, p=.003). Therefore, it is suggested that various training courses and programs for strengthening resilience should be developed and applied to nursing curriculum.

• Journal of Digital Convergence
• /
• v.16 no.6
• /
• pp.213-222
• /
• 2018

This study purposed to verify the effects of knee balance taping therapy on knee pain and knee range of motion in the elderly with knee pain. The Quasi-experimental design, nonequivalent control group pretest-posttest was used in this study. Data collected from December 5 to 10, 2014. The participants were older than 60 with knee pain visiting senior community centers. Non-medicated elastic tapes were applied around the knee in the experimental group(n=21) and were not applied in the control group(n=19). Knee pain and range of motion were measured 3 times (before, after 1 hour, after 24 hours). Data were analyzed using ${\chi}^2$ test, Fisher's exact test, Mann-Whitney test, t-test, Repeated measure ANOVA with the SPSS version 21.0 program. The experimental group showed significantly decreased knee pain (F=34.03, p<.001) and increase in knee range of motion (F=7.83, p=.006). The results of this study confirm that knee balance taping therapy is an effective intervention for reducing pain and improving range of motion in elderly with knee pain.