• 제목/요약/키워드: community-dwelling

검색결과 624건 처리시간 0.02초

Effects of Community-based Rehabilitation Programs on Activities of Daily Living, Quality of Life and Assistive Technology Satisfaction for Disabled Adults in South Korea

  • Heo, Seo Yoon;Lee, Chang Hee;Choi, Wan Suk
    • 국제물리치료학회지
    • /
    • 제8권1호
    • /
    • pp.1100-1104
    • /
    • 2017
  • The purpose of this study was to examine the effects of community-based rehabilitation (CBR) program on activities of daily livings (ADLs), quality of life and assistive technology satisfaction for disabled adults in South Korea. Fourteen community-dwelling subjects were participated in a home-based rehabilitation program which performed once a month for 2 months. The outcome measures included Modified Barthel Index (MBI) for assessing ADLs, EuroQol five-dimensions questionnaire (EQ-5D) for quality of life (QoL) and Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0) for assistive technology. Significant improvements in ADLs, quality of life and assistive technology satisfaction were observed after the program. This study indicated that community-based rehabilitation program is an effective method for improving ADLs, quality of life and assistive technology satisfaction for adults with disabilities.

인도네시아 현대주거의 거주행위에 관한 연구 (Housing Activities in Contemporary Indonesian Dwellings)

  • 기랑 바크티 푸트라;주서령;우랸타리 수다르소노
    • 한국주거학회논문집
    • /
    • 제27권6호
    • /
    • pp.65-75
    • /
    • 2016
  • Activities in the dwelling are inseparable from housing design. Spatial features often result from patterns of activities that take place within the dwelling. Activities are further elaborated to affect house plans, furniture, arrangement, and equipment. However, discrepancies still exist between housing design and behavior, where housing design often fails to accommodate activities and behavioral dimensions within the family and the dwelling. This paper addresses the relationship between dwelling activities and housing design by means of a qualitative study that aims to understand the needs of the Indonesian dwelling through activity analysis. To do so, the research adopts a methodology that involves collecting data from measurements of the house, house plan analysis, and photographs, in addition to in-depth semi-structured interviews with families. Taking Bandung as a case study, 9 houses and families were selected as respondents that share similar family life-cycles, number of family members, and building size. The findings from the study suggest that spacious and open plans are preferred by the family, while maintaining family privacy. Guest areas are used to host formal guests and to restrict visitor access in the house. Service areas such as kitchens and laundry areas are the core areas for household activities for cooking, laundry, and drying. To meet social activities such as community gathering, open plan design is necessary to allow flexibility of furniture reconfiguration to accommodate extra guests.

지역사회 거주 예비노인과 노인의 건강상태와 보완대체요법 사용정도 (Health Status and the Use of Complementary and Alternative Therapies in the Community Dwelling Pre-elderly and Elderly)

  • 정명실;임경춘
    • 재활간호학회지
    • /
    • 제18권1호
    • /
    • pp.46-56
    • /
    • 2015
  • Purpose: The purpose of this study was to identify health status and the use of complementary and alternative therapies in the community dwelling pre-elderly and elderly. Methods: A total of 193 subjects participated in this study. They were recruited from one senior welfare center, four senior citizen centers and subjects' home in two cities. Data were collected with self-reported questionnaires to measure health status and the use of complementary and alternative therapies. Data were analyzed by t-test, ANOVA using SPSS/WIN 22.0. Results: Health status in this subjects was different depending on their age, sex, education, religion, type of family, and average monthly living expenses. Most used items as complementary and alternative medicine are diet therapy, herbal medicine such as health supplement food therapy, vitamin therapy, and Korean folk remedies. There were statistically significant differences in using complementary and alternative therapies according to one's current health status (F=7.09, p<.001), comparing health status to peers (F=3.67, p=.013), and chronic disease having more than three months (t=-2.50, p=.013). Conclusion: This study suggest that individualized health care should be continued for the pre-elderly and elderly. Moreover, we need to prepare long term care plans such as educations for applying complementary and alternative therapies.

지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식 (Knowledge regarding Advance Directives among Community-dwelling Elderly)

  • 홍선우;김신미
    • 한국간호교육학회지
    • /
    • 제19권3호
    • /
    • pp.330-340
    • /
    • 2013
  • Purpose: This study was performed to identify the level of Korean elderly's knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

Benign Prostatic Hyperplasia in Community-Dwelling Elderly in Korea

  • Lee Eun-Hyun;Chun Ki-Hong;Lee Yunhwan
    • 대한간호학회지
    • /
    • 제35권8호
    • /
    • pp.1508-1513
    • /
    • 2005
  • Background. This study was done to identify the prevalence of benign prostatic hyperplasia(BPH) and BPH-related symptoms among community-dwelling elderly men in Korea. In addition, quality of life and health care-seeking behavior were explored. Methods. A total of 417 elderly men were surveyed using the IPSS (International Prostatic Symptom Score) and a structured questionnaire on health care-seeking behaviors. Results. The prevalence of BPH was $19.7\%$. Of those with BPH, $80.3\%$ reported mild symptoms, $13.2\%$ moderate symptoms, and $6.5\%$ severe symptoms. The severity of BPH-related symptoms was significantly correlated with quality of life. Among those with BPH, $42.7\%$ had never consulted with anyone about their symptoms. Conclusions. BPH has emerged as a serious public health problem in elderly men. Elderly people who experience worse symptoms of BPH have a lower quality of life. Many elderly with BPH do not seek health care, mainly due to misconceptions about BPH. The provision of educational programs for BPH may significantly improve the quality of life of elderly men.

재가 노인의 체위성 저혈압 발생빈도와 위험요인 (Prevalence and Risk Factors of Orthostatic Hypotension among the Community-Dwelling Aged)

  • 유수정;송미순;김현숙
    • 대한간호학회지
    • /
    • 제33권2호
    • /
    • pp.200-209
    • /
    • 2003
  • Purpose: This study was to identify the prevalence of orthostatic hypotension and its association with risk factors of orthostatic hypotension aged over 60 in Seoul and Chungju, Korea. Method: The data were collected from the 22th of August, 2000 to the 7th May 2001. The participants were 74 community-dwelling aged who could stand up from sitting position without assistance. Subjects were interviewed with structured questionnaire in order to ask experience of previous falls, hours in per day, symptoms related orthostatic hypotension and demographic characteristics. Orthostatic hypotension was assessed at 1 minute after the subjects standing from sitting position and defined as 20mmHg or greater decrease in systolic blood pressure after standing. Result: The prevalence of orthostatic hypotension was 17.1%. The mean drop of systolic blood pressure was 27.46mmHg among orthostatic hypotension subjects. The significant variables which explain the occurrence of orthostatic hypotension was the basal systolic blood pressure, the hit ratio of discriminant function with basal systolic blood pressure was 69.7%. Conclusion: Finding indicate that this study will contribute to develop nursing strategies to identify risk factors and to prevent orthostatic hypotension for the aged.

노인의 인지기능 저하 예측요인: 노인실태조사 패널자료를 이용하여 (Predictors of Cognitive Function Decline of Elderly : Using Living Conditions and Welfare Needs of Older Korean Persons Panel Data)

  • 박현경;송현종
    • 보건의료산업학회지
    • /
    • 제10권3호
    • /
    • pp.147-158
    • /
    • 2016
  • Objectives : The aim of this study was to investigate predictors of cognitive function decline among community dwelling elderly. Methods : Data were analyzed from the Survey of Living Condition of Elderly panel study. Cognitive function was measured with the MMSE-KC at baseline and year 3. The study subjects were 5,464 community dwelling people aged 65 years or older who had no disability at baseline. Logistic regression analysis was used to predict cognitive function decline. Results : From 2008-2011, 4,417(80.8%) elderly people had no cognitive decline, and 1,074(19.2%) showed cognitive function decline measured by the MMSE-KC. After adjusting for demographics and baseline MMSE-KC score, the best predictors for cognitive function decline at 36 months were diabetes mellitus, smoking, low intensity physical activity, relationship with relatives and friends. Conclusions : Health promotion programs that are focused on the elderly are essential in preventing cognitive function decline. Promoting regular physical activity, and social relationships should be included in health promotion for elderly. When treating patients with diabetes, preventing cognitive impairment should be considered through education and counseling.

지역사회 노인의 입원기간에 영향을 주는 개인요인의 분석 (Individual Determinants of Hospital Days m Community-dwelling Elders)

  • 김정희
    • 한국보건간호학회지
    • /
    • 제13권2호
    • /
    • pp.12-25
    • /
    • 1999
  • This study examines individual determinants of hospital days in community-dwelling elders by estimating a linear structural equation model based upon Andersen's behavioral model. Data were collected through a national survey of elders in Korea in 1994. The subjects for this secondary data analysis were 1687 non-institutionalized elders aged 60 years or older. Except for the effect of age and gender on family help. the predisposing components had direct effects on the enabling components. Of the effects of the enabling components. family help had a direct effect on self-evaluated health; economic status had a direct effect on chronic disease and self-evaluated health; and access had a direct effect on chronic disease. functional health status and self-evaluated health. Of the enabling components. residence and family help directly affected hospital days. Self-evaluated health revealed the greatest direct effect on hospital days followed by functional health. Overall. the effects of the predisposing components and the enabling components on hospital days were not prominent. Since the model explained only $4\%$ of the variance in hospital days. the magnitude of the effect of the need components cannot be judged in terms of equity of distribution of health services. In particular. the effect of family help in the model reveals the importance of family support in health management of elders. The implications of these analyses for improving the proposed model of hospital days were discussed.

  • PDF

지역사회 거주 노인의 성별에 따른 요통 및 좌골신경통 관련 요인 (Gender Differences in Relating Factors of Low Back Pain and Sciatica in Community-dwelling Korean Elderly)

  • 김보혜;김옥수;김아린
    • 한국보건간호학회지
    • /
    • 제26권3호
    • /
    • pp.504-517
    • /
    • 2012
  • Purpose: The aim of this study was to investigate gender differences in risk factors and sleep, depression, and mobility of Korean elderly with and without low back pain and sciatica. Methods: Data were derived from the 2011 Korean National Survey on Older Adults. Participants included 10,674 community-dwelling elderly. The group of elderly subjects with low back pain and sciatica and the group of elderly subjects without low back pain and sciatica were compared according to gender. Result: Age, monthly income, exercise, arthritis, osteoporosis, and providing caring support were significant risk factors for low back pain and sciatica in elderly male subjects. On the other hand, monthly income, living arrangement, arthritis, osteoporosis, providing caring support, and television watching time were significant risk factors in elderly female subjects. Significant differences in depression and mobility according to low back pain and sciatica were observed in both genders. Conclusion: Risk factors for low back pain and sciatica in elderly differed according to gender. Low back pain and sciatica showed an association with depression and mobility. These findings should be considered in planning for nursing intervention for low back pain and sciatica.