재가노인의 지각된 건강상태, 일상생활수행정도 및 우울에 관한 연구

권영은(Young Eun Kwon),하진(Jin Ha),안수연(Soo Yeon Ahn) 한국노년학회 2007 한국노년학 Vol.27 No.2

노인 스스로가 지각한 건강상태와 실제적인 건강상태가 밀접한 연관을 가지고 있고, 독립적인 일상생활수행정도에 따라 노인의 문제는 개인만의 문제가 아닌 사회적인 문제로 확산될 수 있다. 또한 노인의 우울은 다른 연령군에서의 우울과 구분하여 관리할 필요가 있다. 본 연구는 재가노인의 지각된 건강상태, 일상생활수행정도, 우울의 정도를 파악하고 이들 간의 어떠한 상관관계가 있는지를 확인하여 이를 통하여 지역사회 노인의 건강증진에 기여할 수 있는 기초 자료를 제공하기 위하여 시행되었으며, 재가노인 403명을 대상으로 하는 설문지 조사를 실시하였다. 연구 결과, 노인 스스로의 건강상태를 매우 나쁘거나 나쁘다고 지각하는 비율이 62.3%였고, 1년 전과 비교하여 매우 나쁘거나 나쁘다고 지각한 대상자는 66%였다. 일상생활수행정도에 있어서 독립적으로 일상생활을 수행할 수 있는 대상자가 58.1%에 해당했다. 우울 정도를 평가한 결과 우울로 나타난 대상자는 43.8%였다. 일상생활수행정도와 지각된 건강상태, 일상생활수행정도와 우울 간에 유의한 상관관계를 나타내었지만, 우울과 지각된 건강상태 간에는 상관관계가 없는 것으로 밝혀졌다. 본 연구의 결과에서는 노인의 인지기능, 일상생활수행정도, 우울과의 상관관계에 관한 연구가 필요하며 우울과 관련된 간호중재 프로그램의 개발이 필요함을 시사하고 있다. The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no signigicant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.

작업치료실 외 실제 일상생활활동 수행도 실태조사 - 뇌졸중 환자대상으로 -

김소영 ( Kim So-young ),구영화 ( Gu Young-hwa ),양영애 ( Yang Yeong-ae ) 고령자·치매작업치료학회 2016 고령자.치매작업치료학회지 Vol.10 No.1

목적 본 연구는 부산지역 뇌졸중 환자를 대상으로 재활 치료 시간 외 일상생활활동 수행정도를 조사하고 알맞은 치료의 방향을 살펴보고자 한다. 연구방법 본 연구는 2016년 3월부터 4월까지 부산에 거주하는 D병원에 입원 및 외래로 내원하는 뇌졸중환자 48명을 대상으로 설문지를 사용하여 일상생활활동 수행도에 대하여 조사하였다. 자료의 분석은 SPSS win 19.0을 사용하였다. 연구결과 연구에 참여한 대상자들의 치료실 외 일상생활활동 수행도에 대한 질문 중 `시행한다`고 응답한 사람이 17명, `시행하지 않는다`고 응답한 사람이 31명이었다. 또한 MAL항목 중 가장 많이 시행하고 있는 것으로는 손 씻고 닦기, 주방선반이나 책상표면 닦기, 의자에서 일어나기, 앉기위해 의자를 식탁에서 뒤로 빼기, 손잡이 있는 컵들기, 양치하기, 양말신기, 신발신기 순으로 나타났다. 결론 뇌졸중환자의 치료실 외 일상생활활동 수행도에 대한 결과를 바탕으로 뇌졸중 환자가 실생활에서 일상생활활동을 적극적으로 수행할 수 있도록 환자의 기능 및 환경을 고려한 다양한 프로그램들을 개발하고 적용해야 할 것이다. Objectives : This research aims to examine the performance level of daily living activities of stroke patients in Busan besides their occupational therapy time and find appropriate treatment directions. Methods : This research was conducted from March to April 2016 on the performance of daily living activities of 48 stroke patients who live in Busan and visit D Hospital to be hospitalized and outpatient clinic. This research used a survey questionnaire and used SPSS win 19.0 to analyze data. Results : For the question asking the daily living activity performance of research subjects outside their occupational therapy units, 17 patients answered `they carry out daily living activities` and 31 patients answered `they do not carry out daily living activities.` Also, the most common activities were washing and wiping hands, cleaning the kitchen shelf or desk surface, standing from chairs, pulling a chair from a table to sit down, holding a cup with a handle, brushing teeth, wearing socks, and wearing shoes in order. Conclusion : To enable stroke patients to perform the activities of daily living in their everyday life, various programs considering their functions and environments must be developed and applied based on the results of stroke patients` daily living activity performance besides therapy units.

독거노인 건강관련 삶의 질의 영향 요인

서순림(Suh Soon Rim),김미한(Kim Mihan) 한국노년학회 2014 한국노년학 Vol.34 No.4

본 연구는 독거노인의 건강관련 삶의 질을 평가하고, 건강관련 특성, 건강행위특성, 일상생활수행능력, 수단적 일상생활수행능력, 신체허약 정도, 인지기능에 따른 건강관련 삶의 질을 확인하고자 시도되었다. 서술적 단면 조사 연구로서 2013년 2월 12일부터 3월 8일까지 5개의 시, 군에 거주하는 65세 이상 독거노인을 대상으로 주관적 건강상태, 건강 행위, 신체허약 정도, 인지기능, ADL, IADL, 건강관련 삶의 질을 측정하는 구조화된 설문지를 사용하여 일대일 면담으로 자료수집 하였다. 대상자의 건강관련 삶의 질은 일반 노인에 비하여 매우 낮았으며 주관적 건강상태, 신체허약 정도, 인지기능, ADL, IADL이 건강관련 삶의 질과 유의한 상관관계가 있었다. 건강관련 삶의 질에 영향을 미치는 요인은 주관적 건강상태, ADL, IADL, 신체허약 정도로 나타났다. 결론적으로 독거노인의 건강관련 삶의 질을 높이기 위하여 주관적 건강상태와 일상생활수행의 독립성, 신체가 동능력을 고려한 건강관리 프로그램이 필요하다. The purpose of this study was to evaluate the levels of the health-related quality of life and related factors in older adults who live alone. The subjects of this study were 266 elderly living in the K province. Data were collected through the structured questionnaires which were constructed to include the level of physical weakness and cognition, the activities of daily living(ADL), instrumental activities of daily living(IADL) and health-related quality of life from February 12 to March 3, 2013. The Collected data were analyzed by frequency, t-test, ANOVA, Pearson's correlation coefficient and hierarchial multiple regression. Compared to the ordinary elderly, the health-related quality of life for the subjects was much lower. There was a positive correlation between subjective health status, ADL, IADL, the level of physical weakness and cognition. Regression analysis indicated that the significant predictors of the health-related quality life were subjective health status, ADL, IADL, and the level of physical weakness. The factors accounted for 40.9% of variance in the health-related quality of life for the aged who live alone in the community. To conclude, It is needed to give health programs that integrate these factors for the elderly living alone.

유료노인복지시설 거주노인의 일상생활수행정도와 만족도에 관한 연구

최혜은,안옥희,정연강 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

This dissertation is on perceiving ADL(ADL : Activities of Daily Living), IADL(IADL : Instrumental Activities of Daily Living) and satisfaction of the residents paid Welfare facilities. It also seeks the elderly to use paid Welfare facilities a better life by analyzing the influence on ADL, IADL and satisfaction. Data for this present study was collected via questionnaires randomly distributed to residents of paid Welfare facilities from 1 June to 30 June, 2002. Questionnaires were issued to 200 people and 108 were returned. The data was analyzed by frequency, percentage, t-test, ANOVA, factor analysis, correlation coefficients analysis. The results are as follows : First, For the ADL, score of step climbing was comparatively lower than that of other activities. The ADL showed significant differences according to religion. Second, For the IADL, using public transportation and bank facilities were comparatively difficult. Ability of IADL was generally lower than that of ADL. The IADL showed significant differences according to the existence of relatives. Third, Th general satisfaction facility service condition showed significant differences according to sex, education, disease, the existence of a grandson and granddaughter. Forth, Average score of the life satisfaction was 41.09. The life satisfaction showed significant differences according to marital status and the existence of relatives. According to results of correlation analysis between score of life satisfaction and ADL, IADL, facility service condition showed correlation. In summary it is important to improve the ADL, IADL status and facility service condition, life satisfaction among the elderly in paid Welfare facilities. To do this government, related groups, related professionals have to develop policies and concrete programs for the benefit of the elderly.

혈액투석 환자의 EPO 투여가 주관적 변화와 일상생활 수행정도, 삶의 질에 미치는 영향에 대한 연구

정애란,김현리 충남대학교 간호과학연구소 1999 충남대 간호학술지 Vol.2 No.1

This study was performed to investigate the effects of Epo medication effect on subjective changes, ADL, and QOL in the process of treatment for chronic renal failure patients. The total of 62 CRF patients who are receiving hemodialysis with EPO medication participated in the study. The data collection period was from July, 2, 1998 to August 14, 1998. The survey data were analyzed utilizing SAS program. The results were as follows. 1. The most frequent underlying disease that required EPO medication for chronic renal failure (CRF) patients was Diabetes Mellitus (32.3%). The values of Hb and Hct were proportionally increased according to the dosage of EPO medication. 2. The mean of ADL score was 4.29 representing relatively high independence of the subjects, and the lowest scored item was “Doing the housework” (M = 3.72). 3. The Subjective physical changes while receiving Epo medication were assessed by 17 items. The CRF patients reported the item of “I have better appetite” as the most improved one (M = 3.93), while the item of “I have better sexual need” was reported with a relatively lower mean score 2.36. The reported QOL mean score for CRF patients with Epo medication in this study was lower than that of previous research results. 4. The mean scores of QOL (t = -2.97, D = 0.0043) and ADL (t = -3.57, p = 0.0007) for the CRF patients with Diabetes Mellitus were lower compare to the patients with other causal diseases. 5. There was positive correlation between the ADL and QOL scores (r = 0.34, p = 0.005). 6. The values of Hct(t = -3.59, p= 0.0002) as well as Hb(t = -4.31, p = 0.0001) were significantly increased in one month after Epo medication.

뇌졸중 환자의 인지기능, 질병의 심각도 및 장애 정도가 일상생활수행능력에 미치는 영향

오은영(Oh, Eunyoung),김민숙(Kim, Minsuk),소희영(So, Heeyoung),정미숙(Jung, Misook) 한국재활간호학회 2013 재활간호학회지 Vol.16 No.2

편마비 환자의 일상생활동작 수행에 대한 추후조사연구 : After One Year at the Completion of the Health Contract 건강 계약 완료 1년후

이향련,김병은 성인간호학회 1994 성인간호학회지 Vol.6 No.1

This study was designed to determine whether the health contract has influence on the performance level for activities of daily livings(ADLs) of patients with hemiplegia even in their homes after hospital discharge. In the previous study, a total of 69 patients with hemiplegia were collected to determine the effect of the health contract between the experimental and control group. Among 69 subjects in the previous study, each 10 subjects as the contract and non-contract group were matched on the functional ability to perform ADLs before the health contract. Observer training was conducted to control error by standardizing the observation procedure across observers. Two observers were trained prior to home visiting by the investigator to measure the functional ability of patients with hemiplegia to perform ADLs. Data were analyzed using t-test to measure the effect to functional ability to perform ADLs of patients with hemiplegia even after the health contract, and were analyzed to compare two groups. The results of this study are as follows. 1. There was no statistically significant difference of the functional ability to perform ADLs between the contract and non-contract group after one year at the completion of health contract. 2. In the contract group, the ADLs scores(3.32) after the completion of the health contract were lower than those(4.13) after one year at the completion of the health contract. The results showed a significant decrease in the functional abilities of patients with hemiplegia to perform ADLs at the completion of the health contract, as compared with those after one year at the completion of the health contract(t=-2.42, p=.039). In the non-contract group. The ADLs, scores(2.86) after the completion of the health contract were lower than those(4.80) after one year at the completion of the health contract. The results showed a significant decrease in the functional abilities to perform ADLs after one year at the completion of the health contract(t=-5.22, p=.001). In conclusion, the results of this study showed that the health contract did not have influence on the functional ability of patients with hemiplegia to perform ADLs in their homes after the hospital discharge. At the completion of the health contract, the ADLs scores were high in the contract group, as compared with the those in the control group. After one year at the completion of the health contract, however, the ADLs scores low in the contract group, as compared with those in the non-contract group. During the hospitalization, the health contract as a reinforcer, is effective in influencing the functional abilities of patients with hemiplegia to perform ADLs in the contract group. In this study, these findings suggest a need to continue the health contract even after the hospital discharge, and a need to develop the instrument on the measurement of functional ability of patients with hemiplegia to perform ADLs in their homes.

양로원 노인의 시설 만족도, 우울 및 일상생활수행의 관계 연구

변영순(Byeon Young-Soon),이정인(Lee Jung-In) 기본간호학회 2002 기본간호학회지 Vol.9 No.1