디아스포라 소설의 정체성 확립 양상과 공간인식의 층위

조명기(Myung Ki Cho) 한국현대소설학회 2013 현대소설연구 Vol.- No.52

The purpose of this study is to investigate content of pain which Diaspora experiences recently, its source, style to relieve pain and its limitation etc. from the perspective of spatial recognition. Texts are <Interpreter>, <GO>, <Who saw house of butterfly?>. This writing divides multi-layer understanding and approach style about physical space into relational spatial sense and sense of place in daily lives. Individual recognition on space is understood as field where sense of place in daily lives and relational spatial sense are linked in harmony or alienated and collided each other or integrated dialectically. The three texts seek cause of pain from these - relational spatial sense hinders linkage between daily lives and sense of place, relational spatial sense denies and expels sense of place in daily lives, or sense of place in daily lives completely disappears because of absolute power of relational spatial sense. Style which the three texts selected to overcome pain is father denial. The texts try to secure self-identity as Diaspora by doing these - satisfactory linkage of relational spatial sense and sense of place in daily lives is explored by denying father to hinder linkage of daily lives and sense of place, Diaspora refuses relational spatial sense denying sense of place in daily lives, or they intentionally emphasize disqualified ``I`` in obtaining existing relational spatial sense. However, the solutions have limitation in the aspect that relational spatial sense is based on nation-familism. Accordingly, when Diaspora is regarded as a subject of crossing border, it would be necessary to be more careful. Rather, it seems that doubt about nation-family frame which limits layer of relational spatial sense to nation can be starting point of new spatial recognition and relieving pain - relational spatial sense has relationship with sense of place in daily lives.

클라이언트 중심 가정방문 일상생활훈련이 인지지원등급, 노인의 인지기능, 작업수행, 일상생활수행도에 미치는 영향

손보영 ( Son Boyoung ),방요순 ( Bang Yosoon ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.4

Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject’s performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

포토보이스를 통해 살펴본 코로나 시대 청소년의 일상생활

권보람,최새은,Kwon, Boram,Choi, Saeeun 대한가정학회 2022 Human Ecology Research(HER) Vol.60 No.2

The purpose of this study is to understand the daily lives of adolescents during the COVID-19 pandemic and to provide educational implications for enhancing the competencies of adolescents living in rapidly-changing environments. To this end, the photovoice method, consisting of orientation, documentation, discussion, and analysis, was employed to study nine adolescent participants, who were interested in sharing aspects of their daily lives. The results yielded four themes and nine sub-themes. The first theme is "home life", which is composed of two sub-themes: most comfortable to be alone and EA (eating alone) for lunch. The second theme is "leisure life", which consists of two sub-themes: the virtual world of playing with friends and exercise is the only way out to breathe. The third theme is "school life", which consists of three sub-themes: time for inner exploration and reflection, cracks in daily life due to excessive autonomy, and pros and cons of virtual classes. The fourth theme is "the voice of adolescents", which consists of two sub-themes: requiring adults to set a golden example and anxious voices due to an uncertain future. This photovoice method of study is meaningful in that it explores the daily lives of adolescents during the COVID-19 pandemic and provides valuable educational implications.

도시 재가노인의 건강관련 생활양식과 일상생활동작에 관한 연구

송경옥,김공현 인제대학교 지역사회의학연구소 1998 硏究論文集 Vol.5 No.-

The purpose of this study was to investigate how health related lifestyles influence activities of daily living and instrumental activities of daily living among elders living at home, and thus to provide basic data for the development of supportive elderly health care programs. 204 elders aged 65 years and over, living in Wanwol-dong of Masan City were randomly selected, and interviewed at their home with a structured questionnaire by the investigator from March 1 to 14 in 1997. SPSS WIN/PC program was used for the processing data and for providing the statistics including χ²-test and t-test. Major results were as follows : 1. There were no significant differences in economic variables activities of daily living and self-perceived health status by sex, but there were significant differences in health related practices by sex, activities of daily living by self-perceived health status, and instrumental activities of daily living by the self-perceived health status. (p$lt;0.05 or p$lt;0.01) 2. Each average score of ADL, IADL and TADL was significantly difference by self-perceived health status. (p$lt;0.01) 3. 14.7% of the subjects were not able to practice one of 10 ADL without help and there was significant difference in the distribution by sex. (p$lt;0.01) In conclusion, it is necessary to take these results into consideration in the process of developing health care programs for elders, and to conduct in-depth studies for such lifestyles which influence health of elders and reduce their ability of daily living.

일상생활능력과 치매

양영순,양현덕,홍윤정,김정은,박문호,나해리,한일우,김상윤 대한치매학회 2012 Dementia and Neurocognitive Disorders Vol.11 No.2

Activities of daily living (ADL) refer to the ability to care for self and perform daily activities within an individual’s place or in outdoor environments. ADL comprise two main categories: Basic or physical ADL and Instrumental ADL. The latter allows for the earlier detection of functional decline than the former. The cognitive changes in neurodegenerative dementias contribute to the impaired ability of the patients to take care of themselves. Activities of daily living is a major criterion for diagnosing dementia. Furthermore, it has recently been emphasized that some impairment of activities of daily living, particularly of complex instrumental functions, is already present even in mild cognitive impairment prodromal stage of dementia, although mild cognitive impairment is distinguished from dementia by the absence of significant deficit in activities of daily living. The impaired activities of daily living increase the rate of institutionalization of the patients with dementia to nursing home and inevitably bring about the changes in the qualities of life not only of the patients but their caregivers. One of the best ways to evaluate the degree of impairment in activities of daily living and the care burden is through standardized functional assessment tools according to the severity of dementia. These tools provide objective data, thereby allowing the clinicians to judge decline and improvement in the functional status and to plan individualized care. In this review, we will review the clinical significance of evaluating ADL, the assessment tools according to the severity of dementia, and therapeutic approaches to enhance the functional levels. We will also review the impact of the impaired ADL on the quality of life among the patients and their care providers.

이중과제운동이 뇌졸중 환자의 호흡과 균형 및 일상생활활동에 미치는 영향

최현,문영준,백승윤 대한물리의학회 2024 대한물리의학회지 Vol.19 No.2

PURPOSE: This study aimed to provide basic clinical data by investigating the impact of Activities of daily livingrelated dual-task intervention on lung function, balance, and Activities of daily living of stroke patients. METHODS: After sampling 40 stroke patients who met the selection criteria, this study randomly assigned 20 patients who received dual-task exercise intervention to the experimental group and 20 patients who received single exercise intervention to the control group by drawing lots. Next, the study pre-tested their lung function, balance, and activity of daily living. All interventions were conducted for 30 minutes, 3 times a week for 4 weeks, and when all interventions were completed after 4 weeks, lung function, balance, and activity of daily living were re-measured in the same way as the pre-test. RESULTS: In comparing changes in lung function, balance, and activity of daily living within each of the experimental and control groups, statistically significant improvement were found in the experimental group only (p < .01). Statistically significant improvement were also found in lung function, balance, and activities of daily living between the groups (p < .05) (p < .01). CONCLUSION: A statistically significant improvements were found in lung function, balance, and activities of daily living only in the experimental group and statistically significant differences were found between groups. Because they take arm exercises by maintaining balance in a standing position on a labile surface and through dual-task exercise such as folding a towel, moving a cup, and throwing and catching a ball, muscles related to lung function were stimulated and lung function and balance were improved. This helped activities of daily living to be improved. Thus, it is considered that dual-task exercise should be utilized for stroke patients’ smooth everyday life.

일상생활활동 기반의 가상현실 훈련이 뇌졸중에 미치는 효과: 문헌 고찰

김선우,김태훈,유명훈,이재신 한국엔터테인먼트산업학회 2023 한국엔터테인먼트산업학회논문지 Vol.17 No.1

The purpose of this study was to systematically analyze the types and effects of activities of daily living based virtual reality training used for stroke patient training. From 2012 to 2022, domestic and foreign literature was searched through Pubmed, ScienceDirect, Koreamed, National Assembly Library, and other databases. The main search key words were "activities of daily living" AND "virtual" AND "stroke". According to the selection/exclusion criteria, 18 articles were finally selected. As a result of the analysis, there was no difference in virtual reality equipment and programs according to stroke onset period and type. Implemented activities of daily living included shower, grooming, washing, and self-care, and instrumental activities of daily living included driving, gardening, feeding animals, caring for animals, cooking, preparing meals, home care, and shopping. As a result of training in all literatures, activities of daily living were improved, and there were significant changes in physical function and cognition. In most of the literature, the virtual reality training group centered on activities of daily living showed greater improvement than the control group. There were significant results in sub-domains such as self-help management, toilet management, mobility, and social cognition. Virtual reality is expected to overcome temporal and spatial constraints to enable training in activities of daily living, which will help in independent performance and return to the community.

일기 연구 방법론으로서의 로컬리티

차윤정 부경역사연구소 2017 지역과 역사 Vol.- No.40

This article aims to reveal through concrete cases how a locality research can be utilized as a method to research diary which documented individuals’ daily lives and to suggest it as a new methodology to research them. To achieve this purpose, this article investigates the characteristics of diary literatures through the keywords such as ‘individuals’, ‘daily lives’, and ‘long-term record’ and pays attention to ‘microscopic viewpoint’ as a viewpoint that penetrates ‘individuals’ and their ‘daily lives’. Up to date, the description of local has been unilaterally made on the national level from a macroscopic viewpoint, which has led to its concealment or deletion. In this sense, the restoration of the value of otherized local necessarily requires the switch to the original (microscopic) viewpoint of local. The switch of viewpoint reveals what has been concealed, and doing so, it not only presents a new direction of discussion but also enables a multifaceted and holistic approach to the object. Locality research pays attention to the switch to the local viewpoint and to the daily lives shown by the repetition and the difference. Through this, the research also tries to excavate local things that served as the point of resistance against the identification from above and to reveal their dynamics. Locality research on the Changpyeong Diary and the Daecheon Diary confirms that diary can be an important object of research; it clearly shows how the multi-layered relationship network of individuals and daily lives which are formed based on local and the diverse patterns of interaction between them engage in the formation of locality. In this respect, locality research can be suggested as a new methodology for researching diary. 이 글은 개인의 일상을 기록한 일기 자료의 연구방법으로 로컬리티 연구가 어떻게 활용될 수 있는지를 구체적 사례를 통해 밝히고, 일기자료의 새로운 연구 방법론으로서 로컬리티 연구를 제안하는 것을 목적으로 한다. 이를 위해 먼저 일기 자료의 특성을 ‘개인’, ‘일상’, ‘장기기록’이라는 핵심어를 통해서 살피고, ‘개인’과 ‘일상’을 관통하는 관점으로서 ‘미시’에 주목한다. 그동안 국가, 사회적 차원에서의 기술이 거시적 관점을 통해 일방향적으로 이루어짐으로써, 로컬은 은폐되고 삭제되어 왔다. 이런 점에서 타자화된 로컬의 가치회복은, 당사자인 로컬적 관점(미시적인 관점)으로의 전환을 필수적으로 요구한다. 관점의 전환은 은폐되었던 것들을 드러냄으로써 새로운 논의 방향을 제시할 뿐만 아니라, 대상에 대한 다각적이고 총체적인 접근을 가능하게 한다. 로컬리티 연구는 로컬적 관점으로의 전환과 반복과 차이로 나타나는 일상에 주목한다. 그리고 이를 통해 위로부터의 동일화에 대한 저항점 역할을 해왔던 로컬적인 것들을 찾아서, 그것이 가진 역동성을 밝히고자 한다. 『창평일기』와 『대천일기』를 대상으로 한 로컬리티 연구는, 로컬을 기반으로 하는 개인과 일상의 다층적 관계망, 그리고 그것들 사이의 다양한 상호작용 양상들이 로컬리티 형성에 어떻게 관여하는지를 잘 보여줌으로써, 일기 자료가 로컬리티 연구의 중요한 연구대상이 될 수 있음을 확인시켜 준다. 그런 점에서 로컬리티 연구는 일기자료를 대상으로 하는 새로운 연구방법론으로 제시될 수 있다.

인지기능 장애 노인들의 신체적 일상생활동작에 영향을 주는 요인

박종한,김주찬,조성완,손형석 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

목 적 : 인지기능 장애를 지닌 노인들에서 신체적 일상생활동작(activities of daily living, ADL)에 영향을 끼치는 변수들을 찾아 보았다. 연구 대상과 방법 : 대구시의 어느 양노원 노인들 90명에게 한국판 mini-mental state examnination (MMSEK). Barthel ADL, 단축형 Blessed 치매 평가 척도, 운동력 지수를 평가하였다. 그들 중에서 MMSEK 교정 점수가 24점 이하였던 노인들 45명 자료들이 분석되었다. 결 과 : Barthel ADL 변량의 42%는 운동의 지수 점수로 설명되었다. 단축형 Blessed 치매 평가 척도의 점수를 포함시키면 설명력은 48%로 증가했다. 연령, 교육, 그리고 MMSEK 교정 점수는 Barthel ADL 변량를 설명하지 못했다. 결 론 : 인지기능 장애가 있는 노인들에게는 사지의 운동력과 치매의 정도가 신체적 ADL에 큰 영향을 끼쳤으나 연령, 교육, MMSEK 교정 점수 등은 중요하지 않은 것 같다. Objectives : This study was conducted to investigate factors influencing physical activities of daily living in the elderly with cognitive impairment. Methods : The Barthel activities of daily living, modified Blessed Dementia Rating Scale, Korean version of mini-mental state examination, Motoricity Index were administered to 45 elderly people whose corrected MMSEK scores were 24 or less. They were inhabitants in an institution in Taegu : Results : Of the aforementioned 5 variables, the Motoricity Index could account for 42% of the variance of the Barthel activities of daily living. If the modified Blessed Dementia Rating Scale score was included in the multiple regression, the accountable portion of the Barthel activities of daily living variance increased by 6% only. Conclusion : Motor function of the limbs and severity of dementia may be the most important variables in the physical activities of daily living of the elderly with cognitive impairment.

노인의 시각, 청각 및 일상생활활동의 관계에 대한 인지기능의 매개효과

남상훈(Sanghun Nam),홍익표(Ickpyo Hong) 대한신경계작업치료학회 2023 재활치료과학 Vol.12 No.1

목적 : 노화에 따른 인지 및 신체기능의 저하는 노인 대상에 흔한 증상이다. 노화에 따른 대표적인 기능저하로 시각과 청각, 인지기능, 일상생활활동의 제한이 있다. 이에 따른 많은 연구들이 각 변수 간의 관계성을조사하였다. 하지만 네 개의 변수 간의 관계성을 파악한 연구는 미흡하다. 따라서 본 연구에서 시각및 청각과 일상생활활동 간의 관계에서 인지기능의 매개효과를 알아보고자 한다. 연구방법 : 본 연구의 대상자는 국민건강보험공단에서 제공하는 건강보험자료 공유서비스에서 노인 장기요양 DB의 36,767명을 대상으로 하였다. 독립변수로 시각과 청각 변수를 추출하였고 종속변수로 기본적 및 수단적 일상생활활동 변수를 추출하였다. 매개변수로는 인지기능 변수를 추출하였다. 추출한변수들을 활용하여 매개효과를 알아보기 위해 경로분석을 진행하였다. 결과 : 대상자는 여성이 27,250명(74.12%)으로 대부분이었으며, 평균 연령은 82.91세(SD = 5.92)이었다. 시각과 기본적 및 수단적 일상생활활동 간의 인지기능 매개효과를 알아본 결과, 시각과 기본적 일상생활활동 간의 관계에서 인지기능이 30%, 시각과 수단적 일상생활활동 간의 관계에서 인지기능이 42% 부분매개 역할을 하였다. 청각과 기본적 및 수단적 일상생활활동 간의 인지기능 매개효과는 기본적일상생활활동에서 50%, 수단적 일상생활활동에서 53% 부분매개 역할을 하였다. 결론 : 노화에 따른 기능저하와 관련된 예방 프로그램은 많은 국가사업으로 진행되어오고 있다. 본 연구의결과를 활용한 시각, 청각, 인지기능, 일상생활활동의 관계를 감안하여 예방 프로그램을 수립한다면성공적인 노화를 도모하는데 도움이 될 것으로 사료된다. Objective : The typical decline in function due to aging includes limitations in vision, hearing, cognitive function, and activities of daily living. Therefore, this study evaluated the mediating effect of cognitive function on the relationship between vision and hearing and activities of daily living. Methods : The participants in this study were 36,767 persons from the long-term care database on older adults provided by the National Health Insurance Sharing Service. The extracted variables were: (i) independent variables: visual and hearing; (ii) dependent variables: basic and instrumental daily living activities; and (iii) mediator variables: cognitive function. Regression analysis was performed evaluate the mediating effects of the extracted variables. Results : Cognitive function showed a mediating effect of 30% on the relationship between vision and basic daily life activities and 42% in the relationship with instrumental daily life activities. The mediating effect was 50% in the relationship between hearing and basic activities of daily living, and 53% in the relationship with instrumental activities of daily living. Conclusion : Prevention programs for functional decline due to aging are in progress in Korea. Based on the results of this study, establishing a prevention program would help promote successful aging.