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        율동적 동작이 치매노인의 신체적 기능 및 정서상태에 미치는 효과

        임영미(Young Mi Lim) 한국노년학회 2002 한국노년학 Vol.21 No.3

        본 연구의 목적은 율동적 동작프로그램이 치매노인의 신체적 기능 및 정서상태에 미치는 효과를 파악하기 위함이다. 연구설계는 비동등성 대조군 사전사후설계인 유사실험연구이며, 연구대상자는 일개의 전문요양시설에 있는 치매로 진단받은 노인을 CDR로 측정하여 경증치매노인 20명이었다. 경증치매노인 20명을 실험군과 대조군에 무작위로 10명씩 배정하였다. 연구도구는 유연성을 측정하는 체전굴검사, 균형도구, 하지근력을 측정하는 의자검사, 한국형 노인우울척도(GDS)이며, 실험군과 대조군에게 중재전, 중재 8주후, 중재 16주후에 연구도구를 측정하였다. 율동적 동작 프로그램은 음악을 이용하여 능동적 근관절운동이 포함되어 있는 율동과 스트레칭으로 구성되어 있으며 오후시간에 1회 50분간 일주일에 3회씩 16주간으로 15분의 스트레칭 체조 15분의 민요음악에 맞추어 능동적 근관절운동을 포함한 율동적 동작, 15분의 게임, 5분간의 정리운동순으로 훈련된 연구보조자에 의해 수행되었다. 율동적 동작프로그램이 치매노인의 신체적 기능과 정서상태에 미치는 효과를 검증하고자 Mamn Whitney U 검정한 결과, 하지근력, 유연성, 균형성에서 중재 8주과 16주 후에 실험군과 대조군간에 통계적으로 유의한 차이가 있게 나타났다. 율동적 동작프로그램을 수행한 실험군에서 사전 중재 8주, 중재 16주간의 차이를 비교하고자 Wilcon Signed Rank 검정한 결과, 하지근력, 유연성, 균형성, 우울에서 사전과 중재 8주, 사전과 중재 16주간 통계학적으로 유의한 차이가 있게 나타났다. 본 연구의 결과를 통해 요양시설에 있는 치매노인에게 음악을 이용한 율동적 동작을 중재하여 하지근력을 유지하게 하여 낙상의 위험성을 예방하고 신체적 기능 유지에 도움을 주면서, 정서적인 측면에서 안정감을 부여하여 궁극적으로 치매노인의 삶의 질을 유지할 수 있으리라 본다. The purpose of this study was to determine the effects of movement/exercise on physical and emotional functioning in elders with cognitive impairments. A quasi-experimental research with nonequivalent control group design was conducted. Twenty ambulatory residents with mildly cognitive impairments were chosen in a long-term care facility. Ten residents were randomly selected to receive the intervention. The protocol was developed by the investigator. Two nurses were trained using the protocol. Using the protocol, movement/exercise program included greetings each other, stretching using range of motion movement from head to toe, dance movement using traditional music, reminiscence, and games. For the intervention with ten residents, exercise program was provided by two trained nurses during one hour three times a week for the 16-week period. For data analysis, mann whitney u test was used to analyze homogeneity test to determine the difference of variables between control and experimental group at the baseline. There was no statistically significant difference of variables between two groups at the baseline. Mann whitney u test was used to determine the effects of exercise intervention on variables between two groups at the 8-week and 16-week intervention. At the 8-week testing, there was statistically significant difference of balance, and muscle strength of legs between two groups. At the 16-week testing, there was statistically significant difference of physical functioning such as balance, muscle, strength of legs, and muscle flexibility. However, there was no statistically significant difference of depression between two groups at the 8-week and 16 week test. In conclusion, the findings have implications for maintaining or improving muscle strength of legs, balance, muscle flexibility and emotional functioning of elders with mildly cognitive impairments in the long-term care facility, when they were continuously provided with movement/exercise using auditory and physical stimuli.

      • KCI등재후보
      • KCI등재
      • 형상적 벽의 시대별 변화와 표현특성에 관한 연구

        영미(Chung. Young-Mi),경희(Lim. Kyung-Hee),손세관(Sohn. Sei-Kwan) 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1

        This study is aimed at grasping the concept of figurative walls and inquiring into change and trait of figurative walls In each period. To grasp the concept and traits of figurative walls, the study deploys theocratical research and typological methods which categorise figurative walls according to their traits, and verify the periodical differences of figurative walls.<br/> The study deals with four periodical stages - ① pre-renaissance period, ② renaissance and baroque period, ③ modern period, and ④ post-modern period - in the inquiry on the periodical expressive traits.

      • KCI등재

        일부 지역사회 노인의 구강보건교육 실태에 관한 연구

        김영 ( Young Kim ),이은주 ( Eun Ju Lee ),김민경 ( Min Kyung Kim ),임영미 ( Yeong Mi Lim ),신연주 ( Youn Ju Shin ),정정옥 ( Jung Ock Jung ),윤혜정 ( Hye Jeong Youn ),이경희 ( Kyeong Hee Lee ) 한국치위생학회 2012 한국치위생학회지 Vol.12 No.5

        Objectives: The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods: In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens` welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given thequestionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results: 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions: Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen`s welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

      • KCI등재
      • KCI등재

        여성 독거노인의 사회적 지지와 외로움

        성미혜(Sung, Mi-Hae),임영미(Lim, Young Mi),주경숙(Joo, Kyung-Sook) 한국보건간호학회 2011 韓國保健看護學會誌 Vol.25 No.1

        Purpose: The purpose of this study was to investigate the relationship between social support and loneliness in elderly women living alone. Method: Between 1 October 2008 and 30 April 2009, a random sampling method was conducted to recruit 112 elderly women who were living alone. The subjects were at least 65 years of age. Data was collected using the social support questionnaire, and the translated Korean Version of the Revised University of California at Los Angeles Loneliness Scale (R-UCLA Loneliness Scale). Results: In our study, the sources of social support were the children, neighbours, brothers and sisters, in this order. We found that the loneliness of the subjects was related to age, the number of children, and financial difficulty. The level of loneliness negatively correlated with the social support provided by children, brothers and sisters, other relatives, and neighbours. Also, there was a negative correlation with the social support satisfaction. The social support satisfaction and the social support offered by neighbours and relatives were the significant predictors of loneliness. Conclusion: The sources of social support, such as neighbours and relatives, and the social support satisfaction should be considered when planning intervention by nurses or social workers to decrease the level of loneliness in elderly women living alone.

      • KCI등재

        범이론 모형에 근거한 재가 고혈압 노인환자의 자기관리 행위 실천 영향요인

        안양희(Ahn, Yang Heui),임영미(Lim, Young Mi),김기연(Kim, KiYon),김기경(Kim, Ki-Kyoung),송희영(Song, Hee-Young) 한국보건간호학회 2016 韓國保健看護學會誌 Vol.30 No.1

        Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, χ2 test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.

      • KCI등재

        중환자실 간호사의 죽음인식, 자아효능감이 우울에 미치는 영향

        이근희(Geun Hee, Lee),임영미(Young Mi, Lim) 한국간호연구학회 2021 한국간호연구학회지 Vol.5 No.1

        Purpose : This study was to identify the effects of death attitude and self-efficacy on depression of intensive care unit nurses. Methods : The data was collected for this study from 134 nurses in intensive care units of two tertiary general hospitals. The instruments were ‘View of Life and Death Scale’, Self-Efficacy Scale (SES), and Korean version of Patient Health Questionnaire-9(PHQ-9). The data was analyzed using descriptive statistics, Pearson’s correlation and multiple regression analysis. Results : The results showed that depression was found significantly correlated with death concern (r=.21, p=.014), life respect will (r=-.23, p=.006) and self-efficacy(r=-.24, p=.004), indicating that the higher death concern and the lower the self-efficacy, the higher the depression of intensive care unit nurses. Affecting variables of depression were self-efficacy (β=-.24), and death concern (β=.20). Conclusion : The findings had implications that the interventions to strengthen self-efficacy and attitude toward death are critically needed to prevent depression of intensive care unit nurses.

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