사회복지시설에 종사하는 일부 재활전문가들의 방문재활에 대한 필요성 조사

A Study on the Necessity of Home Visit Rehabilitation Therapy by Rehabilitation Professionals Working at Social Welfare Facilities

  • 이정한 (국민연금공단 장애심사센터) ;
  • 김계엽 (동신대학교 보건복지대학 물리치료학과) ;
  • 김은정 (동신대학교 보건복지대학 물리치료학과)
  • Lee, Jeong-Han (Disabled Judgment Center of the National Pension Service) ;
  • Kim, Gye-Yeop (Department of Physical Therapy, College of Health and Welfare, Dongshin University) ;
  • Kim, Eun-Jung (Department of Physical Therapy, College of Health and Welfare, Dongshin University)
  • 투고 : 2010.07.15
  • 심사 : 2010.10.09
  • 발행 : 2010.10.25

초록

Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

키워드

참고문헌

  1. Korea National Statistical Office. Population projection by age. 2008.
  2. Son MS. A study on the necessity of home visit rehabilitation therapy in care management. Sam Yook University. Dissertation of Master's Degree. 2008.
  3. Kim EJ. Study of sequallae if discharged cerebrovascular disease patients and home nursing care needs. Kyungpook National University. Dissertation of Doctorate Degree. 1991.
  4. Jeong KH. The debate on comprehensive on the health and welfare services for the aged. A longitudinal study on the aging society and quality of life in elderly. Korea Institute for Health and Social Affairs. 2002.
  5. Crimmins EM, Hayward MD, Saito Y. Changing mortality and morbidity rates and the health status and life expectancy of the older population. Demography. 1994;31(1):159-75. https://doi.org/10.2307/2061913
  6. Lee YS. A study on the main contents and the point at issue of the law of long-term care insurance for senior citizens. Kor Insure Acad Soc. 2008;79:163-93.
  7. Kim EH. A study on the improvement measure of long-term care policy. J Humanit. 2003;8:193-234.
  8. Oh EJ, Park HS. A study on growing needs for adult day service center in seoule under the new longterm care system. J Kor Inst Heath Archit.2006;12(2):41-50.
  9. Oh EJ. The Longterm care insurance policy and its impact on the elderly care service environments in Korea. Archtec Inst of Kor. 2006;50(11):21-4.
  10. Choi EY, Kwan SM, Kim CW, Kang JH. Issues in long-term care services in OECD countries and implications for Korea. Korea Institute for Health and Social Affairs. 2005.
  11. Cha HB, Seok JE, Yang JW. The models on financing and service administration system of long term care; the demonstration project of care management based on community. Kor Associaion of Social Welfare Policy. 2006; 27:115-48.
  12. Kim YT, Seo K, Lee SJ. A study on the aged home residence rating of CBR research and the assignment: Focused on CBR evaluation of the activity of Kyung-ju city public health center. Kor Soc Welf Aged. 2004;24:101-24.
  13. Yang YE, Kim ES. A study on the needs about nursing home care physical therapy system. Bull Inst Env Ind. 2000; 9(1):19-28.
  14. Jang BW. Long term care system in Japan. Gyeonggi-do, Ynangseowon, 2008.
  15. Evashwick CJ. The continum of long-term care: an integrated system approach. New York, Delmar Publishers, 1996.
  16. Dhillon V, Hurst N, Hannan J, Nuki G. Association of low general health status, measured prospectively by Euroqol EQ5D, with osteoporosis, independent of a history of prior fracture. Osteoporos Int. 2005;16(5):483-9. https://doi.org/10.1007/s00198-004-1705-3
  17. Kim DH. A study on the satisfaction of rehabilitation services for disabled persons. Dankook University. Dissertation of Master's Degree. 1999.
  18. Lee JS. A study of the case management practice model for the physically disabled at home. Deagu University. Dissertation of Doctorate Degree. 1999.
  19. Park KS. Comparison between the rural and urban elderly receiving pubic assistance on their needs and utilization of the social welfare services in kyonggi province. 2001;14(1): 175-211.
  20. Lee IS. Study to development community based home nursing care model. Seoul National University. Dissertation of Doctorate Degree. 1990.
  21. Kim CW. Aligning Community-Based Care Management to the Risks for Community-Dwelling Chronically-III Elders. Korea Journal of social welfare studies. 2004;23:5-41.
  22. Kwan HC, Kim JG. A comparative study of the future demand for medical rehabilitation services by rehabilitation professionals. The Korean Academy of University Trained Physical Therapists. 1996;3(2):8-18.
  23. Yi CH, Lee HJ, Park KH et al. Needs analysis for home rehabilitation services by disabled person in the rural areas. The Korean Academy of University Trained Physical Therapists. 2002;9(2):61-82.
  24. Kim EY, Kim CY. Who wants to enter a long-term care facility in a rapidly aging non-western society? Attitudes of older Koreans toward long-term care facilities. J Am Geriatr Soc. 2004;52(12):2114-9. https://doi.org/10.1111/j.1532-5415.2004.52574.x
  25. Park SH. A study on the life style and in-home service needs of the aged. Wonkwang University. Dissertation of Master's Degree. 2008.
  26. Kim HJ. A study for the introduction of home rehabilitation services in long term care insurance system for the eldely. Inje University. Dissertation of Master's Degree. 2010.
  27. Lee TS, Goo BO. Study of importance of grade decision to enforce the insurance policy for long term care. J Kor Soc Phys Ther. 2008;20(2):43-8.
  28. Lee IH, Kwon CS, Hand DU et al. Necessity and features of service required for home visiting physical therapy. J Kor Soc Phys Ther. 1999;11(2):61-73.