대한지역사회작업치료학회지 (The Journal of Korean society of community based occupational therapy)

대한지역사회작업치료학회 (Korean Society of Community Based Occupational Therapy Association)
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시설 거주 지적장애인들의 재활체육 프로그램 참여에 따른 여가시간 사용과 여가활동 수행에 미치는 영향

Effects of Leisure Time-Use and Occupational Performance according to the Participation of a Rehabilitation Sports Program for Intellectual Disabilities Residing in a Residential Care Facility

  • 손성민 (강원대학교 일반대학원 응급의료재활학과) ;
  • 이경락 (유원대학교 건축공학과) ;
  • 전병진 (강원대학교 작업치료학과)
  • Son, Sung-Min (Dept. of emergency medical service rehabilitation, Kangwon National University) ;
  • Lee, Kyeong-Lark (Dept. of information & architectural engineering, U1 University) ;
  • Jeon, Byoung-Jin (Dept. of Occupational Therapy, Kangwon National University)
  • 투고 : 2016.10.08
  • 심사 : 2016.11.27
  • 발행 : 2016.11.30
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초록

목적 : 본 연구에서는 규칙적인 재활체육 프로그램 참여에 따른 시설 거주 지적장애인들의 여가시간 사용과 여가활동 수행에 미치는 영향을 규명하여 시설 거주 지적장애인들의 여가시간 사용과 여가활동 수행에 대한 기초자료를 제공하는 데 그 목적이 있다. 연구방법 : 연구대상은 경기도 용인시 지적장애인 거주시설에서 거주하는 지적장애인 8명을 대상으로 하였으며, 2015년 09월 01일부터 11월 30일 까지 총 12주간 재활체육 프로그램을 실시하였다. 재활체육 프로그램으로 짐볼과 탄성밴드를 활용한 근력운동을 적용하였으며, 프로그램 참여에 따른 여가시간 사용의 변화를 조사하기 위해 매월 시간 조사표 기록에 따른 총시간, 운동 빈도를 조사하였고, 여가활동 수행에 미치는 영향을 분석하기 위해 프로그램 전, 후 캐나다작업수행측정(COPM)을 활용하여 동적 여가활동에서의 수행도와 만족도를 분석하였다. 수집된 자료는 SPSS ver.18.0으로 기술통계, 프리드만 검정(Friedman), 윌콕슨 부호순위 검정(Wilcoxon's Signed-Ranks Test)을 실시하였다. 결과 : 여가시간 사용의 분석 결과 총시간, 운동 빈도에서 프로그램 참여 후 통계적으로 유의미하게 지속적으로 증가하였으며, 여가활동 수행의 분석 결과 동적 여가활동에서의 수행도, 만족도에서 프로그램 참여 후 통계적으로 유의미하게 증가하였다. 결론 : 재활체육 프로그램의 참여가 대상자들의 여가시간 사용을 효과적으로 변화시킬 수 있는 긍정적인 요인으로 작용할 수 있어 시설에 거주하고 있는 지적장애인들에게 재활체육 프로그램의 참여는 필수적이다. 또한, 이러한 프로그램을 지속적으로 제공하고, 체계적으로 발전시키고 관리하여, 지적장애인들의 여가생활의 질을 높이고 시설 내 생활과 하루일과의 만족도를 높이는 데 기여할 수 있을 것이다.

Objective : The purpose of study is to provide basic information about the effects of leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility by participating a regular rehabilitation sports program. Methods : Participants were recruited 8 individual with intellectual disability in a residential care facility in Yong-in city and the study period lasted 12 weeks, from september 1 to November 30 in 2015. As a program, participants participated a muscle strengthening exercise using a Gym-ball and a elastic band. In order to analyze leisure time-use, time questionnaire was used every month to analyze total time and exercise frequency. Also, analyze the effects of leisure activity performance, Canadian Occupational Performance Measure(COPM) was used to performance and satisfaction of dynamic leisure activity. Collected data was encoded by item and analyzed with SPSS ver18.0. Descriptive statistics were used for the participants' general information. A non-parametric test (the Friedman test) was used to analyze leisure time-use. A non-parametric test (the Wilcoxon's signed ranked test) was used to analyze to the effects of leisure activity performance. Statistical significance was accepted outside the 95% confidence interval. Results : The results of the total time and the exercise frequency showed significant increase. Also, the results of the performance and the satisfaction showed significant increase. Conclusion : Thus, the participation of the rehabilitation sports program is a vital element to lead to change leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility. Also, through the providing and the developing a regular rehabilitation sports program systematically, intellectual disabilities residing in a residential care facility have a higher quality of life and satisfaction of the daily routine and life in a residential care facility.

키워드

참고문헌

  1. Health Promotion Series. (2012). Physical activity guidelines(3, pp. 1-28). Seoul: World Health Organization(WHO).
  2. Hong, H. H. (2010). The effect of health-related physical fitness exercise program on satisfaction level of individual with physical disability. published master's thesis, Korea National Sports University, Seoul.
  3. Jeon, B. J. (2011). A study on factors influencing elderly's life time use and occupational balance. published doctoral dissertation, Sungkyunkwan University, Seoul.
  4. Kang, D. H., Noh, J. S., Ji, S. Y., Kim, J. K., Lee, T. Y., Park, S. Y. (2005). A Correlation between the Canadian Occupational Performance Measure and the Assessment of Motor and Process Skills: A pilot study. Journal of Koran Society of Occupational Therapy, 13(1), 25-35.
  5. Kang, J. H. (2014). Leisure sports experience search of students with intellectual disabilities. published master's thesis,. Kangwon National University, Kangwon.
  6. Kim, A. Y. (2010). Effects of muscle strengthening exercise with elastic band on physical fitness and bone mineral density in the elderly women. published master's thesis, Korea National Sport University, Seoul.
  7. Kim, D. Y. (2004). A study on leisure participation and leisure attitude of people with disabilities. published master's thesis, Mokpo National University, Mokpo.
  8. Kim, Y. G. (2006). The Research for Time-Use and Activity Balance. Daegu health College Journal, 26, 273-288.
  9. Korea Institute for Health and Social Affairs (KIHASA). (2014). 2014 Analysis of the disabled. Seoul: Korea Institute for Health and Social Affairs.
  10. Korea Occupational Safety & Health Agency (KOSHA). (2007). Exercise prescription guidelines. Seoul: Korea Occupational Safety & Health Agency.
  11. Lee, B. R. (2001). A study on the operational realities and improvement plan of the disabled facilities. unpublished master's thesis, Incheon University, Incheon.
  12. Lee, H. Y. (2006). Effects of a Rehabilitation Nursing Program on Muscle Strength, Flexibility, Self-Efficacy and Health Related Quality of Life in Disabilities. Journal of Korean Academy of Nursing, 36(3), 484-492. https://doi.org/10.4040/jkan.2006.36.3.484
  13. Ministry of Health and Welfare. (2007). The innovation method for residential care facility. Seoul: Ministry of Health & Welfare.
  14. Park, H. K. (2010). A comparative study of the time use in local community and nursing-home of the elderly. published master's thesis, Konyang University, Nonsan.
  15. Park, J. K. (2014). A study on the effectiveness of leisure activity programs for people with disabilities: Focusing on craft activity programs. published master's thesis, Mokpo National University, Mokpo.
  16. Statistics Korea. (2014). Social indicators in Korea. Seoul: Statistics Korea.
  17. Statistics Korea. (2014). 2014 Time use survey. Seoul: Statistics Korea.
  18. Shin, M. O. (2011). A study of Satisfaction on leisure activities among the handicapped in residential facility: Surveyed with residential facilities located in Gyeonggi province. published master's thesis, Kangnam University, Yongin.
  19. Cup, E. H., Scholte op Reimer, W. J., Thijssen, M. C., & van Kuyk-Minis, M. A. (2003). Reliability and validity of the Canadian Occupational Performance Measure in stroke patiens, Clinical Rehabilitation, 17(4), 403-409.
  20. Kjeken, I., Dagfinrud, H., Uhlig, T., Mowinckel, P., Kvien, T. K., & Finset, A. (2005). Reliability of the Canadian Occupational Performance Measure in patients with ankylosing spondylitis. The Journal of Rheumatology, 32(8), 1503-1509.
  21. Law, M., Baptiste, S., Carswell, A., McColl, M., Polatajko, H., & Pollock, N. (2005). Canadian Occupational Performance Measure (4th ed.). Ottawa, Ontario, Canada: CAOT publications ACE.
  22. McColl, M. A., Paterson, M., Davies, D., Doubt, L., & Law, M. (2000). Validity and community utility of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy, 67(1), 22-30. https://doi.org/10.1177/000841740006700105
  23. Melanie, K., Susy, M, B., Kim, V, V., Erik, V, R., & Anna, J, B. (2015). The Development of the MIBBO: A Measure of Resident Preferences for Physical Activity in Long Term Care Settings. Geriatric Nursing, 36(4), 261-266. https://doi.org/10.1016/j.gerinurse.2015.02.004
  24. Pan. A. W., Chung, L., & Hsin-Hwei, G. (2003). Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational Therapy International, 10(4), 269-277. https://doi.org/10.1002/oti.190
  25. Son, S, M., Kim H, J., & Jean, B, J. (2016). Effects of a Walking Exercise Program for Obese Individuals with Intellectual Disability Staying in a Residential Care Facility. Journal of Physical Therapy Science, 28, 788-793. https://doi.org/10.1589/jpts.28.788

피인용 문헌

  1. 거주시설 발달장애인을 위한 작업 기반 마트장보기 훈련 프로그램의 개발 및 효과 vol.7, pp.3, 2017, https://doi.org/10.18598/kcbot.2017.07.03.05