• Title/Summary/Keyword: 보건의료환경

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A Comparative Study of Sensory Processing Abilities and Visual Perception Skills in Children With Attention Deficit Hyperactivity Disorder and Typical Children (ADHD 아동과 일반 아동의 감각처리능력과 시지각 기술의 비교 연구)

  • Ju, Jin-Ok;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.3
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    • pp.1-13
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    • 2020
  • Objective : The purpose of this study was to evaluate the differences in sensory processing and visual perception between school-age children with Attention Deficit Hyperactivity Disorder (ADHD) and typical children. Methods : The participants in this research were children in the first and second grade in elementary school in Kyoung-Nam Region; 25 children diagnosed with ADHD comprised the experimental group, and 51 typical children comprised the control group. To evaluate the sensory processing of the children, the Sensory Profile (SP) was used, and the Korean Developmental Test of Visual Perception-2 (K-DTVP-2) was used to assess visual perception skills. The data were analyzed using SPSS 20.0, and the Independent t-test was used to compare the sensory processing and visual perception skills of the two groups. Results : The study found differences in the Sensory Profile summary scores and factor summary scores between the two groups (p<.05). We also found differences in the visual perception index and subtest standard scores between the two groups (p<.05). Conclusion : The results of this study show that the experimental and the control groups had significant differences in sensory processing and visual perception skills. The result will contribute to the assessment and education of children with ADHD.

Occupational Therapists' Perception and Communication of the Elderly (작업치료사를 대상으로 한 노인 인식 및 의사소통 현황)

  • Park, Sung-Ji;Han, Hee-Won;Jung, Yu-Jin;Woo, Hee-Soon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.3
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    • pp.15-26
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    • 2020
  • Objective : Due to the rapid aging of the country, the elderly population is increasing and the ratio of face-to-face meetings with the elderly in major areas of occupational therapy is high. The purpose of this study was to investigate the overall perception of the elderly and the status of communication with the elderly. Methods : This survey was conducted From April to June 2020. Occupational therapists who provide interventions for the elderly in hospitals and public health centers across the country were collected using online questionnaires. A total of 91 questionnaires were collected through a self-administered questionnaire, of which 82 were used for data analysis, excluding 9 with insufficient responses. Results : Occupational therapists generally had a lot of negative perceptions of the elderly. In addition, as factors that hindered communication with the elderly, they responded in order of hearing-related, language understanding related, and articulation related. Lastly, occupational therapists were found to induce smooth communication with the elderly in the order of conversation response management, emotional expression, understanding enhancement, and relationship control. Conclusions : Occupational therapists are health care professionals who play a major role in improving the subjects' social participation and quality of life. Therefore, it is necessary to provide professional therapeutic interventions and related education using improved communication skills along with an understanding of the elderly's communication skills and their level of communication.

A Study on the Effect of Virtual Reality Intervention on Cognitive Function in Individuals With Stroke Through Meta-analysis (메타분석을 통한 뇌졸중 환자의 인지기능에 대한 가상현실 중재 효과 연구)

  • Kwon, Jae Sung
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.7-22
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    • 2021
  • Objective : The purpose of this study was to verify the effect of virtual reality interventions (VRIs) on cognitive function in individuals with stroke through a systematic literature review and meta-analysis. Methods : We reviewed randomized controlled trials (RCTs) the last 10 years using academic databases. PubMed, MEDLINE, and CINAHL were used for international studies, and DBpia, KISS, Kyoboscholar, and e-article were used for Korean studies. For the quantitative meta-analysis, subgroups of outcomes were classified into general cognitive function (G-CF), attention and memory (A&M), and executive function (EF). Results : Nine RCTs were analyzed. The total number of participants was 271 (140 in the experimental group). The effect size (Cohen's d) was estimated using a random effects model. The effect sizes of the outcome subgroups of were as follows: small to medium for G-CF (d=0.422; 95% CI: 0.101~0.742; p=0.010), small for A&M (d=0.249; 95% CI: -0.107~0.605; p=0.170), and medium for EF (d=0.666; 95% CI: 0.136~1.195; p=0.014). Conclusion : Considering the various stimuli provided by the virtual environment and the results from available research, virtual reality should be applied to interventions for integrated cognitive functions. In addition, it would be appropriate to be used as an additional intervention to traditional cognitive rehabilitation for stroke.

The Study of Discriminant Validity for the Sensory Processing Scale for Children (SPS-C) of Children with and without Sensory Processing Disorder (아동감각처리척도(Sensory Processing Scale for Children; SPS-C)의 판별타당도 연구)

  • Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.2
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    • pp.36-45
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    • 2022
  • Objective : The objective of this study was to determine a discriminat validity of the Sensory Processing Scale-Children (SPS-C) for children with and without Sensory Processing Disorder (SPD). Method : The SPS-C was completed by parents of 151 Korean children including 68 typically developing children (control group), 83 children with SPD (known group) in the age range 3-5 years, in South Korea. ANCOVA with sex as covariable was used to identified the difference between the children with typically development and SPD. Results : Sensory processing differences in sensory domains and sensory factors were detected and the gender differences were not effective between typically developing children and children with SPD. Significant differences were found in all sensory domain score and total score except proprioceptive processing in sensory domain. In sensory factors, significant differences were found in overrsensitivity, underresponsivity, and discrimination, but sensory seeking was not significant. SPS-C was a valid assessment tool to identify or screen of SPD in Korea. Conclusion : The psychometric characteristics for the standardization study of SPS-C were presented, and the discriminant validity to screen the children with sensory processing problems was presented as a verified evaluation tool. SPS-C will be helpful in screening, analyzing and interpreting characteristics of sensory processing, and establishing an intervention plan.

The meaning and challenges of the introduction of the Customized Care Services for Older Adults (노인맞춤돌봄서비스의 도입 의미와 과제)

  • Chon, Yongho
    • 한국노년학
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    • v.40 no.4
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    • pp.599-616
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    • 2020
  • The South Korean government has introduced a new Customized Care Service for Older Adults by eliminating the six existing care services for them since 2020. It is a significant change of care service system for older adults and the service would play a key role in providing preventive services for them. The aim of the study is to examine the meaning and tasks of the introduction of the Customized Care Services for Older Adults in South Korea by using the framework of Gilbert and Terrell. The study found that the new service was designed under the government's policy contexts of the establishments of public-based social service providers and the emphasis of community care, and it has brought about a number of significant institutional changes of care system in terms of allocation, benefits, delivery, and finance. The institutional coverage of the service was increased to lower 70% of older adults and a large number of kinds of health and social care services would be provided for them. The sphere of living was set in each local area and the new service providers are entirely in charge of providing the services in each sphere. The financing system was changed to support service providers by providing government subsidies. Although a number of positive results would be expected to occur for the elderly, it is likely that some challenging tasks would happen in the fields as follows: the inadequate coverage, the vagueness of the application of self-care principle and the decrease in the amounts of direct care services, the inappropriate area of service provision, and the supplier-oriented provision of services rather than user-oriented.

Comparative Analysis of Understanding and Satisfaction of MRI Patients after Leaflet Training (리플릿 교육 후 MRI 환자의 이해도 및 만족도 비교분석)

  • Park, Chang-Hee;Han, Sang-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.2
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    • pp.123-129
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    • 2022
  • Recently, the penetration rate of Magnetic Resonance Imaging (MRI) is higher than the average among OECD member countries, and the number of MRI scans is increasing. However, MRI scans take longer than other medical devices, and patient movement must be minimized. Therefore, patient discomfort always follows. When the examination is performed in the discomfort of the patient, it is difficult to perform an accurate examination, and it is difficult to obtain an image of diagnostic value. So, in the past, the patient was asked to read the written guide for the risk and cooperation of MRI, but it was composed of technical terms and difficult-to-understand sentences, so it was difficult to understand. The purpose of this study is to supplement these problems and increase the understanding of MRI scans to help acquire images of diagnostic value. In addition, it is intended to evaluate the excellence of leaflet education by evaluating the understanding and satisfaction of patients. As shown in the results of this study, understanding and satisfaction scores were higher after education than before leaflet education, and it was found that there was a difference in understanding according to academic background. However, there was no difference in the number of MRI scans. That is, there was no difference in the number of inspections due to leaflet education. In the future, leaflet education will be widely used for MRI examination, and it is necessary to study the qualitative evaluation of images after leaflet education in the future.

An Investigation on Employment Effect of Senior Job Training (준·고령자 직업훈련의 훈련생 및 훈련 특성이 재고용에 미치는 효과)

  • Lee, Kyung Hee;Lee, Yohaeng
    • 한국노년학
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    • v.31 no.3
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    • pp.527-538
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    • 2011
  • The purpose of this investigation is to analyze the effect of employment and quality of employment of senior job training. The questionnaire administered to 576 senior job trainees(over 50 years old) and 28 training institute before and after job training to survey job training characteristics, training institute characteristics and trainee characteristics. The results were as follows : First, independence test(X2) revealed that occupational category, period of training, type of institution, training history, location, and trainee's education level had significant difference on employment. Second, The probability of employment was higher in new and well-equipped public institution than private or old public institution. Third, compared with the prior wage, the wage after training decreased. This result suggested that the unemployed senior can hardly be reemployed in prior level job. The result of analysis on the cases of increased wage after training revealed that the trainees who was women, had a little dependent family, a shorter unemployed period, and a higher prior wage showed higher wage than prior wage after training.

Study on the Efficient Integration of Long-term Care Facilities and Geriatric Hospitals by Using NHIC Survey Data (실태조사를 통한 장기요양시설과 요양병원의 효율적 연계방안)

  • Choi, in-duck;Lee, eun-mi
    • 한국노년학
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    • v.30 no.3
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    • pp.855-869
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    • 2010
  • The purpose of this study is to identify how to efficiently integrate long-term care facilities into geriatric hospitals. We conducted a survey on the current operations of facilities and medical services of 2009 of 192 long-term facilities and 168 geriatric hospitals in Korea between October and November. Technical statistics and chi-square test were conducted on the collected data using the SPSS 13.0/Win program. There was a difference between the two facility types in terms of the co-payment levels of the food services. Both types selected the budget deficit as their major management problem. Ease of access and the surrounding environment were critical factors used to select the location of both types of facilities. Facility users benefited from the discounted co-payments of both facility types. However, facility users wanted more frequent visits and support from their family members during their stay at the facilities. It was discovered that users in the long-term care facilities stayed longer, that is until they died, compared to their counterparts in geriatric hospitals. The two types of facilities provided their services totally separately to users. Users of the two types of facilities are poorly supported and cared for by their families. This study suggests that setting reasonable service fees, paying caretakers, introducing an integrated facility, strengthening facility assessment standards, introducing the family doctor system, and introducing the handling of long-term care insurance by geriatric hospitals would allow the integration between long- term care facilities and geriatric hospitals to be beneficial.

Research and improvement of image analysis and bar code and QR recognition technology for the development of visually impaired applications (시각장애인 애플리케이션 개발을 위한 이미지 분석과 바코드, QR 인식 기술의 연구 및 개선)

  • MinSeok Cho;MinKi Yoon;MinSu Seo;YoungHoon Hwang;Hyun Woo;WonWhoi Huh
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.861-866
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    • 2023
  • Individuals with visual impairments face difficulties in accessing accurate information about medical services and medications, making it challenging for them to ensure proper medication intake. While there are healthcare laws addressing this issue, there is a lack of standardized solutions, and not all over-the-counter medications are covered. Therefore, we have undertaken the design of a mobile application that utilizes image recognition technology, barcode scanning, and QR code recognition to provide guidance on how to take over-the-counter medications, filling the existing gaps in the knowledge of visually impaired individuals. Currently available applications for individuals with visual impairments allow them to access information about medications. However, they still require the user to remember which specific medication they are taking, posing a significant challenge. In this research, we are optimizing the camera capture environment, user interface (UI), and user experience (UX) screens for image recognition, ensuring greater accessibility and convenience for visually impaired individuals. By implementing the findings from our research into the application, we aim to assist visually impaired individuals in acquiring the correct methods for taking over-the-counter medications.

Conceptual analysis of nursing students' clinical competency in simulation-based practical training (시뮬레이션 실습 교육에서 나타난 간호대학생의 임상수행능력에 대한 개념분석)

  • Cho-Won Lee;Eun-Young Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.5
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    • pp.1176-1190
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    • 2023
  • The purpose of this study was to clarify the attributes of the concept of clinical performance skills in simulation-based practical training and to organize them in order to establish theoretical foundations for clinical competence. The research method employed was the concept analysis process of Walker and Avant (2011). Papers related to clinical competence published between January 2000 and April 2023 were selected by searching various databases such as PubMed, CINAHL, Ovid-Medline, DBpia, KISS, and others. The attributes of clinical competence were found to be (1) the clinical competence of knowledge, judgment, and skills, (2) Adaptability to Changing Healthcare Environment (3) the ability to perform nursing roles appropriately in response to the demands of nursing subjects. This study is significant as a concept analysis study that recognizes the importance of nursing from a nursing perspective in a situation where research on clinical competence is active in simulation-based training. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them. nursing perspective in a situation where research on clinical competence is active. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them.