• Title/Summary/Keyword: 언어중재

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Effect of Articulation Abilities on the Articulator Strength Training by IOPI of Spasticity Dysarthric Speech (IOPI를 활용한 조음기관 훈련 프로그램이 경직형 마비말장애의 조음 능력에 미치는 영향)

  • Lee, Jang-Shin;Lee, Ji-Yun;Kim, Sun-Hee
    • Therapeutic Science for Rehabilitation
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    • v.9 no.1
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    • pp.91-99
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    • 2020
  • Objective : The purpose of this study was to investigate the effects of the IOPI articulator strength training program on articulator(tongue and lip) muscle strength, numbers of /l, s, ʨ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates, and sequential motion rate changes in patients with spastic dysarthria. Methods : Three cases of patients with spastic dysarthria living in Jeju, Korea, were included in this study. A single subject design was selected to study changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates and sequential motion rates. Results : After the articulator strength training program was conducted on patients with spastic dysarthria, there were positive changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy on the alternate motion rates and sequential motion rates. Conclusion : Our findings suggest that IOPI articulator strength training program could be very useful for the most representative childeren with cerebral palsy if conducted in various subtypes of dysarthric patients and linked with articulatory function training with IOPI at home.

Relationship of Stress and Aggression on Schoolchildren with Physical disability (학령기 지체장애 아동의 스트레스와 공격성 비교연구)

  • Kim, Hee-Jung;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.6 no.2
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    • pp.31-38
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    • 2016
  • Purpose : The purpose of this study was to know the relationship of stress and aggression of children with physical disability. The study also tried to search the factors affecting aggression and offer the information to the department of occupational therapy for intervention. Method : We distributed questionnaire to 105 children who have disability grades from hospitals in Gyeongsangbukdo, Gyeongsangnamdo, Daegu, and Busan and collected the data. We used descriptives for analysis of general characteristics, t-test and one-way ANOVA for stress and aggression according to characteristics, and Pearson correlation coefficient and stepwise regression for stress and aggression. Result : The first, stress score was 2.65, aggression was 2.53, and physical aggression was 3.01 that is the highest score in the items. The second, there was a significant difference of physical aggression(p=.021) in comparison of the grades. There was a significant difference of stress(p=.048), total aggression(p=.040), and physical aggression(p=.047) in comparison of gender. There was significant difference of stress(p=.035) and total aggression(p=.042) in satisfaction of school. The third, there was a significant correlation of total aggression(r=.475), physical aggression(r=.568), language aggression(r=.311), anger(r=.397), and hostility (r=.491) quantitatively in correlation of stress and aggression. The fourth, the factors affecting aggression of children with physical disability were stress, male, and satisfaction of school(F=61.187, p<.01). Conclusion : We knew that factors affecting aggression of children with physical disability were their stress and some of general characteristics.

Factors Affecting Depression in Mothers of Children with Disabilities (장애아동 어머니의 우울에 영향을 미치는 요인)

  • Cho, In Sook;Ryu, Hyun Sook
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.46-54
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    • 2015
  • Purpose: The purpose of this study was to investigate the factors affecting depression in mothers of children with disabilities and to identify the relationships between the depression, parenting-stress and self-esteem. Methods: The participants were 100 mothers of children with disabilities lving in G city. Data were collected using a structured questionnaire and analyzed using descriptive statistics, t-test, ANOVA and Pearson Correlation Coefficients with SPSS/PC+ 21.0. Results: There was a significant relationship between depression and parenting stress (p<.001). Depression was negatively correlated with self-esteem (p<.001). Variables affecting depression were parenting-stress, self-esteem and family income. The three factors accounted for 38.7% of the depression. Conclusion: The results of the study show that parenting-stress and selfe-steem are the most significant factors affecting depression. There is an urgent need to develop nursing interventions to reduce levels of depression in mothers of children with disabilities and to help them lead a healthier life.

The Differences of Naming by Word Frequency, Length, and Animacy in Nonfluent Aphasic Patients (비유창성 실어증 환자의 단어빈도 및 길이, 생물성에 따른 이름대기 수행의 차이)

  • Kwon, Jung Hee;Choi, Hyun Joo
    • 재활복지
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    • v.20 no.1
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    • pp.171-188
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    • 2016
  • The purpose of this study is to investigate effects of three conditions-words frequency, word length, and animacy-on the performance of naming in nonfluent aphasic patients. 15 nonfluent aphasic patients and 15 normal adults were participated in this study. The words consist only of concrete nouns and confrontational naming test was used. The test consisted of 40 questions and the condition of word were frequency(low-frequency/high-frequency), length(1 syllable/3 syllables) and animacy(animate/inanimate). The result of the study was as follows. First, naming was performed better with high-frequency words than with low-frequency words in both groups. Second, naming was performed better with 1 syllable words than with 3 syllable words in both groups. Third, naming performance depending on animacy did not show significant differences in both groups. These results indicate that compared to animacy of word, word frequency and length have bigger influence on the naming, and the difference by word frequency was more pronounced for nonfluent aphasic patients than for normal adults. The results of this study suggest that target word for the assessment and intervention of nonfluent aphasic patients, words frequency should be considered first in clinical setting.

The Relation between Hand Function and Sleep Disturbance Factors According to Quality of Sleep among Elderly Patients in Geriatric Hospitals (요양병원 노인에서 수면의 질의 따른 손 기능과 수면 장애 요인 간 관련성 연구)

  • Kang, Eun-Yeong;Chong, Bok-Hee
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.47-55
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    • 2018
  • Objective : The purpose of this study is to consider the change of hand function according to the quality of sleep and to find out a correlation among the quality of sleep and hand function, and sleep disturbing factors. Method : 23 patients who were hospitalized more than 6 months from Nov. 2017 to Jan. 2018 were tested for the quality of sleep used by sleep quality scale, for the grip strength used by a dynamometer, and for the coordination used by BBT and 9-Hole Peg test. The collected data were analyzed to implement the paired t-test and Pearson correlation coefficient. Result : In the high grade group of sleep score, the quality of sleep & BBT, and the grip strength & BBT have correlated each other; and in the medium group, only the latter has shown a correlation. In both groups, the quality of sleep and the sleep pattern have showed significant high correlation. Conclusion : When the elderly in geriatric hospitals show qualitative differences, BBT and the combination of treatment for the improvement of grip strength can improve the quality of sleep. And the sleep pattern intervention is considered to be effective to improve the quality of sleep.

Characteristics of the Oropharyngeal Swallowing Impairment in Stroke Patient using the Modified Barium Swallowing Impairment Profile (MBSImP에 따른 뇌졸중 환자의 삼킴 장애 양상 분석)

  • Im, Ikjae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.36-44
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    • 2019
  • Swallowing impairment is a frequent complication following stroke. The characteristics of swallowing impairment with stork patient can facilitate identification of individuals at risk of dysphagia would be of great helpful. The present study examined oropharyngeal swallowing impairment with subacute stroke patients using the Modified Barium Swallowing Impairment Profile(MBSImP). The 49 consecutive patients with the supratentorial stroke met inclusion criteria for the present study. A retrospective review was performed of patients who underwent the videofluoroscopic swallowing study(VFSS). Of Stroke patients, 95.9% exhibited abnormal function of lip closure. 98% and 57.1 % shown abnormal tongue function and lingual motion, respectively. Oral residue was present in 51% and delayed pharyngeal response was present in 89.9%. In addition, abnormal laryngeal and hyoid excursion was seen in 42.9% and 87.8%, respectively. Abnormal function of soft palate elevation was present in 18.4% and abnormal epiglottic movement was seen in 4.1%. 30.6% of 30.6% of these patients exhibited abnormal laryngeal closure. All of the stroke patients(100%) in this study exhibited abnormal pharyngeal stripping wave and pharyngoesophageal segment opening. Abnormal tongue base retraction and oral reside were present 91.8%, respectively. The results suggest that stroke patient is more likely to exhibit reduced swallowing functions including lip closure, tongue control, initiation of pharyngeal swallow, anterior hyoid motion, tongue base retraction, pharyngeal residue and pharyngoesophageal contraction. Therefore, these data could provide valid and precise information regarding physiological evidence to delineate symptoms of dysphagia in this stroke cohort. Future studies should explore the bolus effect in the swallowing impairment.

A Study on the Factors Influencing Burnout of Psychiatric Ward Nurses -Violence Experience, Violence Coping, Social Support- (정신과병동 간호사의 소진 영향 요인에 관한 연구 -폭력경험, 폭력대처, 사회적지지)

  • Seo, Jeong-Won;Kang, Mi-Ran;Je, Nam-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.393-405
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    • 2019
  • This study is descriptive survey research to find out factors which violence experience, violence coping and social support affect. This study aims at reducing burnout of psychiatry nurses and founding problem-oriented violence handling standardized intervention. The subjects were 204 nurses who have worked for more than a year in a hospital. The data collection period was conducted with structured survey from July 1, 2018 to August 31, 2018. Collected data was analysed with average, standard deviation, t-test, ANOVA, Pearson's Correlation confident, Multiple Regression and this data will go to by SPSS. The results of the study were as follows. 92.2% of psychiatry nurses are experiencing verbal violence, 92.2% are experiencing physical threat and 75.5% are experiencing physical violence. Relations between violence experience and violence coping(r=0.15. p<.027), violence experience and burnout(r=0.16, p<.017) were positive correlation. Relation between violence coping and social support(r=0.30, p<.001) was positive correlation, and social support and burnout(r=-0.28, p<.001) was negative correlated. Also we found out that nursing job satisfaction, social support and physical violence experience affect burnout. Which shows model's explanatory power was 33.3%. Therefore preventive discipline which can reduce violence experience of psychiatry nurses, founding systems to reinforce social support and creating circumstance where nursing job satisfaction can increase will help reduce burnout and serve better nursing.

Effects of Lifestyle, Stress and Life Satisfaction on Sleep Quality in University Student : Focusing on Department of Occupational Therapy Students (대학생의 생활양식, 스트레스 및 삶의 만족도가 수면의 질에 미치는 영향 : 작업치료학과 대학생을 중심으로)

  • Hong, Mi-Young;Kang, Gu-Yong;Han, Jee-Su;Kim, Eun-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.7
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    • pp.159-168
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    • 2021
  • The purpose of this study was to analyze the effects for lifestyle, stress and life satisfaction on sleep quality in university students. The participants were 46 university students attending the department of occupational therapy. Participants responded to responses to the lifestyle questionnaire and Morning and Evening Questionnaire-Korean version(MEQ-K). The levels of stress and life satisfaction reported by participants were obtained using the Korean version of Perceive Stress Test-4(K-PSS-4) and Korean version of Satisfaction With Life Scale(K-SWLS). The quality of sleep was assessed using Korean Modified Leeds Evaluation Questionnaire(KMLSEQ). An independent t-test, Pearson correlation analysis, and multiple regression analysis were performed to investigate factors related to quality of sleep. The analysis of correlations between health status, morning type of chronotype, and life satisfaction showed a significant positive correlation between quality of sleep. As a result of analyzing the quality of sleep according to the chronotype, the main family house and dormitory group showed higher sleep quality than the boarding group. As a result of the multiple regression analysis, the chronotype predicts quality of sleep. This study could provide information to improve the quality of sleep for university students by identify factors affecting sleep for university students in occupational therapy.

Case Study on the Use of Songwriting to Promote Self-Acceptance in Adolescents in Palliative Care (노래 만들기를 통한 완화의료 청소년의 자기수용 증진 사례 연구)

  • Youn, Ha Jeong
    • Journal of Music and Human Behavior
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    • v.19 no.2
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    • pp.55-80
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    • 2022
  • This study aimed to examine the effects of songwriting on the self-acceptance of adolescent in palliative care. Three participants were recruited from a university hospital in an urban area in South Korea. The songwriting intervention was conducted in six sessions, and each session was composed of an introduction, song writing and wrap-up. Participants were asked to complete the Unconditional Self-Acceptance Questionnaire (USAQ) before and after the intervention. Their verbal expressions and written song lyrics observed during the intervention were also measured. The results showed that the USAQ scores increased after the intervention, indicating the improvement in their acceptance of the self without judgement or high reactivity to feedback. In addition, the participants exhibited greater recognition of their emotions and acceptance of themselves as they are. They were also better able to discover internal resources and psychological competence. The participants reported that they could more freely express their emotions through song writing and that recording the songs they created was a means of communicating their feelings to others. Based on this study, it is expected that adolescents in palliative care will be able to experience self-acceptance through such brief song writing interventions.

A Study on the Influence of Parenting Attitude of a Multicultural Family Mother on the School Readiness and Sensory Processing Skill (다문화가정 어머니의 양육태도가 아동의 학교준비도와 감각처리능력에 미치는 영향)

  • Song, Kyeong-Ah;Oh, Myung-Hwa;Kim, Hye-Mi;Kim, Jeong-Ja
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.531-539
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    • 2019
  • This study was intended to investigate the effects of parenting attitude of mothers of multicultural family and sensory processing skills of children on school readiness of preschool children. This study conducted Maternal Behavior Instrument(MBRI), Short Sensory Profile(SSP), and School readiness test on children of multicultural family and their mothers who are residing in Gwangju and Jeonnam, and results are as follows. According to the result of parenting attitude of mothers of multicultural family showed that total score 165.72±24.19. According to the result of investigating a correlation between parenting attitude of mothers of multicultural family and sensory processing skills of children on school readiness, only parenting attitude of mothers of multicultural family showed positive relationship with school readiness of children(p<.05). According to the result of investigating the effects of parenting attitude of mothers of multicultural family and sensory processing skills of children on school readiness, it was identified that parenting attitude of mothers of multicultural family makes significant effect on school readiness of children. To sum up, it is considered that parents education required for developing positive parenting attitude of mothers of multicultural family and mediations related to school readiness for school life adaptation of children of multicultural family are necessary for children of multicultural family to get adjusted to school life easily after they enter school.