• Therapeutic Science for Rehabilitation
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• v.7 no.1
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• pp.11-26
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• 2018

Objective : This case study was to verify effects of cognitive rehabilitation and swallowing rehabilitation on Hypoxic-Ischemic Brain Injury patient by Suicidal Attempt. Methods : The subject was a 32-year old Hypoxic-ischemic brain injury patient by suicidal attempt. He received treatment once a day five times a week, for a half an hour for each session from September 8th to December 16th, 2016. Treatment were cognitive and swallowing rehabilitation. He was assessed based on Mini-Mental State Examination-Korean (MMSE-K), Korean-Modified Barthel Index (K-MBI), Computerized Neurocognitive Function Test (CNT), Videofluoroscopic Dysphagia Scale (VDS), American Speech-Language-Hearing Association National Outcomes Measurements System (ASHA-NOMS). Results : The patient's total MMSE-K score increased from 25 to 27. His K-MBI score increased from 74 to 88. His memory, attention span, and executive function (DST, VST, SWCT, WCST) by CNT scores were improved. VDS score has no changes to 34, 44.5 and 34. ASHA-NOMS score also has no change to 6, 2 and 6. Conclusion : The study showed that the application of the treatment of cognitive and swallowing in hypoxic-ischemic brain injury patient by suicidal attempt results has positive effects on cognitive functions, and swallowing function.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.165-170
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• 2017

This study aims to provide important data for community-centered rehabilitation by examining factors influencing community participation after the onset of stroke. The study subjects were 100 patients with a stroke for more than six months. Korean Craig Handicap Assessment and Reporting Technique (K-CHART) was conducted to determine the level of participation of subjects, and Korean-Modified Barthel Index (K-MBI) was conducted to examine the factors influencing the community participation of the subjects to determine the level of independence of activities of daily living. As a result, the relevant factors of community participation in stroke patients were as follows. Physical independence, cognitive independence, mobility, work, and social integration of stroke patients showed higher explanatory power than engagement in activities of daily living, age, and employment. Also, physical independence, cognitive independence, mobility, work, and social integration were factors that affected participation. All items were statistically significant (p <.01). It is considered that this study will contribute to providing information for focusing on occupational therapy for increasing the social participation of stroke patients, and proper evaluation and intervention will work as essential rehabilitation factors for improving participation with respect to the influential factors of participation.

• Therapeutic Science for Rehabilitation
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• v.9 no.3
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• pp.7-21
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• 2020

Objective : The aim of this systematic review is to analyze the assessment items and tools used for the discharge of stroke and elderly patients and to help select appropriate assessment tools for discharge planning. Methods : The studies included in this review were collected from the PubMed, Medline Complete (EBSCOhost), and Scopus databases from January 2009 to December 2018. A total 22 studies were selected. The research types, the areas and sub-areas of assessment, as well as the assessment tools according to the areas were analyzed. Results : Descriptive research (59.2%) was the most frequent type of research. The 12 main areas of assessment were medical condition, activities of daily living, swallowing function, sensation, mobility, cognition and perception, communication, emotion, home environment, patient knowledge and readiness for discharge, social support, and well-being. Among the assessment tools, the most frequently used tools were Bathel Index; Functional Independence Measure, to assess activities of daily living; Short-Form Health Survey, to assess well-being, and Timed Up and Go test, to assess mobility. Conclusion : This study will help select the assessment areas and tools to be considered at discharge of stroke patients and serve a basis for the development of comprehensive assessment tools for discharge planning.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.1
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• pp.81-94
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• 2001

The purpose of this study was to identify levels of activity of daily living, self-efficacy. stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home. Data were collected from June to November, 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do. The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program. Data were analyzed using frequencies, percent, paired t-test, and Pearson's correlation coefficient with the SAS(version 6.12) program. The results are as follows ; 1) Most of subjects were Partially independent in ADL, but they needed assist once to do dressing, bathing meal preparation and house keeping work. 2) The mean self-efficacy score was 54.89(range : 1 to 80) and the individual differences were large. 3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role(51.4%), family functioning(58.3%) and mood (62.2%). 4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy. 5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke-specific quality of life, and need for self-help management. 6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management. In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.3
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• pp.23-33
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• 2018

Objective : The purpose of this study is to investigate trend in use of occupational therapy assessment tools used by pediatric occupational therapist. Methods : Survey questionnaire developed for this study were used to for data collection. The questionnaires are divided into 10 area: occupational performance, activities of daily living, education, play, sensory-perceptual, motor and praxis, cognition, social interaction skills, development, and physical examination. Total 105 responses were analyzed using descriptive statistics analysis and frequency analysis. Results : For the general process of evaluation in pediatric occupational therapy, major response on the initial evaluation time was 30~60minutes (41.9%), and major response on the re-evaluation period was 3~6months (41.0%). The major assessment tool for each area Canadian Occupation Performance Measure (55.2%) for occupational performance assessments, Wee Functional Independence Measure (57.1%) for activities of daily living assessments, School Function Assessment (2.5%) for education assessments, Knox Preschool Play Scale (28.6%) for play assessments, Developmental Test of Visual Perception (94.3%) for sensory-perceptual assessments, Bruininks-Oseretsky Test of Motor Proficiency (42.9%) for motor and praxis assessments, Evaluation of Social Interaction (6.1%) for social interaction skills assessments, Denver Developmental Screening Test (92.4%) for development assessments, Clinical Observation (89.5%) for physical examination assessments. Conclusion : The study identified the most assessment tools used for specific area by pediatric occupational therapists. The results can be used as a basic data to educate about pediatric occupational therapy evaluation, as well as to develop new assessment tools in pediatric setting in future.

• Journal of the Korean Applied Science and Technology
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• v.41 no.4
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• pp.1031-1041
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• 2024

The purpose of this study is a descriptive study to confirm the effects of activities of daily living, pain, depression, self-esteem, and fatigue on sleep quality in elderly with degenerative osteoarthritis. The subjects of this study were 150 elderly people aged 65 years or older who were diagnosed with degenerative osteoarthritis by a specialist in the N urban-rural complex city of Chungcheongnam-do. Data collection was conducted from February 13, 2023, to April 7, 2023. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis with the SPSS/WIN 28.0 program. As a result, sleep quality had a positive correlation with activities of daily living (r=.20, p=.014), pain (r=.45, p<0.01), depression (r=.56, p<0.01), and fatigue (r=.01). 68, p<0.01), and had a negative correlation with self-esteem (r=-.37, p<0.01). Factors affecting sleep quality were fatigue (β=.489, p<.001), pain (β=.207, p=002), and depression (β=.156, p=.046). These variables explained 49.9% of sleep quality. Based on this study results, a program that can comprehensively intervene fatigue, pain, and depression is needed to improve the sleep quality of elderly with degenerative arthritis.

• Proceedings of the Korean Society of Computer Information Conference
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• 2021.01a
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• pp.333-334
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• 2021

코로나 19로 인해 인류의 생존을 위협받고 주변의 많은 환경이 변화되고 있다. 사람과 사람이 만나는 당연한 일상이 이제는 위협으로 다가오고 있다. 비대면 생활이 일상화되어가고 있는 현재. 온라인 및 모바일을 통한 소통은 이미 우리의 삶 속에 자리 잡고 있다. 우리나라의 인터넷 환경은 매우 잘 발달되어 있어 우리의 생활 곳곳에서 활용할 수 있다. 이러한 인터넷 발달은 사람의 삶의 질을 높여주는 요소들에 도움을 주는데 그것이 바로 비대면 쇼핑이다. 비대면 쇼핑은 상품을 직접 보지 않고 온라인, 모바일, TV 등의 매개체를 통해 구매하는 형식이라 할 수 있다. 최근 코로나 19의 확산으로 인해 이러한 비대면 쇼핑을 통한 구매 활동은 점점 늘어났다. 비대면 쇼핑이 주된 쇼핑형태로 자리잡고 있는 현재. 비대면 쇼핑의 구매 결정에 대한 요인 분석은 소비자 측면에서 의미있는 분석이 될 것이다. AHP 분석기법을 이용하여 소비자 입장에서 비대면 쇼핑의 구매 결정요인으로 작용 하는 항목들에 대한 중요도를 분석하고자 한다.

• Therapeutic Science for Rehabilitation
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• v.4 no.1
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• pp.39-51
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• 2015

Objective : To synthesize and identify the studies that delineated the relationship between quality of life and other factors in stroke patients in South Korea. Method : Electronic databases were searched, including KISS, NDSL, National Assembly Library and KmBase. The search terms included stroke, quality of life and correlation, relationship. Only papers published in Korean were included. Results : Twelve studies, from 256 references screened, were included. All studies were non-experimental and correlational analysis. A correlation coefficient between Quality of Life and ADL .293~.622, Depression -.804~-.533, Cognition .090~.610, Quality of Sleep .107, Quality of Satisfaction .367, Fatigue -.260, MAL(Quality of Movement .208, Amount of Use .364), Family Support .824, Pain -.306, Motivation for Rehabilitation .51~.86, Balance .740, Self-efficacy .388 were analyzed respectively. Conclusion : The quality of life of stroke patients was influenced by multiple factors. Occupational therapists need to consider the functions of upper extremity and activities of daily living as well as depression, cognition, sleep, family support, pain, and self efficacy to improve quality of life of stroke patients.

• Journal of muscle and joint health
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• v.18 no.2
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• pp.238-248
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• 2011

Purpose: The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method: The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with ${\chi}^2$-test, t- test, Repeated measures ANOVA using the SPSS program. Result: There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion: Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.

• Korean Journal of Social Welfare
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• v.59 no.1
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• pp.223-249
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• 2007

This study is intended to investigate if the standard of vocational rehabilitation service could be solely determined by medical standard for disability definement and to find out what alternatives are available to resolve practical problems for those who are not identified as the severely disabled by the disability definement but do experience severe handicaps at work. Through the literature review, the researcher argued that the concept of 'functional limitation' would be a criteria, and thereby applied Modified Barthel Index to measure the degree of functional limitation. In view of researching the relationship among physical impairment, functional limitation, and job status based on 381 cerebral palsied, variables such as the type of cerebral palsy and the part of paralysis, have neither direct nor indirect influence to the job status; however, the pain and the mobility have indirect effects, and the ability of self-management has direct effect on the job status. The researcher concluded that future research about disabilities needs to provide a serious thought on what it is to be defined as 'disabilities', as well as to focus on further research conceptualizing the degree of physical 'functional limitation'.