• Title/Summary/Keyword: 일상활동장애

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Factors Influencing Post Stroke Depression in Acute Stroke Patients (급성기 뇌졸중 환자의 뇌졸중 후 우울에 영향을 미치는 요인)

  • Park, Soonjoo
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.385-394
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    • 2020
  • This study was carried out to investigate the post stroke depression (PSD) occurrence in acute stroke patients and to identify the factors that influence PSD. The study subjects were 104 adults in their 20s or older who were scheduled to be discharged due to inpatient treatment for ischemic stroke in two hospitals. Data were collected using Post Stroke Depression Scale for PSD, Multidimensional Scale of Perceived Social Support for social support, National Institutes of Health Stroke Scale for stroke severity, and Modified Rankin Scale for disability. The average length of stay after stroke onset of the study subjects was 5.9±2.1 days, and 79.8% were within 7 days. Stroke severity score was an average of 2.4±2.5 out of 42 points, and disability score was an average of 1.6±1.1 out of 6 points. Among the subjects, 32.7% had mild or more severe depression after stroke. The subjects with no religion, severe disability, high stroke severity, and less family support had a higher likelihood of experiencing PSD. These results show that depression can appear in the early stages of stroke onset. Therefore, it is necessary to develop nursing guidelines for depression intervention after acute stroke, including continuous early assessment of depression from the acute phase of stroke and religion or family support.

The Evaluation of the Demonstration Program of Centers for Independent Living and the Future Direction in Korea (한국의 장애인자립생활센터 시범사업 평가와 향후 과제)

  • Lee, Ick-Seop;Kim, Kyung-Mee;Yoon, Jae-Young
    • Korean Journal of Social Welfare
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    • v.59 no.2
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    • pp.197-222
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    • 2007
  • The study aims to evaluate the outcomes of the Centers for Independent Living(CILs) demonstration program and to recommend future directions for CILs in 2006. The framework for the evaluation is a logic model, which facilitates outcome-based performance measurement. The measures associated with the logic model include input, activity, output, and outcomes. The data were collected by interviewing the executive directors of 10 CILs and conducting telephone survey with 231 consumers with disabilities. The study found that 69% consumers acquired new knowledge and skills for independent living. The study also revealed that 87% consumers experienced the positive changes in their lives and 83% consumers were satisfied with the services of the Centers. After using the services, consumers reported significant increases in self-confidence, and in the number and the level of involvement in the activities. In addition, the study found that the employment status of the consumers was improved, and the number of persons who were living in institutions was decreased. The study supports the advancement of policy to institutionalize Centers for Independent Living, and points to the importance of developing the capacity of the Association of Centers for Independent Living to ensure high quality services. In addition, it is suggested that the development of a manual for these services is necessary, and that services should be provided across disabilities and throughout the country, especially in rural areas.

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Effect of Sensory Integration Group Therapy on Sensory Processing, Peer Interaction and Task Performance of Children With Intellectual Disabilities (그룹감각통합치료가 지적장애아동의 감각처리와 또래상호작용, 과제수행에 미치는 영향)

  • Choi, Ji-Hyon;Kim, Hee;Lee, Jae-Shin;Yoo, Doo-Han
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.111-125
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    • 2018
  • Objective : This study was designed to determine the effects of sensory integration group therapy with regard to the sensory processing, peer interactions, and task performance, and whether they continue. Methods : Twelve children aged 7 to 13 years enrolled in this study for 60 minutes per session, three times a week for 8 weeks. Sensory integration group therapy consisted of a total of 24 activities that included sensory processing, play skills, and interaction with peers. Short Sensory Profile was used to select subjects. In order to measure the outcome, we used the Short Sensory Profile, Penn Interactive Peer Play Scale and Canadian Occupational Performance Measure at pre, post, and follow-up evaluations. The results were analyzed by means of repeated measures analysis, and the pre-test, post-test, and follow-up tests were compared using the Wilcoxon matched-pair signed rank test. Results : After sensory integration group therapy, sensory processing, peer interaction, and task performance significantly improved(p<.05). In addition, we confirmed that the effects of treatment were maintained in the 4 weeks follow-up test. Conclusion : Sensory integration group therapy is an effective way of mediating effects not only by improving sensory processing skills, but also by providing imitation and training in groups for children in need of peer interaction and linking them to daily life.

Transition Program for Youth With Disabilities: Research Trend Analysis and Systematic Review (장애청소년의 전환프로그램 : 연구 동향 분석과 체계적 고찰)

  • An, Su-bin;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.23-36
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    • 2022
  • Objectives : This study aimed to provide basic data on intervention strategies that occupational therapists can access by systematically analyzing the intervention and effectiveness for youth with disabilities. Methods : The RISS, PubMed, and Web of Science databases were used to search for papers published between 2006 and 2021. The keywords were "Disability AND Adolescents OR Young adult AND Transition education OR Transition program". Seven papers were selected for analysis, and the full text was reviewed. The keywords and national relations were analyzed and visualized using the WoS (Web of Science) and VOSviewer programs. Results : The participants were classified into five types (ASD or ADHD, ID, DD, and physical disability). The areas used for the intervention were mixed into three categories: occupation (academic), self-management (time), and interaction (personal relations and communication). Sociality and adaptation, quality of life, and at least one of the three categories of daily life activities showed significant improvement. Conclusions : This study can be used as basic data to expand the area where only OTs can contribute while grasping the research trend of the conversion program and presenting the direction of exchange with various experts by organizing the application and its effects.

Quality of Life and Related Factors in Caregivers of Attention Deficit Hyperactivity Disorder Patients (주의력결핍 과잉행동장애 환아 보호자의 삶의 질과 관련요인)

  • Jeong, Jong-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Sung-Pil
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.2
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    • pp.102-111
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    • 2005
  • Objective : The purpose of this study was to investigate the quality of life and it's related factors in caregivers of attention deficit hyperactivity disorder patients. Methods : The subjects were 38 attention deficit hyperactivity disorder patients' caregivers(mean age : $37.5{\pm}6.5$, 38 women). Patients were diagnosed with DSM-IV-TR ADHD criteria. Korean version of WHOQOL-BREF(World Health Organization Quality of Life assessment instrument Abbreviated Version) was used for assessment. Results : 1) No significant differences were found in the score of WHOQOL-BREF, overall QOL, physical health domain, psychological domain, social relationships domain and environmental domain between caregiver and control group. 2) The score of Activity of daily living facet$(3.0{\pm}0.7\;vs.\;3.6{\pm}0.7)(p=0.008)$ and self-esteem facet $(2.8{\pm}0.7\;vs.\;3.3{\pm}0.7)(p=0.049)$ were significantly decreased in caregivers of ADHD. 3) Total score of WHOQOL-BREF(r=0.437, p=0.007) and physical health domain(r=0.370, p=0.024) were correlated with caregiver's educational age. 4) In the psychological domain, the score of self-esteem facet(r=-0.337, p=0.039) and thinking, learning, memory & concentration facet(r=-.341, p=0.036) were decreased with caregiver's age. 5) The score of environmental domain were significantly increased with caregiver's educational age (r=0.482, p=0.003), but decreased with patient's age(r=0.328, p=0.044). Conclusion : Although the quality of life in caregivers of ADHD patient had not significantly decreased than control, the quality of lift were positively correlated with educational age of caregives, and negatively correlated with chronological age of caregivers and children. Above results suggest that physicians should consider integrated approaches for caregiver's subjective quality of life in the management of ADHD.

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A Study on the Activation of Cartoon for the elderly in Culture and Art Education : Focused on the Case Analyses of Participants (문화예술교육에 있어서의 노인만화 수업 활성화 방안 연구 -참여 노인들의 사례분석을 중심으로-)

  • Kwon, Kyoung-min;Yang, Jung-bin
    • Cartoon and Animation Studies
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    • s.47
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    • pp.171-191
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    • 2017
  • In recent years, artistic programs considering both physical and psychological changes in old age have been implemented in various fields. These programs include participatory activities such as painting, play, singing, photography, dance, cartoon animation and so on. It is known that culture and art education programs lead people to emotional growth and social interaction. In particular, culture and art education for the elderly tends to affect positively on the quality of life. However, there are still lack of teaching methods and curriculums in the filed. It is considered that cartoon has a great potential as a teaching method of culture and art education for elderly. This study aims to discuss ways to vitalize the role of cartoon using the qualitative data of four elderly participants in culture and art education programs. The case study analyses reveled that cartoon program for the elderly not only plays a role to make their daily lives more enthusiastic but also provides a social passage to communicate to world. The Cartoon program designed for the elderly was a tool to reveal their inner world to others, and shed new light on their past memories, and long for the precious moments in life. At the same time, it was a meaningful time to lessen the depth of loneliness in old age, and even to heal their physical disability and emotional conflicts. The hardest part of drawing an cartoon was when it did not turn out as they wished. Based on the study results, the researchers explored the therapeutic usefulness of cartoon for the elderly, and discussed the ways to activate it in the field of elderly welfare.

Increase of Spoken Number of Syllables Using MIT(Melody Intonation Therapy) : Case Studies on older adult with stroke and aphasia (MIT(Melodic Intonation Therapy) 중심의 음악활동을 이용한 실어증을 가진 뇌졸중 노인의 음절 수 증가에 대한 사례 연구)

  • Hong, Do Kyoung
    • Journal of Music and Human Behavior
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    • v.2 no.2
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    • pp.57-67
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    • 2005
  • Most of stroke patients have not only physical difficulty but speech and neurological disorder because of hemiplegia and such unexpected changes cause psychologic disadaptability and absent-mindedness. Particularly, lowering of physical ability can lead to serious emotional problem from failure or frustration in daily life. Generally, treatment of patient with stroke put emphasis on physical rehabilitation but actually this patient had considerable speech disorder such as aphasia or articulation disorder. Moreover, failing of recognition function, mental disorder as hypochondria, and even visual and auditory disorder are represented. So it is effective to integrate verbal remediation and other treatments in medical care environment. In particular, patients with language disorder very often wither psychologically therefore it is efficient to use of music therapy that gives opulent emotion to aphasia patients. And primarily to investigate the effects of 10 sessions treatments; change in spoken total number of syllables, to confirm their own value by success of given task and reassure about themselves ability. All of 10 sessions stages were scored by MIT manual and its improvement were measured, that is, accomplishment was analyzed within each level in order to prove detail change of spoken total number of syllables. The result of this program organized from 2 syllables to 4 syllables is summarized as follows. Subject A completed in preliminary stage Level I, in 2 syllables case advanced to Level III in fifth session and to Level IV in seventh session, in 3 syllables case advanced to Level III in seventh session and to Level IV in ninth session, and in 4 syllables case showed 8% low success rate in first session but after repeated practice increased considerably in sixth session and in advanced to Level III in eighth session to Level IV in tenth session. Subject B also completed in preliminary stage Level I, in 2 syllables case advanced to Level III in forth session and to Level IV in sixth session, in 3 syllables case advanced to Level III in fifth session and to Level IV in seventh session, and in 4 syllables case showed 10% low success rate in first session and increased considerably in fifth session and in advanced to Level III in seventh session but could not reach to Level IV until tenth session. As a result, it was shown that music therapy using MIT was not statistically meaningful but improved spoken total number of syllables and success rate of task had improved as a whole. Therefore, music intervention using MIT it has positive affect on verbal ability of patients with Broca's Aphasia and their language rehabilitation.

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Effects of Healing Yoga Training for Old Women on Physical Ability and Stress Levels (노인여성들의 힐링요가 수련을 통한 신체능력 및 스트레스 수치 변화)

  • Jeong, Seon-Young;Kim, Han-Cheol;Kim, Heon-Jun;Park, Ryeok
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.1-14
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    • 2016
  • Healing Yoga is old women know the change of stress and physical ability. The purpose of the study, to live a healthy life articles. Research for A living in the city. And B goes to the welfare center. The elderly women over the age of 65 and have no problem with physical activity in daily life. 8 experimental group control group 8 to 12-week healing yoga. Body composition and physical ability in the experimental group had changed. The change of stress levels, there was no statistical change in the sub factors. The average value by deep social role in the exam group many growth and self-reliance. Depressed, sleep disorders, general health and vitality in the control group showed a reduction greater than the factors.

The effect on the pain reaction, instrumental A.D.L and R.O.M, quality of life apply to local heat and muscle-joint exercise in elderly with osteoarthritis (퇴행성관절염 노인환자의 온열요법 및 근관절운동이 통증반응, ROM, 일상활동기능장애, QOL에 미치는 효과)

  • Ryu, Jea-Mon;Choi, Ji-Won
    • Journal of Korean Physical Therapy Science
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    • v.11 no.4
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    • pp.11-19
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    • 2004
  • Muscle stiffness, pain discomfort in daily activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in kwangju province during eight weeks(from 25th of January to 20th of March, 2002) The subjects were sixteen old (60-80) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 25-30minutes of muscle-joint exercise followed by 25-30minutes of local heat therapy were done three times a week. The total experimental period extended at 12 weeks and the total 36 times it executed 1. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of the paindaily activity function appeared to the lead, there was a difference which considers statistically, this constriction was supported.(Z=4.947, p<0.0001) 2. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of daily activity function appeared lowly, there was a difference which considers statistically, this construction was supported.(Z=2.7226, p<0.0279) 3. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, there was not a difference where the quality of life considers statistically, this construction was rejected.(Z=-1.2087, p>0.2171)

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Effects of Hatha Yoga Practice on the Elderly Having Chronic Back Pain because of Computer Usage (하타요가수련이 컴퓨터 사용후 만성요통에 시달리는 노인의 통증에 미치는 효과)

  • You, Si-Young;Hong, Sun-An;Moon, Kyung-Rye
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.7
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    • pp.1121-1128
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    • 2013
  • The purpose of this paper is to examine the effects of practicing Hatha Yoga on the elderly. I have focused on the changes in subjective pain and a feeling of helplessness in their daily lives of elderly people over 65 who are suffering from chronic back pain. We looked at both men and women over 65, who were not working during the period, all of whom had been experiencing back pain over 6 months. All the subjects have never practiced Hatha Yoga or any other specialized and/or systematic workouts at that time. Among them, the men and women over age 65 with chronic back pain were selected as a group and practiced Hatha Yoga three times a week for eight weeks. In conclusion, the study proves that Hatha Yoga is an effective way for the old over 65 with chronic back pain by acquiring muscular strength and flexibility at the same time.