• 재활간호학회지
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• 제12권1호
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• pp.16-29
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• 2009

Purpose: The aim of this study was to develop and to analyze the duty and the task of rehabilitation nurse in Korea. Method: The definition of rehabilitation nurse and job description was developed based on developing curriculum(DACUM) by panels who have experienced in DACUM analysis and rehabilitation nursing. 228 nurses who were working at rehabilitation centers and rehabilitation unit in general hospitals were participated. The questionnaire included frequency, importance, and difficulty of duties and tasks. The data were collected in March and April 2009, analyzed by descriptive statistics. Results: The job description of rehabilitation nurse in Korea revealed 11 duties, and 61 tasks. On the all 11 duties, the highest duty in frequency and importance was direct nursing care ($2.47{\pm}.31$, $2.77{\pm}2.8$) and the highest duty in difficulty was self-development ($2.39{\pm}.48$). Among the tasks of duties 'direct nursing care' in 'manage medication' ($2.87{\pm}.35$) in frequency, the task 'prevent and manage bedsore' ($2.91{\pm}.31$) of duty 'direct nursing care' in importance, and 'cope emergency situations' ($2.72{\pm}.49$) of duty direct nursing care in difficulty showed the highest degree. Conclusion: The political efforts for the legislation of role and task of rehabilitation nurse were needed.

• 재활간호학회지
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• 제19권1호
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• pp.43-54
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• 2016

Purpose: This study attempted to understand patients' and nurses' perspectives on the priority of rehabilitation nursing services using Importance-Performance Analysis (IPA). Methods: This study used descriptive research design. Data were collected from 121 patients and 144 nurses using self-reported questionnaires. Statistical analysis included an independent t-test, analysis of variance (ANOVA), and IPA conducted using SPSS/WIN 21.0 version. Results: There were no statistical differences between the patients' and nurses' mean scores on perceptions of the importance (t=-0.83, p=.409) and performance (t=-0.32, p=.751) of rehabilitation nursing services. The IPA matrix showed a difference between patients and nurses in terms of their perceived priority of nursing services. Regarding the perception of patients, "helping a patient to continue to practice bedside physiotherapy and occupational therapy", "providing information on the proper care agency and community resources", and "providing education for the prevention of complications" fell in the "concetrate here" area (2nd quadrant). Conclusion: The results showed that the priorities of patients and nurses did not match in terms of some of the rehabilitation nursing services. Thus, rehabilitation nursing services need to be provided based on the patients' needs. Allocation of resources for the service items that fell in the "concentrate here" area of the IPA need be reconsidered for the quality in nursing care.

• 재활간호학회지
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• 제3권1호
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• pp.98-107
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• 2000

A Preliminary study for the evaluation of the Rehabilitation Nursing Program(RNP) implemented to the 25 stroke survivors at the Day Care Program Center of National Rehabilitation Hospital in Seoul was done at 1999. The purposes of this study was to assess the psychological effects as outcome-variables such as depression, powerlessness and self efficacy of the stroke survivors who were discharged from acute care hospitals. The Rehabilitation Nursing Program (RNP) integrated with the Day Care Program for rehabilitation was implemented and the psychological outcome variables were measured by 3 psychologic instruments of Zung Depression Scale, Millers's powerlessness and the Bandura's self efficacy scale. These instruments were translated into Korean and the contents validity and the reliability were tested. The subjects were 17 males and 8 females and 52% were aged over 51 years old and 24% were from 31 to 50 years old. Most of them (72%) had been educated more than high school level. The contents of RNP were 8 sessions composing of self-introduction, individualized assessment, health contract and feedback, management of depression, shaving experiences, effective communication, self efficacy teaching, health information, and daily care activities. This study found that the level of depression and the powerlessness were within average level and had not been changed the level of self efficacy after RNP were somewhat higher than before, but it was not changed significantly. According to the results, the psychological state of the subjects were not changed significantly. Only the level of self efficacy was a little improved after having the RNP. Based on theses results, the RNP should be focussed on the psychological nursing care and the psychological outcome variables were retested strictly with the enough sample size.

• 재활간호학회지
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• 제4권1호
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• pp.118-123
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• 2001

The purpose of this study was to provide fundamental data to propose further directions of education on rehabilitation nursing by investigating the adequacy of the educational contents of rehabilitation nursing. This study was a descriptive survey study. The data collected at 25 universities and 24 junior colleges through questionnaires to answer the research questions from August 10 to September 30, 2000. The questionnaire was consisted of 24 items. The contents of rehabilitation nursing education were developed by consulting with the rehabilitation nursing professionals. The results are as follows Rehabilitation nursing was taught as an independent class in 15 universities and 9 junior colleges. Most professors majoring in adult nursing (66.8%) were in charge of teaching the courses. For the adequacy of the teaching contents of rehabilitation nursing, conceptual bases for rehabilitation was the highest score (4.0), and interdisciplinary rehabilitation team, activities of daily living, clients of rehabilitation, nursing process in rehabilitation nursing, functional evaluation, movement and mobility, physical therapy, occupational therapy, sensation and perception, communication/language, eating and swallowing, bladder elimination, community based rehabilitation nursing, sleep, rest &, fatigue, bowel elimination, historical perspectives of rehabilitation nursing, sexuality, pulmonary rehabilitation, pain, cardiac rehabilitation, skin integrity, family care was ordered.

• 재활간호학회지
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• 제10권1호
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• pp.29-36
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• 2007

Purpose: The purpose of this study was to identify the effects of structured information provided on self care knowledge, self care performance, and functional status. Method: The data were collected using self care knowledge and performance assessment tool, and functional status assessment tool from both group hospitalized patients at D hospital in Busan. Results: There was a significant improvement(p=.032) in self care knowledge in experimental group compared to the control group. But there were not improvement in self care performance and functional status in experimental group compared to the control group. But comparing to pretest and posttest in experimental group, There were significant improvement in self care performance (p=.003) and functional status(p=.013). Conclusion: Structured information provided showed increased in the degree of knowledge, self care performance, and functional status. But the effect size of program which had been developed in this study was estimated small, so there is needed to modify this program and to research repeatedly.

• 재활간호학회지
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• 제13권2호
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• pp.151-160
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• 2010

Purpose: The purpose of this study was to determine the effects of empowerment education program on self-efficacy, self-care agency, self-care activities and physiologic parameters among hemodialysis patients. Method: Nonequivalent control group pretest-posttest design was used. There were 36 subjects in the experimental group and 35 subjects in the control group. The empowerment education program was administered for 4 weeks (1 time per week). Data were collected pre-treatment and post treatment. The $X^2$-test or Fisher's exact test, ANCOVA, t-test and paired t-test were performed to determine the group differences, using SPSS 14.0 version. Results: Self-efficacy, self-care agency, self-care activities and weight variation significantly improved after the empowerment education program in hemodialysis patients. Conclusion: The empowerment education program for hemodialysis patients was effective to improve the degree of self-efficacy, self-care activities and self-care agency and to decrease interdialytic weight variation.

• 융합정보논문지
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• 제9권5호
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• pp.77-85
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• 2019

본 연구는 재활병원에 입원하여 뇌신경계 재활 치료를 받고 있는 환자의 가족부담감 정도와 일반적 특성, 질병특성에 따른 부담감의 차이를 파악하고, 융합적인 영향요인을 규명하기 위한 서술적 조사연구이다. 재활병원에서 재활 치료중인 환자의 주 돌봄제공자인 가족 113명을 대상으로 설문조사하여 SPSS statistics 22 프로그램을 이용하여 분석하였다. 본 연구 결과는 환자가족의 부담감 수준은 평균 3.16로 나타났고, 가족의 부담감은 돌봄자의 연령, 교육수준, 돌봄자와의 관계에서 유의한 차이가 있었으며, 환자의 질병관련 특성에 따른 가족부담감은 유의한 차이가 없었다. 마지막으로 가족의 부담감에 미치는 영향 요인을 확인한 결과 돌봄자의 연령, 학력, 종교, 환자와의 관계가 예측요인으로 나타났다. 재활치료중인 가족부담감을 낮추는 중재 프로그램 개발에 일반적 특성을 고려할 필요가 있을 것이다.

• 한국융합학회논문지
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• 제13권2호
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• pp.313-320
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• 2022

퇴원계획은 환자의 거주지를 고려하여 재활중에 계획되어야한다. 본 연구는 퇴원 1개월 후 재활환자를 대상으로 퇴원장소에 따른 인구통계학적 요인과 재활기능을 비교하는 것을 목적으로 연구가 시행되었다. 대상자는 재활퇴원환자였으며 전체 300명중 146명은 자택으로 154명은 요양원등 시설로 퇴원하였다. 그 결과 수정된 Barthel Index를 이용해 점수화된 재활기능점수가 퇴원장소에 따라 차이가 있는 것으로 나타났다. 즉 자택으로 퇴원한 환자의 재활기능점수가 시설퇴원환자보다 높은 점수를 보였다. 그러나 재택환자의 신체기능과 일상생활 동작이 재활이 필요한 점수를 보였다. 재활환자를 위한 가정 및 시설 방문재활프로그램에 대한 차별화된 전략이 필요하다.

• 재활간호학회지
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• 제14권1호
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• pp.24-31
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• 2011

Purpose: The purpose of this study was to identify related factors of stress, social support and rehabilitation motivation of stroke survivors and analyze their relationship. Method: A sample of 106 stroke survivors completed face-to-face interviews. The levels of stress, social support and rehabilitation motivation were measured by the Neuman's stress, Multidimentional Scale Perceived Social Support and Han's Rehabilitation Motivation, respectively. The t-test, ANOVA, and Pearson correlation were conducted using the SPSS 17.0. Results: The mean scores of stress, social support and rehabilitation motivation were 3.3 (SD=0.76), 3.2 (SD=0.88), and 3.4 (SD=0.49) respectively. Compared to stroke survivors who had no spouses, those with spouses had a lower level of stress (t=9.52, p=.003), a higher level of social support (t=7.32, p=.008) and a higher level of rehabilitation motivation (t=15.39, p=.001). The rehabilitation motivation was significantly higher in stroke survivors with higher education (F=5.00, p=.001), more monthly income (F=15.39, p=.001), greater income satisfaction (F=3.80, p=.026), shorter duration of disease (F=3.64, p=.030) and absence of dysarthria (t=6.81, p=.010). Stress, social support and rehabilitation motivation are significantly related with each other. Conclusion: The findings suggest that these significant factors should be considered when caring for stroke survivors.

• 재활간호학회지
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• 제7권2호
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• pp.188-196
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• 2004

Purpose: This study was conducted to identify relationships between depression, family support, and rehabilitation-motivation in patients with cerebrovascular accident. Method: The data were collected from 'S' hospital in Seoul from Feb. 1, 2004 to Apr. 30, 2004. The data were analyzed using a SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Result: The results were as follows: The mean rehabilitation-motivation was 119.89, which was slightly high. The rehabilitation-motivation was influenced by religion, education level, occupation, economic status, treatment fee, duration of hospitalization, level of language ability and ADL. Rehabilitation-motivation has showed correlation with family support (r=.538, p=.000) and depression (r=-.417, p=.000). The variables related to rehabilitation-motivation were identified as family support, level of ADL, occupation, depression, and education level, using stepwise multiple regression. They were accounted for 57% of predictability of the rehabilitation-motivation, with the family support the highest at 29.3%. Conclusion: With increasing post stroke patients in Korea, we need to pay more attention to the rehabilitation of them. This study indicates that health professionals need to focus on the intervention especially in increasing family support and in decreasing depression of the patients with cerebrovascular accident.