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The Service of Community-Based Rehabilitation in Stroke Patient: A Case Study (뇌졸중 환자의 지역사회중심재활서비스: 사례연구)

  • Kim, Ji-hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.31-43
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    • 2011
  • Objective : The purpose of this case study was to proposed a introduction and result of the disabled with stroke in community using services of Community-Based Rehabilitation. Methods : The subject was a 63-years old female patient with stroke who first visit to Public health center in July. She was evaluated on activity daily living action level by using the Modified Barthel Index(MBI) and depression level by using Beck Depression Inventory(BDI). The intervention that was suggested by WHO were Community-Based Rehabilitation(CBR) and general occupational therapy. We were applied from April, 27th 2011, to November 30th, 2011 by occupational therapist. Results : The patient's total MBI score increased from 35 to 55, it means that activity daily living performance capacity was improved. And BDI score decreased from 26 to 14, it means that depressed symptoms were in great decline. She could stand until 5-10 minutes at first, but later stand over 30minutes now. It means her muscle strength and endurance level was increased. The patient's mood condition also was stabilized and then she often showed her smiling face during the therapy. And her protector feels the client's change too. Conclusion : We could know that function level and quality of life of the patient with stroke who return to the community was improved through service of community-based rehabilitation.

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Effect of Sensory Activity-Based Cognitive Rehabilitation Group Program on Cognitive Function, Depression and Quality of Life of Dementia Patients Living in a Facility (감각활동기반 인지재활 그룹 프로그램이 시설거주 치매노인의 인지기능과 우울 및 삶의 질에 미치는 효과)

  • Lee, Hey-Sig;Yang, Min-Ah;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.12 no.3
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    • pp.79-88
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    • 2023
  • Objective : This study was to apply a cognitive rehabilitation group program based on sensory activity in patients with dementia living in a facility and to check its effectiveness on cognitive function, depression, and quality of life (QOL). Methods : Sensory-based cognitive rehabilitation group programs (20 sessions) were conducted for eight elderly with dementia over the age of 65 living in a nursing facility located in H-gun, Gangwon-do. The participants' cognitive function, depression level, and QOL were evaluated before and after the program. Results : The mean of Mini-Mental State Examination-Dementia Screening increased; however, there was no statistically significant difference. In contrast, the mean post-test score of the Subjective Memory Complaints Questionnaire decreased, and there was a statistically significant difference (p < .05). The mean post-evaluation score of Short Geriatric Depression Scale measured to confirm the decrease in depression compared to the pre-evaluation score, but there was no statistically significant difference. Finally, the mean post-evaluation score of the World Health Organization QOL assessment instrument-Brief confirmed the change in the QOL, and there was a statistically significant difference (p < .001). Conclusion : This study will provide the basis for suggesting the usefulness of developing a sensory activity-based cognitive rehabilitation group program for dementia patients living in facilities.

A study on the psychological well-being of the parents of the adult intellectual disabilities - on the fucus of gender differences. (성인 지적장애인 아버지와 어머니의 심리적 안녕감 설명모형 연구)

  • Yoo, Yong-Shik;Roh, Seung-Hyun
    • Korean Journal of Social Welfare Studies
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    • v.41 no.4
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    • pp.247-276
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    • 2010
  • This study aimed to examine the model to explain the mediator effect of care evaluation(care stress, care satisfaction) on the effect of stress factors and resource on the psychological well-being of the parents of the adult intellectual disabilities. Examining whether there is a difference between the gender of parents was another aim of this study. Study results showed that with the care stress as an endogenous variable, the daily life function and maladjustment behavior of adult children and the health state of parents had a significant direct effect on the psychological well-being of parents. With care satisfaction as an endogenous variable, family support, expert support and care stress had a significant direct effect. With the psychological well-being as an endogenous variable, care satisfaction and care stress had a significant effect, but the health state of parents didn't. In case of indirect effect, the care stress had a significant mediator effect on the effect of the physical function and maladjustment behavior of adult children and the health state of parents on the psychological well-being of parents. Care satisfaction had a significant mediator effect on the effect of family support, expert support and care stress on the psychological well-being of parents. According to the result of the Multiple Group Analysis, the path showed a statistically significant difference between gender was friend support→care satisfaction, care stress→psychological wellbeing, expert support→care satisfaction. On the basis of the study results, practical suggestions were made.

The Impact of Job Satisfaction of Vocational Rehabilitation Professionals on the Quality of Life (장애인직업재활시설 종사자의 직무만족이 삶의 질에 미치는 영향)

  • Nam, Hee Soo
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.1
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    • pp.41-69
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    • 2013
  • The analytical result indicates that their sociological variables including education background, age and marital status, and job satisfaction factors including employment term, job title, compensation, organization, promotion, colleague, job transfer have a significant impact on the quality of their life. This means that their job satisfaction affects the quality of life. In other words, it is necessary to create an environment which can offset their complaints about job environment and conditions and furthermore, generate a sense of pride and a rewarding experience. The study suggests transparent, fair HR system and continuous training and management in consideration of employees' qualification, experience and interest to boost a sense of pride and social recognition and increase the level of job satisfaction as a result. In line with this approach, their dedication to bringing positive changes in local communities is also essential.

Study on the Persistence of Therapy Program Effectiveness in Foster care : Focusing on K-CBCL (복지시설 아동의 심리치료 프로그램 효과의 지속성 연구:아동 행동평가 척도를 중심으로)

  • Ha, Eun Hye;Shin, Min Jin
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.55-66
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    • 2019
  • Objective : The purpose of this study is to confirm whether the effectiveness of the program is sustainable 9 months after project completion for the children and adolescents participating in a childcare and rehabilitation support project. Methods : This study was carried out in three phases: pre-(2016.5~6), post-(2016.10~12) and follow-up evaluation phases (2017.9) of 120 children and adolescents who participated in a treatment and rehabilitation of children project in 2016. The analysis was conducted using a repeated mesures ANOVA to identify changes in problem behaviors. Results : The problem behavior of preschoolers in middle and high schools decreased after the post-evaluation compared to the pre-evaluation, and the effect of treatment was maintained afterward. Elementary school students displayed fewer problem behaviors after the post-evaluation than in the pre-evaluation, and follow-up more. Conclusions : This study confirms that the effects of therapy are maintained for a long period of time. Furthermore, it has been confirmed that therapeutic intervention is effective for children and adolescents in foster care.

Effect of Self-Complex Exercise Program on Pain, Function, Psychosocial, Balance Ability, and TrA Muscle in Patients with Lumbar Instability: A Randomized Controlled Trial (허리 불안정성이 있는 허리통증 환자에게 실시한 자가-복합 운동프로그램이 통증과 기능, 심리사회적, 균형 능력 그리고 배가로근에 미치는 효과)

  • Yoon, Jong-Hyuk;Jeong, Dae-Keun;Park, Sam-Ho
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.73-83
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    • 2022
  • Purpose : Low back pain (LBP) is reported as a risk of experiencing musculoskeletal disorders due to muscle stiffness and hypokinetics. The lumbar spine in an unstable state causes imbalance and lumbar instability. Therefore, This study examined the effects of lumbar stabilization exercise and self-complex exercise program on pain, function, psychosocial level, static balance ability, and transverse abdominal muscle (TrA) thickness and contraction ratio in patients with lumbar instability. Methods : The design of this is a randomized controlled trial (RCT). Twenty-six LBP patients participated in this study. Screening tests were performed and assigned to the experimental group (n=13) and control group (n=13) using a random allocation program. Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the self-complex exercise program. All interventions were applied three times per week for four weeks. The quadruple visual analog (QVAS), the Korean version of the Oswestry disability index (K-ODI), Korean version of fear-avoidance belief questionnaire (FABQ), static balance ability, TrA thickness, and contraction ratio were compared to evaluate the effect on intervention. Statistical significance was set at 𝛼=.05. Results : Both groups showed significant differences before and after the intervention in QVAS, K-ODI, FABQ, static balance ability, and TrA thickness in contraction (p<.05). In addition, significant differences in K-ODI and FABQ were observed between the experimental group and control group (p<.05). Conclusion : A lumbar stabilization exercise and self-complex exercise program resulted in reduced dysfunctions, psychosocial stability in patients with lumbar instability. Therefore, Lumbar stabilization exercise and self-complex exercise program for patients with lumbar instability are effective method with clinical significance in improving the function and psychosocial stability.

A Study on the Digital Therapeutics Based Community Care for Rehabilitation in Dysarthria in the Post-COVID-19 Era (Post-COVID-19 시대 마비말장애 재활을 위한 디지털 치료제 기반의 커뮤니티케어 방안)

  • Lee, Sang-Do
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.313-323
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    • 2022
  • The purpose of this study was to explore ways a digital therapeutics-based community care plans for the rehabilitation in dysarthria in a situation where non-face-to-face services are expanding in the COVID-19 era. To this end, a qualitative study was conducted on experts working in hospitals, speech-language pathology centers, and social welfare centers, and as a result of the study, 3 topics, 9 sub-themes, and 18 content units were derived. Based on the analysis results, the digital therapeutics-based community care model consisted of 9 types: remote diagnosis, telepractice, rehabilitation training program, peer supporters, clinical support, communication, psychosocial intervention, and care plan services. This study will be able to provide basic data for health care & welfare services using digital therapeutics and guidelines for establishing shared care plans based on multidisciplinary cooperation.

Effect of Virtual Reality Game on Old Patient's Depression, Relationship and Life Satisfaction (가상현실 게임이 노인 뇌졸중 환자의 우울, 대인관계, 삶의 만족도에 미치는 효과)

  • Shin, Kyung-Eun;Oh, Myung-Hwa;Chung, Hyun-Ae;Kim, Hee-Dong
    • 재활복지
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    • v.21 no.4
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    • pp.101-118
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    • 2017
  • This study was conducted to investigate the effect of virtual reality game on old stroke patient's depression, relationship and life satisfaction. The subjects of this study were 40 stroke patients of over 65 years old and each 20 patients were randomly assigned in two groups. The study was conducted for 12 weeks. Nintendo Wii Sports Resort program was applied to the virtual reality game for the experimental group. In order to investigate psychological social factor (depression, relationship) and life satisfaction of the objects, BDI, RCS, LSI-Z were checked three times. The results are as followings. First, the psychological social change (depression, relationship) after the training program showed that depression is significantly decreased (p<.001) along with the intervention period in both 2 groups. Second, change of life satisfaction after the training program showed that significant statistical improvement were found both in control group(p<.05), and experimental group(p<.001). Third, depression, relationship showed the significant statistically correlation with life satisfaction(p<.05). We can conclude from the above that virtual reality games which were played by 2 persons had the significant effect on old stroke patient's psychological social factor(depression, relationship) and life satisfaction.

Package Modeling Change in Age of Feeling -Based on Solid Chocolate Package Structure by -√3 Proportion- (Feeling 시대의 Package 조형 변화 -√3 비례에 의한 판 초콜릿 Package 구조를 중심으로-)

  • Kwon, Il-Hyun;Nam, Young-Hyun
    • The Journal of the Korea Contents Association
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    • v.7 no.8
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    • pp.163-173
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    • 2007
  • As present generation live in the age of feeling after been through age of need or age of want, we analyzed Signification based on consumer psychology, sociocultural variation. Based on above, we first built basic modeling from a regular triangle by $\sqrt{3}$ proportion and then approached to substantial modeling of products that enable us to distribute and sell. Furthermore, we built recycle modeling which enables us to create a variety of forms with joy after using products. This means a lot to us in terms of package modeling creation from sans code. Besides, we studied on not only materialistic or functional value of package modeling, but also appropriate semiotics that enable psychological and sociocultural function of package modeling to respond to consumer identity.

Effects of Positive Psychological Capital of Fitness Center Trainers on Emotional Labor and Job Ability (피트니스센터 트레이너의 긍정심리자본이 감정노동, 직무능력에 미치는 영향)

  • Suh, Jae-Myeong;Kim, Do-Jin
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.169-176
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    • 2022
  • The purpose of this study is to verify the effect of positive psychological capital of fitness center trainers on emotional labor and job ability. For this purpose, as a convenient sampling method, 265 questionnaires were conducted by directly visiting a fitness center in the metropolitan area, and item analysis, validity analysis, reliability analysis, correlation analysis, and multiple regression analysis were applied to the collected data. As a result of the analysis, the following conclusions were obtained. First, in the relationship between positive psychological capital and emotional labor, it exerted a meaningful influence on hope and optimism in deep acting and superficial acting. Next, in the relationship between positive psychological capital and job competency, leadership ability is self-efficacy, hope, management ability is optimism, hope, counseling ability is hope, optimism, self-efficacy, PR ability is self-efficacy, optimism, and program operation ability is optimism. exerted a significant influence on elasticity. In relation to emotional labor and job competency, counseling ability exerted a significant influence only in deep acting, and in leadership ability, management ability, PR ability, and program operation ability, deep acting and surface acting exercised a significant influence. In the future, it is necessary to study the characteristics and properties of trainers as emotional labor and follow-up studies on improvement measures.