• Title/Summary/Keyword: 재활 중재

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Survey of Work Experiences and Practices of Occupational Therapists in the Mental Health Field: A Focus on Physical Function Enhancement Interventions (정신건강 분야에서 근무하는 작업치료사의 업무 경험 및 실태조사: 신체기능 향상 중재를 중심으로)

  • Kim, Min-Jee;Kim, Young-wook;Kim, Jun-hyeok;Kim, Ga-hee;Choi, Hong-seok;Moon, Kwangtae
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.53-65
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    • 2023
  • Objective : This study aimed to identify the experiences and practices of occupational therapists in mental health and provide interventions for improving body function in individuals with mental illness. Methods : Data were collected from mental health therapists between November 7 and November 14, 2022. A survey was distributed via email and 46 responses were analyzed using descriptive statistics and correlations. Results : The majority were female (58.7%), aged 20-30 years (84.8%), working in mental health centers (41.3%), and undergoing mental health occupational therapy training (91.3%). They had 1-3 years of mental health experience (65.2%) and were commonly involved in programs (71.1%), case management (62.2%), and administration (57.8%). Interventions for physical functioning were common (73.9%), including group interventions (41.2%), such as stretching, aerobic exercise, and walk training, and individual interventions (38.1%), such as walking, stretching, and aerobic exercise. Conclusion : Occupational therapists play a crucial role in enabling individuals with mental illness to engage in daily life activities. However, relevant studies in this field are lacking. This study emphasizes the importance of mental health occupational therapy and the need for evidence-based services for physical function improvement interventions to provide more effective treatments for mental illnesses.

Meta-analysis on the Effectiveness of Pulmonary Rehabilitation Program on Exercise Capacity/Tolerance and General Health Status (만성 폐쇄성 폐질환 환자를 위한 호흡재활 중재가 운동 능력 및 내구성, 일반적 건강상태에 미치는 효과에 대한 메타분석)

  • 오현수
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.743-752
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    • 2003
  • Purpose: This study was conducted to combine the effects of pulmonary rehabilitation program (PRP) on exercise capacity/tolerance and general health status of COPD patients based on the primary research results examined the effects of PRP, Method: Seventeen studies were selected by the sampling criteria established to include the studies that reported enough statistics necessary to conduct meta-analysis. Result: According to the study results, the most effective indicators for exercise capacity/tolerance were exercise time (such as cycling time or treadmill walking time) and ground walking distance within given time (6 minutes or 12 minutes), whereas effects on such indicators as VE and VO$_2$ were not statistically significant. PRP induced significant effect on patients' general health status, frequently measured by physical, psycho-emotional, and holistic indicators, the enhancement on psycho-emotional dimension resulted from PRP was more prominent than those of the other dimensions. From the results, it was noted that the place where PRP was given and the contents of PRP exercised their influence on the outcome variables. Which body part was trained was also one of the important factors that influence on the patients' perception of dyspnea during exercise as well as on exercise capacity/tolerance. Conclusion: PRP including exercise training significantly improved the exercise capacity and general health status of COPD patients.

The Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention (PCI) Patients (개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과)

  • Kim Nam-Cho;Choi Kyung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.42-49
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    • 2006
  • Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.

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The Effects of Life Style Modification on Constipation of the Older Adults at a Geriatric Hospital (생활습관 중재가 요양병원 입원 노인의 변비에 미치는 효과)

  • Kang, Ho-Suk;Kim, Inja
    • The Korean Journal of Rehabilitation Nursing
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    • v.20 no.1
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    • pp.52-60
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    • 2017
  • Purpose: This study aimed to evaluate the effects of lifestyle modifications on the constipation relief, the time required to see the effects, and the effective lifestyles for constipation in older adults admitted to a geriatric hospital. Methods: Nonequivalent control group pre-post test design was used. The subjects consisted of 25 elderly in the control group and 23 in the experimental group. Constipation was measured with symptoms of constipation, number of bowel movement and use of laxatives. Life style modification consisted of drinking water before breakfast, having a breakfast, scheduled toileting after breakfast and walking everyday for 3 weeks. Results: Symptoms of constipation (t=2.23, p=.030) and number of bowel movement per week (t=-2.55, p=.014) were significantly different between two groups after 3 weeks. Drinking water, scheduled toileting and walking might contribute to the results. Conclusion: Lifestyle modification was effective on constipation in older adults admitted to a geriatric hospital. However, the effects were produced after 3 weeks. Nevertheless, it is recommended that nurses continuously encourage older adults for drinking water, regular trying for bowel movement and walking to relieve constipation, since the lifestyle modification does not need any special education and skill.

The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients (영화기반 간호중재 프로그램이 뇌졸중 환자의 재활동기와 우울에 미치는 효과)

  • Kwon, Hye Kyung;Lee, Sook Ja
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.345-356
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    • 2017
  • Purpose: The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. Methods: The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. Results: After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001. Conclusion: The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.

Perception of Touch Therapies Among Nurses Who Take Care of Cancer Patients (암환자를 돌보는 간호사의 접촉 관련 중재에 대한 인식)

  • Kwon, So-Hi;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.1
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    • pp.56-63
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    • 2006
  • Purpose: The objectives of this study were to investigate perception of touch therapies among nurses who looking after cancer patients, ultimately to probe possibility of utilization of touch therapies as nursing interventions. Method: A descriptive study conducted from Dec. 2005 to Jan. 2006. 270 nurses taking care of cancer patients in 2 urban hospital were completed self-report questionnaire about general characteristics, utilization of touch therapies, willingness to adopt touch therapies in their practice, and perception of safety and effectiveness of touch therapies. Result: The participants were average 27.97 year-old, 60% of them had bachelor's degree, most of them were staff nurses(83.0%), and 34.6% of them were 3-5 years experienced in oncology nursing. Among 5 touch therapies(therapeutic touch, massage, reflexology, acupressure, and acupuncture), massage was the most positively perceived therapy not only the aspects of safety(67.1%) and effectiveness(65.9%), but also willingness to utilize in their practice(71.2%). There was no significant difference in willingness to utilize in their practice per age and years of working in oncology nursing. Older and more experienced groups perceived more positively to massage and reflexology. Conclusion: Massage might be readily adopted as a nursing intervention in oncology nursing practice. Strategies to encourage the utilization of touch therapies as nursing intervention should be established.

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Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression (국내 학술지에 발표된 손 마사지 중재 논문 분석: 수면, 통증, 우울, 불안에 미치는 효과를 중심으로)

  • Kim, In-Ja;Cho, Yu-Na
    • The Korean Journal of Rehabilitation Nursing
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    • v.15 no.1
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    • pp.47-53
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    • 2012
  • Purpose: To identify the feasibility and provide the direction for future studies regarding hand massage, studies on hand massage published in Korea were analyzed. Methods: Using the key word of hand massage, 23 studies which identified the effects on sleep, pain, anxiety and depression were found. They were analyzed on research tendency and effects. Research tendency was analyzed in terms of published year, methods, study design, sample characteristics, and outcome variables. Effects were analyzed with hypothesis testing and effect size. Results: Among 23 studies, 60%(14 studies) were about hand massage and others (9 studies) were about aroma hand massage. The most prominent outcome variables were physiological and cognitive/emotional ones. To improve sleep, hand massage over 60 minutes was necessary while pain and anxiety were improved in the studies which less than 10 minutes hand massage was applied. Aroma hand massage was more effective than hand massage. Effect size for anxiety and depression was larger than those of sleep and pain. Conclusion: Hand massage and aroma hand massage are recommended to improve anxiety and depression as an independent nursing intervention. More randomized clinical trials are necessary to increase the validity and identify the effects of hand massage on sleep, pain, anxiety and depression.

The Analysis of Risk Factor Management Programs for Patients with Coronary Artery Disease (관상동맥질환자를 위한 위험요인관리 프로그램 분석)

  • Bang, So-Youn;Park, Mi-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.16 no.1
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    • pp.27-36
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    • 2013
  • Purpose: This study was performed to analyse the trends of risk factor management programs for patients with coronary artery disease. Methods: Using PubMed, 35 intervention studies related to risk factor management programs among randomized controlled trials searched with the key words of coronary artery disease and coronary heart disease. Collected studies were analysed according to the characteristics of studies and participants, method and content of intervention, and outcome indicator and its effects. Results: The mean period of intervention was $28.7{\pm}26.8$ weeks, the mean frequency was $3.0{\pm}2.0$ times per week, and the duration of one session was below 60 minuets in 65.8% of the reviewed studies. The interventions were counselling, exercise, education, and cognitive behavior therapy. Counselling was applied most frequently in previous studies. The outcomes of intervention had been measured with anthropometric, physical, physiological, psychological, behavioral, and cognitive aspects, but the effect of the intervention was inconsistent among the studies. Conclusion: Based on the results of this study, systematic and comprehensive cardiac rehabilitation program consisted of counselling, exercise, and education should be developed and performed for health management and relapse prevention of patients with coronary artery disease.

Effects of Family-Participated Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior Compliance, and Family Support of Patients with Percutaneous Coronary Intervention (가족참여 심장재활 프로그램이 경피적 관상동맥중재술 환자의 자기효능감, 건강행위이행 및 가족지지에 미치는 효과)

  • Kim, Soo Jin;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.2
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    • pp.143-153
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    • 2015
  • Purpose: The purpose of this study was to develop a family-participated cardiac rehabilitation program and to test the effects of the program on self-efficacy, health behavior compliance, and family support for patients with percutaneous coronary intervention. Methods: The design of this study was a nonequivalent control group non-synchronize design. There were 30 participants in the experimental group and 29 in the control group. The program consisted of six consecutive cardiac rehabilitation education and counselling sessions for 5 weeks. Data were analyzed using $x^2-test$, Fisher's exact test, and t-test using the SPSS program. Results: Self-efficacy, health behavior compliance, and family support scores were significantly increased in the experimental group compared to those in the control group. Conclusion: These results suggest that this program may improve self-efficacy, health behavior compliance, and family support in patients with percutaneous coronary intervention. Therefore, this program in which family members were included in supporting patients' adherence to health behaviors is recommended for use in clinical fields for the cardiac rehabilitation.

Differences of EEG Activation in Mirror Neuron System during Action Observation for Occupation-based, Purposeful Activity, Preparatory Method in adult subjects (일반 성인의 작업과 활동의 중재 형태에 대한 행위 관찰 시 거울신경세포 시스템의 EEG 활성도 차이)

  • Ko, Hyo-Eun;Yun, Tae-Won;Chung, Hyun-Ae
    • PNF and Movement
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    • v.13 no.1
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    • pp.17-23
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    • 2015
  • Purpose: This study aims to identify changes in the mirror neuron system in normal people through mu rhythm during action observation of occupation-based intervention, purposeful activity and prepare a method of intervention form of occupation using occupation and activity. Methods: TThis study aims to identify changes in the mirror neuron system in normal people through mu rhythm during action observation of occupation-based intervention, purposeful activity and prepare a method of intervention form of occupation using occupation and activity. The activation of the mirror neuron system was compaired among 3 condition by oneway ANOVA. Results: The result of analysis showed mu suppression in all conditions. Although all conditions showed mu suppression, there was no significant difference among the conditions. Conclusion: The results suggest that the mirror neuron system is activated during action observation to be able to occupational therapy but the mirror neuron system is not separately activated among the conditions.