• Title/Summary/Keyword: 중재방법

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The Differences of Naming by Word Frequency, Length, and Animacy in Nonfluent Aphasic Patients (비유창성 실어증 환자의 단어빈도 및 길이, 생물성에 따른 이름대기 수행의 차이)

  • Kwon, Jung Hee;Choi, Hyun Joo
    • 재활복지
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    • v.20 no.1
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    • pp.171-188
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    • 2016
  • The purpose of this study is to investigate effects of three conditions-words frequency, word length, and animacy-on the performance of naming in nonfluent aphasic patients. 15 nonfluent aphasic patients and 15 normal adults were participated in this study. The words consist only of concrete nouns and confrontational naming test was used. The test consisted of 40 questions and the condition of word were frequency(low-frequency/high-frequency), length(1 syllable/3 syllables) and animacy(animate/inanimate). The result of the study was as follows. First, naming was performed better with high-frequency words than with low-frequency words in both groups. Second, naming was performed better with 1 syllable words than with 3 syllable words in both groups. Third, naming performance depending on animacy did not show significant differences in both groups. These results indicate that compared to animacy of word, word frequency and length have bigger influence on the naming, and the difference by word frequency was more pronounced for nonfluent aphasic patients than for normal adults. The results of this study suggest that target word for the assessment and intervention of nonfluent aphasic patients, words frequency should be considered first in clinical setting.

Comparison of Chin Tuck Against Resistance and Shaker Exercise on Suprahyoid and Sternocleidomastoid Muscle Activity in Stroke Older Patients with Dysphagia (삼킴 장애가 있는 뇌졸중 노인 환자에서 저항성 고개 숙이기 운동과 Shaker 운동의 목뿔위 및 목빗근 활성 비교)

  • Kim, Bon Yi;Lee, Seul;Moon, Jong Hoon;Won, Young Sik
    • 재활복지
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    • v.20 no.3
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    • pp.179-193
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    • 2016
  • Chin Tuck Against Resistance Exercise(CTARE) and Shaker exercise is used to common for strengthening of suprahyoid muscle. No previous studies was compare of two exercises for patients with dyaphagia. This study investigated the effects of CTARE and Shaker exercise on suprahyoid, sternocleidomastoid muscle activity in stroke older patients with dysphagia. Ten stroke patients with dyaphagia voluntarily participated in this study. All subjects was performed in the order in the CTARE (isometric, isokinetic), Shaker (isometric, isokinetic), and repeated each ten trials. After CTARE was performed, subjects took a 5 min wash out period to minimize muscle fatigue. Activity of suprahyoid and sternocleidomastoid muscle during two training was analyzed using surface electromyography(sEMG). Wilcoxon signed rank test was used to assess differecences for muscles activity between the effects of the CTAR and Shaker exercise within group. CTARE and Shaker exercise showed no significant difference activity in suprahyoid muscle(p > .05). CTARE showed significantly lower muscle activity in sternocleidomastoid muscle than Shaker exercise(p < .05). CTARE in stroke older patients with dysphagia may be a effective intervention to improve swallowing function than Shaker exercise.

Application of Lee Silverman Voice Treatment-BIG(LSVT-BIG) Intervention to Improve Motor Functions and Quality of Life in People With Parkinson Disease (파킨슨병 환자에게 Lee Silverman Voice Treatment-BIG(LSVT-BIG) 프로그램의 적용이 운동기능과 삶의 질에 미치는 효과)

  • Park, Kang-Hyun;Kim, Jae-Hwan;Jang, Jong-Sik
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.73-84
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    • 2019
  • Objective: The purpose of this study is to compare the effect of Lee Silverman Voice Treatment-BIG(LSVT-BIG) intervention which consisted of standardized exercise programs and occupation-based activities for people with Parkinson Disease(PD) on motor functions and quality of life Methods: This study applied a one group pretest-posttest design. The experiment was divided into two parts: pre intervention and post intervention period. Before and after LSVT-BIG intervention, Unified Parkinson's Disease Rating Scale(UPDRS), Time up and go(TUG), Parkinson's Disease Questionnaire-39(PDQ-39) were used to measure the participants' motor functions and quality of life. Based on the LSVT-BIG protocol, three participants received 16 one-hour sessions over 4 weeks by a certified occupational therapist. The results were analyzed by using SPSS. Results: There were improvements in UPDRS and TUG. Additionally, PDQ-39 scores decreased in all participants, which means that their quality of life was improved. Conclusions: The study demonstrated positive effects of LSVT-BIG intervention on motor functions and quality of life of patients with PD.

The Influence of Worker's Exercise Self-Efficacy, Self Determination, Exercise Behavior On Wellness :Focusing Large-scale Workplace Workers (근로자의 운동자기효능감, 자기결정성, 운동행위가 웰니스에 미치는 영향: 대규모 사업장 근로자를 중심으로)

  • Ha, Yeong-Mi;Yang, Seung-Kyoung
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.207-216
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    • 2019
  • The purpose of this study was to examine to identify factors affecting wellness of workers. This study collected questionnaire data from 172 workers from two large workplaces more than 1,000 workers are located in G city. Data were analyzed using descriptive statistics, Pearson correlation coefficient and Hierarchical regression with IBM SPSS statistics 20.0 program. Wellness of worker was correlated with exercise self-efficacy(r=.23, p<.05), autonomous motivation(r=.38, p<.001), exercise behavior(r=.61, p<.001). Hierarchical regression analysis showed that exercise self-efficacy(${\beta}=.34$, p<.001), exercise behavior(${\beta}=.30$, p<.001), subjective health status(${\beta}=-.23$, p<.001), subjective economic status(${\beta}=-.13$, p=.016) explained 57.3%(F=39.29, p<.001) of wellness of workers. Based on the finding, there is a need to develop an intervention program that consider exercise self-efficacy, exercise behavior, subjective health status and subjective economic status.

Related Factors of Smoking Cessation Success and Maintenance of Patients using Smoking Cessation Clinic at a Public Hospital : focused on patient demographics and smoking related factors (일개 공공병원 금연클리닉 이용 흡연 환자의 금연 성공 및 유지 요인 : 일반적 특성과 금연관련 특성 중심으로)

  • Hwang, Eun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.535-543
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    • 2019
  • This study was conducted to identify the factors related to the patient demographics and smoking factors on smoking cessation success and maintenance of subjects at the 6th and 12th week at a public hospital. This study utilized secondary data collected through the smoking cessation program of the 2014 public health care program, which is mediated for 6 weeks and checked for maintenance on the 12th week. The data were analyzed by the chi-square test, t-test and logistic regression analysis. There were 90 subjects in total, 85 men (94.45%) and 5 women (5.55%). The smoking success group and smoking failure group showed significant differences in family type (${\chi}^2=4.496$, p=0.037), education (${\chi}^2=12.253$, p=0.002), smoking amount per day before program (t=-2.906, p=0.005), and nicotine dependence before program (t=-3.081, p=0.003) after 6 weeks. Factors influencing smoking cessation success were religion (OR=3.719, 95% CI=1.076-12.859) and nicotine dependence before program (OR=0.713, 95% CI=0.520-0.976). Factors influencing smoking cessation maintenance were family type (OR=0.017, 95% CI=0.001-0.507) and no-smoking willingness (OR=2.062, 95% CI=1.059-4.015). For smoking cessation to be successful and sustainable, it is necessary to develop programs specific for the characteristics of the subjects; accordingly, continuous research and support are needed.

Current smoking rate and related factors of people with disability (장애유무에 따른 현재흡연율과 관련요인)

  • Yeob, Kyoung Eun;Kim, So Young;Park, Jong Eun;Lee, Byeong Hyeon;Park, Jong-Hyock
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.51-65
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    • 2018
  • Objective : Smoking can increase the risk of secondary conditions for people with disabilities, which can in turn counteract primary disorders and exacerbate existing disorders. More active interventions for smoking cessation are necessary for people with disabilities because the physical condition of people with disabilities is more vulnerable, and risk factors such as smoking, drinking, obesity, and stress can have a decisive influence on people with disabilities compared to non-disabled people. Methods : In this study, the subjects who participated in National Health and Nutrition Survey of 2013 were those aged over 19 and smoker. The final 299 people with disability and 4,260 people without disability were analyzed. Results : Current smoking rate was 21.5% of non-disabled people and 21.4% of disabled people respectively. Factors influencing the current smoking rate of the disabled people were analyzed by type of household, economic status, home ownership, drinking, binge drinking, activity limit. Conclusions : In order to reduce socioeconomic inequalities of smoking and to actively intervene with the disabled, there need a new approach strategy focusing on people with disabilities.

The Relation between Hand Function and Sleep Disturbance Factors According to Quality of Sleep among Elderly Patients in Geriatric Hospitals (요양병원 노인에서 수면의 질의 따른 손 기능과 수면 장애 요인 간 관련성 연구)

  • Kang, Eun-Yeong;Chong, Bok-Hee
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.47-55
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    • 2018
  • Objective : The purpose of this study is to consider the change of hand function according to the quality of sleep and to find out a correlation among the quality of sleep and hand function, and sleep disturbing factors. Method : 23 patients who were hospitalized more than 6 months from Nov. 2017 to Jan. 2018 were tested for the quality of sleep used by sleep quality scale, for the grip strength used by a dynamometer, and for the coordination used by BBT and 9-Hole Peg test. The collected data were analyzed to implement the paired t-test and Pearson correlation coefficient. Result : In the high grade group of sleep score, the quality of sleep & BBT, and the grip strength & BBT have correlated each other; and in the medium group, only the latter has shown a correlation. In both groups, the quality of sleep and the sleep pattern have showed significant high correlation. Conclusion : When the elderly in geriatric hospitals show qualitative differences, BBT and the combination of treatment for the improvement of grip strength can improve the quality of sleep. And the sleep pattern intervention is considered to be effective to improve the quality of sleep.

The Effect of Cool Dialysis on Dialytic Stability, Feeling of Fatigue, Pruritus and Dialysis adequacy in Hemodialysis Patients (저온투석이 혈액투석환자의 투석안정성, 피로감, 소양증과 투석적절도에 미치는 영향)

  • Kim, Yun Ah;Han, Eun Kyoung;Kim, Mi Young
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.11-20
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    • 2018
  • The purpose of this study was to examine the effect of the application of cool dialysis on dialytic stability, feeling of fatigue, pruritus and dialysis adequacy in hemodialysis. Methods: The study design was nonequivalent control group pretest-posttest design. The subjects were 50 patients who were hospitalized to hemodialysis. The experimental group cool dialysis(n=25) and the control group received only the usual treatment (n=25). The collected data were analyzed using independent t-test to examine study hypothesis. Results: The level of dialytic stability (F=5.53, p=.023) and feeling of fatigue (F=4.01, p<.001) in the experimental group were significantly different from that of the control group. However, the level of pruritus(F=.74, p=.394) and dialysis adequacy(F=1.02, p=.327) in the experimental group were not different from that of the control group. Conclusion: The study findings confirm that cool dialysis as an effective intervention alleviating dialytic stability and feeling of fatigue.

A Convergence Study about the Effect Path of Satisfaction with Biological nursing science on Clinical competence (기초간호학만족도가 임상수행능력에 미치는 효과 경로에 관한 융합 연구)

  • Lim, Jung-hye
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.421-429
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    • 2019
  • This study is convergence study about the effect path of relationship among satisfaction with biological nursing science, satisfaction with major nursing subject, critical thinking disposition, satisfaction with major and clinical competence. The survey was performed on 203 nursing students in three college. Data was collected using a structured questionnaires in May 2018 and analysed with PASW 18.0 and AMOS 18.0. Model fit indices were in good agreement with recommended level(${\chi}^2/DF=1.093$, GFI=.992, AGFI=.968, RMSEA=.021, CFI=.998, NFI=.983). Base on the path model, satisfaction with biological nursing science showed a direct effect on satisfaction with major nursing subject(${\beta}=.345$), satisfaction with major nursing subject showed a direct effect both on critical thinking disposition(${\beta}=.272$) and satisfaction with major(${\beta}=.277$), critical thinking disposition showed a direct effect both on satisfaction with major(${\beta}=.365$) and clinical competence(${\beta}=.582$), satisfaction with major a direct effect on clinical competence(${\beta}=.228$). In conclusion the biological nursing science satisfaction has eventually improved clinical competence. Therefore, it is necessary to develop and apply various teaching methods that can increase satisfaction with biological nursing science.

Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory (재가 노인의 죽음불안에 영향을 미치는 요인: 생태학 이론을 바탕으로)

  • Kim, Yeonha;Kim, Minju
    • Journal of Hospice and Palliative Care
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    • v.22 no.1
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    • pp.30-38
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    • 2019
  • Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.