• Title/Summary/Keyword: 지역사회재활 프로그램

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Effect of Community-based Rehabilitation on Patients with Brain Injury: Meta-analysis Based on the ICF Model (뇌손상 환자의 지역사회재활(CBR) 프로그램의 효과: ICF 모델에 근거한 메타분석)

  • Cha, Yu-Jin;Kim, Se-Yun
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.203-214
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    • 2014
  • In this study, a meta-analysis was conducted to investigate the effect of community-based rehabilitation on patients with brain injury by ICF factor in previous studies and examine the application of recent community-based rehabilitation program. Total 15 articles that satisfied the selection criteria were divided by ICF factors to obtain the effect size. Homogeneity and publication bias were tested for those selected papers. As a result, the overall effect size of community-based rehabilitation was 0.22; the effect size by physical function and structure among the ICF factors came to be 0.21; and the effect size of activity and participation was 0.20, indicating a small effect size. The studies involved in a meta-analysis were considered as the absence of heterogeneity and publication bias, which indicates that the results of this study are subjectively reliable. These results well explained the level of change on ICF factors, especially physical function and structure, activity and participation, in other words, the intervention effect of community-based rehabilitation on patients with brain injury.

A Survey About Awareness and Necessity of Community Based Dysphagia Therapy of Community Dwelling Older Adults (지역사회 거주 노인들의 연하장애 인식과 중재 필요성)

  • Min, Kyoung Chul;Kim, Eun Hee;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.39-51
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    • 2022
  • Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.

Participation Experience Analysis of Newsports Program for People with Stroke living in the Community (지역사회에 거주하는 뇌졸중 장애인의 뉴스포츠 프로그램 참여 경험 분석)

  • Kang, Dongheon;Park, Jiyoung;Eun, Seon-Deok
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.541-556
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    • 2022
  • Exercise programs conducted for people with stroke disabilities tend to be monotonous as they are mainly focused on therapeutic effects in the form of physical therapy performed in hospitals. However, the news sports program conducted in this study is thought to deform the intensity and difficulty of exercise in consideration of the exercise ability of each subject and to participate safely and interestingly to use equipment made of special materials. The purpose of the present study was to understand new sports program participation experiences in people with stroke. The qualitative data on eleven participants' new sports program participation experiences were acquired through in-depth interviews. As a result of the study, four subcategories (expectations for the program, experience in participating in the program, and program improvement plan) and ten core concepts were derived. Based on the results of this study, the new sports program for people with stroke living in the community after discharge is expected to be the basis for the development of community-based exercise programs considering the characteristics of stroke.

The Mediating Effect of Empowerment between the Distributive Justice and the Burnout of Personnel in Community Rehabilitation Facilities (장애인지역사회재활시설 종사자의 분배공정성과 소진의 관계에서 임파워먼트의 매개효과)

  • Lee, Byoung-Rock
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.481-486
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    • 2022
  • This study verified the influence of distributive justice on burnout and inspected the mediating effect of empowerment of personnel in rehabilitation facilities. We surveyed 321 personnel in facilities of Daejeon and Chungnam areas. The main methods are structural equation model analysis and confirmatory factor analysis. The important analysis result is that distributive justice influenced burnout negatively and mdiating effect of empowerment was identified. According to analysis results, some measurements were proposed to reduce personnels' burnout. For increasing distribution fairness, compensation by objective evaluation of ability and workload, establishment of transparent compensation system, improvement of working conditions of irregular workers are required. In order to improve empowerment, leadership education for managers and operation of related programs, voluntary participation of employees in programs, provision of supervision and education of empowerment are needed.

A Study on Recognition and Activation Plan of Occupational Therapists for Community Based Rehabilitation in Pusan·Ulsan·Gyeongnam Province (부산·울산·경남 작업치료사의 지역사회중심재활에 대한 인식도 조사 및 활성화 방안)

  • Kim, Sung-Rye;Han, Seung-Hyup;Kim, Ji-Young;Park, Yong-Kwang;Lim, Ae-Jin;Han, Yun-Hee;Kam, Kyung-Yoon
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.1-11
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    • 2012
  • Objective : The purpose of this study was to investigate recognition and activation plan of community-based rehabilitation(CBR) by occupational therapists(OTs) in community rehabilitation center(CRC) and hospitals/clinics(HC) in Busan, Ulsan, and Gyeongnam province. Method : Frequency analysis, independent t-test and chi-squared test were performed with the SPSS 12.0 statistics package program. Result : CRC-OTs and HC-OTs were not significantly different in recognition was not significantly different in both groups. The need for involvement of OTs in CBR was very high in both groups. The suggested field for OTs in CBR were counseling for rehabilitation & information-providing, home-visiting rehabilitation, vocational rehabilitation, assistive device rental, education for disability prevention. It is required to establish CBR networking consisting of educational institutions for rehabilitation experts, local rehabilitation hospitals and clinics, and local government agencies as well as CRC and public health centers. Conclusion : CBR is recognized well by OTs in both CRC and HC and the involvement of OTs in CBR is highly needed by them. Activation plan for occupational therapy in CBR requires systemic and legal improvements.

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Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury : A Systematic Review (지역사회 재활이 외상성 뇌손상 환자에게 미치는 효과: 체계적 고찰)

  • Park, Young-Ju;Chang, Moon-Young;Kim, Kyeoung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.13-23
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    • 2012
  • Objective : The purpose of this study was to provide evidence for effectiveness of community-based rehabilitation methods and results after traumatic brain injury through systematic review. Methods : The materials of the research were collected by retrieving research items in the areas of "community-based rehabilitation" and "traumatic brain injury" from the data base of Ovid and PubMed. Among the collected materials, 7 research results are suggested concerning the effectiveness of rehabilitation in community-based after traumatic brain injury in terms of subjects, measurement tools, cure methods and results. Results : Characteristics of subjects were diverse in numbers of subject, age, level of impairment and duration of disease. Research designs were all experimental studies and the most outcome parameters of community-based rehabilitation was occupational performance(27.7%). Cure methods were used occupational therapy programs concerning rehabilitation programs, cognitive therapy, cognitive behavioral therapy and home based occupational therapy. Conclusion : The results implied that community-based rehabilitation is effective on occupational performance, participation, prevention, and occupational justice, partially effective on adaptation, health and wellness, and non effective on the role competence. It is suggested the future research need to be done to develop intervention programs and studies in every types.

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A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.

The Mediating Effect of Job Satisfaction between Professionalism Perception and Organizational Commitment of Social Workers in Welfare Centers for Disabled Persons (장애인지역사회재활시설 사회복지사의 전문성인식과 조직헌신의 관계에서 직무만족의 매개효과)

  • Lee, Byoung-Rock
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.343-347
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    • 2022
  • This research tested the relationship between professionalism perception and organizational commitment of social workers in welfare centers for disabled persons. And this analyzed the the mediating effect of job satisfaction. We surveyed 239 social workers in 14 centers of C Province and D City. The analysis result is that social workers' professionalism perception influenced the organizational commitment and the job satisfaction mediated between the variables. According to this study result, we can suggest some plans to improve social workers' organizational commitment. For improving social workers' professionalism perception, it is important to carry out strengthening of professional remuneration education, recruitment scores for calling as a professional, and reasonable operation reflecting their opinions. To promote social workers' job satisfaction, we need to actively provide counseling to social workers who experience emotional labor, to offer appropriate supervision and job training, and to develop and disseminate programs to improve the leadership of the facility's chiefs.