• Title/Summary/Keyword: Adults with Disabilities

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Effects of a Rehabilitation Nursing Program on Muscle Strength, Flexibility, Self efficacy and Health Related Quality of Life in Disabilities (장애인을 위한 재활간호프로그램이 근력, 유연성, 자기 효능감과 건강관련 삶의 질에 미치는 효과)

  • Lee Hea-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.484-492
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities. Method: a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0 Result: Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor. Conclusion: RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.

The Effects of Parentification of Early Adult Non-disabled Siblings on Ambivalence over Emotional Expression and Moderating Effects of Rejection Sensitivity (성인초기 비장애형제자매의 부모화 경험이 정서표현양가성에 미치는 영향과 거부민감성의 조절효과)

  • Son, Juhee;Park, Juhee
    • Human Ecology Research
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    • v.57 no.3
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    • pp.445-457
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    • 2019
  • This study investigated the impact of parentification on ambivalence over the emotional expression of early adults who had a sibling with disabilities and examined if rejection sensitivity moderated the relationship of parentification and ambivalence over emotional expression. Participants consisted of 116 siblings in early adulthood who had a sibling with disabilities (45 male; 71 female). The data were collected from 13 centers for family disability, four community rehabilitation centers, three parent societies for people with disabilities, and three self-help groups in Seoul, Busan, and Gyeonggi province. The levels of ambivalence over emotional expression, parentification, and rejecton sensitivity were measured by the Ambivalence over Emotional Expression Questionnaire (King & Emmons, 1990), the Filial Responsibility Scale-Adult (Jurkovic, Thirkield, & Morrell, 2001), and the Rejection Sensitivity Questionnaire (Downey & Feldman, 1996), respectively. The PROCESS Macro program examined the moderating model. The Results indicated that both levels of parentification and rejection sensitivity increased the level of ambivalence over emotional expression of non-disabled siblings. In addition, rejection sensitivity moderated the effect of parentification on ambivalence over emotional expression. The influence of parentification on ambivalence over emotional expression was greater when the level of rejection sensitivity was high, compared to when it was low.

The Study of Muscle Activity Change with Lower Extremity during Stair and Ramp Walking in Young Adults (젊은 성인의 계단과 경사로 오르기 동안 하지의 근활성도 변화 연구)

  • Han, Jin-Tae;Nam, Tae-Ho;Shin, Hyung-Soo;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.3
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    • pp.177-183
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    • 2008
  • Purpose : The purpose of this study was to investigate characteristics of the muscle activities during level walking and stairs ascending in young adults. Methods : Fifteen young adult were recruited this study. Muscle activity (BIOPAC System Inc., Santa Barbara, U.SA). Statistical analysis was difference between level and stair walking. Results : In stance phase, muscle activity of low extremity generally more increased during ramp ascent both young adults. In swing phase, muscle activity of low extremity generally more increased during stairs ascent in young adults. Conclusion : These results indicate that stair and ramp ascent is more difficult task than level walking in young adults. Muscle activity was more changed at ramp ascent. In the future, we suggest that studies of stair and ramp gait pattern regarding ambulatory patient with disabilities be further studied and an appropriate stairs and ramp inclination will be indicated.

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An exploratory study of differences in the relationship between social support and caregiving self-efficacy among mothers of persons with intellectual disability across the life span (지적 장애인을 자녀로 둔 어머니의 사회적 지지가 돌봄 자기효능감(Caregiving Self-Efficacy)에 주는 영향: 장애인 생애주기의 조절효과에 대한 탐색적 연구)

  • Kim, Kyo-Yeon
    • Korean Journal of Family Social Work
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    • no.23
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    • pp.43-70
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    • 2008
  • This study investigated the relationship between social support and caregiving self-efficacy among 530 mothers of persons with intellectual disabilities in their childhood(age 3-12), adolescence(age 13-18), and adulthood(age 19-35), exploring the moderating effect of the life span affiliation of the children with disabilities. The analysis revealed that greater perception of social support predicted higher level of caregiving self-efficacy for all the mothers. However, the moderating effect was detected indicating that there were differences in the effects of social support on caregiving self-efficacy across groups. Although social support was found to have some positive effects on caregiving self-efficacy for each group of mothers of both adolescents and adults, no effects for a group of mothers of children. These findings suggested that greater emphasis be placed on the expanded provision of social support for families of persons with intellectual disabilities in their developmental stages following the childhood.

Predicting Subjective Well-being of Workers With Disabilities Using Integrated Social Cognitive Career Theory (통합된 사회인지진로이론을 적용한 장애인 근로자의 주관적 안녕감 예측 모형)

  • Kim, Do-Hee
    • Journal of Digital Convergence
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    • v.20 no.2
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    • pp.431-446
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    • 2022
  • This study tested the possibility of applying the integrated social cognitive career theory for workers with disabilities to explore ways of predicting and enhancing their subjective well-being. It analyzed 952 adults who were employed for three years, among the workers who had participated in the Panel Survey of Employment for the Disabled from 2016 to 2018. The results showed that disability acceptance was positively related to occupational self-efficacy, job satisfaction, and life satisfaction with statistical significance, and that occupational self-efficacy had a partial mediating effect on the relationship between job satisfaction and disability acceptance. Moreover, both auto-regressive and cross-lagged effects between disability acceptance and job satisfaction were found to be statistically significant. These findings imply that disability acceptance and occupational self-efficacy can be regarded as important factors to increase the subjective well-being of workers with disabilities.

Current Trends Analysis of Welfare Technology in Korea for Older Adults and People with Disabilities (노인과 장애인을 위한 국내 복지기술 동향 분석)

  • Park, So-Young;Lee, Youngseok;Kang, Chang Wook;Park, Hwa-Ok;Bae, Seong-Geon;Lee, Jae-Wook;Choi, Seungsook
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.295-304
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    • 2017
  • The purpose of the study was to develop welfare technology classification frame according to welfare needs, function, and ICT technology and to explore current trends in Korean welfare technology application for older adults and people with disabilities. A systematic literature review and descriptive statistics were used for data analyses. Korean welfare technology services were categorized by a new welfare technology classification frame with five components for welfare needs and function and eight ICT technologies. Self-reliance and self-help emerged as the most frequent welfare needs and function. The use of ICT devices was frequently applied to welfare technology services. Our findings suggest that it is important to use a new welfare technology classification frame and to apply it to welfare technology in Korea. Further research is necessary to seek for future directions in Korean welfare technology.

An Operating Plans for the Interconnection between Local Agencies and Promotion of Professional Human Resources on the Special Education Convergence Based on 「Department of Support for the individuals with Developmental Disabilities in Graduate school」 (특수교육 융합 기반 「대학원 발달장애인지원학과」의 전문인력 양성체제 및 지역 유관기관 간 연계 운영방안)

  • Kim, Young-Jun;Kang, Kyung-Sook
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.89-103
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    • 2019
  • This study was conducted with the aim of exploring methods of fostering professional human resources of the "department of support for the individuals with developmental disabilities in graduate school" based on the convergence of special education and connection between local relevant institutions. To this end, research methods were constructed that combine literature exploration and expert meetings. First, the system for fostering professionals in the "department of support for the individuals with developmental disabilities in graduate school" based on the convergence of special education programs was presented interlinked with the system for fostering professional human resources in the organizational and academic categories. Next, the link operation plans between relevant local institutions under the "department of support for the individuals with developmental disabilities in graduate school" based on the convergence of special education programs were presented interlinked with core management measures for curriculum education and cooperative support. In order to conclude the preconditions for the realization of the above research results, we presented leadership of special education convergence on the support system for lifelong education for adults with developmental disabilities.

Behavioral Problems in Patients with Prader-Willi Syndrome

  • Park, Sung Won
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.5 no.1
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    • pp.29-33
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    • 2021
  • Prader-Willi Syndrome (PWS) is a neurodevelopmental genomic imprinting disorder involving a lack of gene expression from the paternal chromosome 15q11-q13 region. This is typically due to paternal 15q11-q13 deletions (in approximately 60% of cases), maternal uniparental disomy 15, or when both 15s are from the mother (about 35% of cases). An imprinting center controls the expression of imprinted genes in the chromosome 15q11-q13 region. PWS is a neurodevelopmental disorder characterized by mental retardation and distinct physical, behavioral, and psychiatric features. Characteristic behavioral disturbances in PWS include excessive interest in food, skin picking, difficulty with a change in routine, temper tantrums, obsessive and compulsive behaviors, and mood fluctuations. Individuals with PWS typically have intellectual disabilities (borderline to mild/moderate mental retardation) and exhibit a higher overall level of behavior disturbances compared to individuals with similar intellectual disabilities. This condition severely limits social adaptations and quality of life. Different factors have been linked to the intensity and form of these behavioral disturbances, but there is no consensus regarding the cause. Consequently, there is still controversy surrounding management strategies and there is a need for new data. PWS is a multisystem disorder. Family members, caregivers, physicians, dieticians, and speech-language pathologists all play an important role in the management and treatment of symptoms in an individual with PWS. Here we analyze behavioral problems in children and adults with PWS by age and review appropriate management and treatment strategies for these symptoms.

A Study from a Highly Populated Country : Risk Factors Associated with Lower Back Pain in Middle-Aged Adults

  • Feda Anisah Makkiyah;Tasya Anggraini Sinaga; Namira Khairunnisa
    • Journal of Korean Neurosurgical Society
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    • v.66 no.2
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    • pp.190-198
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    • 2023
  • Objective : Low back pain (LBP) is a global health problem that affects the productivity of the patients. Several factors such as individual, occupational, and psychosocial factors increase the risk of LBP. However, only a few studies investigated those factors, especially in middle adulthood in Indonesia. Indonesia is a country with a young population that has been rapidly developing in recent years. This study was conducted to find out the factors associated with LBP in middle adulthood. Methods : This study is a cross-sectional observational analytic study using a convenience sampling method with a total sample of 3005 respondents. Data were collected using a questionnaire which was then analyzed using the chi-square test, Kolmogorov-smirnov, Spearman's Rank, and logistic regression test. Results : From the result of this study, it was found that the 12-month prevalence of LBP in middle-aged adults was 44,29%. Female (odds ratio [OR], 1.3; 95% confidence interval [Cl], 1.098-1.545; p=0.002), lack of physical exercises (OR, 0.87; 95% Cl, 0.794-0.959; p=0.005), high body mass index (OR, 1.09; 95% Cl, 1.009-1.187; p=0.002), stress level (OR, 1.26; 95% Cl, 1.088-1.458; p=0.002), and years of work experience (OR, 1.1; 95% Cl, 1.001-1.225; p=0.047) were determined as risk factors that significantly associated with LBP. Conclusion : LBP is quite common among middle-aged adults in Indonesia. Female gender, higher body mass index, lack of physical activity, stress level, and years of work experience were all potential risk factors for LBP in middle-aged adults. Middle-aged adults in Indonesia should be aware of LBP and avoid disabilities by identifying risk factors that may worsen LBP in the future.

Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study

  • Park, Min Jeong
    • The Korean Journal of Rehabilitation Nursing
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    • v.20 no.1
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    • pp.42-51
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    • 2017
  • Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.