• 재활간호학회지
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• 제4권2호
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• pp.187-197
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• 2001

The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

• Physical Therapy Rehabilitation Science
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• 제11권2호
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• pp.154-164
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• 2022

Objective: The purpose of this study is to select a cognitive training game that can evaluate five cognitive domains and to study their validity with existing cognitive evaluation tools. Design: Methods: Delphi survey was conducted through the 2nd questionnaire for 30 experts to select games suitable for training 5 cognitive domains. Five cognitive training games and Mini Mental State Examination - Korea(MMSE-K), and cognitive impairment screening test(CIST) were conducted for 82 elderly in the community. Pearson correlation analysis was performed to find out the correlation of the three tests. The ROC curve was used to calculate the selection criteria for the game results for the screening evaluation of the presence or absence of mild cognitive impairment. Results: The coefficient of variation to evaluate the stability of the Delphi survey was less than 0.50 in most game items. The 'correct answers' and 'level' of the five final selected game items showed a statistically significant positive correlation with the CIST and MMSE-K scores. CIST score and 'time' of all game items except 'number making_time' showed a statistically significant negative correlation. Conclusions: The validity of the cognitive training program using smart devices was evaluated, and the criteria for classifying the cognitive domain and distinguishing the presence or absence of cognitive impairment were confirmed.

• 대한간호학회지
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• 제4권1호
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• pp.64-80
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• 1974

The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

• 지역사회간호학회지
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• 제18권3호
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• pp.480-491
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• 2007

Purpose: This study was to investigate the needs of health & community services among the disabled at home in rural areas. Methods: The subjects were 146 persons with disabilities living in J-gun. The questionnaire was based on the needs of 8 categorical services. Data were analyzed using frequency, percentage, mean, standard deviation, minimum, maximum, t-test, one-way ANOVA and Scheffe test. Results: Among the respondents, 27.4% visited the public health center in community for rehabilitation therapy. The average score of need was $2.62{\pm}.79$: education services $(2.92{\pm}1.05)$; medical services $(2.81{\pm}.82)$ nursing care services $(2.75{\pm}1.08)$; connection services $(2.62{\pm}1.20)$;, housing services $(2.60{\pm}1.09)$; emotional services $(2.41{\pm}1.03)$; other services $(2.24{\pm}1.06)$; and support of self-sustenance service $(1.92{\pm}1.15)$. The items in highest need were medical checkup (70.7%), medication (62.1%), traditional oriental therapy (60.4%) and physical therapy (58.9%), and those of lowest need were device repair (8.7%) and guidance of facility admission (7.1%). Needs were significantly different according to age (F=4.751. p=.001), employment status (t=2.108, p=.037) and medical fee payer (F=5.061, p=.002). Conclusion: The needs of education & medical services were relatively high. Demographic factors were statistically significant in determining needs. For the disabled at home in rural areas, more various services or programs should be executed based upon the needs and characteristics of based upon the needs and characteristics of the subjects.

• Nutrition Research and Practice
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• 제9권3호
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• pp.268-277
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• 2015

BACKGROUND/OBJECTIVES: Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS: The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS: Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS: Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.

• 농촌의학ㆍ지역보건
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• 제36권4호
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• pp.227-237
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• 2011

농촌지역 재가장애인의 재활서비스 이용실태를 파악하고자 일개 농촌지역 재가장애인(3-6급 뇌 병변 지체장애) 101명을 대상으로 2011년 3월부터 4월까지 면접 조사를 실시하였다. 대상자는 여자가 65.3%였고, 70세 이상이 53.5%로 가장 많았고, 초등졸 이하가 72.3%이었다. 주관적 경제상태는 보통이상이 56.4%, 의료보장형태는 94.1%가 건강보험이었다. 대상자의 장애 및 건강관련 특성으로는 지체장애가 81.2%, 장애등급별은 3-4급이 41.6%로 가장 많았고, 동반 질환이 있는 경우가 74.3%였다. 본인이 생각하는 자신의 장애정도가 '심각하다'고 한 경우가 69.3%였다. 재가장애인의 70.3%는 퇴원 후 현재 재활서비스를 받고 있었다. 이용하지 않는 이유로는 치료의 효과성과 주변 서비스 기관의 부재, 경제적인 측면 등을 이유로 들었다. 재활서비스를 받기 위해 이용하고 있는 기관은 병의원, 재활의학과 병의원, 한의원 보건소 순으로 많았다. 현재 이용하고 있는 재활서비스 내용에 대해 19.7%가 만족한다고 하였고, 불만족의 이유로는 거리가 멀어서가 가장 많았다. 현재 재활서비스 이용여부에 영향을 미치는 유의한 변수로는 성별, 직업유무, 주관적 경제상태, 장애발생 원인이었다. 즉, 여자인 경우, 직업을 가진 경우, 경제상태가 좋은 경우, 장애발생이 후천적인 경우 재활서비스 이용이 높았다. 농촌지역 재가장애인의 70.3%가 현재 재활서비스를 이용하고 있으나 포괄성, 접근성, 지속성, 만족도 등에서 미흡한 것으로 나타났다. 현재 국가차원에서 추진되고 있는 지역사회중심재활사업을 중심으로 농촌지역 재가장애인을 위한 양적 및 질적으로 충분한 재활서비스 제공이 요구되며, 미이용 집단 및 미충족 집단을 우선 사업대상자로 선정하여 서비스를 제공하는 전략이 필요할 것으로 판단된다.

• 대한지역사회작업치료학회지
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• 제3권1호
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• pp.11-20
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• 2013

목적 : 본 연구의 목적은 지역사회에 거주하는 일반노인들의 사회적지지, 사회적관계망이 삶의 질에 미치는 영향을 확인하고자 한다. 연구방법 : 연구 대상은 부산광역시, 경상북도 경주시에 소재한 장애인복지관, 보건소, 노인복지관 13곳의 건강한 남 여 노인 75명을 대상으로 하였다. 일반적 특성, 인지능력, 사회적지지, 사회적관계망, 삶의 질이 포함된 설문지를 통해 조사하였고, 대상자 선정 기준에서 제외된 12명을 제외한 63명을 대상으로 분석하였다. 결과 : 삶의 질에 영향을 미치는 변인들의 상관관계를 분석 한 결과 접촉빈도(p<.05)와 친밀도(p<.001) 그리고 사회적지지(p<.001)에서 정적인 상관관계가 나타났다. 최종적으로 지역사회거주 일반노인의 삶의 질에 영향을 미치는 변인으로는 친밀도(p<.001)로 분석되었다. 결론 : 지역사회 거주하는 일반노인들의 친밀도가 삶의 질에 영향을 미치는 주요 변인으로 파악되었다. 수동적인 삶을 살아가는 노인이게 있어 사회관계망의 질적 특성인 친밀도의중요성을 확인할 수 있었다.

• 재활치료과학
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• 제10권1호
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• pp.63-75
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• 2021

목적 : 본 연구는 보건소에 근무하는 작업치료사들의 지역사회 재활 및 보건서비스 제공에 관한 업무 경험에 대한 이해를 통해 향후 건강한 지역사회를 만들기 위해 보건소 작업치료사들의 역할 및 업무들을 알아보고자 하였다. 연구방법 : Giorgi의 현상학적 연구방법론을 적용하여, 지역사회 내 근무하는 보건소 작업치료사 6명에게 심층 인터뷰를 진행하였다. 사전 동의를 통해 대화 내용은 녹음되었고, 녹음된 자료는 패턴화된 반응이나 주제를 분석하고자 Colaizzi의 주제 분석법(Thematic analysis) 7단계에 따라 분석하였다. 결과 : 분석 결과, 4개의 범주와 16개의 주제, 24개의 하위요인을 도출하였다. 보건소 내 작업치료사가 주로 행하는 업무 영역 및 역할은 대상자 평가, 방문재활치료, 치매관리사업, 지역사회 연계사업으로 나타났다. 그 외 작업치료사가 느끼는 건강한 지역사회를 만들기 위해 향후 보건소에서 필요한 중재는 사례관리 및 프로그램 매니지먼트, 다양한 보상적 접근방법 적용, 건강한 생활습관을 위한 중재로 나타났다. 보건소 근무 시 작업치료사들이 경험하는 어려움으로는 작업치료사의 인력 부족, 고용 불안정으로 인한 사기저하, 실적 위주의 행정 정책으로 인한 업무의 부담감, 전문인력 간 소통의 부족으로 나타나는 업무 효율성 저하가 나타났다. 반면에 보건소에서 근무하는 작업치료사들이 느끼는 보람으로는 치료의 자율성 보장을 가장 큰 장점으로 응답하였다. 보건소 작업치료사의 역량 강화를 위해 필요한 교육으로는 보건행정, 보건소 실습으로 나타났다. 결론 : 본 연구결과는 현재 보건소 및 치매 안심 센터의 필수인력으로 자리 잡은 작업치료사들의 향후 업무 범위 및 역할과 관련된 가이드라인과 지역사회 공공서비스 내 역량 있는 작업치료사를 양성하기 위한 교육의 기초자료로 활용될 수 있을 것이다.

• PNF and Movement
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• 제3권1호
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• pp.1-15
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• 2005

Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

• 농촌계획
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• 제27권4호
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• pp.71-82
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• 2021

A diverse rural development projects are continuously increasing. However, in most villages, the business run by residents is not being operated normally. Followed by these problems, a follow-up management evaluation system has been created and utilized, but the existing evaluation system is only administratively approached and not suitable for application in reality. This research emphasizes that the perspective of community and re-startup support should be added to the evaluation system as these are projects that are carried out to improve the quality of life of local residents and enhance the rehabilitation of villages. Based on the evaluation system proposed in this study, field surveys and interview surveys were conducted targeting 10 villages in Taean-gun, Chungcheongnam-do in South Korea. As a result of the study, various types that have not been activated were derived, and they were presented by categoriz ing them. The purpose of this study is to help the rehabilitation of common rural villages by providing a updated post evaluation system and items that can be applied not only to Taean-gun but also to numerous villages in the entire villages in South Korea.