• Title/Summary/Keyword: Community Based Rehabilitation

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Awareness and Needs for Community based Telerehabilitation Service: A Survey for Users of Centers for Independent Living (장애인 자립생활센터 이용자를 대상으로 한 원격재활서비스에 대한 인식 및 요구도)

  • Cha, Ye-Rin;Kim, Jung-Yeon;Jung, Bong-Keun
    • 재활복지
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    • v.21 no.4
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    • pp.119-147
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    • 2017
  • The purpose of this study is to analyze the awareness and needs for community based Telerehabilitation(TR) service by carrying out a online survey targeting individual with disabilities. By using the survey, we attempt to utilize the results as the basis for the health promotion and effective rehabilitation service to the disabilities in the community. Survey was conducted on the 162 target users, who use center for independent living, are registered as disabled. There are 34 questions in total. The results of the study are as follows. First, 74.7% of respondents said 'they had never heard of TR service'. 68.3% of the respondents said that 'they want to use the service' and 78% are positive about the service. Second, 84% of them said 'they have an intend to participate the service', 87.1% of the respondents answered that they needed 'very necessary' and 'necessary' in the question of necessity. Third, as a results of searching the requirements for TR service, it was found that there are requirements such as service system and construction considering the characteristics of the disabled, service provision of rehabilitation experts, and various program composition. Based on the results of this study, we suggest the development of a differentiated TR system program to improve the quality of rehabilitation for individuals with disabilities by considering the reality of rehabilitation treatment of community disabled people and considering the knowledge and needs of TR system.

Study on the Degree of Perceptions and Needs regarding the Driving Rehabilitation of the Students of Occupational Therapy in Busan and Gyeongnam (운전재활에 대한 부산 경남지방 작업치료과 학생들의 인식도 및 요구도 조사)

  • Song, Min-Ok;Jang, Chel
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.2
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    • pp.85-95
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    • 2013
  • Objective : The purpose of this study was to know the degree of the perceptions and the needs regarding the driving rehabilitation of students of occupational therapy. Method : Subjects are 317 students, department of occupational therapy of 4 colleges in Gyeongnam and Busan. Questionnaire consist of 15 questions of perceptions of the driving rehabilitation, 9 questions of needs of the driving rehabilitation, and 4 questions of subjects. The period of surveys was from 12, May to 12, Jun, 2013. Result : 73(23.1%) students answered that they knew about the driving rehabilitation and 47(14.8%) students answered that they experienced the driving rehabilitation. The answers about the channels of knowing and experience regarding driving rehabilitation had 'through the college'. The perceptions regarding the specialist and programs of driving rehabilitation was low compared with the knowing of the driving rehabilitation. The perception of needs regarding the driving rehabilitation for people with disabilities was high and they answered that they need the educations regarding driving rehabilitation. The 3rd grade students had high degree of perceptions and needs compared with 1st and 2ed grade students. And A college students had high degree of perceptions and needs compared with C and D college students. Conclusion : It is important that subject regarding of the driving rehabilitation include in curriculum of occupational therapy for strengthen the role of the occupational therapist in the driving rehabilitation.

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Application and Developmental Strategies for Community-Based Injury Prevention Programs of the International Safe Communities Movement in Korea

  • Bae, Jeongyee;Cho, Joonpil;Cho, Seong-il;Kwak, Minyeong;Lee, Taehyen;Bae, Christina Aram
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.910-918
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    • 2015
  • Purpose: Safety of humans is an important factor that affects health overall, and injuries are one of the major public-health problems in the world. The purposes of this study were to describe the International safe Community movement which contributes to the injury prevention and safety promotion all over the world, and to identify out the application and developmental strategies for Korea. Methods: A review was done of previous research, reviews, and reports on the history, concepts, basic principles, and recommendations for actions of the Safe Community. Results: For this study, the application strategies of the International Safe Community movement in Korea were examined to deduce the strengths of the safe Community program. Community-based injury prevention work according to the International Safe Community model is a successful and cost-effective way of reducing injuries in the community. Conclusion: Through the International Safe Community program, communities are able to realize a healthy community and achieve improved quality of lives for the people, which is the ultimate objective of the Safe Community model. In addition, it will contribute to the economic vitalization and gain through energy and enhancement of productivity of people.

Effects of a Computer-based Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community (지역사회 경증치매환자를 대상으로 한 전산화 인지재활 치료(COMCOG) 효과)

  • Jeong, Won-Mee;Hwang, Yun-Jung;Youn, Jong Chul
    • 한국노년학
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    • v.30 no.1
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    • pp.127-140
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    • 2010
  • This study aims to understand the effects of a Computer - based Cognitive Rehabilitation Therapy(CBCRT) evidence based on mild dementia patients' ability to activities daily living(ADL), cognitive function and measure of occupational performance and to suggest basic data for a cognitive rehabilitation therapy for dementia patients. Method : A CBCRT was applied two times a week for 5 weeks to 14 mild dementia patients who visited Yongin Center for Managing Dementia in Gyeongi-do between February and August 2009. Based on frame of reference for Visual-Perception a CBCRT was applied at home. Moreover, a one group pretest-post test design was, which is a quasi-experiment and research, also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability to ADL, cognitive function and occupational performance skills. Results: A significant effect was confirmed (p<.05) from the CBCRT which Assessment of Motor and Process Skills(AMPS) processing skills and cognitive function and occupational performance skills. Neither was found any significant effect in improving motor skills from AMPS. Conclusion: It seems that a CBCRT based on evidence and has an effect on the improvement of the ability to ADL and cognitive function of mild dementia patients living in a community. The present author hopes that, in the future, more cognitive rehabilitation programs will be developed to improve the functions of mild dementia patients living in a community.

A Study on the Appropriateness of Community Rehabilitation Job Knowledge and Education for Community Care : Focusing on the Job as an Occupational Therapist (커뮤니티케어를 위한 지역사회 재활 직무 지식과 교육의 적절성 조사연구 : 작업치료사 직무 중심으로)

  • Bae, Seong-Hwan;Jo, Seok-Min;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.379-388
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    • 2021
  • This study was conducted to find out the appropriateness of knowledge and education of occupational therapists' community rehabilitation jobs for community care. A questionnaire was developed to find out the job knowledge level of occupational therapists working in the community and the appropriateness of school education and maintenance education, and the validity and reliability were verified through a preliminary survey. Based on the verified questionnaire, a survey was conducted on occupational therapists working in the community. As a result, overall, the average score was low in the level of knowledge about the job of occupational therapists engaged in the community and the appropriateness of school education and maintenance education. Through this study, we were able to know the necessary knowledge in the practice of community occupational therapy, understand the level of knowledge retention of occupational therapists working in the community, and learn about the appropriateness of school education and maintenance education. Referring to the results of this study, if a systematic education program related to community occupational therapy jobs is developed in existing medical institution-centered education, the job knowledge level of occupational therapists in the community can be raised. Amid the rapidly changing times and the pandemic of infectious diseases, additional research is needed on job-related knowledge and education corresponding to various occupations in charge of rehabilitation in the community.

A Comparative Study of the Time Use and Quality of life in Local Community and Convalescent Hospital of the Stroke Patient (거주 환경에 따른 뇌졸중 환자의 시간 사용과 삶의 질 비교 연구)

  • Kim, Hyeong-Min;Shim, Min-Kyu
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.1
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    • pp.1-10
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    • 2014
  • Objective : The purpose of this study was to comparatively analyze time use and quality of life in stroke patients who use Local community or convalescent Hospital environment. Methods : The study subjects were 74 stroke patients who were admitted to convalescent Hospital or who were being rehabilitated as outpatients. The Occupational Questionnaire(OQ)was used for measuring time use and the Stroke Specific Quality of Life(SS-QOL) utilized to measure Quality of life. Excluding 8 patients who did not fit selection criteria, 66 patients were selected and analyzed. Results : After comparatively analyzing time use in Local community and convalescent Hospital environment, significant differences were found in daily living(p<.05), resting(p<.05). In addition, in quality of life, significant differences were found in family(p<.05), self-management(p<.05), and social roles(p<.05). Conclusion : Local community patients used their time in daily living, resting more efficiently than convalescent Hospital patients, and also had a higher quality of life.

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Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness (만성정신질환자의 정신사회재활모형 구축)

  • Kim, Hyun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.4
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    • pp.490-500
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    • 2007
  • Purpose: The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically. Method: Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL. Result: 1) The fitness indices of the model were $X^2=133.77$ (df=48, p=.00), GFI=0.93, AGFI=0.87, RMR=2.32, NNFI=0.95 and NFI=0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors. Conclusion: This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

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.

Review of Balance in Elderly by Vestivulo-ocular Reflex (안뜰눈반사를 통한 노인 균형 연구)

  • Baek, Su-Jeong
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.91-106
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    • 2018
  • The purpose of this paper is to review vestibulo-ocular reflex and vestibular rehabilitation for balace problem in elderly. Falling is a common problem associated with aging. Falling and the resulting consequences constitutes one of the most common and serious problems. Balance deficits are one of the top risk factors for falling. Three systems(visual, vestibular and somatosensory) need to be integrated and used to coordinate and control balance. During normal ambulation and head movement, the vestibulo-ocular reflex(VOR) stabilizes gaze, and helps to keep the image of the retina. There is a direct association between deficits in VOR and falls. Older adults have a decreased ability to enhance and suppress the VOR. Vestibular rehabilitation(VR) is an exercise-based group of approaches that began with the aim of central nervous system compensation. VR restores VOR gain and reduces error using repetitive movements of the head and eyes. Many researches showd balance and gait tests were superior in the VR group. It is considered this article helps to prevent elderly falling with vestibular rehabilitation.

A Web-based Platform for Managing Rehabilitation Outcome Measures

  • Sujin Kim;Jiwon Jeon;Haesu Lee
    • Physical Therapy Korea
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    • v.31 no.2
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    • pp.174-181
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    • 2024
  • Background: Effective management of clinical assessment tools is critical in stroke and brain injury rehabilitation research. Managing rehabilitation outcome measures (ROMs) scores and training therapists in multicenter randomized clinical trials (RCTs) is challenging. Objects: The aim of this study was to develop a web-based platform, the Korean Rehabilitation Outcome Measurement (KoROM), to address these limitations and improve both therapist training and patient involvement in the rehabilitation process. Methods: The development of the KoROM spanned from June 2021 to July 2022, and included literature and web-based searches to identify relevant ROMs and design a user-friendly platform. Feedback from six physical therapy and informatics experts during pilot testing refined the platform. Results: Several clinical assessment tools categorized under the International Classification of Functioning, Disability, and Health (ICF) model are categorized in the KoROM. The therapist version includes patient management, assessment tool information, and data downloads, while the patient version provides a simplified interface for viewing scores and printing summaries. The master version provides full access to user information and clinical assessment scores. Therapists enter clinical assessment scores into the KoROM and learn ROMs through instructional videos and self-checklists as part of the therapist standardization process. Conclusion: The KoROM is a specialized online platform that improves the management of ROMs, facilitates therapist education, and promotes patient involvement in the rehabilitation process. The KoROM can be used not only in multi-site RCTs, but also in community rehabilitation exercise centers.