• 한국융합학회논문지
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• 제12권6호
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• pp.217-223
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• 2021

본 연구는 장애인지역사회재활시설 종사자들을 대상으로 동료관계가 소진에 미치는 영향에서 조직헌신의 매개효과를 검증하였다. 대전과 충남의 14개소 장애인지역사회재활시설에서 종사하는 직원 352명의 설문지를 분석하였다. SPSS 18.0 및 Amos 18.0을 활용하여 기술통계와 빈도분석, 신뢰도와 상관관계, 그리고 확인적 요인분석과 Bootstrap 검정 등을 사용했다. 종사자들의 동료관계가 소진에 부적 방향으로 유의하게 영향을 미쳤고 그 관계에서 조직헌신의 매개효과가 검증되었다. 분석결과를 기초로 장애인지역사회재활시설 종사자들의 소진을 감소시킬 방법들을 제안하면 다음과 같다. 첫째, 종사자들의 동료관계를 개선시키기 위해 대인관계증진 교육, 동료관계에서 발생하는 스트레스를 관리할 슈퍼비전 체계, 동료관계를 개선시키는 의사소통 프로그램 등이 필요하다. 둘째, 종사자들의 조직헌신도를 높이기 위해 임파워먼트 향상을 위한 자조모임의 활성화, 감정노동의 적절한 관리, 업무수행과 상황대처 능력을 향상 시킬 수 있는 전문적인 보수교육 등이 필요하다.

• 디지털융복합연구
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• 제19권3호
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• pp.445-452
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• 2021

본 연구는 그동안 분석되지 않은 장애인지역사회재활시설 종사자의 전문성인식이 직무만족에 미치는 영향, 그리고 이 관계에서 자아효능감의 매개효과를 검증하였다. 충남과 대전 지역의 14개 장애인복지관의 종사자 367명을 대상으로 조사한 설문자료를 분석하였다. 장애인지역사회재활시설 종사자의 전문성인식이 직무만족에 정적인 방향으로 유의미한 영향을 미치는 것을 확인하였다. 그리고 두 변수 간의 영향 관계에서 자아효능감의 부분매개효과를 검증하였다. 이러한 본 연구의 분석결과를 바탕으로 장애인지역사회재활시설 종사자의 직무만족을 향상시키기 위해 장애인지역사회 재활시설 종사자들의 전문성인식과 자아효능감을 향상시키기 위한 다양한 방법들을 제안하였다. 이후에는 장애인지역 사회재활시설 종사자들을 대상으로 하여 직무만족을 높일 수 있는 다양한 변수들 간의 관계에 대한 연구들이 이어지기를 기대한다.

• The Journal of Korean Physical Therapy
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• 제10권1호
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• pp.75-80
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• 1998

To survey the recognition of Community Based Rehabilitation (CBR) by Public Health Center(PHC) Physical Therapists in Kyoungki Province. This study analysed general characteristic of Physical Therapists and congnition, participation, education, problems and requireanents for CBR. The objects of this study were 37 therapists who work at 27 of 39 PHC in Kyoungki province and data was collected for 20days from Jan. 12 to 31. 1998 and the results computed from 32 responses. First, Female therapists outnumber males. The age category 30 to 35 old represneted $56.2\%$ of the total number studied. $59.4\%$ of therapists had worked more than 7 years and therapists usually$(46.9\%)$ worked from 6 month to 2 years at the PHC. Junior college graduates were $84.4\%$, and respondents with family responsibilirt were $65.6\%$. Second, Recently pain control has become the major requirment of patiants at PH$(53.1\%)$. If they offered expaneded services - a rehabilitation program $(53.1\%)$, home vistation $(31.3\%)$. when asked about a working guide book, nobody had one. Third, $68.7\%$ of therapists were aware of the present level of CBR, $40.9\%$ of them had gotten an information from educated colleagues, and $68.7\%$ of therapists were aware of the present level of CBR, $86.4\%$ of therapists felt responsible to provide rehabilitation Fourth, For CBR, $93.7\%$ had positive ideas in which they could participate. $73.3\%$ wished to composed a team of various rehabilitational specialists. $73.3\%$ wished for the meeting day to be flexible and $86.6\%$ desired to meet once or twice a week. Fifth, Almost all$(96.9\%)$ desired more educational opportunity about CBR. Example, once or twice a year$(56.2\%)$ and training period of 4-7 days $(43.7\%)$. They wanted to learn theory and practice together$(74.2\%)$ and $74.2\%$ wanted the mational multi-rehabilitation center as a educational managing organization. Sixth, The most important requirment for accomplishing CBR by physical therapists was job security and an adequate number of therapists$(84.4\%)$ Required number of physical therapists in the PHC was 3 $(43.7\%)$. The cooperative agency should be the district goverment organization $(56.2\%)$. Factors inhibiting the execution of CBR were lack of administrative support, physical therapists, and equipments for pain control and for therapeutic exercise.

• 보건행정학회지
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• 제21권4호
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• pp.565-584
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• 2011

Objective: This study is examined the factors affecting forms of untreated experiences in persons with physical disability. Method: The data collected from 461 persons with physical disability in community. Based on the Behavioral Model of Andersen, predisposing, enabling, and need factors are hypothesized to affect persons with physical disability's untreated experiences. The data were analyzed by statistical methods such as frequency and multiple logistic regression analysis. Result: Participation rates of untreated experiences were 26.7%. The significant factors of persons with physical disability's untreated experiences are predisposing factors (gender, partner, and religion), enabling factors (income, private insurance, information of assistive device, disability discrimination, and subjective discrimination), and need factors(subjective health status health screening and chronic disease). Also untreated experiences related to gender, subjective health status, health screening, and chronic disease factors using multiple logistic regression analysis. Conclusion: Implications of the findings were discussed and the recommendations for the improvement of health care utilization, subjective health statue. Especially, development of health education and program should be needed persons with physical disability.

• 한국콘텐츠학회논문지
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• 제19권6호
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• pp.424-440
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• 2019

본 연구는 치료공동체에 거주하고 있는 회복자들의 회복경험에 대한 연구이다. 연구에는 치료공동체에 거주하고 있는 회복자 9명이 참여하였다. 자료는 심층 면담을 통해 구성했고 Giorgi가 제안한 기술적 현상학적 분석 단계에 따라 분석하였다. 연구결과를 요약하면 연구참여자들은 직면의 용기, 책임감의 부활, 일상생활속의 사회기술 훈련, 치료동맹자 가족, 노동생산성 향상, 가족으로 돌아가는 황금의 다리, 자기실존과의 조우라는 경험을 한 것으로 나타났다. 연구자들은 연구결과에 근거하여 치료공동체 내에 직업훈련 프로그램의 도입, 치료공동체와 지역사회 자원과의 연계, 치료공동체 프로그램에 가족 참여를 제안하였다.

• 간호행정학회지
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• 제14권4호
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• pp.421-431
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• 2008

Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.

• The Journal of Korean Physical Therapy
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• 제34권2호
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• pp.80-89
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• 2022

Purpose: In Japan, the long-term care insurance and health insurance acts have stipulated the visiting rehabilitation system to provide support at the national level. The prior case of Japan would provide guidelines for seeking a suitable policy direction in South Korea. This study aims to examine the historical transition process of the visiting rehabilitation system in Japan, and the issues that emerged in the process of the institutionalization of this system. Methods: To examine the historical transition process of the system, the regulations announced by the government and their reports were reviewed. The relevant issues were qualitatively analyzed based on the opinions of scholars, therapists, and interested organizations that were reported in published papers on the topic. Result: The visiting rehabilitation system has been implemented in the following chronological order: The Health and Medical Service Act for the aged (1982-2006), the Health Insurance Act (1988-), and the Long-term Care Insurance Act (2000-). Currently, visiting rehabilitation is provided through hospitals, clinics, visiting nursing stations, etc. The following issues came to the fore in the process of the institutionalization of the system: (1) the complexity of the system, (2) the necessity of changing perceptions into a life model approach, (3) insufficient service provision by therapists, (4) the lack of human resources and an education system, (5) the lack of awareness of care managers and doctors about visiting rehabilitation, and (6) the necessity of quality enhancement through a team approach. Conclusion: It is deemed worthwhile to refer to the visiting rehabilitation system in Japan and the issues that emerged in the process of institutionalizing the system while seeking a policy direction for a similar system in South Korea.

• 대한지역사회작업치료학회지
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• 제3권1호
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• pp.43-53
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• 2013

목적 : 본 연구에서는 소뇌 실조증 환자에게 시각되먹임 프로그램 훈련을 적용 후 균형과 일상생활수행에 어떠한 변화를 나타내는지 확인해 보고자 한다. 연구방법 : 대전 모 재활병원에서 소뇌 실조증으로 진단받고 입원 중인 대상자 1명을 대상으로 주 5회기씩 총 2주간에 걸쳐 중재를 시행하였고, 사후 2주를 포함하여 총 4주간 실시하였다. 중재 전 후, 사후 균형의 변화를 확인하기 위하여 BIORescue 프로그램을 활용하여 안정성의 한계(Limit of stability; LOS)와 롬버그 검사를 시행하였고, 다른 균형평가로는 버그 균형척도를 시행하였다. 일상생활수행에 미치는 영향을 알아보기 위하여 COPM을 실시하여 분석하였다. 결과 : 소뇌 실조증 환자에게 안정성의 한계와 롬버그 검사, 버그 균형척도에서 중재 후 변화를 확인하였고, 유지가 되는 것을 확인할 수 있었다. 일상생활수행에서도 목욕하기, 이동하기, 교통수단의 이용, 세탁하기, 모임활동 5개 영역 모두 수행도와 만족도가 향상 되었다. 결론 : 소뇌 실조증 환자에게 균형향상을 위하여 시각되먹임 프로그램이 유용하게 적용되어질 수 있을 것으로 보여 진다.

• The Journal of Korean Physical Therapy
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• 제12권3호
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• pp.491-495
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• 2000

This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health Center(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The following is the result of Questionnaire educated 39 peoples. First. male and female are same rate. average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second, the $76.3\%$was only working PHC one PT, thc main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated. they are treating $60.5\%$ under 20person in each day. Third. We asked three Questionnaire. these are, first need CBR education. second, participating of the PT of the CBR projects, third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the Positive. $89.5\%$ agreed that they can offer physical therapy to handicapped man without responsibility. And all of these answered $100\%$ that they want to ewer the physical therapy when they meet the Handicapped. Are you can aviable to assess the part of handicapped they answered $77.1\%$, to therapeutic exercise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $15.3\%$. In the welfare policy. introduce job and rehabilitation information side, having answer $44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate for the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.

• Journal of Forest and Environmental Science
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• 제35권2호
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• pp.102-114
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• 2019

The issue of sustainable forest management (SFM) continues to emerge as part of the REDD+ mechanism mitigation efforts. Especially for some developing countries, such as Indonesia, forest management is required to provide benefits to the welfare of local communities in addition to forest conservation efforts. This study aims to identify the economic, social, and environmental impacts of community-based forest management (CBFM) implementation activities, which is one of the implementations of SFM at field level. The primary objectives were to find out the impacts of CBFM activities based on local people's perceptions and to identify what factors need to be considered to increase local people's satisfaction on CBFM activities. The data from 6 sub-villages was derived through surveys with local people involved in CBFM activities, interviews with a key informant, and supported by secondary data. The results of the study state that CBFM activities have increased the local people's income as well as their welfare, strengthening the local institution, and help to resolve conflicts in the study area. CBFM has also been successful in protecting forests by rehabilitating unproductive lands and increase forest cover area. By using binary logistic regression analysis, it found that income, business development opportunities, access to forests, conflict resolution, institutional strengthening, and forest rehabilitation variable significantly affected the local people's satisfaction of CBFM activities.