• Title/Summary/Keyword: Community rehabilitation

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Geriatric Foot Problems and Related Factors in Two Provinces of Korea (일부 지역 노인 족부 건강 문제와 영향 요인)

  • Kim, Shin-Mi;Ahn, Jae-Hong;Choi, Sook-Hee;Lee, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.161-171
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    • 2010
  • Purpose: The purpose of the study was to identify the prevalence, risk factors and clinical meanings of geriatric foot problems and to suggest implications for the future. Methods: One hundred eighty nine elderly aged 60 and over from institution as well as community were investigated for their foot conditions by means of a questionnaire including general characteristics, self care capacity, risk factors, foot problem checklist, X-ray, podoscopy and foot scan. Descriptive statistics and $\chi^2$-test was performed as appropriate utilizing SPSS version 14. Less than .05 of p-value was adopted as statistical significance level. Results: All subjects had at least one kind of foot problem and the most prevalent ones were nail problems, foot deformities in order. Prevalence of foot pain and edema was relatively low. Conclusion: Foot problem in elderly is prevalent and geriatric foot is expected to emerge as one of the most important problems in the geriatric field. Therefore strategies to deal with geriatric foot should be developed and practiced for better quality of life in later life.

The Vegetational Diagnosis for the Ecological Rehabilitation of Stream - In case of the Forest Communities, Soil in Namhan river - (하천의 생태적 복원을 위한 식생학적 연구 - 남한강 육상식물, 토양을 중심으로 -)

  • Myung, Hyun
    • Journal of Environmental Science International
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    • v.18 no.1
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    • pp.113-127
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    • 2009
  • This study was designed to present a river model with an aim at restoring the ecosystem and improving the landscape along the urban rivers on the basin of the Namhan river, a core life channel for the National Capital region. The revelation of botanical status, transition trend and correlation of plants might lead to providing the urban river restoration projects and ecological river formation projects with basic data for a model of ideal aquatic ecology and landscape. The outcomes of this study could be summed up as follows: 1. Communities of Juglans mandshurica, Cornus controversa and Fraxinus mandshurica constitute the main portion of flora at or around uppermost branch streams of the River Namhanis harbored mainly in and around small brooks 2. Typical terrestrial forest communities formed around the River Namhan are composed mainly of Larix leptolepis, Pinus rigida, planned forestation of Pinus koraiensis, Quercus acutissima, Quercus variabilis and Pinus densiflora. 3. The analysis into terrestrial environment of plant communities showed a high content of $P_2O_5$, typical communities found in the artificially disturbed land Finally, it seems also desirable to continue to make every exertion to explore the relationship between fluvial and terrestrial ecologies with a purport of building up a model of natural streams in urban area based on the surveyed factors for plant life, forest communities, soil and landscape and, moreover, on the forecasting for overall influences derived from the relation upon the ecosystem.

Reliability and Validity of Gait Assessment Tools for Elderly Person (노인의 보행에 대한 평가 도구의 신뢰도와 타당도 조사 연구)

  • Kim, Jae-Hyun
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.41-48
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    • 2009
  • Purpose: The examine the Reliability and Validity of the modified Emory Functional Ambulation Profile (mEFAP), Tinetti. Gait (TG), Timed Up & Go Tes t (TUG), Comfortable Gait Speed (CGS), Berg Balance Scale (BBS) in assessing gait function and balance in elderly person. Methods: The 45 community-dwelling subjects were participated in this study. Reliability was determined by intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method (Standard Error of Measurement (SEM), Smallest Real Difference (SRD)). Results: Validity was examined by correlation the mEFAP, TG, TUG, CGS, BBS. The intra-rater reliability were High (ICC$_{3,1}$ : mEFAP=0.95, TG=0.96, TUG=0.94, CGS=0.96, BBS=0.92) and Absolute reliability were excellent (SEM: mEFAP=1.90, TG=0.21, TUG=0.28 CGS=0.25, BBS=0.52), (SRD: mEFAP=5.26, TG=0.58, TUG=0.77, CGS=0.69, BBS=1.44). There were significant correlations between assessment tool (r=.0.58$\sim$0.78, p<0.01) indicating good validity. Our results provide strong evidence that the assessment tool has good reliability, validity for assessing elderly person undergoing rehabilitation. Conclusion: The gait assessment tool is a useful scale for measuring walking function and recovery in elderly person.

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Hope, Self-esteem and Quality of Life in People with Spinal Cord Injury (척수손상 환자의 희망, 자아존중감과 삶의 질에 관한 연구)

  • Hwang, Hye-Min;Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.189-197
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    • 2011
  • Purpose: The purpose of the study was to identify levels of hope, self-esteem, and quality of life, and to find correlations among these variables in people with spinal cord injury. Methods: This study was a cross-sectional descriptive survey. The data were collected by survey interview in 2010 from 120 people with spinal cord injury living in the community. To measure hope, self-esteem and quality of life, the Dispositional Hope Scale, Self-Esteem Scale, and World Health Organization's Quality of Life Instrument were utilized respectively. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression analysis using SPSS version 12.0. Results: Mean score of hope was 2.56 and that of self-esteem was 3.23. Mean score of quality of life was 3.01. Statistically significant relationships were found between quality of life and hope (r=.73, p<.001), and between quality of life and self-esteem (r=.67, p<.001). Multiple regression analyses showed that hope and self-esteem were statistically significant in predicting quality of life with the explanatory power of 59.1%. Conclusion: The results of this study indicate that nursing interventions fostering hope and self-esteem should be integrated in developing rehabilitation programs to improve quality of life for people with spinal cord injury.

Family Function and Self-esteem among Young and Middle-aged Adults with Physical Disabilities (청·중년기 지체장애인의 가족기능과 자아존중감)

  • Kim, Kye-Ha;Park, Gyeong-Sook
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.225-234
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    • 2009
  • Purpose: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. Methods: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. Results: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. Conclusion: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.

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The Effect of Parent Involvement Auditory Training Program on Communication Ability of Children with Hearing Impairments (부모 듣기 지도 프로그램이 청각장애아동의 언어 능력과 의사소통 행동에 미치는 영향)

  • CHAE, Jung-Hee;HUH, Myung-Jin;PARK, Chan-Hee
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.3
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    • pp.818-830
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    • 2016
  • The purpose of this study is to examine the effects of the parents listening guidance program, which allows the parents to understand their hearing impaired children and how to listen at home, on the communication skills of the hearing impaired children. The research subjects were 3 hearing impaired children who did not accompany with the intellectual, emotional and behabioral problems, and the listening guidance has been performed for their parents for 3 months through the listening guidance program. The changes in the communication skills in the hearing impaired children were observed comparing before and after the education. In the results, first, the receptive language skill of the hearing impaired children was improved after than before the parents listening guidance. Second, the expressive language skill of the hearing impaired children was improved after than before the parents listening guidance, too. Third, in the communication behavior of the hearing impaired children, the phonation and the speech production were increased together with the gesture after the parents listening guidance. In conclusion, it is deemed that the parents listening guidance program would have positive influence on the communication behavior of the hearing impaired children.

The Changes of Gross Motor Function and Balance Ability in Children with Spastic Diplegic Cerebral Palsy by Trunk Muscle Strengthening Exercise : Single Group Repeated Measure Study (체간근력 강화운동에 의한 경직성 양하지 뇌성마비 아동의 대단위 운동 및 균형 능력 변화: 단일그룹 반복측정 연구)

  • Lee, Eun-Jung;Kim, Jong-Soon
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.189-197
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    • 2011
  • Purpose: Trunk muscle weakness in the children with cerebral palsy can lead to postural and alignment problems, breathing difficulties, and so on. Therefore, children with cerebral palsy can benefit from exercises that strengthen the muscles in their trunks. The purpose of this study was to investigate the effects of trunk muscle strengthening exercise on functional gross movement and balance ability in children with spastic diplegic cerebral palsy. Methods: We used single group repeated measure design in 8 children(four males, four females; aged 6~12 years; mean 8.3 years) with diplegia. The functional gross motor outcome measured by using the GMFM and balance ability of all children was measured by pediatric balance scale. All participants were alternately received trunk strengthening exercise and neurodevelopment treatment for 40 minutes twice per week during 8 weeks. Results: Significant and clinical meaningful improvement in functional gross motor and balance ability were shown. Conclusion: The results indicate that trunk strengthening exercise has a positive effect on both functional gross motor and balance ability in children with spastic diaplegic cerebral palsy.

The Health service performance frequency and educational needs among the visiting nurses of public health centers (보건소 방문간호사의 서비스 수행빈도 및 교육요구)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Home Health Care Nursing
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    • v.22 no.1
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    • pp.22-37
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    • 2015
  • Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

Rehabilitation of Urban Residence and Vision Examination with Inhabitants - The Trial of Workshop Tool for Decision of Inhabitant Opinions (도심주거지 정비를 위한 주민참여와 마을의 미래상 검토 - 주민의사결정을 위한 워크숍 툴의 시도 -)

  • Park, Chung-Shin;Youm, Chirl-Ho;Won, Se-Yong;Kim, Tai-Young
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.04a
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    • pp.266-271
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    • 2008
  • Recently, concern about urban residence community will increase from the 1990s in Korea, and the activity is active. In this research, by holding the workshop by participation with inhabitants spontaneous for Seowoon-dong of Cheongju City which is a place of urban residence, a workshop tool which is different in that process is tried, and that validity is evaluated. As a result of there being three, 'The tool of inhabitants opinion expression using figure card', 'PIC tool', and a 'The tool of inhabitants opinion expression using a drawing', as a workshop tool and examining the validity, validity of two, 'The tool of inhabitants opinion expression using figure card' and 'PIC tool', is high. Moreover, if some are complemented also with 'The tool using a drawing', it can use with it. Finally, in a future inhabitants workshop, residents' agreement formation is important and the system maintenance hurries.

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Effects of Goal-Oriented Functional Tasks on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy -A Single Case Study-

  • Lee, Eun-Jung;Kwon, Hae-Yeon
    • PNF and Movement
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    • v.18 no.2
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    • pp.159-172
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    • 2020
  • Purpose: The study sought to determine whether goal achievement, performance, satisfaction, activities of daily living, and gross motor function in children with spastic cerebral palsy are positive affected by goal-oriented functional task training. Methods: In a single case study, two 7-year-old girls diagnosed with spastic cerebral palsy were given functional task training based on individualized goals for 24 60-minute sessions over a period of 6 months. The individualized goals reflected the needs of both children and parents. The Canadian occupational performance measure (COPM) and the goal attainment scale (GAS) were used to measure goal performance and satisfaction before and after intervention. Independence of activities of daily living before and after intervention were assessed using the functional independence measure for children (Wee-FIM). And change of gross motor function were assessed using gross motor function measure (GMFM). Results: Clinically significant changes were observed in COPM and GAS, as well as positive changes in independence of gross motor function and activities of daily living. Conclusion: The findings indicate that goal-oriented functional task training addresses the needs of children with spastic cerebral palsy, which increases treatment satisfaction and has a positive effect on independent activities and participation in daily life.