• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.72-79
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• 2023

Objective: Despite known associations between negative body image and health declines in chronic pain patients, few studies have examined longitudinal associations between psychological stress and perceived hand deformities. This study examined whether psychological distress was associated with hand deformities 4 years later and if rural and urban adults differed in the association. Design: A community-based cohort study. Methods: Community dwelling adults (mean age=51.97, 52.3% women) in a rural (n=2968) and urban area (n=2784) provided demographic data at baseline and, in the 4-year follow-up, responded to questionnaires about psychological distress. Perceived hand deformities were assessed at the 8-year follow-up. Linear regression was conducted to examine the effects of psychological distress on hand deformities and moderation by residential areas. Results: The perceived hand deformities were more likely among those with severe psychological stress, hand osteoarthritis, or any chronic disease condition (p<0.01) but less likely among those with younger age, higher education, or income (p<0.01). The regression results showed that psychological distress predicted more perceived hand deformities 4 years later even after adjusting for demographic and health covariates (p<0.01). The residential areas did not significantly moderate the association between distress and hand deformities. Conclusions: This study suggected that psychological distress may trigger later perception of hand deformities in both urband and rural adults. The findings indicate that stress management interventions that are customizable to regional contexts may be effective at preventing negative body image related health problems of community-dewelling adults.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.61-81
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• 2002

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

• 생태와환경
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• 제41권3호
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• pp.374-381
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• 2008

2005년 10월부터 2006년 8월까지 청계천에서 어류상과 어류군집을 조사한 결과, 채집된 어류는 총 6과 19종이었으며 이중 한국고유종에 속하는 종은 줄납자루, 참갈겨니 등 2종(10.5%)이었다. 조사지점별 어류 발생은 Site 1에서 2과 7종 58개체, Site 2에서 3과 9종 53개체, Site 3에서 4과 9종 282개체, Site 4에서 5과 13종 293개체가 출현하였으며, 지점별 우점종은 버들치(Site 1)와 피라미(Site 2, 3, 4)이었다. 미소서식지가 잘 발달된 하류지점 Site 4에서 종다양도 지수, 종풍부도 지수가 다른 지점에 비해 조사시기 동안 고르고 높게 나타나 다른 조사지점에 비해 비교적 안정적인 어류군집을 형성하였다. 또한 비모수다차원척도법(NMDS)를 이용한 어류군집의 시공간분석을 실시한 결과 어류군집은 하류에서 높은 종풍부도를 보여 장소에 따른 차이를 보였으며, 또한 종풍부도 및 종다양도가 조사 후반부에 가장 높게 나타나 어류군집의 시간적 변동을 구분해 줌으로써 청계천 복원 공사 후 어류군집이 형성되고 점차 안정화되어 가고 있는 것을 반영해 주었다.

• Physical Therapy Rehabilitation Science
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• 제6권4호
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• pp.176-181
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• 2017

Objective: The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions: The TUG can be viewed as an assessment tool that is capable of classifying CAL.

• 재활간호학회지
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• 제16권2호
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• pp.79-89
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• 2013

Purpose: The purpose of this study was to identify the prevalence of depression and its risk factors among older adults using social service centers in one urban community. Methods: The participants were 326 older adults who were aged 60 and older in one urban Korean community. Depression was measured by Korean version of short form Geriatric Depression Scale. Results: The prevalence of depression was 33.74% in this study. Logistic regression analysis showed that older adults who were taking prescribed medications, experiencing more symptoms, being educated less than elementary school and having low family function were more likely to have depression as compared to their counterparts. Conclusion: The findings of this study were expected to promote the screening or preventing strategies for older adults at the risk of depression in the community-dwelling older adults.

• 재활간호학회지
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• 제18권2호
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• pp.153-164
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• 2015

Purpose: This study was conducted to develop a community capacity builded exercise maintenance program for frail elderly women. Methods: As a guideline to develop the exercise maintenance program, the intervention mapping framework, including needs assessment, setting program goals, selecting theory-informed intervention methods, producing program components, planning program implementation and evaluation, was used. Focus group interviews with public health nurses and frail elderly women were conducted for needs assessment. Intervention strategies and components were formulated based on community capacity theory. Results: The developed exercise maintenance program consisted of strategies focusing on leadership development, partnership construction, organization development, community systematization of dimension of community capacity. A exercise maintenance program using health leader, health contract, exercise pocketbook, rhythmic activity suiting song and self-help group was included. Conclusion: The intervention mapping method was found to be useful to develop theory-based valid and community capacity builded exercise maintenance strategies for frail elderly women.

• 한국전문물리치료학회지
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• 제7권3호
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• pp.49-61
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• 2000

Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.140-151
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• 2015

본 연구는 정신장애인을 대상으로 이루어지는 프로그램에 클라이언트 참여와 자기결정의 가치를 실현하기 위하여 컨셉트 맵핑을 적용한 것이다. 컨셉트 맵핑이 적용되는 프로그램은 A광역시의 B사회복귀시설에서 시행되는 것으로, 정신장애인들이 독거노인과 함께 음식을 교류하며 소통하는 사업이였다. 컨셉트 맵핑을 통해서 정신장애인과 사회복귀시설 종사자가 기대하고 있는 프로그램의 성과가 무엇인지 서로 확인하고, 합의해 나가게 되었다. 정신장애인과 사회복귀시설 종사자 총 24명이 참여하였으며, 총 여섯단계를 거쳤다. 42개의 서술문이 수집되었으며, 분류화 결과, 정신장애인은 6개의 군집, 사회복귀시설 종사자는 3개의 군집이 도출되었다. 사회복귀시설 종사자보다 정신장애인들이 기대성과를 더 세분화시켜 분류하였다. 서로가 기대하는 성과의 차이를 확인하고 기대성과의 중요성을 측정하여 최종적으로 합의된 3가지의 기대성과를 도출하였다. 이번 연구를 통해서 정신장애인들의 프로그램 참여와 그에 따른 자기결정의 가치를 실현하는데 컨셉트 맵핑이 가지는 유용성을 경험적으로 확인할 수 있게 되었다.

• 지역사회간호학회지
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• 제26권2호
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• pp.69-78
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• 2015

Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

• 한국전문물리치료학회지
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• 제15권3호
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• pp.17-25
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• 2008

This study aimed to evaluate the effect of a weekly circuit-group exercise program on functional performance, flexibility of the trunk and lower extremities, and balance in individuals with chronic stroke who are living in a community. Thirteen community-living individuals (eleven males and two females) with chronic stroke participated in this study. The group exercise program was set up as a weekly circuit application with four stations aiming to strengthen the muscles, increase endurance, improve flexibility, and enhance functional capacity. The average duration of a session was an hour, and the sessions were conducted once a week for six months for a total of 24 sessions. Assessments for functional performance, flexibility of the trunk and lower extremities and balance were conducted four times: before treatment, after one month of treatment, after four months of treatment, and after six months of treatment. There were significant improvements in functional performance and flexibility of the trunk and lower extremities in the given time frame. No significant improvement was observed in balance ability. The findings suggest that a weekly circuit-group exercise program has some benefits in terms of managing the physical symptoms of individuals with mobility problems after stroke. Therefore, this program can be adapted and employed as a community-based rehabilitation program for such patients. Further studies with various community-based treatments will be conducted to validate these findings.