• The Journal of Korean Physical Therapy
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• 제27권2호
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• pp.96-105
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• 2015

Purpose: This study was conducted in order to explore self-perceived objectives, effects, determinant factors of satisfaction and demands on home-based rehabilitation service (HBRS) based on a community-based rehabilitation (CBR) model in community-dwelling disabilities. Methods: This research was conducted through in-depth interview. HBRS was conducted by four physical therapists for one hour a day, once a week, for eight weeks. After an eight-week intervention period, in-depth interviews were conducted using a semi-structured questionnaire for five recipients of HBRS and six care givers. Results: For the physical effect, some participants experienced positive effects, whereas others did not due to the short-term intervention period. For the social and emotional effects, 'occurrence of motivation for exercise', 'change of surroundings' and 'sorriness for the therapist' emerged as keywords. For the determinant factors of satisfaction, 'movement-inducing therapy', 'therapy from the specialist', 'development of friendship & social network', and 'learning the way of self-rehabilitation' emerged as keywords. For further demands on HBRS, participants stated that 'sufficient time for therapy', 'user opinion-reflected therapy', 'additional instructions for therapeutic exercise & activities of daily living', and 'active promotion for HBRS' were necessary. Conclusion: Participants were satisfied with the physical, social, emotional, and educational aspects of HBRS. In particular, the participants regarded educational aspects as the significant factor throughout self-perceived objectives, determinant factors of satisfaction and the demands. This result suggests that when providing HBRS to community-dwelling persons with disabilities, therapists should recognize the necessity and significance not only of the physical, but also the educational aspect of HBRS.

• Physical Therapy Rehabilitation Science
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• 제12권2호
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• pp.192-200
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• 2023

Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.

• The Journal of Korean Physical Therapy
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• 제13권3호
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• pp.711-718
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• 2001

The community based rehabilitation(CBR ) of public health center(PHC) has been considered as the one of the alternative medical services which is adequate to our realities. The purpose of this study is to serve basic data in order to strengthen the CBR of PHC. This study was investigated on 191 samples of 95 physical therapists, 35 physicians. and 61 nurses who work at PHC. Data were collected for 40 days from January 10 to February 20,2001. The results are as follows: First, the recognition level of CBR of sample specialists was very high as about 85% of the total number studied. Also the number of physical therapists at PHC, who had intention of participation to CBR, was very high as almost 92%. Second, specialists more than a half of sample group thought that two therapists and one assistance per one PHC were needed for serving with sufficient CBR services. finally, various additional strategies were proposed by sample specialists. in order to activate the CBR of PHC. it is necessary to enact the related laws. to stimulate teamworks between rehabilitation specialists, and to establish so called 'public health therapists'. Also we must reinforce the CBR instruction for PHC therapists and the education for health center officer.

• 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.

• 한국학교ㆍ지역보건교육학회지
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• 제23권4호
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• pp.49-61
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• 2022

Objectives: It is reported that the depression of women with disabilities is higher than that of men with disabilities and people with disabilities. Therefore, the purpose of this study is to identify the depression level and influencing factors of middle-aged women with disabilities. Method: For this study, the 2020 survey on the disabled was used. The subjects were 2,546 middle-aged and disabled women over the age of 40 who responded to the survey. For data analysis, SPSS Window 26.0 program was used. Descriptive analysis, chi-square test, and multiple logistic analysis were performed to identify factors affecting depression in middle-aged women with disabilities. Results: In this study, marital status, subjective economic status, disability type, subjective health status, subjective obesity, chronic disease, exercise, stress and suicidal ideation, and self-going ability variables of middle-aged and elderly women with disabilities were found to be related to depression. Factors affecting the depression of middle-aged women with disabilities were analyzed to be marital status, smoking, stress, and suicidal ideation variables. Conclusion: Stress and suicidal ideation should be reduced to effectively reduce depression and improve depression in middle-aged and elderly women with disabilities. And the development and application of health education and programs that can promote mental health are required.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.258-265
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• 2020

Purpose: This study examined the legal basis related to a physical therapist's home-based rehabilitation. Methods: The policy data were referenced to the comprehensive plan for national health promotion and the guidebook Community Health Promotion Project issued by the Korea Health Promotion Institute and other institutes. The legal data were referenced to the Bill information system on the National Assembly website. Results: The physical therapist's home-based rehabilitation did not have a legal basis in the community-based rehabilitation project (CBR) of the HP 2020 project. On the other hand, according to the Home health care part of the community health promotion project that began in 2013, physical therapists were allowed to play a role from 2020 under Article 16-2 (Public Officials in Exclusive Charge of Visiting Health Management) of the REGIONAL PUBLIC HEALTH ACT. Conclusion: Policies and laws are being developed in the field of healthcare, but the necessary policies and laws in the field of rehabilitation are still insufficient. A bill to rehabilitate in a variety of fields and spaces by modifying the scope of work of physical therapists will be needed.

• 한국융합학회논문지
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• 제12권6호
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• pp.259-266
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• 2021

본 연구는 장애인 복지관 종사자의 피로, 근골격계 통증, 직무만족도를 확인하기 위한 서술적 조사연구이다. 연구대상자는 장애인 복지관 종사자 199명이며, 수집된 자료는 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Scheffé's test, Pearson 상관계수, 다중회귀분석으로 분석하였다. 연구 결과, 장애인 복지관 종사자의 직무만족도에 영향을 미치는 요인은 근무연수(β=-.033, p=.010), 피로β=-.051, p=.015), 근골격계 통증(β=-.020, p=.047)이었으며, 이들 변수는 직무만족도 수준을 8.4%로 설명하였다(F=5.549, p<.001). 이러한 결과는 지역사회의 중요한 역할을 담당하고 있는 장애인 복지관 종사자의 피로와 근골격계 통증 예방 및 관리를 위한 기초자료로 활용하기를 권고한다.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.266-271
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• 2020

Purpose: A survey was conducted to investigate the role, priority, and awareness of physical therapists in the community care system for the elderly. Methods: Nine hundred ninety-three physical therapists were invited to an online survey from 1st to 30th June 2020. Results: While the awareness of physical therapists for the community care system for the elderly was found to be low, the role priority and performance ability were found to be high. Fall training scored the highest for the job duties of physical therapists, and functional training scored the highest for the performance ability of physical therapists. For the role priority by the education status regarding the community care system, the participants who received the education program showed higher scores in the performance ability than those who did not. For the role priority and performance ability according to the education levels, higher education levels resulted in higher scores in both outcomes. Regarding the clinical experience, low scores were found in the participants with less than five years of experience. Conclusion: Physical therapy establishes itself as an essential area of expertise in the community care system for the elderly. Therefore, these results can be utilized in developing a model for Korean community care for the elderly.

• 한국콘텐츠학회논문지
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• 제13권1호
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• pp.221-233
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• 2013

본 연구는 부산지역의 사회복귀시설의 사례관리자를 대상으로 사례관리과정에 대한 인식과 사례관리과정이 실제 어떻게 수행되고 있는지를 탐색함에 있다. 사회복귀시설의 사례관리자 12명을 대상으로 포커스 그룹 인터뷰를 실시하여 얻은 자료를 심층분석하였다. 접수는 다양한 휴먼서비스 조직에서의 의뢰가 많고, 클라이언트 중심의 인테이크와 계약이 이루어지고, 사정은 정신장애인의 기능보다는 서비스 욕구중심으로, 기획은 자원발굴과 확보에 어려움을 느꼈다. 개입단계는 직접서비스 위주로 진행되고 여러 기관에서 접근 시에 사례관리에 대한 책임소지가 불분명했다. 점검단계는 주로 매달 시설 내에서 점검이 이루어지고 현실적인 슈퍼비전에 대한 욕구가 높았다. 종결에서는 성과평가 위주였고, 사례관리를 잘 나타낼 수 있는 개별화된 평가척도에 대한 기대를 나타내었다.

• 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.