• 대한장애인치과학회지
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• 제12권2호
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• pp.50-54
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• 2016

Regular dental visit of disabled patients is an important strategy for maintenance of oral health because of the lack of awareness of oral care. But there is limited information about follow up period in disabled patients after dental treatment. The aim of this study was to investigate the pattern of dental visit and dental management of special care needs patients according to the types of disabilities. A total of 140 patients who received dental treatment at Seoul National University Dental Hospital from 2010 to 2012 were reviewed. Patients were divided 3 groups according to the types of disabilities (disorder of external physical function, disorder of internal organ, psychic disability). Patient's characteristic, dental treatment performed, follow up period and frequency were investigated. The mean follow up period was 28.2 months and average frequency of visit was 3.69 times per year. There was no difference in period and annual visit between 3 groups, but significantly difference in cooperation with medical hospital in affiliation. Regular check-up was the most common dental treatment in all groups. In psychic disorder group, the proportion of sedative treatment was significantly higher than other groups. The results of this study provide information necessary for treatment planning and dental management of disabled patients.

• 대한장애인치과학회지
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• 제9권2호
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• pp.91-97
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• 2013

The objective of this study was to explore perceptions of dental student of patients with special care. Their satisfaction with education, and their professional attitudes and behavioral intentions concerning treating these patients were the issues of this paper. Paper-and-pencil survey data were collected from 289 dental students at the school of dentistry, Seoul National University. Most respondents agreed that it is important to be educated about providing care for patients with special needs at the school. The higher grade students they are, they got the higher degree of understanding about treating these patients and the more satisfaction with the education. However, their intentions to treat these patients in their future professional lives were negatively correlated with degree of students. Based on these findings, it is recommended that school curriculum about treating patients with special care be reconsidered to develop students' comfort level in treating special needs populations.

• 대한장애인치과학회지
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• 제9권1호
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• pp.11-17
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• 2013

This paper classified the articles of special needs dentistry(SND) published in Korean medical database according to thematic distribution and chronological change to assess recent academic trends and indicate the direction of study in the future. We selected articles in 17 dental journals registered with the Korea Research Foundation This study found that the total number of articles of SND was 292 in 17 journals from 1973 to 2012. The biggest number of articles of SND was published in the journal of the Korean Academy of Pediatric Dentistry, which means pediatric dentists contribute to dental treatment of people who need special care. According to growing number of people with disabilities, the number of articles related in SND has been increased since 2000. Also, the aged and children as well as people with disabilities fit into the category of SND and the scope of SND has been enlarged. So dentists should concern and study more about SND in the future.

• 기본간호학회지
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• 제4권1호
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• pp.7-17
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• 1997

Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.627-637
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• 2018

본 연구는 장애등급제가 폐지됨에 따라 장애인복지법상 장애등급을 적용하고 있는 지방자치단체 조례 현황을 분석하여 개선방안을 마련하고자 한다. 이를 위해 지자체의 장애등급을 적용하고 있는 조례 현황에 대해 내용분석을 실시하였다. 연구결과, 첫째, 전체 지자체 중 215곳만이 장애등급을 적용한 조례가 제정되었고, 장애인복지법상 장애등급을 적용하고 있는 조례가 1,071건으로 확인되었다. 이 중 중증(1-3급)과 경증(4-6급)으로 구분 가능한 일괄 조례는 60.04%(643건)이며, 법령 개정 대상인 예외 조례는 39.96%(428건)으로 나타났다. 이에 장애등급을 대체할 새로운 기준을 적용하기 위해서는 장애정도 이외에 장애인의 욕구, 사회환경 등의 요소들을 반영한 서비스 적격기준이 개발되어야 할 필요가 있다. 둘째, 예외조례 중 감면할인서비스는 전체 사업 중 40% 이상을 차지하고 있다. 그 다음으로 편의, 고용 등 관련 조례, 현금지원 순으로 나타나 지자체가 장애인복지사업을 추진함에 있어서 직접급여보다는 간접급여에 해당하는 사업에 치중하는 경향이 높은 것으로 나타나 이에 대한 개선이 필요하다. 이를 토대로 지자체 차원에서 장애등급을 대신할 새로운 서비스 제공기준을 마련하는 데 중요한 기초자료를 제공할 것이다.

• 대한장애인치과학회지
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• 제15권1호
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• pp.7-13
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• 2019

The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients' lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.

• 감성과학
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• 제11권4호
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• pp.589-598
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• 2008

본 연구는 시각장애인의 감성적 특성을 밝혀 향후 웹 접근성 지침에 반영하기 위해 진행된 기초연구로, 통일한 청각적 자극에 대한 시각장애인과 일반인의 감성 반응을 비교하고 그 차이점을 알아보고자 진행되었다. 이러한 목적을 위하여 본 연구에서는 음악(Representation Sound)과 음향효과(Abstraction Sound)를 이용한 15개의 청각 자극과 긍정 및 부정 감성어휘를 이용한 11개의 감성평가 척도를 선정하여 웹 설문 시스템을 제작하였으며, 이를 활용하여 31명의 시각장애인과 53명의 일반인을 대상으로 준비된 청각 자극에 대한 감성 반응을 측정하였다. 예외적인 경우가 있기는 하지만 설문의 결과는 대부분의 경우에서 두 집단 간의 감성반응패턴이 일치하는 것으로 나타나, 장애인의 감성욕구가 일반인과 크게 다르지 않음을 보여주고 있다. 이러한 결과는 디자인에서 사용자의 감성을 중요시 하는 것과 마찬가지로 웹 접근성에 대한 연구에서 장애인의 감성적 욕구가 중요시 되어야 함을 보여주고 있는 것이다.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.561-572
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• 2018

본 연구는 발달장애 청소년 보호자를 대상으로 의사소통 영역 별 수준 인식과 사회적 의사소통 요구 정도를 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어 치료 기간에 따라 알아보아 발달장애 청소년을 대상으로 한 사회적 의사소통 지도의 효율적인 방안을 모색하고자 하였다. 자료들은 18.0 SPSS 통계 패키지를 사용하여 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어치료기간에 따라 비 모수 검정 Mann-Whitney test와 Kruskal-Willis test 등 비모수 검정과 Scheffe 사후검정을 실시하였다. 본 연구의 결과는 다음과 같다. 발달장애 청소년의 의사소통 수준 인식과 요구도는 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어치료의 기간 모두에서 집단 간 유의미한 차이가 나타났다. 본 연구의 결과와 앞으로 다양한 분석과 표집을 통한 차후 연구로 사회적 의사소통 재활 서비스에 대한 구체적이고 현실적인 문제들을 개선하고 서비스 시행의 효과적인 방법을 마련해야 할 것이다.

• 대한장애인치과학회지
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• 제9권1호
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• pp.56-65
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• 2013

I participated in Academic Exchange Program(Action plan II) between KADH(Korean Association for Disability and Oral Health) and JSDH(Japanses Society for Disability and Oral Health) for 2 months from 3rd July 2012 to 2nd september 2012 in the Department of Hygiene and Oral Health, School of Dentistry, Showa University at Tokyo, Japan. I have observed their operation process and learned what dysphagia is and how it is consulted and taken care of as a therapy for patients with eating and swallowing disorders for two months in The department of special needs dentistry at Showa University Dental Hospital, Jonan Branch of Tokyo Metropolitan Kita Medical Rehabilitation Center for the Disabled, Smile Nakano Center, Tokyo metropolitan center for persons with disabilities in Lidabashi for one week, Eating and swallowing functional therapy workshop for disabled children, Tokyo metropolitan Tobu medical center for Persons with Developmental/Multiple Disabilities located in Minamisunamitchi for one week and on The 17-18th JSDR(Japanese Society of Dysphagia rehabilitation) in Sapporo. Through Action Plan II program, I learned how precious eating, drinking and swallowing with ease are and observed how they do and what they do as a dentist or a dental hygienist in Japan for dysphagia patients. Therefore, I want to present the dental approaches of children with dysphagia in Japan, based on my experience for two months.

• 보건의료산업학회지
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• 제8권4호
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• pp.209-220
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• 2014

This study found a relationship between the characteristics of the elderly with disabilities and extra health care monthly costs caused by disability and suggests methods for effectively managing health care spending of the elderly with disabilities. This study used data from the 2011 Survey on the Disabled conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The results of the analysis indicate that the relations between the socio-demographic characteristics of the elderly with disabilities and extra health care monthly costs caused by disability of the elderly are influenced by factors such as gender, age, members of the household, average monthly income and type of health insurance. Elderly people with disabilities spend too much for their medical care. To solve this problem, the government needs to find a variety of policy approaches to improve administrative procedure, establish a medical delivery system and enhance health care services.