• Title/Summary/Keyword: Disability and Health

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Study on Effect of Crafts and Hand-writing on Bilateral Coordination (수공예활동과 글씨쓰기활동이 양손협응(Bilateral coordination)에 미치는 영향)

  • Choi, Hyae-Sook
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.63-73
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    • 2014
  • Objective : The purpose of this study was to identify the effect of crafts and handwriting on bilateral coordination during task performance. Methods : Randomly selected 30 college students without hand disability were invited for the study, and grouped 3(test group 1 for crafts, test group 2 for handwriting, and control group) with 10 students per group respectively. Then Jebsen-taylor hand function test, Purdue pegboard test, and Minnesota manual dexterity test were employed for evaluating changes before and after the intervention. Results : After training intervention of crafts and handwriting for two test groups, test groups showed better bilateral coordination significantly than the control group. Especially test group 1(crafts) showed a bigger difference at Jebsen-taylor hand function test, and likely test group 2(handwriting) did at Purdue pegboard test. Conclusion : It was found that crafts increase bilateral coordination, while handwriting increase hand dexterity during task performance. That is, crafts and handwriting affect tasks differently. Further studies applying various crafts and handwriting for many age groups will be helpful for identifying the better way of occupational intervention for individuals in lack of bilateral coordination.

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A Comparative Study of the Handicaps in and Satisfaction with the Ordinary Life before and after the Plastic Operation for Artificial Joint Replacement-Centering around Those Who suffer from Joint Diseases (인공관절 전치환 성형 수술 전후의 일상활동 장애정도 및 삶의 만족도 비교연구 - 관절 질환 환자를 중심으로 -)

  • Kang, Shin-Hwa
    • Journal of muscle and joint health
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    • v.3 no.1
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    • pp.37-49
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    • 1996
  • The joint diseases threaten modern people's healthy life. They bring about a long pain, an anasarca, loss of joint function or even deformation and rigidity of joint, limiting people's ordinary activities much. The chronic joint patients may be subject to some hypochondria caused by anxiety for their life, social isolation, financial problem and physical disability. Therefore, this population should continue to be duely taken care of by medical personnels. In particular, nurses should adequately help these people to recover and improve their health through suitable adaptations. With such basic conceptions in mind, this study was aimed at reviewing these patients' conditions in their ordinary life before and after a plastic operation for artificial joint replacement as well as their satisfaction with their life. For this purpose, those patients who underwent some plastic operations for artificial joint replacement at university hospitals in Seoul from January 2, 1993 to June 30, 1995 were selected as the population of this study. Among them, 87 people were randomly sampled to answer a questionnaire designed specially. For the surveying tools, Jette's (1980) scale was applied to address the sample people's inconveniences experienced and supports received in their ordinary life, while the scale of Wood, Wylie & Sheafer was used to measure their satisfaction with their life. The collected data were analyzed for percentiles, means, SD, t-test and Pearson's correlations. The results of survey can be summarized as follows ; As a result of t-test the frequencies of other people's support before and after the plastic operation, it was disclosed that those who underwent the operation were supported less frequently. In addition, as a result of t-testing their satisfaction with life before and after the operation, it was found that the operation increased their satisfaction with life significantly. Meanwhile, as a result of t-test inconveniences, frequencies of supports and life satisfaction before and after the plastic operation for artificial knee replacement, it was disclosed that only the inconveniences were significantly reduced after the operation. In contrast, the t-test the variables before and after the plastic operation for artificial hip replacement, it was found that only the frequencies of other people's supports were significant reduced after the operation. Furthermore, the differences 6 months, one year and two years after the plastic operation for artificial joint replacement were t-tested on the variables. As a result, it was disclosed that people's inconvenience, frequencies of supports and life satisfaction were not improved 6 months after the operation but their frequencies of supports decreased significantly one year after, while their inconveniences and life satisfaction were significantly improved two years after. As a result of analyzing the variables with Pearson's correlations, inconveniences and frequency of supports were negatively correlated significantly with the life satisfaction. In conclusion, the plastic operation for artificial joint replacement significantly improved people's living inconveniences, reduced their frequency of other people's support and enhanced their satisfaction with life. To break don the plastic operation for artificial knee replacement improved patients' inconveniences, while the plastic operation for artificial hip replacement not only improved patients' inconveniences but reduced the frequencies of other people's support also. Finally, the finding that the plastic operation for artificial joint replacement brought about the improvement two years after suggests that this period is needed for the patients to adapt themselves to the post-operation conditions.

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Path Analysis of Determinants Influencing ADL Among the Adult Population with Cerebral Palsy (뇌성마비인의 일상생활활동(ADL) 결정 요인에 관한 경로분석)

  • Kim, Jung-Woo
    • Korean Journal of Social Welfare
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    • v.58 no.2
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    • pp.57-85
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    • 2006
  • This study tries to understand how the physical impairment develops to practical disabilities among adults with cerebral palsy through path analysis, based on the concept of disability by WHO that the physical impairment and "activities of daily living"(ADL) are affected by the combination of interrelated concept of personal health and environment. Pain and instrumental support are conceptualized as mediating variables for ADL among the adults with cerebral palsy, which are used in the analysis. As a result of surveying of 381 participants, paralyzed region is the only variable directly influencing ADL; other variables such as gender, age, and types of cerebral palsy do not have direct effect on ADL. However, it turns out that age, types of cerebral palsy, and paralyzed region influence on pain problems and also on ADL indirectly, when pain is introduced as a mediating variable. The study also shows that the extent of instrumental support works directly and indirectly toward pain and ADL. It means that individual impairment does not necessarily have influence on the limitations of ADL, but on the result of interrelatedness of individual factors and social factors. Finally, this study implies that the social work practice should be intervened with a new approach of the consideration of the effects of mediating variables.

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Awareness and Needs for Community based Telerehabilitation Service: A Survey for Users of Centers for Independent Living (장애인 자립생활센터 이용자를 대상으로 한 원격재활서비스에 대한 인식 및 요구도)

  • Cha, Ye-Rin;Kim, Jung-Yeon;Jung, Bong-Keun
    • 재활복지
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    • v.21 no.4
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    • pp.119-147
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    • 2017
  • The purpose of this study is to analyze the awareness and needs for community based Telerehabilitation(TR) service by carrying out a online survey targeting individual with disabilities. By using the survey, we attempt to utilize the results as the basis for the health promotion and effective rehabilitation service to the disabilities in the community. Survey was conducted on the 162 target users, who use center for independent living, are registered as disabled. There are 34 questions in total. The results of the study are as follows. First, 74.7% of respondents said 'they had never heard of TR service'. 68.3% of the respondents said that 'they want to use the service' and 78% are positive about the service. Second, 84% of them said 'they have an intend to participate the service', 87.1% of the respondents answered that they needed 'very necessary' and 'necessary' in the question of necessity. Third, as a results of searching the requirements for TR service, it was found that there are requirements such as service system and construction considering the characteristics of the disabled, service provision of rehabilitation experts, and various program composition. Based on the results of this study, we suggest the development of a differentiated TR system program to improve the quality of rehabilitation for individuals with disabilities by considering the reality of rehabilitation treatment of community disabled people and considering the knowledge and needs of TR system.

A Study on the Factors of Life Satisfaction of the Adults with Developmental Disabilities (그룹홈 중고령 발달장애인의 생활만족도 영향요인 연구: 청년기 발달장애인과의 비교를 중심으로)

  • Roh, Seung Hyun;Kim, Cheong Seok
    • 재활복지
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    • v.22 no.3
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    • pp.69-91
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    • 2018
  • This study aims to identify factors of life satisfaction of the adults with developmental disabilities, focusing on the comparison between young and old. Data are collected through in-depth interview of the adults with developmental disabilities as well as via workers proxy responses at the group home. Regression model analysis is conducted based on 387 cases. The result shows that the young adults with developmental disabilities are more likely to satisfied with life when they evaluate job performance of workers at the group home and when they are more actively involved in community activities. For the old adults with developmental disabilities, life satisfaction is positively associated with their evaluation of job performance of workers at the group home as in the young adults. In addition, life satisfaction of the old adults is higher when they feel less fatigue. It is also higher for those with more choices on residence and higher level of social activities. The findings reveals that enhancement of life satisfaction for the old adults with developmental disabilities dwelling at group home require supports and services for health and social activities different from other ages. It shares the general ideas that service efforts should be made for needs and desires of the recipients. The present study suggests to expand our research interests to include the disabled in danger of early aging, such as the persons with Down Syndrome and the persons with intellectual disability and cerebral palsy, and look into their particular needs.

Effect of The Daoyin Exercise Therapy Combined with Complex Korean Medicine Treatment on Pain and Function Improvement of Low Back Pain Patients : A Retrospective Observational Study (한방복합치료를 병행한 도인운동요법이 요통환자의 통증 및 기능 개선에 미치는 영향 : 후향적 관찰 연구)

  • Choi, Bong Seok;Lee, Eun Jung;Li, Yu Chen;Lee, Jung Min;Kim, Eun Seok;Song, Gwang Chan;Jung, In Chul;Oh, Min Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.1
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    • pp.88-97
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    • 2018
  • This study was designed to prove the effect of the Daoyin exercise therapy combined with complex korean medicine treatment on pain and function improvement of low back pain patients. A retrospective observational study. 30 low back pain patients, checked numeric rating scale(NRS) over 5, were treated with the Daoyin exercise therapy combined with complex korean medicine treatment. NRS, roland & morris disability questionnaire(RMDQ), range of motion(ROM), isokinetic muscle strength, and euroqol five demension questionnaire(EQ-5D) were checked to evaluate patients. The Daoyin exercise therapy combined with complex korean medicine treatment reduced NRS $5.67{\pm}1.40$ to $3.73{\pm}1.72$, improved RMDQ $10.33{\pm}4.91$ to $8.17{\pm}5.40$, strengthened lumbar muscle's peak torque and improved EQ-5D $0.56{\pm}0.20$ to $0.63{\pm}0.15$ and euroqol visual analogue scale(EQVAS) $46.80{\pm}19.95$ to $57.50{\pm}19.93$ but had no effect on ROM. NRS decreased significantly as the number of trials increased. No one had serious adverse reactions. As described above, the Daoyin exercise therapy combined with complex korean medicine treatment can help reducing low back pain, improving lumbar function, strengthening lumbar muscle power and stamina and improving quality of life of low back pain patients.

A Comparative Analysis of Exposure Doses between the Radiation Workers in Dental and General Hospital (일반병원과 치과병원과의 방사선 관계종사자 피폭선량 비교분석)

  • Yang, Nam-Hee;Chung, Woon-Kwan;Dong, Kyung-Rae;Choi, Eun-Jin;Ju, Yong-Jin;Song, Ha-jin
    • Journal of Radiation Industry
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    • v.9 no.1
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    • pp.47-55
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    • 2015
  • Research and investigation is required for the exposure dose of radiation workers to work in the dental hospital as increasing interest in exposure dose of the dental hospital recently accordingly, study aim to minimize radiation exposure by making a follow-up study of individual exposure doses of radiation workers, analyzing the status on individual radiation exposure management, prediction the radiation disability risk levels by radiation, and alerting the workers to the danger of radiation exposure. Especially given the changes in the dental hospital radiation safety awareness conducted the study in order to minimize radiation exposure. This study performed analyses by a comparison between general and dental hospital, comparing each occupation, with the 116,220 exposure dose data by quarter and year of 5,811 subjects at general and dental hospital across South Korea from January 1, 2008 through December 31, 2012. The following are the results obtained by analyzing average values year and quarter. In term of hospital, average doses were significantly higer in general hospitals than detal ones. In terms of job, average doses were higher in radiological technologists the other workes. Especially, they showed statistically significant differences between radiological technologists than dentists. The above-mentioned results indicate that radiation workers were exposed to radiation for the past 5 years to the extent not exceeding the dose limit (maximum $50mSv\;y^{-1}$). The limitation of this study is that radiation workers before 2008 were excluded from the study. Objective evaluation standards did not apply to the work circumstance or condition of each hospital. Therefore, it is deemed necessary to work out analysis criteria that will be used as objective evaluation standard. It will be necessary to study radiation exposure in more precise ways on the basis of objective analysis standard in the furture. Should try to minimize the radiation individual dose of radiation workers.

The Effect of Baby-boomer Retirees' Consumption Patterns on Depression in Later Life (은퇴 베이비부머의 소비패턴과 우울에 관한 연구)

  • Park, Seo-Young;Hong, Song-Iee
    • 한국노년학
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    • v.37 no.2
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    • pp.349-368
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    • 2017
  • The purpose of this study is to empirically structure the patterns of baby boomer retirees'consumption and their effects on depression in later life. Using the 5th wave of Korea Retirement and Income Study(KReIS) in 2013, of baby boomers born in 1955 to 1963, we analyzed those who were completely retired(n=420). The Latent Profile Analysis(LPA) classified the empirical patterns of consumption and then a multiple regression analyzed the effect of consumption patterns on depression among these baby boomer retirees. The LPA results showed that the consumption patterns consist of five groups: (1) Basic life-oriented class(26.9%), (2) Balanced consumption class(29.3%), (3) Social life-oriented class(18.3%), (4) Leisure-oriented class(18.5%), and (5) Education-oriented class(7.0%). Baby boomer retirees' depression was associated with their consumption patterns. Specifically, the basic life-oriented class showed significantly lower depression than the education-oriented class. Other correlates such as higher education, having no spouse, lower subjective health, greater limitations in physical functions, having a diagnosed disability, having fewer children, higher dissatisfaction with leisure activities, and lower self-perceived economic status were associated with higher levels of depression in this study. These findings suggest meaningful implications for gerontological policy and practice for baby boomer retirees in Korea. In light of vulnerable retirement preparation, social services specialized for baby boomers should consider financial education for revamping consumption scale beyond asset management and long-term case management of pre and post retirement cases.

Validation of the Korean Version of the St. George's Respiratory Questionnaire for Patients with Chronic Respiratory Disease (한국어판 세인트조지 호흡기설문의 타당도와 신뢰도 검정)

  • Kim, Young Sam;Byun, Min Kwang;Jung, Wou Young;Jeong, Jae Hee;Choi, Sang Bong;Kang, Shin Myung;Moon, Ji Ae;Han, Jung Suk;Nam, Chung-Mo;Park, Moo Suk;Kim, Se Kyu;Chang, Joon;Ahn, Chul Min;Kim, Sung Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.121-128
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    • 2006
  • Background: The "health-related quality of life" (HRQL) for patients with chronic respiratory disease has been emphasized, because chronic respiratory disease (CRD) is chronic and progressive, and it finally causes disability. HRQL instruments may be useful for monitoring patients' progress or for determining the most appropriate choice of treatment. We describe the adapting St George's Respiratory Questionnaire (SGRQ), which is a self-administered questionnaire developed by Jones et al. (1991), into the Korean version for covering three domains of health for the patients suffering with airways disease. Method: We obtained the original SGRQ from the author after gaining permission. For adaptation, we created an expert panel and translated the original questionnaire into Korean language. The translated questionnaire was then back-translated by bilingual experts and we compared it with the original questionnaire. After correction and feasibility testing, 74 patients with chronic respiratory disease (COPD, asthma, destroyed lung) completed the Korean version of the SGRQ. The clinical status of each patients was evaluated concurrently with measurement of their health status. Result: The Korean version of the SGRQ was acceptable and easy to understand. Cronbach's alpha reliability coefficient was 0.92 for the overall scale and 0.63 for the "Symptoms", subscale, 0.87 for the "Activity", subscale, and 0.89 for the "Impacts" subscales. The correlation coefficients between the overall score and the Borg scale score, oxygen saturation, and forced expiratory volume in one second ($FEV_1$) were 0.52, -0.32 and -0.26, respectively. These results support that the Korean SGRQ was correlated with other measurements. Conclusion: The Korean SGRQ was reliable and valid for patients with chronic respiratory disease, such as COPD, asthma, and destroyed lung. The SGRQ score was well correlated with other respiratory measurements as well. Although further studies should complete the adaptation work, our results suggest that the SGRQ may be used in Korea and also for international studies involving Korean CRD patients.

Intervention of Sensory Integration for Adult Patients: A Systematic Review (성인에게 적용된 감각통합 중재에 대한 체계적 고찰)

  • Hong, Cho-Rong;Lee, Sun-Hee;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.16 no.1
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    • pp.45-55
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    • 2018
  • Objective : The purpose of this systematic review was to inform intervention of sensory integration in adult patients and to provide evidence regarding occupational therapy. Methods : Studies for this review were collected by searching the Pubmed, Scopus, SAGE Journal, Medline, RISS database for articles from 1980 to 2017, using the following keywords: "(sensory integration OR sensory processing OR sensory integrative OR sensory based OR sensory defensiveness) AND adult" A total of 8 studies were included in the analysis. The selected papers were analyzed by using PICO (Patient, Intervention, Comparison, Outcome) framework. Results : The participants' diagnoses were learning disabilities, intellectual disability, dementia and sensory processing disorder. Assessment tools and intervention methods varied according to the researcher's intent. In most studies, sensory integration intervention was shown to be effective. Conclusion : This study was able to confirm that sensory integration intervention was available and effective for adult patients. This was intended to provide clinical evidence for occupational therapists, and further studies should be conducted to establish the application of sensory integration interventions to adults based on this study.