• The Korean Journal of Pain
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• 제36권2호
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• pp.242-252
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• 2023

Background: Neck pain is a common problem in the general population and second only to low back pain in musculoskeletal problems. The aim of this study is to compare three different types of exercise training in patients with chronic neck pain. Methods: This study was conducted on 45 patients with neck pain. Patients were divided into 3 groups: Group 1 (conventional treatment), Group 2 (conventional treatment plus deep cervical flexor training), and Group 3 (conventional treatment plus stabilization of the neck and core region). The exercise programs were applied for four weeks, three days a week. The demographic data, pain intensity (verbal numeric pain scale), posture (Reedco's posture scale), cervical range of motion ([ROM] goniometer), and disability (Neck Disability Index [NDI]) were evaluated. Results: In all groups, a significant improvement was found in terms of pain, posture, ROM, and NDI values in all groups (P < 0.001). Between the groups, analyses showed that the pain and posture improved more in Group 3, while the ROM and NDI improved more in Group 2. Conclusions: In addition to conventional treatment, applying core stabilization exercises or deep cervical flexor muscle training to patients with neck pain may be more effective in reducing pain and disability and increasing ROM than conventional treatment alone.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.249-258
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• 2007

Objectives : The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. Methods : The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. Results : The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence $(CMA{\geq}80%)$ rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. Conclusions : The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

• 대한장애인치과학회지
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• 제3권2호
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• pp.69-74
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• 2007

진단기술과 약물치료기법 및 신경학적 과정에 대한 이해가 발전됨으로 인하여 치과의사는 간질환자를 더 잘 이해하고 치료할 수 있게 되었다. 간질환자는 몇 가지 주의사항만 지킨다면 일반치과에서도 쉽게 치료할 수 있다. 즉, 의학적 병력과 함께 매 번 방문 시 마다 치과치료 전에 현재상태에 대한 평가가 필요하다. 기왕력 중 발작은 치료계획수립시 반드시 고려되어야 한다. 치과의사는 간질이나 경련성질환에 대하여 포괄적이며 통합적 이해를 통하여 환자의 구강건강뿐 아니라 나아가 전신건강을 증진하는 데 기여할 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제39권6호
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• pp.511-519
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• 2006

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.

• 대한장애인치과학회지
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• 제4권2호
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• pp.69-72
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• 2008

장애를 가지지 않은 비장애 아동의 치과 치료를 생각할 때 우리는 일상적으로 치과의사, 어린이, 그리고 보호자로 구성된 삼각관계의 의사소통을 흔히 떠올리며, 특히 의료진과 부모와의 의사소통을 매우 중시한다. 그러나 우리가 장애아동을 접할 때에도 마찬가지로 이런 자세로 임하고 있는가를 생각해 보면 의문의 여지가 남는다. 그것은 아마 어린이가 가진 장애의 본질과 그 대처방법에 몰두한 나머지 부모의 심리를 읽어내려는 정상적인 노력이 상대적으로 소홀히 되는 경향에 기인하는 것이 아닌가 생각된다. 장애아동을 둔 부모들은 그들의 자녀와 마찬가지로 의료진의 각별한 관심을 받을 만한 자격과 이유가 충분함에도 불구하고 그렇지 못해 온 것에 대하여 이들을 맞는 의료진은 진정한 성찰이 있어야 하겠다.

• 대한장애인치과학회지
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• 제5권1호
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• pp.1-4
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• 2009

뇌성마비(Cerebral Palsy)는 임신 중이나 출산, 또는 신생아기에 발생된 뇌손상에 의해 발생하는 중추성 자세 및 운동 장애를 말한다. 뇌성마비는 여러 가지 합병증 및 동반증상을 가지게 되는데, 그 증상들에는 지적장애, 언어장애, 간질, 시각장애, 자폐, 이갈이 및 섭식연하장애 등이 있다. 뇌성마비 장애인에서 나타나는 치과적 특징과 고려사항, 그리고 이들의 구강건강관리에 대해 알아보고자 한다.

• 성인간호학회지
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• 제16권2호
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• pp.288-296
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• 2004

Purpose: Illness intrusiveness (illness induced lifestyle disruption) by symptoms was investigated in 439 patients with rheumatoid arthritis. Method: The cross-sectional and retrospective survey design was used. Fatigue, disability, pain, and depression were considered as symptoms of rheumatoid arthritis. Result: Patients were reported to perceive more illness intrusiveness than other chronic disease patients such as end stage renal disease, bipolar disorder, and peritoneal dialysis patients. They were especially intrusive into work, health, and active recreation domains. Stepwise regression analysis identified four variables counting for 26% of illness intrusiveness variances: fatigue, disability, marital status, and depression. All of the symptoms except pain were found to significantly predict illness intrusiveness. Fatigue explained 16% of illness intrusiveness variances. Conclusion: Fatigue and depression usually overlooked by health professionals must be carefully assessed and managed to reduce perceived illness for rheumatoid arthritis patients.

• Child Health Nursing Research
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• 제7권4호
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• pp.530-539
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• 2001

The purpose of this study is to explore and describe the lived experience of adolescents with physical handicap by means of the Colaizzi's phenomenological method. The participants were 15 adolescents, 10-19 years old, who were experiencing physical handicap. Significant statements from data were extracted. From these formulated meanings, 27 themes, 10 clusters of theme and 4 categories were constructed. Major theme clusters that were emerged from the analysis are 'denial', 'despair', ’social isolation', ’being despised', ’not being treated as a member of society', ’getting the power in love around people', ’accepting the physical handicap', ’feeling the joy and one's life worth living', ’depending on the religion', and 'the feeling of achievement by the effort and the service'. In order to help the adolescents with physical handicap overcome their difficulty and cope to the social environment, nurses need to understand the essential theme clusters of the experience of adolescents with physical disability.

• 한국산학기술학회논문지
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• 제12권12호
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• pp.5700-5708
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• 2011

본 연구는 우리나라 일부지역 장애인 복지시설 교사의 구강보건지식을 알아 보기위해 수행되었다. 조사는 2010년 8월 실시하였으며, 김해시에 위치한 6개 장애인 복지시설 교사 119명을 대상으로 자기 기입식 설문조사를 시행하였다. 전체 문항을 바르게 인지하는 경우를 100점으로 하였을 때 전체 대상자의 구강보건지식도는 46.4(${\pm}18.0$)점이었다. 또한 인구사회학적 특성에 따른 지식도의 차이는 통계적으로 유의하지 않았다. 결론적으로 우리나라 장애인 복지시설 교사들에서 보수교육을 통한 구강보건교육, 온라인 교육 및 대학 정규 교과과정 자료 개발이 이루어져야 하겠다.

• 한국전문물리치료학회지
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• 제15권2호
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• pp.1-10
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• 2008

This study compared the effect of therapeutic exercise with conservative treatment in women with chronic neck pain. Subjects were allocated to control, neck isometric exercise, and cervical stabilization exercise groups consisting of 29, 32, and 31 patients, respectively. The conservative treatment for the control group consisted of hot packs, ultrasound, interferential current therapy, and intermittent cervical traction. The neck isometric exercise group performed a neck isometric exercise and the cervical stabilization exercise group performed a cervical stabilization exercise. To compare the three groups, the levels of perceived pain, neck disability, and psychological depression were assessed on admission, at discharge, and one month after discharge. On admission and at discharge, the pain and neck disability scores did not differ significantly among the groups. However, one month after discharge, both the neck isometric and cervical stabilization exercise groups had significantly improved perceived pain levels as compared to control (p<.05). The improvement in the degree of neck disability was most significant in the cervical stabilization exercise group (p<.05). On comparing the changes in the variables at the three assessments for each group, there was a significant difference between the control and cervical stabilization exercise groups (p<.05). The findings indicate that therapeutic exercises, especially cervical stabilization exercises, are more effective for improving pain and neck disability than conservative treatment.