• 제목/요약/키워드: Disability and Health

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일본 연하장애 어린이의 치과적 접근 (DENTAL APPROACHES OF CHILDREN WITH DYSPHAGIA IN JAPAN)

  • 양연미
    • 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.

뇌손상 환자의 장애정도와 간병가족의 교육요구도 (Brain Injury Patients's Disability Degree and Educational Needs of Family Caregivers)

  • 윤선희;유양숙;조옥희;황경혜
    • 가정간호학회지
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    • 제19권1호
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    • pp.37-45
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    • 2012
  • Purpose: This study was conducted in order to identify the brain injury patients's disability degree and educational needs of family caregivers. Methods: A convenience sample of 94 families with brain injury patients, who have been receiving treatment at the neurological intensive care unit and neurosurgery ward, were used. Data was collected with a self-report questionnaire from September 5 to November 28, 2011, and was analyzed using SAS program. Results: 'Defecation/urination' disability was the highest score of patient's physical disability and the next ranking was 'paralysis'. 'Memory impairment' disability was the highest score of patient's cognitive disability, and the next ranking was 'personality changes'. Overall, educational needs of family caregivers scored 4.15 out of the perfect score of 5. The factor, which scored highest, was 'information related with disease'. In addition, educational needs of family caregivers were positively related with patient's degree of. Conclusion: Educational needs of family caregivers are distinct, according to the disability degree of brain injury patient. Therefore, the study suggests the development of individualized educational program for family with brain injury patient.

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일부 노인의 구강내 상태에 따른 구강건강관련 삶의질 차이에 관한 연구 (The oral status of the elderly in some states difference between oral health-related quality of life)

  • 박종희
    • 대한치과기공학회지
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    • 제36권1호
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    • pp.51-62
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    • 2014
  • Purpose: Recently our country is rapidly aging population is growing. In the oral cavity of the elderly status of oral health-related quality of life to evaluate any impact. Methods: The survey used structured self administered questionnaires from April to May in 2011 in Daejeon and Chungcheong provinces to 277 people, analysis of the general characteristics of a frequency analysis method, the difference between the quality of life T/F test, whether oral self-according to the quality of life healthy oral health effects of the multiple regression analysis. Results: Award comes on the number of residual value, lower age all the more, smaller monthly income was small, but significant difference between them was no difference between gender. Residual value according to the number of differences in the quality of life of physical pain upper, physical disability, the lower the physical pain, physical disability, psychological disability were significant differences in degradation. Depending on oral maxillary prosthesis fitted to physical pain, psychological discomfort, physical disability, the lower the functional limitation, physical pain, there was a significant difference in physical disability. Conclusion: Status of the oral cavity of the elderly factors affecting the quality of life remaining in the lower dimensions, upper and lower prosthetics, self-aware state of oral health in order to improve the quality of life of elderly oral health education to be strengthened to increase the residual value, reducing their own prosthetic perceived oral health is health, so they feel it should be for the development of health education programs for the elderly should be.

산후여성의 임신중 요통, 요통장애와 분만중 통증에 관한 연구 (A Study on Back Pain, Pain Disability, and Labour Pain of Postpartum Women)

  • 심미정
    • 여성건강간호학회지
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    • 제10권1호
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    • pp.8-14
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    • 2004
  • Purpose: The purpose of this study was to look into back pain, pain disability, labour pain, and related areas of pain experienced by postpartum women. Method: A survey about pain including a Visual Analogue Scale (VAS), Oswestry pain disability, and pain drawing was used in a descriptive research method on 98 women 2-3 days after delivery. Result: 57.1% of those surveyed reported experiencing back pain before pregnancy. 75.5% reported experiencing back pain during pregnancy. The average starting time of back pain for pregnant women was 2.9 months into pregnancy. 48.8% reported the most severe back pain in the last trimester of pregnancy, while most women complained of left and right pubic pain and lumbar area pain during pregnancy. Statistical relations were calculated and menstrual symptoms (F=5.938, p=0.004), back pain prior to pregnancy (F=4.714, p=0.000), back pain during pregnancy (F=-3.429, p=0.001), and back pain disability prior to pregnancy (F=-1.994). Conclusion: There is a relation in postpartum women's back pain between back pain prior to pregnancy and back pain during pregnancy. Pelvic examinations early in pregnancy can determine if back pain will change for the worse or relapse. Therefore, the application of a pain relieving nursing intervention is needed.

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장애인의 주관적 건강수준이 일상생활만족도에 미치는 영향 -장애수용과 우울의 매개효과- (The Influence of Subjective Health Status on Daily Life Satisfaction of the People with Disabilities - Focusing on the Mediating Effects of Acceptance of Disability and Depression -)

  • 김동주
    • 디지털융복합연구
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    • 제15권1호
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    • pp.519-526
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    • 2017
  • 본 연구는 장애인의 주관적인 건강수준이 일상생활만족도에 미치는 영향과 장애인의 심리적 기제인 우울과 장애수용의 매개효과를 분석하였다. 본 연구의 목적은 장애인의 주관적인 건강수준과 생활만족도와의 관계를 밝힘으로써 구체적인 실천적 개입 전략과, 정책적 제도방안 수립의 기초자료로 활용하는데 있다. 본 연구는 한국장애인고용공단 고용개발원에서 조사한 제4차 장애인고용패널조사(Panel Survey of Employment for the Disabled, PSED)의 원자료(raw data)를 이용하여 분석하였다. 연구결과를 요약하면 다음과 같다. 첫째, 장애인의 주관적 건강수준, 장애수용, 우울, 일상생활만족도 간의 상관관계를 분석한 결과, 일상생활만족도는 주관적 건강수준과 장애수용과는 정의 상관관계를 보인 반면, 우울과는 부의 상관관계를 보였다. 둘째, 주관적 건강수준이 일상생활 만족도에 미치는 영향과 장애수용 및 우울의 매개효과에서는 주관적 건강수준은 일상생활만족도에 통계적으로 유의미한 영향을 미치며, 이들 간의 관계에서 장애수용과 우울은 부분매개효과가 있음이 확인되었다. 이런 결과를 토대로 장애인의 일상생활만족을 위하여 실천적 정책적 제언을 제시하였다.

한국인의 활동장애가 없는 건강여명에 관한 연구 (A Study on Korean Disability-Free Life Expectancy)

  • 김정근
    • 한국인구학
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    • 제19권1호
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    • pp.123-137
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    • 1996
  • 이 논문은 건강수명의 개념을 도입하여 우리 나라 국민의 건강수준이 어느 정도인지를 규명하고 있다. 평균수명으로는 수명의 양적인 측정은 가능하지만 수명의 질적인 측면의 측정이 배제되기 때문에 일부 선진국가에서는 국민들의 사망과 상병상태를 결합한 활동장애가 없는 건강여명(Disability-Free Life Expectancy)을 산출하여 이용하고 있다. 우리 나라 국민의 활동장애가 없는 건강여명을 산출하기 위하여 사망자료로는 1989년도 간이생명표를 이용하였으며 상병자료로는 대표성을 고려하여 표본의 크기가 가장 큰 1989년 국민건강조사를 이용하였다. 주요 결과를 보면 우리 나라 남자의 경우 0세에서 활동장애가 없는 건강여명은 60.48년이었으며, 여자는 남자보다 3.2년이 더 높은 63.80년으로 나타났다. 연구자에 따라 활동장애에 대한 정의나 측정방법이 다르기 때문에 국제간 정확한 비교는 곤란하지만 우리 나라의 활동장애여명을 외국과 비교해보면 단기이환으로 인한 활동장애여명은 비교적 높지만, 장기이환으로 인한 활동장애여명은 선진국에 비해 낮은 수준이라 할 수 있다. 앞으로 우리 나라에서도 국민의 건강수준을 질적 양적 측면에서 정확히 평가하기 위하여 필요한 기초자료가 주기적으로 생산되어야 할 것이다.

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요양병원 입원 노인환자의 구강건강인식도와 구강건강관련 삶의 질에 관한 연구 (A study on oral health perception and oral health-related quality of life of the elderly patients in a geriatric hospital)

  • 김가현;권용선
    • 한국치위생학회지
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    • 제16권3호
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    • pp.363-371
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    • 2016
  • Objectives: The purpose of the study was to investigate the relationship between oral health perception and oral health-related quality of life-14(OHIP-14) in a geriatric hospital. Methods: A self-reported questionnaire was completed by 230 elderly people in a long-term care institution. The questionnaire was consisted of items on general characteristics, oral health perception and OHIP-14. Except incomplete answers, 226 data were analyzed statistically with one-way ANOVA, t-test, Pearson's correlation coefficient and post hoc Tukey test and ANOVA when significance was set at 0.05. Results: The OHIP-14 showed a negative linear relationship(p<0.01) of r=-0.272 with the oral health perception. Among the subgroups of the OHIP-14, quantitative linear relationship(p<0.01) was shown in functional limitation(r=0.822), physical pain(r=0.825), psychological discomfort(r=0.568), physical disability(r=0.895), psychological disability(r=0.652), social disability(r=0.804) and handicap(r=0.818). Conclusions: In order to improve the oral health perception and OHIP-14 in a geriatric hospital, it is necessary to develop continuously a variety of oral health education and systematic oral health promotion program.

Multiple Relationships Between Impairment, Activity and Participation-based Clinical Outcome Measures in 200 Low Back Pain

  • Chanhee Park
    • 한국전문물리치료학회지
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    • 제30권2호
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    • pp.136-143
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    • 2023
  • Background: The International Classification of Functioning, Disability and Health (ICF) model, created by the World Health Organization, provides a theoretical framework that can be applied in the diagnosis and treatment of various disorders. Objects: Our research purposed to ascertain the relationship between structure/function, activity, and participation domain variables of the ICF and pain, pain-associated disability, activities of daily living (ADL), and quality of life in patients with chronic low back pain (LBP). Methods: Two-hundred patients with chronic LBP (mean age: 35.5 ± 8.8 years, females, n = 40) were recruited from hospital and community settings. We evaluated the body structure/function domain variable using the Numeric Pain Rating Scale (NPRS) and Roland-Morris disability (RMD) questionnaire. To evaluate the activity domain variable, we used the Oswestry Disability Index (ODI) and Quebec Back Pain Disability Scale (QBDS). For clinical outcome measures, we used Short-form 12 (SF-12). Pearson's correlation coefficient was used to ascertain the relationships among the variables (p < 0.05). All the participants with LBP received 30 minutes of conventional physical therapy 3 days/week for 4 weeks. Results: There were significant correlations between the body structure/function domain (NPRS and RMD questionnaire), activity domain (ODI and QBDS), and participation domain variables (SF-12), rending from pre-intervention (r = -0.723 to 0.783) and postintervention (r = -0.742 to 0.757, p < 0.05). Conclusion: The identification of a significant difference between these domain variables point to important relationships between pain, disability, performance of ADL, and quality in participants with LBP.

일부 농촌지역 노인들의 건강증진활동 수행정도 및 관련요인 (The Health Promoting Activity of Old Aged in a Rural Area)

  • 김선미;김양옥;김기순;류소연;이철갑;안현옥;박종;손명호
    • 농촌의학ㆍ지역보건
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    • 제23권1호
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    • pp.79-89
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    • 1998
  • This study was to evaluate the performance status and associated factors with the health promoting activities. Two hundred three old aged over 65 years old sampled by quota sampling among 660 old aged in a rural area, Dae-Ma Myun, Young-Kwang Gun, Chollanam Do. The questionnaire survey was performed from June 1st to August 31st in 1997. The major findings were as follows ; 1. The performance rate of health promoting activities were higher in female, dwellers at community health practitioner post area, and old aged believes in a religion and high educated old aged. 2. A multiple regression analysis showed that physical health promoting activity was related to psychiatric wellbeing status, the disability of daily living, residental area and family numbers(P<0.05). 3. The disability of daily living and psychiatric wellbeing status were related to mental health promoting activities by a multiple regression analysis(P<0.05). In conclusion, psychiatric wellbeing status, the disability of daily living, the disability of daily living and residental area were associated the performance of health promoting activities for old aged in a rural area.

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관절염 환자를 위한 타이치 프로그램 적용 후 통증, 피로, 인지된 건강상태, 관절뻣뻣함, 일상활동장애, 우울의 변화 (Changes in Pain, Fatigue, Perceived Health Status, Joint Stiffness, Disability in ADL, and Depression after Tai Chi for Arthritis Program)

  • 이경숙;소애영;최정숙;이은희;유보비
    • 근관절건강학회지
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    • 제15권1호
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    • pp.53-61
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    • 2008
  • Purpose: The purpose of this study was to observe the changes of the pain, fatigue, perceived health status, disability in ADL, and depression after Tai Chi for arthritis. Method: The subjects were 19 osteoarthritis women enrolled at one primary health care post. They have agreed to participate in this study, and participated in the 12-week Tai Chi program from Dec. 2006 to Mar. 2007, and all the measurement processes in right after, 2 months later, and 4 months later after Tai Chi program. The measurement tools of this study were all self-reported questionnaires such as Numerical Rating Scale (0-100) for pain, fatigue, and perceived health status, Korean-WOMAC (Western Ontario and McMaster University Osteoarthritis) Index for joint stiffness, Korean Health Assessment Questionnaire, and CES-Depression scale. Results: The repeated measure ANOVA revealed the significant differences on pain among the right after, 2 months later, and 4 months later the program. Especially 2 months later after program, pain was significantly increased than right after by t-test. There were no significant differences on fatigue, perceived health status, disability in ADL, and depression. Conclusion: Pain was increased after Tai Chi for arthritis program, but fatigue, perceived health status, disability in ADL, and depression were not changed until 4 months after Tai Chi program.

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