• 재활복지
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• v.22 no.2
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• pp.103-126
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• 2018

The purpose of this study is to examine the effect of the disability awareness program and to search for its development plan. For this, the disability awareness program was developed and lecturers were educated. And it had been exercised and examined its effect to 508 people including elementary, middle and high school students and adults nationwide from June to October in 2017. To examine the effect of the program, Disability Awareness Index developed by Korean Foundation for Persons with Disabilities was used. It was also examined on the change of the disability awareness(understanding disability and human rights of disabled) and of the knowledge about discrimination and differentiation. Pre-post tests based on the experimental design were performed and data were analyzed using descriptive statistics, paired t-test, independent t-test and ANOVA. The research results showed as follows; Disability awareness was improved significantly and knowledge about discrimination and differentiation were enhanced after attending the program. Also, it was found that the factors like gender, age, and program types made significant difference to the effects of the program. Based on the research results, this study suggested for the development disability awareness program and the directions for future studies.

• Physical Therapy Korea
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• v.18 no.2
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• pp.35-42
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• 2011

Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject's characteristics. For women and youths, the 'sex life' item showed misfit statistics, whereas for older subjects it was the 'pain intensity' and 'standing' items. Also, in the acute low back group the 'pain intensity', 'standing' and 'sex life' items showed misfit statistics. For all subjects, the most difficult item was 'pain intensity', whereas the easiest item was 'walking'. But for the older and acute groups 'lifting' was the most difficult item and for those who have a visual analogue scale score of 3 or less 'sitting' was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

• Health Policy and Management
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• v.21 no.2
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• pp.279-308
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• 2011

Background : Demands have increased for a variety of welfare services and customized services for persons with disabilities(PWD). A management System focused on PWD was needed to provide for comprehensive services. The purpose of this study was to design a disability database and an application system in order to provide continuous and comprehensive rehabilitation service for PWD. Methods : We analyzed local and abroad disability-related policies and systems and derived the contents that should be included in the integrated database for PWD through a survey among rehabilitation specialists. Result : The integrated database for PWD was composed of 7 categories including General Characteristics, Health & Medicine, Assistance, Education, Employment, Economics and Daily & Social Life. The applicable system of integrated database for PWD was proposed to help conducting policies in such areas as follows ; 'welfare', 'education and culture', 'economic activity', 'social participation' and 'Health'. Conclusion : The main goal of disability policy and strategy should be established by systematically analyzing disability-related data integrating database of PWD. Accordingly, specific objectives and directions for disability policies should be set and efficiently managed and operated. The integrated database for PWD may be utilized for disability-related policies and service monitering, sustainable and integrated management and community participation and integration based on the rights of the disabled.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.388-398
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• 2011

Purpose: This study was to develop a post-operative exercise program, apply it to patients undergone lumbar spinal fusion surgery, and evaluate the effectiveness of the program on pain and disability activities of daily living. Methods: Fifty six patients who had lumbar spinal fusion were enrolled in this study. The patients were divided into two groups; 28 patients in the intervention group completed post-operative lumbar exercise program including walking for four weeks and 28 patients in the control group only did walking exercises. The degrees of pain on low back and leg were evaluated using visual analog scale (VAS) and the functional outcome was evaluated using the Korean version of Oswestry Disability Index (KODI) before surgery and 5 weeks after surgery. The data were analyzed using descriptive statistics, Chi-square test, t-test with SPSS 18.0 program. Results: Low back and leg pain of the participants in both experimental and control groups were improved after surgery compared to pre-surgery pain. However, there was no statistically significant difference between the groups. KODI score in the intervention group was significantly lower than that of the control group (p=.014). Conclusion: The developed post-operative exercise program in patients with lumbar spinal fusion surgery seems to be a useful intervention to reduce disability in activities of daily living.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.2
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• pp.25-36
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• 2019

Purpose: The purpose of this study was to examine the factors affecting of health screening among persons with disabilities. Method: The study examines the factors affecting of health screening using over 20 years of age who participated in the 2017 National survey of the disabled data. Subjects were 6,332 person with disabilities over 20 years of age. Data were analyzed using descriptive statistics, X2-test, multiple logistic regression with the SPSS win 21.0 program. Results: Health screening among persons with disabilities is differentiated with education level, marital status, Subjective House economic status, Health insurance, Economic activity, Type of disability, Grade of disability, Stress recognition, Depressive symptom, Suicidal thinking, Suicidal attempt, and grade of disability. The significant predictors of the health screening were age, Subjective House economic status, Economic activity, and Grade of disability. Conclusion: We should consider age, disability level, and economic level when developing a screening program for people with disabilities. Especially, the development and promotion of the health screening program for persons with disabilities and related education are required.

• Journal of Advanced Technology Convergence
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• v.3 no.3
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• pp.1-7
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• 2024

This study aimed to identify the factors influencing depression in adults with physical disabilities through a secondary data analysis. The study analyzed data from 867 adults who reported having physical disabilities in the 2018 Panel Survey on Disability conducted by the Korea Disabled People's Development Institute. Descriptive statistics and logistic regression analysis were performed using SPSS 29.0 with a complex sample design. The cause of disability was acquired in 98.1% of the participants, and 53.8% of them reported experiencing depression. Self-esteem (OR=0.18, 95% CI=0.08-0.39) and disability acceptance (OR=0.17, 95% CI=0.08-0.38) were significant factors influencing depression in adults with physical disabilities. These findings suggest that interventions aimed at promoting disability acceptance and enhancing self-esteem may effectively alleviate depression in this population.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.12
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• pp.4812-4818
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• 2010

Neck pain was commonly experienced by both adolescents and adults. The neck disability index(NDI) was the most commonly used self-report measure for evaluating status in neck pain. The objective of this study is to research the prevalence of the NDI in their 20's of college students in department of physical therapy. The data were collected from the NDI questionnaire of college students(males: 229, females: 405) for functional disability measures. Statistical analysis was carried out with SPSS 12.0 program, which was used for descriptive statistics, independent samples test and Pearson correlation analysis. The results were : First, 'headache' item was showed 'the highest prevalence' in second choice demonstrating the neck disability and 'pain intensity' in third choice. Second, female(46.4%) was higher distribution than male(36.3%) on score, percentage and grade of NDI(p<0.05). Third, the NDI grade was investigated that it is composed of 'no disability(63.8%)', 'mild disability(35.4%)', and 'moderate disability(0.9%)' in male and 'no disability(53.6%)', 'mild disability(44.7%)', 'moderate disability(1.5%)' and 'severe disability(0.2%)' in female. Fourth, there was a statically significant relationship between NDI grade and NDI items(p<0.05). These results have specific meaning as future clinical and epidemiological studies. Also, it is needed to education and preparation on prevention and management of neck disability among college students.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.87-95
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• 2009

Purpose: The purpose of this study was to examine the effects of aquatic exercise on pain, fatigue, physical fitness, disability in ADL, and psychological variables in women with arthritis. Methods: With a quasi-experimental design, 46 women who has arthritis were assigned into an experimental group (n=23), or a control group (n=23). Data were analyzed with SPSS/WIN using descriptive statistics, t-test and ANCOVA. Results: The mean age of the subjects was 60.9 years in the experimental group and 59.8 years in the control group. The pretest scores of the outcome variables were similar between the two groups except fatigue and waist flexibility. After controlling fatigue and waist flexibility, the experimental group showed more improvement than the control group in Rt shoulder flexibility score (F=4.36, p=.04), sit-up score (F=32.34, p=.00), and muscle strength score (F=30.78, p=.00). The score of disability in ADL decreased in the experimental group (F=5.49, p=.02). The depression score decreased in the experimental group (F=12.01, p=.00), and self-efficacy was improved more than the other variables(F=8.88, p=.00). Conclusion: Aquatic exercise is likely to be an effective nursing intervention to improve physical fitness, to reduce pain, fatigue, and disability in ADL, and to enhance psychological functions in women with arthritis.

• Journal of Wellbeing Management and Applied Psychology
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• v.7 no.1
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• pp.51-65
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• 2024

Purpose: This study is to propose the establishment and direction of a public health-medical cooperation system for rehabilitation medical services for people with physical and brain disabilities in Gangneung, Korea. Research design, data and methodology: The study focused on 30 individuals with these disabilities registered. Data was collected from December 20, 2021, to December 31, 2021, through structured surveys administered by researchers visiting disability-related facilities, utilizing convenience and random sampling methods. Descriptive statistics and cross-analysis were applied for analysis. Results: Specifically, among respondents with physical disabilities, a total of 20 needs were identified, with 'Visiting health services' (25.0%) and 'Oral health services' (20.0%) ranking highest. The survey results regarding visit-based rehabilitation services for disability support showed a high demand, emphasizing the necessity of service provision tailored to the needs of recipients, focusing on disability prevention, health management, and motor function recovery, rather than solely medical or therapeutic concepts. Conclusions: Gangwon National University Hospital, as the regional referral hospital in Gangwon, should collaborate with Gangwon Province Rehabilitation Hospital to provide prompt acute rehabilitation services. Moreover, cooperation and collaboration with Gangneung Asan Hospital, the tertiary hospital in the region, are essential to ensure continued acute and recovery phase rehabilitation therapy for a certain period in the Gangneung area.

• Journal of Korean Academy of Nursing
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• v.42 no.3
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• pp.434-442
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• 2012

Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables. Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.