• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2012년도 춘계 종합학술대회 논문집
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• pp.239-240
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• 2012

본 연구는 동작놀이를 통한 정신지체 아동들의 신체움직임 변화에 미치는 효과를 보기 위함이다. 특수학교 정신지체 아동 6명을 대상으로 동작놀이 프로그램을 한 달간 주1회 1시간씩 5회기를 실시하였다. 연구결과 장애의 정도에 따라 학습능력, 학습태도에서 차이는 있었지만 신체영역 중 놀이, 행동, 운동성의 능력이 발달되었으며 사회영역 중 자기감정에 따른 표현이나 자신의 긍정적인 모습과 표현활동 능력이 향상되었음을 알 수 있었다.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.338-346
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• 2016

본 연구는 발달장애 아동을 가진 어머니를 대상으로 한 건강교육프로그램을 개발하고 건강관리행위와 양육스트레스 수준을 비교하여 효과를 검정한 비동등성 사전사후 대조군 실험설계 연구이다. 연구대상자는 발달장애 아동의 어머니로 실험군 28명과 대조군 26명으로 총 54명이다. 건강교육프로그램은 전문가 집단 토론과 선행연구들을 토대로 하여 개발하였으며, 프로그램 적용은 주 2회 교육으로 총 4주간 이루어졌다. 프로그램의 전반 2주간은 신체적 건강교육 내용이며, 후반 2주간은 사회심리적 교육내용으로 구성하였다. 사전, 사후, 추후를 통해 자료 수집을 하였으며, 수집된 자료는 repeated measure ANOVA를 통해 분석하였다. 연구결과 프로그램 적용 전, 프로그램 적용 후, 그리고 4주후에 따라 건강관리행위 수준은 향상되고, 양육스트레스는 유의하게 감소하는 것을 확인하였다. 또한 실험군이 대조군에 비해 유의한 차이를 보였다. 이러한 결과는 본 연구를 통해 개발된 건강교육프로그램이 대상자의 건강요구에 적합하였고, 건강관리행위 수준 향상과 양육스트레스를 감소시키는 데 효과적임을 알 수 있었다. 향후에도 발달장애 아동의 건강증진을 위해 다양한 건강교육프로그램 개발과 연구가 지속되어야 할 것이다.

• 대한장애인치과학회지
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• 제3권1호
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• pp.11-16
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• 2007

The use of general anesthesia as a special method of behavior management is necessary if certain handicapped or disabled child patient to receive dental treatment. This study was designed to report the results of 53 cases of complete oral rehabilitation under general anesthesia. The data were obtained from patients who were provided with dental treatment under general anesthesia for last 3years managed at the Dept. of pediatric dentistry in PNU Hospital. The distribution of age, gender, primary reason for general anesthesia, duration of dental procedure, number of treated tooth and periodic recall check-up were surveyed. In distribution of age, most(78%) were younger than 10 years and mean was 13.0 years. The reasons for providing general anesthesia were lack of cooperation due to various mental and physical handicapped situation(74%), congenital heart disease(13%), combined with medically compromised and behavior problem and others. The average duration of the treatments was 2 hours and 41 minutes and average duration of the anesthesia was 3 hours and 6minutes. The mean number of treated with restoration a children were 16.7 teeth. From the results, total dental rehabilitation under general anesthesia is a favorable modality to improve for disabled children's oral condition.

• 대한통합의학회지
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• 제11권2호
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• pp.61-68
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• 2023

Purpose : In this study, a group art therapy program was applied to mothers who are the main rears of disabled children to confirm its effect by comparing the self-esteem and parenting efficacy of the mothers prior to and after the program. Methods : 17 subjects recruited by using the 2-group prior-after control group study design method were randomly allocated. The study was conducted on 8 subjects in the experimental group for whom an art therapy program is applied and 9 subjects in the control group. The experimental group was subjected to group art therapy lasting 60 minutes once a week. Activity goals and contents were predetermined for each subject for each session, and a total of 10 sessions of the program was applied for 10 weeks. Self-esteem and parenting efficacy prior to and after the program of the subjects were measured by using corresponding self-esteem and parenting efficacy scales. Measurement data were analyzed by using the Mann-Whitney Test. Results : It was possible to observe that the self-esteem and parenting efficacy of the subjects in the experimental group to whom the art therapy program was applied underwent more significant changes in comparison to those of the control group (p<.01). Conclusion : Group art therapy induces social support experiences of group therapy and an improvement of an assertive attitude towards art therapy. Since there was a significant improvement of self-esteem and parenting efficacy in the results of this study when the group art therapy program is applied, it is believed its clinically meaningful application would be possible. In particular, it can be utilized in programs for disabled children in a family unit from the perspective that it improves parenting efficacy, which can impart an affirmative effect not only to the main rear but also to all the family members.

• 대한감각통합치료학회지
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• 제9권1호
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• pp.1-9
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• 2011

목적 : 초등학교 고학년 학생의 장애아동에 대한 인식을 알아보는 것이다. 연구방법 : 연구 대상은 김해시에 소재한 통합교육을 실시하지 않는 초등학교의 4, 5, 6학년의 비장애 아동이었다. 연구 기간은 2008년 10월 2일부터 10월 17일까지였으며, 설문지를 사용하였다. 설문지의 하위 영역은 사귐, 활 동, 학업 영역의 세 부분으로 각 10문항으로 이루어져 있으며 SPSS 12.0을 사용하여 분석하였다. 결과 : 장애아동에 대한 인식조사 결과 첫째, 성별에 따른 인식은 남학생보다 여학생의 평균 점수가 높았으나 통계 적으로 유의미한 차이는 없었다. 둘째, 학년에 따른 인식은 4학년의 평균 점수가 가장 높았고 6학년이 가장 낮았으며 통계적으로 유의미한 차이가 있었다(F=3.546, p<0.05). 셋째, 장애인 접촉 유무에 따른 인식은 접촉 경험이 없는 학생이 있는 학생보다 평균점수가 높았으나 통계적으로 유의미한 차이는 없었다. 결론 : 비장애학생의 장애아동에 대한 인식은 학년에 따라 차이가 있었다. 본 연구는 작업치료사들에게 장애아동에 대한 또래집단의 인식에 대한 정보를 제공함으로써 학교환경에 대한 이해를 도울 수 있을 것이다.

• 가정과삶의질연구
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• 제28권6호
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• pp.169-181
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• 2010

The purpose of this study was to identify the effect of living cost reduction through social welfare services and programs and to suggest the further ways of saving living cost for low-income households. For the research purpose, low-income household type was divided into three representative groups such as senior household, household with school-aged children, and household with the disabled based on the literature review. Four case households which live in permanent rental apartment in Seoul were selected as research subjects. During March 14~April 10, 2010, each household was interviewed to examine the details of monthly income and expenditure structure and types of welfare services receiving. Although some differences exist among cases, there was a definite living cost reduction effect through welfare services and programs from 12% to 150%. Household with school-aged children required diversified education programs corresponding to the children's age. Meanwhile, households including senior and the disabled indicated the necessity of convenient transportation system.

• 가정과삶의질연구
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• 제27권1호
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• pp.165-179
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• 2009

The purpose of this study is to analyze the effectiveness of a host family experience program on the adaptive behavior and self-management skills of children with severe disabilities and to suggest its applicability into clinical practice. The investigators developed a host family experience program and researched the pre-test and post-test designs with nonequivalent groups. The experiment and comparison groups were comprised of 34 children with severe disabilities that lived at S, a care facility for the severely disabled. They were examined for the program's effects on them before and after the application. After analyzing 17 cases for differences in the subjects' quantitative scores, a qualitative analysis was carried out on one representative case. The quantitative analysis results reveal that the experiment group showed a significant increase in their scores of adaptive behavior and self-management skills compared to the comparison group. Positive changes were also observed among the former group in the qualitative analysis. Thus the host family experience program was effective in improving the adaptive behavior and self-management skills of the children with severe disabilities at the facility. These findings indicate that the host family experience program played a positive role in enhancing the adaptive behavior and self-management skills of the children with severe disabilities at the facility and that such host family experience programs should be applied and reinforced in the field of social welfare practice.

• 대한치과마취과학회지
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• 제2권2호
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• pp.101-106
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• 2002

Background: The management of the behavior of handicapped children when providing required dental care is often a problem, whether in the dental office or in a hospital setting. Because of the high incidence of poor cooperation, many of these patients are scheduled for dental care under general anesthesia with preoperative medical assessment. The purpose of this study was to carry out a clinico-statistical survey on dental treatment for handicapped children under general anesthesia. Methods: After approval from the institutional review board, the medical records of 64 handicapped children between 1997 and 2002 were reviewed to determine the patient profiles, anesthesia management, and complications. The charts of these patients, who underwent dental examination, scaling and prophylaxis, and restoration and extraction of teeth under general anesthesia, were reviewed. Results: The mean age was 12.8 years old, and males (53%) predominated females (47%). Twenty-four patients had mental retardation, twelve had autism, six had cerebral palsy, 4 had behavior disorder, others had heart disease, convulsive disorder, etc. Sixty-two had intravenous thiopental with neuromuscular blocker, 2 had intravenous ketamine induction. Nasotracheal intubation was uneventful in 55 patients, nine had orotracheal intubation because of difficult visualization of the larynx. Twenty-one patients experienced postoperative complications in the recovery room, including epistaxis, nasal obstruction, vomiting, airway obstruction, respiratory depression. Conclusions: General anesthesia is a very effective way of completing the dental treatments for disabled children. We emphasize the need to train anesthesiologists in the care of disabled patients.

• 디지털융복합연구
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• 제14권2호
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• pp.479-487
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• 2016

본 연구는 장애자녀 부모가 인식한 돌봄역량, 돌봄경험의 평가(돌봄부담, 돌봄만족), 자조집단지지의 수준이 자녀의 장애유형(정신장애, 신체장애)에 따라 차이가 있는지 탐색하는데 목적이 있다. 이를 위해 전국 장애자녀 부모 301명을 조사대상자로 하였고, 자녀의 장애유형에 따라 정신장애 유형 180명과 신체장애 유형 121명으로 구분하였다. 두 집단의 잠재평균분석을 위해 형태동일성 검증, 측정동일성 검증, 절편동일성 검증, 요인분산동일성 검증을 실시하였다. 연구결과 정신장애 자녀를 돌보는 부모 집단은 신체장애 자녀를 돌보는 부모 집단에 비해 자조집단지지와 돌봄부담이 더 높게 분석되었고, 반대로 신체장애 자녀를 돌보는 부모 집단은 정신장애 자녀를 돌보는 집단에 비해 돌봄만족과 돌봄역량이 더 높은 것으로 나타났다. 이러한 결과를 바탕으로 실천적 서비스 개입 방안을 제시하였다.

• 융합정보논문지
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• 제10권3호
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• pp.176-184
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• 2020

본 연구는 집단놀이치료가 발달장애아동의 문제행동 감소에 효과가 있는지 알아보고 위하여 연구를 실시하였다. 연구대상은 특수학교에 재학 중이며 장애인 단기보호센터를 이용하는 장애아동 5명이다. 연구기간은 2018.1. 2. - 2. 28. 까지 겨울방학을 활용하여 매주 2회 40분씩 총 12회기를 실시하였으며 측정도구는 문제행동 진단척도(K-CBCL)로 매 회기마다 행동변화를 질적으로 관찰하였다. 본 연구결과를 요약하면 다음과 같다. 첫째, 회기별 과정에서 장애아동들은 공격성, 위축, 우울, 불안 등이 유의미하게 감소하고 활동적이 모습이 증가하였다. 둘째, 집단놀이치료 개입 후 문제행동이 감소하고 외현화 문제보다 내재화 문제에서 더 많은 감소를 보였다. 본 연구의 결과는 집단놀이치료는 장애아동의 개별적인 특성에 따라 문제행동을 감소시키는데 의미가 있으므로 실천현장에 적용하고자 한다.