• 한국콘텐츠학회논문지
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• 제20권6호
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• pp.640-652
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• 2020

본 연구는 사회복지 조직의 자원개발이 중요하게 부각되는 현 시점에서 장애인 거주시설의 자원개발 현황을 파악하여 자원개발 활성화에 필요한 지원방안을 제시하였다. 구체적으로 전국에 소재한 장애인 거주시설 255개소를 대상으로 자원개발 현황과 욕구에 관한 서베이 조사를 실시하였고, 자원개발의 필요성과 지원 방안에 대한 심층적인 의견을 듣고자 초점집단면접을 진행하였다. 조사 결과, 장애인 거주시설은 자원개발의 50% 이상을 개인 기부에 의존하고 있었으며, 전담인력 유무에 따라 자원개발 계획과 이행 성과에 차이가 발생하는 것으로 나타났다. 또한 지인 추천 등 직접적인 요청 중심의 자원개발 방식이 제한되어 있었으며, 전담인력 부재, 자원개발 관련 지식 및 기술 부족, 지역사회 내 시설에 대한 관심 부재 등의 어려움 겪고 있는 것으로 나타났다. 이를 기반으로 본 연구는 전담인력 배치, 다양한 자원개발 방식 도입, 투명성과 신뢰성을 기반으로 한 자원개발, 자원개발에 대한 단계적 전문교육 체계 마련 등의 발전방안을 제안하였다.

• The Journal of Korean Physical Therapy
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• 제28권2호
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• pp.77-87
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• 2016

Purpose: The purpose of the study was to review functioning components of studies for measuring functional information using International Classification of Functioning, disability and health (ICF) in Korea. Methods: A literature review was conducted and eligible studies were identified via search of RISS, KISS, DBpia, KoreaMed, PubMed, and ISI databases published from 2001 to 2015. For inclusion in this review, a study should be published in a peer-review journal, must have participation of Korean researchers and/or developed in Korea, and should provide functioning data related ICF. Descriptive studies containing only ICF concepts and review studies were also excluded. Collected functioning data in each study were analyzed using frequency based on ICF domain. Data assessment was performed by two independent reviewers. Results: Eighty publications were included in the analysis. The majority of studies collected data from clinical patients (n=38) and from the disabled (n=28). Fourteen studies assessed functioning data from the elderly and students under special education. The studies reported functioning data using various tools, including ICF itself, ICF checklist, coresets, and conventional measurement tools. Body function domain was most commonly used and the least used domain was the body structure across areas. Interestingly, increasing data related to environmental factors was observed in all studied populations. Conclusion: Functioning data was collected from four domains of ICF across professional areas. The most common collected data was body function and activity and participation for which conventional measurement tools are already available. To understand clients, components of environmental factors that might influence a person's functioning should be considered.

• 가정간호학회지
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• 제4권
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• pp.86-100
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• 1997

The purpose of the study is to evaluate the community rehabilitation program of the two Public Health Center. Data were collected from the 138 clients who received rehabilitation services from visiting public health nurses. Data were analysed by SAS computer program. The result were as follows. 1. The clients have been average 7years disabled state until public health nurse visit them. 78.3% of them can't advance rehabilitation process because of insufficient family or social support. 2. The clients' burden due to their family's help was average 80.0 and that due to economic distresst was average 76.0. That factors were same that interfere rehabilitation process. 3. The clients needed exercise and modality therapy(78.2), economic support(76.0) and rehablitation advices (64.0). The needs of welfare benefit, medical service and social participation were 68.0, 61.5 and 54.5. 4. The pulblic health nurse visited the clients 2.3 time every month. And they have served emotional support (95.7%, exercise therapy (94.9%), family education(82.6%) and blood pressure management (71.7%), One client have received average 60% of the medical rehabilitation services and 27% of the refer services. 5. The rehabilitation effects of clients' attitude, knowledge and practice were 73.3, 81.0 and 68.7. The physical rehabilitation effect was 70.0. After receving rehabilitation services, the clients' preforrence to pulblic health center was 82.0. 6. The clients hopped that public health nurse visit them earlier (80.0). On the basis of this results, the following suggestions are proposed. 1. The pulblic health center is important institution in community rehabilition program, and every pulblic health center must participate in this program. 2. Various strateges have to be tryed and analysed to improve the visiting nurses' rehabilitation services. 3. For successful community rehabilitation, social welfare rehabilitation program must be developed and correlated with that of the pulblic helth center.

• 한국사회복지학
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• 제62권4호
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• pp.149-170
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• 2010

이 연구의 목적은 지역아동센터 교사의 인권감수성 향상을 목표로 하는 인권교육 프로그램을 개발하고 그 효과성을 검증하는 것이다. 이를 위해 전국의 지역아동센터 교사 102명을 대상으로 인권감수성척도를 사용하여 인권교육 프로그램의 참여를 기준으로 사전-사후검사를 실시했다. 그 결과, 첫째, 교사의 인권감수성 전체가 통계적으로 유의미하게 향상되었다. 둘째, 인권감수성의 3가지 하위척도들 가운데 교사의 상황지각능력, 결과지각능력, 책임지각능력이 통계적으로 유의미하게 향상되었다. 셋째, 인권감수성의 10개 에피소드 가운데 '체포 구속당하지 않을 권리', '장애우의 신체자유권', '이주노동자의 노동권', '구금으로부터의 자유권'에 대한 교사의 인권감수성이 통계적으로 유의미하게 향상되었다. 이를 기초로 향후 인권교육 프로그램의 개발을 위한 실천적 함의가 논의되었다.

• 한국사회복지학
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• 제65권2호
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• pp.5-28
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• 2013

본 연구는 지적장애인의 개별적 특성과 환경적 특성이 자기결정 수준에 미치는 영향과 기회제공의 효과를 검증함으로써 자기결정에 대한 논의를 실천적 차원으로 전환시키기 위해 실시되었다. 수도권, 영남권, 호남권에 거주하는 생활시설 성인지적장애인 219명을 대상으로 일대일 면접방식으로 서베이를 실시하였으며, 구조방정식을 이용하여 분석하였다. 분석한 결과, 지적장애인의 개별적 특성 중 자기결정 개념인지, 실천가와의 관계인식과 환경적 특성 중 시설위치, 시설규모가 자기결정 수준에 영향을 미치며 이 과정에서 기회제공이 완전매개를 하는 것으로 나타났다. 연구결과를 토대로 당사자주의에 대한 의미를 부여하고, 선택과 결정 기회를 극대화시키는 방식으로 지원하며, 거주환경의 세부적인 개편 등 자기결정을 향상시키기 위한 실천적 전략을 제시하였다.

• 한국사회복지학
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• 제59권2호
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• pp.89-114
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• 2007

이 연구는 장애인들의 주관적 삶의 질 관련요인을 밝히고, 그 구조모형에서 성별간 차이가 있는지 알아보려는 것이다. 이는 젠더와 장애라는 이중적 불이익을 안고 있는 여성장애인의 삶의 질을 남성장애인과 비교하여 살펴봄으로서 여성장애인 문제의 보편성과 특수성을 함께 이해하고자 하는 시도이다. 연구결과, 장애인의 주관적 삶의 질을 상향모델과 하향모델의 통합모델로 설명할 수 있었다. 남녀 장애인 모두에서 장애의 심각성이라는 객관적 조건보다는 자존감, 사회적 지지 인식 등 상황에 대한 인식이 중요한 변수로 나타났다. 한편 여성장애인의 경우 객관적인 사회경제적 상태와 자존감이 삶의 만족도를 결정하는데 보다 중요한 변수였고, 남성장애인의 경우에는 사회적 지지가 보다 중요한 변수였다. 본문에서 연구결과의 이론적, 실천적 함의를 논하였다.

• 지역사회간호학회지
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• 제15권1호
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• pp.56-66
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• 2004

Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

• 보건행정학회지
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• 제21권2호
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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.

• 한국사회복지학
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• 제65권1호
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• pp.5-31
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• 2013

본 연구는 WHO의 국제건강관련분류체계인 ICF를 적용하여, 한국의 근골격계질환 장애인(척수손상, 근육디스트로피, 왜소증, 류마티즘) 352명의 사회참여 관련요인을 분석하였다. 연구방법은 기술분석, 집단별 평균분석 및 분산분석과 사후검정, 단순상관분석, 다중회귀분석을 사용하였다. 연구결과 근골격계질환 장애인의 정신기능, 신경근육골격 및 운동과 연관된 기능, 비뇨생식기와 생식기능, 피부 및 관련구조, 학습과 지식 적용, 일반적 과제와 요구, 이동의 수준이 높을수록 사회참여의 수준도 높았다. 개인요인에서 소득이 근육디스트로피질환 장애인의 사회참여 관련요인으로 나타났고, 환경요인에서 서비스, 시스템 및 정책이 척수손상 장애인의 사회참여에 영향을 미치는 것으로 나타났다. 본 연구는 장애에 관한 보편주의적 접근을 의미하는 ICF 구성요소로 연구모형을 설정하고, ICF 코어셋을 검토하여 질환관련범주를 측정하였다는 점에 의의가 있다.

• 한국주거학회논문집
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• 제18권6호
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• pp.25-34
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• 2007

The purpose of this qualitative research is to compare the community service and situation of SH apartment in Yangcheon-Gu and PHA apartment in Minnesota in order to grasp the requirement for livable community. For the study, depth-interview method was used to collect the data. Throughout this research, we found the ways to create a livable community as follows: Rental apartments are supplied by Seoul Housing agency in Korea while in US by PHA, an independent government agency. Both of them are in direct management. There are five main topics to be discussed. First, as a main supplier of services, it is Yangchun-Gu's social welfare center in Korea, while PHA in US. Second, as a mean of giving services, Korean residents visit the welfare center. On the other hand, PHA apartments enforces service-to-customer policies. Third, as a Korean service, they are consultation targeting families, children, teenagers, disabled, olds, education, medical examinations, rehabilitation and free meals. In US PHA apartments, they are medical health professionals, social worker, beauty salon or barber shop, bus to shopping area, bookmobile, OK card program, CHSP, ASI, ALP, personal care, senior/congregate dinning and etc. Fourth, both Korean and US have same hindrance for the 'livable community' policies which is funding and conflict of residents. Fifth, both Korean and US think that the key for the success of 'livable community' are resources, service and residents. The differences between Korea and US concerning service conditions such as supply of rental apartments, management and services are caused by cultural, ethnic and economical differences. From another point of view, Korean apartments are predicted to have similar problems like PHA apartments, and preparative attitude for this is needed.