• 대한장애인치과학회지
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• 제5권1호
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• pp.12-17
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• 2009

Background : To do dental treatments successfully for dentally disabled patients who are unable to cooperate to procedures needs deep sedation (DS) or general anesthesia (GA). But there are some difficulties in selecting DS because of some disadvantages such as airway problem etc. But, if we select appropriate cases, DS would be better than GA. Methods : We reviewed total 238 cases of patients who had received dental treatments under GA or DS at the clinic for the disabled in Seoul National University Dental Hospital from November 2007 to February 2009. To compare anesthesia condition between DS and GA, we reviewed preanesthesia evaluation sheet, anesthesia or sedation records and PACU sheets retrospectively. Results : The number of DS cases was 25 (11%) and that of GA was 218 (89%). To maintain DS, intravenous propofol was infused with syringe pump (100%), and sevoflurane (134 cases) or propofol (13 cases) were used for sedation induction. Mean total treatment time for DS was 36 min and 2 hour 25 min for GA. The recovery time at PACU was 44 min for DS and 80 min for GA. There were no severe complications in DS, but 18 cases showed nausea and vomiting in GA. Conclusion : Deep sedation for disabled dental patients should be selected for effective behavioral control in conjunction with general anesthesia, considering duration and pain-evoking potentials of dental treatment and type and severity of patients' disabilities altogether.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.188-198
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• 2021

본 연구는 장애인복지기관 종사자들 최신기술에 관심도와 최신기술 저항도 및 불안도 간의 관계에서 최신기술 수용도의 매개효과를 검증하는 것을 목적으로 한다. 이러한 목적 달성을 위하여 2018년 7월부터 8월까지 P광역시 장애인복지관 종사자를 대상으로 자료를 수집하여, 187명의 자료를 분석하였다. 분석은 변수간 인과관계 검정을 위해 다중회귀분석을 실시하였고, 매개효과 검증을 위해 Baron과 Kenny(1986)의 단계별 분석 모형을 활용하였으며 매개효과의 유의도 검증을 위해 Sobel test를 실시하였다. 분석결과 최신기술 관심도는 최신기술 수용도를 매개로 최신기술 저항도 및 불안도에 영향을 미침과 동시에 직접적으로는 영향을 미치지 않아 완전매개효과가 있는 것으로 검증되었으며 Sobel test 결과, 통계적으로도 매개효과는 유의미한 것으로 나타났다. 즉, 장애인복지기관 종사자의 최신기술 관심도는 최신기술 수용도를 매개로 저항도 및 불안도를 낮추어 미래사회 적응 가능성을 높이는 것으로 나타났다. 이러한 결과를 바탕으로 최신기술 저항도 및 불안도를 감소시키기 위한 방안을 모색하고, 최신기술 기술에 대한 관심과 최신기술 수용도를 높일 수 있는 관련 방안을 제언하였다.

• 산업융합연구
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• 제20권11호
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• pp.49-55
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• 2022

본 연구는 중증장애인의 대리응답 여부에 따른 심리적·지지적 요인의 응답 차이를 확인하기 위한 연구로 2020년 장애인 실태조사 원시자료를 활용한 이차자료분석 연구이다. 만 19세 이상 성인 중 주장애가 지적장애가 아니고 장애의 정도가 심한 장애인으로 등록된 738,169명을 최종 분석대상으로 하였다. 자료 분석은 IBM SPSS Statistics 26.0을 이용하여 실수, 백분율, 평균과 표준오차를 확인하였고 χ²-test와 t-test를 실시하였다. 분석결과, 대리응답군이 자가응답군에 비해 슬픔이나 절망감(χ²=952.20, p<.001), 자살 생각(χ²=369.45, p<.001), 주관적 건강상태(t=30.61, p<.001)에서 더 부정적인 응답을 보였으며, 일상생활을 하는데 타인의 지원이 더 많이 필요하고(t=209.43, p<.001) 의료서비스 이용 시 의사소통에 어려움이 더 많다(t=41.74, p<.001)고 응답하였다. 대리응답을 허용하는 경우 연구자는 대리응답자가 취해야 할 관점을 명확히 명시하고, 대리응답은 다양한 요인에 의해 영향을 받을 수 있음을 고려하여 연구결과를 해석해야 한다.

• 사회복지연구
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• 제42권2호
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• pp.323-350
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• 2011

근로능력은 장애인소득보장정책과 장애인고용정책에서 정책대상자를 선정하는 핵심요인이다. 우리나라에서 사용하고 있는 근로능력평가지표인 장애등급은 의학적 손상에 기초하여 결정되는 것으로, 제대로 근로능력을 평가하지 못한다는 비판을 받고 있다. 이 연구에서는 장애등급, ICF 활동참여수준, 일상생활도움필요정도 및 자기평가건강상태의 4 근로능력평가지표들이 장애인의 취업여부에 대한 설명력을 비교함으로써 가장 적절한 평가지표를 찾아 내고자 하였다. 그 결과, ICF 활동참여수준이 장애인의 취업여부에 대한 설명력이 가장 높았으며, 이어서 일상생활도움필요정도, 장애등급, 그리고 자기평가건강상태의 순으로 나타났다. 결론적으로 장애인연금제 및 장애인고용정책 등에서 적절하게 활용할 수 있는 근로능력평가지표는 ICF 활동제한 및 참여제약 영역에 해당하는 지표들이라고 할 수 있다. 따라서 ICF 활동제한 및 참여제약 영역을 바탕으로 한 근로능력 평가지표가 장애등급보다 더 적절한 근로능력평가지표라고 할 수 있을 것이다.

• 한국실내디자인학회논문집
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• 제21호
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• pp.33-41
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• 1999

If the architecture will made the focus of real user for convenience, it must be the real user, which is the multiple specified persons, more over, the most disadvantages side person will be considered that would be the convenient architecture for all. This principle of universal design has been started the latest 1950's, in USA, Sweden, Canada has considered to the disabled person in the concept of universal design, at 1960's. In case of our country, after 1988's handicapped Olympics, the induction of universal design is started to adapt in the era of architecture. Nowadays, in the group of study, their research, presentation increasing the example, which is carried out the enthusiasm of legislatiov. But we are much as far behind the senior nation, in regard to the lack of the vouluntary participating as the professional. This study is to analyze the principle, concept of Universal design from the department store, which is the convenient facilities, present the usable checklist in time of induction of Universal desigv.

• 성인간호학회지
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• 제21권5호
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• pp.547-558
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• 2009

Purpose: This study was conducted to study the acceptance of disability and influential factors between hemiplegic elderly and non-elderly after stroke. Methods: Data were collected with questionnaires from 104 elderly and 134 non-elderly with hemiplegia. Data were analyzed by $x^2$-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression. Results: Significant predictors of acceptance of disability were family support, activities of daily living, and age, and these factors accounted for 24.2% of variance in acceptance of disability in the hemiplegic elderly. On the other hand, the significant predictors were family support and employment, and these factors accounted for 32.3% of variance in acceptance of disability in the non-elderly. Family support was the most influential variable in both the elderly and the non-elderly. Conclusion: An acceptance of disability program for the hemiplegic elderly should be designed differently from that for the non-elderly.

• 한국지능시스템학회:학술대회논문집
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• 한국퍼지및지능시스템학회 2003년도 ISIS 2003
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• pp.531-534
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• 2003

In this paper, the Intelligent Space (iSpace) concept is applied for helping disabled or blind persons in crowded environments such as train stations, or airports. The main contribution of this paper is a general mathematical (fuzzy-neuro) description of obstacle avoidance method (walking habit) of moving objects (human beings) in a limited area scanned by the iSpace. A mobile robot with extended functions is introduced as a Mobile Assistant Robot which is assisted by the iSpace. The Mobile Assistant Robot (MAR) can guide and protect a blind person in a crowded environment with the help of the Intelligent Space. The prototype of the Mobile Assistant Robot and simulations of some basic types of obstacle avoidance method (walking habit) are presented.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.366-366
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• 2005

• 한국실내디자인학회논문집
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• 제34호
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• pp.96-105
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• 2002

Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.

• 대한물리의학회지
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• 제6권4호
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• pp.447-454
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• 2011

Purpose : The purpose of this study was to identify the effects of circuit class training on the performance of locomotor tasks in chronic stroke. Methods : The study included 45 patients with chronic stroke randomly divided into experimetal group and control group. Both groups participated in exercise classes three times a week for 8weeks. The experimental group had 10 workstation of circuit class designed to improve walking. The control group practiced fitness exercises by equipment in health center. Walking performance was assessed by measuring walking speed(timed 10-meter walk and TUG), GAITRite analysis and peak vertical ground reaction force through the affected foot during walking. Results : The experimental group demonstrated significant improvement(p<.05) compared with the control group in 10-meter walking and vertical ground reaction force after training. The experimental group showed significant improvements in the walking velocity and cadence by GAITRite system(p<.05). Conclusion : Task- oriented circuit class training leads to improvements in locomotor function in chronic stroke. Further studies are necessary to occur in usual environments to improve walking performance.