• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.61-68
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• 2011

Purpose: The purpose of this study was to provide basic data for the effectiveness and the necessity of home visiting physical therapy through examining performance ability and functional changes in daily life activities by investigating the life of disabled persons living at home. Methods: After selecting 100 people with physical disabilities greater than level 3 and brain damage related disabilities living in Youngam-Gun, we conducted mobility tests according to a Modified Bathel Index (MBI), the Berg Balance Scale (BBS), and floor and bed movements? for Activities of Daily Living evaluation. We did this before the experiment and after doing home visiting physical therapy for 90 minutes at a time, once a week for 6 months Results: 1) Persons who live in a bed are higher than those who live in a floor. There was a significant difference between persons who live in a floor and those who live in a bed in the change in MBI and BBS scores after home visiting physical therapy. 2) Those with a musculoskeletal disorder had a significantly different change in MBI and BBS according to the type of disease and kind of disability. Those with neuropathy had a significantly different change in MBI. Those with physical disabilities showed a significant difference in MBI and BBS. Conclusion: A home visiting physical therapist can cause an improved performance ability and lead to the ability of disabled persons living at home to carry out activities of daily livingin a large part and the study for brain lesion disabilities except physical disabilities and stroke which occupy large proportion of disabled persons should be done.

• 지역사회간호학회지
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• 제18권4호
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• pp.651-661
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• 2007

Purpose: This study was performed to identify factors affecting the functional status in disabled persons in the Jeiu Province. Method: Data were collected from 318 disabled persons in the Jeiu province during the period from the 6th of July to the 11th of October in 2006. The functional status was assessed by the disability assessment schedule II (Whodas II) of the World Health Organization and collected data were analyzed using the SAS 8.0 program. Result: The mean score of WHODAS II was 29.9. According to the results of multiple regression, factors affecting the functional status were perceived health condition(t=3.44, p<.001), brain disorder disability(t=2.55, p<.001), treatment status(t=-1.95, p=.05), drinking(t=2.09, p=.04), stress(t=-2.72, p=.01), depression(t=-2.70, p=.01). heart disease(t=2.62. p=.01) and anemia(t=2.20, p=.03). Conclusion: The functional status was affected by health behaviors, diseases, and the type of disability. Thus, future efforts to promote the functional status of disabled persons may need to take into account all these factors.

• 농촌의학ㆍ지역보건
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• 제36권2호
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• pp.120-129
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• 2011

목적: 뇌졸중으로 인한 장애인이 증가하고 있으나 이들을 대상으로 질보정수명을 구한 연구가 없었다. 이 연구의 목적은 일개 시에서 뇌졸중 장애인을 대상으로 EQ-5D로 그들의 건강 관련 삶의 질 수준을 평가하고, 우리나라 전체 뇌졸중 장애인의 QALYs 감소분을 추정하기 위하여 수행 하였다. 방법: 2008년 3월을 기준으로 경주시 장애인 등록현황에서 50세 이상인 장애인 중 뇌졸중이 원인으로 파악된 982명을 대상으로 설문조사자들이 방문하여 대면면접조사를 통해 일반적 특성, 임상적 특성, EQ-5D 등의 자료를 수집하였다. 제4기 국민건강영양조사 에서 일반인구집단과 동반질환이 없는 군을 건강비교군으로 선정하여 성별, 연령별 표준화를 통해 비교함으로써 효용 가중치 차이를 구하였다. 이 효용 가중치 차이를 우리나라 전체 뇌졸중 장애인에 적용하여 전체 QALYs 감소분을 추정하였다. 결과: 대상자 982명 중 조사응답자는 566명으로 응답률은 57.6%였다. 여성, 70대 이상군에서 EQ-5D 지표값이 남성이나 60대 이하군에 비해 더 낮았고, 상대 비교군과의 차이도 크게 나타났다. 건강비교군과 일반인구집단 비교군과의 비교에 따른 전체 QALYs 감소분은 각각 연간 67,011.6 QALYs와 54,167.1 QALYs로 추정되었다. 결론: EQ-5D로 우리나라 전체 뇌졸중장애인의 QALYs 감소분을 추정하였고, 이 연구를 바탕으로 뇌졸중 장애인을 대상으로 한 공중보건정책의 집행이나 평가를 수행하여 보다 근거에 기반한 장애인 정책을 수행할 수 있을 것으로 생각한다.

• The Journal of Korean Physical Therapy
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• 제26권2호
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• pp.130-135
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• 2014

Purpose: The purpose of this study was to examine the impairments of body structures, activity limitation, and participation restriction. In addition, we wanted to provide basic data on correlation between impairments of body structures, activity, and participation in Disabled Persons Living at Home. Methods: After selection of 128 people with physical disabilities more than the third level and brain damage disabilities living at home, we conducted testing for impairments of body structures, activity, and participation, according to the ICF checklist. Results: Impairments of body structures was highest in the upper and lower extremity. 2) Mobility, domestic life, and self care were more limited. 3) Also, the structure related to movement showed correlation with mobility, domestic life, and self care. Conclusion: We observed differences in participation and activities of persons with disabilities Living at Home depending on the impairments of body structures. After thorough review of the status of Disabled Persons Living at Home, we decided to appropriate support and social services.

• KIEAE Journal
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• 제7권3호
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• pp.49-55
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• 2007

Being different from 20th Century, the right of disabled have attracted much social attention. In reality, the disabled still suffered or not properly respected, thereby a little far less in achieving the quality of life. The purpose of this research was to examine the fitness between the persons with limited mobility and their living environment. Small group workshop with three persons with limited mobility were used for utilized. Living behavior and physical environmental characteristic of dormitory house and interaction between them were identified. Major problem appeared to be accessibility which include the path, room size and furnishing. Even though the dormitory satisfied the government requirement legally. Substantial problems were found because of resident real life. This implied deep consideration beyond Act needed to create a right to robust environment toward persons with limited mobility.

• 한국농촌간호학회지
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• 제2권2호
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• pp.127-132
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• 2007

Purpose: The purpose of this study was to provide the basic techniques in utilizing the systematic home-rehabilitation service with a Minimum Data Set for Home Care (MDS-HC) 2.0 navigator system. Methods: The present study was conducted with 50 persons receiving home-care services from a Welfare Center. Respondents were selected from urban and rural areas in and around the Wonju area. Results: The results showed that MDS-HC2.0 was useful to evaluate the functional status of disabled persons in the fields of health and home-care services. Furthermore, this navigator system provided basic information about the functional health problems of respondents and therefore can provide guidance for health and home care services for disabled persons. Conclusions: Through the present study, a comprehensive model for health and home-rehabilitation was developed. The author believes that respondents will have the satisfaction of high quality service if the developed model is used as the standard in planning and providing home-rehabilitation services.

• 대한간호학회지
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• 제38권5호
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• pp.704-711
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• 2008

Purpose: This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.

• 디지털융복합연구
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• 제18권3호
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• pp.43-48
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• 2020

본 연구에서는 장애인 집단의 디지털정보화수준과 대인관계 만족도 수준간의 관계를 분석해 보았다. 장애인의 디지털정보화수준은 스마트 접근, 스마트 역량, 스마트 활용에 있어서의 수준을 말한다. 장애인 표본 추출을 위해서는 '장애인 복지법'에 근거하여 등록된 만7~69세 장애인 을 대상으로 하고, 실태조사는 구조화된 설문에 의한 연 1회 면접조사로 하였다. 분석에 활용된 회귀분석은 SAS 9.3을 활용하였다. 분석 결과는 다음과 같다. 첫째, 장애인의 디지털접근 수준이 높을수록 대인관계 만족도 수준도 높아지는 것을 알 수 있었다. 둘째, 장애인의 디지털 정보역량수준이 높을수록 대인관계 만족도 수준도 높아지는 것을 알 수 있었다. 셋째, 장애인의 디지털 정보활용의 수준이 높아질수록 대인관계 만족도 수준도 높아짐을 알 수 있었다. 이를 통해 장애인들의 디지털 정보화수준이 높아지면, 장애인들의 대인관계에서의 만족도 수준도 높아짐을 알 수 있었다. 또한 디지털정보화 소외집단인 장애인 계층에 대한 정부의 디지털정보격차 해소를 위한 세심한 관심 및 정책적 검토가 필요함을 알 수 있었다. 따라서 장애인들을 포함한 정보소외계층의 보편적 서비스 확대를 제공해야 할 것이다. 그리고, 지역단위의 공동체 활성화를 통해 지역사회가 정보소외계층을 포용하는 문화형성 역시 중요하며, 장애인들을 대상으로 한 정보화교육 역시 중요하다.

• 재활복지공학회논문지
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• 제6권2호
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• pp.71-76
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• 2012

본 연구는 외부신체 장애근로자를 대상으로 이동보조기 사용에 따른 직업만족과 삶의 질의 차이를 장애유형에 따라 비교분석하고, 이동보조기 사용자의 직업만족이 삶의 질에 미치는 영향을 분석하는 것이다. 분석결과, 경증의 경우 일의 내용에서만 이동보조기 사용자의 직업만족이 높은 것과는 달리 중증의 경우 일의 내용, 근로환경, 근로시간, 발전가능성, 의사소통 및 대인관계에 대한 만족이 높게 나타났으며, 삶의 질에서도 중증의 경우 가족, 거주지, 일에 대한 삶의 질에서 긍정적으로 인식하는 것으로 나타났다. 또한 이동보조기 사용자의 직업만족이 삶의 질에 미치는 영향의 분석결과, 직업만족의 모든 하위영역에서 의미 있는 영향을 나타내어 직업만족이 높을수록 삶의 질을 높게 인식하는 것으로 나타났다.

• 한국전문물리치료학회지
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• 제7권3호
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• pp.49-61
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• 2000

Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.