• 한국학교ㆍ지역보건교육학회지
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• 제22권1호
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• pp.1-9
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• 2021

Objective: This study examines the prevalence of osteoporosis, and compares with activity of daily living(ADL), instrumental activity of daily living(IADL) and health-related quality of life(QoL) among the elderly people with disabilities. Methods: This study analyzed the data of 3,113 persons with disabilities over 65 years of age who responded to the questionnaire using data from the National Survey of People with Disabilities in 2017 on the people with disabilities (PWD). Descriptive statistics, X2-test, and independent sample t-test were conducted using the SPSS win 21.0 program. Results: The prevalence of osteoporosis in the elderly PWD was 18.7%. There were significant differences in sex, age, type of disability, and disability severity according to the presence or absence of osteoporosis (p<0.05). Walking and Transfer of ADL were related to osteoporosis in elderly PWD. Financial management and Transportation use of IADL were related to osteoporosis (p<0.05). The PWD with osteoporosis were analyzed to have lower health-related quality of life compared to the disabled elderly without osteoporosis (p<0.05). Conclusion: Based on the results of this study, a strategy for developing a program for managing osteoporosis. Strengthening health management in the elderly PWD is required.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.678-688
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• 2022

본 연구는 '재난 불평등' 상황에 노출되기 쉬운 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 직접적인 영향을 살펴보고, 이 관계에서 우울과 주거환경의 매개효과를 통합적으로 검증하기 위한 목적으로 수행되었다. 이를 위해 장애인삶 패널조사 2차년도(2019) 패널 중 만 20세 이상의 지체 장애인 총 803명을 대상으로 분석하였다. 분석결과, 첫째, 지체 장애인의 일상생활제한은 우울에 정(+)적인 효과, 주거환경과 위급 시 행동에 각각 부(-)적인 효과가 나타났고, 우울은 위급 시 행동에 부(-)적인 효과, 주거환경은 위급 시 행동에 정(+)적 효과가 나타났다. 둘째, 지체 장애인의 일상생활제한과 위급 시 행동 사이에 우울과 주거환경은 매개 효과가 있는 것으로 나타났다. 즉, 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 영향에 대하여 주거환경과 우울이 중요한 역할을 할 수 있는 변인임을 시사한다. 분석결과를 토대로 연구의 함의를 제안하였다.

• Safety and Health at Work
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• 제13권3호
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• pp.279-285
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• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.193-202
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• 2021

배리어 프리는 보행 약자들이 시설물의 접근이나 이동에 불편함을 느끼지 않도록 공간을 계획, 설계, 시공하는 것을 의미한다. 이러한 차원에서 본 연구는 공간정보와 가상현실 기술을 이용하여, 배리어 프리에 영향을 주는 물리적인 요소를 식별하고 자유로운 이동에 필요한 정보를 제공할 수 있는 콘텐츠를 개발하는데 목적이 있다. 이를 위해 본 연구는 관련 문헌 검토를 통해 배리어 프리에 영향을 주는 물리적인 장애 요소에 대하여 검토하고, 이를 토대로 콘텐츠 개발에 필요한 주요 기능을 도출한다. 그리고 실험 지역을 대상으로 콘텐츠 개발에 필요한 3차원 공간정보와 가상현실 서비스를 구축한다. 마지막으로 가상의 시나리오를 설정하여 실험 콘텐츠에서 개발된 주요 기능의 유용성과 활용성을 검토한다. 본 연구를 통해 개발된 보행 약자를 위한 배리어프리 서비스 콘텐츠는 공공 시설물 구축을 비롯한 다양한 분야에 폭넓게 활용될 수 있을 것으로 판단된다.

• 한국인터넷방송통신학회논문지
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• 제22권3호
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• pp.63-68
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• 2022

한국장애인개발원의 2021 장애통계연보 자료에 따르면 대한민국에 청각 장애를 가지고 있는 사람은 395,789명이 있다. 이러한 사람들이 청각 장애를 통해 많은 불편을 겪고 있고, 이를 해결하기 위해 수어 인식 및 번역에 관련된 많은 연구가 진행되고 있다. 수어 인식 및 번역 연구에서는 수어 데이터를 수집하는 것이 중요한 부분을 차지하고 있지만 한국어 수어 데이터는 전문적으로 수어를 사용하는 사람의 수가 많지 않아 많은 어려움이 있다. 또한 구축된 기존의 데이터들도 발화자의 정면에서 촬영된 수어 데이터가 대부분이다. 이와 같은 문제점을 해결하기 위해 본 연구에서는 하나의 시점이 아닌 다시점에서 수어 데이터를 실시간으로 수집하고 보다 활용 편의성이 높게 저장 및 관리할 수 있는 저장 시스템을 설계하고 구현하였다.

• 교육녹색환경연구
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• 제22권2호
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• pp.1-16
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• 2023

본 연구는 안전하고 접근과 이용에 불편함이 없도록 학교시설만의 BF인증지표를 개발하기 위한 선행연구로써 평가항목을 도출하는데 목적을 가지고 평가항목 초안을 바탕으로 3회차에 걸친 델파이 조사를 진행하였다. 이를 위해 기존 BF인증지표의 내용분석과 사후 평가를 통해 문제점을 도출하여 학교시설의 BF인증 평가항목의 초안을 제시하였으며, 델파이 조사를 통해 각 평가항목별 적정성에 대해 검증을 실시하였다. 델파이조사는 BF 심사, 심의위원으로 활동하고 있는 대학교수, 건축사, 공무원, 인증기관담당자, 장애인단체 등 전문가 및 실무자 그룹으로 구성하여 리쿼드 7단계 척도를 통해 조사를 실시하였으며, 현 학교시설 BF평가항목에 대한 각 평가 항목별 의견을 수렴하여 최종 평가항목에 반영하였다. 델파이조사 결과, 기존의 8개의 평가항목을 제외한 총 75개의 평가항목을 유지항목으로, 12개의 평가항목에는 개선 검토항목으로 결정되었으며, 동시에 새롭게 제시된 추가검토가 필요한 15개의 항목들에 대해 평가항목으로 도출하였다.

• 대한간호학회지
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• 제54권2호
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• pp.211-223
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• 2024

Purpose: Recent studies have focused on policies aimed at supporting the independence of individuals with disabilities in communities. As part of this initiative, supportive housing, integrated care, and residential spaces offer tailored services based on individual needs and autonomy. The attitudes and knowledge of the administrators supporting supportive housing residents regarding health management can influence the well-being of individuals with disabilities. Therefore, this study aimed to explore the challenges faced by supporting housing workers in enhancing the self-management skills of individuals with disabilities. Methods: In this qualitative study, focus group interviews were conducted in August 2023 with nine administrators working to support housing in Seoul. Qualitative content analysis was used to analyze the interview data. Results: The needs and challenges in enhancing the self-management skills of individuals with disabilities were as follows: (1) the complexity of health management challenges, (2) bidirectional strategies for strengthening health management capabilities, and (3) support for systematic health management. Additionally, eight subthemes were derived. Conclusion: By investigating the difficulties experienced and identifying the necessary support requirements for supportive housing workers, this study seeks to uncover insights and identifies areas for improvement and strategies for health management. This study acknowledges the educational and institutional support necessary to improve the health and quality of life of individuals with disabilities residing in supportive housing.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권3호
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• pp.173-185
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• 2024

Background: Excessive fear of dental procedures leads to disruptive behavior during dental examinations and treatments. Dental examinations and treatments of these patients usually require additional techniques, such as sedation. The most commonly used techniques are inhalation of nitrous oxide, infusion of propofol with fentanyl, and premedication and infusion of midazolam. Methods: A prospective observational epidemiological study was conducted on patients who required sedoanalgesia techniques for dental exploration and procedures. The reasons for the inability of patients to cooperate (excessive fear or intellectual disability), age, sex, weight, systemic pathology, oral pathology, treatment performed, time of intervention, anesthetic technique performed, and occurrence of complications were recorded. Results: In total, 218 patients were studied. Sixty-five patients came for fear of dental treatment and 153 for presenting with a diagnosis of intellectual disability and not collaborating in the treatment with local anesthesia. The average age of all patients was 30.54±17.30 years. The most frequent oral pathologies found in patients with excessive fear were tartar (6.8%) and wisdom teeth (6.4%), followed by missing teeth (5%). In patients with disabilities, a combination of tartar and cavities appeared most frequently (41.3%), followed by cavities (15.6%). The most frequently used sedoanalgesia technique was the infusion of propofol with fentanyl in both groups of patients, followed by nitrous oxide. Conclusion: The combination of propofol and fentanyl was the most frequently used alternative in patients who were unable to collaborate because of intellectual disability or carry out longer or more complex treatments. Inhaled nitrous oxide and midazolam were the sedative techniques of choice for simpler oral treatments, such as tartrectomies, shallow obturations, and shorter interventions, or in younger patients.

• 여성건강간호학회지
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• 제30권1호
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• pp.56-66
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• 2024

Purpose: This study explored the factors influencing the health-related life satisfaction of people with disabilities who engaged in physical activity, by age and gender. Methods: A secondary analysis was conducted of the 2020 Third Disability and Life Dynamics Panel (2021). The participants were 2,796 people who performed regular physical activity at least once a week. The variables selected were disability-related factors (degree of disability, multiple disabilities, and type of disability), sociodemographic factors (age, gender, living alone, and mean monthly family income), and health-related factors (amount of physical activity, self-esteem, depression, chronic disease, subjective health, and health-related life satisfaction). Descriptive statistics, the chi-square test, the t-test, two-way analysis of variance, and multiple regression analysis were conducted. Results: In total, 58.0% of participants were male, and 42.0% were female. For age groups, 14.4% were children/adolescents (0-19 years), 42.6% were adults (20-59 years), and 43.0% were seniors (≥60 years). The mean score for health-related life satisfaction was 5.0±2.15 out of 10. Adults and seniors whose level of physical activity met or exceeded recommendations had higher subjective health. Moreover, men had better subjective health than women in seniors. Health-related life satisfaction was higher among those who had higher self-esteem, were not depressed, did not have chronic diseases, and had better subjective health. Conclusion: Gender significantly influenced health-related life satisfaction in children/ adolescents and seniors. Disability-related factors were significant in adults, and health-related factors were significant in all age groups. Therefore, these factors should be considered when designing interventions to promote subjective health and health-related life satisfaction of people with disabilities.

• 대한물리치료과학회지
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• 제5권1호
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• pp.549-556
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• 1998

To survey the recognition of Community Based Rehabilitation(CBR) by Public Health Center(PHC) Physical Therapists in Seoul Province. This study analysed general characteristic of Physical Therapists and cognition, participation, education, problems and requirements for CBR. The subjects of this study were 31 therapists who work at PHC in Seoul Province and Seoul City Childerns Municipal Hospital. Data was collected for 18 days from April 13 to 31, 1998 and results computed from 25 responses. First, Female therapists outnumber males. The age category 30 to 35 old represented 44.0% of the total number studied. 48.0% of therapists had worked more than 7 years and therapists usually 84.0% worked from 3 to 4 years at the PHC. Junior colleage graduates were 72.0%, and respondents with family responsibility were 52.0%. Second, Recently pain control and therapeutic exercises has become the major requirement of patients at PHC(56.0%). If the offered expanded services, a rehabilitation programe at PHC(36.0%) was highly. When asked about a working guide book, nobody had one. Third, 64.0% of therapists were aware of the present level of CBR, 28.0% of them had gotten an information from newspaper and mass media. Fourth, For CBR, 72.0% had positive ideas in which they could participate. 56.0% wished to compose a team of various rehabilitation specialists. 52.0% wished for the meeting day to be flexible and 64.0% desired to meet once or twice a week. Fifth, Almost all(92.0%) desired more educational opportunity about CBR. Example, once or twice a year(48.0%) and training period of 4 to 7 day(44.0%). They wanted to learn theory and parctice together(88.0%) and 48.0% wanted national mutirehabilitation center as a educational managing organization. Sixth, The most important requirement for accomplishing CBR by Physical Therapists was job security and adequate number of therapists(48.0%). Required number of physical therapists in the PHC was 3(52.0%). The cooperative agency should be the distict govement(32.0%) and community welfare center of the disabled persons(32.0%). Factors inhibiting the execution of CBR were lack of physical therapists(56.0%), and equipments for pain control and for therapeutic exercises(68.0%).