• 재활복지공학회논문지
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• 제5권1호
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• pp.65-70
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• 2011

의사소통은 인간이 사회와 소통하기 위한 필수 요소이다. 이러한 의사소통의 장애가 있는 사람들에게는 사회 참여와 다른 사람과의 원활한 의사소통을 위해서 보완 대체 의사소통 중재가 필요하다. 또한 정보화 시대에 와서는 의사소통뿐만이 아니라 정보접근기술도 사회 참여와 사람들 간의 상호작용에 큰 영향을 미친다. 정보접근에 어려움을 가지는 장애인에게는 추가적인 기기의 구입이나 다른 기술의 습득 없이 정보접근을 도와줄 수 있는 스마트폰이 장애인의 정보접근을 도와줄 수 있는 효과적인 방안이 될 수 있다. 따라서 본 연구에서는 현재 국내에 많이 보급되고 있는 스마트 폰이나 테블릿 PC에 설치하여 사용할 수 있는 보완 대체 의사소통 시스템을 제작하여 장애인들의 의사소통과 정보접근을 도와주며, 기기의 SMS서비스를 이용하여 원거리에서 장애인이 개호자나 다른 사람에게 메시지를 전송하여 개호자의 생활 영역 확대와 장애인의 사회적 고립감 해소에 도움을 주고자 한다.

• 한국직업건강간호학회지
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• 제21권3호
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• pp.221-228
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• 2012

Purpose: The purpose of this study was to identify the degree of satisfaction of part-time work of the mentally disabled and the factors affecting their job satisfaction. Methods: The subjects of this study were 106 part-time workers with mental illness in the city of B and Y. The data were collected from February 1, 2012 to May 30, 2012 using self-report questionnaires including the measurement scales of job satisfaction, family support, work volition and the degree of satisfaction with work environment. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The mean of score for job satisfaction was $61.8{\pm}13.84$. Job satisfaction was highly related to family support, work environment and work volition. The associated factor of the subjects job satisfaction were family support, work environment, work volition, and the period of employment. The combination of these four factors showed an explanation for job satisfaction at the rate of 80.2%. Conclusion: The results imply that job satisfaction needs to be increased for the job continuity of employees with mental illness. In addition to this, work environment, work volition and family support should first be improved for the increase of job satisfaction.

• 한국융합학회논문지
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• 제7권5호
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• pp.247-254
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• 2016

이 연구의 목적은 생활체육 참여정도가 지체장애인의 객체화된 신체의식에 어떠한 영향을 미치는지를 규명하는데 있다. 연구대상은 A시에 거주하면서 생활체육에 참여하고 있는 지체장애인들 221명을 대상으로 하였다. 자료처리는 SPSS 21.0 프로그램을 이용하여 빈도분석, 요인분석을 실시하였으며, 구체적인 요인에 대한 분석은 독립 t검증과 일원변량분석 및 중다회귀분석을 실시하였다. 모든 통계적 유의 수준은 .05로 설정하였다. 연구결론으로는 첫째, 지체장애인의 인구사회학적 특성에 따른 성별(남성), 연령별(40대, 50대), 장애등급별(4급)에 따른 객체화된 신체의식 수준에는 긍정적인 효과가 있는 것으로 나타났다. 둘째, 지체장애인의 생활체육 참여정도(운동기간, 운동시간, 운동강도)는 객체화된 신체의식의 신체 수치심에 긍정적인 효과가 있으며, 신체 감시성에서는 운동기간, 신체수치심에서는 운동강도, 통제신념에서는 운동시간이 각각 긍정적인 영향을 미치는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제40권1호
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• pp.51-58
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• 2007

Objectives : The objectives of this study were to estimate the continuity of care for all Koreans with diabetes and to identify factors affecting the continuity of care. Methods : We obtained National Health Insurance claims data for patients with diabetes who visited health-care providers during the year 2004. A total of 1,498,327 patients were included as study subjects. Most Frequent Provider Continuity (MFPC) and Modified, Modified Continuity Index (MMCI) were used as indexes of continuity of care. A multiple linear regression analysis was used to identify factors affecting continuity of care. Results : The average continuity of care in the entire population of 1,498,327 patients was $0.89{\pm}0.17$ as calculated by MFPC and $0.92{\pm}0.16$ by MMCI. In a multiple linear regression analysis, both MFPC and MMCI were lower for females than males, disabled than non-disabled, Medicaid beneficiaries than health insurance beneficiaries, patients with low monthly insurance contributions, patients in rural residential areas, and patients whose most frequently visited provider is the hospital. Conclusions : The continuity of care for patients with diabetes is high in Korea. However, women, the disabled and people of low socio-economic status have relatively low continuity of care. Therefore, our first priority is to promote a diabetes management program for these patients.

• 재활간호학회지
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• 제8권2호
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• pp.102-109
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• 2005

Purpose: The purpose of this study were to investigate the health status, the currency of rehabilitation therapy, and the patient learning needs on hospital with disabilities. Method: The subjects consisted of 87 disabled adults on hospital. Data was collected from February until to June 2005, where they asked structured questionnaires. A descriptive survey design was used and the SPSS 12.0 program was used for data analysis, which included t-test, ANOVA and Duncan's multiple comparison test. Result: There are a lot of patient through the transfer from the general hospital and the rehabilitation hospital. Their heath status changed good after hospital admission. Patients took exercise therapy the most, which is one of the rehabilitation therapy. But they need to enough physical therapy because patients have limited time for treatment. The education-need-level was high on hospital with disabilities, especially the need of support and care are the highest on the subscale of patient learning need. There are significant patient learning need differences in income and admission location(p<.05). Conclusion: Disabled persons on hospital needs to help and learning exercise by nurses. There should be rehabilitation programs for patients who are ready to leave the hospital. After discharging, there needs to be various rehabilitation services, support and care for the community based rehabilitation.

• 대한인간공학회지
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• 제33권1호
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• pp.15-25
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• 2014

Objective: This study aims to analyze the factors that affect the ability to maintain dynamic sitting balance (DSB), biomechanical characteristics, and physical characteristics in spinal cord injuries (SCI) patients. Background: Virtual ski training systems, ski equipment, and training protocols for disabled skiers are being studied to spread awareness. However, few studies have been reported on the sitting balance ability associated with chair mono skiing. Method: A dynamic sitting balance border system was built to investigate the ability to maintain dynamic sitting balance in SCI patients. Trunk muscle activity was evaluated by electromyogram while conducting dynamic sitting balance tests. The trunk muscle strength was tested with a portable handheld dynamometer. Physical activity scores were measured with the physical activity recall assessment. Results: There were high levels of correlation between the ability to maintain DSB and trunk flexor strength, extensor strength, rotator strength, and physical activity score. However, height, weight, and injury level in SCI patients were not correlated with the ability to maintain DSB. Additionally, strong negative correlations were found between muscle activities of the external oblique and lumbar erector spinae muscles and the ability to perform the backward tilt test. Trunk extensor muscle activity during the ball lifting test was significantly higher than in other tests. Conclusion: The results indicate that improving trunk muscle strength and physical activity can increase the ability to maintain DSB. Application: The findings of a close relationship between trunk strength, physical activity, and the ability to maintain DSB need to be reflected in the chair mono ski training program.

• 재활복지
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• 제18권4호
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• pp.95-117
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• 2014

본 연구는 활동보조서비스(신체활동지원, 가사활동지원, 사회활동지원) 이용이 가족부양부담에 영향을 미치는지와 활동보조서비스와 가족 부양부담감 간에 가족탄력성(가족신념체계, 가족응집력, 상호작용)이 조절효과를 나타내는지를 파악하여 장애인복지의 실천적 개입 방안을 모색하는 근거자료를 제시하는데 목적이 있다. 본 연구의 연구목적을 위하여 경기도를 동부, 서부, 남부, 북부 지역으로 나누어서 2013년 4월 1일~5월 15일까지 활동보조서비스를 이용하는 1급, 2급 장애인가족 부양자 200명을 대상으로 자료를 수집하여 분석하였다. 자료분석은 spss 19.0 통계프로그램을 이용하여 탐색적 요인분석과 확인적 요인분석 그리고 위계적 회귀분석을 기초로 한 조절적 다중회귀분석(Moderated Multiple Regression Analysis)을 실시하였다. 본 연구의 주요 연구결과는 첫째, 활동보조서비스 중 신체활동지원을 이용하는 경우 장애인가족의 부양부담 감소에 영향을 주는 것으로 나타났다. 둘째, 활동보조서비스가 가족부양부담과의 관계에서 가족탄력성 중 가족신념체계와 가족응집력에서 조절효과가 있는 것으로 분석되었다.

• 한국사이코드라마학회지
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• 제21권2호
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• pp.41-56
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• 2018

본 연구의 목적은 장애인거주시설 생활재활교사들의 자아탄력성과 직무스트레스가 직무만족에 미치는 영향을 조사하는데 있으며, 이를 위해 충남지역을 대상으로 193부의 설문지를 회수하여 최종분석에 사용하였다. 수집된 자료는 SPSS 23.0 통계프로그램을 이용하여 기술통계분석, 상관관계분석, 다중회귀분석 등의 통계기법을 이용하였으며, 그 연구결과는 다음과 같다. 첫째, 자아탄력성과 직무만족의 인식수준은 보통보다 높은 수준이었으며, 직무스트레스의 인식수준은 보통보다 낮은 수준이었다. 둘째, 대상자의 직무만족은 자아탄력성의 하위요인인 대인관계가 높을수록, 직무스트레스의 하위요인인 개인역할 및 일상업무, 시설 및 상사와의 관계, 클라이언트 관계 등의 스트레스가 낮을수록 높았다. 이러한 결론을 통해 생활재활교사의 직무만족을 높이기 위해서는 자아탄력성을 높이고 직무스트레스를 낮출 수 있는 대안이 필요하다. 생활재활교사는 대인관계에서 감정소진이 나타나기 때문에 동료상담, 교육, 프로그램 등의 지원이 필요하다.

• The Journal of Korean Physical Therapy
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• 제10권1호
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• pp.67-74
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• 1998

To determine the effects of exercise program which is developed to advanced the physical fitness of the old aged, mountain climbing exercise for 12 weeks was performed to the agee 60's. Studied subjects consisted with 50 na: and 50 women, aged 60's, who resided in Taejon city and had not done regular exercise. Body fat, muscle strength, body flexibility and cardiovascular endurance of them were calculated and compared before and after mountain climbing exercise for 12 weeks from September 1, 1996. Following results were obtained therefrom; Body fat reduced $2.57\%$ in made, and $2.68\%$ in female, but muscle strength was improved 3.07kg in made and 2.43kg in female. Body flexibility, tested by bend forward, was improved 2.17cm in made, and 2.32cm in female. Cardiovascular endurance, tested by 1,200m running time, was reduced 18.2 seconds in made and 15.5seconds in female. For the conclusion, there showed advancement of physical fitness after the 12 weeks mountain climbing exercise.

• 지역사회간호학회지
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• 제21권4호
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• pp.439-447
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• 2010

Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.