• 제목/요약/키워드: Experienced therapist

검색결과 45건 처리시간 0.02초

경직성 양하지 뇌성마비 아동의 소아균형검사와 보행변수 간의 상관관계 (Correlation between Pediatric Balance Scale and Gait Parameter in Children with Spastic Diplegic Cerebral Palsy)

  • 고명숙;박소연;이남기
    • 재활복지공학회논문지
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    • 제10권4호
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    • pp.251-257
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    • 2016
  • 소아균형검사(Pediatric Balance Scale)는 경증이나 중증의 운동손상을 지닌 학령기 아동에게 사용할 수 있는 균형검사도구이다. 본 연구의 목적은 경직성 양하지 뇌성마비 아동을 대상으로 소아균형검사와 시공간적 보행변수간의 상관관계를 알아보고자 하였다. 소아균형검사는 앉은 자세에서 일어나기, 선 자세에서 앉기, 의자에서 의자로 이동하기, 잡지 않고 서 있기, 한 다리로 서 있기, 제자리에서 $360^{\circ}$ 회전하기, 뒤돌아보기 등 총 14개 항목으로 구성하고, 시공간적 보행변수는 보행속도 및 보폭, 보거리, 보격, 분속수, 양하지 지지 시간을 포함한다. 모든 대상자들은 독립적으로 보행이 가능한 경직성 양하지 뇌성마비 아동이며, 숙련된 소아물리치료사에 의해 소아균형검사와 시공간적 보행변수를 측정하였다. 소아균형검사와 시공간적 보행변수 간의 상관관계를 분석하기 위해 피어슨 상관분석을 사용하였고, 통계학적 유의수준은 0.05로 설정하였다. 소아균형검사의 총점(r=.49~.58)과 세부항목 중 선 자세에서 앉기(r=.48~.60)와 선 자세에서 왼쪽/오른쪽 어깨 뒤로 돌아보기(r=.47~.53), 선 자세에서 바닥에 물건 집어 들기(r=.52~.69)는 보행속도와 보폭, 보거리, 분속수의 각 변수 사이에 모두 유의한 양의 상관관계를 보였으며, 소아균형검사의 대부분 항목이 양하지 지지 시간 간의 매우 높은 음의 상관관계(r=-.48~-.92)를 보여주고 있다. 이는 소아균형검사와 시공간적 보행변수는 높은 상관관계를 가진 것을 관찰 할 수 있었으며, 소아균형검사를 통해 뇌성마비 아동의 보행수준을 예견하는데 유용하게 적용될 것이다.

재활병원 작업치료사의 근골격계 증상과 직무스트레스와의 관련성 (The relations between the Musculoskeletal Symptoms and Job Stress of Occupational Therapists at Rehabilitation Hospitals)

  • 박소연;김진경
    • 한국융합학회논문지
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    • 제8권2호
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    • pp.43-51
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    • 2017
  • 본 연구는 재활병원 작업치료사들의 근골격계 증상과 직무스트레스와의 관련성을 알아보기 위해 서울 및 경기도에 위치한 재활병원 작업치료사 총 210명을 대상으로 2014년 6월 1일부터 7월 30일 사이에 설문조사를 실시하였다. 연구에 참여한 대상자들의 평균 연령은 $25.4{\pm}3.4$세이었고, 평균 근무기간은 $2.3{\pm}2.1$년이었다. 참여자 중 여자가 151명(71.9%)이었고 정규직이 171명(81.4%)이었다. 대상자들 중 114명(54.3%)이 근골격계 증상을 경험하였고, 주된 손상부위는 손/손가락(21%)과 다리(18.6%)였다. 여성이 직무스트레스의 고위험군이 남성에 비해 더 많았고 직무스트레스에 대한 위험도가 높을수록 근골격계 발생 빈도가 증가하였다. 남성은 '직무요구', '보상부적절'과 '직장문화'에서 스트레스가 높을수록 근골격계 발생 빈도가 증가하였고, 여성은 '관계갈등', '보상부적절' 에 대한 스트레스가 높을수록 근골격계 발생 빈도가 증가하는 것을 확인할 수 있었다(p<0.05).

임산부의 요통 발생 실태 (Prevalence of back pain in pregnancy)

  • 김선엽;김광수
    • 대한정형도수물리치료학회지
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    • 제4권1호
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    • pp.71-82
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    • 1998
  • The purpose of this study is to analyze the phases of back pain occurring on pregnant women, and to raise the necessity of the pain management on the basis of the former analysis. The objective group is 284 pregnant women who visited department of OBGY of hospital located both in Seoul and Andong. The results are as follows; 1. 204(71.8%) pregnant women were suffering from back pain. The ratio of pain occurrance in terms of the duration of pregnancy shows that 78.3% within 3 pregnant months, 68.4% between four and six months and 72.1% over seven month. Most common ares of pain was low back area rating 60.5%. 2. The most painful postural for the suffering women was lying on the back rating 35.9% and the next painful posture was standing rating 34.4%. And the most painful movement was to maintaining continues movement(57.8%). Twisting back rates the second(17.2%). These two variables were relevant each other(p<0.05). 3. 46.7% of pregnant women were experiencing nocturnal pain. Among women experienced the pain before pregnancy, 39.9% were suffering during the pregnancy. The occurrence of nocturnal pain was related to the pain before and after the pregnancy(p<0.05). 4. 58.8% of pregnant women who experience back pain take the pain for granted as a normal proceeding of pregnancy while 3.9% recognize the symptom as an abnormal. Pain recognition in accordance with the phases does not show much difference(p<0.05). 5. It is shown that the more one delivers the number of babies, the faster back pain occurs(p<0.01). 6. 32.3% of the pain-suffering women have family member(s) having back pain. Family member(s) of the women who does not experience the pain don't have the pain either. This case reports 46.1%. Statistically, these two variables are relevant(p<0.01). 7. 43.0% of back pain experiencing women does not have any particular management plan against the pain. 20.7% is exercising as for prevention. Women who recognize the necessity of some means of therapy for their pain marked 42.9%. The majority(65.8%) of women responded exercise gymnastic work-out are most appropriate pain management. The above results show that a great number of pregnant women is experiencing back pain, however, they properly managed. This span suggests that appropriate advocacy and education for pregnant women is necessary. It is recommended that positive contribution can be made to better health of pregnant women when pain management by physical therapist is given.

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작업치료실의 감염 실태와 감염예방 관리 실태 : 부산지역을 중심으로 (The Status of Infection for Infectious Diseases and Status of Infection Control in Occupational Therapy - Focusing on Busan)

  • 정남해;배원진
    • 대한지역사회작업치료학회지
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    • 제6권2호
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    • pp.39-49
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    • 2016
  • 목적 : 부산 지역 내 작업치료사를 대상으로 작업치료실의 감염성 질환 감염 실태와 감염예방 관리 실태에 관하여 알아보고자 하였다. 연구방법 : 2016년 6월 한 달 동안 감염성 질환 감염 실태, 감염예방 관리 및 감염관리 인식도의 네 파트로 구성된 설문지를 부산 지역 내 작업치료실 23 곳, 작업치료사 111명을 대상으로 실시하였다. 결과 : 34.8%의 의료기관에서 작업치료사들이 옴, 결핵, C-diffficile, MRSA, HFM 등의 감염성 질환을 경험하였다. 작업치료사는 대부분의 감염예방 관리 항목에서 수행도가 높으나, '15초 이상 손 씻기'와 '장갑 착용 전 후에 손 씻기', '치료 시 마스크 착용'과 '사용한 마스크 즉각 버리기', '화장실 이용 시 시트 클리너 사용하기' 에서 낮은 수행도를 보였다. 그 외 '피, 침, 고름 및 분비물로 오염된 세탁물을 일반 세탁물과 분리 세탁하기'항목에서 낮은 수행도를 보였다. 또한 대부분의 작업치료사는 작업치료 임상에서 감염관리 교육은 중요하고 교육이 필요하다고 인식하고 있지만 현재 감염교육은 대부분 근무처에서만 이루어지고 있는 것으로 나타났다. 결론 : 감염예방 관리 수행 향상을 위해서는 치료사 개인의 노력이 필요할 뿐만 아니라, 제도적인 뒷받침이 이루어져야 한다. 또한 본 연구는 차후, 작업치료사들을 대상으로 하는 감염관리 교육 시, 활용할 수 있는 기초자료가 될 수 있을 것이다.

사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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