• Title/Summary/Keyword: Persons with Disability

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A Case of Xerostomia that Occurred during Behcet's Disease Drug Treatment of a Person with Physical Disability (지체 장애인의 베체트병 약물치료 중 발생한 구강 건조증 치험 1례)

  • Kang, Byung-Soo;Kang, Duk;Kim, Jong-Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.112-135
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    • 2021
  • Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities.

A Study of Differently-Abled Users' Perception of Public Relations Services in Libraries (도서관장애인서비스 이용자의 홍보에 대한 인식조사 연구)

  • Noh, Young-Hee;Ahn, In-Ja;Park, Mi-Young
    • Journal of the Korean Society for Library and Information Science
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    • v.45 no.4
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    • pp.179-207
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    • 2011
  • This study was conducted by surveying users' perception about the public libraries' current public relations, which can contribute to developing the most appropriate public relations strategies for persons with disabilities(PWDs). This study concluded, first, PWDs' experience with the PR of the library services was a very low 32.4%. Intellectual disabilities, especially, were reported to have no experience in public relations. Second, the library public relations media which PWDs utilized the most were the Internet, library bulletin boards, banners, ARS services, and podcasting, in that order. However, satisfaction with promotions appeared below average(3 points or less). On the other hand, interest in public relations media was very high. Third, it appeared that library users with disabilities most frequently use the websites of their school library, the National Library of Korea, and public libraries in that order. However, the usage rate of services and users' satisfaction with them were very low. Finally, a high demand for facilities with accessibility to PWD users emerged as a result of this study. Therefore, this study recommends greater accessibility, convenience, and ease of facility use for persons with disabilities.

Moving to a Holistic Model of Health: The Need to Join Person and Environment for Persons with Mobility Disabilities

  • Kim, Gyeong-Mi
    • 한국사회복지학회:학술대회논문집
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    • 2004.04a
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    • pp.365-382
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    • 2004
  • The purpose of this study was to explore the concepts of health among people with mobility disabilities in order to develop a new holistic model of health and to identify implications for social work practice. A qualitative study based on face-to-face interviews with people with mobility disabilities was conducted. Nine consumers and nine social workers with mobility disabilities participated in the study. Social constructionism, heuristic paradigm, empowerment paradigm, and strength perspectives were used to form conceptual foundations to guide the study. Study participants' holistic descriptions of the concept of health encompassed five domains: biological/physical, mental/emotional, financial, relationships with others, and spiritual. Participants described health as harmony among these five domains. Harmony indicates that all five domains contribute to the concept of health, and that each domain is related to the others. Participants also viewed disability and health as an interconnected whole, not separate concept. The conceptual model developed in this study expands on the existing concepts of health by considering multiple factors at the personal and environmental levels, as well as interactions among the factors and between the levels. The personal level has five domains: biological/physical, mental/emotional, spiritual, financial, and relationships with others. The environmental level has also five domains: relationship with others, financial, social programs, social attitudes toward peoplewith disabilities, and physical environment. All factors under the personal and environmental levels also affect each other. The holistic concept of health for people with disabilities is not solely a part of the person, but rather is a function of the interaction between the person and their environment. The study demonstrated that people with disabilities have strength and resiliency, and health is an attainable goal for them, particularly when environmental and cultural barriers are addressed. The focus of social work practice should be the removal of those barriers encountered by their consumers with disabilities, as well as, the enhancement of internal factors that facilitate well-being.

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The Proposal for Improvement of Legal System for the Persons with Disabilities (장애인복지 관련 법제의 발전방향)

  • Woo, Jooh-Hyung
    • Journal of Legislation Research
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    • no.41
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    • pp.125-170
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    • 2011
  • In Korea, the evolution of welfare for people with disabilities can be divided largely four stages. The first phase is before 1981, the second is from 1981 to 1988, the third is from 1989 to 2006 and the fourth phase is from 2007 to now. In the first phase people with disabilities were considered as ones of charity. In the second period the welfare ideal for people with disabilities was appeared. In the third, the framework of welfare system for people with disabilities was formed and welfare services began to be expanded. The fourth phase has been the time to secure human right and social services for people with disabilities. In Korea, for people with disabilities, 2007 was the year of historical turning point. "The Act of Prohibition on Disability Discrimination and Remedy for Right"was built that year and became effective the next year. Also "The Special Education Act for People with disabilities" was enacted newly. "The Disabled Welfare Act" was amended for the change of welfare paradigm. The change is introduction of Independent Living. After 2007 Korean legal systems for people with disabilities have been improved largely.

Structural Relationships among Health Concern, Health Practice and Health Status of the Disabled (장애인의 건강관심도, 건강실천행위 그리고 건강수준간의 구조분석)

  • Chun, Byung-Yeol;Kam, Sin;Yeh, Min-Hae;Kang, Yun-Sik;Kim, Keon-Yeop;Son, Jae-Hee;Lee, Young-Suk;Park, Ki-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.3
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    • pp.276-288
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    • 1999
  • Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

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CLINICO-STATISTICAL ANALYSIS OF DEEP SEDATION COMPARED WITH GENERAL ANESTHESIA AT THE CLINIC FOR THE DISABLED (치과적 장애환자의 치과치료를 위해 시행한 깊은 진정 : 전신마취와 비교한 통계적 고찰)

  • Seo, Kwang-Suk;Shin, Teo-Jeon;Kim, Hyun-Jeong;Han, Hee-Jeong;Han, Jin-Hee;Kim, Hye-Jung;Chang, Ju-Hea;Shin, Hye-Young
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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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.

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Support Needs for Health Promotion of Community-Dwelling People with Disabilities: Perspectives of Operators Managing Disability Supportive Housing (지역사회 거주 장애인의 건강관리 향상을 위한 지원 요구 분석: 장애인지원주택 운영 관리자의 관점에서)

  • Nam, Hye Jin;Lee, Haesun;Park, Han Nah;Lee, Sujin;Kim, Bohye;Yoon, Ju Young
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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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.

Characteristics of Housing Condition for Physically Challenged Persons in Rural Area from the Viewpoint of Planning Customized Housing for the Disabled (장애인 맞춤형 주택 계획 관점에서 본 농촌지역 지체장애인 주거특성 연구)

  • Lee, Yeun-Sook;Park, Ji-Young;Lee, Dong-Joo
    • Korean Institute of Interior Design Journal
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    • v.24 no.6
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    • pp.154-162
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    • 2015
  • As there is no case study with current status, measurements or description on the state of actual site of rural area only, the delivery of actual conditions about such an area is significantly limited. The purpose of this study is to pinpoint issues with housing conditions of low-income family with disabled members in the rural area. For such a purpose, 25 households of disabled people have been visited for interview, on-site research and survey, of which results are summed up in this paper as following: First, average monthly income of such family turned out to be KRW 480,000, most of which is from the government subsidy. High ratio of such families has resided in a house with average size of approximately 56m2 for about 24 years. Secondly the most needed maintenance work with top priority was for the toilet, and many of the interviewees expressed their discomfort about small size of their bathrooms and inconvenient facilities therein. Thirdly, most of such houses had too high thresholds that posed danger and inconvenience. Such thresholds had average height of 13cm, which can be considered as completely inconsiderate of disabled users. Fourth issue was that these people needed safety handle that will enable them to stand up or to be in the standing posture in the living room and bedroom where they spend most of their time. Fifthly, they wanted finishing materials with waterproof functionality as well as replacement of finishing materials and wallpaper which were too old and caused hygiene issues. As these issues represent, current housing for disabled people in the rural area turned out to be poor and risky space rather than the place where difficulty of individual situation can be resolved or their disability can be complemented. Thus it can be determined that now is the time to arrange the solutions for such housing difficulties and to establish customized housing plan to ensure safety and convenience.

Correlates of Self-Stigma, Self-Esteem, and Quality of Life Among Persons with Mental Disabilities (정신장애인의 자기 낙인과 삶의 질, 자존감과의 관계 연구)

  • Lee, Hyun Ji
    • 재활복지
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    • v.22 no.2
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    • pp.83-102
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    • 2018
  • The purpose of the this study was to investigate the association of self-stigma, quality of life, and self-esteem and analyze the mediating role of self-esteem in the relationship between self-stigma and quality of life among people with mental disabilities. For this purpose, the data were collected from 254 people with mental disabilities who utilize the community mental health centers located in D and K regions. Findings of the study indicated that there were statistically significant relationships among self-stigma, quality of life and self-esteem. In addition, self-esteem had partial mediating effects on the relationships between self-stigma and the quality of life domains such as physical, psychological, and environmental areas, while self-esteem was a full mediator in the relationships between self-stigma and social relationship in the quality of life. Based on the findings of, possible practice implications for improving the quality of life among people with mental disabilities by reducing self-stigma along with empowering their self-esteem and recommendation for further study were provided.

A study on the factors that affect the working conditions of the disabled for the duration of employment: Comparison between regular and temporary workers (장애인 직업 유지 기간이 근로조건에 영향을 미치는 요인에 관한 연구: 상용근로자와 일용근로자의 비교)

  • Hyun, Ta Kyung;Lim, Ok Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.525-536
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    • 2020
  • The study data used for the analysis of this study were obtained from the raw data during the 1st survey of the 2nd wave of the 2019 Panel Survey on the Employment of Persons with Disabilities conducted by the Korea Employment Agency for Persons with Disabilities. The results showed that, for regular workers, when there was a fixed term of employment contract, it was more likely that the job was retained for 12 months or longer. For the day laborers, workers without a fixed-term employment contract were more likely to retain their jobs for 12 months longer. This suggests that owing to the types of jobs that did not consider disabilities, people with disabilities were facing difficulties in terms of the options available in their job choices and their self-decisions. Therefore, the state would have to develop more job types and skills for these individuals to expand their career options. The growth in the employment of people with disabilities by small businesses that hire day laborers will depend on the diversification of the employment subsidy, which is again dependent on the size of the businesses.