• Health Policy and Management
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• v.24 no.2
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• pp.172-180
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• 2014

Background: People with disabilities have higher prevalence rates and earlier onset of chronic disease than the non-disabled; therefore, their participation in health screening is important. This study evaluates the participation rate and trends in health screening of people with disabilities, and examines the association between their participation rate and disability characteristics, and socioeconomic status. Methods: Data on disability-related characteristics were collected from the National Disability Registry, and participants' corresponding health examination data were taken from the Korean National Health Insurance Corporation between 2002 and 2011. A total of 873,819 participants aged ${\geq}20$ years were analyzed in this study. Results: The rate of participation of people with disabilities in health screening has increased each year, but their participation rate is lower than that of the total population. The participation rate was lower in females than in males; the elderly group than in the younger group; those who live in city areas than rural areas; self-employed for health insurance than employees; those with an internal organ disability than those with an external physical disability; those with a severe disability than those with a mild disability; and those with a short-term disability than for those with a long-term disability. Conclusion: The factors associated with participation rate are age, sex, socioeconomic status, and disability characteristics. These findings indicate that health check-ups of people with disabilities should be promoted using an approach that takes into account the large individual differences in socioeconomic status and disability characteristics in this population.

• The Journal of Korean Physical Therapy
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• v.27 no.2
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• pp.96-105
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• 2015

Purpose: This study was conducted in order to explore self-perceived objectives, effects, determinant factors of satisfaction and demands on home-based rehabilitation service (HBRS) based on a community-based rehabilitation (CBR) model in community-dwelling disabilities. Methods: This research was conducted through in-depth interview. HBRS was conducted by four physical therapists for one hour a day, once a week, for eight weeks. After an eight-week intervention period, in-depth interviews were conducted using a semi-structured questionnaire for five recipients of HBRS and six care givers. Results: For the physical effect, some participants experienced positive effects, whereas others did not due to the short-term intervention period. For the social and emotional effects, 'occurrence of motivation for exercise', 'change of surroundings' and 'sorriness for the therapist' emerged as keywords. For the determinant factors of satisfaction, 'movement-inducing therapy', 'therapy from the specialist', 'development of friendship & social network', and 'learning the way of self-rehabilitation' emerged as keywords. For further demands on HBRS, participants stated that 'sufficient time for therapy', 'user opinion-reflected therapy', 'additional instructions for therapeutic exercise & activities of daily living', and 'active promotion for HBRS' were necessary. Conclusion: Participants were satisfied with the physical, social, emotional, and educational aspects of HBRS. In particular, the participants regarded educational aspects as the significant factor throughout self-perceived objectives, determinant factors of satisfaction and the demands. This result suggests that when providing HBRS to community-dwelling persons with disabilities, therapists should recognize the necessity and significance not only of the physical, but also the educational aspect of HBRS.

• Journal of The Korean Dental Society of Anesthesiology
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• v.11 no.2
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• pp.125-132
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• 2011

Background: Adult patients with intellectual disabilities often strongly resist the anesthetic administration for dental procedures. This study aimed to evaluate the effect of midazolam premedication in improving the cooperation level of patients who are likely to be combative and irritated during general anesthesia (GA) induction. Methods: The patients who had received dental treatment under ambulatory GA for more than two times were included. And we selected 13 patients total that needed physical restraint or ketamine IM prior to induction at the first GA, and were prescribed midazolam tablet (7.5-15 mg) at the following GA. We reviewed pre-anesthetic records and anesthesia records, and evaluated cooperative levels of patients (4 levels scale) during anesthesia induction and recovery time retrospectively. Results: All 13 patients (Male 11, Female 2) had severe mental disabilities. The average age of the patients was 24 ${\pm}$ 7 (13-37) years and their average weight was 58 ${\pm}$ 16 (34-91) kg. At the first GA, 10 patients needed physical restraint prior to induction (level 3). And 3 patients were so poorly cooperative that the induction procedure was performed after intramuscular injection of ketamine (level 4). But after the midazolam intake, 7 patients were willing to receive the anesthetic induction (level 1, 2), and 6 patient needed physical restraint (P < 0.05). There were no statistical differences in the duration of general anesthesia and postoperative recovery. Conclusions: Oral intake of midazolam was effective in improvement of cooperation without any complications.

• Journal of Korean Physical Therapy Science
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• v.30 no.4
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• pp.9-16
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• 2023

Background: Bedridden patients and disabled persons need help from a guardian or caregiver even in performing simple activities of daily living. In particular, for body transfer of them, the use of a transfer lift has been recommended. However, the devices currently in use have limitations in terms of support according to the individual's characteristics. This study aimed to develop a transfer lift device utilizing the patients' body-fitting sling equipped with an air tube inside the sling. In addition, we have conducted usability tests to examine the safety, effectiveness, and satisfaction with this device. Design: This study conducted usability tests with 10 healthy adults. Methods: Customized sling lifts are generally floor-based devices that consisted of a sling that holds the patient's body and a lift that moves the sling to the desired position. One characteristic feature of the device is an air tube, which is used on the sling to allow the patient's body can be adjusted. A usability test was performed in terms of the operators, who operated the device to transfer the patients. Ten operators tried the device and tested its usability. Results: The mean of 10 question for Questions was 4.18. Conclusion: The device can be useful in the advance- ment and commercialization of customized sling lifts, to ensure the safe and efficient transfer of persons with disabilities.

• Korean Journal of Social Welfare
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• v.38
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• pp.206-233
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• 1999

The purpose of this paper is to suggest a scientific evaluation criteria for integration of person with disabilities by developing and measuring the index and indicator of disability integration. Disability integration index will be expressed in a simple number to represent the current situation which will summarize the level of integration of persons with disabilities from the perspective of outcome. Disability integration index is composed of four indicators-social attitude toward person disability, physical environment, participation in society expressed by employment and education, and social institution. Observation research was conducted to measure first two indicators of social attitude and physical environment while existing statistics and data were analyzed for other two of participation in society and social institution. The result of this study showed that disability integration index of Korea was 0.4832. Therefore this paper comes to conclude that the level of integration in Korea approaches to 48 percent which is half of ideal integration. However, this study has its limitations in selection of indicators and index formula which in turn must be followed by next studies.

• 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.

• Journal of The Korean Dental Society of Anesthesiology
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• v.9 no.1
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• pp.9-16
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• 2009

Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

• The Journal of the Korea Contents Association
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• v.21 no.8
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• pp.675-690
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• 2021

Based on related studies on 'disability sports,' 'sports for all,' and 'rehabilitation sports,' this study collected the results of a survey on the disabled, who are the actual users of rehabilitation sports services. It analyzed the need for rehabilitation sports services. The requirements of persons with disabilities were extracted, and the extracted contents were presented as inductive content analysis. The researcher's preconceptions and subjective judgments were to be excluded as much as possible. Based on studies related to "Disability sports," "Sports for all for disability," and "Rehabilitation sports," conducted in Korea, a study that included the results of the survey on disabled people was selected. This study's results were categorized into eight categories (perception of sports activities, programs, instructors, facilities, accessibility, cost/support/financial resources, and others) for people with disabilities.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.1
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• pp.99-112
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• 2019

Purpose : The purpose of this study was to analyze Korean qualitative research studies on cerebral palsy and provide a basis for future direction of research. Methods : Twenty-six articles were selected by searching 4 Korean databases (NDSL, DBpia, KISS, and RISS) and reviewing the list of additional references. All the articles were analyzed and assessed using the Consolidated criteria for Reporting Qualitative research (COREQ). Results : Seventeen qualitative studies and 9 mixed quantitative and qualitative studies were selected, and methodologies such as case study (42.3 %), constant comparative method (23.1 %) and phenomenology (23.1 %) were used. The studies investigated the effects of interventions (38.5 %), support programs (30.8 %), and life experiences (26.9 %). Among the participants, 50.0 % were persons with disabilities only, 19.2 % were parents only, and 30.8 % were combination of persons with disabilities, parents, teachers, and therapists. The number of participants in most studies was 2-9 (57.7 %). The COREQ evaluation of the selected articles revealed many shortcomings in the studies. Interview guidelines were used only in 26.9 % of the studies. In particular, many articles did not describe in detail the characteristics of researchers and the relationship between researchers and the participants. Conclusion : In future, various research methodologies and research checklists must be used to stimulate high-quality qualitative research with on cerebral palsy.

• Physical Therapy Korea
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• v.10 no.1
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• pp.139-158
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• 2003

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.