• 재활복지
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• 제22권3호
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• pp.209-224
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• 2018

본 연구는 가상현실 프로그램을 사용한 재활치료의 효과성에 대해 체계적으로 분석하여 국내 임상현장에서 재활치료에 종사하는 의료인, 의료기사 및 연구자들에게 다양한 가상현실 기반의 재활치료와 효과성에 대한 정보를 제공하여 가상현실 기반의 재활치료가 임상에서 적절하게 적용될 수 있도록 하고자 한다. 연구 방법으로 학술연구정보서비스(Research Information Sharing Service; RISS), Google Scholar, Pubmed 데이터베이스를 사용하여 2007년 1월부터 2017년 12월까지의 논문을 검색하였다. 주요 검색어는 'Virtual Reality AND Rehabilitation', 'Virtual reality AND Effect'를 사용하였다. 최종적으로 10편의 해외 학술지에 게재된 논문을 본 연구의 분석 대상으로 선정하였다. 선정된 논문은 PICO (Patient, Intervention, Comparison, Outcome) 형식을 사용하여 정리하였다. 연구 결과 10개의 논문에서 참여한 대상자를 유형별로 분석한 결과, 대상자는 총 4가지로 분류되었으며 그 종류는 뇌졸중, 뇌종양, 파킨슨병, 신장질환이었다. 중재에 사용한 가상현실 기반 도구들은 IREX 3건(30%), X-box Kinect 2건(20%), Nintendo Wii 2건(20%), [Existing tool + VR]이 1건(10%), [Mobile application + VR]이 1건(10%)이었다. 중재 결과 10개의 논문 모두 기능향상이 나타났으며 신체기능이 24회(66%), 정신기능 6회(17%), 인지기능 5회(14%), 일상생활활동이 1회(3%)였다. 따라서 본 연구는 가상현실 기반 재활치료와 그 효과를 정리하여 재활치료서비스의 전문성과 질을 향상시키고, 영역을 확대하는 기초자료로 활용될 수 있을 것이다.

• 대한통합의학회지
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• 제8권2호
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• pp.199-209
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• 2020

Purpose : This study used a sarcopenia diagnostic algorithm proposed by the Asia working group in adults over 50 to diagnose sarcopenia and analyze body function. The purpose of this study is to prepare basic data for the management and prevention of sarcopenia. Methods : We performed a diagnostic evaluation of sarcopenia in 97 adults over the age of 50 years with the cooperation of the Seongnam senior experience complex in Seongnam-si, Gyeonggi-do. As a result of the diagnostic process, 24 subjects were placed into the sarcopenia group, while 73 subjects were placed into the normal group. We measured each subject's body, performed the timed up and go test to evaluate functional mobility, and conducted a questionnaire on the pre-symptom of locomotive syndrome and locomotive syndrome. Results : There were statistically significant differences in height, weight, and skeletal muscle mass between the two groups. There was also a statistically significant difference in the timed up and go test, which confirmed the difference in functional mobility between the two groups. In addition, there was a statistically significant difference between the two groups in the proportion and the mean score of subjects with pre-symptom of locomotive syndrome and locomotive syndrome. In the correlation analysis, grip strength was statistically significantly correlated with height, weight, skeletal muscle mass, waist circumference, timed up and go test, pre-symptom of locomotive syndrome and locomotive syndrome. Gait speed was significantly correlated with the timed up and go test and locomotive syndrome. Appendicular skeletal muscle index was significantly correlated with height, weight, waist circumference, hip circumference, and the pre-symptom of locomotive syndrome. Conclusion : In conclusion, sarcopenia is closely related to height, weight, skeletal muscle mass and functional mobility, as well as the pre-symptom of locomotive syndrome and, locomotive syndrome. In consideration of this, the prevention and management of sarcopenia should be made accordingly.

• 한국융합학회논문지
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• 제10권12호
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• pp.377-386
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• 2019

본 연구의 목적은 고령자의 기능 수준, 환경과 라이프스타일이 건강과 삶의 질에 미치는 영향을 분석하고자 하였다. 자료수집은 2019년도 4월부터 2019년도 5월까지 자기기입식 설문지를 사용하였으며, 조사대상은 전국의 65세 이상, 지역사회에 거주하는 고령자 200명으로 하였다. 자료 분석은 SPSS 23.0과 AMOS 23.0 통계프로그램을 사용하였다. 연구결과, 고령자의 기능 수준과 신체적 활동은 직접적으로 건강에 영향을 미치며, 기능 수준, 활동참여, 식이와 건강은 삶의 질에 직접적인 영향을 주는 것으로 나타났다. 또한, 건강과 삶의 질에 직접적인 영향을 미치지는 않지만, 환경적 요인은 식이와 활동참여에 영향을 미치는 것으로 나타났다. 따라서 고령자의 건강과 삶의 질 향상을 위해서는 이에 영향을 미치는 기능 수준, 환경과 건강한 라이프스타일 관리가 필요할 것으로 사료된다. 본 연구의 결과는 향후 노인보건복지 관련 정책 및 서비스를 수립하는 데 기초자료로 활용될 것으로 기대된다.

• 한국병원경영학회지
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• 제9권2호
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• pp.76-101
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• 2004

The primary purpose of this study was to provide the basic information for improving collaborating care of Korean traditional medicine and western medicine by surveying utilization and attitude on it among cerebral apoplexy(CA) patients hospitalized at a general hospital with both the western and Korean traditional medical department in Busan metropolitan city, Korea. The survey was conducted on 170 patients, 80 from Korean traditional medical department, and 90 from western medical department. The major results of this study were as below: First, CA patient's medical utilization patterns including selecting medical institution, term of treatment and type of medical institution at first-aid were significantly variated by their socio-demographic characteristics such as religion and job. Second, the perceptions of collaborating care, such as effectiveness and reduction of treatment period, were better at respondents who were hospitalized at oriental medical department and had been experienced with collaborating care. Third, the major contents of collaborating care which utilized by respondents in side of western medicine were physical therapy, x-ray, pathologic diagnosis, and medication, and in side of Korean traditional medicine were acupuncture, herbal medication, moxa cautery, cupping a boil therapy. Fourth, overall satisfaction on collaborating care was good(3.5 of 5.0) and was significantly variated by age and religion. Fifth, respondents perceived that collaborating care was most helpful for rehabilitation and the major problem of current duplicate medical system was increasement of medical expenditures, and the major obstacle of collaborating care was prejudice against each other medicine. The results of this study imply that effective marketing for collaborative care suitable for age and religion of customers and patient satisfaction strategy is needed to activate collaborating care.

• 대한통합의학회지
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• 제10권3호
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• pp.151-159
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• 2022

Purpose : The purpose of this study was to investigate the structural relationships between fear of missing out, addictive tendencies toward social network services (SNSs), and depression in colleges. Methods : The target subjects were students in colleges across gyeongnam & busan, to whom the purpose of the study was explained and who spontaneously agreed to participate. A survey was conducted with 302 participants over 31 days from March 7, 2022, and data from 299 responses was analyzed. Results : 1. Women felt a higher fear of missing out than men. 2. Women showed greater inability to control their use of SNSs, more SNS-related disorders in daily life, and greater immersion in and tolerance of SNSs when compared to men. 3. Women were more depressed than men. 4. Positive correlations were observed between the fear of missing out and SNS-addictive tendencies, between the fear of missing out and depression, and between SNS-addictive tendencies and depression. Conclusion : A comprehensive review of these findings suggests that women had overall higher levels of isolation fear, SNS-addictive tendencies, and depression than men. Based on this, universities should provide gender-specific educational programs around these issues; this student cohort will ultimately work in healthcare, and this kind of awareness will be essential for treating patients. Considering that the current situation poses unusual challenges due to the COVID-19 pandemic, the study's results can serve as basic data for planning educational programs in the future. Over the coming years, comprehensive and continuous education and counselling relating to the fear of missing out, SNS addiction, and depression will be urgently required.

• 신경정신의학
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• 제57권3호
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• pp.235-243
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• 2018

Treatment of schizophrenia has as its ultimate goals, the functional recovery of the patients and improvement of their quality of life. While antipsychotic medication is the fundamental method for treating schizophrenia, it has certain limitations in terms of treating the illness beyond its positive symptoms. Therefore, psychosocial intervention should be used in tandem with pharmacological methods in treating schizophrenia. The efficacy of several modes of psychosocial intervention for improving outcomes in schizophrenia is well attested. Approximately 10 modes of psychosocial intervention have been recommended based on existing evidence, including family intervention, cognitive behavioral therapy, supported employment, early intervention services, lifestyle intervention for physical health enhancement, treatment of comorbid substance abuse, assertive community treatment, cognitive remediation, social skills training, and peer support. Ideally, these interventions are offered to patients in combination with one another. Over the last decade, increased emphasis has been placed on early detection and intervention, with particular focus on long-term recovery. Early intervention with comprehensive psychosocial interventions should be enacted promptly from the initial detection of schizophrenia.

• 한국응급구조학회지
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• 제20권2호
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• pp.127-144
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• 2016

Purpose: The purpose of this study was to investigate the drinking behavior of university students in Jeju for the safe campus life. Methods: A self-reported questionnaire was completed by 549 students in 4 universities in Jeju. The data were analyzed by t-test, one way ANOVA, and multiple regression using SPSS Win 19.0 program. The questionnaire instruments consisted of Alcohol Use Disorders of Identification Test-Korea (AUDIT-K) and Life Stress Scale for College Students adapted by Chon. Results: The alcohol consumption rate of participants accounted for 96.2%. The binge drinking rate in female students were 33.9% and that in male students was 29.5%. The result by scoring AUDIT showed that 30.7% of participants were normal drinking group, 36.0% were hazardous drinking group, and 33.3% were estimated alcohol abuse group. The average score of stress was 1.45 by Likert 4 point scale. The female students tended to have more stresses than male. The most important influencing factors on drinking behavior were the first alcohol drinking(${\beta}=-.250$, p< .001), gender(${\beta}=.202$, p< .001), and relationship problem(${\beta}=.116$, p < .05). Conclusion: The drinking rate of university students revealed higher than that in other age groups. So the early systematic education is strongly recommended to prevent the physical and mental side effects.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권5호
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• pp.427-436
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• 2019

본 연구에는 편마비가 있는 뇌졸중 환자의 환측 경직성 하지에 체외 충격파 치료를 적용하여 보행 중 무릎각도와 MAS, TUG에 미치는 영향을 알아보기 위해서 실시하였다. 본 연구는 재활 병원에서 뇌졸중으로 진단받은 후 병원에서 재활치료를 받는 환자 20명을 연구대상자로 선정하였다. 대조군(n=10)은 일반적인 물리치료인 고유 수용성 감각 신경근 촉진법을 받았으며, 실험군(n=10)은 고유 수용성 감각 신경근 촉진법(PNF) 치료 후 체외 충격파 치료(ESWT)를 손상측 하지에 적용하였다. 본 연구에서 보행을 분석하기 위해 통합운동분석장치(4D-MT, Relive, Korea)를 사용하였으며 환자의 동적균형 능력을 평가하기 위해 Timed up and go test를 실시하였고 경련성을 평가하기 위해서 MAS를 사용하였다. 본 연구의 결과에서 무릎관절의 각도는 모든 그룹이 그룹 내 비교에서 통계학적으로 유의한 차이가 있었으나(p<0.05) 그룹 간에는 통계학적으로 유의한 차이가 없었다(p>0.05). 본 연구의 결과에서 TUG는 모든 그룹이 그룹 내 비교에서 통계학적으로 유의한 차이가 있었으나(p<0.05) 그룹 간에는 통계학적으로 유의한 차이가 없었다(p>0.05). 본 연구의 결과를 바탕으로 보다 세분화된 연구가 진행되기를 바란다.

• 농촌계획
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• 제28권1호
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• pp.1-15
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• 2022

A Care farm is known to have positive effects on various people in psychological, physical, and social aspects. However, care farm services for the disabled, transportation disadvantaged, and socially disadvantaged are limited. This study conducted a demand survey in order to provide basic data for development of the Agro-Healing Virtual Reality Therapy(AVRT) system. The respondents were the ordinary person(n=127) and the disabled person(n=72), and the survey items consisted of 4 categories and 20 items, including intention to use AVRT, requirements for use, factors to be considered when developing the system, and content and program preferences. The intention to use a AVRT was found to be at a high level of 80% or more by respondent characteristics. In addition, similar results were shown in all items such as virtual reality experience, willingness to use, appropriate use time, and willingness to pay by respondent characteristics, and correlation by item was determined through correlation analysis. As for the conditions of use, both sides preferred rural types and were found to have the purpose of healing. However, there were concerns about dizziness in common between system use, and in the case of the disabled person, there were difficulties in purchasing expensive equipment. In the development of the AVRT system, the part of sensory priority, important technology level, and color preference were evaluated, and the preference of content and programs to be developed in the system was identified. Fruit, vegetables, flowers, and animals preferred mandarin, tomato, tulips, and dogs first, horticultural healing preferred harvest management for the ordinary person, plant cultivation for the disabled person, and forest healing and animal education preferred walking and dog-related programs. However, agricultural work was found to be a program with high preference for making processed foods for the ordinary person and creating an animal breeding environment for the disabled person. The result of this study is expected to provide reference data that can be suggested for the development of Agro-healing Virtual Reality Therapy system.

• 지역사회간호학회지
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• 제9권2호
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.