• Title/Summary/Keyword: Physically disabled

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Functional Independence Measure of Disabled Persons Living at Home in Rural Community (농촌지역 재가장애인의 일상생활 수행능력 실태조사)

  • Yi, Chung-Hwi;Park, Kyoung-Hee;Lee, Hyun-Ju
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.49-61
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    • 2000
  • Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

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An analysis of the Physical Features for the disabled of Civic Service Offices in the City of Daegu (지체장애인의 편의증진을 위한 동사무소 물리적 환경 분석 및 개선방안)

  • Lee, Jung-Hoon;Kim, Hyoun-Joo;Kim, Sung-Hwa;Choi, Moo-Hyuck
    • Korean Institute of Interior Design Journal
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    • v.15 no.2 s.55
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    • pp.108-117
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    • 2006
  • This study is to promote barrier-free environment to accommodate the request and the need for accessibility and convenience of disabled people including pregnant women, children and the elderly in using civic service offices which are supposed to play a role as community centers. This study researches the current state of facilities for convenience and analyzes the result according to the type of reasons which prevent disabled persons to get the accessibility and convenience for the information as well as the facilities. Sample cases are 15 civic service offices which are newly built after 1998 in the city of Daegu. There are found three types of problems about convenient facilities, which are the first cases with facilities not installed, the second cases with facilities not properly installed according to the rule, and the third cases with facilities installed properly according to the rule but inconvenient for the actual use. This study proposes a more critical process for the building permit to promote the rate of proper installation of convenience facilities, and the supplementary law with more specific regulations to improve the physical environment for the actual use of physically disabled people.

A Pilot Survey for the Community Based Rehabilitation In Uiwang (지역사회중심재활사업을 위한 기초 조사)

  • Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.75-80
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    • 1999
  • The purpose of this study nun to obtain basic information about the state of the physically disabled due to neurological impairments in order to provide precise data for planning and evaluating the Community Based Rehabilitation in Uiwang. The results were 1) the total number of registered disabled adults with cerebral vascular accident in this city consulted was 80 and the Prevalence rate was 1.0575 of total disabled Persons, 2) under 100 of the score of activity of daily living(ADL) with the subjects was 41.245 as Functional Independence Measure(FIM) and 3) ender 20 of the score of motor ability with the subjects was $45.1\%$ as Motor Assessment Scale(MAS). This results show that rehabilitation program for community based rehabilitation(CBR) should set up for each level of motor ability and ADL.

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A Study on Accessibility of the Walk Environment in University Campus Facilities (대학교 캠퍼스 내·외부 보행환경의 '접근성'에 관한 연구)

  • Won, Sun-Young;Kim, Sung-Jun;Lee, Hyo-Chang;Kim, Dae-Jin;Park, Jung-Ah;Ha, Mi-Kyoung
    • KIEAE Journal
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    • v.9 no.1
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    • pp.11-21
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    • 2009
  • Today the realization of a welfare society is urgently needed as growing of economy. To promptly meet the needs of the times, the ratio of a matriculation of the physically disabled is getting higher, stretching opportunities of a higher education. But, the walk environment in university educational facilities is still insufficient because of the indifference to the education of the physically disabled. The purpose of this research is to suggest the direction to improve the walk environment for all users through evaluation of the accessibility of the walk environment in university educational facilities, and the scope of the research is the internal and external walk environment of university educational facilities. The first step of the research is preparatory study review to extract the elements of the accessibility of the Universal Design Principles. And then, we evaluate the accessibility of university educational facilities through the site visits. The results of this research are as following: 1) The internal and external walk environment of university educational facilities needs more physical improvement for keeping accessibility. 2) We need to provide consistent guidances from the external sidewalks to main entrances, slopes, staircases, elevators, and corridors. 3) The walk environment of university educational facilities needs to maintain continuously.

A Barrier-free Design Assessment of Sidewalks for Improving Pedestrian Infrastructure (Barrier Free 인증 모의평가를 통한 보행자도로 개선 방안에 관한 연구 - 인덕원역, 석수역 주변 왕복 6차선 도로를 중심으로)

  • Kang, Jun Mo;Lee, Gun Rock
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1D
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    • pp.101-110
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    • 2009
  • Urban Designers and Planners are interested in creating barrier-free (BF) environments as the demand for social equity increases. BF design consists of design strategies for modifying buildings or facilities to be used by the physically disadvantaged or disabled. To construct buildings or facilities to be "Barrier-free", design standards specifically modified for the physically disadvantaged or disabled should be applied. The purpose of this study is to analyze the BF design standard used in the national laws and provide suggestions for their future improvements. In the study national laws in four countries were reviewed and important BF standards to be used in the laws were identified using a frequency analysis. The results of the frequency analysis were applied to the BF assessment criteria for sidewalk design. Then a field assessment for two sidewalks located in Seoul metropolitan region was conducted using the refined BF criteria. The findings from the field assessments indicated that current regulations were not appropriately designed to provide sufficient convenience for the disabled. It is needed to enhance the BF standards in the domestic regulations to offer sufficient mobility to the physically disadvantaged or disabled.

Current Status and the Future Prospect of Rehabilitation Nursing in Korea (한국 재활간호 현황과 전망)

  • Kang, Hyun-Sook;Suh, Yeon-Ok;Lee, Hae-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.240-247
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    • 2001
  • The history of rehabilitation of disabilities in Korea began with the foreigners and missionaries who were interested in it after Korean War. In 1981, Disabled Persons Welfare Act was enacted and the 88 Paralympics brought the nations attention to the welfare and rehabilitation of persons with disabilities. Since then, the facilities and the services for the disabled persons have expanded rapidly and the rehabilitation treatment and nursing intervention are drawing more attention. Against this background, the survey on the current status of disabilities, welfare service, facilities, and rehabilitation nursing was conducted. The results of this survey are as follows. 1. According to the 2000 census of disabilities, the number of persons with disabilities in Korea is estimated at 1,449,500, or 3.09% of the entire Korean population, 0.74% up from 2.35% in 1995. 2. Disability Types in 2000 The 2000 census showed that the persons with disabilities numbered 1,449,496 out of the total population and 1,024,371 persons are registered for disability, making up 70.7% of the estimated disabled population. Among them, physically disabled persons accounted for the largest 41.7% (605,127) and mentally retarded persons stood at the smallest 9% (13,481). 3. Percentage of Disability Presence The survey showed that more than 90% of disability were acquired. However, 44.8% of mental disability and 61.4% of hearing/speaking disability were not acquired after birth. This means that these disabilities happened by congenital cause or birth accident. 4. Yearly Figure of Registered Disabled Persons In 1989, 218,601 persons registered for disability and, in 2000, the number increased by 4.7 times to 1,024,371. These figures are different from the actual number of disabled persons. According to the 1995 census, 1,053,486 were disabled persons but only 378,323registered for disability. And, in the 2000 census, 1,024,371 out of the 1,449,496 of disabled persons registered for disability. 5. Welfare Service for Persons with Disability 62.6% of the total disabled people are registered and physically disabled persons accounted for the highest percentage of 96.7%. 26.5% of non-registered disabled people said that they didnt know the registration procedure. The rest of them replied that they didnt think they were disabled or that registration didnt seem to give any benefits. 6. Welfare Policies for Disabled Persons The welfare benefits given to the disabled are as follows: Issuance of disabled sign for car drivers, Permission to use LPG fuel, Communication fee reduction, Tax exemption related to cars, Reduction of public facility fees, Household allowance, Tax reduction or exemption, Medical allowance and education subsidy for children, and Housing. 7. Current Condition of Welfare Facilities by Disability Type The welfare institutions for disabilities numbered 188 in total and they can accommodate 16,823 persons. Categories of these institutions are physical disability(37), visual disability(10), hearing/speaking disability(14), mental retardation(59), and sanatoriums(68). 8. Human Resource of Rehabilitation of Disabilities Advanced education programs include rehabilitation nursing in its curriculum and this was selected as the program of Korean Academic Society of Nursing in 1990. In November 1997, Korean Academic Society of Rehabilitation Nursing was launched and many academic meeting and seminars were held. This organization is also making efforts to develop the education program for qualified rehabilitation nursing professionals and to develop the standards of rehabilitation nursing practice. In the professionals of the rehabilitation, there are rehabilitation specialist, physical therapist, speech therapist, occupational therapist. It is needed to come up with the measures to supply stable human resources following the demand of disabled persons and to recognize the private certificates for rehabilitation professionals as official ones after reviewing the education and training programs of private institutions. 9. Rehabilitation Nursing 1) Rehabilitation nursing was taught as an independent subject in 11 undergraduate programs and 9 graduate programs. 2) Research on rehabilitation nursing in Korea were 24 experimental research and 11 non-experimental research. The intervention of experimental research were mostly education and exercise rehabilitation programs. 3) In the three rehabilitation hospitals, nursing is divided into two categories, direct nursing and education & counseling. Direct nursing includes tracheostomy or nasogastric tube care, urination and defication, skin care, pain control, complication prevention and care, prevention of injury from a fall, etc.

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Quality of Life(QOL), Life Satisfaction, and Its Determinents of the Physically Disabled in Taegu City (대구지역 재가 지체장애인의 삶의 질 및 삶의 만족도에 영향을 미치는 요인)

  • Lee, Young-Sook;Kim, Keon-Yeop;Park, Ki-Soo;Son, Jae-Hee;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.503-515
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    • 1998
  • In order to investigate the factors influencing QOL and life satisfaction of the physically disabled, the author interviewed, by using structuralized questionnaire, 440 individuals among the physically disabled who were participated in Health Examination from April to July, 1997. The questionnaire consisted of the general characteristics(sex, age, marital status, family number, etc), the Reintegration to Normal Living Index(RNLI) to assess QOL, and the single item of five-likert scale to evaluate life satifaction. The means of RNLI were $16.2{\pm}4.8$ in total score, $12.2{\pm}3.4$ in daily functioning and $4.0{\pm}2.1$ in perception of self. The respondents were less reintegrated toward social activities and relationships than impairments or disabilities. While the satisfied group was 47.3%, the dissatisfied group was 52.7%. As the results of multiple regression and logistic regression analysis, the significant predictors of QOL were age, education, job, grade of disability and subjective health status. The life satisfaction were related to economic status, job and subjective health status. To improve QOL and life satisfaction of the physically disabled, it is important that we improve their basic socioeconomic status by getting a job through rehabilitation education and induce them to have positive self-assessment by extending the opportunity of social participation.

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Studies on Family Caregiving, Clothing and Nutrition of Disabled Elderly -(Part 2) Family Relationship and Caregiving of Disabled Elderly- (거동 불편 노인의 가족관계와 의.식생활에 관한 연구 -(제2보) 거동 불편 노인의 가족 관계 및 지지 실태 연구-)

  • 박충선
    • Journal of the Korean Home Economics Association
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    • v.29 no.3
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    • pp.71-83
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    • 1991
  • This study examines a pattern of family caregiving and its effect on life satisfaction of disabled elderly people. Data were gathered through the use of face-to-face interview method from a sample of 135 elderly aged over 60. One-third of the elderly respondents have no family caregiver. Most of caregivers provide routine household chores and physical help, but persnal care such as bathing and changing clothes was taken by elderly people themselves. The caregiver in an elderly couple is most likely the wife. When a spouse is unavailable, daughters-in law usually assume the role of a primary caregiver. Sex difference has been found in the most comfortable caregiver for the elderly. The most comfortable caregiver for the elderly men is shown to be their spouse, whereas the one for the elderly women is show to be their daughter-in-law. Most of the disabled elderly are emotionally dependent on their son(usually their eldest son), but physically dependent on their spouse, daughter-in-law, or daughter. The caregivers are dominated by women. Among those elderly receiving care from their children, the relationship between the aged their caregiver is found to be closer than the past when the aged were healthy: however, this relationship is found to be almost the same as the past among those elderly receiving care from their spouse. Finally, the degree of family solidarity, satisfaction with received cares, and the relationship with caregivers are found to be closely related to life satisfaction of the elderly respondents.

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CARE OF TRISMUS AND OROCUTANEOUS FISTULA BY ODONTOGENIC INFECTION IN A DISABLED PATIENT (장애환자에서 치성감염에 의한 아관긴급과 구강피부누공의 관리)

  • Oh, Ji-Hyeon;Son, Jeong-Seog;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.111-117
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    • 2013
  • Some odontogenic infections erode into fascial spaces directly and spread toward lymphatic tissues and blood streams. The principal maxillary primary spaces are the canine, buccal, and infratemporal space, the next secondary spaces are the masseteric, temporal and pharygeal space. As a result of the infection, trismus and orocutaneous fistula may be occurred. Trismus is owing to conditions not associated with temporomandibular joint itself and may be of myogenic, neurogenic, or psychogenic nature. Muscular trismus is due to infection adjacent to the elevator muscles of the jaw. The four principles of treatment of infection are as follows: (1) removal of the cause, (2) establishment of drainage, (3) institution of antibiotic therapy, and (4) provision of supportive care, including rest, nutrition and physiotherapy. Jaw physiotherapy is necessary to increase the amount of mouth opening and regain normal muscle tone. If proper care of odontogenic infection could be attained, the orocutaneous fistula will heal and close spontaneously by wound contraction mechanism of natural homeostatic response. This is a case report of the care of trismus and orocutaneous fistula due to fascial space abscess by advanced odontogenic infection in a physically disabled patient.

Fusion research is the degree of participation leisure sports physically disabled persons on the objectified body consciousness(OBC) (지체장애인의 생활체육 참여정도가 객체화된 신체의식(OBC)에 미치는 융합 연구)

  • Kim, Dong-Won
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.247-254
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    • 2016
  • The purpose of this study is to identify the degree of participation sport for how this affects the objectified body consciousness of the Physically Disabled. The subjects were enrolled in the members participating in the sport for the disabled, while 221 people living in the city A. Data processing was carried out frequency analysis, factor analysis using SPSS 21.0 program, the analysis of the specific factors independent t-test and the way analysis of variance and multiple regression analysis was carried out. All statistical significance level was set at .05. First, population, gender (male), age of the sociological characteristics of the handicapped (40, 50), the objectification of the body consciousness level of the disability rating (Level 4) showed that a positive effect. Second, there are life sports participation rate (exercise duration, exercise time, exercise intensity) has positive effects on the body shame of objectification of the body consciousness of the handicapped, the body monitoring Exercise Period, the body shame, the intensity of exercise, control beliefs this exercise showed that each time a positive impact.