• 제목/요약/키워드: Rehabilitation Satisfaction

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재활단계 화상 환자의 가려움증 (Itching among Burn Patients in the Rehabilitation Phase)

  • 김경자;서정훈;김은정
    • 근관절건강학회지
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    • 제23권1호
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    • pp.28-38
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    • 2016
  • Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, $x^2$ test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was $5.3{\pm}2.4$ and $5.2{\pm}2.5$, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects "often" or "always" affected reduced quality of life, loss of concentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.

보행보조 재활 로봇 착용에 따른 쾌적성 평가 (Comfort Evaluation by Wearing a Gait-Assistive Rehabilitation Robot)

  • 엄란이;이예진
    • 한국의류학회지
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    • 제44권6호
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    • pp.1107-1119
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    • 2020
  • This study analyzed a subject's body reaction and subjective sensation when wearing a gait-assistive rehabilitation robot. The research method measured skin and clothing surface temperatures for 'seating-standing' and 'walking in place' exercises after wearing a gait-assistive rehabilitation robot. In addition, subjective sensation and satisfaction were evaluated on a 7-point Likert scale. The study results showed that the average skin temperature during exercise while wearing the gait-assistive rehabilitation robot was within a comfortable range. However, during the 'seating-standing' exercise, the skin temperature was slightly lowered. Additionally, the clothing surface temperature tended to be lower than the pre-exercise temperature after all exercises. The subjective sensation evaluation results showed that the wear comfort of the waist part was low during mobility/activity. In addition, an overall improvement in the wear comfort of the robot is necessary. The short-time movement of wearing and walking in the gait-assistive rehabilitation robot did not interfere with the thermal comfort of the body. However, the robot needs to be ergonomically improved in consideration of the long wearing time along with improved material that to satisfy overall wearing comfort.

성 재활 교육이 척수장애인의 성 지식과 성 적응에 미치는 효과 (The Effect of Sexual Rehabilitation Education on the Knowledge and Adjustment of Sexual of Spinal Cord Injury Clients)

  • 김은경;이향련
    • 재활간호학회지
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    • 제3권2호
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    • pp.127-140
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    • 2000
  • The purpose of this study is to identify the effect of sexual rehabilitation education on the knowledge and adjustment of sexual of spinal cord injury clients by the method of nonequivalant control group pretest-posttest group. The data were collected from Jan. 19 though Feb. 16, 2000. The experimental group was 26 spinal cord injury client from one rehabilitation center, and the control group was 26 spinal cord injury client from two rehabilitation center. Sexual rehabilitation education was done with manuals, videotapes and chart. Education time was 120 minutes a week for 2 weeks. The study tool was about Sexual Knowledge, designed Song, Chung Sook(1990) and SIAC(Sexual, Interest, Activity, & Satisfaction) designed Kruter, Sullivan, Siosteen(1994) translated by Kang, Hyun Sook, Koh, Jung Eun, Suh, Yeon Ok, Yee, Oon Hee(1999). The collected data were analyzed SPSS program. The Data were analyzed descriptive statistics and $X^2$ test, Pearson's Correlation Coefficient, t-test, F-test (ANOVA), Duncan's multiple comparison test. The result were as follows. 1. The first hypothesis was accepted : The group educated about sexual rehabilitation has more sexual knowledge than those of the uneducated group(t = 7.412, p = .001). 2. The second hypothesis was accepted : The group educated about the sexual rehabilitation has more adjustment of sexual than those of the uneducated group(t = 5.524, p= .001). 3. The third hypothesis was accepted: The higher sexual knowledge state, the higher sexual adjustment(r= .449, p= .003). According to results, sexual rehabilitation education helps Spinal cord Injury Clients to gain knowledge and adjustment of sexual.

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재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교 (Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients)

  • 김지만;이상규;지영건
    • 한국병원경영학회지
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    • 제29권3호
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    • pp.1-10
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    • 2024
  • Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

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환자중심 목표설정이 아급성기 뇌졸중 환자의 재활치료 성과에 미치는 영향 (The Effect of Patient-Centered Goal Setting on Rehabilitation Outcomes in Patients With Subacute Stroke)

  • 원종임;안창만;박민희
    • 한국전문물리치료학회지
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    • 제25권1호
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    • pp.31-38
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    • 2018
  • Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental ($n_1=23$) and control ($n_2=23$) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.

척수 장애인의 성적 적응 경험 (Sexual Adjustment Process of Individuals with Spinal cord Injury)

  • 강현숙;고정은;서연옥;이은희
    • 재활간호학회지
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    • 제3권1호
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    • pp.80-97
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    • 2000
  • The purpose of this study is to identify and describe a process of sexual adjustment of individuals with spinal cord injury: and to describe and explore positive and negative influences on the adjustment process. This qualitative study was conducted with 10 Korean individuals with spinal cord injury who had been physically disabled for more than one year. Data were collected and analysed at a same time using grounded theory method. Major categories of this study showed a process how the individuals with spinal cord injury adjust to their individual life as sexual beings. The process included and individual responses to the behavioral efforts including and . Initially physical aspects of sexuality seemed to be affected by spinal cord injuries. The changed physical aspects then influenced other aspects of their sexual life. Life satisfaction of each individual as a sexual being revealed as very subjective. It could be defined according to how the individual approved their sexual life no matter what and how much behavioral effort the person had done. In this study 3 types of sexual adjustment aspects were explored: 'Active adjustment' 'Passive adjustment' 'Maladjustment'. There were negative and positive factors influencing the adjustment process of individuals with spinal cord injury. Those factors might come from themselves, from families, or from social situations. Findings of this study suggested that sexual life of individuals with spinal cord injury should not be understood as a physical or behavioral matter. It was a combination of physical, psychological and social aspects of life. Therefore, appropriate rehabilitation programs for the sexual adjustment of individuals with spinal cord injury need to concern heterogeneous life values of them and obtain individualized services for each individual at a different stage of the sexual adjustment process.

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비만 환자의 한의복합치료 후 비만 개선 효과: 후향적 연구 (Effect of Complex Korean Medicine Treatment on Obese Patient: A Retrospective Study)

  • 김병준;이은정;김용진;구원회;이원구;김기병;오민석
    • 한방비만학회지
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    • 제22권1호
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    • pp.47-53
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    • 2022
  • Objectives: The purpose of this study was to observe the effect of improving obesity after 4 week complex Korean medicine treatment in obese patients by retrospectively analyzing. Methods: A retrospective chart review was conducted on 44 patients who received obesity treatment at 23 Korean medicine clinics in Daejeon city. We analyzed weight, body mass index (BMI), body fat percentage, body fat mass, muscle mass, hip and waist circumference, EuroQol-5D (EQ-5D), Korean version of obesity-related quality of life scale (KOQOL), and satisfaction surveys at 4 and 8 weeks after treatment. Results: The weight, BMI change after 4 weeks and 8 weeks was decreased significantly. In addition, there were significant differences in fat mass, muscle mass, waist circumference, and hip circumference. Life quality scale EQ-5D and KOQOL showed decreased significantly. In the evaluation of overall satisfaction, safety, help level, recommendation intention, and revisit intention, more than 89% answered positively that they were satisfied. There were no serious side effects. Conclusions: It was significant effect on weight loss and obesity improvement after complex Korean medicine. And quality of life evaluation and satisfaction survey also show positive results.

알코올중독자의 신체적 건강과 삶의 만족도: 종교적 대처의 완충효과 (Physical Health Problems and Life Satisfaction among Alcoholics: Moderating Effects of Religions Coping)

  • 이봉재;오윤진
    • 대한가정학회지
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    • 제46권1호
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    • pp.15-24
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    • 2008
  • Although the relationship between physical health problems and life satisfaction is well documented, less is known about the role of coping strategies, in particular strategies for coping via religious or spiritual means. To investigate the relationships among these factors, data collected with questionnaires completed by 326 adult alcoholics at a rehabilitation agency. Significant Physical Health Problem $\times$ Religious Coping buffer interactions were found in the relationship between physical health problem and life satisfaction. Moderated regression analysis showed that religious coping reduced the impact of physical health problem on life satisfaction. Implications for practice are discussed.

전문대학 보건계열 대학생의 가치관과 자기효능감에 따른 전공만족도 (Major Satisfaction according to Value and Self-efficacy of University Student Majoring in Health Science)

  • 정신호;김현희;심상효
    • 한국학교ㆍ지역보건교육학회지
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    • 제18권2호
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    • pp.71-81
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    • 2017
  • Objectives: The purpose of this study was to investigate major satisfaction according to the values and self efficacy of students majoring in health science. Methods: Among the 170 respondents, 25.3% were male and 74.7% were females. The departments were 28.9% of physical therapy, 20.6% of laboratory science, 23.5% of occupational therapy, 14.1% of nursing, and dental hygiene 12.9%. Results: In the present study major satisfaction was significantly higher when the higher self efficacy and significantly lower when the higher value. Conclusions: These results indicate that it is necessary to provide contents and appropriate guidance that can enhance the values and self efficacy in order to improve major satisfaction of students majoring in health science.

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산업재해 근로자의 생활만족도에 미치는 영향 요인에 관한 연구 (A Study on the Factors Influencing on Life Satisfaction of Industrially Injured Workers)

  • 안성아;염동문
    • 재활복지공학회논문지
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    • 제10권2호
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    • pp.119-126
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    • 2016
  • 본 연구는 산업재해 근로자의 심리사회적요인, 경제적요인, 건강관련요인이 생활만족도에 미치는 영향을 분석하는데 그 목적이 있다. 이를 위해 본 연구는 근로복지공단의 산재보험패널조사 2014년 발표한 제1차 자료를 분석하였다. 전체 조사대상자 가운데 연구목적에 부합하는 산업재해 근로자 2,000명에 대한 유효한 자료를 추출하였으며 통계적으로 분석한 결과는 다음과 같다. 산업재해 근로자의 생활만족도에 영향을 미치는 요인으로는 심리사회적 요인으로 자기효능감, 자아존중감, 노년준비정도가 유의하게 영향을 미치는 것으로 나타났다. 경제적 요인으로 경제적 활동상태, 사회경제적 지위가 유의하게 영향을 미치는 것으로 나타났다. 건강관련요인으로 주관적 건강상태, 타인의 도움 정도가 유의한 영향을 미치는 것으로 나타났다. 그리고 모델의 설명력은 34%였다.