• Title/Summary/Keyword: Rehabilitation intervention

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중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구 (Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study )

  • 윤소현;이하민;김미경;박혜연
    • 재활치료과학
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    • 제12권2호
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    • pp.69-83
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    • 2023
  • 목적 : 본 연구는 예비연구로 65세 이상 노인을 대상으로 Information & Communication Technology(ICT) 홈 기반 프로그램을 적용하여 인지향상 프로그램의 효과를 확인하고, 원격재활 전달모델로서 가능성을 찾고자 한다. 연구방법 : 2022년 8월부터 10월까지 대상자 3인을 선정하여 약 2개월에 걸쳐 ICT 홈 기반 인지향상 프로그램 중재를 실시하였다. 본 중재는 프로그램 전·후 인지향상을 평가하기 위해 한국판 간이 정신상태 검사, 한국판 몬트리올 인지평가, 노인용 전산화 인지평가도구, Two shorter form of the Center for Epidemiologic Studies Depression scale을 사용하여 진행하였다. 치료사는 원격으로 대상자의 수준에 맞는 인지훈련의 난이도 조절을 매주 피드백을 통해 설정하고 프로그램 진행 시에는 매일 정해진 시간에 치료사의 도움 없이 진행하였다. 인지향상 프로그램에 대한 추가 의견을 위해 인터뷰를 진행하였다. 결과 : 중재 후, 사전 사후에 진행한 한국판 몬트리올 인지평가 대부분의 항목에서 모든 대상자가 향상된 점수를 보였다. 또한 Cotras-pro의 항목 중 상위인지, 언어능력, 주의집중, 시지각, 기억력이 향상되었다. 결론 : ICT 홈 기반 프로그램을 사용한 인지재활훈련은 치매를 예방할 뿐 아니라 원격재활에 대한 내적동기 또한 가질 수 있었다. 본 연구를 통해 노인을 대상으로 한 원격재활이 가능할 수 있음을 확인할 수 있었다.

원격 감각통합 가정프로그램이 자폐스펙트럼장애 아동의 시각추구와 상동행동에 미치는 효과 (Effects of a Remote Sensory Integration Home Program on the Visual Seeking and Stereotyped Behavior of Children with Autism Spectrum)

  • 박수은;이혜림
    • 대한감각통합치료학회지
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    • 제20권3호
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    • pp.14-26
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    • 2022
  • 목적 : 원격 감각통합 가정프로그램이 자폐스펙트럼장애 아동의 시각추구와 상동행동에 미치는 효과를 알아 보고자 하였다. 연구방법 : 본 연구는 자폐스펙트럼장애 아동 3명을 대상으로 단일대상연구 대상자간 중다기초선설계로 진행하였으며, 중재는 주 4회씩 4주간 시행되었다. 3명 아동 모두 시각추구와 상동행동 변화를 측정하였다. 결과 : 중재 후 시각추구와 상동행동은 기초선 기간에 비해 평균값이 감소하였다. 시각추구는 중재 전보다 평균 7.59% 감소하였으며 상동행동은 평균 6.81회 감소하였다. 결론 : 본 연구를 통해 원격 감각통합 가정프로그램이 자폐스펙트럼장애 아동의 시각추구와 상동행동에 효과적이라는 점을 확인하였으며, 가정환경에서 보호자가 아동의 중재 과정에 적극적으로 참여할 수 있는 새로운 중재방법을 제시하고 작업치료사는 아동 중재를 위해 부모와 협력 관계를 만들고 도모해야 함을 강조하고자 한다.

조현병 환자를 위한 정신사회적 중재 (Psychosocial Intervention for Patients with Schizophrenia)

  • 김성완
    • 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.

운전재활에 대한 작업치료사들의 인식 조사 (Perception of Occupational Therapists On Driving Rehabilitation)

  • 신중일
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.283-289
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    • 2011
  • 본 연구의 목적은 작업치료사의 운전재활에 대한 현황 및 필요성에 대한 인식을 파악함으로써 차후 운전 재활에 대한 연구를 하는데 기초자료로 사용하고자 한다. 부산, 경남 지역의 작업치료사 83명을 대상으로 하였으며 운전재활에 대한 현황과 필요성에 대한 인식을 파악하기 위한 설문조사를 실시하였다. 연구 결과 운전재활에 대한 강의 및 교육은 대부분 받지 않았으며 운전재활을 실시하지 않는 치료사가 62명으로 더 많았다. 학생들 및 임상에 있는 작업치료사들에게 대부분 운전재활 교육이 필요하다고 하였다. 운전재활과 운전재활 전문가에 대해서 대부분의 작업치료사들이 알고 있었으며 학회 및 세미나와 보수교육을 통해서 알게 된 경우가 많았다. 학생에게 운전재활 교육이 필요하며 임상에서는 운전재활이 필요하다고 하였다. 운전재활은 환자의 작업수행에 도움이 되며 일상생활활동 영역에 가장 큰 도움이 된다고 하였다. 또한 환자의 재활에 중요한 영향을 미친다고 하였다.

척수손상환자의 사회적 지지와 재활동기 (The Rehabilitation Motive and Social Support by Spinal Cord Injury Patients)

  • 김선옥;임난영
    • 근관절건강학회지
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    • 제16권1호
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    • pp.66-79
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    • 2009
  • Purpose: The purpose of this study was to analyze the relationship between rehabilitation motive and social support perceived by spinal cord injury patients. Method: Data were collected by the questionnaires from 83 patients with spinal cord injury in a hospital. It was analyzed using descriptive statistics, t-test, ANOVA and Peason's correlation coefficients. Result: The social support score was 3.51 of 5 in average. The connectedness of subordinate portion was the highest as 3.57. The rehabilitation motive was 2.93 of maximum 4.00 in average. Among sub-dimensions of the rehabilitation motive, the mean score of change oriented motivation was 3.27 as the highest. The higher the direct support, the higher the indirect support(r=.663, p=.000). The higher the rehabilitation motive, the higher the direct(r=.282, p=.010) and indirect support(r=.397, p=.000). Conclusion: According to this study, the social support had the significant relationship with the rehabilitation motive. The social support was the key factor to enhance the rehabilitation motive psychologically. Finally, there is a need to develop the nursing intervention improve the social support for the spinal cord injury patients.

골다공증 동물모델에서 약침치료에 대한 국내 연구보고 고찰 (Effects of the Pharmacopuncture in Animal Models for Treatment of Osteoporosis: A Review of Animal Study Reports Published in Korea)

  • 김정민;최수민;안희덕
    • 한방재활의학과학회지
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    • 제26권2호
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    • pp.75-83
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    • 2016
  • Objectives This study is to review the effect of pharmacopuncture on treatment of osteoporosis in animal models reported in korean domestic journals. Methods The databases (Koreantk, KISS, NDSL) were searched with term as osteoporosis, and animal study reports on osteoporosis with pharmacopuncture were reviewed. Animal model, intervention, and osteoporosis indicator were extracted. Results 22 articles were reviewed. 11 studies used ddy mouse and 9 studies used SD rat. 20 studies used ovariectomy to induce osteoporosis. 21 studies used simple pharmacopuncture. Cervi pantotrichum cornu was most frequently used pharmacopuncture and Umgok (KI10) was most frequently used acupuncture point. Each study shows significant changes of osteoporosis indicators. Conclusions Pharmacopuncture is expected to be a positive effect on osteoporosis.

만성 통증과 후성유전학에 대한 문헌 고찰 (Epigenetic Modification in Chronic Pain: A Literature Review)

  • 송은모;조홍석;김고운;조재흥;박히준;송미연
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.63-78
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    • 2020
  • Objectives To review the epigenetic modifications involved in chronic pain and to improve individualized intervention for the chronic pain. Methods Focused literature review. Results Significant laboratory and clinical data support that epigenetic modifications have a potential role for development of chronic pain. Conclusions Epigenetic approach may identify mechanisms critical to the development of chronic pain after injury, and may provide new pathways and target mechanisms for future treatment and individualized medicine.

Comparative Systematic Review of Korea Domestic and International Studies on Sensory Integration Therapy in Patients with Autism Spectrum Disorder

  • Cha, Sumin;Park, Sookyoung;Choi, Jeonghyun;Park, Juhyung;Jin, Yunho;Hong, Yonggeun
    • International Journal of Contents
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    • 제15권3호
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    • pp.13-20
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    • 2019
  • This systematic review compared Korean and international researches on sensory integration therapy in patients with autism spectrum disorder (ASD). We targeted studies on sensory integration therapy for patients with ASD published from January 2000 through July 2016. Specifically, we analyzed the papers that used the phrase 'sensory integration, autism' as keywords. There were fewer Korean studies of sensory integration therapy, and the diversity of research topics were limited, focusing mainly on case studies. There was no difference between the internal/external validity of Korean and those of international studies targeting the clinical environment and patients. Further study of a variety of aspects of sensory integration therapy is needed to gain high internal/external validity.

The Long-Term Outcome and Rehabilitative Approach of Intraventricular Hemorrhage at Preterm Birth

  • Juntaek Hong;Dong-wook Rha
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.289-297
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    • 2023
  • Technological advances in neonatology led to the improvement of the survival rate in preterm babies with very low birth weights. However, intraventricular hemorrhage (IVH) has been one of the major complications of prematurity. IVH is relevant to neurodevelopmental disorders, such as cerebral palsy, language and cognitive impairments, and neurosensory and psychiatric problems, especially when combined with brain parenchymal injuries. Additionally, severe IVH requiring shunt insertion is associated with a higher risk of adverse neurodevelopmental outcomes. Multidisciplinary and longitudinal rehabilitation should be provided for these children based on the patients' life cycles. During the infantile period, it is essential to detect high-risk infants based on neuromotor examinations and provide early intervention as soon as possible. As babies grow up, close monitoring of language and cognitive development is needed. Moreover, providing continuous rehabilitation with task-specific and intensive repetitive training could improve functional outcomes in children with mild-to-moderate disabilities. After school age, maintaining the level of physical activity and managing complications are also needed.

폐절제술을 받은 환자의 호흡운동중재가 폐기능에 미치는 효과 (The Effect of a Breathing Exercise Intervention on Pulmonary Function after Lung Lobectomy)

  • 정경주;이영숙
    • 종양간호연구
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    • 제10권1호
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    • pp.95-102
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    • 2010
  • Purpose: The aim of this study was to evaluate the effect of a breathing exercise intervention by measuring pulmonary function test (PFT) three times; preoperative, 3rd and 5th day after operation. Methods: This study was designed as a non-equivalent control group pretest-posttest design. A total of 55 patients with lung cancer were recruited from a Chonnam university hospital in Hawsun-gun, Korea from January to December 2008. Results: 'Forced Vital Capacity (FVC)' and 'Forced Expiratory Volume in 1 second $(FEV_1)$' were significantly improved in the experimental group than those in the control group (p<.05). Conclusion: Breathing exercise intervention was found to be effective in improving pulmonary function among lung cancer patients underwent lung lobectomy. Thus, the breathing exercise can be applied in hospitals and communities for patients with lung cancer as one of the nursing intervention modalities for their better postoperative rehabilitation.