• Title/Summary/Keyword: Rehabilitation programs

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The Effects of Psychosocial Rehabilitation Programs on the Levels of Self-Efficacy for Mentally Disabled Persons (정신사회재활서비스가 정신장애인의 자기효능감에 미치는 영향)

  • Park, Hyun-Sook;Bae, Sung-Woo;Kim, Yi-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.704-711
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    • 2008
  • Purpose: This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.

A Study of Rehabilitation Nursing Curriculum (재활간호학 교과목의 운영 현황)

  • Kim, Keum-Soon;Kim, Jeong-Hwa;Lim, Nan-Young;So, Hee-Young;Lee, Hea-Young;Chon, Mi-Young;Lee, Cha-Yeon;Yoo, Kyung-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.175-179
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    • 2005
  • Purpose: To survey the present status of the rehabilitation nursing course at three year diploma programs, baccalaureate degree programs(BSN), RN-BSN, and graduate programs in Korea and to analyze the contents of the syllabus to provide the basic data in developing a standard model for rehabilitation nursing curriculum. Method: Data was collected from all the nursing programs in Korea from July 2005 to Nov. 2005 by mail and fax. Result: The rehabilitation nursing courses has been offered 12 diploma program, 16 BSN, 4 RN-BSN, and 16 graduate programs. And the credits of the rehabilitation nursing course offered by the program were as follows : one credit (6 diploma and 1 BSN), two credits (6 diploma, 14 BSN and 1 RN-BSN), and three credits (1 BSN, 3 RN-BSN and 16 graduate). Conclusion: Future studies need to be focused on developing rehabilitation nursing curricula reflecting the updated contents of rehabilitation nursing.

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Applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy (편마비 아동의 재활프로그램에 대한 양측성 전이 패러다임의 적용가능성)

  • Kim Mi-Hyun;Park Sang-Bum
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.163-172
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    • 2000
  • The purpose of this study was to provide experimental evidence and theoretical background for the applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy. Children with hemiplegia, which means unilateral motor disabilities, display abnormal motor and postural patterns of the affected side due to hemiparesis, spasticity, and sensory disorders, resulting in a decreased motor abilities of the affected side compared to unaffected side. Accordingly, they tend to rely on the unaffected limb for everyday activities, which further deteriorates the functions of the affected side by causing associated reaction, abnormal postural patterns, and hypertonus. Rehabilitation programs developed for children with hemiplegic cerebral palsy include neurodevelopmental treatment, application of cast or splint to unaffected limb, neuromuscular electrical stimulation, and task oriented model. These programs, however, have several drawbacks, such as discontinuity in treatment effect and psychological hatred to the force use of the affected side. In order to solve these problems and enhance the efficiency of the rehabilitation programs, it is required to maximize the use of the affected side without hatred. Characteristics of the control system, such as temporal coupling and spatial assimilation between limbs and neural crosstalk at different levels of central motor pathway, suggest that the bilateral transfer paradigm may enhance the efficiency of the rehabilitation programs for children with hemiplegic cerebral palsy.

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A Comparative Study on Self-care of the Chronically Mentally Disabled Participating and Those not Participating in Rehabilitation Programs in Mental Health Centers and Their Families' Feeling of Burden (정신보건센터 재활프로그램 참여.비참여 만성정신장애인의 자가관리 및 가족부담감 비교 연구)

  • Baek, Young-Suk;Jeong, An-Soon
    • Journal of Home Health Care Nursing
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    • v.18 no.1
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    • pp.5-12
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    • 2011
  • Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

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Impact of Additional Therapeutic Exercises on Functional Performance of the Lower Extremities in Stroke Inpatients Within 3 to 6 Months After Stroke Onset (발병 3~6개월의 뇌졸중 환자에서 부가적 운동치료가 하지의 기능수행능력에 미치는 영향)

  • Kim, Won-Ho;Park, Chung-Yill;Lee, Se-Hoon;Koo, Jung-Wan;Kang, Sae-Yoon;Kim, Soon-Duck;Kim, Joo-Sup
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.58-72
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    • 2005
  • The purposes of this study were to determine the effects of rehabilitation programs on functional performance of the lower extremities and whether additional therapeutic exercise with routine rehabilitative therapy improves functional performance more than just routine rehabilitative therapy by it self for inpatients who have suffered a stroke with below moderate severity within 3 to 6 months after the onset of the stroke. Fifty-eight subjects were divided into two groups. Group I was given routine rehabilitative therapy and group II was given additional therapeutic exercise along with the routine rehabilitative therapy. Each group received 6 weeks of rehabilitation. The timed get-up and go test (TUG), the Fugl-Meyer score (FMS), functional independence measure (FIM), functional reach (FR), gait velocity (GV), and the strength of knee extensor and flexor were selected to measure effect of rehabilitation programs. The main results were measured and analysed at baseline, 3 weeks, and 6 weeks after the start of the rehabilitation programs. The results revealed that all of functional performance of the lower extremities in 3 weeks after the start of the rehabilitation programs were significantly improved compared with before the rehabilitation programs in both groups. In 6 weeks, TUG, FIM, FR, GV, and the strength of knee extensor in group I, TUG, FMS, FIM, FR, GV, and the strength of knee extensor and flexor in group II were significantly improved compared with the results after 3 weeks. At 3 weeks after rehabilitation programs, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee flexor compared to the group I. At 6 weeks, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee extensor and flexor compared to the group I. In conclusion, rehabilitation programs for stroke patients within 3 to 6 months after stroke onset significantly contributed to improve functional performance of the lower extremities. It is desirable for improvement of functional performance of the lower extremities to perform additional exercise with routine rehabilitative therapy.

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Effectiveness of Community-Based Cognitive Rehabilitation Program on Demented Individuals: Systematic Review and Meta Analysis (지역사회 거주 치매 노인의 인지재활프로그램 효과 : 체계적 문헌고찰 및 메타분석을 통한 접근)

  • Mo, Jin A;Lim, Ji Young
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.196-205
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    • 2015
  • Purpose: This study investigated evidence for the effects of community-based cognitive rehabilitation programs for demented elderly. Methods: The literature review covered studies between 2004 and 2014, and searched international databases including Ovid-MEDLINE, EMBASE, and the Cochrane Library. The Risk of Bias Assessment Tool for Non-Randomized Studies was used by two reviewers to evaluate independently the quality of the selected articles. Results: Eighteen studies were selected through a systematic search of the literature. About three quarters of the studies showed that the community-based cognitive rehabilitation programs provided by nurses were significantly effective in enhancing cognition among elderly individuals with dementia. Conclusion: Based on these results, we suggest that nurse is an appropriate profession to manage cognitive rehabilitation or cognitive enhancement programs for demented elderly individuals. Therefore, the current system in which caregivers provide cognitive rehabilitation programs for demented elderly individuals must be reformed.

A Study on the Architectural Planning of the Rehabilitation Department in General Hospital (종합병원 재활의학부의 건축계획에 관한 연구)

  • Yoon, Soo-Jin;Chai, Choul-Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.4
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    • pp.47-54
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    • 2007
  • As we make every effort to improve our health, the needs and interests of the rehabilitation medicine is increasing. And as society gets more advanced and as the quality of life become higher, rehabilitation department will be important for general hospital and we need the certain guidelines about it. In this study, selected 8 general hospitals in the metropolitan area are analyzed by the analysis of drawings and comparison. The important architectural planning of rehabilitation department are the connection with orthopedics and neurosurgery and the position for convenience approach. Rehabilitation department has 0.63~1.07% of general hospital area. And the rehabilitation department is divided into four branches - medical service space, office space, public space and support space. As the number of programs in the rehabilitation department is increasing, the planning will be considered for the flexible use. And this study proposed the programs, necessary spaces, space composition and basic planning of "rehabilitation department".

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Review of Rehabilitation Programs for Cancer survivors (암생존자의 재활을 위한 국내 프로그램 고찰)

  • Han, Jong Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.307-315
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    • 2016
  • With advances in health care, the cancer survival rate has significantly increased. Even though cancer treatment has finished, cancer survivors may continuously suffer from physical and psychosocial problems. In order to investigate the problems cancer survivors have experienced, a comprehensive rehabilitation program must be developed. This study sought to determine the content and structure of rehabilitation programs for cancer survivors, analyze the effectiveness of such programs, and develop a basis for future comprehensive rehabilitation program development. Through this review, thirteen programs were selected and classified according to exercise, psychosocial, and integrated or comprehensive aspects. Exercise programs improve physical function, fatigue, and hormone-related cancer effects. Psychosocial programs improve quality of life, mood changes such as depression, anxiety, and post traumatic factors. Comprehensive programs improve both physical and psychosocial aspects.

Development of Robot Contents to Enhance Cognitive Ability for the Elderly with Mild Cognitive Impairment (경도인지장애 노인의 인지능력 향상을 위한 로봇 콘텐츠 개발)

  • Lee, Yean-Hwa;Kim, Kab Mook;Tran, Tin Trung;Kim, Jong-Wook
    • The Journal of Korea Robotics Society
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    • v.11 no.2
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    • pp.41-50
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    • 2016
  • This paper describes the effect of a robot cognitive rehabilitation program on cognitive functions for the elderly with mild cognitive impairment, and compares it with traditional cognitive therapy programs. Three experiment groups including cognition therapy group, robot cognitive rehabilitation group, and hybrid group have been sampled and one comparative group has been organized for this research. 32 old people whose ages are between 61 and 88 with mild cognitive impairment participated in the programs with an admission of W care hospital. According to the program results, the cognitive therapy program alone had shown a positive effect on the attention function, and the robot cognitive rehabilitation program alone had a positive effect on the total intelligence and memory function. However, a simultaneous operation with both programs had shown a positive effect on the three intelligence areas such as total, basic, and management quotients as well as attention and memory functions as subsidiary factors. This paper has verified that the proposed robot cognitive rehabilitation program makes a positive effect on a cognitive function and plays a complementary role with traditional cognitive therapy programs.

The Effect of Transcranial Direct-Current Stimulation on Cognitive Function and Depression in Stroke Patient's through a Computerized Cognitive Rehabilitation Program (경두개 직류전류자극과 전산화 인지재활 프로그램이 뇌졸중 환자의 인지기능 및 우울감에 미치는 영향)

  • An, Taegyu;Kwon, Hyukchul
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.33-40
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    • 2019
  • Purpose : The purpose of this randomized controlled trial study was to examine the effect of transcranial direct current stimulation (tDCS) on cognitive function and depression in stroke patients. Methods : Thirty stroke patients were randomly divided into an experimental group (n = 15) and a control group (n = 15). The experimental group received tDCS while performing computerized cognitive rehabilitation programs, and the control group was provided with sham tDCS while operating the same programs. The 30-minute intervention was implemented five times per week for six weeks. To assess cognitive function before and after the intervention, the Neurobehavioral Cognitive Status Examination was conducted; the Beck Depression Inventory BDI was employed to assess depression. Results : The experimental group showed statistically significant increases in cognitive function and decreases in depression (p < .05 ). Comparing the amount of variation between the groups after arbitration also showed significant differences in cognitive function and depression between the two groups (p > .05). Conclusion : The application of tDCS and computerized cognitive rehabilitation programs for stroke patients may positively affect their cognitive function and depression. Therefore, tDCS used with computerized cognitive rehabilitation programs is positively applicable to the enhancement of cognitive function in stroke patients and reduction of depression.