• Title/Summary/Keyword: Severe Disabilities

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Factors Associated with Non-Participation in Health Screening for People with Disabilities (장애인의 건강검진 미수검에 영향을 미치는 요인)

  • Kim, Seok-Yeong;Lee, Jung-Chan;An, Byeung-Ki;Kim, Yang-Kyun
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.89-104
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    • 2017
  • Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.

An Evaluation of Significance of Oriental Medicine on Treating Speech Impediment and Limb Impediment Among the Children with Development Disabilities (발달장애아동의 언어장애와 수족장애에 대한 한방치료의 유의성 평가)

  • Jung, Woon-Ki;Han, Dong-Youn;Kim, DaI-Rae;Huh, Young-Jin
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.1
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    • pp.120-129
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    • 2005
  • 1. Objectives This study was conducted to establish a standard and classify suitability in the treatment of speech impediment and limb impediment among the children with development disabilities using Oriental Medicine treatment on the ground of Sasang Constitutional Medicine. 2. Methods 43 patients with pediatric development disabilities with speech impediment and 10 patients with pediatric development disabilities with limb impediment as the main symptoms had been chosen in this study. Oriental Medicine treatments on the ground of Sasang Constitutional Medicine were rendered and evaluated responses as well as pursuing most proper treatment methods. 3. Results & Conclusions 1) For pediatric development disabilities with speech impediment, Oriental Medicine treatment showed a significant effect on similarity of Autism and Cerebral Palsy, but insignificant effect on innate Autism. 2) For pediatric development disabilities with limb impediment, Bee venom was effective for severe limb impediment and limb asthenia, while as eight principles herbal acupuncture effective for mild limb impediment and spasticity. 3) Sasang Constitutional Medicine for treating speech impediment and limb impediment among the children with development disabilities showed general improvement as a fundamental healing through coordinating inner organ activities.

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The Continuum of Rehabilitation Care and the Rehabilitation Services that are Needed by People with Severe Disabilities (재가 중증 장애인의 지속적 재활 관리 실태와 재활 서비스 요구)

  • Jang, Soong-Nang;Kim, Wan-Ho;Lee, Kyu-Beom;Kim, Su-Kyung;Lim, Jae-Young;Rhee, Seon-Ja
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.263-269
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    • 2006
  • Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

Designing Augmentative and Alternative Communication (AAC) Application for Children with Severe and Multiple Disabilities (중도중복장애아동을 위한 보완대체 의사소통(AAC) 앱 설계)

  • Kim, Seul-Gi;Yook, Juhye
    • Journal of Digital Contents Society
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    • v.19 no.7
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    • pp.1281-1287
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    • 2018
  • In this study, specific elements and functions in modules of the AAC (Augmentative and Alternative Communication) application for children with severe and multiple disabilities were elicited, and screen interface was designed accordingly. As results, screen configuration, communication display edition, audiovisual output, and switch and scanning modules were defined. Screen configuration module consists of communication category, spelling board, favorites, screen lock, and setting function. The Communication display edition module includes communication categories, symbols, and favorites edition. The audiovisual output module provides the ability to adjust the pitch, intensity, speed, and tone of the voice individually in the form of auditory output. In the form of visual output, the background color and size of the frame, border color and thickness are adjusted. The switch and scanning module provides a function to select by pressing the switch when the symbol cell is highlighted audibly and visually. The development of the AAC application designed in this study is needed.

A Study on Job Satisfaction and Quality of Life in Relation to the Use of Movement Assisters -Focused on a Comparison between Workers with Severe and Slight External Physical Disabilities- (이동보조기 사용에 따른 직업만족 및 삶의 질에 관한 연구 -중증과 경증 외부신체 장애자근로자의 비교를 중심으로-)

  • Sim, M.Y.;Ahn, S.A.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.71-76
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    • 2012
  • The purpose of the present study was to compare and analyze differences in job satisfaction and quality of life in relation to the use of movement assisters among workers with severe and slight external physical disabilities and to analyze the effect of job satisfaction on the quality of life of disabled persons who use movement assisters. First, severely disabled persons who used movement assisters showed higher degrees of satisfaction with their work content, working environments, working hours, possibilities for development, communication, and human relations. On the other hand, slightly disabled persons who used movement assisters showed higher degrees of satisfaction only with their working environments. Second, severely disabled persons who used movement assisters perceived a higher quality of life in the areas of family, residence, and work. Slightly disabled persons who used movement assisters perceived a higher quality of life only in the area of family. Third, workers with external physical disabilities who used movement assisters had positive effects on their quality of life arising from job satisfaction in relation to income, job stability, working environments, working hours, possibilities for job development, communication, and human relations that is, a higher job satisfaction was correlated with a higher perceived quality of life.

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Specialists' Views Concerning the Assessment, Evaluation, and Programming System (AEPS) in Associations for Children with Disabilities in Saudi Arabia

  • Munchi, Khiryah S.;Bagadood, Nizar H.
    • International Journal of Computer Science & Network Security
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    • v.22 no.2
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    • pp.91-100
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    • 2022
  • To support early intervention, it is necessary to develop programming system tools that enable accurate, valid, and reliable assessments and can help achieve reasonable, generalizable, and measurable goals. This study examined the Assessment, Evaluation, and Programming System (AEPS) used by associations of children with disabilities in Saudi Arabia to assess its suitability for children with intellectual disabilities. A group of 16 specialists with different professional backgrounds (including special education, physiotherapy, occupational therapy, speech therapy and psychology) from 11 associations of children with disabilities took part in semi-structured personal interviews. The study concluded that AEPS is generally suited for use with children with intellectual disabilities. However, its suitability depends on the type and severity of the child's disability. The more severe the disability, the less effective the AEPS is likely to be. On the basis of this finding the researchers formed interdisciplinary teams to organise and integrate the children's learning and assess the benefits of AEPS, including its accuracy and ability to achieve adaptive, cognitive, and social targets, enhance family engagement and learning and develop basic development skills. This study also identified obstacles associated with the use of AEPS. These include the lack of comprehensiveness and accuracy of the goal, lack of precision and non-applicability to large movements and the fact that it cannot be used with all children with intellectual disabilities. In addition, the research showed that non-cooperation within the family is a major obstacle to the implementation of the AEPS. The results of this study have several implications.

Study on the Experience and Response of Secondary Disabilities (장애인의 이차장애 발생경험 및 대응에 관한 연구)

  • Jeon, Ji-Hye;Nam, Ji-Hyun
    • Journal of Convergence for Information Technology
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    • v.10 no.4
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    • pp.151-159
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    • 2020
  • The secondary health status of the disabled is more vulnerable due to the aging of the disabled, the nature of primary disabilities, and social and environmental disability suppression and stress. Therefore, this study aimed to examine the experiences of secondary disabilities of the disabled and how they responded when secondary disorders occurred. A total of 13 people with severe disabilities with secondary disabilities were interviewed in a focus group and analyzed by applying phenomenological research methods. As a result of the analysis, people with disabilities were experiencing secondary disorders due to variations in the experiences of aging and primary disorders, management problems and life accidents in the primary disorder, misunderstanding of the labor market for disorders and health, misunderstanding of risks of secondary disorders and lack of prevention. In response, people with disabilities live alternatively between body and work, body and academic, try to prevent worsening of secondary disabilities at the individual level, continue to enter the hospital, or choose a life that puts health first. While experiencing secondary disabilities, people with disabilities experienced the threat of life, recognized life as having to endure and fought to the end, acknowledged the difference between the disabled and non-disabled people, and standed aloof from their ongoing secondary disability. It also requested institutional support. Based on the results of this study, medical-level measures, institutional support measures in the labor market, and social welfare practices were discussed.

Determinants of Poverty Among the Working Poor with Disabilities (근로장애인 빈곤 결정요인에 관한 연구)

  • Kim, Jong-Jin;Park, Ja-Kyung
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.251-274
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    • 2007
  • Although linkages between poverty and disability are often noted, until recently they have not been systematically examined in Korea. Many people with disabilities tend to become poorer because they lack access to jobs. And income support programs are not sufficient. But more severe is people with disabilities in labor market tend to be poor. The purposes of this study were to explore the characteristics of working poor with disabilities and to identify the major determinants of poverty. For this, '2005 Survey on the Workers With Disabilities' was used. The data was analyzed by descriptive statistics, t-test, logistic regression. The results showed that gender, age, education level, marital status, region where they live, the number of the household member, the severity of disability, the onset of disability are significant predictors in determining their poverty status. Also employment status, occupation type, industry type, numbers of years in current job are major determinants of their poverty status. Finally, based on these results several policy implications were presented.

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A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice (발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로)

  • Shin, Kyung-An;Lee, Eun-A;Kim, Do-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.88-96
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    • 2020
  • The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

Factors on Help-seeking Behaviors among the Disabled Experiencing Domestic Violence (가정폭력 피해 장애인의 외부도움요청 영향 요인)

  • Kim, Jae-Yop;Yi, Min-Gyeong;Park, Ji-Min
    • Journal of Families and Better Life
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    • v.31 no.5
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    • pp.109-123
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    • 2013
  • This study aims to investigate the factors on help-seeking behaviors among the disabled experiencing lifelong domestic violence and suggest practical plans to address the problems. According to an analysis of the data of the "2010 Domestic Violence Survey of South Korea", the occurrence rate of lifelong physical violence is 12.1% and that of severe physical violence is 6.2% among 273 adults with disabilities. The rate of help-seeking among the disabled experiencing lifelong domestic violence is 26.3%, which means two-thirds of the disabled experiencing domestic violence do so for a long time. The results of the study show that the experience of severe physical violence(p<.05), attitudes toward violence(p<.05), and awareness of domestic violence and related laws(p<.05) were found to have an impact on help-seeking behaviors among adults with disabilities experiencing domestic violence. However, an accepting attitude of disability and social connections of disabled were not found to have an impact on help-seeking behaviors. Based on these results, this study suggested raising awareness about domestic violence among the disabled, educating people with disabilities not to tolerate violence and informing them about the domestic violence-related legal system, and training service professionals (social workers, health professionals etc.) to screen the disabled for domestic violence and prevent them from becoming domestic violence victims.