• Journal of Korean Biological Nursing Science
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• 제26권2호
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• pp.111-122
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• 2024

Purpose: Visual impairment, hearing impairment, and masticatory discomfort each influence quality of life (QoL). However, little is known regarding the impact of their coexistence on QoL. Therefore, we aimed to investigate the influence of the coexistence of visual impairment, hearing impairment, and masticatory discomfort on QoL among middle-aged adults aged 40-64. Methods: This study involved a secondary data analysis utilizing the data from years 1 and 2 of the eighth Korea National Health and Nutrition Examination Survey. To evaluate the influence of the coexistence of visual impairment, hearing impairment, and masticatory discomfort on QoL, we conducted a complex sample hierarchical multiple regression analysis. Results: When visual impairment, hearing impairment, and masticatory discomfort coexisted, the QoL was significantly lower than in individuals without any of these conditions. Conclusion: The coexistence of visual impairment, hearing impairment, and masticatory discomfort was negatively correlated with QoL. Therefore, it is important to prepare for old age through appropriate health management during middle age.

• 지역사회간호학회지
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• 제12권2호
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• pp.417-427
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• 2001

Purpose: The aim of this study is to identify the influence of visual and hearing impairment on the activities of daily living of community dwelling elderly. Methods: Data were collected by home visiting interviewers from 452 older people aged 65 years or older living in community. Resident Assessment Instrument MDS-HC(2.0version) was used for data collection. Data analysis for descriptive statistics, Chi-square test and multiple regression was made by SAS 6.2 Results: 34.7% of the subject had hearing impairment and 64.3% had visual impairment Among IADL. one half of them were dependent in ordinary house work and meal preparation. In the case of ADL. 13.9% of subjects were dependent in bathing and 8.9% in personal hygiene. There was significant difference in IADL performance by visual and hearing impairment On the other hand, ADL performance showed the significant difference. only in the case of hearing impairment. As the result of input of visual and hearing impairment in the process of regression. variances were increased from 3% to 11%. Conclusions: Large proportions of older people living in the community have visual and hearing impairment. It could be confirmed that hearing and vision were significant factors influencing on IADL performance of older people. Intervention and support policy for elderly needs to focus on improvement of visual and hearing impairment.

• 성인간호학회지
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• 제23권6호
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• pp.584-594
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• 2011

Purpose: The purpose of this study was to identify the prevalence of visual and hearing impairment and to investigate the effect of visual and hearing impairment on depression and cognitive function in community-dwelling Korean elderly. Methods: The study population consisted of a representative community sample of 4,028 persons aged 65 and older from the Korean Longitudinal Study of Aging 2008. Depression and cognitive function were measured by CES-D 10-item scale and K-MMSE. Visual and hearing impairment were measured by 5-Likert scale. Data were analyzed using Rao-Scott ${\chi}^2$-test, simple and multiple logistic regression. Results: The prevalence of visual and hearing impairment were 37.3% and 14.0%, respectively. Of the participants, the prevalence of depression was 58.4% and cognitive impairment was 50.6%. There were significant differences in depression and cognitive function according to visual and hearing impairment. Far vision and hearing impairment were predictors for both depression and cognitive impairment even after covariates had been adjusted. Conclusion: These data suggest that visual and hearing impairment in older adults may increase their probability of experiencing depression and cognitive impairment. Thus sensory impairment should be considered a risk factor for mental health and the cognitive function of elderly.

• 재활복지공학회논문지
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• 제10권2호
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• pp.127-132
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• 2016

본 연구에서는 국내 OCW 강좌가 시각 및 청각장애 대학생들이 인식하기에 접근성 측면에서 어떠한 문제점을 가지고 있는지를 파악하기 위해 사용성 평가를 실시하였다. 이에 시각장애 6명(전맹 3, 저시력 3), 청각장애 4명(농 2명, 난청 2명) 총 10명의 시각, 청각장애를 가진 대학생들이 국내 KOCW 사이트에서 제공하고 있는 두 가지 유형의 강좌를 대상으로 사용성 평가를 실시하였다. 평가 결과, 시각, 청각장애 학생들이 인식하게 두 유형의 강좌 모두 보통 이하의 낮은 수준의 사용성과 접근성 수준을 보이는 것으로 평가되었다. 이러한 연구결과를 통해서 시각, 청각장애인을 위해 OCW 설계 시 고려해야 할 점을 제안하였다.

• 디지털콘텐츠학회 논문지
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• 제17권1호
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• pp.43-50
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• 2016

본 연구에서는 OCW로 제공되는 강좌가 시각, 청각 장애학생들이 인식하기에 사용성 측면에서 어떠한 장점과 문제점을 가지고 있는지를 파악하기 위해 사용성 평가를 실시하였다. 이에 시각장애 학생 8명, 청각장애 학생 4명으로 총 12명의 장애 대학생들을 선정하여 사용성 평가를 실시하였다. 사용성 평가 대상은 해외 edX와 국내 KOCW에서 제공하고 있는 강좌를 한 개씩 선정하여 실시하였다. 평가 결과, 일반적인 사용성 수준에서는 평균적으로 보통 수준을 나타내었는데, 장애인 접근성 측면에서는 edX가 KOCW 강좌보다 다소 높은 수준으로 평가되었다. 장애영역별로 살펴보면, 청각장애 학생들은 edX에서 제공하는 강좌에 대해 높은 평가를 하였고, 시각장애 전맹 학생들은 KOCW에서 제공하는 강좌에 대해 높은 사용성을 보이는 것으로 평가했다. 저시력 장애학생들은 두 강좌에 대해 비슷한 수준의 평가 양상을 나타냈다.

• 말소리와 음성과학
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• 제10권2호
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• pp.85-96
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• 2018

The purpose of this study was to investigate the effect of articulatory intervention using visual phonics to improve the speech intelligibility of children with impaired hearing. The subjects of the study were five hearing impaired children. As per the results of the UTAP articulation tests, five phonemes with the most frequent errors were selected for each child and a total of 10 sessions were provided. The methodology involved analyzing vowel space and related measures (vowel space area, vowel articulatory index, formant centralization ratio, and F2i/F2u ratio) before and after the visual phonics intervention. After the articulation intervention, every child's speech intelligibility improved, their vowel space area was widened, the FCR value decreased, and the F2ratio value increased. These results show that the use of visual phonics through symbolic images and hand clues has a positive effect in terms of improving the speech intelligibility of children with impaired hearing.

• 한국치위생학회지
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• 제23권1호
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• pp.13-23
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• 2023

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.

• 한국사회복지학
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• 제45권
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• pp.315-340
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• 2001

The purpose of study is to examine the effects of family support on the life satisfaction of elderly with disabilities and provide a ground necessary to improve it. Research was conducted on 167 elderly with hearing, visual and physical disabilities aged over 60 who were living in Seoul and Pusan. Telephone survey, sign language and interview, in accordance with types of disability, were adopted to collect data effectively. That is telephone survey was used for elderly with visual impairment whereas face-to-face interview for physical impairment and sign language for hearing impairment by volunteers. Collected data were analyzed, using hierarchical regression analysis. This study utilized two different models, direct effect model and buffering effect of social support in order to examine the effects of familial support on the life satisfaction of elderly with disabilities. Research findings suggest that the level of life satisfaction appeared to be low in general among elderly with disabilities and emotional family support exerted a positive effect on life satisfaction. In addition, it is empirically supported that emotional family support buffered the negative effect of economic limitations on life satisfaction. In other words, the effects of economic limitations as stress factor decreased with the increase in the frequency of emotional support, however, the level of life satisfaction decreased at a mercy of the stress factor of economic limitations with the decrease in the frequency of emotional support. Finally, this paper attempted to provide some alternatives to effectively improve life satisfaction among elderly with disabilities based on empirical findings.

• Clinical and Experimental Pediatrics
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• 제64권7호
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• pp.313-321
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• 2021

Here we describe the neurodevelopmental outcomes of very low birth weight (VLBW) infants (birth weight ≤1,500 g) at 3 years of age in the Neonatal Research Network of Japan (NRNJ) database in the past decade and review the methodological issues identified in follow-up studies. The follow-up protocol for children at 3 years of chronological age in the NRNJ consists of physical and comprehensive neurodevelopmental assessments in each participating center. Neurodevelopmental impairment (NDI)-moderate to severe neurological disability-is defined as cerebral palsy (CP) with a Gross Motor Function Classification System score ≥2, visual impairment such as uni- or bilateral blindness, hearing impairment requiring hearing amplification, or cognitive impairment with a developmental quotient (DQ) of Kyoto Scale of Psychological Development score <70 or judgment as delayed by pediatricians. We used death or NDI as an unfavorable outcome in all study subjects and NDI in survivors using number of assessed infants as the denominator. Follow-up data were collected from 49% of survivors in the database. Infants with follow-up data had lower birth weights and were of younger gestational age than those without follow-up data. Mortality rates of 40,728 VLBW infants born between 2003 and 2012 were 8.2% before discharge and 0.7% after discharge. The impairment rates in the assessed infants were 7.1% for CP, 1.8% for blindness, 0.9% for hearing impairment, 15.9% for a DQ <70, and 19.1% for NDI. The mortality or NDI rate in all study subjects, including infants without follow-up data, was 17.4%, while that in the subjects with outcome data was 32.5%. The NRNJ follow-up study results suggested that children born with a VLBW remained at high risk of NDI in early childhood. It is important to establish a network follow-up protocol and complete assessments with fewer dropouts to enable clarification of the outcomes of registered infants.

• 음성과학
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• 제12권4호
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• pp.215-226
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• 2005

This study is an attempt to investigate effect of pitch treatment program using visual feedback for profound deaf adults. Dr. Speech program was applied as a training tool. The subjects of this study were 3 profound deaf adults. Speech samples for evaluation were vowel prolongations and connected speech. Analysis was performed under the principle of single subject research design. As results of this study, all subjects showed the treatment effects which were represented by lowering fundamental frequency and speaking fundamental frequency.