• 예술인문사회 융합 멀티미디어 논문지
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• 제9권1호
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• pp.457-466
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• 2019

본 연구는 시각장애인의 전시예술품 관람 실태 및 욕구조사를 통해 전시예술품 방문관람 접근성을 높이고 지원방안을 모색하여 시각장애인들의 문화예술을 향유할 권리를 향상시키는 데 그 목적이 있다. 시각장애인을 대상으로 온라인 설문지를 사용하여 연구참여자를 모집하였으며, 총 83명의 응답이 최종 분석에 사용되었다. 그 결과는 다음과 같다. 첫째, 시각장애인의 문화생활 이용 실태는 영화감상이 가장 주된 반면 전시예술품감상은 최하위였다. 단, 주된 문화생활 다섯 가지를 선택해 달라는 질문에 71.1%의 응답에 전시예술품 감상이 포함되었다. 전시예술품 관람 목적은 재미추구가 가장 높게 나타났다. 전시예술품 관람을 하지 않는 이유로는 시각위주의 관람문화를 가장 많이 표시하였다. 둘째, 시각장애인들이 선호하는 전시예술품 감상 방법으로는 눈을 작품 가까이에 대고 감상하는 것으로 나타났으며 절반 이상의 응답자는 잔존시각을 활용한다고 보고했다. 작품 감상 시 시각을 가장 많이 사용하지만 응답자 대부분이 다중 감각을 사용한다고 보고하였다. 또한 다양한 감각을 활용하여 작품을 감상을 할 수 있는 보조기기/서비스가 있다면 감상에 도움이 될 것이라고 보고하였다. 본 연구 결과는 시각장애인의 특성을 고려하여 전시예술품 관람에 있어 환경적 변화가 요구됨을 시사한다. 이를 통해 궁극적으로 문화예술향유권 실현하고 통합사회를 구현하는 데 기여할 것으로 기대한다.

• 한국보건간호학회지
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• 제35권1호
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• pp.149-164
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• 2021

Purpose: To identify the factors associated with poor self-rated health in individuals with acquired visual impairment through classification of such individuals into severe and mild visual impairment groups. Methods: This descriptive, cross-sectional, survey-based study analyzed data from 563 individuals with visual impairment due to acquired causes who had been recruited in the 2017 Korean National Survey on Persons with Disabilities. Results: Individuals with severe visual impairment reported poorer self-rated health. Mild depression (p=.003), and low smartphone use (p=.045) were associated with poorer self-rated health in those with severe visual impairment. The factors associated with poor self-rated health in those with mild visual impairment were comorbidities, low smartphone use (p=.006), needed health information (p=.020), unbalanced diet (p<.001), low weight (p=.024), and lack of health checkups (p=.001). Conclusion: Depression was found to be a predictor of poor self-rated health in individuals with severe visual impairment, which highlights the need for nursing and related healthcare intervention to lower depression in this specific population. Further, promoting social network building and providing health information using smartphones may serve to encourage appropriate health behavior in people with severe visual impairment who have reduced mobility and health literacy.

• 한국정보통신학회논문지
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• 제4권1호
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• pp.35-43
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• 2000

본 연구는 장애인이 일반인과 똑같이 정보사회에 적응시키기 위해 장애인복지를 위한 정보통신의 발전방향을 연구하였다. 연구의 방법으로는 델파이기법을 도입하였으며, 조사방법으로는 문헌적조사방법과 면담조사방법을 병행하여 연구분석의 틀에 의해 분석하였다. 정보통신에 대한 장애인의 문제점을 살펴보면, 정보통신 접근의 불편, 보편적 서비스 저하, 장애인의 PC 통신 이용 저조, 장애인복지의 낙후, 정보통신요금의 부담, 정보화교육의 부족, 장애인정보의 부족, 장애인복지 정책결정에 장애인 미참여 등으로 분석되었다. 장애인에 필요한 정보통신기술을 살펴보면, 지체장애인에게는 음성인식기술ㆍ화상인식기술ㆍ호흡압력감지기술, 시각장애인에게는 표시기술ㆍ음성인식기술ㆍ문자인식기술ㆍ지적변환처리기술ㆍ화상인식음성합성기술, 청각ㆍ언어장애인에게는 음성신호처리기술ㆍ음성인식기술ㆍ기적변환처리기술ㆍ문자인식기술ㆍ화상인식기술ㆍ음성합성기술이 필요하다. 장애인복지를 위한 정보통신을 발전시키기 위해서는 장애인정보통신위원회의 구성, 보편적 서비스의 제공, 정보화교육의 실시, 연구개발의 지원, 중소정보통신기업의 지원 육성, 소프트웨어산업의 육성, 장애인용 표준화 작업 추진이 요구된다.

• 국제물리치료학회지
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• 제10권1호
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• pp.1700-1705
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• 2019

Background: Mild cognitive impairment (MCI) is also called as aging related memory damage. Decreased cognitive function due to aging is known to be associated with the frontal lobe. Alpha wave is generated in the dominance in the frontal lobe or a wide range of regions in the brain, it should be doubted that the brain function might be degraded. Objective: To determine the effect of sensory stimulation type on learning and brain activity pattern of elderly persons with MCI. Design: Randomized Controlled Trial (single blind) Methods: Twenty elderly persons aged more than 65 with MCI were randonmized to simultaneous visual/auditory stimulation group (SVASG) and or auditory stimulation group (ASG). Ten peoples were assigned to each group and lectroencephalogram test was performed to individuals. In the electroencephalogram test, electroencephalography of prior to sensory stimulation, and during sensory stimulation were measured to compare brain activity pattern according to the study groups and measurement period. Results: The relative alpha power due to a sensory stimulation type showed that the SVASG significantly decreased in the left frontal lobe and the left parietal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). The relative beta power due to a sensory stimulation type showed that the SVASG significantly increased in the left and right frontal lobes, the left and right parietal lobes, and the left temporal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). Conclusions: Electroencephalographic analysis showed that the type of sensory stimulation can affect the brain activity pattern. However, the effects were not studied that which brain activity pattern help to improved cognitive function of elderly persons with mild cognitive impairment.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.139-145
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• 2018

Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

• International journal of advanced smart convergence
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• 제9권1호
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• pp.54-62
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• 2020

According to the Ministry of Health and Welfare, "Status of Registered Persons with Disabilities", the number of people with disabilities is 2,494,460 as of 2015. The lowest rates of children with disabilities were intellectual disabilities (23%) and mental disorders (33.3%). The highest rates of screening were blindness (97%), heart failure (94.4%), and hearing impairment (92.7%). 65.2% of visually impaired people who have already had a disability at the time of marriage, and the remaining 34.8% can be thought to be the cause of high incidence of disability after marriage. 'SID (Seed in the Dark)' project was designed to recapture the visually impaired parent's desire for attachment and the space difficulties of the blind who want to be a normal parent to their children through a visual impairment of a father with 7-year-old daughter. Using Gear VR(Virtual Reality), the general public was able to feel the surroundings as if they had no vision and focused on the hearing. Especially, We expressed the sound wave visually and added the hilarious game element which grasps the terrain of the maze by sound wave like a 'blind person who perceives the surroundings by sound' and catches up with daughter. People with disabilities who are far from mental illness often have a form of family with children. The fact that the rate of childbirth is high means that there is relatively little problem in daily life. It is wondered that the rate of blindness among the visually impaired, which accounts for 10% of the total disabled, is the highest at 97%. This is because, in the case of the visually impaired, the obstacle is often caused by aging, accidents, or diseases due to inherited causes rather than the visual disorder. In particular, However, the fact that there is an obstacle in vision that accounts for 83% of the body's sensory organs causes other difficulties in the nursing process of children who are non-disabled. Parents do not know the face of child when their visual impairment is severe. Parents are extremely anxious about worry that they will be lost or abducted if their children are not by their side. And that the child recognizes the disability of his or her parents other than the other parents easily and takes it as a deficiency. Since visually impaired parents are mentally mature parents with non-disabled people, they may want their children not to feel deprived of their disability. The number of people with visual impairments has been increasing since 2001, and people with impairments often become disabled. In addition, there is much research on the problem of nondisabled parents who have children with disabilities, while there is relatively little interest and research on the problem of nondisabled child rearing of parents with disabilities.

• 한국자연치유학회지
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• 제9권2호
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• pp.46-56
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• 2020

목적: 본 연구는 우울증의 개인 및 사회적 요인을 고려한 콘서트 중심의 음악치료(concert oriented music therapy: COMT) 프로그램을 제안하고, 우울증에 취약한 시각 장애가 있는 노인에 대한 임상 효과를 검증했다. 방법: 실험은 시각 장애가 있는 노인 34명을 대상으로 실험군 (n = 15) 또는 대조군 (n = 19)에 무작위로 배정되었다. COMT 프로그램은 10개월 동안 격주 110 분 동안 실험 그룹에 총 20 회 적용되었다. 우울증 수준은 한국형 노인성 우울증 척도(KGDS)를 사용하여 평가되었다. 결과: 실험군의 평균 KGDS 점수는 21.0점에서 16.9점으로 4.1점 (19.4%) 감소한 반면, 대조군은 19.95점에서 21.11점으로 1.16점 (5.8%) 증가한 것으로 나타났다. 우울 수준의 감소는 사회적 관심 감소(40%), 부정적 사고 및 불행 감 (20%), 정서적 불편 함 (16.3%),인지 기능 장애 (7.6%)의 4 가지 우울증 요인에서 유의하게 나타났습니다. 결론: 제안된 COMT 프로그램은 시각 장애 노인의 우울증 완화에 효과가 있음이 입증되었다. 특히 기존의 음악 치료법에서는 제대로 고려하지 못했던 우울증의 사회적 요인 인 사회적 관심의 감소를 돕는 데 매우 효과적임을 입증했다

• 간호행정학회지
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• 제14권4호
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• pp.421-431
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• 2008

Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.

• 한국안광학회지
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• 제7권2호
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• pp.107-112
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• 2002

60세 이상의 노인에서 나타나는 노인성 백내장과 군날개의 분포와 이들 안질환과 시력과의 관계를 228명 456안을 대상으로 조사하여 다음과 같은 결과를 얻을 수 있었다. 백내장과 군날개를 가진 사람은 총 검사대상 228명(456안)가운데 125명(250안)으로 54.8%로 조사되었고, 125명 가운데 백내장은 44.8%, 군날개 55.2%로 조사되었다. 백내장의 연령별 유병율은 60대가 46.4%, 70대 37.5%, 80대 이상에서 16.1%로 조사되었다. 백내장을 가진 사람의 교정시력은 0.1이하가 14.3%, 0.1~0.3이 14.3%, 0.4~0.6이 36.6%, 0.7 이상이 40.2%로 안경으로 시력교정 후에도 정상적인 시생활을 할 수 없는 사람이 59.8%로 조사되었다. 군날개의 연령별 유병율은 60대 60.9%, 70대 26.1%, 80대 이상에서 13%로 조사되었고, 군날개를 가진 사람의 교정시력은 0.1이하가 5.1%, 0.1~0.3이 5.8%, 0.4~0.6이 20.3%, 0.7이상이 68.8%로 조사되었다.

• International Journal of Railway
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• 제1권4호
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• pp.143-148
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• 2008

This paper is the output of a collaborative European project concerning the barrier free accessibility for disabled persons to regional and long distance trains in Europe. Disabled people represent around 13% of the population in Europe. This is approximately 63 million people. The range of disabilities includes people with reduced mobility including wheel chair users, viewing and hearing impaired people and other forms of impairment. Improving accessibility aims at contributing to the provision of public transport services to all citizens in an equitable way. The purpose of the project was to analyse and to evaluate the existing solutions at selected European railways for all required modules at the entrance (doors, information and safety solutions), to derive a design concept, to develop a mock-up in meeting the needs of rail travellers with the above mentioned impairments and to test it with user groups. The project also aims at deriving components for the determination of standards. The EUPAX Design Mock-up test was performed to verify the advantages of the layout of the train segment including the different modules such as access area (including the access door, gaps between platform and train as well as boarding aid devices), entrance vestibule, information systems inside and outside the train, emergency facilities, toilet with all conveniences and the additional test arrangements regarding push buttons, steps and emergency equipment. For this purpose a questionnaire was developed for the assessment of the EUPAX segment and the additional test arrangements. With the help of this questionnaire it was possible to execute a quantitative and qualitative evaluation. During three test phases 67 experts and handicapped persons from 6 countries have evaluated the Industrial Design mock-up based on this questionnaire. The test group covered persons from North (Denmark) to the South (Italy) and from the West (Spain) to the Middle of Europe (Germany). This is especially important for the generalization (harmonisation) of the results for all European countries. According to COST 335 the information for people with reduced mobility should be clear, concise, accurate and timely. So that all information can be received from persons, they must be transferred on at least two of the three possible ways (acoustical, visual, tactile), a so called "2-sense-principle". Based on the results ergonomic specifications/ solutions for the ergonomic design of the access area, the acoustic, visual and tactile information and the emergency devices including the emergency communication system were developed, related to the benefiting passenger groups.