한국엔터테인먼트산업학회논문지 (Journal of Korea Entertainment Industry Association)

  • 제14권5호
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  • Pages.229-243
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  • 2020
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  • 1976-6211(pISSN)
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  • 2384-017X(eISSN)
한국엔터테인먼트산업학회 (The Korea Entertainment Industry Association)
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조현병 환자의 라이프케어 증진을 위한 직업재활 : 체계적 고찰

Vocational Rehabilitation for Improvement of Life Care in Patients with Schizophrenia : A Systematic Review

  • 김옥경 (광주대학교 작업치료학과) ;
  • 백현희 (광주대학교 작업치료학과)
  • Kim, Ok-Gyeong (Department of Occupational Therapy, Gwangju University) ;
  • Paek, Hyun-Hee (Department of Occupational Therapy, Gwangju University)
  • 투고 : 2020.05.20
  • 심사 : 2020.07.27
  • 발행 : 2020.07.31
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 국외 작업치료 영역에서 조현병 환자의 직업재활에 대해 알아보기 위해, 2000~2019년까지 PubMed, SAGE Journals, Wiley Online Library의 데이터베이스를 사용하여 총 19편을 선정하였다. 첫째, 연구의 질적 수준은 모두 Level I이었다. 둘째, 조현병 이외의 연구 대상자의 진단군은 조현정동장애가 가장 많았다. 셋째, 중재 유형별로 살펴보면 사회기술 및 인지재활 훈련+지원고용 11편, 지원고용 4편, 사회기술 및 인지재활 훈련 3편, 기타 직업적 접근법 1편이었다. 넷째, 고용 유형에 따른 중재 유형별 고용률을 살펴보면 경쟁고용은 사회기술 및 인지재활 훈련+지원고용, 비경쟁 고용은 사회기술 및 인지재활 훈련, 유급고용은 지원고용이 가장 효과적이었다. 다섯째, 최근 5년 동안 연구 동향을 살펴보면 사회기술 및 인지재활 훈련+지원고용 연구가 가장 많은 것으로 나타났다. 본 연구는 국외의 선행 연구에 근거하여 조현병 환자에 대한 직업재활의 유형과 효과에 대해 분류했다는 점에서, 조현병 환자의 직업재활을 이해하고 국내 임상 현장에서 적용하기 위한 기초자료로 제공되기를 바란다.

This study selected a total of 19 studies using databases of PubMed, SAGE Journal, and Wiley Online Library from 2000 to 2019 to find out about vocational rehabilitation of patients with schizophrenia in the area of overseas occupational therapy. First, the quality level of the study was all Level I. Second, the diagnosis for participants of the studies other than schizophrenia had the most schizoaffective disorder. Third, by types of interventions, 11 papers, the largest, were about social skills and cognitive rehabilitation training plus supported employment, followed by 4 about supported employment and 3 about social skills and cognitive rehabilitation training, 1 about other vocational approaches. Regarding studies showing effects in the employment rate by interventions type following three types of employment, as the most effective of studies, they were social skills and cognitive rehabilitation training plus support employment in competitive employment, social skills and cognitive rehabilitation training in non-competitive employment, and support employment in paid employment. Fifth, looking at the studies trend in the last 5 years, the most studies were social skills and cognitive rehabilitation training plus supported employment. Since this study classified the types and effects of vocational rehabilitation for patients with schizophrenia based on previous overseas studies, it is hoped that this study will be provided as basic data for understanding vocational rehabilitation of schizophrenic patients and applying them in domestic clinical settings.

키워드

과제정보

This paper was supported by the research grant of the Gwangju University in 2020.

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