• Title/Summary/Keyword: 노인작업치료학

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A Study on the Social Environment of Elderly (노인의 사회적 환경에 대한 연구)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.35-43
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    • 2015
  • Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.

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A Study on the Effect of Internal and External Control on the Relational Aggression's Perception of the Elderly in Care Facilities (내·외 통제성이 시설거주 노인의 관계적 공격성 인식에 미치는 영향에 관한 연구)

  • Kim, Hee-Jung;Cho, Moo-Sin;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.11 no.1
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    • pp.1-10
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    • 2021
  • Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression's perception. Methods : I analyzed the internal and external control and the relational aggression's perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

Study of General Characteristics of the Korean Elderly and Their Leisure Time Spending : Analyzing the Data of Hours of Living 2014 (한국노인의 일반적 특성과 여가생활시간에 관한 연구 : 2014년 생활시간조사자료 분석 중심으로)

  • Kim, Hyeong-Min;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.1
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    • pp.57-67
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    • 2019
  • Objective : This study aimed to identify types of leisure time spending of the Korean elderly according to the data of Hours of Living 2014 from National Statistical Office, and compare and analyze features of leisure time spending based on general characteristics of the elderly. Method : This study has only adopted the data of 9228 elder people whose ages were above 65, and their general characteristics and time spending features form the data of Hours of Living 2014. The final comparison and analysis has been made through behavior classification (1 major classification, 7 medium classification, 39 minor classification), which reflects how the elderly spend their leisure time according to their household and personal characteristics. Result : Firstly, the Korean elderly were found to spend most of their leisure time with media. Secondly, analyzing the features of leisure time spending based on household characteristics of the elderly, their gender and household income showed significant differences in all types of leisure time activities except for cultural and sightseeing activity. And their marital status showed significant differences in most of the leisure time activities excluding leisure time activity with media and cultural and sightseeing activity. Thirdly, analyzing the features of leisure time spending based on personal characteristics of the elderly, their education level has made significant differences in all types of leisure time activities. As for their economic activity status and average monthly income, they showed meaningful differences in most of the leisure time activities excluding cultural and sightseeing activity and ritual activity. Conclusion : We should help to find meaningful occupation within personal contexts and arrange it properly with balanced leisure time spending. Moreover, it is highly important to have appropriate occupational approach to prevent social isolation of the Korean elderly, and ensure their fruitful and successful later life.

A Study of EEG and Melatonin in Plasma According to Exercise Type in Elderly with Sleep Disorder (수면장애 노인의 운동유형별 뇌파와 혈 중 멜라토닌 농도 비교)

  • Kim, Dong-Hyun;Kim, Souk-Boum
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.2
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    • pp.29-37
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    • 2018
  • Objective : Sleep disorder caused by stress or disease to elderly currently. We tried to make clear constant exercise according to exercise intensity would have effect on sleep disorder in elderly using EEG and melatonin. Methods : Thirty subjects were over 65 years old who lived a senior facility in some parts. They were able to communicate and understand the purpose of the study. They also expressed their intension to participate actively in experiment. They should have alert consciousness and orientation about time, place, and people. Sleep disorder was assessed via below 6 hr total sleep time and Pittsburge Sleep Quality Index, which was satisfied with both of criterion at the same time. Exercises composed of low intensity walking, moderate aerobic exercise, and high intensity resistance strength. We used QEEG 8-System (LAXTHA Inc. KOREA) to check wave type and Polysomnograpy (Compumedics, Australia) to test quality of sleep. and Histologic features were observed by TTC (triphenyltetrazolium chloride) staining and H & E (Hematoxylin & Eosin) staining. Results : There was a significant sleep index and change of melatonin after aerobic exercise. There was a significant SOL, S1, S2, and SWS in aerobic exercise, but there was a significant SWS in walking and resistance strength. There was a significant change of delta wave especially in frontal and temporal region between exercises. Conclusion : They had different effects according to type of exercise, when elderly who have chemical, behavioral change of circadian rhythms did exercise consistently. Aerobic exercise had more effect on sleep disorder than other exercise. Therefore, we may supply proper exercise to elderly and high quality of life.

Comparison of Retained Activity Level according to Activity Areas of the Elderly (노인의 일상 활동 범주에 따른 활동 보유 수준 비교)

  • Paik, Young-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.1-12
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    • 2019
  • Objective : The purpose of this study is to measure the level of activity possessed by the daily activities of the elderly. In addition, we attempted to compare the differences in the categories of daily activities. Methods : We used K-ACS to evaluate 30 older people who engaged in economic activity living in community, 30 older people who did not have economic activity living in community, and 30 older people living in facility. We compared the level of activity retention. Results : There was a significant difference of level of activity retention according to the daily activity category of the subjects(p <.001). There was a difference in the instrumental activities according to the category of each activity, while the three groups showed similar patterns in leisure activities and social activities. In particular, all three groups were most likely to rest and watch television in the leisure activities, so the leisure activities of the elderly in Korea were very limited. Among the general characteristics, it was analyzed that there was a correlation between the activity, the marital status, the religion and the cognitive level. Conclusion : According to the daily activities category of the elderly, there was a difference in level of activity retention and the characteristics of daily activities correlated with the activities of the elderly. This suggests that it may be a basic data for establishing a client - centered intervention plan by considering the characteristics affecting daily living and level of activity retention of the elderly in the occupational therapy.

Local Community and Nursing-home of the resident elderly in the Comparative Study of the Time Use for Occupational balance (작업균형에 의한 시간 사용 비교 연구: 지역 사회 거주 노인과 시설 거주 노인을 기준으로)

  • Park, Hun-Kyung;Jeon, Byoung-Jin;Lee, Jae-sin;Kim, Su-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.41-51
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    • 2014
  • Objective : Local Community and Nursing-home of the elderly of the general characteristics and time use compared with the Occupational balance of the two groups is to look at what is being done. Method : The study conducted by the Time Use Survey 2009 of National Statistical office, the results were statistically analyzed 246 by based on more than 65 years of age and older living in Daejeon. The Comparison subjects of this study compared the Daejeon nursing homes in two locations were selected and 146 people of use on the general characteristics and time use data were collected. Analysis using SPSS 12.0 for correlation analysis and multiple logistic regression analysis for the study were analyzed. Result : Local Community and Nursing-home of the elderly are compared. Each classified behavior correlation showed significant results in a difference in a time-use, respectively and also Nursing-home of the elderly, non-activity time in the form of the activity time was higher than the results. Conclusion : Through this research, according to the living environment for elderly people with a time use to find out that there was significant, the elderly living in Nursing-home more than the elderly living in the community and show the imbalance of the Occupational could be.

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The Application of Evaluation of Social Interaction(ESI) on Local Community Base Program for Solitary Senior Citizen (독거노인을 위한 지역사회기반 프로그램에서 사회적 상호작용 평가(ESI)의 적용- 광주지역 독거노인을 중심으로 -)

  • Kim, Jung-Mi;Park, Woong-Sik;Jang, Ji-Yeon
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.1-9
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    • 2011
  • Objective : Study purpose is to inspect not only the utility of Evaluation of Social Interaction(ESI) but also the efficiency of occupational therapy measurement in program based local community of solitary senior citizen in G region. Methods : Six solitary senior citizen in G region were participating in a community-based program were a convenience sample for this study. The Occupational Therapy Intervention Process Model (OTIPM) provided the theoretical framework. The ESI provided a pre-test performance measure and also served as a guide for an five-week occupational therapy intervention program, and as a post-test to measure intervention effectiveness. Results : This study showed that the ESI was effective in guiding therapist Intervention related to social skill performance of participants during their participation in a community-based program. As a group, the difference between pre and post ESI logit measures was also significant(t=-7.362, p=0.001). Conclusion : The study provides initial considerations for the utility of the ESI to guide intervention related to social skill performance during daily occupations in Korea. It further documents the effectiveness of the ESI in measuring occupational therapy intervention, based on OTIPM, and supports occupational therapy services provided in a community based program context for those solitary senior citizen.

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The Effect of Tailored Occupational Intervention on the Elderly with Mild Dementia using the Day Care Center (주간보호센터 이용 경도 치매노인에게 적용한 맞춤형 작업 중재의 효과)

  • Lee, Chun-Yeop;Kim, Ji-Hoon;Kim, Hee-Jung;Hong, Ki-Hoon;Jung, Hye-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.25-36
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    • 2020
  • Objective : This study identified the effect of tailored occupational intervention applied to the elderly with mild dementia using the day care center. Methods : This study applied the single-group experimental design to 29 elderly with mild dementia who use the day care center in B area, and conducted a total of 10 sessions once a week, 60 minutes. Intervention consisted largely of group activities and individual activities, and individual activities were conducted one-on-one with various activities necessary to select occupational goals and achieve the goals through consultation between the elderly with mild dementia and the person in charge. The effects of tailored occupational intervention were confirmed through CERAD, BBS, and GDS. Results : Significant differences were shown in the total score of MMSE-KC, time orientation, attention, constructional praxis delayed recall, and trail making test B in the cognitive function changes, and standing to sitting, standing unsupported with eyes closed of BBS in the physical function changes, and in the GDS score in the depression changes (p<.05). Conclusion : Tailored occupational intervention has been shown to be effective in improving cognitive and physical functions of the elderly with mild dementia and reducing depression. This provided a basis for proposing a tailored occupational intervention as an intervention that can be applied to the elderly with mild dementia.

The Role of Occupational Therapist in Disaster Management (재난상황에서 작업치료사의 역할에 대한 고찰)

  • Kim, Jung-Hun
    • The Journal of Korean society of community based occupational therapy
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    • v.6 no.2
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    • pp.21-30
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    • 2016
  • Objective : In October 2016, the most powerful earthquake, magnitude 5.1 and 5.8 struck the city of Gyeongju in Korea. Although it did not take a toll, this implicates potential disaster in the future. Taking this earthquake, this paper considers the healthcare system responding to disaster in non-government organization and other countries, and investigates the roles of occupational therapist in disaster management. Methods : This paper reviews literature related to healthcare system and roles of occupational therapist in disaster response. Results : Humanitarian recovery mission of Red Cross impacted and facilitated the recovery of vulnerable population including children, elderly and people with disabilities in disaster response. It was also emphasized by occurring large population with disabilities after disasters so that the concept of rehabilitation and occupational therapist's role was required. Occupational therapy practitioners play an important role in the stage of disaster preparedness, response and recovery and their target population is children, elderly and people with disabilities. Conclusion : The most of NGO and counties take the concept of rehabilitation into healthcare system responding to disaster. However, the system in Korea stays in emergency level. It is important to take the humanitarian recovery and rehabilitation concept to disaster relief. the survivors would be able to return to their normalcy and health life.

A Fundamental Study on the Development of the Educational Operation Platform for the Training of Professional Occupational Therapists (전문적 작업치료사 양성을 위한 교육운영 플랫폼 개발의 기초 연구)

  • Lee, Chun-Yeop;Jung, Nam-Hae;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.11 no.1
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    • pp.23-43
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    • 2021
  • Objective : The purpose of this study was to establish a systematic educational operation platform by collecting expert opinions so that occupational therapists can use continuing education well as a means to become professional occupational therapists in a particular field. Methods : A Delphi study was conducted with 23 experts on continuing education courses in common areas, elderly or dementia, community-based, physical rehabilitation, and developmental disabilities conducted in 2019 and 2020. The first Delphi investigated the suitability of the course as a professional continuing education and the appropriate level of education. In the second Delphi, we derived the final platform by verifying its suitability with verification of its content validity. Results : As a result, 87 items were derived for common areas, 53 items for elderly or dementia, 66 items for community-based, 66 items for physical rehabilitation, and 85 items for developmental disabilities. The main contents included the expertise needed by occupational therapists, the role in various fields, the solution of difficulties in clinical practice, and the topic of preparing for the future. Conclusion : This study was meaningful in presenting an educational operation platform for training professional occupational therapists as a basic study. It is hoped that the optimal education operation platform will be developed to strengthen professional skills of occupational therapists efficiently through future research.