• 산업융합연구
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• 제20권10호
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• pp.197-207
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• 2022

본 연구는 선천성 장애인의 재활서비스 비용에 영향을 미치는 요인을 파악함으로써 재활서비스 이용의 접근성을 높이기 위한 기초자료를 제공하는데 목적이 있다. 연구대상은 2020년 장애인실태조사 자료에서 선천성 장애인 712명이며, 자료분석은 SPSS WIN 26.0를 이용하여 위계적 다중회귀분석을 실시하였다. 연구결과는 19-40세, 중산층, 가구소득, 바우처 사용, 기관 서비스 만족도, 자폐성 장애유형이 재활서비스 비용에 영향을 미쳤으며, 이중 바우처 사용이 재활서비스 비용에 가장 큰 영향을 미쳤다. 따라서 선천성 장애인의 재활서비스 비용을 완화하기 위해 바우처 사업의 대상을 개선하고 전 생애에 걸친 재활서비스 지원체계 구축을 제안하였다.

• 재활간호학회지
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• 제19권1호
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• pp.43-54
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• 2016

Purpose: This study attempted to understand patients' and nurses' perspectives on the priority of rehabilitation nursing services using Importance-Performance Analysis (IPA). Methods: This study used descriptive research design. Data were collected from 121 patients and 144 nurses using self-reported questionnaires. Statistical analysis included an independent t-test, analysis of variance (ANOVA), and IPA conducted using SPSS/WIN 21.0 version. Results: There were no statistical differences between the patients' and nurses' mean scores on perceptions of the importance (t=-0.83, p=.409) and performance (t=-0.32, p=.751) of rehabilitation nursing services. The IPA matrix showed a difference between patients and nurses in terms of their perceived priority of nursing services. Regarding the perception of patients, "helping a patient to continue to practice bedside physiotherapy and occupational therapy", "providing information on the proper care agency and community resources", and "providing education for the prevention of complications" fell in the "concetrate here" area (2nd quadrant). Conclusion: The results showed that the priorities of patients and nurses did not match in terms of some of the rehabilitation nursing services. Thus, rehabilitation nursing services need to be provided based on the patients' needs. Allocation of resources for the service items that fell in the "concentrate here" area of the IPA need be reconsidered for the quality in nursing care.

• 재활간호학회지
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• 제12권1호
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• pp.30-38
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• 2009

Purpose: The purpose of this study was to compare the rehabilitation nursing services what nurses recognize to be important and what they do in practice of the industrial workers. Method: The subjects were 150 nurses who were working at the industrial hospital. The questionnaire was made up with 43 items about the perception on importance and performance of rehabilitation services. Result: The highest services in the perception on importance and performance subscale were physical and therapeutic services. The highest difference between perception on importance and performance was the social and occupational services. The perception on importance of rehabilitation services had positive correlation with performance. The group take care of general patients had a higher level of perception on importance than the other group, and level of performance had significant difference with age and position. Conclusion: We need to develop the strategy for promoting the performance of services that recognize it will be important services, but not to do. Further study on system for promoting the nurse practitioner who responsible for rehabilitation nursing.

• 재활간호학회지
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• 제19권1호
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• pp.30-42
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• 2016

Purpose: This study compared the importance and performance of rehabilitation nursing needs perceived by stroke patients and nurses. Methods: A total of 275 subjects were divided into two groups. One group was 136 stroke patients and the other was 139 nurses. Data were collected with the Rehabilitation Nursing Service Inventory. The data were analyzed by t-test and ANOVA using the SPSS/WIN 21.0 program. Results: The degree of importance and performance in rehabilitation nursing needs perceived by the stroke patients were $3.69{\pm}0.47$ and $3.48{\pm}0.50$, respectively, showing a significant difference (t=21.04, p<.001). The degree of importance and performance perceived by nurses were $3.84{\pm}0.42$ and $3.60{\pm}0.45$, respectively, showing a significant difference (t=26.53, p<.001). A significant difference in the degree of importance and performance in rehabilitation nursing needs was also observed between stroke patients and nurses (t=-2.78, p=.006; t=-2.12, p=.035). Conclusion: These findings showed that there was a perception gap between stroke patients and nurses. Therefore, it will necessary to identify methods for reducing this perception gap and developing rehabilitation nursing intervention considering the rehabilitation nursing needs of stroke patients.

• 한국콘텐츠학회논문지
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• 제8권1호
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• pp.16-26
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• 2008

노인인구의 증가와 더불어 뇌졸중 환자들이 증가하고 있다. 치료에도 불구하고 대부분의 뇌졸중 환자들은 장애를 갖게 된다. 이런 장애를 개선하기 위한 뇌졸중 치료의 주요 목적은, 환자들의 기능적 독립을 촉진시키고, 지역사회에 통합하도록 하는 것이다. 지역사회재활 적용시 중요한 점은 장애인과 그들의 가족 그리고 지역사회가 서비스의 우선순위가 무엇인지를 결정하는 것이다. 지역사회 뇌졸중 환자는 물리치료, 작업치료, 언어치료, 보장구, 간호 등 포괄적인 서비스를 필요로 한다. 본 논문의 목적은 우리나라 뇌졸중 환자들에 대한 지역사회재활의 필요성에 대해 논구하는 것이다.

• 재활간호학회지
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• 제12권2호
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• pp.92-101
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• 2009

Purpose: This study was conducted to explore the functional status and long-term care services for the community-dwelling low-income elderly. Method: A descriptive research design was used in this study. The functional status of the participants was obtained using Minimum Data Set-Home Care Version 2.0 and the long-term care services were identified via Michigan's choice. Total of 154 persons aged 65 years or older completed Korean Minimum Data Set-Home Care Version 2.0 on the community dwelling low-income elderly. Results: The average of Activities of Daily Living was 4.19, and the range was 0-55, while the average of Instrument of Activities of Daily Living was 4.85 and the range was 0-56. Among the subjects, 46.1% belonged to the Information and Referral group and 1.3% to the Nursing Home group. Severe daily pain was reported by 14.9%, and 76.6% of the participants had impaired vision. The Activities of Daily Living was difference according to living with, education, vision, and depression. The long-term care services differed according to gender, pain, vision, hearing, and depression. Conclusion: The support policy for the elderly needed to focus on impaired visual and depression to enhance the activities of daily living. Moreover, there is a need for the Information and Referral group to arrange and develop nursing intervention resources.

• 대한간호학회지
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• 제38권5호
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• pp.704-711
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• 2008

Purpose: This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.

• 재활간호학회지
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• 제4권2호
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• pp.207-218
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• 2001

This study was carried out to find out the basic data required to plan and develop Rehabilitation Day Care Program for the stroke survivor's family in Korea. The subjects comprised of 92 stroke survivor's family who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of daily living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN 10.0 program. The results obtained are as follows; 1. The mean score of the general need of rehabilitation day care program of stroke survivor's family was 3.10(range 1-4). The highest need among the service categories of the rehabilitation day card program was self-care and restorative activities category(3.30), and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows. In the health services referral category, the need for dental examination and medical examination were highest, followed by the need for physical therapy and occupational therapy. In the psychosocial activities category, the need for family counselling was highest. In the self-care and restorative activities category, the need for ROM exercise training was highest, followed by bowel training, and ambulation training. 2. The need of family for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age, illness intrusiveness, depression, knowledge, subject and object burden and relationship with stroke survivors. 3. The stepwise multiple linear regression analysis revealed following results. For the need for rehabilitation day care program service, 22.6% of the variance was initially explained by level of family's knowledge about caring method for stroke survivors, 8.8% was the level of subjective burden and 5.4% was relationship with stroke survivors. In conclusion, above characteristics should be considered to develop stroke survivors' rehabilitation day care program.

• 재활간호학회지
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• 제2권1호
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• pp.29-44
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• 1999

This study was carried out to obtain basic data required to plan and develop Rehabilitation Day Care Program for the stroke Survivors at home in Korea. The subjects comprised of 118 stroke survivors who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of dally living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN program. The results obtained are as follows ; 1. The mean score of the general need of rehabilitation day care program of stroke survivors was 2.78(range 1-4). The highest need among the service categories of the rehabilitation day care program was self-care and restorative activities category, and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows ; 1) In the health services referral category, the need for speech therapy was highest, followed by the need for physical therapy and occupational therapy. 2) In the psychosocial activities category, the need for self-help group was highest. 3) In the self-care and restorative activities category, the need for bathing was highest, followed by bowel training, and ambulation training. 4) The need for the recreation category was 2.62. 2. Among the need for the effect related to the utilization of day care program, the need for survivors' physical and psychological well-being was highest and was followed by the need for caregiver's physical and psychological wellbeing. Pearson's correlation analysis revealed following results ; 1. The need for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age. 2. The need for the effect related to the utilization of rehabilitation day program displayed a correlation with the level of education, ADL, and the level of depression. The stepwise multiple linear regression analysis revealed following results : 1. For the need for rehabilitation day care program service, 28.4% of the variance was initially explained by one variable, level of depression. The level of depression plus two variables, survivors' age and ADL, explained 34.2% of the variance in the need for rehabilitation day care program service. 2. For the need for the effect related to the utilization of rehabilitation day care program, 12.4% of the variance was initially explained by one variable, level of depression. The level of depression plus one variable, level of education, explained 20.4% of the variance in the need for the effect related to the utilization of rehabilitation day care program. In conclusion, above characteristics should be considered when we are planning to develop stroke survivors' rehabilitation day care program.

• 재활복지
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• 제21권1호
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• pp.47-70
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• 2017

본 연구의 목적은 역학적 요인(우울), 행위적 요인(일상생활 수행능력), 소인요인(자기효능감), 강화요인(가족지지, 전문가 지지), 촉진요인(자원이용가능성, 접근성)이 농촌지역 재가 장애인의 삶의 질에 미치는 영향요인을 파악하기 위한 것이다. 연구의 개념적 기틀은 Green과 Kreuter의 PRECEDE 모형을 기반으로 하였다. ${\bigcirc}$군 보건소에서 실시한 지역사회중심 재활사업 기초조사 결과 자료를 근거로, 기초조사에 참여한 190명중 186명이 최종분석에 포함되었다. 선택된 요인들과 삶의 질 간의 직 간접 경로를 파악하기 위하여 AMOS 19.0을 이용하여 자료를 분석하였다. 모형 검증 결과 농촌지역 재가 장애인의 삶의 질은 85.5%의 설명력을 가지며, 역학적 요인(우울)과 강화요인(가족지지, 전문가지지)에 의해 직접적 영향을 받은 반면, 행위적 요인(일상생활수행능력), 소인요인(자기효능감), 촉진요인(자원이용가능성, 접근성)을 통하여 간접적 영향을 미치는 것으로 나타났다. 본 연구 결과는 농촌지역 재가 장애인의 삶의 질 증진을 위한 재활사업 계획 시 우울을 감소시키거나 가족이나 건강전문가로부터의 지지를 강화해야 할 필요성을 조명하였다. 뿐만 아니라 자기효능감 향상을 위한 전략을 세우고 지역의 보건기관과 전문 의료기관과의 연계를 확대하는 것도 농촌지역 재가 장애인을 위한 지역사회 중심 재활서비스에 유용할 수 있음을 제안하였다.