• Title/Summary/Keyword: 재활정책

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The Effect of Hand Grip Force on the Activity of Shoulder Muscles in the Patterns of Arm Position (팔자세의 유형에서 손의 쥐기 강도가 어깨근육의 활성도에 미치는 영향)

  • Choi, Hyun
    • Journal of Digital Convergence
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    • v.10 no.9
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    • pp.435-441
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    • 2012
  • This study is intended to provide a basic clinical data useful for preventing shoulder injuries related to occupation and curing them, by measuring the shoulder muscle activity of normal adults in an arm posture type of a wide shoulder joint angle, according to several differences of hand grip force. In order to examine the shoulder muscle activity during hand grips at a variety of intensity, according to the arm posture type, MVCs of all subjects were measured, and %MVCs of anterior deltoid, supraspinatus, the upper trapezius and infraspinatus at 0 degree, 90 degrees and 160 degrees of shoulder angle were yielded according to the grip force in an arm posture type, changing the maximum grip force into 30%, 50% and 90%, randomly. When measuring the hand grip at 30%, 50% and 70% of the maximum grip force to compare %MVC of each group depending on the arm posture type, there were no significant differences of muscle activity at 0 degree of shoulder angle among anterior deltoid, supraspinatus, the upper trapezius and infraspinatus, but there were significant differences of it among them at 90 degrees and 160 degrees of should angle(p<.001). According to the results of post-hoc test, also, anterior deltoid had the highest muscle activity, whereas the upper trapezius had the lowest muscle activity.

Effects of Side Walking Training on Balance and Gait in Stroke Patients (측방보행 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향)

  • Jeon, Seon-Bok;Choi, Hyun-Suk
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.541-548
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    • 2015
  • The purpose of this study was to examine the effect of Side walking training on the balance (Functional Gait Assessment; FGA, Timed Up & Go Test; TUG) and gait (10 meter Walking Test; 10 mWT) of stroke patients. 28 stroke patients were randomly allocated to an experimental group(side walking Training) and control group(forward walking training) of 14 patients each. both groups received rehabilitative physical therapy for during 4 weeks. The experimental group was asked to participate in Side walking training for 20 minutes per day 3 times per week during 4 weeks. The control group was asked to participate in forward walking training for 20 minutes per day 3 times per week during 4 weeks. There were significantly increase by side walking training in outcome of the balance from the FGA was increase from 16.86 score to 18.64 score(p<.05), TUG was decrease from 26.03 sec to 22.43 sec(p<.05) and 10 mWT was decrease from 21.90 sec to 19.10 sec(p<.05), Therefore side walking training is to promote balance and gait in stroke patients will be able to offer useful training.

The Effect of Combined Cognitive-Motor Learning Program with Mild Cognitive Impairment Elderly Patients (경도인지장애노인 대상 융복합 운동 프로그램의 효과 : 신체 인지 기반 복합 인지-운동 중심)

  • Kim, Soo-Yeon;Baek, Soon-Gi
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.587-595
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    • 2015
  • The purpose of this study was to demonstrate exploring the field application of combined cognitive-motor learning program based on proprioceptive neuromuscular facilitation and Bartenieff Fundamental program. The combined cognitive-motor learning program(CC) was applied to the 10 MCI elder while 10 elder in occupational therapy(OT) took cognitive learning class. MMSE-K, Time up & go test(TUG), Tandem gait test(TA), GQOL-D were measured and analyzed. The collected data were analyzed by Independent & Paired T-test. The results were as follows: Both groups showed similar learning effect in MMSE-K test. However, in TA & GQOL-D test, CC group showed significant learning effect than OT group. From these result, we conclude that combined cognitive-motor learning program is valuable as alternative program for cognitive development and social development as well as physical development of MCI elder.

The Effect of the Activity of Daily Living of Adult People with Physical Disabilities on Spouse's Caregiving Stress and Depression (성인 신체장애인의 일상생활활동능력이 배우자의 부양스트레스와 우울에 미치는 영향)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.371-380
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    • 2016
  • The purpose of this study was to investigate the caregiving stress and depression of spouses who support adults with physical disabilities, calculate the activity of daily living (ADL) of the disabled and determine the correlation of each area and the influence of their ADL on the caregiving stress and depression of spouses. This study was performed on 86 spouses of the disabled who were receiving rehabilitation treatment in two hospitals located in S and K cities from July to August 2016. According to the results, the total caregiving stress scores were $71.43{\pm}17.78$ and the economic and psychological stresses among low items were higher than the other items. The total depression score was $50.34{\pm}26.41$, which was slightly higher than the average of normal adults. The caregiving stress and depression were high for aged women, for cases of high caregiving expense and time, for young disabled and for stroke disease. Factors that affected the caregiving stress were the age of the disabled and the duration of their disability; their ADL had no influence on the caregiving stress. The result showed that the depression affected their age, disabled type and grade, and ADL. Actual policy support capable of giving economic, physical, and psychological assistance should be prepared to reduce caregiving stress and depression.

Efficiency analysis of the community welfare centers for people with disabilities using data envelopment analysis (자료포락분석을 활용한 장애인복지관의 효율성 분석)

  • Choi, Kyoungho;Shin, Hyun-Uk
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.1
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    • pp.111-121
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    • 2015
  • Until now, the operation of community welfare centers for people with disabilities has brought a positive or a generous awareness. Nevertheless, in order to obtain a wide range of welfare outcomes efficiently, the imperative step in rehabilitation researches is to determine whether reasonable and scientific services are being provided to people with disabilities in rehabilitation centers. The purpose of this study was to analyze efficiency and productivity of 176 community welfare centers for people with disabilities. As a result, average technical efficiency for community welfare centers for people with disabilities was 0.4488; pure technical efficiency and scale efficiency was 0.6040 and 0.7080, respectively. The major conclusions of this study were as follows. First, applying the technical efficiency analysis, DMU2, DMU3, DMU8, DMU9, DMU11, DMU13, DMU14 were shown above average. It seems to have a regard for political elements in accordance with the regional social and economic differences. Second, as a result of scale efficiency analysis, the inefficient community welfare centers for people with disabilities such as DMU1, DMU5, DMU12, DMU16 are required to improve the number of employees, revenue, facility area. Finally, this study is expected to be an effectiveness analysis and performance evaluation for the rehabilitation services.

An Economic Analysis of Recycling for Waste Concrete;A Case study at Hosing Development District (폐콘크리트의 현장재활용 시 경제성 분석;택지개발사업지구를 중심으로)

  • Ko, Eun-Jung;Lee, Jae-Sung;Jung, Jong-Suk;Jun, Myoung-Hoon;Lee, Do-Heun;Bang, Jong-Dae
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2006.11a
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    • pp.198-203
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    • 2006
  • Recently, the construction wastes increase rapidly due to the revitalization of reconstruction and redevelopment, the development of new urbanization of large housing development, the expansion of social infrastructure, and so on. To solve rapid increase of construction waste, the government established "the rule on the promotion of recycling of construction waste" in December, 2003. According to the rule, construction wastes can be recycled by either processing on commission or discharger of construction waste. However, most of construction waste can be recycled by processing on commission. One of the most reason is that it is difficult for proving economic effect of site recycling by discharger. This study investigated and analyzed in a generation and disposal process, status of recycling, and procedure and process of site recycling of construction waste. Also, this study proved the validation of site recycling for construction waste as economic efficiency is analyzed through the case study of site recycling at large housing development district. The results of this study can utilize the establishment of policy and basic data of feasibility for site recycling of construction waste.

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The Effects of Mental Health on the Quality of Life After Stroke (뇌졸중 후 정신건강이 삶의 질에 미치는 영향)

  • Kim, Hyeong-Min;Shim, Min-Kyu
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.237-244
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    • 2015
  • The purposes of this study are to examine the correlations among mental health and quality of life in stroke patients and find the factors affecting quality of life. The participants were 224 inpatients diagnosed with stroke. The Stroke Specific Quality of Life(SS-QOL) was used for measuring Quality of life and the Symptom Check-List-90-Revised(SCL-90-R) was utilized to measure mental health. The relationships among the variables were examined with Pearson correlation coefficients. And the simple regression analysis and stepwise multiple regression analysis were performed to identify the predictive variables that explain changes of quality of life. There were statistically significant correlations between quality of life and mental health. Mental health was identified as a factor that explains 28% of change in quality of life. And depression was identified as a factor that explains 42% of change in quality of life. The quality of life in stroke patients, the depression was negatively related with it. When working with a stroke patient, an occupational therapist needs to address mental health aspects from the beginning of the rehabilitation process for a holistic approach and optimal outcome.

A study on the Participation Motivation of Clinical Nurses in Job Training (임상간호사의 융복합적 직무교육 참여동기에 관한 연구)

  • Park, Hyun Hee;Lee, Kwang-Ok;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.319-329
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    • 2016
  • This study aimed to identify nurses' participation motivation, its influence factors, and their job training need. A survey was conducted on 345 nurses of general hospitals in Gyeonggi-do. Data was collected from October 5th to 18th, 2016 and was analyzed through t-test, ANOVA, Bonferroni post-test, and multiple regressions using SPSS 21.0. Participation motivation was high in 'expertise capability improvement and development' and low in personal gain and job stability. Job training need was the highest in nosocomial infection management and CPR and was the lowest in hospice and rehabilitation nursing. Participation motivation had significant differences depending on age, marital status, educational level, and clinical experience, and was influenced by the job training need of professional nursing and medical knowledge for disease treatment. Therefore, it is necessary to plan medical educational programs to enhance job training effectiveness, establish a strategy to increase participation motivation; and expand various job training support.

Objectives and Strategies of Government Health Promotion Policy (정부의 건강증진사업 목표 및 추진방향)

  • Lee, Jong-Gu
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.3-32
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    • 2005
  • 정부의 건강증진사업은 국민의 건강수명 연장과 삶의 질 향상에 궁극적인 목적이 있다. 이는 건강 지지적인 환경을 조성하고 질병을 예방${\cdot}$관리하며 평생 건강서비스를 제공하고 건강한 생활양식을 형성하도록 함으로써 달성될 수 있는 것이다. 건강증진사업을 위한 기반으로 연구와 개발 강화, 법과 규칙의 조정, 기금과 인력과 같은 자원 확보는 필수적이다. 정부의 건강증진전략은 첫째 자원할당의 우선순위를 확보하는 것으로 건강증진, 질병 및 손상의 예방, 재활관련 사업에 더욱 많은 자원을 할당하는 것이며, 둘째로 국가차원의 건강증진 프로그램을 개발하여 실행하는 것이다. 포괄적인 생애주기별 건강증진 프로그램(건강증진종합계획)과 모아보건, 학교보건, 산업보건, 그리고 만성질환예방프로그램 등이 포함된 포괄적인 프로그램을 개발하여 실행하는 것이다. 셋째로, 건강증진기금을 공공보건을 위한 하부기반과 건강증진 프로그램에 투자함으로써 사업의 하부기반을 정비하는 것이다. 건강증진사업을 위한 하부기반으로는 정책과 위임사항을 들 수 있는데, 국민건강증진법과 국민건강증진종합계획, 2005년 6월에 서울시 의회를 통과한 건강도시추진위원회를 들 수 있다. 정부의 건강증진사업의 법적 기반은 1995년에 제정된 국민건강증진법이다. 국민건강증진법은 국민들이 건강에 대한 가치를 인식하고 책임의식을 함양하며, 올바른 건강지식을 갖고, 국민들이 건강한 생활양식을 실천할 수 있는 환경 조성을 목적으로 하고 있다. 건강증진사업은 대중을 위한 보건교육과 건강상담, 영양관리, 구강보건관리, 질병의 조기발견과 치료를 위한 건강검진, 지역사회 건강문제에 관한 조사와 연구, 담배소비 감소와 건강증진부담금 부과를 통한 국민건강상태의 향상을 위한 사업이다. 훈련과정으로는 보건복지부에서 2005년부터 수행하고 있는 시와 지역을 위한 현장관리 프로그램과 서울시가 수행예정인 지역수준의 지도자 훈련과정이 있다. 건강증진사업의 원활한 진행을 위한 기금조성은 건강증진기금이 담배세로부터 조성되고 있으며 2004년 12월 31일 현재 담배 한 갑 당 500원으로 인상되어 부과되고 있다. 기금의 관리와 운용은 보건복지부가 담당하며, 기금은 건강한 생활양식형성에 대한 지원활동, 국민을 위한 보건교육과 교육자료 개발, 건강증진과 만성질환에 대한 연구, 질병의 조기발견을 위한 건강검진, 구강보건관리활동에 사용되고 있다. 향후 건강증진사업 투자계획은 1단계 (98-02년)에는 사업기반조성기, 2단계(03-06년) 보건소사업발전기, 3단계(07-11년)통합사업정착기로 구성되고 2단계의 인프라구축에 사용될 투자 비율은 30%에서 3단계에 15%로 감소될 예정이며, 사업실행 영역은 50%에서 65%로 확대될 계획이다. 2005년 건강증진사업의 중점목표는 건강증진사업의 지방 분산화, 건강증진사업의 근거마련, 사회적 형평성의 달성에 있다. 건강증진사업의 지방분산화를 위해서는 중앙에 관리센터가 설치되어 기획과 평가, 연구와 개발, 현장관리 훈련을 담당하게 되고, 지역관리센터에서는 자치적인 보건소 중심 건강증진사업의 수행과 평가를 진행하게 된다. 건강증진사업의 근거마련을 위해서 효과가 입증된 사업에 우선순위를 두며, 기획과 평가위원회를 설치하고, 건강증진사업의 평가결과를 환류 할 수 있는 체계를 마련하는 것이다. 또한 건강증진포럼을 구성하며 현 건강조사 체계를 수정한다. 한편 형평성 제고의 측면에서는 저소득층, 노인, 장애인들과 같은 취약계층의 건강상태 향상을 위한 중앙정부와 지방자치단체의 역할을 강화하고, 지역간${\cdot}$사회적 집단 간의 건강증진사업관련 형평성을 제고한다.

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A Study on the Improvement Plan through the Analysis of the Current Status of Production Facilities for Severe Disabled Products : Focus on the 2017-2018 survey (중증장애인생산품 생산시설 현황분석을 통한 개선방안 연구 : 2017~2018 실태조사를 중심으로)

  • Yang, Jae-Hee
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.383-393
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    • 2020
  • The purpose of this study is to investigate the condition of the production facilities of severely impaired products for two years from 2017 to 2018, and to suggest ways to improve the preferential purchase system for the severely disabled comparison with previous study. As of June 2018, 267 out of 544 sites were research and analyzed. As a result, first, the average number of severely disabled workers is 16.51, and the total number of workers, disabled workers who participated in direct production, and non-disabled workers showed the trend of increase in 2018. Second, the average monthly wage of workers with disabilities participating in direct production increased slightly from 790,977 won in 2017 to 829,810 won in 2018. Third, Analysis of changes in sales of production facilities before and after designations showed that overall sales of production facilities increased after designations and after designations. Improvement measures include preferential purchase rate improvement and support for production facilities and purchasing public institutions, classification of roles of performance organizations, Clarification of the role of priority purchasing promotion committee for products produced by people with severe disabilities, complementing the minimum wage exclusion system.