• Title/Summary/Keyword: 재활 의료

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Development of gripping force and durability test standard for myoelectric prosthetic hand (근전전동의수의 파지력 및 내구성 시험 표준 개발)

  • Gook Chan Cha;Suk-Min Lee;Ki-Won Choi;Sangsoo Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.393-399
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    • 2023
  • Upper limb amputees wear an upper limb prosthesis for both aesthetic purposes and functional necessity, and in particular, in the case of amputee with both hands, it is essential to wear a myoelectric prosthetic hand capable of gripping action. The prosthetic hand operated by the EMG signal of the remaining muscles is a public insurance benefit item of the Industrial Accident Compensation Insurance, and test method standards are needed to be developed for the safety of the user and the effectiveness of the product performance. In this study, we developed systems for measuring the gripping force of myoelectric hand prosthesis by a load cell and for durability test of the prosthesis over repeated use with a proximity sensor, and propose a test method standard. Since the international test method standard has not yet been established, it is expected that Korea will be able to play a leading role in this standardization field in the future.

Study on Design of Advanced Smart Postural Change Device for Supine Posture Control (와상체위제어를 위한 스마트 고기능 자세변환기의 설계에 관한 연구)

  • Park, Seung Hwan;Jung, Jin Taek;Sim, Woo Jung;Kim, Yung Sear
    • 재활복지
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    • v.18 no.4
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    • pp.221-235
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    • 2014
  • Recently, the frequency of stroke disease is increased due to the rapid aging population, and is contributed to the major occurrence factors of the posteriori acquired disability. This study is about an postural change device for the control of supine posture which is an assisted equipment using in daily rehabilitation process for overcoming the disability by the aftereffects of the stoke disease. In this paper, the existing domestic and Japan postural appliances is examined and its comparison and categorization is performed according to its functions and purposes. Here, in order to control the supine posture state, the design method for advanced multi functional system is proposed, which is devised to have an unified mattress control operations of combining the bedsore prevention tube with the supine posture tilting tube. And also, in addition of an smart function, it is designed to enable to perform an RF functions such as the monitoring of the present device state, the alteration of the basic position and the control of alternative floating and supine posture. This system control hardware consists of three main parts : the sensor detection part, the motor driving /control part, and the system control part for bluetooth communication. In results, we confirmed that the system designed by this research is possible to make it practical as an advanced smart postural change device combined by IoT technology in the application field of the recent IT technology.

Correlation Between the Work Ability, Quality of Life and Depression of Therapists In Medical Institutions (의료기관에 종사하고 있는 작업치료사의 작업능력과 삶의 질, 우울 간의 상관관계)

  • Jung, Da-Hae;Ki, Ji-Yeon;Cho, Mi-Lim
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.6
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    • pp.231-241
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    • 2020
  • This study was conducted from April 2020 to June of the same year to identify the working skills, quality of life and depression on occupational therapists working at medical institutions in Gwangju, Jeollabuk-do and Jeollanam-do. Each function was evaluated using the WAI(Work Ability Index), the Korean version of WHOQOL and PHQ-9(Patient Health Questionnaire-9 Korean version) to evaluate the working ability, quality of life and depression level of depression. Studies have shown mo statistically significant differences in all areas of work capability, quality of life, or depression, depending on general characteristics. The correlation between work tretment worker's work ability, quality of life and depression showed a positive correlation between work ability and quality of life and a strong nehative correlation between quality of life and depression. This is a tesult of improved working ability, which improves the quality of life and lowers the level of depression if there is a positive change in the quality of life. It is hoped that research will be conducted considering the work ability and quality of life of occupational therapists who play an important role in rehabilitation and ways to reduce depression.

Analysis of an External Stimulator's Impact on the Heart (체외 전기자극기가 심장에 미치는 영향의 분석 및 평가)

  • Kim, Mun-Soo;Choe, Seung-Wook
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.11
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    • pp.1213-1217
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    • 2011
  • Electric stimulators are used for various treatments, such as for pain relief and to improve rehabilitation in and out of the hospital. However, if the stimulation pulse affects the patient's heart, it can cause critical cardiac disorders such as arrhythmia or ventricular fibrillation. As a result, it must be ensured that the transmission length of the stimulation pulse does not exceed the proper range in the design of an electric stimulator. Furthermore, every anticipated risk factor must be monitored in in-vitro and in-vivo experiments. A new stimulator was designed to supply continuous 0.001 J stimulation pulses at a rate of 60 pulses per second. To evaluate the safety of the new electric stimulator and to measure its energy transfer and pulse transmission length, we built a conduction model that was filled with saline and measured the electric field at various positions in response to real stimulations. In an animal experiment with two pigs, heart disorders were induced by applying electric stimulation to tissues near the heart. These heart disorders were different from the result obtained with 9 V DC stimulation.

A study on conceptual recognition of Korean Medicine doctor for usefulness of Artificial Intelligence to Korean Medicine department and medical application (한의사의 진료분야와 의료 적용분야의 AI 도입과 유용도에 대한 인식조사 연구)

  • Kyung-Yul Mok
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.413-421
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    • 2022
  • The online questionnaire platform was conducted with Korean medicine doctors to analyses the recognition of applicability of artificial intelligence(AI) to the field of application and department of Korean medicine. Most of all respondents did not have a chance to participate academic experience or research experience related to AI, but had a high willingness to participate in further learning and research. The level of AI understanding was supervised learning When AI is introduced to Korean medicine, the mean predicted usefulness scores to each application field for research and development of oriental medicine(74.60 points) and social policy establishment(73.68 points) are significantly higher than other of Korean medicine field of application, while those of Sasang constitutional department(66.61 points) and Korean medicine rehabilitation(65.91 points) were evaluated higher than other fields of treatment of Korean medicine. Respondents judged that the introduction of AI could be realistically useful in relatively formal fields of Korean medicine, while it would be difficult in non-formal fields.

The Analysis of Factors Affecting Quality of Life of Disabled Persons Living at Home in Rural Community - Using the PRECEDE Model - (농촌지역 재가 장애인의 삶의 질 영향 요인 분석 -PRECEDE 모형을 이용하여-)

  • Kim, Hyunli;Jung, Mi Sook;Ju, Kyoungok
    • 재활복지
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    • v.21 no.1
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    • pp.47-70
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    • 2017
  • The aim of this study was to explore the effects of the epidemiological factor (depression), the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), reinforcing factors (family support, professional support), and enabling factor (resource availability, accessibility) on quality of life in home-dwelling disabled people in rural areas. The conceptual model for this study was established on the basis of the PRECEDE model which was developed by Green and Kreuter. Data were drawn from the "Preliminary Investigation for Community-centered rehabilitation" conducted by a public health center located in the O province in 2011 and 186 of 190 disabled people who participated in the survey were included in the final analysis. Data were analyzed using Direct effects on quality of life arose from latent variables depicting the epidemiological factor (depression)and reinforcing factor (family support, professional support), while indirect effects arose from the behavioral factor (activities of daily living), the predisposing factor (self-efficacy), and enabling support (resource availability, accessibility). This model explained 85.5% of the variance in quality of life among rural disabled individuals. These findings may have shed some light on the necessity of including strategies to reduce depression and to strengthen supports from family and healthcare professionals when performing rehabilitation programs to improve quality of life in home-dwelling disabled people in rural areas. Furthermore, it suggested that it would be useful to develop specific strategies and tactics which might increase self-efficacy and to expand linkages between public health centers and other professional institutions such as hospitals for community-centered rehabilitation services for individuals with disabilities.

Factors Influencing the Health Care Utilization of Disabled Workers Who Returned to Their Original Workplace after Occupational Accident (원직복귀 산업재해 근로자의 의료이용에 영향을 미치는 요인)

  • Hyun-Joo Lee
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.167-180
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    • 2023
  • The aim of this study is to explore the factors that influence the health care utilization of disabled workers who returned to their original workplace after an occupational accident. The study sample consisted of 457 workers who suffered from occupational accidents and were rated as disabled based on the data from the PSWCI in 2021. Data analysis was performed using a hierarchical multiple regression analysis with SPSS WIN 26.0. The study findings revealed that the number of outpatient visits was affected by factors such as daily wage payment, economic status, physical activity limitations, subjective health status, and chronic diseases. Moreover, health care expenditures were determined by factors such as having a caregiver for daily living, burn injuries, and physical activity limitations. Therefore, to increase the accessibility of health care utilization for disabled workers, the role of nurses in the workplace should be expanded, employers should include a health care utilization plan when developing a return-to-work plan, and research on the introduction of a paid sick leave system that allows workers to rest when they are sick is needed. It is also necessary to alleviate the economic burden by increasing the coverage of benefits for burn and rehabilitation treatments.

Analysis of the Health Insurance Costs of Occupational Therapy in Stroke patients (뇌졸중 환자의 작업치료 보험수가 분석)

  • Kim, Hyun-Jin;Kim, Se-Yun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1920-1927
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    • 2015
  • This study examined health insurance costs of occupational therapy in stroke patients. The subjects were stroke patients, who underwent occupational therapy by hospitalization or out-patient centers in 2010. The cost of occupational therapy was analyzed from the insurance claims data of Health Insurance Review and Assessment Service in 2010. The kinds of occupational therapy were divided according to the insurance fee of occupational therapy in 2010. In-patients who received occupational therapy paid the highest rehabilitation treatment fee, whereas outpatients paid the highest nervous system function test fee. The cost of occupational therapy in the special rehabilitation treatment fee was highest by 25.3 billion won. The number of uses of general hospitals was the highest by 180 thousand but the total cost of long-term care hospital was highest by 10.4 billion won. The number of uses and cost by regional groups was highest in Seoul and Gyeonggi-do province. This study is meaningful in that a cost analysis of occupational therapy in stroke patients was performed for the first time using the stroke data from the whole country. The result can be used to provide basic data to improve the insurance fee in the future.

An Investigation of Selection and Transfer Factors on the Admission of Rehabilitation Hospital (재활병원 입원 시 선택 및 전원 요인 조사)

  • Lee, Jae Hong;Kwon, Won An;Lee, Jin Hwan;Min, Dong Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2819-2827
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    • 2013
  • The purpose of his study was to analyze the environmental and the medical factors of prematurely discharged patients in a rehabilitation hospital. The subjects were 107 inpatients. The data were collected using self-report questionnaire and analyzed using the SPSS Win 19.0 program. In result, Firstly, general selection of hospitals was the 'Recommendation' 35.5%, Environmental dissatisfaction factors are Hospital facilities 37.4%. Hospital choice is the highest 'Acquaintances' 23.4%. Second, the lowest group about professionalism, kindness, and description of explanation on satisfaction in survey is group of care workers for the sick. The highest group is physical and occupational therapist. Third, the satisfaction regarding medical procedures of administrative work, waiting time and medical expenses is the highest normal. Hospital facilities in one of the highest factors in environmental dissatisfaction is can be considered as an element of patient departure because of not much number of nervous special hospitals. Medical dissatisfaction factors is the lowest satisfaction of care worker even if those spend much time. this is the focus leaving hospital. Therefore, factors care workers on service satisfaction and dissatisfaction in analysis and problem solving is considered that the need to find ways to improve the quality of service care workers.

Phenomenological Research on Burnout Experience of Hospital Occupational Therapists (병원급 의료기관에서 근무하는 작업치료사의 소진 경험에 대한 현상학적 연구)

  • Hwang, Na-Kyoung;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.55-67
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    • 2020
  • Objective : This study aimed to understand the burnout experience of hospital occupational therapists through phenomenological research. Methods : We conducted in-depth interviews with 6 occupational therapists working at hospital for 8 weeks. The data were analyzed using the Palangsae 2.0 software to derive meaning through the process of transcription and data entry, coding, and topic creation. Results : From the collected data, 14 sub-themes, 9 theme clusters, 3 categories were identified. The cause of burnout was confirmed as being due to therapy-related work and workplace conditions. The impacts of burnout on individual life were psychological in nature and also included being an adverse, influence on others. The coping strategies to deal with burnout were enrichment of personal life, self-awareness and philosophy, conscious approach, social support, and setting new goals for life. Conclusion : We suggest that spontaneous efforts are needed by occupational therapists in order to alleviate the conflicts of job identity. In addition, organizational regulations and programs and the establishment of horizontal organizational cultures are required to overcome and prevent burnout of occupational therapists.