• 제목/요약/키워드: 지역사회작업치료

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A Survey About Awareness and Necessity of Community Based Dysphagia Therapy of Community Dwelling Older Adults (지역사회 거주 노인들의 연하장애 인식과 중재 필요성)

  • Min, Kyoung Chul;Kim, Eun Hee;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.39-51
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    • 2022
  • Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.

Occupational Therapy for Community Mobility in Stroke Patients : Systematic review (뇌졸중 환자의 지역사회이동을 위한 작업치료 중재: 체계적 고찰)

  • Jo, Eun-Ju;Kam, Kyung-Yoon;Chang, Moon-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.77-89
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    • 2018
  • Objective : The purpose of this study was to analyze occupational therapy intervention on the community mobility for stroke patients, and to provide evidence of intervention in the clinical fields. Methods : A systematic review was executed according to the PRISMA checklist. The accessed database was PubMed, EMBASE, Cochrane Library (CENTRAL), ProQuest Dissertations & thesis (PQDT), RISS, and KoreaMed. We included the articles published from 2005 to September 2018. RoBANS checklist was used to evaluate the quality of the articles. Included articles, totally eight, were categorized according to the type of intervention. Results : The study design of the literature was varied from two-group randomized trial, quasi-experimental study, case-control trial, one group pre-post comparison study, and cross-sectional study. In the evidence level, 6 articles were included in level II (75%). The percentage of low risk of bias in each article ranged from 52.5%~87.5%. Four studies (50%) provided intervention based on virtual reality or virtual environment. The three (37.5%) provided intervention based on the protocol, and the other (12.5%) did wheelchair training. All studies reported significant effects of the intervention. Conclusion : This systematic review provided evidences to use proper intervention in the clinical fields. Various type of studies should be conducted to prove the effect of occupational therapy intervention for community mobility.

A Study on the Image of Occupation Therapy in the Dep. of Occupational Therapy Students (작업치료학과 학생의 작업치료 이미지 조사)

  • Lee, Hye-sun;Kim, Jung Mii
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.73-78
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    • 2011
  • Purpose : This purpose of this study was to improve the Image of Occupation Therapy for developing profession of Occupation Therapy. Method : The subjects in this study were Dep. of Occupational Therapy Students of University located in Gwang-ju chonnam. After collecting 340 evaluation forms, 316 analyzed and compared them, excluding unanswered or damaged forms. Conclusion : 1) The Image of Occupation Therapy in Dep. of Occupational Therapy Students(M=3.676) was positively perceived. 2) Factor analysis on instrument was conducted that four constructions of professional, social, devotion, and job images. Among four images of Occupation Therapy, professional image was most highly perceived(M=3.925), which were followed by devotion image(M=3.84), job images(M=3.774), and social image(M=3.160). 3) There is no statistical difference of Occupation Therapy image between grade levels.

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Welfare State and Development of the Welfare Policy for the Disabled - Inclusion of Home-based Rehabilitation Services in the Long Term Care Insurance - (복지국가와 장애인 복지정책의 발전 - 노인장기요양보험제도를 통한 방문재활서비스 도입방안 -)

  • Yoon, Tae-Hyung;Kim, Tae-Hoon
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.45-59
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    • 2011
  • Objective : he aim of this study is to describe on the definition of the welfare state and scope of the social welfare and to analyze the development of the social welfare policy for the disabled in South Korea. Methods : We described on the definition of the welfare state and scope of the social welfare and analyzed the social welfare policy and welfare policy for the disabled among Korean Government through literature review. Finally, We also analyzed the welfare policy for the disabled in the Roh Moo-hyun Administration. Results : Welfare policy or welfare policy for the disabled was developed as economic growth from 'selective welfare' to 'universal welfare'. Scope of the social welfare was expanded from 'minimum guarantee' of the Lee seong-man administration to 'participatory welfare' of the Roh moo-hyun administration and that was similar to the welfare policy of administration for the disabled. Conclusion : We suggest that occupational therapist based community should find unmet health need and provide home-based rehabilitation services to the disabled and the elderly.

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Effects of Home-based Cognitive Occupational Therapy Applied to Dementia Patients in the Initial Stages in Gangwon-do (강원도 지역 초기 치매환자에게 적용한 가정방문 인지작업치료의 효과)

  • Lee, Gee-Dae;Jeon, Byoung-Jin
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.75-83
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    • 2014
  • Objective : The purpose of this study is to find out the effects of a Home-based cognitive occupational therapy program conducted for the dementia patients in the initial stages living in Taebaek region in Gangwon-do. Methods : This study carried out Home-based cognitive occupational therapy intervention by 30 Occupational Therapy Dept. students and volunteers targeting 30 dementia patients in the initiative stages for eight sessions, once a week. To identify the change of cognitive function of the participants before and after the program, MMSE-K was used for measuring. Results : As a result of applying Home-based cognitive occupational therapy to the dementia patients in the initial stages, overall cognitive function improvement was demonstrated. Especially, statistically significant improvement was exhibited in orientation, memory retrieval, the concentration of attention, and language ability. Conclusion : The program for cognitive function improvement is considered to be usefully applied to intervention in the dementia patients. The development of various Home-based occupational therapy intervention programs is required in order to adopt the Home-based occupational therapy service in the future.

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A Study on Parents' Actual Uses and Satisfaction toward the Occupational Therapy Service at the Day Care Center for Infants with Disabilities - Focusing on Daegu, Kyongbuk area - (장애아전담보육시설을 이용하는 부모들의 작업치료 서비스 이용실태 및 만족도 조사 - 대구·경북지역을 중심으로 -)

  • Lee, Hye-Kyoung
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.19-27
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    • 2011
  • Objective : The study is to suggest basic data for the expansion and the necessity of the occupational therapy at the day care center for infants with disabilities through investigating actual use and satisfaction of parents who use the day care center for infants with disabilities in Daegu Kyonbuk area. Methods : From May 15 to 29, 2009, 105 parents using the day care center for infants with disabilities were surveyed. Results : Terms of age group, parents using the day care center for infants with disabilities are mostly 30s and 40s. In terms of academic background, there were 58% of secondary school graduates and 38.9% of college graduates. Parents with experiencing 3 years of the occupational theory had 37.1%, which held the largest group. 75% of the objects agreed that infants with disabilities received enough occupational therapy, while they pointed out that the financial burden for therapy would be the major factor in the therapy. Conclusion : In order to provide a qualified occupational therapy in accordance with each individual's purpose at the day care center for infants with disabilities, it would be necessary to expand occupational therapy, to increase the demand for the occupational therapy from parents, and to secure enough number of therapists and financial support from the government and municipalities.

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Satisfaction Survey of Occupational Therapy Service at Specialized Child-care Centers for Disabled in Gyeongbuk (경북지역 장애아전문어린이집의 작업치료서비스에 대한 만족도 조사)

  • Kang, Suk-Gu;Lee, Chun-Yeop
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.55-62
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    • 2015
  • Objective : The purpose of this study was to investigate the satisfaction of occupational therapy service for parents of children with disabilities using specialized child-care centers for disabled in Gyeongbuk. Methods : The subjects of this study were 104 parents who have experience in occupational therapy at 14 specialized child-care centers for disabled in Gyeongbuk. A questionnaire was conducted from July, 2014 to March, 2015. Descriptive statistics of frequency, mean, standard deviation, and One-Way ANOVA study were used to analyze data. Results : Disabled children got occupational therapy at first when they were 3.25 years, on average. Duration of occupational therapy use were 31.84 month, on average. The subjects determined to got occupational therapy mostly through consultation nurseries(40.4%). Most of them got speech therapy(78.0%) other than receiving occupational therapy service, responded very necessary to occupational therapy(69.3%). Satisfaction of occupational therapy service were 4.49 point at attitude of occupational therapists, 4.36 point at occupational therapy program, and 4.26 point at environment of occupational therapy room. Attitude of occupational therapists were the highest satisfied. Conclusion : This study would contribute to effective and meaningful occupational therapy through objective view

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The Effects of Group Cooking Program on Executive Function of the Non-disabled Children in Community Children's Center (집단 요리활동 프로그램이 지역아동센터 비장애 아동의 실행기능에 미치는 영향)

  • Lee, Cho-Hee;Gwon, Sun-Jeong;Lee, Seung-Min;Je, Young-Hyeon;Jo, Ye-Na;Kim, Eun-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.3
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    • pp.59-67
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    • 2018
  • Objective : This study was conducted to investigate the effects of occupation-based group cooking program on executive function for children in community children's center. Methods : The children who participated in the study were 7 to 9 years old. This study was based on a one-group pre-posttest design, which the group cooking program included making of sandwiches, frog-shaped hamburgers, patbingsu, sausage gimbap, and flowerpot cupcake. This study consisted of five activity sessions, which each session lasted for 120 minutes. Effectiveness of the program was measured by using the STROOP Color and Word Test, Children's Color Trails Test and Assessment of Motor and Process Skills. Results : The differences between pre and posttest scores on STROOP Color and Word Test and the process skill score of Assessment of Motor and Process Skills were statistically significant. There was no difference significantly between pre and posttest scores in Children's Color Trails Test-2. Conclusion : This study demonstrated that the group cooking program intervention has effects on cognitive inhibition executive function and performance executive function of children in the community children's center. This study suggests that occupation-based intervention can be applied to various clients in the community setting.

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.

The Effects of Occupation-Based Community Rehabilitation for Improving Occupational Performance Skills and Activity Daily Living of Stroke Home Disabled People: A Single Subject Design (작업기반 지역사회 재활이 뇌졸중 재가 장애인의 일상생활과 작업수행 기술에 미치는 효과)

  • Moon, Kwang-Tae;Park, Hae Yean;Kim, Jong-Bae
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.99-117
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    • 2020
  • Objective : The purpose of this study was to study the effects of occupation-based community rehabilitation on occupational performance skills and activities of daily living in stroke disabled persons living in the community, and to investigate the changes in occupation quality and satisfaction. Methods : In this single-subject ABA design study with follow-up evaluation, one severely disabled person diagnosed with stroke who lived in the community was recruited. The procedure consisted of a total of 25 sessions for 17 weeks. Intervention was according to occupation-based community rehabilitation, and the researcher visited the subject's home. Individualized intervention was applied according to the OTIPM. The intervention was composed of task assignment and feedback, home environment modification, information-related caregiver education, and community resource network. The evaluation of each session included the changes in the frequency of occupational performance skills, the quality of occupational performance in daily life, and the changes in occupational satisfaction, activities of daily living, quality of life, and maintenance of in the occupational performance skills during follow-up. The results were visually analyzed using a bar graph and a linear graph. Results : The results showed that the occupation-based community rehabilitation improved activities of daily living such as putting on socks, shoes slip-on, and upper body dressing garment within reach. Within the framework of the AMPS, it was confirmed that the quality of occupational performance was improved in all the subjects, and the degree of satisfaction also improved. Conclusion : This study showed that occupation-based rehabilitation can improve the occupational performance skills of stroke home disabled people positively affect the quality of occupational performance in daily life. Therefore, I think it is meaningful that useful for them.