• Title/Summary/Keyword: 지역사회재활

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The Service of Community-Based Rehabilitation in Stroke Patient: A Case Study (뇌졸중 환자의 지역사회중심재활서비스: 사례연구)

  • Kim, Ji-hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.2
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    • pp.31-43
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    • 2011
  • Objective : The purpose of this case study was to proposed a introduction and result of the disabled with stroke in community using services of Community-Based Rehabilitation. Methods : The subject was a 63-years old female patient with stroke who first visit to Public health center in July. She was evaluated on activity daily living action level by using the Modified Barthel Index(MBI) and depression level by using Beck Depression Inventory(BDI). The intervention that was suggested by WHO were Community-Based Rehabilitation(CBR) and general occupational therapy. We were applied from April, 27th 2011, to November 30th, 2011 by occupational therapist. Results : The patient's total MBI score increased from 35 to 55, it means that activity daily living performance capacity was improved. And BDI score decreased from 26 to 14, it means that depressed symptoms were in great decline. She could stand until 5-10 minutes at first, but later stand over 30minutes now. It means her muscle strength and endurance level was increased. The patient's mood condition also was stabilized and then she often showed her smiling face during the therapy. And her protector feels the client's change too. Conclusion : We could know that function level and quality of life of the patient with stroke who return to the community was improved through service of community-based rehabilitation.

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Proposed Application Design for Community-Based Rehabilitation Services Access in Community Care System: Occupation and Activity Based (커뮤니티케어 제도 내 지역사회중심재활 서비스 접근을 위한 애플리케이션 디자인의 제안 : 작업과 활동 중심으로)

  • Bae, Seong-Hwan;Jang, Yeon-Sig;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.4
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    • pp.325-335
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    • 2021
  • Chronic diseases have been increasing recently as the average life expectancy of humans has been extended, and this trend has caused problems such as the widespread demand for health and rehabilitation services and rising medical costs. In order to solve this problem, the community-based rehabilitation has been developed and strengthened in Korea and gradually promoted since 2019. It is important to secure access to clients who want to use services to revitalize community-based rehabilitation. So in this study, as part of the community-based rehabilitation, intends to devise smartphone applications designs and develop a prototype to secure access to community-based occupational therapy services based on occupation and activities. For Occupational Therapy Practice Framework (OTPF), International Classification of Functioning, Disability and Health (ICF), and Allen Diagnostic Module-2 (ADM-2) were used to devise and categorize occupation and activity based application content, and link OTPF, ICF, and ADM-2 through prior research analysis and expert meetings. The derived content was visualized through literature review and activity analysis, and was implemented to enable direct playback within the application using the YouTube API, and finally developed a prototype application. The Android Studio 3.5.2 for Windows 64-bit was used to build the application prototype. In further research, converging various digital technologies for user convenience and additionally researching community-based occupational therapy service providers opinions and service user satisfaction will improve accessibility to community-based occupational therapy services for clients who have difficulty occupational performance in the community.

The Mediating Effect of the Organizational Commitment between the Coworker Relations and the Burnout of the Professionals in Community Rehabilitation Facilities (장애인지역사회재활시설 종사자의 동료관계와 소진의 관계에서 조직헌신의 매개효과)

  • Lee, Byoung-Rock
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.217-223
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    • 2021
  • The research purpose is analyzing the relationship between the coworker relations and the burnout of professionals in community rehabilitation facilities for the disabled. And this study verifies the mediating effect of organizational commitment between the two variables. We conducted a survey of professionals working in 14 facilities of Daejeon and Chungnam area, and the 352 data were utilized for analysis. The analysis results are as follows. 1) The coworker relations of professionals influenced the burnout negatively and the organizational commitment positively. 2) In addition, the mediating effect of organizational commitment was testified between the coworker relations and the burnout. Based on these research findings, several measures were suggested to reduce the professionals' burnout.

Effects of Participating in Tele-rehabilitation Service on Health Promotion and Quality of Life for Individuals with disability (원격재활서비스 참여가 지역사회 장애인의 건강증진 및 삶의 질에 미치는 영향)

  • Cha, Yerin;Jung, Bong-Keun;Lee, Seong A
    • 재활복지
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    • v.22 no.3
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    • pp.169-188
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    • 2018
  • The aims of this study was to investigate the effect of the Tele-rehabilitation service on health promotion and quality of life for individuals with disability. The subjects were 3 men who agreed with participating in service and were assessed of health promotion level with physical/psychological scales and quality of life. The service consists of 20 sessions for 13 weeks. The results are as follows: First, all participants improved psychosocial health promotion (subjective health level) factor. Second, physical health promotion (upper limb function, strength, range of motion) maintained and improved, but there was little change. Third, the quality of life was higher than before. In addition, qualitative research showed that participants experienced a positive change in subjective health status, emotional stability, benefit, and self efficacy, and they were satisfied with the service. Based on the results, it was shown that participation helps improve the health and quality of life of the individuals with disability in the community. This study can be used it as a basic data for establishing a Tele-rehabilitation service for individuals with disability in local community.

A Study on Factors Affecting Social Integration of Visually Impaired People in Korea (시각장애인의 지역사회통합 실태와 관련 요인)

  • Lee, Ik-Seop;Park, Soo-Kyeong;Kwak, Jee-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.149-176
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    • 2003
  • The purpose of this study is to examine the degree of community integration of visually impaired people who have the limitation of mobility in comparison with another disabled and to find factors affecting community integration. The data were obtained through telephone interview with visually impaired people. The final sample was consisted of 1,004 respondents. The data were analyzed using statistical techniques such as crosstabulation, t-test, and hierarchical regression. In this study, the factors affecting community integration was divided into four dimensions : the attribution to disability, physical functioning, psychology and social support system. The major findings of this study were as follows: First, the factors affecting community integration of visually impaired people were age, education, economic status, social support, information support and participation of rehabilitation service. Second, the factors affecting community integration of the low vision and the blind are the limitation of daily activities and social support. But the factors affecting community integration of the blind are participation of education for braille and that of the low vision are information support and participation of rehabilitation service. Finally, the person losing eyesight since school age were the more limitation of daily activities than the person losing eyesight in babyhood. The factors affect community integration of the former are social support, information support, participation of education for braille, and rehabilitation service. The current findings suggest that intervention and policy aimed at improving social support system and formal services such as education, rehabilitation services should be considered by rehabilitation professionals and policy makers.

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A Study on the Experiences of Community Case Managers in COVID-19 Situations (코로나-19 상황 속 일 지역사회 사례관리자의 경험 연구)

  • Baik, Hyung-ui;Kim, Ji-Won;Seong, So-Yeong;Choi, Ye-Sol;Hong, Soo-Bin
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.721-733
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    • 2022
  • This study aimed to explore the experiences of community case managers in COVID-19 situations. For this study, the qualitative research was carried out for six social workers who are in charge of case-management in social welfare agencies. From results of research, the three themes were derived, such as 'a field of crises and opportunities'. Anxiety and efforts to resolve the problem caused by the introduction of new and unfamiliar methods' and 'responding to the clients' situations changes'. Case managers have endeavored to indirectly provide services with new, but unaccustomed ways even in the situations with keeping non-contact and being given limited resources and actively explored the ways to utilize public services to respond to the clients' needs according to the changes of conditions. Therefore, the meaning of this research was concluded to be 'A breathtaking battle to the continuous challenge'. Based on the results of research, the competences equipped by case managers and the direction of their practices were suggested to improve the community welfare currently in the middle of dealing with With-Corona-Era.

Resource Management for O2O based Coach Matching (O2O기반 코치 매칭을 위한 자원관리)

  • Kim, Jiyeon;Kim, Jae Chul
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.318-320
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    • 2022
  • The people who is returning to the community after hospital treatment are faced with the choosing where to proceed with rehabilitation exercise with an appropriate exercise specialists based on the current health condition of them. It is required to supprot a personalized exercise rehabilitation service (hereinafter referred to as ARES system) in the community based on individual disease information and health conditions based on hospital clinical data. In this study, we designed a resource management system for online-to-offline (O2O) based coach matching to improve accessibility with facilities and coaches for exercise rehabilitation in the community.

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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.

The Lived Experience of Occupational Therapists in Public Health Centers Regarding Community Rehabilitation and Health Services: Phenomenological Study (보건소 작업치료사의 지역사회 재활 및 보건서비스 제공에 대한 업무 경험에 관한 현상학적 연구)

  • Park, Kang-Hyun;Jeon, Byoung-Jin;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.63-75
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    • 2021
  • Objective : The purpose of this study was to examine the roles and practices of occupational therapists in public health centers based on their working experience of occupational therapists who are working in these facilities. Methods : We used Giorgi's descriptive phenomenological research method. Six occupational therapists were interviewed, and their recorded data were analyzed using Claizzi's thematic analysis. Results : As a result, 4 categories, 16 themes, and 24 elements were elicited. The major roles of occupational therapists in public health centers were the evaluation of clients, home-visit occupational therapy, management of dementia programs and community connection projects. Interventions that are needed to create a healthy community include case and program management, compensatory approaches, and healthy lifestyle interventions. The difficulties experienced by occupational therapists include their limited number job insecurity, performance-oriented administrative policy, and the lack of communication among professionals. Occupational therapists require education in health management and practice in public health centers to build their capacities. Conclusion : The results of this study could be used for guidelines for occupational therapists who work in community healthcare centers, as well as basic training for competent occupational therapists in the community.