• Title/Summary/Keyword: 지역사회재활

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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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The Effects of Community-Based Rehabilitation(CBR) on the Elderly with Mild Cognitive Impairment(MCI): A Systematic Review and Meta Analysis (경도인지장애가 있는 노인의 지역사회기반 재활의 효과: 체계적 고찰 및 메타분석)

  • Kim, EunJoo;Park, YoungJu
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.628-637
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    • 2019
  • The purpose of this study was to investigate the systematic review and meta analysis the effect of community based rehabilitation on elderly people with mild cognitive impairment by ICF factors. This study used PubMed MEDLINE, Cochrane CENTRAL database from January 2009 to January 2019. As a result, a total of 5 studies were selected. The ICF factor effect size of the community based rehabilitation was 4.77 for physical function and structure, and 6.17 for activity and participation. The results of this study showed that the effect of community based rehabilitation of the elderly with mild cognitive impairment is effective on physical function, structure, activities and participation.

Phenomenological Qualitative Research of Social Admission in Rehab hospitals: Occupational Therapists' Perspectives (요양·재활병원 환자의 사회적 입원과 지역사회 복귀 어려움에 대한 작업치료사의 관점: 현상학적 연구)

  • Kim, Jung-Hun Aj;Hwang, Na-Kyoung;Kim, Jong-Sung;Song, Young-Jin;Choi, Min-Kyung;Kim, Hyung-Sun;Han, Ga-Ram
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.103-120
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    • 2020
  • Objective : This study aims to understand the phenomenon of social admission in Korea's rehabilitation system by analyzing the perspectives of occupational therapists. Methods : We developed a written questionnaire based on RSAT and, in August 2019, distributed it to occupational therapists with more than three years of experience at the time. Data were analyzed using the van Kaam's method. Further, high frequency words were analyzed by word cloud in order to extract significant statements. Results : Forty-six written interviews were collected from various areas of Korea. We analyzed the data into 2 categories, 4 themes, 13 sub-themes. The two categories were 'hospital system' and 'external factors of occupational therapy practice'. The themes according to 'hospital system' were 'difficulties in implementing multidisciplinary approach' and 'inadequate discharge planning system'. The themes according to 'internal and external factors of occupational therapy' were analyzed as 'difficulties of occupational therapists' and 'difficulties in occupational therapy practice'. Conclusion : Occupational therapists in rehabilitation hospitals recognize that the reason for social admission is insufficient insurance systems related to occupational therapy services in rehab hospitals. This leads to difficulties in occupational therapy practice. We need to develop the insurance systems that can meet patient needs for social recovery.

Effects of a Computer-based Cognitive Rehabilitation Therapy on Mild Dementia Patients in a Community (지역사회 경증치매환자를 대상으로 한 전산화 인지재활 치료(COMCOG) 효과)

  • Jeong, Won-Mee;Hwang, Yun-Jung;Youn, Jong Chul
    • 한국노년학
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    • v.30 no.1
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    • pp.127-140
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    • 2010
  • This study aims to understand the effects of a Computer - based Cognitive Rehabilitation Therapy(CBCRT) evidence based on mild dementia patients' ability to activities daily living(ADL), cognitive function and measure of occupational performance and to suggest basic data for a cognitive rehabilitation therapy for dementia patients. Method : A CBCRT was applied two times a week for 5 weeks to 14 mild dementia patients who visited Yongin Center for Managing Dementia in Gyeongi-do between February and August 2009. Based on frame of reference for Visual-Perception a CBCRT was applied at home. Moreover, a one group pretest-post test design was, which is a quasi-experiment and research, also applied in order to verify the effects of the rehabilitation therapy on the subjects' ability to ADL, cognitive function and occupational performance skills. Results: A significant effect was confirmed (p<.05) from the CBCRT which Assessment of Motor and Process Skills(AMPS) processing skills and cognitive function and occupational performance skills. Neither was found any significant effect in improving motor skills from AMPS. Conclusion: It seems that a CBCRT based on evidence and has an effect on the improvement of the ability to ADL and cognitive function of mild dementia patients living in a community. The present author hopes that, in the future, more cognitive rehabilitation programs will be developed to improve the functions of mild dementia patients living in a community.

A Study on the Appropriateness of Community Rehabilitation Job Knowledge and Education for Community Care : Focusing on the Job as an Occupational Therapist (커뮤니티케어를 위한 지역사회 재활 직무 지식과 교육의 적절성 조사연구 : 작업치료사 직무 중심으로)

  • Bae, Seong-Hwan;Jo, Seok-Min;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.379-388
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    • 2021
  • This study was conducted to find out the appropriateness of knowledge and education of occupational therapists' community rehabilitation jobs for community care. A questionnaire was developed to find out the job knowledge level of occupational therapists working in the community and the appropriateness of school education and maintenance education, and the validity and reliability were verified through a preliminary survey. Based on the verified questionnaire, a survey was conducted on occupational therapists working in the community. As a result, overall, the average score was low in the level of knowledge about the job of occupational therapists engaged in the community and the appropriateness of school education and maintenance education. Through this study, we were able to know the necessary knowledge in the practice of community occupational therapy, understand the level of knowledge retention of occupational therapists working in the community, and learn about the appropriateness of school education and maintenance education. Referring to the results of this study, if a systematic education program related to community occupational therapy jobs is developed in existing medical institution-centered education, the job knowledge level of occupational therapists in the community can be raised. Amid the rapidly changing times and the pandemic of infectious diseases, additional research is needed on job-related knowledge and education corresponding to various occupations in charge of rehabilitation in the community.

Participation Experience Analysis of Newsports Program for People with Stroke living in the Community (지역사회에 거주하는 뇌졸중 장애인의 뉴스포츠 프로그램 참여 경험 분석)

  • Kang, Dongheon;Park, Jiyoung;Eun, Seon-Deok
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.541-556
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    • 2022
  • Exercise programs conducted for people with stroke disabilities tend to be monotonous as they are mainly focused on therapeutic effects in the form of physical therapy performed in hospitals. However, the news sports program conducted in this study is thought to deform the intensity and difficulty of exercise in consideration of the exercise ability of each subject and to participate safely and interestingly to use equipment made of special materials. The purpose of the present study was to understand new sports program participation experiences in people with stroke. The qualitative data on eleven participants' new sports program participation experiences were acquired through in-depth interviews. As a result of the study, four subcategories (expectations for the program, experience in participating in the program, and program improvement plan) and ten core concepts were derived. Based on the results of this study, the new sports program for people with stroke living in the community after discharge is expected to be the basis for the development of community-based exercise programs considering the characteristics of stroke.

Effect of Home-Visit Occupational Therapy on Community Dwelling Stroke Survivors: A Case Study (지역사회 거주 뇌졸중 환자의 가정방문 작업치료 효과: 사례 연구)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.87-98
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    • 2020
  • Objective : The purpose of this study was to verify the effectiveness of home-visit occupational therapy in stroke patients. Methods : Two patients with stroke who applied for home-based occupational therapy services at a health center in Seoul were enrolled. The home-visit occupational therapy program evaluates the subject's daily living, task performance, cognitive, and emotional functions, sets occupational therapy goals and plans interventions based on a client-centered approach. Occupational therapy programs consisted of 12 sessions based on the client's major problems. Results : COPM scores improved in both cases, there was an improvement in COPM scores, and in Case 2 there were improvements in MBI and K-MMSE scores. There was also an improvement in KGDS scores in Case 1. Conclusion : Home-visit occupational therapy was found to be effective in improving daily activities, cognition, and mental function of stroke patients. During home and community integration, continuous and continuous rehabilitation services need to be activated from institutional rehabilitation to community-based rehabilitation. Active home-visit occupational therapy is needed to promote physical, cognitive, mental and social access in stroke patients discharged from hospitals.

A Study on the Cognitive Rehabilitation Project of the Elderly with Moderate Memory Dementia (기억학교 경증치매노인의 인지재활사업에 관한 연구)

  • Suh, Kyung-Do;Choi, In-Kyu
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.517-522
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    • 2017
  • The purpose of this study was to develop a cognitive rehabilitation program based on the cognitive activities of the elderly with mild dementia using the weekly care facilities in Daegu city memory and to provide useful welfare services for the elderly with mild dementia. In Korea, there is not much development of community-based integrated intervention program for demented patients who are still in the present situation. The results of this study suggest that the cognitive rehabilitation program for the elderly with mild dementia is suitable to be applied as a group in the case of community based protective editorials and may be a basis for management of mild dementia patients. It seems that there may be differences in the appropriate intervention methods and effects. Therefore, it is expected that the individualized customized strategy will maximize the effect. Therefore, more specific and individualized nursing intervention program should be concurrently developed.

Importance-Performance Analysis of Case Management Factors on Psychiatric Rehabilitation Centers in Seoul (정신재활시설 사례관리 활동에 대한 중요도-수행도 분석: 서울지역 정신재활시설을 중심으로)

  • Seo, Jonggeun;Lee, Seungyeon;Park, Hyejin;Sohn, Jeehoon;Min, Soyoung
    • 재활복지
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    • v.22 no.1
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    • pp.51-86
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    • 2018
  • The study was conducted to examine the characteristics of case management in psychiatric rehabilitation facilities. The purpose of this study is to analyze the importance and performance of case management activities, and 114 cases managers in the psychiatric rehabilitation facilities in Seoul participated in the study. The study analysed the importance and performance of each case management through IPA and Paired T-test. As a result of the study, Assessment stage showed the highest performance and importance, and the performance was conducted as much as the importance. Except assessment, performance in all stages were significant lower than the importance. IPA analysis showed that most case management activities belonged to the quadrant I(high importance-high performance) and the quadrant III (low importance-low performance), but the T-test analysis showed lower performance than importance. Participation of Service users and Cooperation of community resource were lower than those of importance. Participation of Service users showed high importance and performance, but performance was relatively lower than importance. On the other hand, cooperation of community resource was low in overall importance and performance, moreover, performance was very low. It is considered that various efforts should be made to activate them.