• Title/Summary/Keyword: 총체적 재활

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Analysis and Direction of Korea Rehabilitation for the Past 60 Years (한국 장애인재활 60년의 분석과 재활의 방향성)

  • Na, Woon Hwan;Lee, Im Kyu
    • 재활복지
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    • v.18 no.4
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    • pp.1-24
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    • 2014
  • The purpose of this study is to analyze that change of social environment, disability perspective and rehabilitation paradigm of Korea rehabilitation for the past 60 years and to propose future direction for rehabilitation of Korea. The major results of this study are summarized as follow : First of all, there is a disparity of 30 years between persons with disabilities and persons without disabilities for the perspective of social inclusion in Korea. Second, social environment is one of the most important effective variable on rehabilitation for persons with disabilities in Korea, it has been rapidly changed from agrarian society, going through industrial society and intellectual society, to convergence society. Third, disability perspective has been changing to universalist model with change of the social environment and also paradigm of the rehabilitation has been changing from the target of treat, education and training to the member of society that can empower and support persons with disabilities. Forth, rehabilitation policies have been changing from the welfare policies to the empowerment policies in company with change of paradigm. On the basis of the results, the following suggestions can be made : First, universalist model have to be permeated in the society at large. Second, rehabilitation paradigm should change to emphasize the holistic and universalist perspective. Third, the main purpose of rehabilitation policies are equality, mean and target of the policies are to emphasize universal services.

Review of Rehabilitation Programs for Cancer survivors (암생존자의 재활을 위한 국내 프로그램 고찰)

  • Han, Jong Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.307-315
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    • 2016
  • With advances in health care, the cancer survival rate has significantly increased. Even though cancer treatment has finished, cancer survivors may continuously suffer from physical and psychosocial problems. In order to investigate the problems cancer survivors have experienced, a comprehensive rehabilitation program must be developed. This study sought to determine the content and structure of rehabilitation programs for cancer survivors, analyze the effectiveness of such programs, and develop a basis for future comprehensive rehabilitation program development. Through this review, thirteen programs were selected and classified according to exercise, psychosocial, and integrated or comprehensive aspects. Exercise programs improve physical function, fatigue, and hormone-related cancer effects. Psychosocial programs improve quality of life, mood changes such as depression, anxiety, and post traumatic factors. Comprehensive programs improve both physical and psychosocial aspects.

암중모색 중고 커피자판기 시장 출구를 찾아라

  • Korea Vending Machine Manufacturers Association
    • Vending industry
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    • v.6 no.1 s.16
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    • pp.71-74
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    • 2006
  • 최근 중고 커피자판기 시장 경기가 말이 아니다. 대다수의 중고 커피자판기 유통업체들이 심각한 수요부진으로 시름을 하고 있고, 유통가격대는 나날이 급락을 하고 있어 채산성을 유지하기도 힘든 지경이다. 가격 경쟁력으로 무장한 중고 커피자판기 시장마저 부진하다는 사실은 커피자판기 시장 전체가 총체적 난국에 빠졌다는 사실을 반증하고 있다. 신형, 중고 할 것 없이 수요부진의 깊은 늪에서 헤어나지 못하고 있는 상황에서 시장재활이 시급한 과제로 대두되고 있다. 난국 속, 중고 커피자판기 시장의 현실과 과제를 집중 조명해 봤다.

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Web-based Interactive Applications and System to Motivate the Rehabilitation of the Brain Disease Patients (뇌질환 환자의 재활 동기 증진을 위한 웹 기반의 상호 작용형 애플리케이션 및 시스템)

  • So, Seong-Seok;Ryu, Mun-Ho;Yang, Yoon-Seok
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.71-79
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    • 2011
  • The rapid growth of the older population and the decrease in the ages of patients suffering from brain diseases yield desperate demands for social rehabilitation methods to help the brain disease patients to come back to their society. This study developed a prototype of an web-based interactive applications and system to motivate the rehabilitation of the brain disease patients by increasing self accomplishment, and strong willingness to recover. For easy access and dynamic interactions, we utilized various programing languages and authoring tools compatible with Web 2.0 environment. The developed system does not need installation of any dedicated software. It provides an open platform in which many useful interactive applications are easily integrated. It will be extended to a system which provide advanced rehabilitation for brain disease patient and the elderly.

Difference of Functional Outcome Measurements between Total Knee Arthroplasty and Knee Amputation (슬관절 절단과 슬관절성형술간의 가능 수행 측정)

  • Sung, Paul S.
    • Physical Therapy Korea
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    • v.4 no.2
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    • pp.89-99
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    • 1997
  • 임상 결과의 측정에서 새로운 관점을 갖는 것은 중요하다. 의료 재활은 심리적 측정의 질들(표준화, 신뢰도, 타당도)에서 충분한 노력에 수행되어지지 않아 왔기 때문에 환자와 프로그램 사이에 일반화된 기능적인 평가 범위가 부족하다. 장애의 적절한 측정을 위한 요구는 기능적인 상태에서 변화들을 알리고 치료의 필요성을 평가하고 치료를 계획하고 결과를 예측하고 보상 방법을 측정하기 위한 환자의 치료와 임상 연구에서 모두 나타난다. 세계적으로 사용되어지고 있는 기능 평가 도구인 FIM으로부터 이 연구는 신체적 측정의 기대되어진 것에 유사한 비율로 기능적 평가 측정들을 구성한다. 노인 재활에서 기능적인 결과의 측정은 중요한 몇 가지 점이 있다. 첫째는 접근에 기초한 기능적인 결과는 치료 목표 설정에 필요하다. 둘째는 도구는 기능적인 향상을 예상하는데 유용해야 한다. 셋째는 기능 평가는 적절한 타당도와 신뢰도와 함께 고려되어져야만 한다. 넷째는 다른 기능적 도구들이 함께 평가되어져야 할 필요가 있다는 것이다. FIM의 목록의 어려운 접들은 손상을 입은 집단에서는 다소 다양하다. 가장 중요한 부분이기 때문에 하나의 운동범위는 요통과 화상을 입은 환자를 제외한 모든 손상을 입은 집단들에게 적용되어 질 수 있다. 기능의 운동과 인지적인 면은 구분되어지는 것이 중요하였고 분리되어져서 치료되어 졌다. 어려운 목록들은 손상을 입은 집단에서 다양하였고, 다양한 손상의 종류의 독특한 영향을 반영하였다. FIM은 기능적인 장애를 측정하기 위해 고안되어진 또 다른 도구이다. 그리고 다른 것들은 의료 재활을 위한 국제적 자료 체계를 만들기 위한 것이다. FIM의 목적은 의료 재활의 결과를 확인하고 장애의 정도의 측정을 포함한다. FIM은 7가지 수준에서 사회적 인지, 의사 소통, 이동, 움직임 (mobility), 소변 관리, 자조 활동을 평가한다. 범위는 총체적 도움의 비율로부터 완전하게 독립적인 것까지의 범위이고 도움, 감독, 도구의 사용의 범위를 고려한다. 27,009의 환자를 조사한 최근 검사 기록들은 FIM이 움직임(motor)과 인지 기능을 평가하는 것이라는 것을 보여준다(Hinemann, 1993). FIM의 저자들은 자료가 프로그램 평가의 시도에서 즉각적으로 적용 할 수 있기를 기대한다. FSI은 어떤 과제의 수행에서 어려움에 관계된 정보를 제공하는 것을 나타내고 과제를 수행하기 위한 환자를 위한 변경된 전략들을 발달시키기 위해 노력하는 임상가들에게 유용할 수 있다. 두 도구 모두는 전통적인 범위들보다 고관절 골절을 동반한 장애의 좀더 정확한 정보를 모으도록 할 수 있다. 고찰된 모든 연구의 결과들은 골절 후에 남아 있는 잔여 장애의 중요한 수준을 강조한다. 골절 전의 보행으로 회복된 사람은 매우 드물었다. 대부분은 기본적인 움직임 혹은 옷입기, 개인 위생에 관계된 활동들에서 의존적이었다. 많은 사람들은 사회에서 활동을 할 수 없었다. 장애의 적절한 측정의 요구는 환자 치료와 기능적인 상태에서 변화를 알고 치료의 요구도를 측정하고 치료를 계획하고 결과를 예상하고 보상 수단을 결정하는 임상적 연구에서 모두 나타난다. 물리치료 분야는 분야의 다른 영역에서 기능적인 결과를 충족시키고 발달시키는 것이 필요하다.

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Development of a Scale to Measure Participation according to the International Classification of Functioning, Disability and Health (ICF) (ICF 모델에 기초한 장애인의 참여 척도 개발)

  • Kim, Kyung Mee;Yoon, Jae-Young
    • 재활복지
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    • v.14 no.3
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    • pp.95-119
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    • 2010
  • This study aims to develope participation scale of people with disabilities according to the International classification of Functioning, Disability, and Health(ICF). ICF includes a component for classifying and qualifying participation of individuals in the context of their environments. The participation scale were developed using 7 times with different focus groups using the ICIDH-2 as a contextual framework. Candidate 41 items were developed based on the 8 participation components and put into a survey format. Finally, purposeful sample of 363 people with mobility limitations was conducted survey. As a result of survey, participation scale is composed of 38 items that are placed in 7 domains used in the activity/participation component of the ICF: holisitc health; communication; mobility; domestic life; interpersonal interactions and relationships; social and economic life; civic life. This scale does not include the domains of learning and applying knowledge, general tasks and demands, recreation and leisure but more focuses on social and civic life.

A Case Study on Vocal Aerobic Treatment Voice Therapy Development and Application for Classical Singers (성악가를 위한 VAT 음성치료 개발 및 적용 사례연구)

  • Yoo, Jae-Yeon;Lee, Ha-Na
    • 재활복지
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    • v.22 no.1
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    • pp.157-168
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    • 2018
  • The purpose of this study is to investigate the impact of semi-closed vocal training-based Vocal Aerobic Treatment on the voice improvement of soprano. Study subject was one soprano who appealed to the suffering of her voice problem due to vocal cord nodule. A study method of conducting pre/post acoustic evaluation and subjective voice evaluation to compare the measures was used; Vocal Aerobic Treatment was carried out twice a week for a total of 32 session. In the acoustic evaluation, MDVP (multi-dimensional voice program) and VRP (voice range profile) were used to evaluate the pitch, voice quality, and voice range; in the subjective voice evaluation, SVHI (singing voice handicap index) was used to assess voice satisfaction. As a result of the pitch evaluation, the soprano maintained a proper Fo. As a result of the voice quality evaluation, the jitter, shimmer, and the noise harmonic ratio numbers decreased compared to the numbers shown before the treatment. As a result of the voice range evaluation, the scope of the range was broadened, with the number of semitone increasing from 30 to 35. As for the subjective voice evaluation, the result of the total score obtained after the survey report divided by the number of questions showed a decrease from 3.6 to 0.6. The soprano herself reported of having a minor extent of a voice problem. The summary of the above results reflects that Vocal Aerobic Treatment is useful in the voice improvement of vocalists However, as this study is case research regarding the Vocal Aerobic Treatment effect on one soprano, further research on the treatment effect covering many other vocalists is necessary. Also, there is a need for follow-up studies regarding voice management and voice treatment program on not only the vocalists but also the voice users in many other professions.

Analysis of Research Trend of 'Family of the People with Disabilities' ('장애인의 가족'에 관한 연구 동향 분석)

  • Kim, Young-Ae;Jang, Sook
    • 재활복지
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    • v.22 no.3
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    • pp.115-144
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    • 2018
  • This research aimed at suggesting the research direction by investigating the trend of advanced researches that were conducted targeting the 'family of the people with disabilities' in Korea. For this, the researchers selected 6 domestic academic journals, that is, 4 academic journals focusing on disability or family and 2 academic journals that generally treat the topics related to social welfare among the registered academic journals. The researchers conducted a descriptive analysis of the frequency of the research on the family of the people with disabilities, research area, research target, and research method targeting 157 researches published between the first issue and September 2017 issue, which targeted the family of the people with disabilities. Also, this research analyzed how the family function appeared in 157 researches by utilizing the analysis frame that reclassified and composed the family function areas suggested in the advanced research into 6 areas. Based on the analysis result, this research implied that research on extended family member of the people with disabilities, which had focused on the mother of the disabled, necessity of family research considering various types of disability, extension of attention to the family of the elderly disabled people, and the research on family function area method that reflect the stream of the period.

A Study on Social Integration of Person With Disabilities based on Independent Living Paradigm : Life Span (자립생활 패러다임에 따른 장애인의 사회통합에 관한 연구 : 생애주기를 중심으로)

  • Park, Soo-Kyung
    • Korean Journal of Social Welfare
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    • v.58 no.1
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    • pp.237-264
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    • 2006
  • The purpose of this study is to examine the level of social integration of the person with physical disabilities based on independent living paradigm according to life span and to find factors affecting social integration and therefore to make policy implications for a better rehabilitation system. The data was obtained through telephone interviews with physically disabled residing in the city of Seoul and the suburb area of the city. The final sample consists of 591 respondents. The data was analyzed through frequency, oneway anova, pearson's correlation analysis, and multiple regression. In this study, social integration based on independent living paradigm was divided into separate but related dimensions: autonomy of activity daily living, accessibility, economic level, degree of social support satisfaction, consumer control, psychological empowerment. The major findings of this study were as follows: First, the levels of six dimensions of social integration based on independent living paradigm were very different and especially the level of dimensions such as degree of social support satisfaction and consumer control were lower than other dimensions of social integration. Second, each level of social integration by life span was very different. Finally, the factors affecting social integration were socio-psychological traits such as social support, rehabilitation services, self esteem and acceptance of disability as well as the attribution to disability. The current findings suggest that improving nay only ADL or accessibility but also consumer control or social support should be considered by professional and policy makers. And differentiated intervention and policy according to life span necessary to policy makers and field practitioners.

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Qualitative Evaluation of Effectiveness of 'Family Hope Partner Project' for Pediatric Cancer Patients and their Families (소아암 환아와 가족을 위한 가족희망파트너사업의 효과에 대한 질적 평가)

  • Kim, Sunhee
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.59-90
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    • 2017
  • The purpose of this study is to identify the overall effect of Family Hope Partner Project conducted by the Korean Association for Children with Leukemia and Cancer (KACLC) for pediatric cancer patients and their families and provide empirical basic data for the support of them. For this purpose, this study applied a qualitative research methodology as follows; 6 parents and 5 children who used the service for more than one year through the Family Hope Partner Project participated in the interviews. The interviews were conducted from June to July 2016, and the collected data were analyzed through the processes of qualitative analysis. The results of this study are as follows. Pediatric cancer patients and their families who were previously confronted with problems such as a 'barrier of severe pain' and 'swirling anxiety and exhaustion' experienced multi-dimensional effects, thanks to the intervention of 'a genuine master serving as a stepping stone toward their recovery and growth', who were linked to the pediatric cancer patients through Family Hope Partner Project. In other words, they experienced positive effects such as 'support for overall rehabilitation of pediatric patients', 'improvement of family relations', 'relief of needs for social relations', and 'liberation from pressure'. The results of this study were meaningful, in that it substantially corroborated the multidimensional effects of the Family Hope Partner Project, and presented the development direction of the Family Hope Partner Project, which was the first of its kind at home and abroad initiated by the Korean Association for Children with Leukemia and Cancer (KACLC) for pediatric cancer patients and their families.