• Title/Summary/Keyword: Adults with disabilities

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A Comparison of the Prevalence of Cardiovascular Disease and Lifestyle Habits by Disability Status and Type of Disability in Korean Adults: A Propensity Score Matching Analysis

  • Choi, Oh Jong;Hwang, Seon Young
    • Research in Community and Public Health Nursing
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    • v.31 no.spc
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    • pp.534-548
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    • 2020
  • Purpose: This study was conducted to evaluate the prevalence and lifestyle habits of cardiovascular disease (CVD) according to the type of disability in Korean adults compared to adults without disability. Methods: This study was secondary data analysis using the National Health check-up database from 2010 to 2013. Among the total 395,627 adults aged 30~80, the physically disabled (n=21,614) and the mentally disabled (n=1,448) who met the diagnosis criteria were extracted and compared with non-disabled (n=372,565) through 1:2 propensity score matching for nine characteristics. Results: Prior to matching, the prevalence of CVD was 34.4% in individuals without disabilities, accounting for 53.8% in those with physical disabilities and 22.4% in those with mental disabilities, showing significant differences between groups (p<.001). After matching, compared to the individuals without disability, those with physically disabled had significantly higher prevalence of CVD and the average number of CVD (p<.001). The prevalence of hypertension, diabetes, and vascular disease was significantly higher in the physically disabled (p<.05). Drinking was significantly higher in the non-disabled than in the physically and mentally disabled, and smoking was more in the non-disabled than in the mentally disabled. Physical activity was found to be significantly less in both the physically and mentally disabled than in the non-disabled (p<.01). Conclusion: It is necessary to confirm the differences in the prevalence of CVD risk factors and lifestyle according to the type of disability, suggesting the development and verification of health promotion programs including physical activity for CVD prevention in the disabled with CVD risk factors.

A study on the realization of community care for the developmentally disabled: Focusing on Japanese community practice (발달장애인 커뮤니티 케어 실현방안 연구: 일본의 지역사회 실천을 중심으로)

  • Shin, Kyung-An;Lee, Eun-A;Kim, Do-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.88-96
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    • 2020
  • The rate of admission to facilities for people with developmental disabilities in Korea is very high for other types of disabilities. Therefore, 'community care', which supports life in the community for people with developmental disabilities, is very important compared to other types of disabilities. However, in Korea, families with disabilities are the problem of care and are appealing for the burden of support. This study analyzed practical cases through welfare institutional visits and interviews on support for community independence in Japan. As a result of the study, the transition of people with developmental disabilities to communities in Japan was centered on group home. The private sector is providing support for people with severe disabilities in group home to live in communities, and Sapporo City Hall is conducting private connections to solve the problem of caring for the developmentally disabled elderly parents. Accordingly, as Korean policy recommendations, it is proposed to expand group home, switch functions of living facilities for the disabled, cope with the problem of caring for the disabled by elderly parents, and provide preventive services through surveys on the actual condition of adults living alone. As practical suggestions, it is necessary to develop and distribute educational textbooks such as pictures to improve daily life skills for self-reliance, expand sufficient manpower and facilities in vocational training for self-reliance, and operate shelters for adults with developmental disabilities and their guardians.

Complementary and Alternative Medicine Among Older Adults in the United States: Current Evidence and Future Directions

  • Yoon, Saun-Joo L.
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.73-89
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    • 2006
  • Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.

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A Study on the Effect of High School Students' Self-esteem on Perceived Stigma toward People with Disabilities (고등학생의 자아존중감이 장애인에 대한 낙인에 미치는 영향)

  • Kim, Mi Jin
    • Journal of Korean Academy of Rural Health Nursing
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    • v.10 no.2
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    • pp.59-73
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    • 2015
  • Purpose: This study was done to investigate the effect of self-esteem on perceived stigma in high school students toward people with disabilities. Methods: The participants in this study were 140 high school students from Gyeonggi Province. Data were collected during May 2013. Structured questionnaires were used for data collection. Data were analyzed using descriptive by statistics, t-test, ANOVA, Pearson correlation coefficients, and simple regression analysis with the SPSS 19.0 program. Results: The major findings of this study are as follows: There was a significant relationship between stigma toward people with disabilities and self-esteem among the high school students (r=-.205, p=.015). There was also a significant relationship between relationships with friends (r=.291, p<.001), health statement (r=.400, p<.001) and self-esteem among the high school students. Self-esteem explained 3.5% of the variance in high school students' stigma toward people with disabilities (F=6.041, p=.015). Conclusion: Findings of this study suggest a need to develop education to increase self-esteem as a strategy to decrease high school students' stigma toward people with disabilities. Also, findings of this study suggest the need for repeated study on the relationship between self-esteem and stigma toward people with disabilities among adults.

Quality of Life Scale for Adults with Developmental Disabilities - Development and Validation - (성인발달장애인의 삶의 질 측정을 위한 척도 개발)

  • Jung, Soyon;Seo, Honglan;Kim, Jeong In
    • 재활복지
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    • v.20 no.4
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    • pp.107-134
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    • 2016
  • The primary purpose of this study is to develop a quality of life scale for adults with developmental disabilities and to test its validity and reliability. For this purpose, the authors generated a initial item pool composed of 62 items based on the conceptual model of Felce and Perry (1995). The initial items were evaluated by three reviewers, and then the items were revised based on their feedbacks. Utilizing a survey questionnaire including the scale items, data on 430 adults with developmental disabilities were collected in collaboration with 33 social welfare agencies and residential facilities for people with disabilities. Through descriptive analysis, correlation analysis, and relevant theories, the qualities of each item were examined, and then the best 20 items were selected. Cronbach's ${\alpha}$ for the final scale was .87. The results of confirmatory factor analysis showed that the 5-factor model fitted the data reasonably well, In addition, criterion validity of each subfactor of the scale was successfully established, employing t-test, one-way ANOVA, and correlation analysis. In discussion, implications and limitations of this study were examined.

Determinant Factors of Maintaining Employment in a Young Adults with Intellectual Disabilities: Focusing on the Personal Factors of Participants Employed after Vocational Training Program (청년기 지적장애인의 고용 유지 결정 요인: 직업훈련 프로그램 참여자의 개인적 요인을 중심으로)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.4
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    • pp.519-529
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    • 2015
  • The purpose of this study is to examine the determinant factors of maintaining employment in young adults with intellectual disabilities who took part in a vocational training program and was employed. The determinant factors were from four areas, such as physical competence, job-related task performance, emotional behaviors, and functional adaptive behaviors. 64 young adults with intellectual disabilities participated in this study. The participants' capacities were examined during the program, and then their job retention was examined through a follow-up survey six month after the end of the program. Tests contained hand dexterity, grasp strength, finger strength, visual-perception, Survey of Functional Adaptive Behaviors, and Observational-Emotional Inventory-Revised. After data collection, the data were analyzed by binary logistic regression. The results indicated that dexterity in both hands (OR= 1.123) in physical competence, anxiety (OR= .733) and socialization (OR= .429) in emotional behaviors, and academic skills (OR= 1.077) and vocational skills (OR= 1.542) in functional adaptive behaviors were significant determinant factors. These significant factors which affected job attention were consistent with the results from previous studies, and should be considered when designing and constructing an effective career and vocational education program for young adults with intellectual disabilities.

Care and future expectations of families with severe disabilities (중증장애 가족의 돌봄과 미래기대)

  • Shin, Kyung-An
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.139-146
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    • 2020
  • Care of people with severe disabilities requires care throughout their life cycle compared to non-disabled families. For this reason, carers of severely handicapped families are highly likely to have negative feelings throughout the family as well as daily stress. Disabled families also have a high rate of experiencing difficulties between non-disabled children or married couples in life centered on the disabled. In particular, the rapid aging in Korea affects the lives of the elderly disabilities along with the aging of the caregivers. The study explored alternatives to realistic support through the past and present experiences of caregivers with disabilities through qualitative research methods, and derived hopes and expectations for the future as follows.First, after confirming the disability for infants and toddlers with disabilities, information about the support system or system is provided from the rating agency. Second, providing "customized care support" suitable for the type of disability or individual characteristics at the social, political, institutional, and economic levels. Third, the provision of programs for non-disabled children and the provision of healing programs only for families with disabilities or those with disabilities. Fourth, the provision of spaces and programs that provide rest and rest for adults with disabilities. Fifth, the application of a long-term care system for the elderly reflecting the aging age of the disabled and institutionalization of community care for the disabled. The research is meaningful in that it presents discussion points for improving the quality of life of adults and the elderly with disabilities.

A Study on the Mediated Effect of Quality of Life for the Disabled on the Relationship between Satisfaction with Residential Facilities and Satisfaction with Family Life in Families with Disabilities

  • JungHyun Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.36-44
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    • 2023
  • The purpose of this study is to explore the factors affecting the satisfaction level of the disabled and their families. for proposing various future types of residential facilities required by parents of adults with disabilities.

Analysis on Life Condition and Needs for Welfare Service of Women with Disabilities in Adult in Gyeongbuk (경북 성인 여성장애인 생활실태와 서비스 욕구 분석)

  • Park, Ju-Young;Kim, Dong-Hwa
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.229-244
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    • 2018
  • The purpose of this study was analyze life condition and needs for welfare service of women with disabilities in adult in Gyeongbuk. And to suggest ways to support effective. Method was conducted a questionnaire survey of 465 subjects. The results of this study was as follows: First, The women with disabilities in young adults was two generations, one children, high school graduate, spouseless, mental disabilities. Also, The needs for welfare services about economic activities and employment was high. Second, The women with disabilities in middle-age people was two generations, two children, high school graduate, spouse, physical or cerebral palsy disabilities. Also, The needs for welfare services about daily activity support, economic activities, employment and pregnancy, childbirth, childcare was high. Third, The women with disabilities in older adults was single-person household, three children, elementary school graduate, spouseless, physical or cerebral palsy disabilities. Also, The needs for welfare services about health and medical care was high. Finally, They needs support in economic activities, employment and daily activity support and pregnancy, childbirth, childcare, and health, medical care. Based on this, Suggestions for effective support were suggested.

Exploratory Research on the Linkage between Lifelong Education for People with Disabilities and Vocational Rehabilitation under the Lifelong Education Act Revised (「평생교육법」 개정에 따른 장애인평생교육과 직업재활 연계방안)

  • Jeong, Yeonsoo;Park, Kyungsoon
    • 재활복지
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    • v.22 no.4
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    • pp.123-152
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    • 2018
  • This article tried to understand roles of lifelong education for people with disabilities among revised lifelong education act and to search how rehabilitation counselor attend to the area of lifelong education for people with disabilities and connect. And this article reviewed literatures on significance of act revision and carried out FGI with seven experts. The result was as follows as. First, responsibility of nation on lifelong education for people with disabilities was emphasized after act revision and was extended. Second, the roles of national lifelong educational promotion center for people with disabilities was reinforced and extended possibility of attendance and connection. Third, the result of deep interview between experts appeared as necessity of reestablishment about concept. lifelong education support necessity by disability area, restructure and support of work and methods exploration for coexistence. In conclusion, the methods for coexistence are need because vocational rehabilitation and lifelong education for people with disabilities are essential for adults with disabilities.