• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.533-540
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• 2017

본 연구는 클라이언트 중심 상상훈련이 뇌졸중 환자들의 일상생활활동 및 삶의 질에 미치는 효과를 알아보고자 실시되었다. 경상북도 K병원에 내원한 뇌졸중 16명을 대상으로 하였으며, 클라이언트 중심 상상훈련은 전 후 평가를 제외한 총 4주 동안 주 5회 30분씩 실시하였다. 평가도구는 기능적 독립척도(Functional Independence Measure:FIM)와 뇌졸중 특이 삶의 질 척도(Stroke Specific Quality of Life: SS-QOL)이 사용되었다. 연구 결과 클라이언트 중심 상상훈련 실시 전에 비하여 실시 후 만성기 뇌졸중 환자들의 FIM 점수에서 유의미한 변화가 나타났고, SS-QOL값에서도 긍정적인 변화가 있었다. 본 연구의 결과로 볼 때 클라이언트 중심 상상훈련이 뇌졸중 환자들의 일상생활활동 및 삶의 질 향상에 긍정적인 효과의 가능성을 확인할 수 있었다.

• 대한통합의학회지
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• 제8권4호
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• pp.143-154
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• 2020

Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject's performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

• 대한통합의학회지
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• 제9권4호
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• pp.59-69
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• 2021

Purpose: The purpose of this study was to evaluate the effects of client-centered art and craft activities on depression and quality of life in stroke clients. Through this, we aim to find a way to reduce depression and improve the quality of life in stroke clients. Methods: Clients diagnosed with stroke were selected as participants for the study. Participants in the experimental group (n=13) and control group (n=14) received general occupational therapy. Clients in the experimental group participated in client-centered art and craft activities, whereas clients in the control group participated in general art and craft activities for 8 weeks. Beck Depression Inventory(BDI) and Stroke Specific Quality of Life(SS-QOL) were used to evaluate the depression and quality of life of the clients before and after the intervention. Results: The experimental group and control group presented significant statistical difference in depression before and after intervention (p<.01; p<.05). The experimental group showed a greater decrease in depression (p<.05) than the control group. Additionally, the experimental and control group displayed significant statistical difference in quality of life (p<.01) before and after intervention. The experimental group showed a more statistically significant improvement in quality of life (p<.01) than the control group. Conclusion: These results demonstrate the significance of client-centered art and craft activities in reducing depression and improving quality of life in clients with stroke. Therefore, it is expected to be useful in clinical settings. Occupational therapy should be provided based on the decision of the clients.

• 한국보건간호학회지
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• 제35권1호
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• pp.5-18
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• 2021

Purpose: This study aimed to develop a client-centered integrated home nursing care model for rural areas by analyzing public health nursing, hospital-based home care services, and long-term nursing care in Korea. Methods: The literature review performed included data from the National Assembly Library, DBpia, RISS, and KISS, Google Scholar, the Ministry of Government Legislation, Statistics Korea, and the Ministry of Health and Welfare. Results: The client-centered and integrated home nursing care model in a rural area was opened as the Home Nursing Care Center in a public health center operating directly or on consignment. This model provides both a hospital-based home care services as well as long-term care, in accordance with the health status of the client and difficulty of nursing services. Moreover, the nurse who worked in a sub-organization (Centers for Supporting Healthy Living, Public Health Units, and etc.) of the public health center as care coordinator and case manager facilitates to connect home nursing care services and social welfare services. Conclusions: Our data indicates that the client-centered integrated home nursing care model in rural areas effectively combines professional services, regional accessibility, and social welfare services.

• 사회복지연구
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• 제48권2호
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• pp.97-119
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• 2017

본 연구는 미국 자활 영역에서 아래로부터 위로의 '이용자중심(client-centered)' 접근을 통해 개발되어 사용 중인 '정서적 자활 성과 지표(Psychological Self-Sufficiency: PSS)'의 한국에의 적용 가능성을 탐색하기 위해, 한국 자활 프로그램 참여자를 대상으로 척도 타당성 검증을 실시한다. 자활사업은 전통적으로 '경제적 자활'에 초점을 두고 자활사업의 궁극적 목표인 경제적 성과에\만 집중함으로써, 자활사업 참여자의 정서적, 사회적 변화를 간과해왔다. 본 연구는 자활사업의 성과를 제고하기 위해서는 기존의 경제적 측면에서의 접근 뿐 아니라 정서적 측면에서의 접근 또한 필요함을 제안하며, 자활사업 참여자들의 정서적 변화에 초점을 둔 고용희망 척도(employment hope scale: EHS)의 타당도를 검증한다. 그 결과, 4차원 17문항으로 구성된 한국형 고용희망 척도의 타당성이 검증되었다. 본 연구는 정서적 자활 정도를 측정할 수 있는 성과지표로서 한국형 고용희망 척도의 활용가능성을 검증함으로써, 경제적 자활 성과 지표를 보완할 수 있는 보완적 과정 평가 도구로서의 적용 가능성을 제안한다.

• 한국엔터테인먼트산업학회논문지
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• 제13권7호
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• pp.505-519
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• 2019

본 연구는 고객중심 직업재활프로그램이 뇌성마비 청소년의 직무능력을 위한 직업기초능력, 직업수행능력, 직업적응능력에 미치는 효과를 알아보고자 하였다. 연구기간 및 대상은 2018년 3월 19일부터 8월 27일까지 A도 B군 특수학교에 재학 중인 뇌성마비 청소년 3명으로, 개별대상연구의 행동간 복수간헐 기초선 설계를 사용하였다. 중재는 매주 월요일, 수요일 40분씩 시행하였고, 매 회기 중재가 끝난 후 직업기초능력, 직업수행능력, 직업적응능력을 측정하였다. 연구결과, 본 연구의 고객중심 직업재활프로그램은 대상자별 목표 직무에서 요구하는 직업기초능력, 직업수행능력, 직업적응능력을 향상시켰다. 따라서 본 연구의 고객중심 직업재활프로그램은 뇌성마비 청소년의 직업기초능력, 직업수행능력, 직업적응능력을 향상시키어 직무능력에 긍정적인 영향을 미치었기에, 직업재활프로그램으로 제안하는 바이다.

• 한국멀티미디어학회논문지
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• 제11권2호
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• pp.228-236
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• 2008

최근 증강현실 기술을 이용하여 시공 전의 건축물이나 복원 중인 문화재를 확인하기 위한 연구들이 진행되어 왔다. 기존의 연구들은 특수 장비를 사용하거나 실외의 장거리에서 사용이 어려운 마커를 사용하였으며, 매번 서버에서 가상 객체의 변환을 계산하므로 서버 부하가 우려되기도 한다. 본 논문에서 제안하는 모바일 증강현실 시스템은 휴대폰의 GPS와 가속도 센서를 이용하여 마커 없이도 사용자의 위치 및 방향을 판단하며, 최대한 서버의 부하가 적도록 설계하였다. 서버는 클라이언트로부터 얻은 GPS의 위치정보와 카메라의 영상정보를 미리 정의되어 있는 3D 객체와 비교를 하여 위치와 방향을 판단한다. 그리고 계산된 위치와 방향의 가상 건축물 정보와 정합정보를 클라이언트로 전송하면 이를 받아 카메라 영상 위에 정합한다. 이후에는 서버와 추가적인 접속 없이 클라이언트 내에서 가속도 센서로 감지한 사용자의 움직임에 따라 가상 건축물의 변환을 수행할 수 있다.

• 대한통합의학회지
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• 제3권2호
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• pp.79-87
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• 2015

Purpose: This study was conducted to provide occupational performance evaluated by stroke patients themselves as an intervention according to the periods of its outbreak and examine the effects of it on their activities of daily living and life quality by using the Canadian Occupational Performance Measure (COPM). Method: The subjects of this research were divided into nine persons for the experimental group receiving the client-centered occupational therapy intervention and another nine for the control group getting the conventional occupational therapy intervention. And the intervention was performed for 30 minutes, three times a week, for total eight weeks. The level of activities of daily living was evaluated by the Functional Independence Measure (FIM), and life quality was tested by using SS-QOL. Results: First, about the difference of change in the FIM points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Second, about the difference of change in the SS-QOL points of the two groups, there was statistically significant difference in Mauchly's sphericity verification (p<.05). Third, regarding the coefficient of difference in the change of FIM and SS-QOL points according to the two groups, there existed statistically significant correlation in all the evaluations of before, in the middle of, and after the FIM points and also before, in the middle of, and after the SS-QOL points (p<.05). Conclusion: With the findings of this research, we can see that the client-centered occupational therapy training group shows more improved activities of daily living and life quality than the conventional occupational therapy training group. Therefore, it is expected that the client-centered occupational therapy training will be applied usefully to clinical situations as an intervention to improve stroke patients' activities of daily living as well as life quality.

• 한국사회복지학
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• 제4권
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• pp.103-120
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• 1983

The theory of psychotherapy was established by a single case study. Even though it was lack of generality, it must have been a basic important role in the clinical field. Under the above assumption, the therapist had only one client as a case study that couldn't be well adjusted and had many conflicts because he not only had many complexes, but could'nt recognize complexes themselves. The chief problems to the client who complained the psychosomatic symptoms and anxieties were assumed dependency and inferiority complex. In order to recognize these complexes, therapist had 30 interview section with him. The major goal of therapy was the maturation by which the ability of recognition of complex was obtained. The measurement of effect as to whether the client was matured or not was the advancement of schoolwork result and the progress of sociometric rating. Besides, the therapist exerted all the possible effort in interpreting psycological problems was found in every section of interview. The result of this therapy was known as a full progress in academic credits and in the development of human relationship as same as therapist's expectation. In this study, the therapist used the psychoanalytic insight therapy and the client-centered therapy as the therapeutic method for the client.

• 한국의료질향상학회지
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• 제2권1호
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• pp.136-143
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• 1995