• 재활복지공학회논문지
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• 제9권2호
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• pp.89-103
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• 2015

본 연구는 척수손상 환자를 대상으로 병원기반 사회복귀 지원프로그램을 개발하고, 프로그램 시행 전 후를 비교 분석함으로써 프로그램의 효과성을 평가하고자 하였다. 재활병원에 입원해 있는 25명의 척수손상 환자를 대상으로 2~3개월 동안 일주일에 2번 평균 6.1개의 프로그램을 실시하였다. 프로그램 시행 전, 후 COPM, HADS, AD-R, WHOQOL-BREF를 통해 작업 수행도 및 만족도, 불안과 우울, 장애수용, 삶의 질을 비교하였으며, 퇴원 시 CIQ로 지역사회통합 수준과 퇴원 후의 사회복귀여부를 측정하였다. 자료분석은 기술통계와 대응표본 t검정(paired t-test)을 실시하였다. 연구결과 병원기반 사회복귀 지원프로그램 실시 후 작업 수행도 및 만족도, 장애수용, 삶의 질에 향상을 보였다(p<0.05). 또한 퇴원 후 25명의 척수손상 환자 중에서 10명이 가정, 학업, 직업으로 복귀하였다. 이를 통해 병원기반 사회복귀 지원프로그램이 척수손상 환자들이 퇴원 후 그들이 속한 지역사회로 돌아가는데 효과적임을 알 수 있었다. 척수손상 환자들이 가정과 사회로의 빠른 복귀를 위해서는 사회복귀를 위한 다양한 프로그램 개발과 더불어 체계적인 사회복귀 연계시스템이 이루어져야 할 것으로 사료된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권4호
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• pp.258-267
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• 2023

Objectives: This study aimed to compare the utility of the Psychoeducational Profile-Revised (PEP-R), Korean Wechsler Preschool and Primary Scale of Intelligence, Fourth Edition (K-WPPSI-IV), and Vineland Adaptive Behavior Scale, Second Edition (VABS-II) for evaluating developmental disabilities (DD) in preschool children. Additionally, we examined the correlations between the PEP-R, K-WPPSI-IV, and VABS-II. Methods: A total of 164 children aged 37-84 months were assessed. Children's development was evaluated using the PEP-R, K-WPPSI-IV, VABS-II, Preschool Receptive-Expressive Language Scale, and Korean Childhood Autism Rating Scale, Second Edition. Results: Of the 164 children, 103 had typical development (TD) and 61 had DD. The mean of the PEP-R Developmental Quotient (DQ), K-WPPSI-IV Full-Scale Intelligence Quotient (FSIQ), and VABS-II Adaptive Behavior Composite (ABC) scores were significantly higher in the TD group than in the DD group (p<0.001). The estimated area under the curve of the PEP-R DQ, K-WPPSI-IV FSIQ, and VABS-II ABC scores was 0.953 (95% confidence interval [CI]=0.915-0.992), 0.955 (95% CI=0.914-0.996), and 0.961 (95% CI=0.932-0.991), respectively, which did not indicate a statistically significant difference. The PEP-R DQ scores were positively correlated with the K-WPPSI-IV FSIQ (r=0.90, p<0.001) and VABS-II ABC scores (r=0.84, p<0.001). A strong correlation was observed between the K-WPPSI-IV FSIQ and VABS-II ABC scores (r=0.89, p<0.001). Conclusion: This study found that the PEP-R, K-WPPSI-IV, and VABS-II effectively distinguished DD from TD in preschool children, and no significant differences in utility were observed between them.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.448-465
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• 2020

본 연구는 성인초기 지적장애인을 연구대상으로 하여 가족기능의 조절효과를 중심으로 지적장애인의 자기 결정이 삶의 질에 미치는 영향을 분석하였다. 본 연구 목적을 달성하기 위해, 성인초기 지적장애인으로, 지적 장애진단을 받은 만 18세에서 만 25세인 지적장애인으로 정하고, 지역사회에서 생활하고 있는 장애인을 선정하였으며, 설문 진행의 어려움을 감안하여 성인초기 지적장애인들이 가장 많이 이용하고 있는 주요 복지기관을 선정하여 편의표집을 하였다. 연구결과는 다음과 같다. 첫째, 지적장애인의 "자기결정(자율성, 심리적 역량, 자아실현)"은 "삶의 질(신체적 안녕, 물리적 안녕, 사회적 안녕, 생산적 활동 및 발달, 심리·정서적 안녕)"에 영향을 미치는 것으로 나타났다. 둘째 지적장애인의 "인구통계학적 특성(성별, 종교유무, 근로여부)"에 따라 "자기결정(자율성, 심리적 역량, 자아실현)"의 차이는 발생하지 않았다. 셋째, 지적장애인의 "인구통계학적 특성(성별, 종교유무, 근로여부)"에 따른 "삶의 질(신체적 안녕, 물리적 안녕, 사회적 안녕, 생산적 활동 및 발달, 심리·정서적 안녕)"은 차이가 발생하였다. 넷째, 지적 장애인의 "자기결정"과 "삶의 질"의 관계에서 가족기능의 조절효과가 발생하였다. 본 연구는 성인초기 지적장애인을 대상으로 당사자의 관점에서 바라본 자기결정과 가족기능, 삶의 질에 대한 관계를 검증함으로써 장애인복지 실천현장에서 이들에게 제공되어야 하는 서비스 실천방향을 제시하였다는 측면에서 의미가 있다.

• 감성과학
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• 제13권3호
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• pp.581-596
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• 2010

본 연구의 목적은 정보취약계층인 장애인의 정보화 수준 및 정보격차 현황의 파악 분석과 정보통신기기 수요조사를 통해, 장애인의 정보격차해소를 위한 정책방향 제시와 정보통신 보조기기의 개발 및 활용방안 마련을 위한 기초자료를 제공하는 것이다. 장애인의 정보격차 실태 및 현황 파악을 위해서, 장애여부에 따라 정보통신 기기 보유 및 접근성, 사용능력(역량), 활용도에 차이가 있는지를 T검정을 통해 분석하였다. 그 결과 장애여부에 따라 정보통신 기기 보유 및 접근성에 유의한 차이가 나타났다(T=-2.510*). 본 연구의 수요조사 결과, 정보통신 보조기기는 전체 응답자 중 약 28% 정도가 현재 사용하고 있는 것으로 분석되었으며, 다수의 응답자들이 보조기기의 사용이 실생활에 많은 도움을 준다고 답하였다(67%). 정부나 관련기관으로부터 정보통신 보조기기를 지원받은 경험이 있는 경우는 전체 응답자 중 36%로 나타났으며, 기기의 성능 측면에서도 대체로 만족스러웠다는 의견이 전체의 응답의 약 46%로 나타났다. 한편 기능조작 및 사용법 측면에서는 쉽고 편리다고 응답한 경우가 사용 경험자 전체의 36%에 불과했는데, 가장 큰 불편사항으로는 보조기기 조작의 어려움이라고 응답하였다. 이밖에 정보통신 보조기에 대한 전반적인 요구사항은 기기 성능의 안정화, 크기의 소형화, 버튼의 간소화, 무게의 경량화 등이었다. 본 연구는 장애인을 대상으로 심층면접을 통해 정보통신 보조기기의 이용 실태 및 수요를 구체적으로 밝힌 연구라는 점에서 의의가 있으며, 정보화기기 이용 시 보조기기가 필요한 장애인을 위한 보급정책 수립과 선정 기준을 마련하는 데에도 활용됨으로써 정책 실효성 제고에 크게 기여할 것으로 판단된다.

• 여성건강간호학회지
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• 제5권1호
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• pp.111-132
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• 1999

This correlational descriptive study sought to define the relationship between the experience of Sanhujori, Korean tradition non-professional postpartal care after delivery and abortion and present physical symptom distress of arthritis female who visited to outpatient clinic of rheumatic internal medicine at three hospital located in Seoul, Pusan, Chongju, Korea. Data from a convenience sample of 98 women who orally agreed to be respondent were collected from September 1, 1998 to October 31, 1998 for two months by way of interview with semi-structured questionnaire. Data analysis consisted of frequency, percentage, mean, S. D., Pearson Correlation Coefficient, t-test, ANOVA and Scheffe test as a post hoc by SPSS. The results of the study were as follows ; Mean age of participants as 52.8 years and mean number of children 3.3. Mean frequency of child birth was 3.1 times per woman, 67.4% of respondents had menopause, 57.0% did not have Sunhujori after abortion. The health status implies the subjective health status women perceived, which came from the three points of view of the present, comparative with other of same age and changed after delivery. The respondents of 76.1% perceived them as unhealthy and the main sites of physical symptom distress were upper & lower extremities including knee and hand 34.8%, shoulder 26.5%, waist 22.4%. Women perceived the etiology of the arthritis as 'did Sanhujori wrongly' 36.7%, 'aging process' 24.5%, 'stress' 16.3%, 'overwork' 15.3%, 'Immunocompromize' & 'physical constitution' 7.1% respectively, 'character' 3.1%, 'genetic' 2.0%, 'malnutrition' 1.0%. The mean period of Sanhujori after delivery was 20.4 at the first child and 18.1 at the second child. The higher frequency of child birth, the shorter period of Sanhujori. For the subjective evaluation of whether the women did Sanhujori well or not, the rate of 'did Sanhujori well' was the highest rank in the first child and the rate of 'did not particularly Sanhujori well' was the highest rank in the last child. There was a significant positive correlation between physical function disability and rheumatoid arthritis symptom at the level of 1% of significance statistically(r=.406). And a positive correlation between physical function disability and Sanhubyung symptom at the level of 5% of significance statistically(r=.224). There was a significant positive correlation among rheumatoid arthritis symptom, Sanhubyung symptom and menopause symptom at the level of 1%-5% of significance statistically. Most of all, the correlation between Sanhubyung symptom and menopause symptom was the higher than others. There was a negative correlation between the present physical symptom distress and experience of Sanhujori(r=.-130), however it was not significant statistically. However, there was a positive correlation between subjective health status and experience of Sanhujori at the level of 1% of significance statistically(r=.328). In conclusion, this finding reconfirmed the positive relationship between the perceived health status and experience of Sanhujori after delivery among women of arthritis. It provides a challenge to the professional care givers to study further on the effects of Sanhuiori after abortion or delivery on the physical symptom distress from the variouis aspects through the cross-sectional and longitudinal research. The strategy for the development of the appropriate intervention for primary prevention of sequele after childbirth and quality of care for desirable health outcomes for postpartal women with considering deeply on the relationship between women's health and postapartal care.

• 대한보건연구
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• 제44권4호
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• pp.87-97
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• 2018

연구배경 : 최근, 전 세계적으로 비만유병률(body mass index [BMI] ${\geq}25kg/m^2$)이 비교적 짧은 기간 동안 급격하게 증가하고 있다. 우리나라에서도 빠른 사회경제적 발전과 좌식업무환경 변화 등으로 비만유병률이 가파르게 상승하였으며, 이는 성별에 따라 다른 양상을 보인다. 본 연구는 2011년과 2013년에 반복하여 국가 일반건감검진을 실시한 우리나라 성인을 대상으로 2년간 비만유병률의 변화양상을 성별에 따라 비교 분석하고자 한다. 연구방법 : 최근 2개년 동안의 비만유병률의 변화를 분석하기 위해서, 2011년과 2013년에 반복하여 건강검진을 모두 실시한 우리나라 성인을 추출하였다. 최종 연구대상자는 144,934명이며, 이 중 남자 83,604명(58%), 여자 61,330명(42%)이었다. 단변량분석에서 Chi-square 검정을 사용하였고, 종속변수(BMI)와 독립변수의 요인별 수준의 차이는 t-test, 일원배치분산분석 및 다중비교로 분석하였다. 연구결과 : 2011년 기준으로 전체 대상자 3명 중 1명이 비만(BMI${\geq}25kg/m^2$; 남성, 37.7%; 여성, 27.3%)이었으며, 절반 이상이 과체중(BMI${\geq}23kg/m^2$; 남성, 65.6%; 여성, 50.4%)으로 나타났다. 2개년 간의 BMI는 남 녀 모두 유의하게 상승했다(P<.0001). 남 녀 모두에서 흡연기간이 길수록, 흡연량이 많을수록, 고혈압 가족력이 있는 경우, 당뇨병 가족력이 있는 경우 비만유병률이 더 높았다. 하지만, 거주지역, 수입정도, 음주상태, 정신장애, 장애상태, 장애중증도 변수에서 비만유병률은 성별로 상이한 양상을 보였다. 결론 : 자료분석 결과, 2개년간 남 녀 모두 비만 유병률(BMI${\geq}25kg/m^2$)이 증가하였으나. 남성과 여성 비만유병율의 변화정도는 각 변수별로 남 녀가 다르게 나타났다. 증가 추세인 비만에 대하여 관리 효과를 높이고 비만 중재의 현실화를 위해서 성별 특성을 고려한 통합 프로그램이 필요하며, 본 연구는 그 정책을 수립할 때 기초자료로 활용될 수 있을 것이다.

• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• 농촌의학ㆍ지역보건
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• 제33권2호
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• pp.204-220
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• 2008

Objectives: This study was performed to determine the levels of depression symptoms among the community elderlies and to reveal its related factors, specifically aimed at revealing psycho-social factors such as social support net-work, sense of self-esteem, state anxiety, interpersonal behavior trait and locus of control. Methods: The interviews were performed during the period from April 1st to June 30th, 2007 to the 790 elderlies in urban and rural areas. Results: The mean scores of depression (CES-D) among all subjects were 16.65±10.97(urban: 18.81±10.31, rural: 14.49±11.20) and they were higher in urban than rural. The level of depression symptoms was influenced by the variables of educational level, with or without spouse, bear for living expenses, sense of satisfaction in daily life. As for health related behaviors, they were influenced by the variables of with or without regular exercise. As for health status, they were influenced by the subjective health status, with or without disability of body, visual acuity, hearing ability, ability of food mastication, urinary incontinence, with or without help in activity of daily living (ADL) and instrumental activity of daily living (IADL). As for social support net-work and social activities, they were influenced by number of offspring, frequency of offspring contents, frequency of going out and activity of hobbies. As for psycho-social factors, they were influenced by sense of self-esteem, state anxiety and social support, especially, the level of depression symptoms was higher influenced by the variables of psycho-social factors than other variables. Conclusions: Lower of the level of depression symptoms among the community elderlies would require development and application of programs to keep under management psycho-social factors as well as looking for ways to promoting the present health status.

• 디지털콘텐츠학회 논문지
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• 제13권1호
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• pp.67-74
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• 2012

문장제 문제는 단순한 수학적 수식으로 구성된 연산문제와는 달리 언어적으로 표현된 문제 안에서 수학적 내용을 찾아 그것을 수식으로 표현하는 과정을 필요로 한다. 이는 고차원적인 인지적 전략을 요구하며 학습자는 수학적 사고력과 추론능력, 이해력, 언어와 읽기 등을 고루 활용해야 한다. 하지만 대부분의 학습장애학생들은 문장제 문제를 해결하는데 어려움을 겪고 있다. 본 연구에서는 학습장애학생이 인지적 과부하를 적게 받으면서 인지적 전략을 학습할 수 있으며 또한 학생들에게 전문가의 예시를 단계적으로 제시하는 WOE (Work-Out Examples: WOE) 기반 스마트러닝 학습시스템을 제시한다. 본 시스템의 특징은 다음과 같다. 첫째, WOE를 순차적으로 따라하면서 학습자는 인지적 부하 없이 자연스럽게 문제해결전략을 습득할 수 있다. 둘째, 학습자의 학습 동기를 높이고 흥미를 유발시킨다. 셋째, 시공간을 초월한 학습이 가능하기 때문에 학습자 스스로 학습을 조절하는 자기주도적 학습능력이 향상될 수 있다. 본 시스템의 적용결과는 다음과 같다. 첫째, 학습장애학생의 수준에 맞는 학습 단계가 제공되고 지속적인 피드백이 있기 때문에 학습자의 개별화학습이 가능하였다. 둘째, 학습자들이 학습내용을 자연스럽게 습득함으로써 문장제 문제해결능력이 향상되었다. 셋째, 학습과정에서의 성공경험으로 인하여 학습에 대한 자신감 및 학습동기가 향상되고 긍정적인 자아개념이 형성되었다.

• 대한간호학회지
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• 제29권2호
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• pp.314-327
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• 1999

In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.