• Title/Summary/Keyword: Disability Welfare

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Converged Factors Influencing Depression of Community Dwelling Elderly (지역사회 거주 노인의 우울에 미치는 융합적 영향요인)

  • Lee, Jong-Wook
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.237-246
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    • 2016
  • The purpose of this research is to analyze the depression, happiness on aging, self-esteem, life satisfaction and disability of daily living activity level of the elderly people, and to analyze the variables to impact on their depression. The study data were analyzed descriptive analysis, t-test, ANOVA, Pearson's Correlation Coefficient, and multiple regression analysis. The most influential variables on the elderly depression were self-esteem with 27.9% of explanatory power (${\beta}=-.318$, p<.001), followed by life satisfaction with 5.5%(${\beta}=-.248$, p<.001), happiness on aging 4.1%((${\beta}=-.200$, p<.001), disability of daily living activity 1.6%(${\beta}=.128$, p=.026), and 4 variables explaining 39.1% of the elderly depression. Therefore it is necessary to develop specific education programs to reduce depression and to improve self-esteem and happiness on aging of the elderly.

A Policy Alternatives on Developing Health Care Delivery System for Disable Person in the Community (장애인 건강관리를 위한 지역사회 재활보건의료서비스 전달체계 구축 방안)

  • Ryu Hosihn;Lee Juyul
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.5-16
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    • 2003
  • This policy alternatives for establishment of rehabilitation health care delivery system for the disabled in the community were developed based on the data of current health status and situations of health care management for disabled persons in Korea. This research was conducted with secondary data analysis for identifying health status and current situations of managing health of disabled persons, and discussed current issues for establishing rehabilitation health care delivery systems in the community. Observing the health status and current situations of managing health of disabled persons, scope and target population of disabled person extended. so prevalence rates increased. and the severity of disability intensified and specified. The summary of issues of health management for disabled persons included; 1) absence of comprehensive and systematic policy in rehabilitation health care systems. 2) absence of consumer based rehabilitation health care facilities and delivery systems that are considered as the characteristics of disabled persons 3) fixed form of projects based on the provider and lack of variety in the programs. Hereafter. to overcome these problems. policy alternatives should 1) establish a comprehensive rehabilitation health care policy for disabled persons. 2) establish comprehensive and specific community based rehabilitation health care delivery systems that can promote preventing disability. providing medical care for disabled persons, establishing rehabilitation management for disabled persons and health care when returning to society. 3) provide training and secure manpower for rehabilitation, but the training case managers who will take the roles as an expert rehabilitation nurse mediators for multidisciplinary team work are needed immediately. and 4) include efficient connection and provision of independent services for welfare rehabilitation service and health care. Conclusively. a community based rehabilitation health care delivery system should be comprehensive policy vision of the government on rehabilitation health care delivery System rehabilitation service has to be constructed systematically under suitable facilities con consumer characteristics and rehabilitation health care policy. By doing this, consumer comprehensive community rehabilitation health care delivery system could be constructed disabled person.

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THE STATUS OF ORAL HEALTH BEHAVIORS AND DENTAL SERVICES IN THE KOREAN DISABLED (전국 시설이용 장애인의 구강보건의식행태에 관한 조사연구)

  • Kim, Young-Nam;Choi, Youn-Hee;Jeon, Hyun-Sun;Lim, Ji-Jun;Chung, Won-Gyun;Jang, Sun-Ok;Lee, Keung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.1 no.1
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    • pp.18-24
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    • 2005
  • The purposes of this study were 1) to investigate the oral health problem of the disabled according to the handicapped types, 2) to collect the empirical data for developing and establishing the oral health policies for the handicapped, and 3) to find out the major obstacles against the dental services and oral health promotion. The handicapped subjects were collected by designed cluster sampling and interviewed with structured questionnaire in order to measure the oral health knowledge and behaviors. The subjects were attending the special schools and private or public welfare institutions for crippled disorder, encephalopathy disorder, mental retardation, visual disturbance, hearing defect, and developmental disorder. Oral examination was conducted by 13 trained dentists. 1,476 of handicapped people were finally surveyed. The results were as follows; The experiences of visiting dental office during the last one year in 18~64 year-old disabled people were 48.86% in crippled disorder, 52.50% in mental retardation, 58.24% in visual disturbance, 39.29% in hearing defect, respectively. To improve this challenging situation, we should find out the obstacles against the dental service and oral hygiene maintenance by the types of handicap, and develop the oral health policies which could support and advocate the Korean disabled.

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The Effect of Computer-Based Cognitive Rehabilitation Program on Visual Perception and ADL in Children with Intellectual Disaility (전산화 인지프로그램(코트라스)이 지적장애 아동의 시지각과 일상생활에 미치는 효과)

  • Kim, S.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.105-113
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    • 2015
  • The purpose of the study was to verify the clinical effect of Computer-based cognitive rehabilitation program for Children for recovering the visual perception and ADL ability in intellectual disability. For this purpose, 3 intellectual disabilities with visual perception and ADL disorders participated in a clinical experiment to verify the effect of Computer-based cognitive rehabilitation program. They all have 5 common conditions in intellectual disability for objective experimental result. All participant were evaluated with Korean-Development Test of Visual Perception-2(K-DTVP-2), Wee Functional Independence Measure(Wee-FIM) before and after the planned intervention sessions. All intervensions were intensively carried out for 20weeks, 1 time a week. The result were as follows. K-DTVP and Wee-FIM scores were improved significantly compared to pre-intervention. Further studies are needed to verify the effect on various group and lots of participants.

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A Single Case Study of an Adolescent with a Mild Intellectual Disability in Preparation for Independence after Discharge from a Childcare Institution (아동양육시설 퇴소를 앞둔 경증지적장애 청소년의 자립준비를 위한 단일 사례연구)

  • Yu, Jin-Hee;Kim, Min-Kyeong
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.229-239
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    • 2020
  • The purpose of this study was to help young people with mild intellectual disabilities with counseling and self-supporting life experiences. The topic of the counseling contents could be categorized as follows: "institutional life was clumsy and hard, but it was also full of memories," "my adolescent was aching, growing, and lonesome," "an irresistibie being," "independence process is filled with anxiety, excitement." In his process of going independent, the subject showed a strong will for the preparation for independence where he gets through the unfavorable situation surrounding the arduous and lonely independent process. This result proves the effectiveness of the therapeutic intervention based on the coping skills that meet the needs of the social situation for the adolescents who are discharged from institutions in their independence preparation and job search.

Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service (장기요양 이용 재가노인의 인지기능과 일상생활 능력)

  • Chang, Hyun-Sook;Lee, Hung Sa
    • Health Policy and Management
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    • v.22 no.4
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    • pp.522-537
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    • 2012
  • The purpose of this study was to analyze the level of the cognitive function and activities of daily living of the beneficiary older adults at home based on Korean Long-term Care Insurance System. A cross-sectional descriptive survey was conducted from November 2010 to May 2011, the final respondents were 1,026 beneficiary older adults taking home visit care covered in Korean long-term care insurance system. The questionnaire included general characteristics of subjects, cognitive function, ADL(Activity of daily living). The data was analyzed using the SPSS 20.0 version. There was significant difference in cognitive function and ADL between 1st Grade, 2nd Grade and 3rd Grade of long-term care classification. The correlated factors of cognitive function were ADL, long-term care grade, disability of arm and leg, limitation of joint, bed sore and tube feeding. The correlated factors of ADL were cognitive function, long-term care grade, disability of arm and leg, bed sore and tube feeding. This study suggests that cognitive functions have to be mainly considered in long-term care grade. It is necessary to make an effort to develop long-term care grade in Korean long-term care insurance system an cognitive function improvement program for the beneficiary older adults. Above all things government will be seriously contemplating of revise contents for long-term care grade to provide quality of care for the older adults.

Care Strain and Depression Among Mothers Of Developmental Disabilities Children: The Role Of Resilience As a Moderator (발달장애인 자녀 어머니의 양육부담감이 우울에 미치는 영향: 탄력성의 조절효과를 중심으로)

  • Park, Soo-Kyung;Bae, Jong-Phil;Han, Se-eun;Kim, So-min
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.579-594
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    • 2018
  • The purpose of this study is to examine the associations between care strain and depression among mothers of child with developmental disability and to verify the moderating effect of resilience in the relationship between these two variables. The participants was 200 mothers of children with developmental disabilities using programs related to developmental disability of 15 community welfare centers in Gyeonggi province. Major findings are as follows. First, 15% of mothers of child with developmental disabilities were depression risk group. Second, mother's strain were associated with depression and the resilience moderated the relationship between care strain and depression. Based on these findings, it is suggested that policy makers and practitioners should expand intervention program not only for alleviating care strain but also improving mother's resilience to prevent depression of mothers with children developmental disabilities.

Effectiveness of Proprioceptive Neuromuscular Facilitation of Chronic Low Back Pain -A Systematic Review and Meta-analysis of Studies in Korea- (만성허리통증의 고유수용성신경근촉진법 효과 -국내연구의 메타분석과 체계적 고찰-)

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.1
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    • pp.157-166
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    • 2019
  • Purpose: This study compares and examines the effects of proprioceptive neuromuscular facilitation (PNF) on patients with chronic low back pain through systematic literature review and meta-analysis. Methods: Domestic literature was searched with combinations of keywords including "proprioceptive neuromuscular facilitation," "PNF," "back pain," and "low back pain" using the Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Korean Medical Database (KMbase). Six studies (n=148) were finally included in the analysis through a selection and exclusion process. The quality of the studies was evaluated using the PEDro scale. Results: According to the meta-analysis results, the low back pains of the PNF group and the contrast group showed a standardized mean difference (SMD) of 2.21 (95% CI: -3.35, -1.07, p=0.01, $I^2=83%$) after intervention. Thus, the PNF group showed a statistically significant decrease in low back pain compared with the control group. In addition, the SMDs of the Oswestry Disability Index (ODI), lung function, and the Roland and Morris Disability Questionnaire (RMDQ) were -1.34 (95% CI: -1.88, -0.79, p<0.01, $I^2=35%$), 1.14 (95% CI: 0.49, 1.79, p=0.01, $I^2=0%$), and -1.59 (95% CI: -2.56, -0.62, p=0.01, $I^2=46%$), respectively. Thus, the PNF group showed statistically significant differences from the control group. Conclusion: At present, there is some limit to obtaining definite results about effect sizes because there are relatively few randomized controlled experiments that analyze the effects of PNF exercise in patients with chronic low back pain. Therefore, continuous efforts should be made to conduct randomized clinical trials and long-term efficacy studies in the future.

Current status of digital information gap for women with disabilities from a gender-conscious perspective and ways to support informatization education based on empowerment (성인지적 관점의 지역사회 여성장애인 디지털정보격차 현황과 역량강화기반 정보화교육 지원 방안)

  • Choi, Sun-kyoung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.5
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    • pp.655-661
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    • 2020
  • This study examined community-centered informatization education support measures for empowerment of women with disabilities based on gender perspective.First, the 'Digital Information Gap Survey' conducted by the Ministry of Science and ICT used the 2018 'Digital Information Gap Survey' to find out the current status of the digital information gap between male and female handicapped people. The law on information education support for women with disabilities is presented.Lastly, based on the current status of informatization education support available to women with disabilities, centered on local communities, such as establishing a comprehensive women's disability support center, visiting education considering disability types, developing and supporting customized informatization education considering learning ability, and discovering community resources related to informatization. In this paper, we propose a plan to support informatization education for women with disabilities based on capacity building.

A Study on Parenting Competency of Mothers with Mental Illness (여성정신장애인의 양육능력에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.77-98
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    • 2008
  • For women living with mental illness, motherhood may be a normalizing life experiences and offers the opportunity to develop competencies in a major life roles. So, the main premise of this study that social contexts, social support of spouse and extended family, is very important for successful parenting of mothers with mental illness. Thus this study analyzes the impact of marital relationship and social support of networks on three dimensions of parenting competency(expression of love, encouragement of independence, rational discipline) when the socioeconomic(age, number of offsprings, subjective economic level) and disability variables(diagnosis, severity of symptoms, chronicity, frequencies of psychiatric admission) are controlled. This study conducted the survey with 145 mothers with schizophrenia and mood disorder. The major finding of the study are : i) Using step-wise multiple regression, marital relationship, social supports and economic level affect significantly on the expression of love. ii) Using step-wise multiple regression, the most powerful influenced factor on encouragement of independence is marital relationship. iii) Using step-wise multiple regression, diagnosis, severity of symptoms, chronicity and economic level affect significantly on the rational discipline. That is two dimensions of parenting competency, expression of love and encouragement of independence, can be explained well by social contexts variables(marital relationship, social support, economic level). But only rational discipline can be explain well by disability factors. In conclusion, this study recommends service providers to use family based comprehensive case management for the mothers with mental illness.

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