• 대한정형도수물리치료학회지
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• 제10권1호
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• pp.103-116
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• 2004

The purpose of this study was to investigate between low back pain scale and disability index owing to gait pattern. For the period of February 1 to February 29, 2004, we had conducted a questionnaire and direct interview with 100 persons lived in Daejeon. The result were as follows: 1. The stride length of experimental group. the male was $49.9{\pm}12.9cm$. the female $45.7{\pm}12.9cm$ and the width of feet, the male was $13.5{\pm}5.7cm$, the female $12.2{\pm}4.8cm$. 2. The Fick angle of all subjects was showed in external disposition, the left angle showed in asymmetry, the male was $11.0{\pm}5.7^{\circ}$, the female $8.5{\pm}1.3^{\circ}$. 3. The foot arch was similar to sex as a weight bearing and non-weight bearing, the male was $1.3{\pm}0.8cm$, the female $1.3{\pm}0.9cm$. 4. The impedimental index according to back pain grade, men was a lower than women, the male was $5.7{\pm}6.9$ and the female $7.2{\pm}5.3$. 5. The relation to difference between foot arch and disability index according to back pain grade as a weight bearing and non-weight bearing, the higher foot arch, the higher back pain grade was statistically significance(p<.05). 6. The relation between width of feet and disability index according to back pain grade, the wider width of feet, the higher back pain grade was statistically significance(p<.01). 7. The relation between stride length and disability index according to back pain grade, the wider stride length, the higher back pain grade was statistically significance(p<.05).

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.211-218
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• 2012

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

• 한국학교ㆍ지역보건교육학회지
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• 제20권2호
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• pp.25-36
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• 2019

Purpose: The purpose of this study was to examine the factors affecting of health screening among persons with disabilities. Method: The study examines the factors affecting of health screening using over 20 years of age who participated in the 2017 National survey of the disabled data. Subjects were 6,332 person with disabilities over 20 years of age. Data were analyzed using descriptive statistics, X2-test, multiple logistic regression with the SPSS win 21.0 program. Results: Health screening among persons with disabilities is differentiated with education level, marital status, Subjective House economic status, Health insurance, Economic activity, Type of disability, Grade of disability, Stress recognition, Depressive symptom, Suicidal thinking, Suicidal attempt, and grade of disability. The significant predictors of the health screening were age, Subjective House economic status, Economic activity, and Grade of disability. Conclusion: We should consider age, disability level, and economic level when developing a screening program for people with disabilities. Especially, the development and promotion of the health screening program for persons with disabilities and related education are required.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4812-4818
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• 2010

경부 통증은 청소년과 성인에서 흔히 경험된다. 경부장애지수는 경부통의 상태를 평가하기 위하여 가장 흔히 사용되는 자가보고 방식이다. 이 연구의 목적은 일부 대학생의 경부장애지수에 대한 분포를 조사하는 것이다. 자료는 대학생(남성: 229, 여성: 405)을 위한 NDI 설문지로 수집되었다. 통계학적 분석은 SPSS 12. 0으로 이루어졌고, 기술통계, 독립표본 t-test와 피어슨 상관분석을 사용하였다. 결과는 다음과 같다. 첫째, 경부장애의 정도를 나타내는 두 번째 선택 안에서 높은 항목은 '두통'으로 나타났고, 세 번째 선택 안에서 높은 항목은 통증정도로 나타났다. 둘째, 여성이 남성보다 더 높은 경부장애지수, 백분율, 경부장애등급을 나타냈다(p<0.05). 셋째, 남성은 '장애 없음'이 63.8%, '경도 장애'가 35.4%, '중등도 장애'가 0.9%로 나타났고, 여성은 '장애 없음'이 53.6%, '경도 장애'가 44.7%, '중등도 장애'가 1.5%, '중증 장애'가 0.2%로 나타났다. 마지막으로 경부장애지수등급은 경부장애지수 항목과 상관성이 있는 것으로 나타났다(p<0.05). 본 연구의 결과들은 장래의 임상적, 역학적 연구 자료에 기초를 제공할 수 있을 것이며, 경부장애의 예방과 관리에 대한 적절한 교육과 대책이 필요함을 나타낸다.

• 보건의료기술평가
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• 제6권2호
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• pp.106-113
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• 2018

Objectives: The purpose of the study was to estimate the economic burden of stroke in Korea using post stroke disability grades and to measure smoking attributed economic burden. Methods: The disability grade of stroke patient was assessed for stroke patients who did not have a history of stroke before from a large cohort study in Korea. Treatment costs of patients were estimated by the National Health Insurance Service annual statistical report and care cost was estimated by the need of care defined by the assessed disability grades of patients. The population attributable fraction from WHO was used to calculate the proportion of cost due to smoking. Results: The study revealed that the cost of the stroke in 2015 was about 3.228 trillion won, while the care-giver cost was approximately 176 billion won. The cost of the smoking attributed stroke was about 724 billion won. Conclusion: This study is useful for estimating the cost of smoking considering the post-stroke disability and the results is important for achieving the national goal of extending healthy life from the Fourth National Health Promotion Plan.

• 농촌의학ㆍ지역보건
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• 제35권4호
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• pp.405-416
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• 2010

이 연구는 뇌졸중으로 장애진단을 받은 환자들을 대상으로 보건서비스를 제공하기 위한 사전조사와 뇌졸중 발생 및 장애정도와 관련된 요인을 분석하여 뇌졸중 예방과 장애를 최소화하기 위한 목적으로 실시하였다. 뇌졸중 환자에서 중증장애발생은 연령이 증가할수록, 의료기관 도착시간이 3시간 이내 보다 6시간 초과 12시간 이내로 지연되는 경우 1.81배 증가하였고 뇌졸중 관련 만성질환이 없는 경우보다 만성질환이 2개 이상 있는 경우 0.57배 감소하였다. 뇌졸중에 대한 교육유무는 중증장애에 영향이 없었지만, 뇌졸중 발생 전 뇌졸중 관련 교육 유경험자 비율이 3.2%로 적었다. 향후 뇌졸중으로 인한 개인적, 사회적 비용을 줄이고 장애를 최소화하기 위해서는 발병 후 급성기에 효과적인 치료를 위한 뇌졸중환자 응급의료체계 구축과 함께 지역사회 뇌졸중환자와 고위험군을 대상으로 의료기관 도착 전 지연시간을 줄이기 위한 보건교육 등의 중재프로그램 개발이 필요한 것으로 판단된다.

• 한국안전학회지
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• 제34권1호
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• pp.115-121
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• 2019

Background: Due to the diversification and advancement of research, researchers have become to deal with a variety of chemical and biological harmful materials in the laboratories of universities and research institutes and the risk has increased as well. Therefore, it is necessary to strengthen the social safety net for laboratory accidents by strengthening the compensation to the level comparable to that of Korean Workers' Compensation & Welfare Service, when the researchers become physically disabled by laboratory accidents. The purpose of this study is to secure researchers' health rights and to create a research environment where researchers can work with confidence by strengthening the compensation to the level comparable to that of Korean Workers' Compensation & Welfare Service. Method: We analyzed the laboratory accidents by year, injury type, severity of accident and disability grade with the 6 year data from 2011 to 2016, provided by Laboratory Safety Insurance. Based on the analysis result, we predicted the financial impact on Laboratory Safety Insurance if we introduce a compensation annuity by disability grade which is similar to Injury-Disease Compensation Annuity of Korean Workers' Compensation & Welfare Service. Result :As of 2011, the insured number of Laboratory Safety Insurance was approximately 700,000. The Average premium per insured was KRW 3,339 and there were 158 claims. Total claim amount was KRW 130 million, whereas the premium was about KRW 2.3 billion. The loss ratio was very low at 5.75%. If we introduce a compensation annuity by disability grade similar to Injury-Disease Compensation Annuity of Korean Workers' Compensation & Welfare Service, the expected benefit amount for 1 case of disability grade 1 would be KRW 1.6 billion, assuming 2% of interest rate. Given current premium, the loss ratio, the ratio of premium income to claim payment, is expected 41.4% in 2017 and 151.6% in 2026. The increased loss ratio due to the introduce of the compensation annuity by disability grade is estimated to be 11.0% in 2017 and 40.4% in 2026. Conclusion: Currently, laboratories can purchase insurance companies' laboratory safety insurance that meets the standards prescribed by Act on the Establishment of Safe Laboratory Environment. However, if a compensation annuity is introduced, it would be difficult for insurance companies to operate the laboratory safety insurance due to financial losses from a large-scale accident. Therefore, it is desirable that one or designated entities operate laboratory safety insurance. We think that it is more desirable for laboratory safety insurance to be operated by a public entity rather than private entities.

• 대한장애인치과학회지
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• 제14권2호
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• pp.78-87
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• 2018

Patients with mental disability who are classified as dental severely disabled, have poor oral health status and many difficulties in taking health services. The purpose of this study was to investigate factors of influencing in visiting oral health care services. After receiving approval from institutional review board in Seoul National University, 39 participants were recruited and the oral health examination and questionnaire were taken. Data were analyzed using one-way ANOVA, independent t-test, hierarchical linear regression for predicting influence of each participants' characteristics on oral examination time and care time. In regression model, the higher the disability grade and the lower the degree of cooperation, the more oral examination time increased. However possibility of communication was not significantly influenced. Also, the higher the disability grade and the lower the degree of cooperation, the more oral care time increased. However possibility of communication was not significantly influenced. These results are expected to provide objective data for introduction and establishment of visiting dental care.

• 한국콘텐츠학회논문지
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• 제21권2호
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• pp.185-194
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• 2021

본 연구는 통합교육이 보편화한 초등학교에서 학생들의 장애수용 태도에 영향을 미치는 요인을 파악하기 위하여 실시되었다. 이를 위하여 2019년 9월 전라남도 3곳의 초등학교 4~6학년 학생 472명을 대상으로 설문조사를 실시하였으며, SPSS 23.0을 사용하여 회귀분석을 실시하였다. 조사 결과, 성별, 학년은 장애수용 태도에 유의미한 영향을 미치지 않았으며, 반면에 공감 능력, 접촉 경험, 장애아동에 대한 지식의 순으로 장애수용 태도에 영향을 미치는 것으로 나타났다. 이를 통하여 지식습득에 앞서 타인에 대한 공감 능력을 향상하는 것이 초등학생의 장애수용 태도 증진에 더욱 중요하며, 이를 위한 프로그램과 교육의 개발을 제안하였다. 또한, 접촉 경험이 장애수용 태도에 부적 영향을 미치는 것으로 나타나, 더 긍정적인 장애 관련 경험을 증진할 필요성을 제안하였다.

• 사회복지연구
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• 제42권2호
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• pp.323-350
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• 2011

근로능력은 장애인소득보장정책과 장애인고용정책에서 정책대상자를 선정하는 핵심요인이다. 우리나라에서 사용하고 있는 근로능력평가지표인 장애등급은 의학적 손상에 기초하여 결정되는 것으로, 제대로 근로능력을 평가하지 못한다는 비판을 받고 있다. 이 연구에서는 장애등급, ICF 활동참여수준, 일상생활도움필요정도 및 자기평가건강상태의 4 근로능력평가지표들이 장애인의 취업여부에 대한 설명력을 비교함으로써 가장 적절한 평가지표를 찾아 내고자 하였다. 그 결과, ICF 활동참여수준이 장애인의 취업여부에 대한 설명력이 가장 높았으며, 이어서 일상생활도움필요정도, 장애등급, 그리고 자기평가건강상태의 순으로 나타났다. 결론적으로 장애인연금제 및 장애인고용정책 등에서 적절하게 활용할 수 있는 근로능력평가지표는 ICF 활동제한 및 참여제약 영역에 해당하는 지표들이라고 할 수 있다. 따라서 ICF 활동제한 및 참여제약 영역을 바탕으로 한 근로능력 평가지표가 장애등급보다 더 적절한 근로능력평가지표라고 할 수 있을 것이다.