• Title/Summary/Keyword: Disabled quality

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Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model (발달장애아 어머니 삶의 질 구조모형: Self-Help Model을 중심으로)

  • Yang, Mi Ran;Yu, Mi
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.308-323
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    • 2022
  • Purpose: This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden's Self-Help Model. Methods: The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents' Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the predictive model satisfied recommended levels; 𝛘2 = 165.79 (p < .001), normed 𝛘2 (𝛘2/df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%. Conclusion: The study results confirm the utility of Braden's Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers' distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

The Relationship between Structured Time Usage and Quality of Life for University Students : Centered on Health-related University Students (대학생들의 시간 사용과 삶의 질의 관계 : 보건계열 대학생을 중심으로)

  • Sim, Kyoung-Bo;Kwag, Sung-Won
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.3
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    • pp.31-39
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    • 2019
  • Objective : The purpose of this study is to identify time management among college students and provide them with a basic resource for planning and educating them on efficient time management methods for improving the quality of life of all clients who receive occupational therapy services, including non-disabled people. Methods : This study is a survey of four-year university students using the questionnaire to know the relationship between structured time usage and quality of life. A total of 142 questions, excluding eight missing questionnaires, was compared and analyzed with using the general characteristics, time structure questionnaires (time structure questionnaires) and World Health Organization (WHOQOL-BREF). Results : The results of this study showed that there was a significant correlation between quality of life and structured time management, and between the sub-items of structured time management; sense of purpose, structured daily life, persistence, past direction and sleep intensity. Also, factors that affect the quality of life were sleep (β=.214), structured daily life (β=.203), a sense of purpose(β=.343), and past direction(β=.244) appeared in order. Conclusion : In the case of university student who is working within structured time, there were difficulties in showing satisfactory quality of life. These factors of poor quality of life were analyzed to affect structured daily life, sense of purpose, past direction, and sleep level.

Correlation between Stress, Anxiety, Depression, and Quality of Life in Parents of Children with Disabilities during COVID-19 (COVID-19 발생 상황에서 장애아동 부모의 스트레스, 불안, 우울과 삶의 질의 관련성)

  • Kim, Woong-Hee;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.2
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    • pp.22-35
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    • 2022
  • Objective : This study was conducted to investigate the stress, anxiety, depression, and quality of life that parents of children with disabilities have according to their general characteristics and determine the correlation between stress, anxiety, depression, and quality of life. Methods : The subjects were 242 parents of children with disabilities under the age of 13 receiving treatment at rehabilitation centers for the disabled, rehabilitation hospitals, and child development centers located in D, B, and U metropolitan cities. Results : According to the result of analyzing the correlation between stress, anxiety, and depression that the parents of children with disabilities felt and the quality of their lives, the quality of their lives correlated negative with their stress, anxiety, and depression. In the case of the results according to the parents' general characteristics, stress showed a significant difference depending on the education level, monthly income, and anxiety showed a significant difference depending on child rearing time, occupation, and public transportation. Additionally, depression and the quality of life had a significant difference depending on child rearing time, education level, occupation, and monthly income. Conclusion : The results of this study identified the importance of the mental health of the parents of children with disabilities and the correlation between their mental health and quality of life. Social distancing and quarantine rules that children with disabilities must follow have limited their opportunities to receive education and treatment, so the influence of stress, anxiety, depression that the parents of children with disabilities who should continue to take care of their children should be considered. Based on these results, it is necessary to develop support services for the parents of children with disabilities for enhancement in their mental health in preparation for other disasters in the future.

Research Trends in Driving Rehabilitation for the Disabled in South Korea since 2000 (국내 장애인 운전재활 연구동향: 2000년도 이후)

  • Jo, Eun-Ju;Noh, Dong-Hee;Kim, Kwang-Jae;Bae, Seon-Young;Kang, Seong-Ku;Moon, Seong-Bae;Kam, Kyung-Yoon
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.1
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    • pp.33-44
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    • 2018
  • Objective : This study aims to review research trends in driving rehabilitation for the disabled in South Korea since 2000 suggesting research directions for clinicians and researchers. Methods : Fifty eight articles in 16 journals listed in accredited or candidate journal lists of National Research Foundation of Korea from January, 2000 to December, 2016 were reviewed. 'Driving rehabilitation' and 'driving for disabled' were used as search terms. Descriptive statistics were used to classify articles according to study methodology, levels of evidence, study participants, research topics, and academic associations or official journals. Results : Fifty percent of analyzed researches have been published since 2012. Twenty-two studies (37.9%) were published as group comparison and correlational research. Only seven studies (12.1%) were included in evidence level I. There were 19 studies (38.8%) conducted with brain-injured patients among 49 studies including participants. The Korean Society of Occupational Therapy Journal, having published 15 studies (25.9%) about driving rehabilitation, ranked first among the analyzed journals. In research topic, 15 (25.9%) studies were performed about clinical evaluation. Conclusion : The present study showed that the quality of driving rehabilitation-related studies has been increasing, but more intervention-based researches need to be carried out and it is also necessary to carry out various researches in related fields in order to establish efficient driving rehabilitation in Korea.

Influence of Social Support and Social Network on Quality of Life among the Elderly in a Local Community (지역사회 거주 일반노인의 사회적지지, 사회적관계망이 삶의 질에 미치는 영향)

  • Kim, Hyeong-Min;Sim, Kyoung-Bo;Kim, Hwan;Kim, Souk-Boum
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.11-20
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    • 2013
  • Objective : The purpose of this study is to identify the impact of the social support and social network on the quality of life of the elderly residing in a local community. Method : The subjects of this study were 75 healthy old men and women of 13 sites of welfare centers for the disabled and public health centers and senior welfare centers in Busan and Gyeongju. A survey was conducted with a questionnaire that include general characteristics, cognitive ability, social support, social network and quality of life. The analysis was made on 63 replies except 12 subjects who had been excluded by the subject selection criteria. Result : As a result of analyzing correlation of variables affecting life quality, there was positive correlation in contact frequency(p<.05), intimacy(p<.001), and social support(p<.001). Finally, it was analyzed that the variable of intimacy (p<.001) affected life quality of general aged people living in regional community. Conclusion : It was found that intimacy of general aged people living in regional community was a major variable to affect life quality. It could be identified that intimacy which is qualitative feature of social, relational network for the aged who live passive life was important.

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The Legal System for the Independent Practice of Physical Therapy (물리치료원 독립 개원을 위한 제도적 장치)

  • Bae Sung-Soo;Kim Dae-Young;Nam Sung-Woo;Park Hwan-Jin;Jeon Jae-Kyun
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.253-263
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    • 1998
  • To provide physical therapy service of good quality keeping people healthy and obstain structural reformation coping with the demands of in medical service market to foreign intercourse on 21C, we should make legal system fer the physical therapy practice. Thus we suggest the Ministry of Health and Health and the authorities should, 1. Exclude the provision of physical therapist from the classfication of medical technician on the Medical Technician Law Article 2. and establish the independent Physical Therapist Law 2. Eliminate the provision of physician or dentist's guide the Medical Technician Law Article 1. or reform it to physician or dentist's request so that physical therapists may have a independent practice, or 3. Add the provision of the physical therapy center to the Medical Technician Law, the enforcement ordinances and enforcement regulations, such as the provision of optometrist or dental technician.

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Prosthodontic Treatment of Persons with Disabilities Under Dental Sedation and General Anesthesia (치과진정법과 전신마취를 이용한 장애환자의 보철치료)

  • Kim, Yun-Hee;Lee, Jin-Han
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.3
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    • pp.183-191
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    • 2012
  • In most persons with disabilities had poor oral hygiene because of less attention and ability to perform a dental care. So the increased prevalence and severity of dental disease were common oral state. Although most persons with disabilities need a adequate dental treatment, it is often very difficult to treat because of noncooperativity and involuntary muscle movements. Dental treatments under sedation and general anesthesia were make to provide a high-quality dental service because of decreased anxiety and fear associated dental treatment in persons with disabilities. The dental professionals must be able to select and apply the proper sedation methods in agreement with the characteristics of the disabilities, general conditions, sedation experience and capacity of dentist, type and time of dental treatment, equipments of dental clinic, consent of patient's protector. The proshodontic treatment procedures, such as abutment preparation, dental impression taking process, try-in process of prosthesis and adjustment of occlusion, are difficult even for patients without disabilities. Those procedures are more difficult to patients with disability because it's too hard to control breathing and muscle. In this report, we performed prosthetic dentistry procedures to three patients with disabilities under dental sedation and general anesthesia.

The Necessity of Legislation for independent clinic in Physical Therapy (물리치료 단독 개원 법률 제정의 필요성)

  • Goo, Bong-Oh;Kim, Hyeon-Joo;Choi, Ki-Hwan
    • Journal of Korean Physical Therapy Science
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    • v.25 no.1
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    • pp.75-84
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    • 2018
  • Background : In order to recognize the problems of current Korean physical therapy which does not conform to the current trend of modern society and to suggest improvement directions, we will establish a law for exclusive use of physical therapy that can guarantee the health rights of the people and contribute to the development of Korean physical. Methods : Korea's current physiotherapy system is compared with OECD member countries and WCPT member countries, and considering the expected effects and necessities that arise when the sole law is enacted, the sole law for the global trend is presented. Result : If the sole law is enacted and the physical therapist is treated solely, the effect is as follows. 1. Provision of high-quality physiotherapy services through establishment of physical therapy expertise 2. Convenient service provision 3. Reduced treatment costs due to reduced National Health Insurance fiscal expenditure 4. contributing to the improvement of medical welfare for the elderly and the disabled 5. Decreased unemployment rate due to job creation.

CARE OF POSTTRAUMATIC PAIN SYNDROME IN THE PSYCHIATRIC DISORDER PATIENT : REPORT OF CASES (정신 장애 환자에서 외상후 통증증후군의 관리 : 증례보고)

  • Oh, Ji-Hyeon;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.9-16
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    • 2015
  • Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not "normal". For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.

Literature Review about Sexual Adjustment for Chronic Illness and Disabilities (만성질환 및 장애자의 성(性) 재활에 관한 문헌 고찰)

  • Kim Soon-Yong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.7-17
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    • 1997
  • Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

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