• 대한감각통합치료학회지
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• 제1권1호
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• pp.25-37
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• 2003

Objective : To explore the effectiveness of sensory integration program of home-based outcomes in child with sensory modulation disorder. Methods : This study used the simple case study. The subjects were three children diagnosed as developmentally delayed who 14 month and 26 month males and a 15 month female. After initial evaluation, parents were educated on sensory diet and Wilbarger protocol method for 30 minutes twice for home-based treatment and asked to make out daily treatment planning. To measure improvement of children, we used for the Denver Developmental Screening Test II(DDST II), Wee Functional Independence Measure(WeeFIM), hand function, functional ability, oral motor function, Sensory Profile(Dunn, 1999). Results : After the home-based program, the scored of the Denver Developmental Screening Test II(DDST II), Wee Functional Independence Measure(WeeFIM), hand function, functional ability, oral motor function, Sensory Profile(Dunn, 1999) were higher rather than initial evaluation after the home-based program. Conclusion : The home-based program is effective for children with sensory modulation disorder but parents had to be educated by therapist specific evaluation and treatment in sensory integration.

• 재활치료과학
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• 제9권2호
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• pp.99-117
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• 2020

목적 : 지역사회에서 생활하는 뇌졸중 장애인을 대상으로 작업기반 지역사회 재활이 뇌졸중 장애인의 작업수행기술에 미치는 영향을 연구하고, 작업 수행의 질과 만족도 변화에 대해 알아보고자 하였다. 연구방법 : 단일대상연구(Single subject research) 중 ABA 설계를 사용하였고, 뇌졸중 진단을 받은 심한 장애인 1명을 선정하였다. 연구 과정은 2019년 5월 21일부터 2019년 9월 7일까지 17주간 총 25회기(기초선 A 5회기, 중재 기간 B 14회기, 기초선 기간 A' 5회기, 추적 기간 1회기)로 진행하였다. 중재는 연구자가 대상자의 집으로 방문하여 진행되었다. 작업치료중재과정모델에 따라 중재 모델 선정 및 적용하였으며, 중재에는 과제 제공 및 피드백, 관련 정보 교육, 가정환경 수정, 지역자원 연계가 포함되었다. 작업기반 지역사회 재활 프로그램을 적용한 이후 일상생활에서 작업수행기술의 빈도 변화, 작업수행 만족도, 일상생활활동과 삶의 질의 변화를 알아보았으며, 추적 관찰하였다. 결과는 선형그래프와 막대그래프를 이용하여 시각적으로 분석하였다. 결과 : 작업기반 지역사회 재활 프로그램을 적용했을 때, 손 닿는 곳의 상의 입기, 침대에서 양말과 실내화 신기, 의자에 앉아 신발 신기 기술과 일상생활활동이 향상되었다. 작업수행기술 평가 결과 대상자의 작업수행 기술의 질이 향상되었음을 확인하였으며, 작업수행 만족도 또한 향상되었다. 결론 : 본 연구를 통해 작업기반 지역사회 재활 프로그램이 지역사회에 거주하는 뇌졸중 장애인의 작업수행기술을 향상할 수 있으며, 일상생활활동과 삶의 질, 작업수행 만족도에 긍정적인 영향을 미쳤다. 마지막으로 뇌졸중 대상자 뿐만 아니라 지역사회에 거주하는 장애 유형별로 작업기반 지역사회 재활 프로그램이 보편화 되기를 기대해 본다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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• pp.222-224
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• 2007

Social participation of the elderly and the disabled continuously becomes more active due to the improvement of social systems and technological development. Various systems such as intelligence robots and intelligence home systems have been developed to support their social participation, and those systems obviously contribute to the independent lives of the elderly and the disabled. Those systems, however, usually require special hardware, which make them very expensive. Considering the economic difficulties of the users, the problem should be tackled with software-oriented approaches using existing hardware such as laptops. The software should be adapted to users with limited capabilities by enabling them to utilize the system without much knowledge related to computers and also without keyboards and mice. This paper suggests software-oriented approaches to solve those problems with the description of the unified user interface for a special work chair, and introduces an actual development procedure of the program together with real application of related theories.

• Human Ecology Research
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• 제57권3호
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• pp.445-457
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• 2019

This study investigated the impact of parentification on ambivalence over the emotional expression of early adults who had a sibling with disabilities and examined if rejection sensitivity moderated the relationship of parentification and ambivalence over emotional expression. Participants consisted of 116 siblings in early adulthood who had a sibling with disabilities (45 male; 71 female). The data were collected from 13 centers for family disability, four community rehabilitation centers, three parent societies for people with disabilities, and three self-help groups in Seoul, Busan, and Gyeonggi province. The levels of ambivalence over emotional expression, parentification, and rejecton sensitivity were measured by the Ambivalence over Emotional Expression Questionnaire (King & Emmons, 1990), the Filial Responsibility Scale-Adult (Jurkovic, Thirkield, & Morrell, 2001), and the Rejection Sensitivity Questionnaire (Downey & Feldman, 1996), respectively. The PROCESS Macro program examined the moderating model. The Results indicated that both levels of parentification and rejection sensitivity increased the level of ambivalence over emotional expression of non-disabled siblings. In addition, rejection sensitivity moderated the effect of parentification on ambivalence over emotional expression. The influence of parentification on ambivalence over emotional expression was greater when the level of rejection sensitivity was high, compared to when it was low.

• 국제물리치료학회지
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• 제8권1호
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• pp.1100-1104
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• 2017

The purpose of this study was to examine the effects of community-based rehabilitation (CBR) program on activities of daily livings (ADLs), quality of life and assistive technology satisfaction for disabled adults in South Korea. Fourteen community-dwelling subjects were participated in a home-based rehabilitation program which performed once a month for 2 months. The outcome measures included Modified Barthel Index (MBI) for assessing ADLs, EuroQol five-dimensions questionnaire (EQ-5D) for quality of life (QoL) and Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0) for assistive technology. Significant improvements in ADLs, quality of life and assistive technology satisfaction were observed after the program. This study indicated that community-based rehabilitation program is an effective method for improving ADLs, quality of life and assistive technology satisfaction for adults with disabilities.

• 대한가정학회지
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• 제48권6호
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• pp.103-118
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• 2010

본 연구는 복지개혁이후 어떻게 저소득층 가정이 그들의 보육요구에 대응하고 있는 가를 질적 접근을 통하여 연구하였다. 본 연구는 연구 초기 생계지원금을 받던 22명의 저소득층 가정의 어머니들을 6개월마다 가정방문 하여 인터뷰를 한 장기적 연구 자료를 토대로 본 연구는 이전 연구에서 잘 다루어지지 않았던 빈곤아동들의 삶을 생애사적 접근으로 조명하였다. 일반적인 보육사용의 흐름, 저소득층 아동이 갖게 되는 보육과 관련된 특별한 조건들에 관한 심층적인 분석과 함께 저소득층 장애아동의 보육과 관련된 요인들도 심층적으로 분석하여 제시하였다. 본 연구의 결과는 공적지원과 더불어 사회적 지원망을 통한 비용부담이 적고 양질의 보육서비스를 제시하는 접근방법이 저소득층 가정의 자생력을 키우는 하나의 좋은 방안이 될 수 있음을 보여주었다.

• 가정과삶의질연구
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• 제27권1호
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• pp.73-88
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• 2009

The purpose of this study was to investigate the influence of the factors such as self-esteem, social supports, socio-economic status of parents, degree of disability in child, stress coping, religion, and sports.exercise on the qualities of lives in mothers with disabled children. Data were collect from 45 institutions(schools from kindergarten to senior-high, special education institutes, and social welfare institutions) by self-report questionnaire, and the subjects of the study were 386 mothers in Seoul whose children were attending the schools or institutions. Findings according to socio-demographic variables are as follows: 1. Mothers with disabled children in this study thought their quality of life as average degree. 2. The younger the mothers and children, the higher the quality of life was. 3. The higher the educational level and monthly income, the higher the quality of life was. 4. There was no statistically significant difference between the existence and nonexistence of spouse, and between the existence and nonexistence of religion as well. Findings analyzed by multiple regression are as follows: 1. Among 7 independent variables 'self-esteem'(${\beta}$=.49, p<.001), 'social supports'(${\beta}$=.15, p<.01), and 'socio-economic status'(${\beta}$=.11, p<.05) were found to be statistically significant in quality of life in mothers, while the rests were found not significant. 2. 'Self-esteem' was found to be the most influencing variable, meaning that the psychological factor such as self-esteem is more important than environmental factors in qualities of lives in mothers. 3. The total amount of explanation of the model was Adjusted R square=.301, so that it can be said about 30% can be explained among total variance of the qualities of lives in mothers with disabled children. Conclusions and recommendations based on the results above are: First, it is strongly recommended to conduct programs promoting self-esteem in mothers with disabled children, and to include 'self-esteem' hereafter in the studies related to qualities of lives in mothers with disabled children. Second, comprehensive and practical countermeasures should to be formulated to back up expenses for education and medical care, purchasing relative tools and equipments, plus helping to find jobs.

• 한국전문물리치료학회지
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• 제10권1호
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• pp.139-158
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• 2003

This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents' demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권4호
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• pp.57-68
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• 2011

The purpose of this study is to provide the planning factors of housing for the disabled and elderly based on the inclusive housing design as sustainable neighborhood. The goal of inclusive design is to make buildings and communities more livable for all type of people. Inclusive design should embrace other good design goals and reinforce them, not work against them. To carry out this purpose, we should proceed in the following way: First, we deducted the four design factors (the basic, recommendable, adaptable, and residential factors) by reviewing the characteristics of inclusive housing concepts. Second, we analyzed the related foreign design standards and guidelines such as the ICC/ANSI A117.1 Type C Units (the United States, 2009), Lifetime Standard (the United Kingdom, 2010), and Livable Housing Design Guideline (the Australian, 2010) through four design factors based on inclusive design concepts. Finally, we suggested the housing design factors for the disabled and the elderly in Korea. To conclude, we can make the followings: It is important basic factor that the bedroom and bathroom layout closed to each other. Also, the bedroom has the proper height of light switches, outlets, and windows. The recommendable factors take into consideration stairs and ramp, if existent. The adaptable factors are closely related to domestic housing culture as well as residential factors. Proceeding from this fact, the livability for people with disabilities and older requires accessibility and adaptability that take into account public and efficiency considering the current trend of housing development and urban planning.

• 간호행정학회지
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• 제14권4호
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• pp.421-431
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• 2008

Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.