• 재활복지
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• 제18권4호
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• pp.25-45
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• 2014

본 연구에서는 스웨덴의 장애인 보조기구 제공 시스템을 검토하고, 우리나라의 장애인 보장구건강보험 급여정책 대안 마련을 위한 기초자료로서 제공하고자 하였다. 스웨덴에서는 장애인구의 약 10%가 보조기구를 사용하고 있는데, 보조기구 제공을 위해서 중앙정부, 지역정부(란스팅 21개)와 지방정부(콤뮨 290개)의 역할을 명확하게 구분하여 효율적이고 체계적으로 운영하고 있다. 보건사회부 산하의 보건복지국가위원회에서는 지식기반 지침을 개발하고, 장애인정책개발국에서는 장애인 보조기구 정책을 모니터링하며, 장애인 보조기구기술연구소에서는 보조기구 개발연구 및 평가와 보조기구 전시장을 운영한다. 또한, 지역정부(란스팅)와 지방정부(콤뮨)는 보조기구 대여 및 추후관리를 담당하는데, 지역정부(란스팅)별로 보조기구센터를 운영하며 작업치료사, 물리치료사, 심리치료사, 간호사가 처방을 담당한다. 특기할 점은 장애인 보조기구를 무료로 대여하고 추후 관리를 하고 있다는 것과 사용이 끝난 보조기구는 회수하여 재활용을 하고 있다는 것이다. 또한, 처방자격자가 장애진단 담당의(우리나라 시스템)가 아니라 지역 및 지방정부에서 고용한 전문 인력이므로 대상자의 상태를 잘 파악하여 처방을 하고 추후 관리가 가능하다는 점이다.

• 한국치위생학회지
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• 제21권4호
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• pp.413-425
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• 2021

Objectives: This study aimed to provide basic data to lay the groundwork for the introduction of an advanced dental hygienist system by sampling dental hygienists' views about the system. Methods: A nationwide questionnaire survey was conducted targeting 857 dental hygienists working at dental hospitals and clinics, local health institutions, and educational institutions. The collected data were analyzed using frequency analysis, t-test, one-way analysis of variance (ANOVA) (Duncan as post-analysis), and crossover analysis. Results: The average interest level in the advanced dental hygienist system was 3.83±0.95 points. The necessity by field was confirmed to be the highest during dental hygiene for the elderly and persons with disabilities. The working experience necessary for becoming a specialized dental hygienist is 5.56±2.99 (years). The education period necessary for becoming a specialized dental hygienist is 77.30±77.61 (hours). The work authority level for an advanced dental hygienist was indicated to be 50 respondents (5.8%), who said they required direct guidance from a dentist, 313 respondents (48.2%) who said they needed indirect guidance from a dentist, 200 respondents (23.3%) who said OK when given an advanced dental hygienist's separate judgment, 194 respondents (22.6%), who said that the authority must be varied depending on the work. Conclusions: The interest and need of the advanced dental hygienist system were proven to be high and are expected to be applied to basic data for the introduction and settlement of the system.

• Safety and Health at Work
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• 제13권3호
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• pp.279-285
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• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• 사회복지연구
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• 제37호
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• pp.63-89
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• 2008

본 연구는 성인 지적장애인의 비장애 형제들이 장애형제의 미래부양에 대해 갖는 책임감에 영향을 미치는 요인들을 규명하고자 하였다. 이를 위해 서울지역 8개 장애인종합복지관에서 서비스를 이용하는 만18세 이상의 성인 지적장애인을 형제로 두고 있는 비장애 형제들을 대상으로 설문조사를 실시하였다. 총132명의 자료가 최종 분석에 이용되었고, 다중회귀분석방법을 활용하여 지적장애인의 특성 요인 모형, 비장애형제의 특성 요인 모형, 관계적 요인 모형, 종합모형으로 분석하였다. 연구 결과, 지적장애인의 특성 요인에서는 장애정도가, 관계적 요인에서는 형제 간 친밀도와 사회적 지지가 유의미한 영향을 미치는 것으로 나타났다. 최종 종합모형에서는 장애 정도, 비장애형제의 성, 형제 간 친밀도와 사회적 지지가 유의미한 영향을 미치는 것으로 나타났으며, 이중 형제 간 친밀도와 사회적 지지를 포함한 관계적 요인이 부양 책임감을 예측하는 가장 중요한 요인인 것으로 밝혀졌다. 본 결과를 통해 지적장애인과 비장애 형제가 서로 간에 믿음과 이해를 증진시킬 수 있는 형제프로그램의 개발 및 확산이 요구되는 한편, 비장애형제가 가족이나 친구, 그 밖의 주변 사람들로부터 지지를 받을 수 있도록 대인관계망을 넓혀가도록 돕는 것이 중요하며, 또한 장애의 의존도에 따라 부양의 어려움을 경감시키기 위해 상이하게 접근할 필요가 있음을 시사하였다.

• 재활간호학회지
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• 제2권2호
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• pp.176-183
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• 1999

Sexual life is one of the most important things for the quality of living, which nobody can ignore. Especially, spinal cord injury is one of the most typical disabilities, which can cause abrupt changes of sexuality. Hence, sexual adjustment and its subordinate problems have to be dealt with among various problems caused by spinal cord injury. The purpose of this study was to comparative sexual interest and adjustment between the married and the unmarried people with SCI. A total of 134 persons who were registered members of SCI organization and admitted rehabilitation unit between February and June 1999 were included in the study. The sample consisted of 69 unmarried and 64 married people with SCI. Participants answered the 15 items concerning sexual interest, sexual adjustment. The results are as follows: 1) The mean score of sexual interest for the unmarried was 16.4. From seven topics related to sexuality, the greatest interest was to cope emotionally with changes in sexual functioning. For the married, mean score of sexual interest was 13.8 and the greatest interest was to help a partner cope emotionally with limitation on sexual dysfunction. There were significant difference sexual interest between two groups (t=3.75, p= .00). 2) Each mean score for sexual adjustment in the married and the unmarried was 20.0, 19.6. There were no significance difference sexual interest between two groups (t=.24, p= .811). However, there was a statistically significant difference of sexual interest. 3) Sexual interests and adjustments are not correlated in case of the unmarried that have r score= .224, while they are corrlated in case of the married that have r= .398. Because the average age of the SCI becomes lower and lower, sexual rehabilitation programs should be given the unmarried as well as the married with SCI. In conclusion, the spinal injured's major concerns about their sexual life are different between the married and the unmarried-the unmarried are interested in practical problems such as methods and techniques to achieve sexual satisfaction and their fertility, while the married give priority to considerations about their spouse. Paying attention to different sexual interest according to marital status, we should make two different sexual rehabilitation programs for each group. One program including support groups with their sposes for the married, the other program to give a chance t o solve problems of sexuality for the unmarried with SCI.

• 대한안전경영과학회지
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• 제15권2호
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• pp.135-141
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• 2013

As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

• 한방안이비인후피부과학회지
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• 제34권1호
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• pp.112-135
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• 2021

2020년 7월부터 2020년 12월까지 일개 보건소 건강증진과에서 관할지역 거주 중증 장애인 중 뇌병변 장애와 지체 장애인을 대상으로 한의약 장애인 방문건강관리 표준프로그램을 진행하였고, 이 중 1명의 중증 지체 장애인이 구강 건조증을 앓고 있어, 한의 치료의 개입을 통한 통합적인 관리한 결과는 다음과 같다. 1. 팔물탕(八物湯) 연조엑스제를 포함한 한의 치료는 YDQ에 의해 음허(陰虛)로 변증된 지체 장애인의 약물 유발성 구강 건조를 완화시키고 삶의 질을 호전시켰다. 2. 건강 보험에 포함된 한의 치료를 제공하여 한·양방 통합적 개입으로 양약으로 발생한 구강 건조 증상을 관리할 수 있었다. 3. 6개월간 투약된 팔물탕(八物湯) 연조엑스로 인한 이상 반응은 없었다. 4. 팬데믹 상황에서 한의약 방문 진료와 전화 진료가 혼합된 형태의 공공보건기관의 한의약 건강증진사업으로 장애인의 SHCN를 충족하고 장애인의 만성 질환 관리가 가능한 부분을 확인할 수 있었다. 5. 본 연구는 한방안이비인후피부과 증상 및 질환도 보건소 한의약 건강증진사업으로 포함할 수 있는 가능성을 확인하였으며, 유관 학회의 협력 및 지원과 연구가 필요하다고 생각된다.

• The Journal of Korean Physical Therapy
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• 제15권1호
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• pp.61-81
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• 2003

There can be little dissension that the ultimate goal of all physical therapy interventions with the elderly is to restore or maintain the highest level of function possible for the individual. Whenever physical therapists take on this challenge, they assist elders in maintaining their identities as competent adults. Advancing age is associated with profound changes in body composition, including increased fat mass, decreased fat-free mass(particularly muscle), decreased total body water and decreased bone density. Along with these changes in body compositions, and perhaps as a direct result of them, elderly people have lower energy needs, reduced strength and functional capacity and a greatly increased risk for such diseases as noninsulin-dependent diabetes mellitus and osteoporosis. Resistance training is considered a promising intervention for reversing the loss of muscle function and the deterioration of muscle structure that is associated with advanced age. This reversal is thought to result in improvements in functional abilities and health status in the elderly by increasing muscle mass, strength and power and by increasing bone mineral density. In the past couple of decades, many studies have examined the effects of Resistance training on risk factors for age-related diseases or disabilities. We have explored the positive and negative aspects of older adults' participation in resistance training programs. The benefits to older adults are reported to be increased strength, endurance, muscle capacity, and flexibility; more energy; and improved self-image and confidence. The negative aspects include some pain or stiffness and other nonspecific problems. The positive and negative aspects of resistance training are therefore very similar to those in younger populations. Scientific investigations over the past 10 years have demonstrated that resistance training can be safely and successfully implemented in older populations. Even the frail and very sick elderly can benefit and improve their quality of life. Proper design and progression of a resistance training program for older adults is vital to optimal benefits from resistance exercise. The results of data provided by this research on resistance training for health shows that there is enough existing evidence to conclude that resistance training, particularly when incorporated into a comprehensive fitness program, can offer substantial health benefits which can be obtained by persons of all ages. These benefits, including improvements in functional capacity, translate into an improved quality of life.

• 재활치료과학
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• 제11권2호
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• pp.63-76
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• 2022

목적 : 본 연구의 목적은 장애 중증도 수준뿐만 아니라 장애 유형 또한 함께 고려하여 장애인의 고용현황을 분석함으로써 기존의 장애 중증도 수준에 기반한 의학적 손상을 기준으로 하여 직업적 능력을 고려하는 것에 한계가 있음을 지적하는 데에 있다. 연구방법 : 장애인고용공단(2019)에서 조사한 장애인 고용패널조사 2차 웨이브 4차 조사 자료를 사용하였다. 독립변수는 장애인의 장애 중증도와 장애 유형, 종속변수는 고용여부로 하여 장애 중증도에 따른 장애 유형의 고용가능성 오즈비를 로지스틱 회귀분석으로 산출하였다. 결과 : 장애정도가 심한 군은 고용가능성은 관련 변수들을 보정했을 때, 신체외부장애 유형에 비해 신체내부장애의 고용가능성이 0.413(95% CI: 0.271-0.629)배로 유의하게 낮았고(p<.001), 장애정도가 심하지 않은 군에서는 신체외부장애에 비해 신체내부장애가 0.475(95% CI: 0.327-0.690)배로 고용가능성이 낮았다(p<.001). 결론 : 장애 중증도 수준이 같다 하더라도 장애 유형에 따라 고용가능성이 달라질 수 있음을 확인하였다. 장애 유형과 중증도를 모두 고려하여 고용가능성의 편차를 줄일 수 있는 판정 기준의 마련이 필요하다.

• 정보관리학회지
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• 제39권3호
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• pp.51-67
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• 2022

본 연구는 국내에서 서비스되는 대체자료 장서 수준을 진단하고 향후 대체자료 장서개발의 방향성과 목표지향점을 제시하는 데 목적이 있다. 국가대체자료종합목록과 국내 인기도서 및 신간도서 목록을 장서기반 평가방법을 활용하여 비교·분석하였다. 연구결과 첫째, 10년간 인기도서 목록 기준 대체자료 장서 비율은 90.1%이다. '언어', '예술', '기술과학' 주제의 대체자료 장서 비율이 낮은 편이며, 제작 매체별은 '텍스트 데이지자료'의 비율이 높았다. 둘째, 국가대체자료종합목록을 기준으로 주제별, 매체별, 제작기관별 공통장서 확보율과 장서고유성 지수를 분석한 결과 대체자료의 소장 장서량이 많은 도서관에서 공통장서와 고유장서의 편향성이 높게 나타났다. 공통장서 확보율이 높은 주제는 문학과 사회과학 순이며, 장서고유성 지수가 높은 주제는 종교, 예술, 언어 순으로 나타났다. 셋째, 최근 3년간 신간도서의 대체자료 장서 비율은 5.09%이며 같은 기간 동안 공공도서관의 평균 도서구입율은 8.83%이다. 신간도서 대비 대체자료 장서 비율의 적정 기준은 존재하지 않으며 시각장애인의 정보격차 해소를 위해 신간도서 대비 대체자료 장서 비율을 공공도서관 도서구입율 수준으로 높일 것을 제언하고자 한다.