• 한국조경학회지
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• 제31권3호
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• pp.1-16
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• 2003

The ultimate goal of this research is to establish the movement rights of people with physical disabilities. To achieve this goal, the authors have investigated the regulation and restrictions of physical facilities to guarantee the movement rights and investigated how well these facilities were constructed. The authors then have analyzed and compared the results. The purposes of this research are as follows. First, the authors investigated and analyzed the present conditions of selected public facilities to propose improvement measures for the disabled, pregnant and seniors so that they could actively participate in cultural activities as normal people do. Second, the designs resulting from this research are provided so as to be helpful to disabled people in everyday life, which is different from previously conducted research. Third, the authors have selected facilities with outdoor areas to differentiate the results from those reported recently through research conducted on indoor buildings. The final step of this research is to provide basic design data on outdoor areas to establish true movement rights for the disabled. According to these research findings, the shortest moving distance cannot be guaranteed only by establishing facilities that follow the Article 3 law about guarantee of convenience improvement for the disabled. If the movement path is not regulated, the facility standards may not exist in one part and the part itself may become obscured and the distance could become longer than necessary. Accordingly, for real movement rights the movement path should be guaranteed not to be violated by other obstacles. The results of this study offer convenience when moving within the outdoor space of cultural facilities by providing direct information for the disabled. The value of this study is that it is the first study on movement rights and movement paths for people with physical disabilities.

• 국제물리치료학회지
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• 제5권1호
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• pp.652-660
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• 2014

In the present study, to examine the effects of somatosensory stimulation of the hands on the hand functions and visuomotor coordination of children with developmental disabilities, a total of 24 sessions of experiments were conducted with three children with developmental disabilities for 60 minutes per session, three sessions per week from January 7, 2013 to March 11, 2013. To examine the effects of somatosensory stimulation of the hands on grasping and visuomotor coordination which are sub-areas of PDMS-2, the A-B study design was used which is a single case study method out of single-subject experimental research designs. Somatosensory stimulation of the hands was shown to be effective in improving the hand functions of children with developmental disabilities. Somatosensory stimulation of the hands showed positive effects on the raw scores and standardized scores of grasping and visuomotor coordination in all the three subject children. Visuomotor coordination functions showed higher scores in post-hoc tests in all three children. In particular, ring throws showed high scores at right $90^{\circ}$, right $45^{\circ}$, center, left $45^{\circ}$, and left $90^{\circ}$ among visual directions. In the present study conducted with children with developmental disabilities, ring throws were performed to examine visuomotor coordination. In particular, the numbers of successes of ring throws on the front, left, and right were shown to be high. Therefore, somatosensory stimulation of the hands was effective on the hand functions and visuomotor coordination functions of children with developmental disabilities.

• 가정과삶의질연구
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• 제26권3호
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• pp.101-114
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• 2008

Eater Seal, the child care experts, observes that children with disability significantly benefit from receiving appropriated care along side their peers. Typically developing children serve as role models from which children with disabilities learn age-appropriated communications and social behavior. Therefore the children with disability can actively participate in well-designed child care settings. But unfortunately in Seoul, Korea, only 2% of children with disability are taken care of in child care centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. This study reviewed Korean domestic physical environment of child care centers for children with disabilities. Questionnaire survey was conducted to 103 centers located in Seoul by mail. Our survey revealed that they need more areas for nursing room and special rooms and the accessibility to buildings has to be improved. Also, there are no elevators in all buildings surveyed. Accessibility to toilet is noted as significant problem, especially wet floors in toilets. In a nursing room, a space for psychological rest and special education is needed for children with mental disability. Technical specifications on how to make buildings and facilities accessible for the children with disability should be developed. The goal of this study is to provide basic information to develop domestic design guidelines to ensure that the child care centers are safe, convenient, and usable for everyone possible.

• 한국주거학회논문집
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• 제18권5호
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• pp.121-131
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• 2007

Eater Seal, the child care experts, observes that children with disability significantly benefit from receiving appropriated care along side their peers. Typically developing children serve as role models from which children with disabilities team age-appropriated communications and social behavior. Therefore the children with disability can actively participate in well-designed child care settings. But unfortunately in Seoul, Korea, only 2% of children with disability are taken care of in child care centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. This study reviewed Korean domestic physical environment of child care centers for children with disabilities. 15 centers located in Seoul were surveyed. Our survey revealed that the accessibility to buildings is poor. There are many places with difference in height of floors. Also, there are no elevators in all buildings surveyed. Accessibility to toilet is noted as significant problem, especially wet floors in toilets. In a nursing room, a space for psychological rest and special education is needed for children with mental disability. Technical specifications on how to make buildings and facilities accessible for the children with disability should be developed. The goal of this study is to provide basic information to develop domestic design guidelines to ensure that the child care centers are safe, convenient, and usable for everyone possible.

• 한국콘텐츠학회논문지
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• 제20권3호
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• pp.627-634
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• 2020

본 연구는 북한의 장애인고용정책을 분석하여, 이를 토대로 북한의 장애인고용 증진을 위한 정책 발전 방안을 제안하고자 수행되었다. 이를 위하여 정책분석의 맥락으로서 북한 장애인고용 관련 법규, 고용 현황 등을 문헌연구, 2차 자료 분석 등을 통해 고찰하였으며, 이후 북한의 장애인고용정책을 Gilbert and Specht(1974)의 정책 산출물 분석틀에 따라 분석하였다. 본 연구의 분석 결과는 다음과 같다. 첫째, 북한 장애인고용정책의 급여형태는 고용급여, 직업능력개발급여 등이다. 둘째, 장애인고용정책의 내용은 분리고용이 주를 이루고 있다. 셋째, 장애인고용정책의 할당은 경증·신체장애인 중심으로 이루어지고 있다. 넷째, 장애인고용정책의 전달체계는 내각의 각 성과 각 시도·시군구 인민위원회를 중심으로 분절적으로 구성되어 있다. 본 연구에서는 이상의 분석결과를 토대로 북한 장애인고용정책 발전 방안을 법규 정비, 급여형태 다양화, 전달체계 개편 등으로 제시하였다.

• 한국전문물리치료학회지
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• 제23권2호
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• pp.44-56
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• 2016

Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

• 한국융합학회논문지
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• 제10권12호
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• pp.169-175
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• 2019

본 연구는 경도의 지적장애를 가진 20대 대학생이 다양하게 누운 자세변화 따른 복합적 폐활량에 미치는 영향을 알아보고자 하였다. 경도의 지적장애를 가진 20대 남자 대학생 20명을 대상으로 실험에 참여하였다. 실험 대상자들은 누운 자세, 오른쪽 옆으로 누운 자세, 원쪽 옆으로 누운 자세, 엎드러 누운 자세에 따라 폐기능 측정기를 이용하여 폐활량을 평가해 보았다. 자료분석은 SPSS 18.0 버전을 이용하여 실험 대상자의 자세변화에 따란 호흡변화를 분석하기 위해 일요인 반복측정 분산분석으로 검증하였다. 결과는 오른쪽 옆으로 누운 자세에서 폐활량이 가장 크게 나타났고 엎드러 누운 자세에서 가장 낮게 나타났다. 이 연구를 통해 경도의 지적장애인이 일상이나 임상에서 침상생활을 할 때 취침에서 가장 안정된 호흡능력을 확보할 수 있는 이상적인 누운 자세를 제시하고 효율적 환기능력에도 긍정적인 효과를 나타날 것으로 생각된다.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.678-688
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• 2022

본 연구는 '재난 불평등' 상황에 노출되기 쉬운 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 직접적인 영향을 살펴보고, 이 관계에서 우울과 주거환경의 매개효과를 통합적으로 검증하기 위한 목적으로 수행되었다. 이를 위해 장애인삶 패널조사 2차년도(2019) 패널 중 만 20세 이상의 지체 장애인 총 803명을 대상으로 분석하였다. 분석결과, 첫째, 지체 장애인의 일상생활제한은 우울에 정(+)적인 효과, 주거환경과 위급 시 행동에 각각 부(-)적인 효과가 나타났고, 우울은 위급 시 행동에 부(-)적인 효과, 주거환경은 위급 시 행동에 정(+)적 효과가 나타났다. 둘째, 지체 장애인의 일상생활제한과 위급 시 행동 사이에 우울과 주거환경은 매개 효과가 있는 것으로 나타났다. 즉, 지체 장애인의 일상생활제한이 위급 시 행동에 미치는 영향에 대하여 주거환경과 우울이 중요한 역할을 할 수 있는 변인임을 시사한다. 분석결과를 토대로 연구의 함의를 제안하였다.

• 한국응용과학기술학회지
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• 제38권2호
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• pp.497-510
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• 2021

본 연구의 목적은 장애아동 양육자의 물리적·정서적 웰니스 사이에서 지적 웰니스의 매개효과를 조사하여 효율적인 관리 방안 제시에 필요한 기초자료를 제공하기 위함이다. 연구 대상자는 장애아동 양육자 177명이며, 자료수집은 2019년 06월부터 2019년 11월까지 하였다. 자료분석은 PROCESS macro를 이용하였다. 일반적인 특성과 변수간 분석은 Independent t-test 및 ANOVA를 통해 통계적으로 유의한 차이가 있는 변수에 대하여는 Scheffé 사후검증을 실시하였다. 변수간 관련성 분석은 Pearson 상관관계 및 위계 다중회귀분석을 하였다. 연구결과, 장애아동 주양육자의 물리적 웰니스와 지적 웰니스는 장애아동 양육자의 정서적 웰니스에 직접적인 영향을 미치며, 또한 물리적 웰니스와 정서적 웰니스 사이에서 지적 웰니스가 매개효과를 제공하고 있다. 이는 장애아동이 가진 물리적 환경의 영향도 중요하지만, 주양육자에게 적절하고 충분한 지적 교육이 동반되어야 정서적 웰니스 증진이 이루어질 수 있다는 것을 발견하였다. 따라서 다양한 교육 프로그램의 확대는 장애아동 양육자의 웰니스 증진에 기여할 수 있을 것이다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권3호
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• pp.219-226
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• 2021

Background: Patients with disabilities often require general anesthesia for dental treatment because of their cooperative or physical problems. Since most patients with disabilities take central nervous system drugs, the management of recovery status is important because of drug interactions with anesthetics. Methods: The anesthesia records of patients under general anesthesia for dental treatment were reviewed, and data were collected. Healthy patients under general anesthesia for dental phobia or severe gagging reflex were designated as the control group. Patients with disabilities were divided into two groups: those not taking any medication and those taking antiepileptic medications. The awakening time was evaluated in 354 patients who underwent dental treatment under general anesthesia (92 healthy patients, 183 patients with disabilities, and 79 patients with disabilities taking an antiepileptic drug). Based on the data recorded in anesthesia records, the awakening time was calculated, and statistical processes were used to determine the factors affecting awakening time. Results: Significant differences in awakening time were found among the three groups. The awakening time from anesthesia in patients with disabilities (13.09 ± 5.83 min) (P < 0.0001) and patients taking antiepileptic drugs (18.18 ± 7.81 min) (P < 0.0001) were significantly longer than in healthy patients (10.29 ± 4.87 min). Conclusion: The awakening time from general anesthesia is affected by the disability status and use of antiepileptic drugs.