• Title/Summary/Keyword: Psychological Rehabilitation

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A Study on the Factors in Relation to Job Performance of Community-Based Rehabilitation Program in Health Centers (보건소의 방문보건재활업무 수행정도와 관련요인에 관한 연구)

  • Kim, Ji-Yun
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.121-139
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    • 1999
  • Persons with disabilities have increased and among others, number of them in the community is at the high proportion. But they have a difficulty in physical, psychological adjusting and they don't be offered appropriate, sufficient rehabilitation services. Therefore, Community-Based Rehabilitation Services in Health Center be needed. With these backgrounds, this study was conducted to examine factors in relation to job performance of community-based rehabilitation program in Health Centers, and the factors are characteristics of district nurses, internal factors, external-environmental factors. This study provides guidelines for effective management for rehabilitation program. Subject in this study were 122 Health Centers randomly chosen. Data were collected from September, 16, 1998 to October, 9, 1998, and the data for analyses were ones of 105 respondents. The instrument of this study was job performance of community-based rehabilitation program is modified WHO guidelines. Credibility of instruments was 0.73-0.95 in main study. The summary of results was as follows. First, the mean of job performance of com munity-based rehabilitation program was 2.33 of full score 4.00. Significant differences were not obtained on the job performance among areas. Second, stepwise multiple regression analysis revealed that the most powerful predictor to job performance was community-based health program. The number of volunteer workers, the score of cooperation with other institution, the number of visiting nurse, the number of facilities for person with disabilities are accountable factor to the job performance of community-based rehabilitation program. In conclusions, for all the people with disabilities, Health Centers are necessary to promote community-based rehabilitation program and to increase participation of community residents and to cooperate with other institution.

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A Study on Psychological Rehabilitation to Decrease Powerlessness in the Elderly Population (노인의 무력감 완화를 위한 심리 재활에 관한 연구)

  • 김조자;임종락;박지원
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.506-525
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    • 1992
  • Older people, because of the psychological and physiological changes related to the aging process are more vulnerable to experiencing powerlessness than any other age group. This self destructive cycle of depression in older people related to the experience of continued and long term powerlessness can lead even to death. The purpose of this study was to measure powerlessness and resources to increase power in older people, and to measure the effectiveness of a psychological rehabilitation program for reducing powerlessness. The research methodology used was a two step process. In the first step, a survey was done of perceived powerlessness and power resources comparing four groups of elderly people ; those living at home, those in hospital, those living in nursing homes and those attending educational programs for the elderly. The total sample size was 236. In the second step, a psychological rehabilitation program was carried out, pre and post measurements were taken related to this program. The sample consisted of 29 residents in a nursing home. The results of the study are as follows : 1. Powerlessness was classified as cognitive, emotional, activity and learning. The lowest score for powerlessness was in the area of activity, that is the people in the sample felt more power concerning their activities. The highest score was in the area of cognition where they felt they had less power. 2. When the different groups of elderly were compared, it was found that the residents of the nursing home had the highest score on perceived powerlessness and the group who were living at home had the lowest score. 3. Among the general characteristics, the factors influencing the powerlessness score were age, sex, level of education, financial resources and health status. In the interaction effects among these factors, it was found that level of education and health status were factors influencing perceived powerlessness. The elderly with lower education and poorer health status had the higher scores for perceived powerlessness. 4. The power resources could be classified into the following areas : physical strength, emotional strength, positive self-image, energy, knowledge, motivation and belief system. Belief system was given the highest score among the power resources and energy, knowledge and motivation were given low scores. 5. The group participating in an educational program for the elderly had the highest score for power resources while the group made up of residents of a nursing home had the lowest score as well as the highest score for perceived powerlessness. 6. The factors influencing the power resource scores were sex, level of education, financial resources and health status. In the analysis of the interaction effect among the factors, it was found that sex, level of education and financial resources were the factors that influenced the power resource score, that is, women, those with a low level of education and those with poor financial resources reported a lower level of power resources. 7. There was a negative correlation between perceived powerlessness and power resources in the elderly in this study. Since power resources explainded 49% of the variance for powerlessness, it can be concluded that the power resources can be used to reduce powerlessness. 8. The psychological rehabilitation program was carried out with the nursing home residents over a period of five weeks. No statistically significant difference was found in the scores on powerlessness between the pre and post tests, but there was a slight decrease in the raw scores on the post test for emotional, activity and learning powerlessness. There was a statistically significant increase in the power resource scores for emotional strength, positive self-image, energy, knowledge and motivation in the post test as compared to the pre test. In conclusion, the study indicates that a psychological rehabilitation program for the elderly could be effective in increasing power resources and this in turn could lead to a decrease in perceived powerlessness.

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Related Factors of the Quality of Life in Stroke Patients (뇌졸중 환자의 삶의 질의 관련요인)

  • Hong, Yeo-Shin;Suh, Moon-Ja;Kim, Keum-Soon;Kim, In-Ja;Cho, Nam-Ok;Choi, Hee-Jung;Jung, Sung-Hee;Kim, Eun-Man
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.111-123
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    • 1998
  • The related factors of the quality of life (QOL) in stroke patients was identified empirically. The subjects were 254 stroke patients who were discharged and taken follow-up care at the outpatient department. In this model, the physical, psychological, and social status were assumed to affect the QOL. And the social support was assumed to moderate these effects. NIH stroke state, ADL, and IADL were used to measure the physical status. Using CES-D, the psychological status was measured. The social status was defined as the job change after stroke attack. The satisfaction with the care by primary caregivers, significant others, and health professionals was measured as the social support. To identify the effect of the physical, psychological, and social status on the QOL, multiple regression analysis was carried out. The psychological and social status were found to be the significant predictors of the QOL(R2=0.27, p=0.00). Next, to identify the moderating effect of the social support, the subjects were divided into two groups, that is, the low social support group and the high social support group. It is found that the predicting variance is different between these two groups. In the low social support group, the psychological, social, and physical status predicted as much as 42% of the QOL. On the contrary, the psychological status predicted only 8% of the QOL in the high social support group. So it is concluded that the social support moderates the effects of the physical, psychological, and social status on QOL. Finally, to identify the social support which moderates those effects, the social support was divided into three classes. Each social support class was divided into the low and high social support group again. In the every class of social support, the difference between two groups was also identified. So the model of the QOL is recommended for the framework of the care for the stroke patients. Also these results support the claim that the long-term facilities for stroke patients are necessary.

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Digital Barrier-Free and Psychosocial Support for Students with Disabilities in Distance Learning Environments

  • Kravchenko, Oksana;Koliada, Natalia;Berezivska, Larysa;Dikhtyarenko, Svitlana;Baida, Svitlana;Danylevych, Larysa
    • International Journal of Computer Science & Network Security
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    • v.22 no.8
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    • pp.15-24
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    • 2022
  • The article clarifies the conditions for information, digital and educational accessibility for higher education seekers with disabilities in terms of distance learning caused by quarantine restrictions. It is established that such conditions are regulated by international and Ukrainian legal documents (The Standard Rules on the Equalization of Opportunities for Persons with Disabilities, Convention on the Rights of Persons with Disabilities, Sustainable Development Goals, Law of Ukraine "On Education", Law of Ukraine "On Higher Education", Strategy for the Development of Higher Education in Ukraine 2021-2031, Development Strategy areas of innovation for the period up to 2030, Development strategy of the sphere of innovation activity for the period up to 2030). As a part of information barrierlessness, Higher Education Institutions (HEI) should provide access to information in various formats and using technologies, in particular Braille script, large-type printing, audio description (audio descriptive commenting), sign language interpretation, subtitling, a format suitable for reading by screen access programs, formats of simple speech, easy-to-read formats, means of alternative communication. The experience of Pavlo Tychyna Uman State Pedagogical University is described. In particular, special attention is paid to the study of sign language: in view of this, the initiative group implemented the project "Learning to hear and overcome social isolation together" with the financial support of the British Council in Ukraine. Within the framework of digital accessibility, the official website of the Faculty of Social and Psychological Education has been adapted for the visually impaired in accordance with WCAG 2.0 World Standards. In 2021, Pavlo Tychyna Uman State Pedagogical University implemented the project "Cultural, Recreational and Tourist Cherkasy Region: Inclusive Social 3D Map" funded by the Ukrainian Cultural Foundation; a site with available content for online travel in the region to provide barrier-free access to the historical and cultural heritage of Cherkasy region was created. Educational accessibility is achieved by increasing the number of people with special educational needs, receiving education in inclusive groups; activities of the Center for Social and Educational Integration and Inclusive Rehabilitation Social Tourism "Bez barieriv" ("Without barriers"); implementation of a research topic for financing the Ministry of Education and Science of Ukraine: "Social and psychological rehabilitation of children and youth with special educational needs by means of inclusive tourism"; implementation of the project "Social inclusion of distance educational process"; development of information campaigns to popularize the ideas of accessibility, the need for its implementation, ongoing training programs and competitions, etc.

The Influences of Psychological and social factors toward Academic Satisfaction and Achievement in Cyber Education (사이버교육에서 만족도와 성취도에 대한 심리적 사회적요인에 관한 연구)

  • Kim, Kyung-Woo
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.01a
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    • pp.111-113
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    • 2015
  • This paper investigate the empirical implications. They were to verify the influences of psychological and environmental factors toward performance satisfaction and durability. The results show that actional environment on academic satisfaction in learning is the most important factor. The effect of academic satisfaction on learning durability proved to be statistically significant. The results suggest that actional environment should be considered with top priority to increase the academic satisfaction. Learning satisfaction, academic vision, and academic satisfaction to enhance students' intention to continue studies are important.

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The Physical Method and Examination Regarding to the Psychological Treatment (심리치료에서 물리치료기법과 탐색)

  • Kim, Dong-Dae
    • Journal of Korean Physical Therapy Science
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    • v.2 no.4
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    • pp.807-816
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    • 1995
  • Many kinds of methods for the psychological treatments are performed which are differentdepending on the patient's condition and the clinical character. Therefore, a great deal of good effects can be expected by the intention or knowledge of the carrer, although the patients are under the same symptom. The symptom of pain can be given different meanings considering the professional knowledge. It's the same case when the very same psychological condition can be iudged differently and the way of being treated can be variable. The physical treatment is a kind of method that cures illness or injury using all sorts of factors such as water, electricity, light, and exercises. In general, physical treatment as known to cure the physically tnjuried or the crippled. In this case, taking psychosomatic for example, I examined the idea that many kinds of physical treatments can be used in the field of psychotherapy. What's more, I suggest that the use of those methods be expanded to psychotherapy.

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Applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy (편마비 아동의 재활프로그램에 대한 양측성 전이 패러다임의 적용가능성)

  • Kim Mi-Hyun;Park Sang-Bum
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.163-172
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    • 2000
  • The purpose of this study was to provide experimental evidence and theoretical background for the applicability of bilateral transfer paradigm to the rehabilitation programs for children with hemiplegic cerebral palsy. Children with hemiplegia, which means unilateral motor disabilities, display abnormal motor and postural patterns of the affected side due to hemiparesis, spasticity, and sensory disorders, resulting in a decreased motor abilities of the affected side compared to unaffected side. Accordingly, they tend to rely on the unaffected limb for everyday activities, which further deteriorates the functions of the affected side by causing associated reaction, abnormal postural patterns, and hypertonus. Rehabilitation programs developed for children with hemiplegic cerebral palsy include neurodevelopmental treatment, application of cast or splint to unaffected limb, neuromuscular electrical stimulation, and task oriented model. These programs, however, have several drawbacks, such as discontinuity in treatment effect and psychological hatred to the force use of the affected side. In order to solve these problems and enhance the efficiency of the rehabilitation programs, it is required to maximize the use of the affected side without hatred. Characteristics of the control system, such as temporal coupling and spatial assimilation between limbs and neural crosstalk at different levels of central motor pathway, suggest that the bilateral transfer paradigm may enhance the efficiency of the rehabilitation programs for children with hemiplegic cerebral palsy.

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A Comparative Study of Body Image, Eating Attitudes and Obesity Degree in Incheon University Students (인천지역 대학생의 식이태도 및 체형만족도와 비만도와의 비교 연구)

  • Choi, Seung-Peom;Soh, Mun-Gie;Song, Yun-Kyung;Lim, Hyung-Ho;Eun, Young-Joon
    • Journal of Korean Medicine for Obesity Research
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    • v.6 no.1
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    • pp.93-105
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    • 2006
  • Objective : This study was aimed to find out correlation body image satisfaction, eating attitudes and body composition. Method : 78 subjects who are university student were analyzed obesity degree by using Inbody 720, and were surveyed by using Korean eating attitude test-26, Body image satisfaction questionnaire. Results : Many people who was normal BMI and normal waist-hip ratio was dissatisfied with their waist circumference(66.7%). There were high positive correlations between BMI and perceived body image satisfaction(r=-.515) and between perceived BMI and eating attitude (r=.390) in women Conclusion : We have to examine the self-body image of patients and set a objective goal before proceeding obesity treat program and correct the attitude to beauty and obesity in order to set both physical and psychological treatment.

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Study of MMPI on Obese Patients (비만환자의 MMPI에 대한 고찰)

  • Yang Jae-Sun;Kwon Young-Dal;Lee Sang-Gyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1411-1418
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    • 2005
  • Obesity is not classed in general psychiatry disease. But, psychoneurotic factor has been known to be a risk factor of obesity. In order to evaluate and understand the psychoneurotic state on obese patient, this study used Minnesota Multiphasic Personality Inventory(MMPI). Total patients were classified into 3 or 5 clusters. MMPI scores were compared according to education, BMI and Sasang Constitution. Multiple regression analysis were used for psychological factor on obese patients by age, height, weight, education, percent body fat, fat distribution, BMI. Based on this study, it was no significantly difference by education level, BMI, sasang(四象) constitution except L profile according to BMI. These result is different from our general recognition of the psychoneurotic state on obese patient. Therefore, the bigger sample study is needed.

The relationship between neck pain and psychological state in female office workers. (경항부 통증과 심리적 상태와의 상관성에 관한 연구)

  • Jung, Jae-Yung;Kim, Sung-Su
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.1-12
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    • 2009
  • Objectives : The purpose of this study was to investigate the relationship between pain and psychological state in female office workers with neck pain. Methods : Experimental group of 31 healthy subjects complained of neck and arm discomfort related to computer use which lasted more than 3 months in the past year and was present in the past 7 days as well as on the day of test. Outcomes were assessed by meridian-electromyography(MEMG), Neck Disability Index(NDI), Visual Analog Scale(VAS), Beck Depression Inventory(BDI), Stress Reaction Inventory(SRI), Holmes & Rahe Social Readjustment Rating Scale(SRRS). Results : The NDI score and BDI score had a correlationship(r=0.48), and the NDI score and SRI score also had a correlationship(r=0.48), significantly. The NDI score and contraction power of upper trapezius by MEMG had a correlationship significantly, but with the other muscles the NDI score didn't have correlationships. The NDI score and the SRI score were significantly higher in depression group(BDI score ${\circ}{\surd}$14). The contraction power of trapezius by MEMG was significantly lower in depression group. Conclusions : The results suggest that mental stress can be a major risk factor of neck pain in female office workers.

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