• 재활간호학회지
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• 제14권1호
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• pp.13-23
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• 2011

Purpose: The purpose of this study was to explore and describe the essence of hospital life concerning discharge from rehabilitation facility as defined by clients with complete quadriplegia. Method: This was a qualitative research using Giorgi's descriptive phenomenology. Four participants with complete quadriplegia were participated. Results: The lived experience of discharge from rehabilitation facility among clients with complete quadriplegia was structured by 10 components and was defined as a life event which those patients felt fears and worries to leave the therapeutic environment and to return to their community with various changes due to their disability. During their hospital stay, the patients with quadriplegia were concerning to prepare proper living conditions and their health conditions so that they could keep their life independent and worthy. They also cherished a hope for cure for their cervical injury even at the moment of discharge. Conclusion: This study suggests developing a discharge program which relieves the clients' emotional burden for discharge from inpatient rehabilitation facility and helps them to take an active role in preparing for returning to their daily life.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권2호
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• pp.7-18
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• 2004

As a society advances and develops more rapidly, there is a corresponding increase in an aging population; and therefore, transportation and transportation needs develop in a complicated way. In these times, medical rehabilitation services are required and the demands for these services will increase as time passes. Moreover, the scope of disability as defined by the government has been expanded owing to the welfare policy for the disabled. Therefore, the number of disabled who require medical services is on the rise. Along with an increase in medical rehabilitation demands, the necessity for medical rehabilitation increases as well and its role becomes more diverse on a wider spectrum. However, architectural studies on rehabilitation facilities have been insufficient and there are many problems currently in facilities operations. This study aims to present a spatial organization system along with required space that would form the basis for the most effective spatial plan and facility operation for rehabilitation hospitals.

• 대한통합의학회지
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• 제12권1호
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• pp.151-159
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• 2024

Purpose : This study was conducted to investigate correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment. Methods : This study conducted a survey on musculoskeletal and neurological patients receiving rehabilitation treatment at a hospital. The subjects of the study were patients who were currently receiving rehabilitation treatment, either hospitalized or outpatient. 234 people were collected. A questionnaire was consisted of a total of 55 questions, including 27 questions about motivation for rehabilitation, 14 questions about physical therapy service environment, and 14 questions about patient satisfaction and intention to revisit. The detailed items in rehabilitation motivation consisted of 8 questions about task-oriented motivation, 7 questions about change-oriented motivation, 4 questions about obligatory motivation, 4 questions about external motivation, and 4 questions about intrinsic motivation, and in the physical therapy service environment, 4 questions about facility service and therapist service. , 6 questions, 4 questions about services used, 3 questions about friendliness, 4 questions about professionalism, 3 questions about treatment satisfaction, and 2 questions each about repeat visit and recommendation. Results : Facility service (r=.21) was highly correlated for task-oriented motivation, therapist service (r=.22) for change-oriented motivation, therapist service (r=.31) for mandatory motivation, therapist service (r=.19) for external motivation, and facility service (r=.56) for internal motivation. Revisit for task-oriented motivation (r=.47) is kind to change-oriented motives (r=-.13) was highly correlated with kindness (r=.19) for mandatory motives, recommendation (r=.14) for external motives, and expertise (r=.52) for internal motives. There was a high correlation between professionalism (r=.61) for facility services and kindness (r=.53) for therapist services, and revisit (r=.40) for service use. Conclusion : According to the results of this study, it was found that there was a correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment.

• 한국건설관리학회논문집
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• 제19권1호
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• pp.32-42
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• 2018

시설 관리는 시설의 자산적 가치뿐만 아니라 시설 환경 및 사용자 성능까지도 시설 관리 수준에 의해 결정된다는 점에서 매우 중요하다. 시설 전체 생애 비용 중 운영 및 관리 비용은 시설의 용도와 사용 정도에 따라서 초기 건설비용의 3배에서 10배에 달한다. 효율적인 시설 관리는 다양한 용도로 건설된 다수의 시설을 관리하는 공공 시설관리 기관의 경우 더욱 중요하며, 특히 제한된 자원(인력/장비 등)과 제한된 예산으로 다양한 사용자를 위한 다양한 시설을 관리할 때 이 중요성은 증폭된다. 본 연구는 전국에 있는 16개의 공공 시설관리기관의 시설관리 현황을 조사 분석하였다. 주요 조사 항목은 1) 시설 관리 시스템 구성 및 활용현황, 2) 중장기 수선 계획 수립 및 활용현황, 3) 수선대안 선정 시스템 수립 및 활용현황 등이다. 본 연구는 분석 자료를 기반으로 지방 공공 시설관리 기관에서 사용하고 있는 시설관리 시스템의 개선 사항을 도출하고 추후 연구 방향을 제시한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.29-36
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• 2013

Purpose: Currently meaning and the needs of the times for the mental health are extensively changing. Contemporary needs for mental health has led to a change in the mental health policy and mental health facilities. But Change on Most of the mental health facilities have been focused on quantitative increase. So, changes in mental health facilities due to changes in mental health policy are needed for the study. This study investigate to the mental health facility system through this changes. Methods: In order to determine the flow of Mental health policy in Korea the mental health laws and reports were investigated Results: the result of this study can be summarized into two points. Korea's mental health policy has changed from the rehabilitation of the mentally ill to the prophylaxis of all the people. So, mental health facilities are changing form rehabilitation facilities in the private sector to public mental health center. Especially, mental medical institutions and mental health center are changing to requirement for the needs of the times. Mental medical institutions are changing from inpatient to outpatient and mental health center are changing from the rehabilitation of the mentally ill to the prophylaxis of all the people. Implications: Understand the flow of mental health policy, mental health facilities and the corresponding need.

• 재활간호학회지
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• 제7권1호
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• pp.96-104
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• 2004

Purpose: The aim of this study is to evaluate the general status and prevalence of cerebral palsy, the complication and the activity of daily living in patients with cerebral palsy in Holt Ilsan Home. Methods: Cross-sectional study was performed on 113 cerebral palsy patients in Holt Ilsan Home with the medical records review, the physical examination, and the Modified Barthel index for the independency of activities of daily living. Results: The mean age of subjects was $28.1{\pm}12.7$ years and the duration of residence was $22.9{\pm}12.8$ years. The most common type of cerebral palsy according to the muscle tone abnormality was spastic type(53.1%). The most frequent condition in which extremities are involved were quadriplegia in 46.0%. The score of Modified Barthel index was significantly lower in mixed type for $16.9{\pm}24.0$ and quadriplegic type for $14.8{\pm}25.5$ compared with others. Conclusion: This study indicates that cerebral palsy patients in rehabilitation facility have severe medical problems such as musculoskeletal complications, visual and language problems, epilepsy and dependency in activities of daily living. Therefore more medical attention like long-term follow-up study and social supports is needed.

• 한국화재소방학회논문지
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• 제34권4호
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• pp.115-124
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• 2020

본 연구에서는 소방공무원의 안전과 회복탄력성 향상을 위한 재난현장 소방공무원 회복실 운영모델을 제공하고자 한다. 이를 위하여 해외의 운영사례 및 선행연구의 회복실 운영 관련 요소들을 분석하여 관리적 요인과 운영 인력적 요인, 설비적 요인, 접근성 및 편의성 요인 등으로 분류하고, 상대적 중요도를 측정하였으며, 분야별 중요도의 하위 계층에 대한 중요도를 측정하여 재난현장 소방공무원 회복실 운연을 위한 항목들의 우선순위를 파악하였다. 전문가 분석을 실시한 결과 재난현장 회복실 운영에서 운영 인력적 요인이 가장 중요한 것으로 나타났으며, 접근성 및 편의성 요인, 관리적 요인, 설비적(비품) 요인, 설비적(장비) 요인의 순으로 나타났다. 이를 기반으로 재난현장 회복실 운영 가이드라인을 제안하였다.

• 한국실내디자인학회논문집
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• 제26권6호
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• pp.145-154
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• 2017

Industrial paradigm change and awareness change based on development of transportation and communication technology, many idle facilities had been occurred. These idle facilities become the factor which hinder image and environment of the surroundings. In recent years, social, cultural and economic value of idle facilities has been acknowledged and is regarded as an object of rehabilitation as part of urban problem solving. The purpose of this study is to analyze the characteristics of recycling design in the exhibition space used as a domestic idle facility and to utilize it as a basic data for creating an exhibition space using idle facilities in the future. The scope of the study was selected from 8 cases which were reproduced as exhibition space within the last 10 years mainly in Seoul and metropolitan area. It is analyzed by five characteristics of historicity, symbolism, preservability, connectivity, and placeness that are analyzed by the characteristics of rehabilitaion design. The conclusion is as follows. First, idle facilities can be divided into idle industrial facilities and idle non - industrial facilities. Second, the analysis of the characteristics of rehabilitaion design of idle facilities showed that the symbolism was much higher than other rehabilitaion design characteristics. Third, as a result of comparative analysis between idle industrial facility exhibition space and idle non - industrial facility exhibition space, historicity, preservability, and connectivity were high in the idle industrial facility exhibition space. In the exhibition space of idle non-industrial facilities, symbolism and placeness were high.

• 대한지역사회작업치료학회지
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• 제6권2호
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• pp.51-59
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• 2016

목적 : 본 연구에서는 규칙적인 재활체육 프로그램 참여에 따른 시설 거주 지적장애인들의 여가시간 사용과 여가활동 수행에 미치는 영향을 규명하여 시설 거주 지적장애인들의 여가시간 사용과 여가활동 수행에 대한 기초자료를 제공하는 데 그 목적이 있다. 연구방법 : 연구대상은 경기도 용인시 지적장애인 거주시설에서 거주하는 지적장애인 8명을 대상으로 하였으며, 2015년 09월 01일부터 11월 30일 까지 총 12주간 재활체육 프로그램을 실시하였다. 재활체육 프로그램으로 짐볼과 탄성밴드를 활용한 근력운동을 적용하였으며, 프로그램 참여에 따른 여가시간 사용의 변화를 조사하기 위해 매월 시간 조사표 기록에 따른 총시간, 운동 빈도를 조사하였고, 여가활동 수행에 미치는 영향을 분석하기 위해 프로그램 전, 후 캐나다작업수행측정(COPM)을 활용하여 동적 여가활동에서의 수행도와 만족도를 분석하였다. 수집된 자료는 SPSS ver.18.0으로 기술통계, 프리드만 검정(Friedman), 윌콕슨 부호순위 검정(Wilcoxon's Signed-Ranks Test)을 실시하였다. 결과 : 여가시간 사용의 분석 결과 총시간, 운동 빈도에서 프로그램 참여 후 통계적으로 유의미하게 지속적으로 증가하였으며, 여가활동 수행의 분석 결과 동적 여가활동에서의 수행도, 만족도에서 프로그램 참여 후 통계적으로 유의미하게 증가하였다. 결론 : 재활체육 프로그램의 참여가 대상자들의 여가시간 사용을 효과적으로 변화시킬 수 있는 긍정적인 요인으로 작용할 수 있어 시설에 거주하고 있는 지적장애인들에게 재활체육 프로그램의 참여는 필수적이다. 또한, 이러한 프로그램을 지속적으로 제공하고, 체계적으로 발전시키고 관리하여, 지적장애인들의 여가생활의 질을 높이고 시설 내 생활과 하루일과의 만족도를 높이는 데 기여할 수 있을 것이다.

• 한국융합학회논문지
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• 제13권2호
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• pp.313-320
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• 2022

퇴원계획은 환자의 거주지를 고려하여 재활중에 계획되어야한다. 본 연구는 퇴원 1개월 후 재활환자를 대상으로 퇴원장소에 따른 인구통계학적 요인과 재활기능을 비교하는 것을 목적으로 연구가 시행되었다. 대상자는 재활퇴원환자였으며 전체 300명중 146명은 자택으로 154명은 요양원등 시설로 퇴원하였다. 그 결과 수정된 Barthel Index를 이용해 점수화된 재활기능점수가 퇴원장소에 따라 차이가 있는 것으로 나타났다. 즉 자택으로 퇴원한 환자의 재활기능점수가 시설퇴원환자보다 높은 점수를 보였다. 그러나 재택환자의 신체기능과 일상생활 동작이 재활이 필요한 점수를 보였다. 재활환자를 위한 가정 및 시설 방문재활프로그램에 대한 차별화된 전략이 필요하다.