• Title/Summary/Keyword: Rehabilitation program

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Effect of Self-monitoring Rehabilitation Program after Stroke on Physical Function, Self-efficacy and Quality of Life (뇌졸중 환자의 자가감시 재활 프로그램이 신체적 기능, 자기효능감 및 삶의 질에 미치는 효과)

  • Kwon, Young Sun;Choi, Ja Yun
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.107-117
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    • 2015
  • Purpose: This study was conducted to identify the effects of a self-monitoring rehabilitation program based on the Bandura's self-efficacy theory on the activities of daily living (ADL), 6-minute walking distances, self-efficacy and quality of life (QoL) among stroke patients after three to six months. Methods: The participants consisted of 29 patients in the experiment group and 28 patients in the control group who admitted at rehabilitation specific hospital. Self-monitoring program developed by the researcher lasted twice a week for 8 weeks from August to September, 2013. Results: ANCOVA showed that all of dependent variables of this study, ADL and 6-minute walking distances as a physical function, self-efficacy and QoL for intervention group were higher than those for control group(p<.001). Conclusion: The self-monitoring rehabilitation program based on the self-efficacy theory was found to be effective in improving physical function, self-efficacy and QoL for early post-stroke patients. Early rehabilitation program for stroke patients was recommended to consider the self-monitoring of current physical and psychosocial status as a strategy of self-management.

Effects of a Group Rehabilitation Exercise Program for Stroke Patients on Their Depression and Motivation of Rehabilitation (집단재활체조 프로그램이 뇌졸중 환자의 우울과 재활동기에 미치는 효과)

  • Yeo, Hyung Nam;Kim, Yeong Kyeong
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.3
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    • pp.424-434
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    • 2012
  • Purpose: The objective of this study was to investigate the effects of a group rehabilitation exercise program for stroke patients on their depression and motivation of rehabilitation. Methods: The design of this study was the nonequivalent control group non-synchronized quasi-experimental design. Data were collected from June through August in, 2012 in a rehabilitation hospital located in the C city. A total of 63 patients participated in the study [experimental group (n=32) and control group (n=31)]. The data were analyzed using $x^2-test$ and t-test. Results: The depression in the experimental group was lower than the control group (t=2.446, p=.017). The motivation of rehabilitation in the experimental group was higher than the control group (t=-4.90, p<0.001). Conclusion: Based on the results, the group rehabilitation exercise program for stroke patients is useful to decrease their depression and improve their motivation of rehabilitation. The program is considered to be an effective nursing intervention for decreasing the stroke patients' depression and improving their motivation of rehabilitation.

A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach (지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로)

  • Lee, Min-young;Kim, Eun-seung;Yoon, Bum-chul
    • Physical Therapy Korea
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    • v.23 no.2
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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.

Effects of an Inpatient Pulmonary Rehabilitation Program on Dyspnea, Exercise Capacity, and Health Related Quality of Life for Patients with Chronic Lung Disease (입원 호흡재활 프로그램이 만성 폐질환자의 호흡곤란, 운동능력과 건강관련 삶의 질에 미치는 효과)

  • Lee, Chang-Kwan
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.343-352
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life in inpatients with chronic lung disease. Method: This quasi experimental study was designed with a nonequivalent control group pre-post test time series. Twenty three patients were assigned to the experimental group and nineteen to the control group. The inpatient pulmonary rehabilitation program was composed of upper and lower extremity exercise, breathing retraining, inspiratory muscle training, education, relaxation and telephone contacts. This program consisted of 4 sessions with inpatients and 4 weeks at home after discharge. The control group was given a home based pulmonary rehabilitation program at the time of discharge. The outcomes were measured by the Borg score, 6MWD and the Chronic Respiratory Disease Questionnaire(CRQ). Results: There was a statistically significant difference in dyspnea between the experimental group and control group, but not among time sequence, or interaction between groups and time sequence. Also significant improvements in exercise capacity and health related quality of life were found only in the experimental group. Conclusions: An Inpatient pulmonary rehabilitation program may be a useful intervention to reduce dyspnea, and increase exercise capacity and health related quality of life for chronic lung disease patients.

The Changes in Interest and Attitudes of Nursing Students toward the Disabled before and after the Disability Experience Program (간호학생의 장애체험이 장애인에 대한 관심 및 태도에 미치는 영향)

  • Kang, Hyun-Sook;Kim, Jeong-Wha;Kim, Won-Ock;Park, Jong-Nim;Lee, Cha-Yeon
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.1
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    • pp.88-95
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    • 2004
  • Introduction: The purpose of this study was to investigate the changes in the concern and attitudes of Nursing students toward the disabled before and after the disability experience program. Method: 151 Nursing students with clinical practice in National rehabilitation hospital were conveniently selected as the subject. All subjects had experience the disability program, and their attitudes toward the disabled were measured before and after the 3hours' program. Collected data were analyzed by SPSS 11.0 with paired t-test. Results: 1. The concern toward the disabled after their disability experience program was more positive than before(t=-4.930, p=.000). 2. The attitudes toward the disabled after their disability experience program was more positive than before(t=5.892, p=.000). 3. The appreciation of daily life after their disability experience program was higher than before(t=-8.563, p= .000). Conclusion: In summary, the disability experience program should be effective in order to promote the positive attitude toward the disabled. Therefore expansion of this program is of profound significant.

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Effects of a Rehabilitation Program on Quality of Life, Cardiopulmonary Function and Fatigue During Radiotherapy for Breast Cancer Patients (유방암 환자의 방사선 치료 기간 동안 재활치료 프로그램이 삶의 질, 심폐기능, 피로에 미치는 영향)

  • Do, Jung-Hwa;Seong, Jun-Hyuk;Ahn, Jun-Su;Cho, Young-Ki
    • Physical Therapy Korea
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    • v.19 no.1
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    • pp.56-65
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    • 2012
  • This study examines the effects of a rehabilitation program on quality of life (QOL), cardiopulmonary function and fatigue during radiotherapy for breast cancer patients. The program includes aerobic exercise, stretching and strengthening exercises. Sixty-five women participated in this study and they were asked to perform supervised exercises that last for 60 minutes five times a week for six weeks. The European organization for research and treatment of cancer-cancer (EORTC QLQ-C30) and the breast (EORTC QLQ-BR23), predicted maximal volume of oxygen consumption ($VO_{2max}$) and fatigue severity scale (FSS) were assessed before and after the rehabilitation program. The 60-minute program consisted of a 10-minute warm-up, 30-minute of aerobic exercises, and 15-minute of strengthening exercises, followed by a five-minute cool-down. Heart rates were monitored throughout the exercise class to ensure that patients were exercising at the target heart rate of 40~75% of the age-adjusted heart rate maximum. There were statistically significant differences in the changes of physical function and cancer related symptoms in the EORTC QLQ-C30 and EORTC QLQ-BR23 (p<.05). There was a statistically significant improvement in the predicted $VO_{2max}$ (p<.05), although there were no significant differences in the FSS (p>.05). The results of our study suggest that a supervised rehabilitation program may benefit the physical aspects and QOL of patients receiving radiotherapy for breast cancer.

Effect of an Intensive Rehabilitation Program on Physical Activity and Wearing Satisfaction in Traumatic Lower Limb Amputees -A Retrospective Study- (집중재활프로그램이 하지 절단 환자의 신체활동 및 의지 착용감에 미치는 영향 -후향적 연구-)

  • Kim, Jin-Hong;Hong, Ye-Ji;Kim, Yu-Ri;Lee, Gang-Pyo
    • PNF and Movement
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    • v.18 no.3
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    • pp.453-463
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    • 2020
  • Purpose: This study aimed to investigate the effect of an intensively rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. Methods: In this study, the anonymized electronic medical records of individuals who participated in the intensive rehabilitation program (among those who were admitted to the hospital belonging to the Labor Welfare Corporation) due to an industrial accident from August 2018 to September 2019 were collected. As a result, the records of 12 subjects meeting the screening criteria were analyzed. Results: According to the time of application to the intensive rehabilitation program, the 10 Meter Walk Test (10MWT) (p < 0.01), Berg Balance Scale (BBS) (p < 0.01), Timed Up and Go Test (TUG) (p = 0.01), the L Test of Functional Mobility (L-test) (p < 0.01), Prosthetic Limb Users Survey of Mobility (Plus-M) (p < 0.01), and Houghton Score Question (HSQ) (p < 0.01) values significantly improved with time. Conclusion: This study confirmed the positive effect of an intensive rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. However, this study was limited by the absence of a control group, and, thus, it highlights the need for more extensive research with a large sample.

The Effects of Medication and Symptom Management Education Program Based on Self Efficacy Theory for the Psychiatric Patients

  • Shon, Kyung-Hee
    • Journal of Korean Academy of Nursing
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    • v.33 no.8
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    • pp.1145-1152
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    • 2003
  • Propose. An effective rehabilitation program had been developed for psychiatric patients' self management of medication and symptoms in Korea. The rehabilitation program was designed to allow the patients to understand their illness, cope with their medical regimen, and prevent a relapse by recognizing any of the symptoms when they recur. Methods. The developed program utilizes the self efficacy method reported by Bandura, it includes manuals and videotapes focusing on real life situations, small group discussions, and telephone coaching. This study investigated the effects of this program with respect to various predictable variables in psychiatric rehabilitation. Thirty eight patients were selected for this study, 18 in the experimental program and 20 as controls. Results. The results showed that the subjects who attended this educational program reported significantly more improvement in attitude toward medication compliance (p=0.033), and significantly less relapse warning symptom scores (p=0.000) than the controls. Conclusion. This program may be a useful psychoeducational resource for professionals in the field of clinical practice in psychiatry.

Design of Rehabilitation Program Contents using Motion Detection Sensors (동작인식센서를 이용한 재활 프로그램 콘텐츠 설계)

  • Jang, Jae-Youl;Lee, Young-Sik;Kim, Do-Moon;Lee, Tae-Hee;Choi, Chul-Jae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.4
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    • pp.903-910
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    • 2018
  • The necessary rehabilitation training for patients with disability currently does not match the actual amount of training conducted, which requires interest in rehabilitation treatment, continued investment and infrastructure for rehabilitation contents, while the most common forms of rehabilitation treatment comprises of art, music, and play treatments. In this paper, we provide a game-style rehabilitation program including audio and visual elements through motion detection process on the patient and design a digital game rehabilitation program that allows different level of management for various categories of disabled people.

Evaluation of the Home-based Rehabilitation Program Based on CBR Model Through In-depth Interviews With Visiting Physical Therapists

  • Lee, Minyoung;Chung, Jinjoo;Hong, Hye Jung;Yoon, Bum Chul
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.68-77
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    • 2015
  • Purpose: This study was conducted in order to explore home visiting therapists' self-perceived role, problems, and supplement points of the home-based rehabilitation (HR) program based on the community-based rehabilitation (CBR) model. Methods: Four home visiting physical therapists, who conducted the HR program, participated in this study. After completion of the HR program, in-depth interviews were conducted using a semi-structured questionnaire for participants to explore their self-perceived role, problems, and supplement points of the HR program. Results: Participants regarded the role of the HR program as for "the linkage between recipient & society", "maintenance & improvement of recipients' physical function", and "education of recipient about the way of self rehabilitation". The problems and supplement points were derived from all phases of the HR program, including "human & material resources", "training program for human resources for HR service", "selection of recipient of HR service", "contents of the intervention for HR service", and "duration of HR service". Conclusion: These findings indicate that participants well recognized the intention of the HR program based on the CBR model, and suggest that high-quality human resources with rich expertise and experiences, a training program for HR service led by experts, and selection of recipients led by experts are necessary for an effective HR program. In addition, strategies and capacities specified to HR service should be identified, and applied to the training program for human resources for HR service. The results of this study could provide useful information when the government decides on the next guideline for home visiting health service.