• 가정과삶의질연구
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• 제26권6호
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• pp.209-225
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• 2008

This study has been designed to develop integrated supportive service works for the families of disabled children registered in the D-Healthy Family Support Center. The service works are intended to improve family members' health and their growth potentials, and cover service programs of family education, counselling, culture solidarity, and information networks. There are two topics covered in this study; first, this study is to develop integrated supportive service programs for the families of disabled children, and second, the study is also to construct comprehensive strategies and plans for effective services after evaluating practical service programs. In this study, 31 families with one or more disabled children have been selected through stratified random sampling, and all the family members were observed for program effects of integrated service items developed from previously validated indices. For analysis, eight question items were made for interview and each item denotes satisfaction score ranging from 1(very dissatisfied) to 5(very satisfied) on the Likert's five point scale. Mean value of each item was counted after the program, and satisfaction scores were compared over the programs implementation. Overall, the satisfaction scores range 4.1 to 4.6, indicating relatively high satisfaction over most service program. Therefore, it is finally proposed that a longitudinal strategy model offer high quality service programs consistently for the target families, as a goal of achieving comprehensive cooperation and support exchanges between community and healthy family support center be schematized.

• 대한통합의학회지
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• 제7권1호
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• pp.37-45
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• 2019

Purpose : The aim of this study was to investigate the differences in sociodemographic characteristics, instrumental activities of daily living (IADL), and healthcare needs among disabled persons with and without language disorder. Methods : Using raw data from the National Survey of the Disabled Person (2017), this study compared 6,320 disabled persons without language disorder and 229 disabled person with language disorder among 6,549 persons with disabilities. The dependent variables included sociodemographic characteristics, IADL, and healthcare needs. Results : People with language disorder were younger (p<.001), illiterate (p<.001), and had higher family income (p=.003) than people without language disorder. In addition, people with language disorder had a higher disability grade than people without language disorder (p<.001), and the percentages of brain injury, hearing impairment, and intellectual disability were higher among type of disability (p<.001). People with language disorder showed significantly higher dependence on all items of IADL than people without language disorder (p<.001). As the first-ranked healthcare need, people without language disorder had the highest percentage of "chronic illness management," and people with language disorder had the highest percentage of "disability management" (p<.001). Conclusion : The findings of the current investigation suggest that health care services are needed to improve IADL in people with language disorder and that the development of a disability management program for people with language disorder is required.

• 재활간호학회지
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• 제4권2호
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• pp.240-247
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• 2001

The history of rehabilitation of disabilities in Korea began with the foreigners and missionaries who were interested in it after Korean War. In 1981, Disabled Persons Welfare Act was enacted and the 88 Paralympics brought the nations attention to the welfare and rehabilitation of persons with disabilities. Since then, the facilities and the services for the disabled persons have expanded rapidly and the rehabilitation treatment and nursing intervention are drawing more attention. Against this background, the survey on the current status of disabilities, welfare service, facilities, and rehabilitation nursing was conducted. The results of this survey are as follows. 1. According to the 2000 census of disabilities, the number of persons with disabilities in Korea is estimated at 1,449,500, or 3.09% of the entire Korean population, 0.74% up from 2.35% in 1995. 2. Disability Types in 2000 The 2000 census showed that the persons with disabilities numbered 1,449,496 out of the total population and 1,024,371 persons are registered for disability, making up 70.7% of the estimated disabled population. Among them, physically disabled persons accounted for the largest 41.7% (605,127) and mentally retarded persons stood at the smallest 9% (13,481). 3. Percentage of Disability Presence The survey showed that more than 90% of disability were acquired. However, 44.8% of mental disability and 61.4% of hearing/speaking disability were not acquired after birth. This means that these disabilities happened by congenital cause or birth accident. 4. Yearly Figure of Registered Disabled Persons In 1989, 218,601 persons registered for disability and, in 2000, the number increased by 4.7 times to 1,024,371. These figures are different from the actual number of disabled persons. According to the 1995 census, 1,053,486 were disabled persons but only 378,323registered for disability. And, in the 2000 census, 1,024,371 out of the 1,449,496 of disabled persons registered for disability. 5. Welfare Service for Persons with Disability 62.6% of the total disabled people are registered and physically disabled persons accounted for the highest percentage of 96.7%. 26.5% of non-registered disabled people said that they didnt know the registration procedure. The rest of them replied that they didnt think they were disabled or that registration didnt seem to give any benefits. 6. Welfare Policies for Disabled Persons The welfare benefits given to the disabled are as follows: Issuance of disabled sign for car drivers, Permission to use LPG fuel, Communication fee reduction, Tax exemption related to cars, Reduction of public facility fees, Household allowance, Tax reduction or exemption, Medical allowance and education subsidy for children, and Housing. 7. Current Condition of Welfare Facilities by Disability Type The welfare institutions for disabilities numbered 188 in total and they can accommodate 16,823 persons. Categories of these institutions are physical disability(37), visual disability(10), hearing/speaking disability(14), mental retardation(59), and sanatoriums(68). 8. Human Resource of Rehabilitation of Disabilities Advanced education programs include rehabilitation nursing in its curriculum and this was selected as the program of Korean Academic Society of Nursing in 1990. In November 1997, Korean Academic Society of Rehabilitation Nursing was launched and many academic meeting and seminars were held. This organization is also making efforts to develop the education program for qualified rehabilitation nursing professionals and to develop the standards of rehabilitation nursing practice. In the professionals of the rehabilitation, there are rehabilitation specialist, physical therapist, speech therapist, occupational therapist. It is needed to come up with the measures to supply stable human resources following the demand of disabled persons and to recognize the private certificates for rehabilitation professionals as official ones after reviewing the education and training programs of private institutions. 9. Rehabilitation Nursing 1) Rehabilitation nursing was taught as an independent subject in 11 undergraduate programs and 9 graduate programs. 2) Research on rehabilitation nursing in Korea were 24 experimental research and 11 non-experimental research. The intervention of experimental research were mostly education and exercise rehabilitation programs. 3) In the three rehabilitation hospitals, nursing is divided into two categories, direct nursing and education & counseling. Direct nursing includes tracheostomy or nasogastric tube care, urination and defication, skin care, pain control, complication prevention and care, prevention of injury from a fall, etc.

• 한국도서관정보학회지
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• 제42권1호
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• pp.97-123
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• 2011

장애인들은 오랫동안 공공도서관 서비스에서 소외되어 왔다. 공공도서관이 정보접근 및 이용의 격차해소라는 사회적 역할을 다하기 위해서는 도서관 이용자로서의 장애인에 대한 인식을 새롭게 하여야 할 것이며, 장애유형별로 맞춤화된 서비스를 제공함으로써 도서관에 대한 장애인들의 요구를 창출하고 그들을 도서관으로 유인하여야 할 것이다. 본 논문은 문헌연구를 통하여 장애인 및 도서관 장애인서비스에 대한 이해를 넓히고 보건복지부 장애인 통계 및 실태조사에 기초하여 우리나라 장애인의 장애유형별 특성을 분석하였으며, 그 결과를 토대로 공공도서관의 장애유형별 장애인서비스 개발의 방향을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제46권5호
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• pp.282-290
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• 2013

Objectives: This study aimed to develop a health needs assessment (HNA) tool for persons with brain disorders and to assess the unmet needs of persons with brain disorders using the developed tool. Methods: The authors used consensus methods to develop a HNA tool. Using a randomized stratified systematic sampling method adjusted for sex, age, and districts, 57 registered persons (27 severe and 30 mild cases) with brain disorders dwelling in Seoul, South Korea were chosen and medical specialists investigated all of the subjects with the developed tools. Results: The HNA tool for brain disorders we developed included four categories: 1) medical interventions and operations, 2) assistive devices, 3) rehabilitation therapy, and 4) regular follow-up. This study also found that 71.9% of the subjects did not receive appropriate medical care, which implies that the severity of their disability is likely to be exacerbated and permanent, and the loss irrecoverable. Conclusions: Our results showed that the HNA tool for persons with brain disorders based on unmet needs defined by physicians can be a useful method for evaluating the appropriateness and necessity of medical services offered to the disabled, and it can serve as the norm for providing health care services for disabled persons. Further studies should be undertaken to increase validity and reliability of the tool. Fundamental research investigating the factors generating or affecting the unmet needs is necessary; its results could serve as basis for developing policies to eliminate or alleviate these factors.

• 한국사회복지학
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• 제65권3호
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• pp.239-263
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• 2013

본 연구는 정신장애인과 사례관리자간의 '실천관계(Working Relationship)'를 측정하는 한국형 실천관계 척도 정신장애인 용의 개발 및 타당화를 위해 진행되었다. 척도개발을 위해 첫째, 문헌연구와 정신장애인을 대상으로 3회의 포커스면접을 통해 실천관계척도의 예비문항을 구성하였다. 둘째, 정신장애인과 정신보건사회복지전공 사회복지학과 교수 2인 및 1급 정신보건사회복지사인 실무자 2인의 검토를 통해 최종 예비문항을 선정하였다. 셋째, 최종 선정된 예비문항을 569명의 정신장애인 대상의 실증조사연구를 통해 척도의 신뢰도와 타당도를 검증하였다. 수집된 자료를 무선 분할하여 먼저 탐색적 요인분석(exploratory factor analysis)을 실시한 결과, 3개의 요인구조를 확인하였다. 요인 1은 사례관리자의 전문적 실천과 관련된 '전문가 기여', 요인 2는 '부정적인 실천관계', 요인 3은 사례관리자와 정신장애인간의 친밀감을 나타내는 '정서적 유대'로 나타났다. 나머지 표본을 가지고 확인적 요인분석(confirmatory factor analysis)을 실시한 결과 모델의 적합도는 우수한 것으로 나타났다. 이러한 연구결과를 바탕으로 최종 33문항의 한국형 실천관계 척도 정신장애인 용을 개발 제시하였으며, 본 연구의 사회복지적 함의를 논하였다.

• 산업진흥연구
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• 제9권3호
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• pp.251-261
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• 2024

본 연구의 목적은 장애인주간보호시설 종사자의 업무환경을 개선하고 효율화하여 사회적 약자인 장애인에 대한 복지서비스를 향상시키기 위한 것이다. 연구문제는 장애인주간보호시설 기독교인 종사자가 경험하게 되는 내부 종사자 간의 갈등, 심리적 소진, 성장요인 등 세 가지로 구성하였다. 연구방법으로는 2024년 1월부터 2024년 4월까지 장애인주간보호시설에서 근무하는 기독교인 종사자 10명 대상으로 업무처리 과정에서 경험한 사실을 면담하고 수집하여 콜라이지(Colaizzi)의 현상학적 연구방법으로 분석하였다. 연구결과에서 종사자들이 경험하게 되는 심리과정은 첫째 장애인주간보호시설에서의 경험 중에서의 내부종사자 간의 '갈등', 둘째 '소진'에서 종사자가 겪게 되는 정서적 탈진, 비인간화, 성취감의 감소 증상 등의 소진과 외상의 체험이었다. 셋째 '성장'에서 종사자들이 영성을 통하여 내부갈등과 심리적 소진을 극복하고 안정감을 갖고 성장하는 경험을 하였다. 본 연구는 향후 장애인주간보호시설 종사자의 사기증진과 근무환경 개선에 유용한 자료가 활용될 것으로 기대한다.

• The Journal of Korean Physical Therapy
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• 제22권5호
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• pp.95-102
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• 2010

Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

• 디지털융복합연구
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• 제15권4호
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• pp.53-63
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• 2017

본 연구는 난청인의 의사소통 증진을 위하여 문자통역서비스 활용 현황과 제도화 방안을 찾아보는데 있다. 연구결과는 첫째, 조사 대상자의 문자통역서비스 이용경험자는 17.8% 수준이었고 젊은 층일수록 이용경험률이 높았다. 문자통역서비스 제공기관은 복지기관(38.3%), 민간단체(18.3%), 공공기관(18.3%) 순이었다. 문자통역서비스를 위해 필요한 제도방안을 제시하면 다음과 같다. 첫째, 문자통역서비스는 "장애인차별금지 및 권리구제 등에 관한 법률"의 정당한 편의 중의 하나라는 것을 적극 홍보해야 한다. 둘째, "장애인복지법"의 일부 조항에 문자통역서비스를 추가 열거해 주어야 한다. 셋째, 난청인을 위한 서비스를 제공하기 위한 전달체계가 마련되어야 하며, 수화통역서비스와 복지서비스를 통합적으로 제공할 수 있도록 정비되어야 한다. 대면 접촉을 위한 문자통역서비스 방식의 개선방안이나 ICT를 활용하여 문자통역서비스를 발전시킬 수 있다면, 직업재활에서의 새로운 장애 근로자의 유입뿐만 아니라 난청인의 삶의 만족도 개선될 수 있을 것이다.

• 한국치위생학회지
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• 제21권3호
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• pp.211-225
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• 2021

Objectives: To validate the role of a new information and communication technology platform that we created for the betterment of the oral health of persons with disabilities and for providing appropriate health care services. Methods: A Delphi survey was conducted among 16 people in various professions, including academia, government agencies, and dentistry, to evaluate the validity of the information and communication technology platform. Moreover, platform satisfaction was evaluated using a user experience questionnaire among 200 people, including persons with disabilities, parents, and public institutions. Results: Experts in consensus indicated a high validity for the categories of service provider (CV=0.29, CVR=0.69), service target (CV=0.29, CVR=0.38), service contests (CV=0.27, CVR=0.63), and financial support (CV=0.30, CVR=0.63) in our information and communication technology platform. In addition, information from questionnaires on user experience and communication technology satisfaction analysis showed that both users and providers were highly satisfied with the platform. Conclusions: The provision of oral health services based on the new information and communication technology platform has numerous advantages, in addition to providing adequate oral health care for the disabled. Furthermore, the social safety net for improved oral health may be further strengthened.