• 제목/요약/키워드: early intervention

검색결과 941건 처리시간 0.029초

지체 뇌성마비아동에 대한 물리치료사 역할에 관한 연구 (On the Study of Physical Therapy for Part of Retarded Cerebral Palsied Child)

  • 성치도
    • 대한물리치료과학회지
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    • 제3권2호
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    • pp.1055-1064
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    • 1996
  • To this is the concept and changes of physical treatment that intervenes the understanding and restoring cerebral infantile paralysis in the medical welfare of the social well-being areas: Cerebral palsy, originated by Littel in 1862 and reported as "The cerebral palsies" by William and Osler, come to have its name and meaning. The early stage of intervention generally accepted by the circle of physical treatment in the medical profession was introduced by Sax in 1964. In Sax' theory, cerebral palsy is defined as "the stumbling block in the bodily exercises and postures, causing by the intercurrent disease or physical, mental defect." As we have seen it is desirable that the abovementioned limited steps be removed and allow physical therapists to examine and to treat cerebral palsies. For this, first educational system should make its way to a substantial improvement and congenital abnormal Test should be rapidly expanding to great proportions the whole nation, not part of the low-income group. Physical therapists, cerebral palsies and their parents must combine to make cerebral palsies' welfare the crowning well being state. Physical therapists, cerebral palsies and their parents, forming of trinity, should combine to make cerebral palsies' welfare the Super-Welfare State existence.

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자폐장애 아동을 위한 애착증진치료 프로그램의 효과 (Effects of the Attachment Promotion Therapy Program for the Children with Autistic Spectrum Disorder)

  • 임숙빈;주세진;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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    • pp.91-97
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    • 2006
  • The effects of the Attachment Promotion Therapy (APT) program for the autistic children were reviewed by 8 papers. The program was consisted with play activity centered mother-child interaction, educational activity for parents, lecture, video-feedback, and support. APT program was effective to improve the attachment behaviors and attachment security. And the mother's behaviors to her child became more child-centered, positively responsive, expressive supportively. Ninety six point seven percent of the mothers were satisfied with the APT program. They described that it was helpful to understand their children's developmental limitation and strength, to learn how to play with their children, to make supportive social network among the mothers, to minimize familial conflicts, and to make them much more comfortable with their children. They thought the APT Program was to be a steppingstone of the further educational program. APT program is an effective early intervention to promote social development and decrease autistic problems.

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일반위탁부모의 위탁유지 의사에 관한 탐색적 연구 : H위탁기관의 사례를 중심으로 (An Exploratory Study on Decisions among Foster Parents to Continue Foster Care : The Case of 'H' Foster Care Agency)

  • 김정우
    • 가정과삶의질연구
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    • 제24권1호
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    • pp.103-116
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    • 2006
  • The purpose of the study was to explore what kind of intervention might help foster parents decide to continue engaging in foster care. As foster care services are still in the early stages of development, lacking systematic support systems as well as full understanding of the roles of foster parents and foster care agencies, it is important to recruit, select, and train as many foster parents as possible. Utilizing the Foster Parent Role Perception scale developed by Le Prohn, the author first conceptualized foster parent roles or foster care agency roles; then explored what kind of effects the resource level or the role perception of the foster parents have on the decisions to continue doing foster care. The results showed that the foster parents perceived 'supporting the internal system of the foster child' and 'supporting the external system of the foster child' as the roles of foster parents, whereas 'fortifying the foster care system' and 'maintaining liaison with birth parents' were the roles of foster care agencies. It was also found that foster parents' strong role perception, higher levels of satisfaction towards education on the part of foster parents, and the number of children from the previous marriage had statistically significant positive effects on the decisions to continue foster care. The author argues that clear definitions of roles are needed for both foster parents and foster care agencies. Finally, the role of foster care agencies needs to be strengthened and supported.

섭식장애 환자의 섭식장애 증상, 우울, 강박성이 자해행동에 미치는 영향 (Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders)

  • 공성숙
    • 대한간호학회지
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    • 제39권4호
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    • pp.459-468
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    • 2009
  • Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression, and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders. Methods: Patients with eating disorders (n=135) who visited "M" clinic for eating disorders participated in the study. Data were collected from March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Self-Harm Inventory (SHI). Results: The participants scored high on self-harm as well as on depression and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as 'torturing self with self-defeating thoughts', 'abused alcohol', 'hit self', and 'suicide attempt' were found for the participants. There were significant correlations between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. 'Interoceptive awareness' (eating psychopathology), depression, and 'checking' (obsessive-compulsion) were significant predictors of self-harm behavior. Conclusion: Future interventions for patients with eating disorders should focus on assessing the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology, depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to preventing self-harm and suicide in patients with eating disorders.

중년 및 노년 남성의 문제음주 관련 요인 (Psychosocial Factors Associated with Problematic Drinking among Middle- and Older-Aged Korean Men)

  • 전경숙;조선희;박소연;박소영
    • 보건의료산업학회지
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    • 제9권3호
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    • pp.187-199
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    • 2015
  • Objectives : This study was conducted to examine social factors associated with problematic drinking among middle- and older-aged men in South Korea. Methods : The data were collected from the baseline survey of the Korean Longitudinal Study of Aging, and the sample consisted of 3,631 men between 45 and 64 years of age and 1,173 men aged 65 or older. This study employed variables identifying various socioeconomic features, social ties, and health-related factors. Logistic regressions were used for the data analysis. Results : Middle-aged men having frequent social relationship with close persons were significantly more likely to be problematic drinkers than those having less frequent social relationships with close persons. Lower education, unemployment, smoking, and depression were associated with problematic drinking only among middle-aged men. Conclusions : We suggest that health professionals develop specific intervention strategies that could lead to more moderate alcohol habits and better health in middle aged Korean men who are actively engaged in social networks. In addition, health professionals need to focus more on the unemployed, lower educated, depressed, and smoking groups for early detection of problematic drinking among middle-aged Korean men.

유아의 행복에 대한 유아의 정서성과 어머니의 우울 및 양육행동의 영향 (Child's Happiness: Effects of Emotionality, Mother's Depression and Parenting Behaviors)

  • 권연희
    • 한국생활과학회지
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    • 제22권4호
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    • pp.525-537
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    • 2013
  • This study investigated the relations among a child's emotionality, mother's depression and parenting behaviors in predicting a child's happiness. Participants were 384 children(175 boys, 209 girls) and their mothers. The teachers completed the rating scale to measure a child's happiness. A child's emotionality, mother's depression and parenting behaviors were assessed by a mother-reported questionnaire. The collected data was analyzed using descriptive statistics, correlations, and hierarchical multiple regressions. Results showed that child's emotionality was negatively related to their happiness. Mother's depression had a negative relation to child's happiness. Mother's warmth-encouragement, overprotection-permission, and reject-nonintervention was significantly related to a child's happiness. Hierarchical regression analysis indicated that the interaction of child's emotionality and mother's reject-nonintervention predicted child's happiness. Child's emotionality, whose mother demonstrated a higher level of reject-nonintervention, was associated significantly with happiness. In addition, the association between mother's depression and child's happiness was mediated by mother's warmth-encouragement and reject-nonintervention. Results suggest the importance of mother's role in the context of intervention planning for child's happiness.

어린이 성희롱/성폭력 예방교육 프로그램 개발 (Development of the Educational Program for Prevention of Sexual Abuse in Children)

  • 이경혜;이자형;배정이;김일옥
    • 대한간호학회지
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    • 제33권2호
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    • pp.189-199
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    • 2003
  • Purpose: The purposes of this study is to develop an educational program to prevent sexual abuse of children and to improve the physical and mental health of children by providing a rape-free environment and safety education. This program will provide parents and children with information on how to prevent sexual abuse in children. Children learn specific methods to avoid being victimized both at home and outside the home through a learning game and simulation, which is based on problem solving. Method: This program was developed based on a literature reviews, surveys and negotiation process. School- aged-children, parents, and teachers were interviewed to reveal their educational needs based on their experiences related to sexual abuse. Result: This program includes useful subjects such as safety education, early detection of sexual abuse, crisis management, resource persons, and phone numbers of available hospital. Counseling is provided by researcher or by a pediatric psychiatrist if needed. Conclusion: This program could be adequately utilized for prevention of sexual abuse of children. It also will provide an intervention strategy for abused children. This educational program was distributed to all of the elementary school through the Ministry of Education and Human Resources Development.

일반아모와 추후관리를 받은 저출생체중아모의 모성자존감, 산후우울, 가족기능의 비교 (Comparison of Maternal Self-esteem, Postpartal Depression, and Family Function in Mothers of Normal and of Low Birth-weight Infants)

  • 안영미;김정현
    • 대한간호학회지
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    • 제33권5호
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    • pp.580-590
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    • 2003
  • Purpose: The study investigates the degree of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants. Method: A retrospective cohort design was applied to compare the variables of interest between a group of 73 mothers with normal birth weight infants and a group of 45 mothers with low birth-weight infants, using the maternal self-report inventory(MSRV), Edinburgh Postnatal Depression Scale(EPDS) and Family APGAR(FAPGAR). Result: The total mean score was 82.57 for MSRV, 8.45 for EPDS, and 6.83 for FAPGAR with no differences between two groups. A positive correlation was found between MSRV and FAPGAR, while a negative correlations between MSRV and EPDS, and FAPGAR and EPDS. Regardless of the direction of the relationship, the degrees of the correlations were stronger in low birth-weight mothers group than in normal group. Conclusion: No differences in MSRV, EPDS and FAPGAR between the normal and the low birth-weight group considered as beneficial effects of the follow-up management which low birth-weight group was engaged in. This suggested the early intervention(follow-up) for the family with risk factor(low birth-weight) could reduce negative outcomes such as the impaired maternal self-esteem and family function, and the occurrence of postpartal depression, retrospectively.

Effect of Group Therapy on Psychological Symptoms and Quality of Life in Turkish Patients with Breast Cancer

  • Yavuzsen, T.;Karadibak, D.;Cehreli, R.;Dirioz, M.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5593-5597
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    • 2012
  • Purpose: The aim of this study was to evaluate the effects of the group therapy on psychological symptoms and quality of life of patients with early stage breast cancer. Methods: This study was performed on 16 breast cancer patients who completed treatments. The total group therapy program involved a weekly session of 2-3 hours, for 16 weeks. The group therapy sessions were given to women in the oncology department by a clinical psychologist and also given training sections by the different professional teams. All the required assessments for the study were performed after and before 16 week group therapy intervention. Results: Initially we had taken 21 women but 16 participated in all therapy programs and submitted questionnaires. The mean age was 47.8 years. There were significant differences between before and after group therapy program. Anxiety, depression, and distress showed significant improvements. Hopelessness scale was detected at the border of significance. There was no change in sleep problems and quality of life. According to the analysis of correlation, considering the age factor and year of diagnosis, there was found no statistically significant relationship between anxiety, distress, depression, hopelessness, sleeplessness, and quality of life. Conclusions: This pilot study demonstrated that brief, predominantly group therapy is feasible for patients with breast cancer and, also it may be helpful to cope with emotional and physical distress.

척추 수술 후 껌씹기가 복부 불편감, 변 배출시간과 변비 정도에 미치는 효과 (Effect of Chewing Gum on Abdominal Discomfort, the First Defecation, and Constipation after Spine Surgery)

  • 김형자;김정희
    • 임상간호연구
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    • 제24권1호
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    • pp.85-93
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    • 2018
  • Purpose: This study aim to determine the effect of chewing gum on the reduction of postoperative ileus and recovery after surgery. Methods: The study was conducted as a randomized controlled trial among 82 patients who underwent spine surgery between May 2015 and October 2015. Patients in experimental group chewed sugarless gum 3 times daily for 30 minutes each time until POD 5. Abdominal discomfort, the first defecation, and CAS score (Constipation Assessment Scale) were monitored. Results: After the experiment, abdominal discomfort was significantly decreased in the experimental group compared to that of the control group (F=2.46, p=.044). However, the first defecation occurred on postoperative hour 69.6 in the chewing gum group and on hour 60.2 in the control group (t=-1.63, p=.107). CAS was significantly decreased in the experimental group compared to that of the control group (F=3.51, p=.012). Conclusion: Chewing gum is expected to help patient recover after surgery as safe nurse intervention which can reduce abdominal discomfort and constipation during early postoperative days after spine surgery.