• Title/Summary/Keyword: holistic rehabilitation

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Analysis and Direction of Korea Rehabilitation for the Past 60 Years (한국 장애인재활 60년의 분석과 재활의 방향성)

  • Na, Woon Hwan;Lee, Im Kyu
    • 재활복지
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    • v.18 no.4
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    • pp.1-24
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    • 2014
  • The purpose of this study is to analyze that change of social environment, disability perspective and rehabilitation paradigm of Korea rehabilitation for the past 60 years and to propose future direction for rehabilitation of Korea. The major results of this study are summarized as follow : First of all, there is a disparity of 30 years between persons with disabilities and persons without disabilities for the perspective of social inclusion in Korea. Second, social environment is one of the most important effective variable on rehabilitation for persons with disabilities in Korea, it has been rapidly changed from agrarian society, going through industrial society and intellectual society, to convergence society. Third, disability perspective has been changing to universalist model with change of the social environment and also paradigm of the rehabilitation has been changing from the target of treat, education and training to the member of society that can empower and support persons with disabilities. Forth, rehabilitation policies have been changing from the welfare policies to the empowerment policies in company with change of paradigm. On the basis of the results, the following suggestions can be made : First, universalist model have to be permeated in the society at large. Second, rehabilitation paradigm should change to emphasize the holistic and universalist perspective. Third, the main purpose of rehabilitation policies are equality, mean and target of the policies are to emphasize universal services.

Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers (재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인)

  • Kim, Nam-Hee;Tae, Young-Sook;Choi, Yooun-Sook;Bae, Joo-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.188-201
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    • 2016
  • The aim of this descriptive correlation research was to identify the factors influencing stress in caregivers of stroke patients in rehabilitation centers. The data were collected from 200 caregivers at three rehabilitation centers in B City from September 1 to 30, 2015. The data were also collected utilizing the Connor-Davidson Resilience Scale, the Caregiving Mastery Scale, the Medical Outcomes Study (MOS) Scale, and Burden Interview (BI) Scale. The data were analyzed using the SPSS Win 18.0 program. The factor with the greatest impact on stress was social support, which accounted for 9.3% of stress, followed by the duration of giving care to the patient, religious status, economic conditions, caregiver's age, resilience, caregiver's health status, patient's conscious status, and patient's age, all of which accounted for 30% of the stress for caregivers. Therefore, it is essential to develop social support programs that can reduce the stress for caregivers of patients in rehabilitation centers and to develop stress intervention programs, taking all the factors affecting stress into consideration.

"Green Harmony" - The Horticultural Therapy Program for Holistic Health of College Students ("그린 하모니" - 대학생의 전인건강을 위한 원예치료 프로그램)

  • Choi, Min-Hee;Lee, In-Sook;Cho, Tae-Dong;Suh, Jeung-Keun
    • Journal of Environmental Science International
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    • v.19 no.11
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    • pp.1437-1444
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    • 2010
  • This research was to find out the effectiveness of the horticultural therapy program based on the therapeutic factors and the most meaningful experiences of the clients. For this purpose "Green harmony" program focused on harmony through horticulture was implemented. It is based on the preposition that holistic health is promoted with harmonious relationships with oneself, other people, community and nature. The program has three-fold structure: In innermost it deals with the task of the late adolescent, i.e., self identity, secondly the experience of communication and solidarity in the group, and finally extension of interest to the community. For the therapeutic intervention, questions using the metaphor of the activity were given to the clients for the establishment of self-identity, while group activity and the donation of the works let the second and third purpose accomplished. Outdoor activity, 'Tire garden project', has provided the clients with chances of the contact with nature, cooperation with other group members, and a contest to provoke enthusiasm. Also recycling and greening of the community were possible by utilizing old tires for the containers and by donating the final works to the community. For the evaluation of the result, the effect of the program on the stress of the college students was tested, and the most meaningful experiences during the participation to the program were asked to identify the therapeutic factors acknowledged by clients. "Green harmony" program has brought positive effects on the stress of the clients in spite of relatively short period of five weeks. The clients has acknowledged plant/nature contact and interactions between group members for the most meaningful experiences. This research suggests "Green harmony" horticultural therapy program based on the therapeutic factors is highly applicable for the general populations.

Meta-analysis on the Effectiveness of Pulmonary Rehabilitation Program on Exercise Capacity/Tolerance and General Health Status (만성 폐쇄성 폐질환 환자를 위한 호흡재활 중재가 운동 능력 및 내구성, 일반적 건강상태에 미치는 효과에 대한 메타분석)

  • 오현수
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.743-752
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    • 2003
  • Purpose: This study was conducted to combine the effects of pulmonary rehabilitation program (PRP) on exercise capacity/tolerance and general health status of COPD patients based on the primary research results examined the effects of PRP, Method: Seventeen studies were selected by the sampling criteria established to include the studies that reported enough statistics necessary to conduct meta-analysis. Result: According to the study results, the most effective indicators for exercise capacity/tolerance were exercise time (such as cycling time or treadmill walking time) and ground walking distance within given time (6 minutes or 12 minutes), whereas effects on such indicators as VE and VO$_2$ were not statistically significant. PRP induced significant effect on patients' general health status, frequently measured by physical, psycho-emotional, and holistic indicators, the enhancement on psycho-emotional dimension resulted from PRP was more prominent than those of the other dimensions. From the results, it was noted that the place where PRP was given and the contents of PRP exercised their influence on the outcome variables. Which body part was trained was also one of the important factors that influence on the patients' perception of dyspnea during exercise as well as on exercise capacity/tolerance. Conclusion: PRP including exercise training significantly improved the exercise capacity and general health status of COPD patients.

A Case Report of Complex Korean Medicine Treatment Application Including Chuna Manual Therapy for Functional Recovery After Sacroiliac Joint Fusion (천장관절융합술 후 기능 회복에 대한 추나요법을 포함한 한의복합치료 증례보고 1례)

  • Yun-Hee Han;Shin-Hyeok Park;Hyeon-jun Woo;Won-Bae Ha;Jung-Han Lee
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.63-72
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    • 2022
  • Objectives This case study aimed to investigate the effect of complex Korean medicine treatment including Chuna manual therapy on sacroiliac joint (SIJ) pain status post SIJ fusion with sacroiliac screw fixation. Methods Complex Korean medicine treatments including Chuna manual therapy were provided to patients with SIJ widening due to a traffic accident trauma. Measurement of range of motion and manual muscle test to evaluate functional activities of daily living was conducted before and after treatment. Moreover, outcome estimates were performed using the numeric rating scale, pain disability index, and EuroQol 5-dimension five-level questionnaire. Results After complex treatment, functional activities of daily living improved. Sacroiliac joint pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with complex Korean medicine treatment including Chuna manual therapy may improve traumatic SIJ widening status post SIJ fusion. A postoperative rehabilitation protocol based on accumulated research results considering a multidisciplinary approach should be prepared to ensure holistic treatment.

Advancements in craniofacial prosthesis fabrication: A narrative review of holistic treatment

  • Jazayeri, Hossein E.;Kang, Steve;Masri, Radi M.;Kuhn, Lauren;Fahimipour, Farahnaz;Vanevenhoven, Rabecca;Thompson, Geoffrey;Gheisarifar, Maryam;Tahriri, Mohammadreza;Tayebi, Lobat
    • The Journal of Advanced Prosthodontics
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    • v.10 no.6
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    • pp.430-439
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    • 2018
  • The treatment of craniofacial anomalies has been challenging as a result of technological shortcomings that could not provide a consistent protocol to perfectly restore patient-specific anatomy. In the past, wax-up and impression-based maneuvers were implemented to achieve this clinical end. However, with the advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology, a rapid and cost-effective workflow in prosthetic rehabilitation has taken the place of the outdated procedures. Because the use of implants is so profound in different facets of restorative dentistry, their placement for craniofacial prosthesis retention has also been widely popular and advantageous in a variety of clinical settings. This review aims to effectively describe the well-rounded and interdisciplinary practice of craniofacial prosthesis fabrication and retention by outlining fabrication, osseointegrated implant placement for prosthesis retention, a myriad of clinical examples in the craniofacial complex, and a glimpse of the future of bioengineering principles to restore bioactivity and physiology to the previously defected tissue.

Consideration for therapy method and oral motor function character of children with cerebral palsy (뇌성마비 아동의 구강운동 기능 특성 및 치료방법에 관한 고찰)

  • Lim, Hyoung-Won
    • Journal of Korean Physical Therapy Science
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    • v.13 no.2
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    • pp.121-127
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    • 2006
  • Consideration for therapy method and oral motor function character of children with cerebral palsy. Therapists who treat for feeding disorder children owing the regression of oral motor function are necessary to gain knowledge about dysfunction of sensing, perception and cognition with baffling to eat and inhibition of primitive reflex, oral anatomy and function, and motor control (trunk, head, positioning of the upper limbs and the lower limbs and muscle tone). Oral motor function program is a comprehensive rehabilitation program which requires systematized enforcement and collaborated attempts to physiotherapists, occupational therapists, speech therapists, psychotherapists. Especially, physical therapists are not accustomed to oral motor program, hoping to provide diffusely and apply new therapy approach method for many areas (bell's palsy, respiratory failure, speech articulation). It will comprise to study owing to holistic approach with clinic.

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Role of Voice Therapy after Post-Thyroidectomy Dysphonia (갑상선 수술 후 발생한 음성장애에 대한 음성치료 역할)

  • Yun, Young-Sun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.21-24
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    • 2015
  • Voice therapy after post-thyroidectomy dysphonia is designed to improve glottal closure without supraglottic hyperfunction by development of abdominal support for breathing and intrinsic muscle strengthening exercises. Regarding voice therapy of unilateral vocal fold paresis/paralysis, several techniques such as head positioning, digital manipulation, pushing and pulling method are used for trial or temporary therapy. And the holistic voice therapy such as LSVT, Accent method, VFE are useful for hypofunctional voice disorders. These may be effective interventions as a temporary improvement until normal voice recovers or may provide the essentials for long-term rehabilitation.

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The factors affecting on Turnover Intention of Nurses Working in Rehabilitation Hospitals (재활전문병원 간호사의 이직의도 영향요인)

  • Kim, Nam Hee;Park, Jung Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.4077-4085
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    • 2015
  • This study is identify the factors affecting the level of their turnover intention of rehabilitation hospitals nurses. Study subjects were 205 nurses at a rehabilitation hospitals three in B city and two in D city. The data was collected from July 1, to July 30, 2014. The data was analyzed using the SPSS win 18.0 program. The mean scores were 3.66 for role conflicts, 3.14 for job satisfaction, and 3.04 for turnover intention. There was weak, positive correlation between the level of role conflicts and that of turnover intention of the respondents. There was relatively strong, negative correlation between the level of job satisfaction and that of turnover intention of the respondents. Total explanation power was 49.8% and the greatest impact on the level of turnover intention of rehabilitation hospital nurses was organizational requirements among the sub-areas of job satisfaction, which accounted for 37.6% alone. It is necessary to develop their organizational job satisfaction for and promote nursing profession, develop a program to improve job satisfaction.

Literature Review about Sexual Adjustment for Chronic Illness and Disabilities (만성질환 및 장애자의 성(性) 재활에 관한 문헌 고찰)

  • Kim Soon-Yong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.7-17
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    • 1997
  • Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

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