• 한국전문물리치료학회지
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• 제7권3호
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• pp.49-61
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• 2000

Although the availability of home care rehabilitation services have been greatly increased since community-based rehabilitation was introduced to Korea, there is still a dearth of studies investigating the performance level of ADL (activities of daily living) for the physically disabled in the rural areas. The purposes of this study were to investigate the ADL performance level of disabled persons living at home in the rural areas of Wonju city, Korea, using FIM (functional independence measure) and to identify the specific areas of the ADL to be trained or evaluated by physical therapists or occupational therapists. 298 disabled people were interviewed by 10 physical therapy students. Analysis of the interviews indicated: 1) Forty seven point seven percent of the respondents were elderly-disabled persons whose ages were 61 years old or above, and 69.5% of respondents has the history of chronic disability period of 5 years or more. 2) FIM score of bathing, and stairs climbing showed severe dependent trend 3) FIM scores of self-feeding, urination, defecation, and comprehension ability were mildly dependent. These results revealed that functional evaluation/treatment for discharging from hospitals to the rural areas should be emphasized on the specific ADL performance areas such as bathing, and stairs climbing.

• 한국실내디자인학회논문집
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• 제15권2호
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• pp.108-117
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• 2006

This study is to promote barrier-free environment to accommodate the request and the need for accessibility and convenience of disabled people including pregnant women, children and the elderly in using civic service offices which are supposed to play a role as community centers. This study researches the current state of facilities for convenience and analyzes the result according to the type of reasons which prevent disabled persons to get the accessibility and convenience for the information as well as the facilities. Sample cases are 15 civic service offices which are newly built after 1998 in the city of Daegu. There are found three types of problems about convenient facilities, which are the first cases with facilities not installed, the second cases with facilities not properly installed according to the rule, and the third cases with facilities installed properly according to the rule but inconvenient for the actual use. This study proposes a more critical process for the building permit to promote the rate of proper installation of convenience facilities, and the supplementary law with more specific regulations to improve the physical environment for the actual use of physically disabled people.

• The Journal of Korean Physical Therapy
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• 제11권2호
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• pp.75-80
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• 1999

The purpose of this study nun to obtain basic information about the state of the physically disabled due to neurological impairments in order to provide precise data for planning and evaluating the Community Based Rehabilitation in Uiwang. The results were 1) the total number of registered disabled adults with cerebral vascular accident in this city consulted was 80 and the Prevalence rate was 1.0575 of total disabled Persons, 2) under 100 of the score of activity of daily living(ADL) with the subjects was 41.245 as Functional Independence Measure(FIM) and 3) ender 20 of the score of motor ability with the subjects was $45.1\%$ as Motor Assessment Scale(MAS). This results show that rehabilitation program for community based rehabilitation(CBR) should set up for each level of motor ability and ADL.

• KIEAE Journal
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• 제9권1호
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• pp.11-21
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• 2009

Today the realization of a welfare society is urgently needed as growing of economy. To promptly meet the needs of the times, the ratio of a matriculation of the physically disabled is getting higher, stretching opportunities of a higher education. But, the walk environment in university educational facilities is still insufficient because of the indifference to the education of the physically disabled. The purpose of this research is to suggest the direction to improve the walk environment for all users through evaluation of the accessibility of the walk environment in university educational facilities, and the scope of the research is the internal and external walk environment of university educational facilities. The first step of the research is preparatory study review to extract the elements of the accessibility of the Universal Design Principles. And then, we evaluate the accessibility of university educational facilities through the site visits. The results of this research are as following: 1) The internal and external walk environment of university educational facilities needs more physical improvement for keeping accessibility. 2) We need to provide consistent guidances from the external sidewalks to main entrances, slopes, staircases, elevators, and corridors. 3) The walk environment of university educational facilities needs to maintain continuously.

• 대한토목학회논문집
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• 제29권1D호
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• pp.101-110
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• 2009

우리나라의 도시공간에는 교통약자들의 이동을 어렵게하는 많은 장애 요소들이 산재되어 있다. 이러한 문제를 해결하기 위하여 2006년 1월 "교통약자의 이동편의증진법(이하 이동편의증진법)"이 제정되었으며 이동성확보를 위한 각종 시설정비가 법적근거 하에 추진되기에 이르렀다. 그러나 강제적 규제를 위한 기준을 수립하는 법률의 속성상 이동편의증진법에 설정되어 있는 각종 기준들은 교통약자들을 위한 최소 기준을 제시하고 있을 따름이며, 교통약자들의 쾌적하고 편안한 이동을 보장하기에는 충분하지 않다는 비판이 제기되고 있다. 따라서 이러한 문제를 해결하기 위해서는 교통약자들의 실제적 편의에 근거한 보다 엄격한 시설 설치기준이 마련되어야 할 필요가 있다. 본 연구의 목적은 이러한 관련 법제도상에서 제시되고 있는 교통약자를 위한 각종 기준 및 이러한 기준에 의해 건설된 보행로의 현황과 문제점을 분석하여 현재 시행 초기단계에 있는 BF 인증제도의 기준에 대한 개선 방향을 제시하고, 개선된 기준을 바탕으로 실제 보행로를 평가하여 BF 디자인 측면에서의 보행로 설계상 개선이 요구되는 사항들을 분석하는데 있다. 이를 위하여 본 연구에서는 국내의 관련 법제도들을 선진국 사례와 비교분석하고 그 결과를 토대로 현재 우리나라 보행로 설계 기준에 근거하여 건설된 보행로들의 BF 설계 수준을 현장조사를 통해 분석하였다.

• 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.

• Journal of Preventive Medicine and Public Health
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• 제31권3호
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• pp.503-515
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• 1998

대구지역 재가 지체장애인의 삶의 질과 삶의 만족도에 대한 관련요인을 밝히고자, 1997년 4월에서 7월 사이 한국건강관리협회 대구지부에서 실시하는 장애인 건강검진에 참가한 재가 지체장애인들 중 440명을 대상으로 설문지로 직접 면담하였다. 일반적 특성으로 성, 나이, 결혼상태, 가족수, 교육수준, 경제적 수준, 장애등급, 장애이외의 다른 만성질환 동반여부, 주관적 건강수준을 측정하고, 삶의 질 측정도구로는 Wood Dauphinee 등이 장애인의 정상생활 적응정도를 파악하기 위하여 개발한 Reintegration to Normal Living Index(RNLI)를 이용하였으며, 삶의 만족도는 현재 자신의 생활에 만족하는 정도를 리커트 척도 5점으로 측정하였으나 만족군이 적어서 불만족군과 보통이상의 만족군 두 군으로 나누어서 분석에 이용하였다. 삶의 질 측정으로 사용된 RNLI의 평균점수는 총점 $16.2{\pm}4.8$, 기능항목 $12.2{\pm}3.4$, 인지항목 $4.0{\pm}2.1$이었다. 기능항목 9점이상의 높은 군이 86.6%인데 비해 인지항목 4점이상의 높은 군은 63.2%으로 상대적으로 적었으며, 문항별로 보아 기능항목의 멀리 여행가기, 직업활동, 사회활동의 참여에 인지항목의 대인관계나 사회생활관계에 대한 부정적인 응답이 높아, 기능장애나 능력장애 보다는 사회적 활동이나 대인관계 영역에 대한 적응이 낮은 것으로 보였다. 삶의 만족도 평가에서 불만족군이 52.7%인데 비해 보통이상의 만족군이 47.3%로 나타났다. 단변량분석 결과 삶의 질에는 연령, 결혼상태, 교육수준, 경제적 수준, 직업, 장애등급, 다른 만성질환 동반 여부, 주관적 건강수준이 유의하였으나, 다변량분석 결과 연령, 교육수준, 직업, 장애등급, 주관적 건강수준이 유의하였다. 삶의 만족도에는 연령, 교육수준, 경제적 수준, 직업, 다른 만성질환 동반 여부, 주관적 건강수준이 단변량분석에서 유의하였으나, 다변량분석 결과 경제적 수준, 직업, 주관적 건강수준이 유의한 예측요인이었으며, 사회적 관계를 포함한 인지적인 면이 일상생활동작의 기능적인 면에 비해 삶의 만족과 더 관련성이 높았다. 장애인의 삶의 질 및 삶의 만족도 향상을 위해서는, 직업적 재활교육으로 인한 취업 확대로 그들의 기본적인 경제적 수준을 높이고, 또한 이러한 사회적 참여의 기회를 넓힘으로써 스스로에 대한 평가를 긍정적으로 하도록 유도하는 것이 우선적 과제라 할 수 있다.

• 대한가정학회지
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• 제29권3호
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• pp.71-83
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• 1991

This study examines a pattern of family caregiving and its effect on life satisfaction of disabled elderly people. Data were gathered through the use of face-to-face interview method from a sample of 135 elderly aged over 60. One-third of the elderly respondents have no family caregiver. Most of caregivers provide routine household chores and physical help, but persnal care such as bathing and changing clothes was taken by elderly people themselves. The caregiver in an elderly couple is most likely the wife. When a spouse is unavailable, daughters-in law usually assume the role of a primary caregiver. Sex difference has been found in the most comfortable caregiver for the elderly. The most comfortable caregiver for the elderly men is shown to be their spouse, whereas the one for the elderly women is show to be their daughter-in-law. Most of the disabled elderly are emotionally dependent on their son(usually their eldest son), but physically dependent on their spouse, daughter-in-law, or daughter. The caregivers are dominated by women. Among those elderly receiving care from their children, the relationship between the aged their caregiver is found to be closer than the past when the aged were healthy: however, this relationship is found to be almost the same as the past among those elderly receiving care from their spouse. Finally, the degree of family solidarity, satisfaction with received cares, and the relationship with caregivers are found to be closely related to life satisfaction of the elderly respondents.

• 대한장애인치과학회지
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• 제9권2호
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• pp.111-117
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• 2013

Some odontogenic infections erode into fascial spaces directly and spread toward lymphatic tissues and blood streams. The principal maxillary primary spaces are the canine, buccal, and infratemporal space, the next secondary spaces are the masseteric, temporal and pharygeal space. As a result of the infection, trismus and orocutaneous fistula may be occurred. Trismus is owing to conditions not associated with temporomandibular joint itself and may be of myogenic, neurogenic, or psychogenic nature. Muscular trismus is due to infection adjacent to the elevator muscles of the jaw. The four principles of treatment of infection are as follows: (1) removal of the cause, (2) establishment of drainage, (3) institution of antibiotic therapy, and (4) provision of supportive care, including rest, nutrition and physiotherapy. Jaw physiotherapy is necessary to increase the amount of mouth opening and regain normal muscle tone. If proper care of odontogenic infection could be attained, the orocutaneous fistula will heal and close spontaneously by wound contraction mechanism of natural homeostatic response. This is a case report of the care of trismus and orocutaneous fistula due to fascial space abscess by advanced odontogenic infection in a physically disabled patient.

• 한국융합학회논문지
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• 제7권5호
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• pp.247-254
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• 2016

이 연구의 목적은 생활체육 참여정도가 지체장애인의 객체화된 신체의식에 어떠한 영향을 미치는지를 규명하는데 있다. 연구대상은 A시에 거주하면서 생활체육에 참여하고 있는 지체장애인들 221명을 대상으로 하였다. 자료처리는 SPSS 21.0 프로그램을 이용하여 빈도분석, 요인분석을 실시하였으며, 구체적인 요인에 대한 분석은 독립 t검증과 일원변량분석 및 중다회귀분석을 실시하였다. 모든 통계적 유의 수준은 .05로 설정하였다. 연구결론으로는 첫째, 지체장애인의 인구사회학적 특성에 따른 성별(남성), 연령별(40대, 50대), 장애등급별(4급)에 따른 객체화된 신체의식 수준에는 긍정적인 효과가 있는 것으로 나타났다. 둘째, 지체장애인의 생활체육 참여정도(운동기간, 운동시간, 운동강도)는 객체화된 신체의식의 신체 수치심에 긍정적인 효과가 있으며, 신체 감시성에서는 운동기간, 신체수치심에서는 운동강도, 통제신념에서는 운동시간이 각각 긍정적인 영향을 미치는 것으로 나타났다.