기후변화 대응을 위한 ‘후회 없는 전략(no regrets approach)’ 고찰

김고운(Ko Un Kim),박현정(Hyun Jung Park) 한국환경정책학회 2016 한국환경정책학회 학술대회논문집 Vol.2016 No.10

경두개 직류자극 및 인지훈련 프로그램 적용이 치매환자의 인지기능, 시지각 및 일상생활활동에 미치는 영향

김고운 ( Ko-un Kim ),김보라 ( Bo-ra Kim ),안태규 ( Tae-gyu An ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.4

Purpose : There is a lack of research on this field in the Republic of Korea, especially those that have seen the effect of interaction between transcranial direct current stimulation and computerized cognitive rehabilitation therapy. This study divided 30 dementia patients into a treatment group, which received transcranial direct current stimulation and computerized cognitive rehabilitation, and a control group, which received pseudo-transcranial direct current stimulation and pseudo-computerized cognitive rehabilitation. This study evaluated the effects of these treatments on the visual perception, cognition functions, and daily activities of dementia patients. Methods : Fifteen subjects were allocated to the treatment group and the other 15 subjects were allocated to the control group. Treatments were given at intervals of five sessions per week (30 minutes per session) for six weeks (30 times in total). This study used the Neurobehavioral Cognitive Status Examination (NCSE) to examine cognitive functions, MVPT to evaluate visual perception, and FIM to test daily living activities before and after applying the treatments. Results : The results of this study showed that cognitive functions, visual perception, and daily living activities significantly (p<.05) improved after the intervention in the treatment group and the control group. The changes in cognitive functions, visual perception, and daily living activities due to the treatments were significantly different between the groups (p<.05). Conclusion : The results indicated that transcranial direct current stimulation and computerized cognitive rehabilitation therapy improved visual perception and daily living activities by increasing cognitive functions. Consequently, it was found that the simultaneous application of transcranial direct current stimulation in conjunction with a computerized cognitive rehabilitation program was an intervention method that could positively affect the visual perception, cognitive function, and daily living activities of dementia patients. Based on the results of this study, the study of arbitration protocols for demential will have to be more active.

가상현실 기반 작업치료프로그램이 학령기 지적장애 아동의 신체기능 및 학습능력에 미치는 영향

김고운 ( Ko-un Kim ),오혜원 ( Hye-won Oh ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.1

Purpose : The purpose of this study was to investigate the effects of a virtual reality-based occupational therapy program on the physical function and learning ability of intellectually disabled school-aged children. Methods : In this study, 20 intellectually disabled children of school age were randomly and evenly divided into experimental and control groups with children in the experimental group receiving a virtual reality-based occupational therapy intervention. The study adopted a pretest-posttest design. The intervention was conducted for a total of 12 sessions for six weeks, twice a week, and 50 minutes per session. As measurement tools, BOT-2 and grooved pegboard tests were used to compare physical function before and after the intervention program, and K-ABC was used to check changes in learning ability. Results : The occupational therapy program produced a significant improvement in both physical function and learning ability of the experimental group. A significant difference was observed between the experimental and control groups. Conclusion : This study confirmed the value and usefulness of virtual reality-based occupational therapy as a tool for enhancing the physical function and learning ability of intellectually disabled school-aged children. Based on the results, a variety of future studies are encouraged that would further test the effects of the occupational therapy program used here.

지적발달장애인의 지역사회 참여 촉진 프로그램 개발을 위한 지역 사회 참여에 미치는 요인 분석

김고운 ( Kim Ko-un ),김환 ( Kim Whan ),오혜원 ( Oh Hye-won ),권혁철 ( Kwon Hyuk-cheol ),이선욱 ( Lee Sun-wook ),이선민 ( Lee Sun-min ) 대구대학교 특수교육재활과학연구소 2017 특수교육재활과학연구 Vol.56 No.3

본 연구는 지역사회에 거주하는 지적발달장애인을 대상으로 지역사회참여에 영향을 미치는 요인을 검증하고자 하였다. 이를 위해 지역사회에 거주하는 18세 이상의 성인 지적발달장애인 115명을 대상으로 설문조사 및 평가를 실시하였다. 지역사회참여 정도를 알아보기 위해 지역사회참여척도를 사용하였고, 본 연구에 사용된 사회심리 요인변수에는 우울감, 희망적 사고, 자아존중감이 있고 이 변수들은 각각 한국판 Beck우울척도, 한국판 희망 척도, Rosenberg 자아존중감 척도를 사용하였다. 지원 환경적 요인을 알아보기 위해 Multidimensional Scale of Perceived Social Support를 사용하였다. 연구의 결과 인구사회학적 요인은 성별, 인지가 지역사회참여에 영향을 주었으며, 심리 사회적 요소는 우울, 희망적 사고, 자아존중감이 영향이 있으며, 지원 환경적 요인은 사회 지원이 지역사회참여에 영향을 주었다. 따라서 지적발달장애인의 지역사회참여 증진을 위해 위와 같은 요소들을 중심으로 지적발달장애인의 지역사회참여를 증진하기 위한 촉진 프로그램을 개발을 한다면 지적발달장애인의 성공적인 재활에 도움이 될 것으로 사료된다. The objective of the present study was to conduct an in-depth analysis into factors that affect community participation, with emphasis on psychosocial factors, in community dwelling adults with intellectual disabilities, aged 18 years or older. For this objective, 115 community residents were surveyed and assessed. The tools used in the study consisted of social participation scale for community participation; The objective of the present study was to conduct an in-depth analysis into factors that affect community participation, with emphasis on psychosocial factors, in community dwelling adults with intellectual disabilities, aged 18 years or older. For this objective, 115 community residents were surveyed and assessed. The tools used in the study consisted of social participation scale for community participation; Korean version of Beck Depression Inventory for depression; Korean hope scale for hopeful thinking; Rosenberg’s self-esteem scale for self-esteem; multidimensional scale of perceived social support (MSPSS) for social support; Korean-Modified Barthel Index (K-MBI) for activities of daily living; and neurobehavioral cognitive status examination for cognitive function. The study results showed that as among the sociodemographic factors, gender and cognition had an influence on community participation, while psychosocial factors of depression, hopeful thinking, and self-esteem, along with resource environmental factor of social support also had an influence on community participation. Therefore, The development of the promotion program aimed at promoting the participation of the intellectually disabled community will be developed to help the successful rehabilitation of the intellectual disability.

모션 인식 활용 작업치료가 신경발달장애 아동의 신체적 자기효능감 및 시각-운동통합 능력, 놀이기술에 미치는 영향

김고운 ( Ko-un Kim ),오혜원 ( Hye-won Oh ) 대한통합의학회 2022 대한통합의학회지 Vol.10 No.1

Purpose : The purpose of this study was to examine the effects of applying occupational therapy that uses motion recognition on the physical self-efficacy, visual-motor integration ability, and play skills of children who have neurodevelopmental disorder before and after treatment. Methods : This The study chose 16 children with neurodevelopmental disorder as research subjects who were randomly and evenly allocated into an experimental group and a control group. The experiment followed a pretest-posttest design. As an intervention, the experimental group received motion recognition-based occupational therapy and a separate sensory integration program. The control group only participated in the separate sensory integration program. The eight-week experiment duration included 24 intervention sessions where the a 50-minute session was implemented three times a week for eight weeks. To compare the physical self-efficacy, visual-motor integration ability, and play skills before and after the intervention, measurement tools including the Physical self efficacy, Beery VMI-6, and Penn interactive peer play scale were used. All measured variables were analyzed and expressed as mean, standard deviation and percentage. Results : The motion recognition-based occupational therapy demonstrated a significant effect on improving the physical self-efficacy, visual-motor integration ability, and play skills of the experimental group. The intervention also caused a significant difference between the experimental group and control group in terms of the physical self-efficacy, visual-motor integration ability, and play skills. Conclusion : We confirmed the possibility motion recognition-based occupational therapy could be effective in improving the physical self-efficacy, visual-motor integration ability, and play skills for patients who have neurodevelopmental disorder. Based on the study result, further future studies are expected based on this study result that prove the application effect of the motion recognition-based occupational therapy using disabled and non- disabled children as subjects are expected in the future.

경두개 직류자극과 가상현실프로그램 적용이 경도인지장애 환자의 인지 및 우울에 미치는 영향

김고운 ( Ko-un Kim ),김보라 ( Bo-ra Kim ),안태규 ( Tae-Gyu An ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.3

Purpose : The purpose of this study is to investigate the effects of transcranial direct current stimulation and virtual reality program application on cognition and depression of patients with mild cognitive impairment, and to find an intervention method that can enhance active participation of patients with mild cognitive impairment. Methods : In this study, 50 mild cognitive impairment patients were divided into a treatment group (25 patients) and a control group (25 patients). The treatment group was applied with a transcranial direct current stimulation and a virtual reality program, while the control group received a placebo transcranial direct current stimulation and a virtual reality program. Both groups received five 50-minute sessions per week (one session per day) for six weeks (total of 30 sessions). NCSE was used to evaluate the cognitive functions of the patients before and after treatment intervention. Moreover, K-BDI was conducted to examine the depression of the patients. Results : As a result of the transcranial direct current stimulation and a virtual reality program intervention, the cognitive function of both treatment and control group significantly (p<.05) improved, and the depression of both treatment and control group significantly (p<.05) decreased. Moreover, the changes in cognitive functions and depression were significant between the two groups¸ treatment and control group (p<.05). Conclusion : The results of the study showed that the application of the transcranial direct current stimulation and virtual reality program significantly improved the cognitive function of mild cognitive impairment patients and decreased the depression of them. Therefore, it could be concluded that the transcranial direct current stimulation and virtual reality program was an intervention method which positively affects the cognitive function and depression of mild cognitive impairment patients.

Changes in Cervical Angle Accoding to the Duration of Computer use

Soo-Han Kim(김수한),Ko-Un Kim(김고운),Ji-Sung Kim(김지성) 한국엔터테인먼트산업학회 2013 한국엔터테인먼트산업학회논문지 Vol.7 No.2

본 연구의 목적은 대학생들을 대상으로 컴퓨터 사용시간과 이에 따른 경추 각도의 변화를 x-ray 촬영기법으로 알아보는 것이다. 총 92명의 대학생을 대상으로 x-ray촬영을 통해 경추 각도를 측정하였고, 컴퓨터 사용시간에 대한 전반적인 내용과 인터넷 중독에 대한 내용을 설문지로 알아보았다. x-ray 필름은 cobb method와 ARA method를 통해 각도를 알아보았고, 설문지와의 연관성은 빈도분석, 독립표본 t-검정, 분산분석을 통해 알아보았다. 연구결과 학생들은 데스크탑을 주로 사용하였고, 대부분(73.3%)의 학생은 인터넷에 중독되어 있었으며, 피로와 통증을 호소하는 학생들은 전반적으로 경추각도가 적은 일자목에 가까웠고, 인터넷에 중독된 학생들은 뚜렷한 경추전만의 소견을 보였다.(p<.05) 또한 컴퓨터 사용시간이 길수록 전반적으로 경추의 각도는 유의하게 감소하는 것을 알 수 있었다. 따라서 본 연구를 통해 컴퓨터 사용시간이 유의하게 경추각도의 변화에 영향을 줄 수 있다는 결과를 도출할 수 있다. This study was performed to investigate the change of degrees of cervical vertebra followed university students" using and hours of computer. 92 persons who agreed with the experiment were selected as participants. They were x-rayed and then measured degrees of cervical vertebra by Cobb and ARA methods and checked about hours using computer and the Internet addiction by the questionnaire. To look into the correlation between degrees of cervical vertebra and the questionnaire, frequency analysis, independent samples, t-test and analysis of variance were used. As a result of the study, the response that "3~5 hours per a day" was gotten the most score with 38% and another answer that "more than 5 hours" was the second with 34.4% at the questions about hours using computer. About the items related to the Internet addiction, 73.3% students was shown the tendency of the addiction and they have pain in the followed order on neck(34.1%), hands/wrists(26.8%), shoulders(24.4%). Also, the degrees of cervical vertebra of students who have pain and fatigue was decreased and lordosis of cervical vertebra appears from students who were classified as the Internet addiction (p<.05). From this research, we could know some facts that physical fatigue and pain are increased as using more computers and it can cause the changes to degrees of cervical vertebra.

전산화 인지재활 프로그램이 뇌졸중 환자의 우울 및 인지기능에 미치는 영향

안태규(Tae-Gyu An),김고운(Ko-Un Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.5

본 연구는 부산 M병원에서 전산화 단층촬영이나 자기공명영상촬영에 의해 뇌졸중을 진단받고 입원한 뇌졸중 환자중 이 연구의 취지를 이해하고 자발적으로 참여하겠다고 서면으로 동의한 환자를 대상으로 전산화 인지재활프로그램을 적용하여 우울 및 인지기능, 일상생활활동에 미치는 영향을 알아보는 연구이다. 뇌졸중환자 44명을 대상으로 2016년 07월 04일부터 2016년 08월 12일까지 6주간 주 5회 1일 30분씩, 총30회기 동안 전산화 인지재활프로그램을 적용한 실험군 22명과 전산화인지재활프로그램을 적용하지 않은 대조군 22명을 6주간 주 5회 30회기를 실시하였다. 중재 전과 후의 우울은 우울척도 검사(BDI)를 통해 알아보았고, 인지기능은 신경학적 인지상태 검사(NSCE), 일상생활활동은 한국판 수정바델지수(k-MBI)를 통해 알아보았다. 연구결과 실험군에서는 우울감의 감소, 인지기능의 증진 및 일상생활활동의 증진을 나타내었다. 그러나, 대조군의 경우 우울감, 인지기능, 일상생활활동이 실험군에 비해 유의하게 증진하지는 않았다는 결과로 나타났다. 따라서 본 연구 결과 전산화 인지재활프로그램을 받은 실험군이 대조군에 비해 우울, 인지기능, 일상생활활동에 긍정적인 영향을 미친다는 것을 알 수 있었으며, 임상에서 뇌졸중 환자의 우울, 인지, 일상생활활동을 위한 치료로서 전산화인지 프로그램을 적극적으로 활용할 수 있을 것이다. This study examined the effects of a computer-assisted cognitive rehabilitation program on the depression, cognitive functions, and daily functions of stroke patients. Forty-four stroke patients were divided into the treatment group and control group, consisting of 22 patients each. The patients in the treatment group were treated with a computer-assisted cognitive rehabilitation program for 6 weeks, 5 times a week, for a total of 30 times. Depression, cognitive functions, and daily functions was gauged by the BDI, NSCE, and k-MBI, respectively. The treatment group showed decreases in depression, and increases in both cognitive functions and daily functions by the end of the rehabilitation program. Compared to the treatment group, the control group did not show significant improvements in depression, cognitive functions, and daily functions. Therefore, these findings indicate that a computer-assisted cognitive rehabilitation program has a positive effect on depression, cognitive functions, and daily functions in stroke patients.

파리협정 이행 위한 서울시 ‘2050 탄소중립’ 전략

황인창(In Chang Hwang),김고운(Ko-Un Kim),백종락(Jong-Rak Baek),손원익 서울연구원 2020 서울연구원 정책과제연구보고서 Vol.- No.-

만성 호흡기계 질환 노인의 능력 증강 프로그램이 자기효능감과 여가활동 참여에 미치는 효과

오혜원 ( Hye Won Oh ),김고운 ( Ko Un Kim ) 아시아문화학술원 2016 인문사회 21 Vol.7 No.3

본 연구는 만성 호흡기계 질환을 가진 노인을 대상으로 능력 증강 프로그램을 실시하여, 자기효능감과 여가활동참여에 미치는 영향에 대해 알아보았다. 2016년1월부터 2016년 5월까지 서울 소재 2개 종합병원 호흡기 내과 전문의로부터 호흡기 질환을 진단 받고 통원치료중인 외래환자 65세 이상 노인 20명을 대상으로 12주간 주 3회50분간 외래로 작업치료실에 방문한 환자를 대상으로 능력 증강 프로그램이 만성호흡기계 질환을 가진 노인의 자기효능감과 여가활동 참여도에 미치는 영향을 알아보았다. 중재전과 후의 자기효능감을 알아보기 위해 자기효능감척도(Self-efficacy Scale)를 사용하였고 여가활동참여를 알아보기 위해 여가활동참여도를 이용해 중재 전과 후의 변화를 알아보았다. 중재 결과 일반적 자기효능감, 사회적 자기효능감, 총점 모두에서 중재 전에 비해중재 후 유의하게 증가하였으며, 여가활동 참여의 경우에도 모든 하위 항목을 포함한 총점에서 중재 전에 비해 중재 후 유의하게 증가하였다. 따라서 능력 증강 프로그램은 만정질환을 가진 노인의 자기효능감과 여가활동 참여에 긍정적인 영향을 미친다는 사실을 알수 있었다 This study applied an empowerment program to elderly people who had chronic pulmonary disease and examined its effects on their self-efficacy and leisure activity participation. The number of subjects was 20. The subjects were those who visited an occupational therapy room as outpatients and received the empowerment program three times per week, fifty minutes per each time, for 12 weeks. In order to look at their self-efficacy and leisure activity participation before and after the intervention, self-efficacy scale and leisure activity participation scale respectively, were utilized. After application empowerment program, their general self-efficacy, social self-efficacy and total score of self-efficacy significantly increased as well as all subordinate items in activity participation improved significantly. Therefore, an empowerment program self-efficacy positively affected elderly people’ who had chronic disease self-efficacy and leisure activity participation