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이충휘(Yi Chung-hwi),박경희(Park Kyoung-hee),이현주(Lee Hyun-ju) 한국전문물리치료학회 2000 한국전문물리치료학회지 Vol.7 No.3
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 per son s 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 therapist s. 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 respondent s 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.
이충휘(Chung Hwi Yi) 대한물리치료학회 1990 대한물리치료학회지 Vol.2 No.1
This study was carried out to measure the degree of work-related stress and to identify factors influencing the excessive stress among clinical physical therapists, One thousand and five physical therapists surveyed nationwide met the established criteria for inclusion in the study, The respondents were an average age of 27.1 years, 34.5 were married, and 61.2% were female, Most of the respondent (48.1%) worked in local clinics, The average stress score was 50.9. Analysis-of-variance test demonstrated significant difference in the degree of stress among treatment Facilities, There was a significant relationship between treatment facilities (general hospital, local hospital, clinic), number of patients treated per day, job satisfaction, low back pain and work-related stress, respectively, Work-related stress was unrelated to matters of sex, marital status, education, Hospital administrators, physical therapydirectors, and individual therapists should work within their organizations to reduce work stress and its detrimental effects, Further research is necessary to investigate preventive measures to decrease the work-related stress.
이충휘(Chung Hwi Yi) 대한물리치료학회 1989 대한물리치료학회지 Vol.1 No.1
The present study was designed to investigate the general characteristics of pain patients and to analyze the properties of Korean pain expression terms as a preliminary step in the development of a pain questionnaire, Questionnaires were administered to 73 adult patients(53 males, 20 females) with knee, ankle, neck, low back, and shoulder pain, The mean duration of pain was 16.2 months(SE=3.3). The results were as fellows: 1. The data show that there are over 30 words in the Korean language to describe the varieties of pain experience even within this small sample. 2. There was low significant relationship between present pain intensity using visual analogue scale and the selected numbers of pain words from the pain questionnaire (p$lt;.01). 3. In order to separate basic factors, a principal component analysis with varimax rotation was performed, The principal component analysis produced 8 factors, The proportion of variance explained by these factors was 71.0%. The first factor accounting 26.8% of the variance was labeled $quot;cruelty and fear related pain$quot; ; second $quot;pain produced from deep tissue$quot; ; third $quot;skin-punctuating related pain$quot; ; and fourth $quot;miscellaneous and complicated pain$quot;. Results of this study might be utilitzed in developing a pain questionnaire for pain patients.
이충휘(Yi Chung-hwi),이현주(Lee Hyun-ju),박경희(Park Kyoung-hee),안덕현(Ahn Duck-hyun) 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2
The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stoke, spinal cord injury, and cerebral palsy in addition to disabilities classfied as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation service were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation service received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at a hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive Rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.
이충휘(Chung Hwi Yi),주민(Min Chu),김선엽(Suhn Yop Kim) 대한물리치료학회 1989 대한물리치료학회지 Vol.1 No.1
The purpose of this study was to contribute to the relatively neglected area of out-patient satisfaction with physical therapy service by measuring and determining the factors affecting patient satisfaction in the Andong region. One hundred and forty-five subjects (81 males and 64 females) at 11 facilities with a mean age of 39.2 years (SD=16.2) responded to the satisfaction questionnaire, Each questionnaire contained a set of demographic questions and 19 patient satisfaction items, Cronbach`s alpha test of reliability was used as the measure of internal consistency. The satisfaction scale had a good reliability coefficient : Cronbach`s alpha=.8688. The average satisfaction score(minimum score=19, maximum score=95) was ranging from 38 to 90. Respondent variables including sex, education, marital status; religion, medical security, average monthly income, and number of physical therapy out-patient department treatment visits were analyzed by t-test, ANOVA, and ANCOVA. Satisfaction with the service was largely unrelated to matters of sex, education, occupation, or other demographic variables. However, marital status, age, average monthly income, and number of treatment visits in the out-patient department were significantly related to patient satisfaction. The analysis presented here could be replicatied with a larger sample in other areas, Other factors such as physical therapist availability, physical therapist competence, accessibility, waiting time; and atmosphere of the treatment area should be considered in further studies.
이충휘(Yi Chung-hwi),이현주(Lee Hyun-ju) 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.1
This study evaluated the community-based rehabilitation services provided by the Wonju Public Health Center from Jan. 2000 to Dec. 2002. Ninety-four persons with disabilities dwelling in the community participated and the surveys were completed in an interview during home visits. The respondents’ demographic, socio-economic, and medical characteristics, rehabilitation service received, willingness to receive home-visit rehabilitation services, and satisfaction with the rehabilitation services were analyzed by frequency and percentage. A Likert scoring system consisting of five agreement-disagreement categories was applied to each item, consisting of Very Satisfied, Satisfied, So-So, Poorly Satisfied, and Very Poorly Satisfied. The major findings were as follows: 1) The rehabilitation services used included medical rehabilitation (26.9%), followed by social assistance (23.5%), diagnosis by a physician at home (17.3%), medical examination (12.3%), housekeeping services (6.2%), and vocational and educational rehabilitation (3.5%). 2) Of the medical services, the respondents desired physical therapy at home and free rental of rehabilitation equipment, such as wheelchairs, canes, walkers, the most, followed by home visit occupational therapy, nursing services, and oriental medicine service in descending order. 3) Some of the respondents expressed so-so satisfaction (50.0%) or dissatisfaction (16.9%) with the rehabilitation services provided by the Wonju Public Health Center. These findings should prove useful when planning or extending community-based rehabilitation programs for the homebound disabled in the community.