성인 언어재활에 대한 언어재활사들의 인식, 요구 및 경험

권미지(Mi Ji Kwon),박현린(Hyun Rin Park),손은남(Eun Nam Sohn) 한국언어치료학회 2022 言語治療硏究 Vol.31 No.3

목적 : 본 연구는 언어재활사를 대상으로 성인 언어재활에 대한 인식과 요구도를 파악하여 성인 언어재활을 위한 대학의 교육과정과 국가의 정책 수립 마련을 위한 기초자료를 제시하고자 하였다. 방법 : 본 연구는 현장에 근무하는 언어재활사를 대상으로 설문을 배부하여 회수된 152부를 최종 분석대상으로 하였다. 본 연구의 목적에 알맞게 설문을 개발하는 과정을 거쳤으며, 최종 설문지는 연구대상자 기본정보 7문항, 성인 언어재활에 대한 인식 4문항, 교육 요구도 7문항, 평가 및 중재 경험 문항 3문항을 포함하여 총 21문항으로 구성하였다. 설문은 구글 설문지를 통해 제작하였으며, 현장 언어재활사에게 URL 주소로 배포하고 회수하였다. 결과 : 먼저, 성인 언어재활에 대해 중요하다고 인식하는 언어재활사의 비율이 전체의 약 93%였으나, 중재 자신감에서는 자신 있다고 응답한 비율이 전체의 약 59%임을 알 수 있었다. 또한 성인 언어재활에 대한 교육 요구도가 있다고 응답한 비율이 매우 높았는데, 대학(혹은 대학원)기관에서가 약 91%, 학회 및 협회에서가 약 96%였다. 마지막으로, 중요성 인식과 중재 자신감에서 자격증 급수에 따른 유의미한 차이가 나타났는데, 중요성에 대한 인식은 2급 언어재활사가 1급보다 높았으나 중재 자신감의 경우 반대였다. 결론 : 언어재활사는 후천적 장애인의 증가와 초고령 사회를 대비하는 현시점에서 성인 언어재활의 필요성에 대해서 인식하고 있다. 따라서 추후 성인 언어재활의 평가 및 중재 경험이 확대될 수 있도록 다양한 교육 프로그램 등의 개발이 필요할 것이다. Purpose : This study intends to present basic data for preparing university curriculum and national policy by identifying the awareness and needs of speech-language pathologists for adult speech-language rehabilitation. Methods : This study was distributed to SLPs, with 152 questionnaires eventually included in the analysis. The questionnaire in this study was developed according to the purpose of the study. The final questionnaire comprised 21 questions (7 participant information, 4 perception, 7 educational need, 3 experience) regarding speech-language rehabilitation in adults. The survey was created through Google Forms and distributed by URL address. Results : First, nearly 93% of SLPs reported they have realized the importance of adult speech-language rehabilitation, although only 59% have confidence in the intervention. Second, there was a high percentage of educational needs for adult speech-language rehabilitation, with about 91% of university (or graduate schools) and about 96% of the academic organizations. Finally, there was a significant difference in the group according to the SPL license. The SLP group with level 2 certificates showed significantly higher difference than group 1 in awareness of importance. However, the results were reversed when measuring confidence in intervention. Conclusions : SLPs recognize the necessity of adult speech-language rehabilitation in preparation for the increase in the number of people with acquired disabilities and the aging society. Therefore, there is a need for various educational programs to be developed so that the evaluation and arbitration experience of adult speech-language rehabilitation can be expanded in the future.

뇌졸중 후 통증 발생과 삶의 질과의 관계

권미지 ( Mi-ji Kwon ) 대한물리의학회 2017 대한물리의학회지 Vol.12 No.2

PURPOSE: Central post-stroke pain (CPSP), a chronic pain condition of stroke patients, can impair activities of daily living and worsen the quality of life (QOL), thereby negatively influencing the rehabilitation process. However, CPSP remains an underestimated complication of stroke. This study aimed to describe the prevalence and types of new-onset chronic pain and to identify the relation between pain and QOL in stroke patients. METHODS: All patients hospitalized because of a diagnosis of stroke were included. Questionnaire was used. Pain intensity was measured using Numerical rating scale (NRS), and pain characteristics were assessed using DN4. QOL was measured using SF-36. Descriptive statistics were used to analyze the characteristics and pain data, and chi-square test was used to compare QOL categorical data between the nociceptive and neurological pain groups. RESULTS: CPSP development was reported by 34% of the post-stroke pain patients. Perceived QOL was low in both groups, especially with respect to the physical functioning, bodily pain, physical-role functioning, emotional-role functioning, and mental health domains. However, no significant difference was observed in QOL between the nociceptive and neurological pain groups (p<.05). CONCLUSION: Our results indicated that CPSP is a common and disabling complication that is difficult to treat, often decreases QOL, and may negatively affect rehabilitation treatment.

언어치료전공 대학생의 보완대체의사소통에 대한 이해도와 기대도 연구

권미지 ( Miji Kwon ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.2

본 연구의 목적은 임상현장을 앞두고 있는 예비언어재활사들을 대상으로 보완대체의사소통에 대한 이해도와 기대도를 알아보기 위함이다. 연구방법은 언어치료전공 대학생의 218명을 대상으로 설문조사를 실시하였다. 연구 결과 첫째, ‘AAC 적용은 구어발달을 방해하거나 멈추게 한다’ 문항에서 학년간 이해도 차이가 있는 것으로 나타났다. 또한 AAC 적용에 따른 이해도 차이 결과, ‘4-5세’ 연령과 ‘뇌병변 장애’ 영역에서 AAC를 주로 적용할 것으로 분석되었다. 둘째, 보완대체의사소통의 기대도에 대한 인식차이를 분석 결과, AAC 사용시 긍정적인 기대감, 언어치료사의 역할, AAC 치료방법 소개, 프로그램 개발, 부모교육의 중요성 등에 대한 긍정적인 기대도가 나타났다. 이러한 결과를 통해 임상현장에서 요구되는 보완대체의사소통 지원을 원활하게 하기 위한 프로그램을 개발하는데 기초자료가 될 것으로 사료된다. The purpose of this study is to find out the understanding and expectation of augmentative and alternative communication for preliminary speech rehabilitation practitioners facing the clinical field. As for the research method, a questionnaire survey was conducted on 218 university students majoring in speech therapy. As a result, first, there was a difference in understanding between grades in the question ‘Applying AAC impedes or stops oral development.’ In addition, the difference in understanding of the AAC application results, it was analyzed to apply the AAC mainly in the “4-5 year old” age and “erebral palsy disorder” area. Second, as a result of analyzing the difference in perception about the expectation of augmentative and alternative communication, positive expectation when using AAC, the role of a speech therapist, introduction of AAC treatment methods, program development, and the importance of parental education were revealed. It is believed that these results will serve as basic data for developing a program to facilitate the support of augmentative and alternative communication required in the clinical field.

정상 성인 여성의 양발서기 자세와 발뒤꿈치-발끝 서기 자세의 자세안정성과 체중분포

권미지 ( Mi Ji Kwon ) 대한물리의학회 2008 대한물리의학회지 Vol.3 No.3

뇌졸중 환자의 치료와 결과분석을 하는 물리치료사들의 EBP 활용도

권미지 ( Mi Ji Kwon ) 대한물리의학회 2012 대한물리의학회지 Vol.7 No.3

Purpose The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists` implementation of evidence-based practice for people with stroke. Methods The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion Lack of education, negative perceptions about research and physical therapists` role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.

이중언어 환경 아동의 모음 포먼트 특성에 관한 연구

권미지(Mi-Ji Kwon),고영옥(Young-Ok Ko),김혜경(Hye-Kyung Kim),이은정(Eun-Jeong Lee),정옥란(Ok-Ran Jeong) 한국음성학회 2007 음성과학 Vol.14 No.3

The aim of this study was to investigate the pitch and formant characteristics of vowels produced by monolingual and bilingual children. We collected sustained phonation of single vowels, /a/, /i/, /u/, from children aged 6 through 10 and compared their acoustic characteristics, fo, F1, F2. Results showed a significant difference between the groups in fo and F1 in the sustained phonation /a/, but not in F2. In the sustained phonation /i/, F2 revealed a significant difference but fo and F1 showed no significant difference. The F2 showed a significant difference in the sustained phonation /u/, but fo and F1 revealed no significant difference between the groups. It is needed to study further on the acoustic characteristics of bilingual children so that we can make a proper language intervention strategy for them.

고형암을 표적으로 한 CAR-T 치료법

권미지(Miji Kwon),박희호(Hee Ho Park) 한국생물공학회 2020 KSBB Journal Vol.35 No.2

The chimeric antigen receptor (CAR) is a receptor that introduces the specificity of the immune cell to the tumor. CAR was first developed in the mid-1980s. CARs have evolved from first-generation CARs to fourth-generation CARs. Generally, CAR-T is made by separating and activating T cells from the patient’s blood and then using virus vectors to form CARs. CAR-T has successful clinical results in the treatment of hematologic malignancies, and there are U.S. FDA-approved drugs. Although solid tumor research is being actively conducted, the results of clinical trials on solid tumor are still not as expected. Therefore, it is necessary to study CAR-T therapy, especially efficacy and stability of CAR-T cells against solid tumors.

뇌졸중 환자와 노인의 의자에서 일어서기 수행평가

권미지 ( Mi Ji Kwon ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.1

PURPOSE: This study was to provide reference data and examine stroke and healty older differences in sit-to-stand test. This study were to determine utility of the 5 repetition sit to stand for discriminating between fallers and non-fallers, identifying an appropriate cutoff score to delineate between the groups. METHODS: Ninety-five participants were recruited. Seventy-two individuals with stroke and twenty-three healthy older agreed to participate in the study. Falls were recorded using a self-administered questionnaire. The 5 repetition sit to stand test measured the time taken to complete t repetitions of the sit to stand maneuver. The time from the initial seated position to the final seated position after completing five stands was the test measure. A cutoff score regarding 5 repetition sit to stand performance in fallers vs. non-fallers, stroke patients vs. healthy older and <60 vs. ≥60 age groups was determined using and ROC curve. RESULTS: Cutoff score of 9.9 seconds were found to be discriminatory between healthy older and subjects with stroke. Cutoff score of 15.5 seconds were found to be discriminatory between fallers and non-fallers. Cutoff score of 18.3 seconds were found to be discriminatory between <60 and ≥60 age groups. CONCLUSION: The 5-repetition sit-to stand test is quick, easily administered measure useful for gross determination of fall risk in people with stroke.

이중언어 환경 아동의 음운변동 특성

권미지 ( Mi Ji Kwon ),박상희 ( Sang Hee Park ),석동일 ( Dong Il Seok ) 한국특수교육문제연구소 2007 특수교육저널 : 이론과 실천 Vol.8 No.2

이 연구는 이중언어 환경 아동들과 단일언어 환경 아동들의 음운변동률에 대한 조사를 실시하여 이중언어 환경 아동과 단일언어 환경 아동의 음운변동 특성을 비교 분석하였다. 이중언어 환경 아동 4, 5, 6세 각 7명, 9명, 7명씩 총 23명과 단일언어 환경 아동 4, 5, 6세 각 4명, 9명, 6명씩 총 19명을 연구 대상으로 하였다. 이 연구 결과는 다음과 같다. 이중언어 환경 아동들과 단일언어 환경 아동들의 음운변동률에 대하여 발달적인 음운변동 과 비발달적인 음운변동으로 살펴보았다. 발달적인 음운변동의 경우 종성생략 변동에서 언어환경간 유의한 차이가 있었다. 또한 비발달적인 음운변동의 경우 언어환경과 연령간 분산 분석 결과 이완음화, 모음편차, 첨가, 치조음생략에서 언어환경간 유의한 차이가 나타났다. 그러나 언어환경간과 연령간의 상호작용은 통계적으로 유의하지 않았다. 또한 탈기식음화에서 언어환경과 연령간의 상호작용이 통계적으로 유의하였으나 언어환경간과 연령간은 유의한 차이가 나타나지 않았다. This study is about phonological processes of bilingual language environment children and monolingual language environment children and is compared between bilingual language environment children and monolingual language environment children in phonological process characteristics. 23 subjects of bilingual language environment children were chosen between 4 to 6 years, 7, 9 and 7. 19 subjects of monolingual language environment children were chosen between 4 to 6 years, 4, 9 and 6. The results are as following. This study compared bilingual language environment children and monolingual language environment children in developmental phonological processes and nondevelopmental phonological processes. There are some significant differences language environment groups in final omission in developmental phonological processes. Also There are some significant differences between language environment groups and ages in results of two-way ANOVA in lenition, vowel declination, addition and alveolar omission of nondevelopmental phonological processes. But there is no significant difference between language environment groups and ages interaction. And there are some significant differences between language environment groups and ages interaction in deaspiration but there is no significant difference between language environment groups and ages.

예비언어재활사의 협력적 태도에 관한 연구

권미지 ( Miji Kwon ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.5

본 연구는 임상현장에서 직무를 수행하게 될 예비언어재활사들을 대상으로 협력적 태도를 알아보기 위함이다. 연구방법은 언어재활 전공 대학생 166명을 대상으로 온라인 설문을 실시하였다. 연구결과 첫째, 협력 태도에 대한 언어재활사의 전반적인 인식이 높게 나타났다. 둘째, 협력 태도의 하위 범주 간 모든 항목에서 유의미한 상관이 나타났다. 셋째, 예비언어재활사의 학년에 따른 협력 태도 차이 결과 모든 항목에서 유의미한 차이가 나타났다. 또한 예비언어재활사의 실습 경험 여부에 따른 협력 태도 차이 결과, ‘가족 협력 인식’에서 유의미한 차이가 나타났다. 이러한 결과를 통해 예비언어재활사들의 팀 접근에서의 상호협력의 중요성을 위한 협력 태도 교육의 기초자료가 될 것으로 사료된다. The purpose of this study is to investigate the cooperative attitude of pre-service speech-language pathologists who will perform their duties in the clinical field. As a research method, an online questionnaire was conducted targeting 166 college students majoring in speech rehabilitation. As a result of the study, first, the overall perception of pre-service speech-language pathologists on cooperative attitudes was high. Second, significant correlations were found in all items between subcategories of cooperative attitudes. Third, as a result of differences in cooperative attitudes according to grades of pre-service speech-language pathologists, significant differences were found in all items. In addition, as a result of the difference in cooperative attitude according to the practical experience of pre-service speech-language pathologists, there was a significant difference in ‘recognition of family cooperation.’ Through these results, it is thought that it will be a basic data for cooperative attitude education for the importance of mutual cooperation in the team approach of pre-service speech-language pathologists.