퇴행성 관절염과 류마티스 관절염 유병자의 악력 특성 -제 8기 국민건강영양조사 자료 분석-

노효련,Hyo-Lyun Roh 대한고유수용성신경근촉진법학회 2023 PNF and Movement Vol.21 No.3

Purpose: The purpose of this study was to investigate the characteristics and grip strength of people with osteoarthritis and rheumatoid arthritis using data from the Korea National Health and Nutrition Examination Survey. Methods: This was a retrospective study that analyzed raw data from the first year of the 8th Korea National Health and Nutrition Examination Survey (2019). The study population was 780 people in total, ranging in age from their teens to their 80s. These were people who had been diagnosed with osteoarthritis and rheumatoid arthritis, and the presence of arthritis in and grip strength of these subjects were determined using the average value of three measurements. Results: According to the National Health and Nutrition Examination Survey, the prevalence of arthritis in Korea was 2.5% in men, 10.7% in women, and 13.1% overall. More women than men had osteoarthritis and rheumatoid arthritis, and the number of people with osteoarthritis increased with age. In this study, of those with osteoarthritis, 13.5% were men and 88% were women of those with rheumatoid arthritis, 19.3% were men and 56.3% were women. The number of patients with osteoarthritis increased with age, and rheumatoid arthritis was more common in older people. Subjects with osteoarthritis had lower grip strength than those without the disease, and the older the age at which rheumatoid arthritis was first diagnosed, the lower the grip strength. Conclusion: Grip strength is lower in patients with osteoarthritis than in those without osteoarthritis, and it is possible to estimate the degree to which muscle strength decreases.

뇌졸중 환자의 자세조절, 균형 및 보행 척도간의 상관관계

노효련,김찬우 한국자료분석학회 2021 한국자료분석학회 학술대회자료집 Vol.2020 No.3

과제 중심 다감각운동 프로그램이 학습지연을 동반한 ADHD성향 아동의 자아효능감과 쓰기능력에 미치는 변화

노효련,곽성원 대한지역사회작업치료학회 2018 대한지역사회작업치료학회지 Vol.8 No.2

Objective : The purpose of this study was to investigate the change in self-efficacy and writing ability after applying a Task-Oriented Multi-Sensory Movement Program to children with ADHD tendency accompanied by learning delays. Methods : A Task-Oriented Multi-Sensory Movement Program was implemented to children with ADHD tendency accompanied by learning delays attending S elementary school. The research proceeded in the order of a pre-test, Task-Oriented Multi-Sensory Movement intervention, and a post-test. The first session involved a pre-test, in which the children’s self-efficacy and writing ability were examined using self-efficacy test and type ‘A’ KNISE-BAAT writing test. The multisensory group activity program intervention was conducted for a total of 8 sessions. In the last session, a post-test was conducted using self-efficacy test and type ‘B’ KNISE-BAAT writing test. Data collected from the tests were analyzed using SPSS Statistics 18. Results : According to the tests taken before and after implementing the Task-Oriented Multi-Sensory Movement Program, there was a significant improvement in self-efficacy (school, society), writing ability(command of vocabulary and sentence). Conclusion : Task-Oriented Multi-Sensory Movement Program may be used as a beneficial measure to improve the self-efficacy and writing abilities of children with ADHD tendency accompanied by learning delays. It is necessary to design various intervention models by combining educational media based on a multisensory approach. 목적 : 학습지연을 동반한 ADHD성향을 지닌 아동에게 교육매체를 접목한 과제 중심 다감각운동 프로그램을 적용한 후 자아효능감과 쓰기능력의 변화를 알아보고자 하였다. 연구방법 : 학습지연을 동반한 ADHD성향을 지닌 아동을 대상으로 과제 중심 다감각운동 프로그램을 실시하였다. 연구절차는 사전검사, 중재, 사후검사 순으로 진행되었다. 사전-사후검사로 자아효능감 및 KNISE-BAAT 쓰기검사 ‘가’형과 ‘나’형을 사용하였다. 중재는 총 8회기 동안 실시하였다. 수집된 자료는 SPSS version 18 프로그램을 사용하여 분석하였다. 결과 : 과제 중심 다감각운동 프로그램 적용 결과 자아효능감(학교, 사회), 쓰기능력(어휘구사력, 문장구사력)에 유의미한 향상이 나타났다. 결론 : 과제 중심 다감각운동 프로그램은 학습지연을 동반한 ADHD성향을 지닌 아동의 자아효능감 및 쓰기능력을 향상시킬 수 있는 유익한 중재방안으로 활용될 수 있을 것이다. 후속 연구에서는 교육매체를 접목한 과제 중심 다감각운동 중재모형을 다양하게 구안할 필요가 있다고 사료된다.

병원종별에 따른 치과위생사의 직무특성과 임파워먼트 비교

노효련,구인영,Roh, Hyo-Lyun,Ku, In-Young 한국임상보건과학회 2017 한국임상보건과학회지 Vol.5 No.3

Purpose. In this study, the empowerment and job characteristics of dental hygienists by hospital type were identified and the relationships between empowerment and job characteristics were examined. Methods. The subjects were 156 working dental hygienists. A structured self-administered questionnaire was used to investigate the empowerment and job characteristics of dental hygienists. For empowerment and Job Characteristics, the scale developed by Spreitzer and Hackman and Oldham was used. Results. The results of this study showed that the degree of formation of empowerment for dental hygienists was the highest in general/university hospitals. All elements of job characteristics were closely correlated with empowerment, and hospital type was correlated with the determination of empowerment. Job characteristics influenced empowerment. This result suggests that the inherent jobs of dental hygienists did not change much by hospital type, but empowerment changed because the organizational characteristics changed according to hospital size. Conclusions. Therefore, considering the importance of the jobs of dental hygienists, hospitals need to form an organizational atmosphere that guarantee autonomy and promote a diversity of jobs.

물리치료사의 자아존중감과 직무스트레스의 상관관계

노효련,Ro, Hyo-Lyun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.1

Purpose: This study aimed to determine the degree of job stress and self-esteem of physical therapists as well as the correlation between the two variables. Method: This study targeted 218 physical therapists of Busan City, and was carried out from July 16 to August 6, 2009 as survey research. A structured questionnaire referring to advance researches was used as a research tool. Job stress symptoms were measured one a 5 point scale, the higher the point total, the higher the job stress. Self-esteem was measured on a 4 point scale, the higher the point total, the lower the self-esteem. After data collection we determined descriptive statistics, and did reliability analysis, factor analysis, Spearman's correlation analysis, and regression analysis. Results: Reliability analysis indicated that reliability for the job stress questionnaire was 0.93 and for the self-esteem was 0.83. The average job stress score of physical therapists was 1.19 points which was not high. The average self-esteem score was 1.76 points, whichwas high. It appeared that the higher the self-esteem, the lower the job stress. Also, self-esteem had an influence on psychological symptoms among job stress factors. Conclusion: Job stress and self-esteem of physical therapists are well-correlated and influence each other. Accordingly, self-esteem can be used as a variable for adjusting job stress of physical therapists.

임신 중에 흡연이 미치는 영향

노효련,Ro, Hyo-Lyun 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.3

The purpose of this study were to discribe the influence of maternal smoking during pregnancy from referance. The offspring of mothers who smoked during pregnancy had more than risk of having committed crimes, deformities, premature, drug abuse, psychiatry et al. This study suggested that prohibition of smoking for women.

Q- 방법론을 이용한 치매 작업치료의 중재 유형별 특성 연구

노효련,강신욱 대구대학교 특수교육재활과학연구소 2015 특수교육재활과학연구 Vol.54 No.2

본 연구는 치매 작업치료 중재 유형의 특성올 파악하기 위하여 Q-방법론을 사용하여 작업 치료사들의 주관성을 유형화하여 분석하였다. Q-모집단은 15명이었으며 29문항의 진술문을 사용하였다. P-모집단은 현재 작업치료사로 근무하고 있고 치매 작업치료 경력이 2년 이상인 54명이었다. 수집된 자료는 PC QUANL 프로그램을 이용하여 분석하였다. 유형 I은 기본 활동 유지 중심 중재형으로 기본적인 활동 유지를 위한 중재를 중시하는 유형이었고 유형Ⅱ는 대상자 중심 중재형으로 익숙하고 필요한 중재를 중요하게 생각하는 유형이었다. 유형Ⅲ은 근거 • 인지 중심 중재형으로 작업치료에 대한 근거 제공과 인지에 대한 중재를 중요하게 여기는 유형이었고 유형 Ⅳ는 의존도 감소 중재형으로 적극적인 치료가 필요하다고 생각하는 유형이었다. 치매 작업치료에 대해 작업치료사들은 치매환자들이 만족감과 행복감을 느끼면서 살아가도록 하는 것과 일상생활에 중점을 두는 중재가 필요하다는 생각을 공통적으로 가지고 있었다. 반면, 작업치료를 통해 인지기능의 저하를 막을 수 있다는 부분은 다른 의견을 나타내고 있었다. 따라서 참여하는 환자들이 만족감을 느끼면서도 일상생활 활동의 능력에 변화를 이끌어 올 수 있는 작업치료 중재 프로그램의 개발이 필요한 것으로 생각된다. This study categorizes the subjectivity that occupational therapists possess regarding the occupational therapy intervention type on dementia patients and describes and analyzes the structured feature of each type using Q-methodology. The size of the Q-population was 15 which were formed through in-depth interview and literature review and a total of 29 statements were finally selected. The size of the P-population was 54 who were currently working as occupational therapists. The collected data were subsequently analyzed using statistical program PC QUANL. According to the factor analysis results based on P-population, the types and the effects of occupational therapist on dementia treatment could be classified into four factors. Type 1 is a basic activity maintaining intervention that provides intervention so that the dementia patients can feel satisfaction. Type II is a recipient-centered intervention which focuses on the intervening method that is familiar and necessary for the patient. Type Ⅲ is an evidence/recognition-centered intervention that provides intervention on the dementia patients’ recognition. Type Ⅳ is dependency decreasing intervention, which emphasizes active treatment instead of simply protecting the dementia patients. The occupational therapists commonly believed that it is important to let the dementia patients enjoy life filled with satisfaction and happiness and that it is also necessary to focus on their daily life or to actually intervene in the daily routine of the patients. Meanwhile, they showed different opinion on whether the occupational therapy is ellective in preventing cognitive skills decrease according to each type. Hence, it is necessary to develop an occupational therapy intervention program that can enhance daily activity ability of the dementia patients, while providing entertainment to them.

일부 농촌지역 여성노인들의 건강특성과 물리치료와의 상관관계

노효련,김성중,공원태,Ro, Hyo-Lyun,Kim, Sung-Joung,Gong, Won-Tae 대한물리치료학회 2009 대한물리치료학회지 Vol.21 No.4

Purpose: This study examined the health status and physical therapy in elderly women in rural areas to provide basic data on the promotion of health and physical therapy management of elderly women in rural areas. Methods: The subjects were 110 elderly women. The data was collected through individual interviews, and the tool developed for this study was a structured questionnaire based on the literature. The reliability coefficient was 0.57 ~ 0.79(Chronbach' $\alpha$). Results: Village 1 made the most of an oriental medicine clinic and a neighborhood clinic, whereas village 2 mainly used a public health center. Arthritis/ neuralgia and high blood pressure/low blood pressure were the most common complaints in the two villages; a medical institution was used once a month by more than 50% of subjects. Most rural elderly women used physical therapy, and the prevalence of arthritis/neuralgia was high. The most common problem in the two villages was poor health. The improvement in mobility was higher in the more healthy women, who also had less need for treatment at a medical institution. Conclusion: Most rural elderly women were concerned about poor health and used physical therapy. Therefore, rural medical institutions need to pay attention to the medical service and preventive activity to reduce the incidence and severity of neuromuscular syndrome in rural elderly women.

치매에 관한 대학생들의 인식 및 태도에 관한 Q-방법론적 접근

노효련,허영주,김효진,김영준 대구대학교 특수교육재활과학연구소 2013 특수교육재활과학연구 Vol.52 No.3

본 연구는 치매에 관한 대학생들의 인식 및 태도를 주관적인 표현을 통해 파악하고자 실시하였다. 대학생 42명을 대상으로 치매에 관한 인식 및 태도의 주관성을 유형화하고, 구조화된 유형별 특성을 기술하며 분석하기 위해 Q-방법론을 사용하였다. Q-모집단은 6명으로심층면담과 문헌고찰을 통해 형성되었으며 최종적으로 42문항의 진술문이 선택되었다. P-모집단은 42명이었다. 수집자료는 PC QUANL 프로그램을 이용하여 분석하였다. 치매에 관한대학생들의 인식 및 태도 유형은 4가지로 분류되었다. 유형 Ⅰ은 치매 수용ㆍ가족 관리형으로 치매 환자의 증상을 수용하고 가족 간에서 해결하려는 유형, 유형 Ⅱ는 국가관리ㆍ개인방관형으로 개인적인 책임은 등한시하고 국가나 사회에서 치매 환자에 대한 보호와 관리를요구하는 유형, 유형 Ⅲ은 개인주의형으로 국가나 사회적인 책임을 위한 비용 지출은 반대하고개인적으로 준비해야 한다는 유형, 유형 Ⅳ는 사회와 개인 공동 책임형으로 국가와 가족이함께 치매환자를 위한 노력과 책임이 필요하다고 생각하는 유형이다. 치매문제에 대해 국가가책임지거나 개인이 책임지어야 한다는 양분화된 의견이 보였으며 본인이나 부모님이 치매에걸릴 수 있다는 생각은 거의 하지 않는 것으로 나타났다. 따라서, 대학생들에게 치매의 정책과문제에 대한 체계적인 교육이나 정보 제공이 필요한 것으로 보인다. 이를 통해 치매가 개인과 국가가 함께 해결해 나가야 하는 문제라는 것에 대한 인식 전환이 필요하며 젊은 시절부터의예방과 준비의 필요성을 알릴 필요가 있는 것으로 보여진다.

작업치료학과와 물리치료학과 1학년 학생들의 학습유형과 성취목표 지향성의 특성

노효련,강신욱 대한지역사회작업치료학회 2012 대한지역사회작업치료학회지 Vol.2 No.1

목적 : 본 논문은 물리치료사와 작업치료사의 전문적 교육을 위한 기초자료를 제공하기 위해 작업치료학과 물리치료학과 신입생들의 성취목표 지향성과 학습유형의 특성을 알아보고자 하였다. 연구방법 : 경북에 소재하고 있는 3년제 대학과 강원도에 소재하고 있는 4년제 대학교의 작업치료학과와 물 리치료학과 일학년 학생 123명을 대상으로 하였다. 측정도구는 Kolb의 학습양식검사와 Elliot와 Church의 성취목표척도를 이용하여 학습양식과 성취목표에 대한 설문지 조사를 실시하였다. 수집된 자료는 교차분 석과 상관관계분석을 실시하여 분석하였다. 결과 : 학습양식에서는 융통자가 가장 많았고 확산자가 가장 적게 나타났으며, 3년제와 4년제에서 학습양식 의 차이가 있는 것으로 나타났다. 성취목표 지향성에서는 숙달목표가 가장 높게 나타났다. 수행접근 목표 는 남학생이 여학생보다 높게 나타났고 수행회피 목표에서는 물리치료학과에서 높게 나타났다. 학습양식 과 성취목표 지향성의 상호관련성에서는 수행회피 목표가 높을수록 집중자의 특성이 높은 것으로 나타났 다. 따라서 작업치료학과와 물리치료학과의 신입생들의 성취목표는 큰 차이가 없는 것으로 보이며 학습양 식은 학제에 따라 차이가 있는 것으로 보인다. 결론 : 가장 많은 학습양식인 숙달목표의 특성에 맞는 교수법을 개발하고 각 학생들의 학습양식과 성취목표 지향성에 대한 정보를 제공하여 학생 개개인이 자신의 학습의 장단점을 파악할 수 있도록 하여야 할 것 이다. Objective : The purpose of this study is to provide basic information for professional education by investigating to learning styles and achievement goal of the first year students in the department of occupational therapy and physical therapy. Methods : 123 first year students of the department of occupational therapy and physical therapy filled out a questionnaire in Gyeongbuk and Kangwon Province. In this study, Kolb's Learning Styles and Elliot & Church's Achievement Goal were used, and to analyze, Pearson correlation, chi-square were used. Results : The results of the study were as follows. 'Accommodator' was the preferred learning type for students, while ‘diverger' was not. Collage students differed from university students in learning styles. A mastery level was the preference in the academic goal types of the students. Male students received higher grades on performance approach goals than female and student of department of physical therapy received higher grades on performance avoidance goals than students in the department of occupational therapy. There is a coefficient of correlation between performance avoidance goal and converger learning type. Therefore, first year students in the department of occupational therapy were not differed from the department of physical therapy in academic achievement but collage students differed from university students in learning styles. Conclusion : From these results, we suggested some effective teaching/learning methods based on the mastery achievement goal. An educational approach is necessary for understanding of the students' individual learning styles and achievement goal characteristics are account for students' individual negative/positive characteristics.