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작업 중심 회상치료가 경도 치매 노인 환자의 인지기능과 우울, 삶의 질에 미치는 영향
박주형(Ju-Hyung Park) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.12
본 연구는 작업 중심 회상치료가 경도 치매 노인 환자의 인지기능과 우울 그리고 그들의 삶의 질에 미치는 영향을 알아보고자 실시되었다. 경도 치매 노인 환자 31명을 대상으로, 총 8주 동안 주 1회, 각 회기 당 40분의 작업 중심 회상치료를 실시하였다. 평가도구는 대상자의 인지기능 평가를 위해서 한국형 몬트리올 인지평가(Montreal Cognitive Assessment Korean Version:MoCA-K), 우울정도 측정을 위해 단축형 한국판 노인우울척도검사(Short Form of Geriatric Depression Scale-Korean Version:SGDS-K), 그리고 대상자들의 삶의 질 측정을 위해 치매노인 대상 삶의 질 척도(Geriatric Quality of Life-Dementia:GQOL-D)를 사용하였다. 연구결과 작업 중심 회상치료 실시 전에 비하여 경도 치매 노인 환자의 MoCA-K 점수는 중재 전 14.62±5.07에서 중재 후 16.88±4.55로, SGDS-K 점수는 중재 전 7.28±4.28에서 중재 후 6.10±4.09로, 마지막으로 GQOL-D 점수는 중재 전 26.05±5.45에서 중재 후 28.55±5.74로 변화하여 측정된 모든 항목에서 통계적으로 유의미한 긍정적 변화를 확인할 수 있었다. 본 연구 결과를 토대로 작업 중심 회상훈련이 경도 치매 노인 환자들의 인지기능, 우울 그리고 삶의 질에 긍정적 영향을 미칠 수 있다는 가능성을 확인할 수 있었다. This study was performed to investigate the effects of Occupation based Reminiscence therapy on cognitive function, depression, and quality of life in elderly patients with mild dementia. Thirty-one elderly patients with mild dementia underwent Occupation based Reminiscence therapy for 40 minutes per session, once weekly, for 8 weeks. Montreal Cognitive Assessment Korean Version (MoCA-K), Short Form of Geriatric Depression Scale-Korean Version ( SGDS-K), and Geriatric Quality of Life-Dementia (GQOL-D) were used to measure cognitive function, depression level, and quality of life, respectively. Mean MoCA-K score increased from 14.62 ± 5.07 before intervention to 16.88 ± 4.55 after intervention; mean SGDS-K score decreased from 7.28±4.28 to 6.10 ± 4.09, and mean GQOL-D score increased from 26.05 ± 5.45 to 28.55 ± 5.74. Furthermore, these positive changes were all statistically significant. Based on the results of this study, it was concluded Occupation based Reminiscence therapy may positively affect cognitive function, depression, and quality of life in elderly patients with mild dementia
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클라이언트 중심 상상훈련이 뇌졸중 환자의 일상생활 수행과 삶의 질에 미치는 영향
박주형(Ju-Hyung Park),유찬욱(Chan-Uk Yoo) 한국콘텐츠학회 2017 한국콘텐츠학회논문지 Vol.17 No.11
본 연구는 클라이언트 중심 상상훈련이 뇌졸중 환자들의 일상생활활동 및 삶의 질에 미치는 효과를 알아보고자 실시되었다. 경상북도 K병원에 내원한 뇌졸중 16명을 대상으로 하였으며, 클라이언트 중심 상상훈련은 전 · 후 평가를 제외한 총 4주 동안 주 5회 30분씩 실시하였다. 평가도구는 기능적 독립척도 (Functional Independence Measure:FIM)와 뇌졸중 특이 삶의 질 척도(Stroke Specific Quality of Life: SS-QOL)이 사용되었다. 연구 결과 클라이언트 중심 상상훈련 실시 전에 비하여 실시 후 만성기 뇌졸중 환자들의 FIM 점수에서 유의미한 변화가 나타났고, SS-QOL값에서도 긍정적인 변화가 있었다. 본 연구의 결과로 볼 때 클라이언트 중심 상상훈련이 뇌졸중 환자들의 일상생활활동 및 삶의 질 향상에 긍정적인 효과의 가능성을 확인할 수 있었다. The aim of this study was to investigate the effects of Client-centered mental practice on activities of daily living and quality of life with stroke. For 16 persons with stroke, we executed Client-centered mental practice for 4 weeks, five times per week, and 30 minutes each time. Before and after the Client-centered mental practice, the patients were tested with Functional Independence Measure(FIM) and Stroke specific quality of life(SS-QOL). After the Client-centered mental practice, the subjects showed significant changes in the score of FIM and SS-QOL(p<0.05). The results of this study show that Client-centered mental practice for persons with stroke is a useful therapeutic approach by enhancing through improving their activities of daily living and quality of life.
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박주형(Ju Hyung Park),김원(Won Kim),강성귀(Sung Kyew Kang) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.1
Significant disturbances of potassium homeostasis may cause considerable morbidity and mortality. Prompt recognition and appropriate treatment of these disturbances after acid ingestion could be life- saving. The administration of the mineral acid, HCl to experimental animal is associated with elevation in plasma potassium concentration which have been attributed to shift of the cation from the intracellular to the extracellular space. Authors experienced a case of hyperkalemia after ingestion of 10% HCl 400 mL for suicide in 51-year-old male. (Korean J Nephrol 2002;21(1):171-174)
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국내 장애아동을 대상으로 한 재활승마 중재 적용 연구에 대한 체계적 고찰
박주형 ( Ju Hyung Park ),신중일 ( Joong Il Shin ),양영애 ( Yeong Ae Yang ) 한국고령친화건강정책학회 2011 대한고령친화산업학회지 Vol.3 No.1
연구목적: 본 연구는 국내 장애아동을 대상으로 한 재활승마 중재에 대해검토해 보고자 체계적 고찰을 시행하였다. 연구방법: 2000년 1월부터 2011년 3월까지 국회도서관과 한국교원학술정보원를 통해서 학회지에 게재된 논문을 검색하였고 주요 검색용어로는 승마운동, 승마재활, 장애아동, 재활승마 등의 단어를 사용하였다. 연구결과: 연구대상의 질환으로는 총 14개 연구 중 뇌성마비(cerebral palsy)가 8편, 정신지체(Mental retardation) 7편, 그 외 발달 장애 및 자폐는 1편이었다. 각 논문의 연구설계는 집단의 무작위 할당, 동일조건, 순차적 측정 등을 만족시키지 못하는 유사 실험설계에서의 두 집단에서의 비교 연구인 비-무작위 비교실험설계(Non-RCT) 연구가 총 14편 중 6편으로 가장 많았고 단일 대상으로 연구를 진행한 비-무작위개별실험설계(NonpRCT)를 선택한 연구가 5편, 치료적 중재를 통한 단일 대상의 측정을 한 개별실험설계(Single-subject Design)를 선택한 연구가 3편이 포함되어 있었다. 치료효과 측면에서는 보행과 관련 된 자세 및 평형능력, 대동작 기능, 근력, 경직 등에서의 신체적 효과를 들을 보고한 연구들은 총 9편이었고 손기능 및 인지능력의 효과를 언급한 연구는 1편, 그 외 우울증, 사회성, 정서적 변화 등을 언급한 연구는 총 4편이었다. 결론: 이에 추후 연구에서는 뇌성마비, 정신지체외의 다양한 질환군과 재활승마 중재에서도 신체적 효과에 국한되지 않고 인지-지각적 등 다양한 측면에서 연구가 이루어져야 할 것이며 근거의 수준에서도 보다 향상된 연구들이 진행되어야 할 것이다. Objective: This study conducted a systematic review for examining riding intervention for the rehabilitation children with disabilities in Korea. Methods: This author referred to the journal published through the National Assembly Library and the Korea National Intelligence Service Conference from February of 2000 to March of 2011, and used the major search terms such horseback riding, riding for the disabled, children with disability and riding for the rehabilitation. Results: This article used the diseases for studying, which 8 of total 14 researches are cerebral palsy, 7 are mental retardation, other developmental disabilities and 1 is autism. It found that the research design is Non-RCT where 6 of 14 journals had chosen for planning quasi-experiment in which it doesn`t satisfy the randomly assigned group, the same condition and the sequential measurements, which was the highest rate of the journals, including Non-RCT where 5 of them had chosen for single subject, Single-subject Design where 3 of them had chosen for measuring single subject through therapeutic intervention. On the therapeutic efficacy, total 9 of them reported the physical efficacy in such as the posture related with walking & the balance capability, gross motor function, muscle strength and rigidity, 1 of them indicated the result of hand function and cognitive function, and 4 of them showed other depression, sociality and emotional shift. Conclusion: For this, this article suggested that further research has to study the population with various diseases, other than cerebral palsy and mental retardation, as well as various aspects such as cognitive-perceptual aspects on riding intervention for the rehabilitation, not limiting to the physical efficacy, more improved studies on the evidence level additionally.
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박주형 ( Ju Hyung Park ),이동호 ( Dong Ho Lee ) 한국노인의료복지학회 2010 노인의료복지연구 Vol.1 No.3
These studies have been done to analyze the supporting mind of nurses for their old parents in this time of experiencing industrialization, urbanization, and changes of family system. The survey was executed for the nurses in Gumi-City and followings are the results of this study. Of the problems of the elderly, ‘loneliness’ rated the highest, and there was no statistically significant difference between age, education, marriage, and birth sequence. The survey showed that the common notion was that the problems of the elderly stands out, and the notion that people want to live with their old parents rated higher than the opposite notion. Moreover, the reason of the notion that people want to live with their parents is that it is the responsibility of being a child, and the reason of the opposite notion is that their personal life gets limited. The common notion of the responsibility of taking care of their parents was thought as the child who has the best relationship with their parents. Also, the best shape of supporting their parents is thought as the child and parent living together, but separating the economic body. The existence of grandparents turned out to be statistically significant. When grandparents exist, people thought that their parents should support themselves. In the other hand, when their grandparents exist, people think that the responsibility goes to the child that has the best relationship with their parents. People normally think that you should live apart from their parents, and when you live with them, normally people say that ‘they may’. Age, education, and marriage had statistically significant difference. In age, the twenties and the thirties all wanted to live with their parents. In education, people that graduated college want to live with their parents more, and people that graduated university did not want to live with their parents. Additionally, unmarried people wanted to live with their parents, but people that married thought the opposite. People who graduated college, or university, people who married or not, all of them replied that they will use home welfare service ‘if it is free’. Also, people married or unmarried both replied that they will use facility welfare service ‘if it is free’. The intention of supporting their parents economically is 18.9 average, and emotionally 20.7 average, physically 22.1 average, showing that physical service rated the highest, and economic service rated the lowest. In economic service, the common notion is that they will support their parents in the category of medical expenses, rating 4.07, and emotionally the most common thought is that they will think of house problems together, rating 3.68, and lastly, in physical support, people commonly think that they will nurse their parents well, rating 3.88.
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이중과제 훈련이 만성기 뇌졸중 환자의 균형 및 상지기능에 미치는 영향
박주형(Ju-Hyung Park),김덕주(Deok-Ju Kim) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.10
본 연구는 이중과제 훈련이 만성기 뇌졸중 환자들의 균형 능력 및 상지기능에 미치는 효과를 알아보고자 실시되었다. 경상북도 A병원에 내원한 뇌졸중 17명을 대상으로 하였으며, 이중과제 훈련은 전‧후 평가를 제외한 총 4주 동안 주 5회 30분씩 실시하였다. 평가도구는 버그균형 척도(Berg Balance Scale), BTS FreeEMG 300(BTS FreeEMG 300, BTS, Italy)이 사용되었다. 연구 결과 이중과제 훈련 실시 전에 비하여 실시 후 만성기 뇌졸중 환자들의 BBS 점수에서 유의미한 변화가 나타났고(p<.05), CCR값에서도 어깨 및 팔꿈치 관절 동작 모두에서 음의 값이 나타나 긍정적인 변화가 있었다. 본 연구의 결과로 볼 때 이중과제 훈련이 만성기 뇌졸중 환자들의 균형 능력 및 상지기능 향상에 긍정적인 효과의 가능성을 확인할 수 있었다. The aim of this study was to investigate the effects of dual-task training on balance and upper extremity function with chronic stroke. For seventeen persons with chronic stroke, we executed dual-task training for 4 weeks, five times per week, and 30 minutes each time. Before and after the dual-task training, the patients were tested with Berg Balance Scale(BBS) and BTS FreeEMG 300(BTS FreeEMG 300, BTS, Italy). After the dual-task training, the subjects showed significant changes in the score of BBS(p<.05). And, the subjects’ shoulder and elbow movement had negative values of change after the intervention, indicating that there was a positive change. The results of this study show that dual-task training for persons with chronic stroke is a useful therapeutic approach by enhancing the their quality of life through improving balance and upper extremity function.
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