몰입형 가상현실 프로그램 Rapael Smart Glove가 뇌졸중 환자의 상지기능에 미치는 영향

배원진,감경윤,Bae, Wonjin,Kam, Kyungyoon 대한통합의학회 2017 대한통합의학회지 Vol.5 No.3

Purpose: The purpose of this study was to investigate the effects of an immersive, virtual reality-based exercise program on range of motion and dexterity in the upper extremities of stroke patients. Methods: Fifteen patients with hemiparesis after stroke participated in this study. The participants participated in Rapael Semart GloveTM, an immersive, virtual reality-based exercise program, performed for 30 minutes-, 3 times per week for 4 weeks. The Rapael Smart GloveTM program and a Box and Block Test (BBT) were used to measure range of motion and to assess dexterity, respectively, pre-and post-intervention. Results: Range of motion in pronation and supination of the forearm and flexion, extension, and ulnar deviation of the wrist improved after the intervention. Dexterity measured by BBT also improved. However, range of motion in flexion and extension of the fingers and radial deviation of the wrist did not improve. Conclusion: This study presents the effects of an immersive, virtual reality-based exercise program on hand function. In the future, a study comparing an immersive, virtual reality- based exercise program to other upper-extremity interventions for stroke patients should be conducted. A study about the effects of an immersive virtual reality program on activities of daily living is also needed.

자폐스펙트럼장애 아동을 위한 상황이야기 중재의 효과 연구에 대한 체계적 고찰

배원진 ( Won-jin Bae ),박주영 ( Ju-young Park ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.2

Purpose : The purpose of this study was to systematically review the studies on the effects of social story intervention on the individuals with autism spectrum disorders(ASD) to provide the basis for evidence-based practice. Methods : In order to find out the studies on the effect of social story intervention on individuals with ASD, studies published from 2011 to December 2020 were searched on Google Academic Search. The keywords used were "autism spectrum disorder AND social story". A total of 16,900 studies were searched, and from these, 12 studies were selected based on the application of the selection and exclusion criteria. The included studies comprised of 10 single subject design studies and 2 randomized controlled trials design studies. The included studies were analyzed in accordance to population, intervention, outcome measures and results. Results : As a result of analysing the subjects of the included studies, we found out that pre-school children and adolescents were the most common groups of individuals diagnozsed with ASD. In addition to ASD, the diagnosis of the subjects included intellectual disability, Asperger, and Prader-willi. We found out that there were more interventions that were mixed with other interventions, than just the pure social story interventions. In particular, video modeling was found to be the most frequent intervention. This was followed by photo-based social stories. For outcome measure, autism social skills profile was found to be the most often used standardized assessment. For a non-standardized assessment, social desired behavior was found to be the most frequently evaluated behavior, followed by personal problem behavior. Of all the dependent variables, the dependent variable reported as "effective" was the most, followed by "some effective". Conclusion : This study is organized to help the individuals with ASD, families, researchers, and therapists understand the effects of social story intervention on the individuals with ASD in an easy fashion. Further, therapists can use this study as the basic data for evidence-based practice.

발달장애인 주간보호센터의 작업치료 요구도 조사: 종사자를 대상으로

배원진(Bae, Won-Jin),정남해(Jung, Nam-Hae) 고령자치매작업치료학회 2019 고령자.치매작업치료학회지 Vol.13 No.2

목적 : 본 연구에서는 주간보호시설 종사자를 대상으로 작업치료의 필요성과 요구도 및 현실적인 어려움에 대하여 조사하였다. 연구방법 : 2019년 1월부터 동년 2월까지 B지역의 발달장애인 주간보호센터 종사자 78명을 대상으로 온라인 설문지로 자료를 수집하였다. 설문지는 총 20문항으로 일반적 특성, 작업치료 인식도 및 요구도로 구성되었다. 자료는 SPSS 20.0으로 분석하였으며, 대상자의 일반적 특성 및 각 항목에 대한 응답은 빈도와 백분율 등 기술통계를 실시하고 일반적 특성에 따른 인식도, 요구도 및 요구하는 프로그램의 차이는 교차분석을 실시하였다. 연구결과 : 본 설문지에 응답한 대상자는 모두 사회복지사이었다. 작업치료에 관해 안다고 응답한 대상자와 작업치료가 필요하다고 응답한 대상자는 각각 63명(80.8%)이었다. 연구대상자는 주간보호시설에서 발달장애인의 일상생활활동, 수단적 일상생활활동 수행 향상을 위해 작업치료가 가장 필요하다고 하였고, 현재 작업치료를 제공 하지 못하는 이유로는 공간적인 부족과 서비스 비용에 대한 부담 등이 있었다. 인식도와 요구도는 연령과 임상경력에 따라 유의한 차이가 있었다. 결론 : 청소년 및 성인 발달장애인을 위한 주간보호센터에서 작업치료를 시행하기 위해서는 관련법의 개정과 보건복지부의 지원이 필요하다. Objective : The purpose of this study was to investigate the need for occupational therapy and the realistic difficulties of social welfare in day care centers. Methods : This study was conducted to collect data of 78 social workers working in daycare center in the area B from January to February 2019. Questionnaire was 20 items consisted of general characteristics, awareness and needs on occupational therapy. Data was analyzed with SPSS 20.0. Results : Sixty-three (80.8%) of the respondents answered they know occupational therapy, and 63 respondents(80.8%) occupational therapy is necessary. Social workers working in the day care centersaid the occupational therapy is the most necessary to improve performance of activities ofdaily living skills and instrumental activities of daily living skills, and realistic difficulties to provideusers occupational therapy include space shortage, burden on cost and so on. Conclusion : In order to implement occupational therapies at the daycare center for adolescents and adultswith developmental disabilities, it is necessary to revise relevant laws and support the Ministryof Health and Welfare, and establish the basis for the effectiveness of occupational therapy foradolescents and adults with developmental disabilities.

요양병원 치료사의 코로나19 대응 경험에 대한 질적 연구

배원진(Won-Jin Bae),박주영(Ju-Young Park) 한국엔터테인먼트산업학회 2021 한국엔터테인먼트산업학회논문지 Vol.15 No.4

본 연구는 요양병원에 근무하는 치료사의 코로나 19 대응 전략 및 치료실 감염관리 시스템 개선을 위한 기초자료를 제공하고 치료사의 감염관리 업무 이해를 돕고자 실시한 질적 연구이다. 연구방법은 Colaizzi의 현상학적 연구 방법을 적용하였다. 요양병원에서 근무 중인 작업치료사와 물리치료사 9명을 대상으로 전화 인터뷰를 실시하였다. 인터뷰 내용은 연구대상자의 동의하에 녹음하였으며, 추가적인 내용 확인은 이메일로 받았다. 녹음된 내용은 전사 뒤 분석하여, 코로나19에 대처한 경험의 의미와 본질을 기술하였다. 인터뷰 내용은 6개의 주제와 17개의 중심의미, 49개의 의미단위로 정리하였다. 코로나19 상황에 따라 요양병원 내 감염관리 교육 강화, 감염관리 실천, 업무시간 외 감염관리 감독으로 감염관리 시스템이 강화되었으며, 치료실 내 거리두기 실천, 업무시간 내 휴식 및 식사시간 조정, 감염관리 강화로 치료활동 제약으로 치료 환경이 변화된 것을 알 수 있었다. 또한 치료사의 역할이 확대되고 언택트 중재방법에 대한 고려하는 등 치료의 패러다임이 변화되었으며, 코호트 격리, 코로나19 사전검사, 백신접종과 부작용경험으로 코로나19에 따른 새로운 경험을 하였음을 확인하였다. 하지만 감염업무로 인해 치료사의 업무부담이 가중되고, 코로나19 확산에 따른 두려움과 우울감, 업무 스트레스를 겪고 있으며, 백신접종 후 휴식 보장, 감염관리 도구 및 장비 지원 등 요양병원 치료인력 지원의 필요성도 인식하고 있었다. 본 연구의 결과는 요양병원 치료실 내 감염병 대응 전략 프로그램 개발 및 요양병원 감염관리를 위한 인적, 물적 지원의 기초 자료로 활용되기를 기대한다. This study is a qualitative study conducted to provide basic data for therapists working in long-term care hospitals to improve their countermeasure strategies for new infectious diseases and improvement of the treatment room infection management system, and to help therapists understand their infection management work. Colaizzi"s phenomenological research method was applied as the research method. Telephone interviews were conducted with nine occupational therapists and physical therapists working in nursing hospitals. The contents of the interview were recorded with the consent of the study subjects, and additional confirmation was received by email. The recorded content was analyzed after transcription, and the meaning and nature of the experience coping with COVID-19 were described. The content was organized into 6 themes, 17 main meaning and 49 meaning units. In accordance with the COVID-19 situation, the infection control system has been strengthened by reinforcing infection control education in nursing hospitals, practicing infection control, and supervising infection control outside business hours. It was found that the treatment environment was changed due to the restriction of treatment activities by practicing distancing in the treatment room, adjusting rest and meal times during working hours, and strengthening infection control. In addition, the therapist"s role has been expanded and the paradigm of treatment has changed, such as considering the untact intervention, and they have experienced cohort quarantine, pre-tested for COVID-19, vaccinations, and side effects from COVID-19. However, due to the infection work, the therapist"s work burden is increased, and the person is experiencing fear, depression, and work stress from the spread of COVID-19. They were also aware of the need for nursing hospital care personnel support, such as guaranteeing rest after vaccination and providing infection control tools and equipment. The results of this study are expected to be used as basic data for human and physical support for the development of infectious disease response strategy programs in nursing hospital treatment rooms and for infection control in nursing hospitals.