장애인시설종사자의 인권의식과 장애인학대 경로에서 자아존중감의 조절효과

신영일 인문사회 21 2022 인문사회 21 Vol.13 No.3

장애인시설종사자의 인권의식과 장애인학대 경로에서 자아존중감의 조절효과신 영 일* 요약: 2012년 사회복지사업법 개정의 노력에도 불구하고 장애인을 대상으로 신체・언어・정서학대와 함께 재정학대 사례가 지속되고 있다. 본 연구의 목적은 장애인시설 이용자가 기본적 인권을 누릴 수 있도록 장애인시설 종사자가 지각하는 인권의 수준과 장애인학대의 관계를 확인하고, 이를 바탕으로 장애인학대의 효과적인 개입 방안을 제안하는 것이다. 서울시와 경기도의 장애인복지시설 종사자 211명을 대상으로 설문하였고, 인권의식이 장애인학대에 미치는 영향은 위계적 회귀분석으로 검증하였으며 자아존중감의 조절효과는 조절회귀분석으로 검증하였다. 분석 결과, 사회권의식이 신체・언어・정서학대와 재정학대에 유의한 영향을 미쳤으며, 자아존중감은 사회권의식과 재정학대 사이의 경로에서 조절효과가 나타났다. 특히 재정학대에 미치는 자아존중감의 직접효과 및 조절효과가 매우 크게 나타났다. 이러한 연구 결과를 바탕으로 장애인복지시설 종사자의 인권의식과 자아존중감을 활용하여 장애인학대를 예방하는 제도적 방안과 실천적 방법을 제시하였다. 핵심어: 장애인시설, 인권의식, 자아존중감, 전통적 학대, 재정학대 □ 접수일: 2022년 5월 27일, 수정일: 2022년 6월 10일, 게재확정일: 2022년 6월 20일* 한국보건복지인재원 교수(Professor, KOHI for Health and Welfare, Email: mylife1317@daum.net) Moderating Effect of Self-esteem in the Human Rights Awarenessof Persons with Disabilities and Abuse of the DisabledYoungil Shin Abstract: Despite efforts to amend the Social Welfare Act in 2012, cases of financial abuse along with the traditional abuse of the disabled continue. The purpose of this study is to identify the relationship between the level of human rights perceived by facilities for the disabled and the abuse of the disabled so that users of facilities for the disabled can enjoy basic human rights, and based on this, propose an effective intervention plan for the abuse of the disabled. A questionnaire survey was conducted on 211 employees of welfare facilities for the disabled in Seoul and Gyeonggi-do, and the effect of human rights awareness on the abuse of the disabled was verified by a hierarchical regression analysis, and the moderating effect of self-esteem was verified by a conditioning regression analysis. As a result of the analysis, social rights consciousness had a significant effect on physical abuse and financial abuse, and self-esteem had a moderating effect on the path between social rights consciousness and financial abuse. In particular, the direct and moderating effects of self-esteem on financial abuse were found to be very large. Based on the results of this study, institutional and practical methods for preventing abuse of the disabled by utilizing the human rights awareness and self-esteem of workers in welfare facilities for the disabled were presented. Key Words: Facilities for the Disabled, Awareness of Human Rights, Self-esteem, Traditional Abuse, Financial Abuse

생약자원의 한의학에서 이용방법

신영일 목포대학교 자연자원개발연구소 1999 자연자원연구 Vol.2 No.-

모든 약물의 효능은 形·色·氣·味에서 드러나지 않는 것이 없다. 藥의 效能은 본초의 氣에서 나오기도 하고, 맛에서 나오기도 하고, 색깔(色)에서 나오기도 하고, 형태에서 나오기도 하고, 性情에서 나오기도 하고, 생산될 때의 時期에서 나오기도 하고, 生産되는 장소(地)에서 나오기도 한다.

PNF 패턴에 기초한 탄력밴드 훈련이 척수손상 환자의 상지 기능에 미치는 영향

신영일,이형수,Shin Young-Il,Lee Hyoung-Soo 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

The purpose of this study was to investigate the effect of elastic band based of PNF pattern on the U/E function in the spinal cord injury patient. 11 subjects with spinal cord injury participated in this study. They took elastic band excercise 5 times per week for 8 weeks. One time excercise spent 35minutes. The therapeutic effect was evaluated by Cybex 6000, BTE Work Simulator, how many seconds they needed to walk 100 meters. 11 cases were examined before, after 8 week, elastic band excercise. The results of this study are as follows; 1. Isokinetic power by Cybex 6000 : The elbow flexion, shoulder flexion and extension were significant difference between test-retest(p<.05). but elbow extension were not significant difference between test-retest. 2. BTE Work Simulator : Wheelchair Propulsion and Steering Torque were significant difference between test-retest(p<.05). 3. Wheelchair Propulsion velocity : There were significant difference between test-retest(p<.05). The findings suggest that SCI patients can improve their Isokinetic power on shoulder and elbow joint, wheelchair propulsion and Steering Torque by BTE Work Simulator, Wheelchair Propulsion velocity through elastic band based of PNF pattern.

PNF 패턴에 기초한 탄력밴드 운동이 척수손상 환자의 상지 기능에 미치는 영향

신영일 대한물리치료학회 2004 대한물리치료학회지 Vol.16 No.3

향약집성방(鄕藥集成方)에 나타난 삼화자향약방(三和子鄕藥方) 조문(條文)의 연원(淵源)에 대한 연구

신영일,Sheen Yeong-il 대한한의학방제학회 1997 大韓韓醫學方劑學會誌 Vol.5 No.1

Samhwaja-hyangyakbang has been known as the book of herbalogy published by the man, Samhwaja. But there are no records about the additor, and the absence of the document, it is so difficult to be informed about the time when it published and other details. But in this document and Hyangyakgugeubbang, there are similar prescriptions to Sublingual Inflammation, Aphtose, Anthrax, Furoncle, Ulcer, Dysentery, etc. So the time it published is estimated to Goryo-dynasty Gojong epoch(1232-1251) when the Hyangyakgugeubbang was published. In addition, this document seems to be basis of Hyangyakjipseongbang, Because, Hyangyakjipseongbang quoted more than 140 provisions from this document. Prescriptions that are different from other books in dosage or taking method, took those of Biyebaekyobang. In explanation or classification of disease, this document almost copied those of Biyebaekyobang, so this document take Biyebaekyobang for origin and take Sikeuisimkam, Taepyungseonghyebang, etc, for reference.

집단운동 프로그램이 척수손상인의 일상생활동작과 생활근력에 미치는 영향

신영일,이형수,장용수 한국장애인재활협회 2007 재활복지 Vol.11 No.3

본 연구는 국립재활원에 내원하여 물리치료와 작업치료를 받는 24명(훈련군 12명, 대조군 12명)의 척수 손상인을 대상으로 실시한 집단운동 프로그램이 일상생활동작과 생활근력에 미치는 영향에 대하여 알아보고자 하였다. 각 대상자들은 미국척수손상협회의 분류에 의하여 손상정도가 A, B 등급인 흉, 요수 손상을 대상으로 하였다. 일상생활동작은 SCIMⅡ를, 생활근력은 BTE를 이용하여 측정하였다. 훈련군은 근력강화운동, 의자차 사용 기술, 사회적응훈련 등 집단운동 프로그램과 일반적인 물리치료를 받았고, 대조군은 일반적인 물리치료가 제공되었다. 8주간의 운동 후 다음과 같은 연구 결과를 얻었다. 훈련군은 운동 전후에 자조관리, 호흡근과 괄약근 관리, 실내외 이동, SCIMⅡ 총점, 의자차 추진력, 핸들 회전력, 휠체어 속도에서 통계학적으로 유의하게 개선되었다. 대조군에서는 자조관리, 호흡근과 괄약근 관리, SCIMⅡ 총점, 의자차 추진력, 휠체어 속도에서 통계학적으로 유의하게 개선되었다. 그러나 실내 이동, 실외 이동, 핸들 회전력에서는 통계학적으로 차이는 없었다. 운동 전후의 변화량에 대한 훈련군과 대조군의 두 집단 간 비교에서도 SCIMⅡ와 의자차 추진력, 핸들 회전력, 휠체어 속도에서 대조군에 비해 훈련군에서 통계학적으로 유의한 차이가 있었다. 이상의 결과로 집단운동 프로그램이 척수손상인의 재활에 매우 효과적인 치료인 것을 알 수 있었다. The purpose of this study was to investigate the effect of group exercise program on the activities of daily living(ADL) and muscle strength in the spinal cord injury(SCI) person. 24 subjects with SCI participated in this study. Participants were divided into exercise(12) and control(12) group to randomized. Exercise participants received group exercise program for 50 minutes in 3 times a week for 8 weeks while control group continued their general physical therapy. The therapeutic effect was evaluated by Spinal Cord Injury Measurement Ⅱ(SCIM Ⅱ), BTE Work Simulator(wheelchair propulsion, steering torque) and wheelchair propulsion velocity. In analyzing the data, SPSS 12.0 for windows was used computing average and standard ceviation, paired t-test and independent t-test. The result of this study are as follows. The experimental group was statistically significant difference in SCIM Ⅱ(self-care task, respiration and sphincter management task, indoor & out door transfer, total score), wheelchair propulsion, steering torque and wheelchair propulsion velocity(p<0.05). The control group was statistically significant difference in self-care task, respiration and sphincter management task, total score, wheelchair propulsion and wheelchair propulsion velocity(p<0.05), but no significant difference in indoor & out door transfer, steering torque(p>0.05). After the exercise, there was significant difference in the self-care task, respiration and sphincter management task, indoor & out door transfer, total score, wheelchair propulsion, steering torque and wheelchair propulsion velocity between the experimental group and control group in group exercise program. Thus, group exercise program can result in improved ADL and muscle strength the SCI people. Further studies are required to show longterm effects of exercise training on SCI people.

대면·비대면 맥캔지운동과 탄력밴드 근력강화운동이 노인의 낙상과 체력에 미치는 영향

신영일 대한정형도수물리치료학회 2023 대한정형도수물리치료학회지 Vol.29 No.3

골반압박벨트를 착용한 상태에서의 도수치료가 슬관절 전치환술 환자의 고관절 외전근과 균형에 미치는 영향

신영일,김태원,전재국,Shin, Young-il,Kim, Tae-won,Jeon, Jae-guk 대한정형도수물리치료학회 2018 대한정형도수물리치료학회지 Vol.24 No.1

Background: The purpose of this study is to investigate that effect of manual therapy using pelvic compression belt on hip abductor strength and balance ability in total knee replacement (TKR) patients. Methods: The subjects consisted of twenty two post-TKR patients. Participants were randomly assigned to a pelvic belt group (n=11) and a placebo group (n=11). All participants underwent manual therapy including range of motion exercise, soft tissue mobilization around knee joint, strengthening exercise (Quad set, SLR, sidelying hip abduction, standing hamstring curls, sitting knee extension, step-up, wall slide to $45^{\circ}$ knee flexion). Manual therapy was executed five times a week for 2 weeks. Outcome measures included hip abductor strength by using Biodex system 4 pro, anterior to posterior balance, medial to lateral balance, total balance by using Biodex balance system SD. Results: After the completion of the manual therapy, hip abductor strength was showed statistically significant improvements in pelvic belt group (p<.05). Anterior to posterior balance, medial to lateral balance, total balance were showed statistically significant improvements in pelvic belt group and placebo group (p<.05). There was a statistically significant difference between the two groups in hip abductor strength and there was no statistically significant difference in balance. Conclusions: This results suggest that manual therapy using pelvic compression belt has could be used for selective muscle activation of the hip abductor muscle and has useful in hip abductor strength and balance ability in TKR patients.

취업한 발달장애인의 경제특성과 건강특성이 생활만족도에 미치는 영향 - 자아존중감의 매개효과 -

신영일 사단법인 한국안전문화학회 2022 안전문화연구 Vol.- No.17

Developmental disabilities collectively refer to intellectual disabilities and autistic disorders, and unlike other types of disabilities, the prevalence of disability is very high among young people. Individual Act to Support Developmental Disabilities In 2014, 「Act on Guarantee of Rights and Welfare Support for Persons with Developmental Disabilities」 was enacted. However, interest in the life satisfaction of people with developmental disabilities in daily life is increasing only recently, when the individualism of persons with disabilities has taken root due to the spread of the independent living and social integration paradigm. This study verified the mediating effect of self-esteem in the path that economic and health characteristics of employed people with developmental disabilities affect life satisfaction. The research data was analyzed by extracting data from those with developmental disabilities who were employed from among the results of the second wave of the second wave of the 2020 Employment Panel Survey for Persons with Disabilities(PSED) as a sample. Factor analysis was performed using SPSS V26, and correlation, normality analysis, and descriptive statistics for major variables were performed to verify normality necessary for hypothesis verification. Based on this, causal relations and mediating effects were analyzed by hierarchical regression analysis. The validation of the significance of mediating effects was conducted in SPSS Process Macro Ver. 4.1. As a result of the analysis, first, it was found that the economic characteristics and health characteristics of the employed people with developmental disabilities had an effect on life satisfaction. Second, among the economic characteristics of persons with developmental disabilities, self-esteem showed a fully mediated effect in whether they were a recipient or not in the path of life satisfaction. Third, in the path that the health characteristics of the developmentally disabled, such as health status and need for help from others, had a positive effect on life satisfaction, self-esteem had a partial mediating effect. Based on this, a practical strategy to utilize self-esteem and health status was proposed to improve the life satisfaction of employed people with developmental disabilities. First, paying attention to the fact that the health characteristics of people with developmental disabilities have a stronger effect on life satisfaction than economic characteristics, we proposed a strategy to expand participation in social activities of people with developmental disabilities and a plan to use the ICT platform adopting the 4th industrial revolution technology. In addition, in order to improve the self-esteem of people with developmental disabilities, a method of linking a company employing the disabled and a welfare center for the disabled, and a method of organizing a working group in a form that allows for peer counseling were suggested. In addition, a systematic proposal was made to adjust the activity support training curriculum so that active volunteers who provide activity support services for the severely disabled can be used as a support system for people with developmental disabilities.

골반압박벨트가 뇌졸중 환자에서 보행속도, 분속 수, 보장, 활보장, 및 동적 균형에 미치는 영향

신영일,김진영,이호종,Shin, Young-il,Kim, Jin-young,Lee, Ho-jong 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.1

Background: The purpose of this study was to determine the effects of a pelvic compression belt on gait abilities and balance in subacute stroke patients. Methods: Twenty two patients with subacute were recruited and randomly assigned into two group: Two group offered conventional physical therapy and occupational therapy for five day. The group was composed of twelve patients. Participants in the experimental group were given the pelvic compression belt and conventional physical therapy, conventional occupational therapy, although conventional physical therapy and occupational therapy provided in the subjects in the control group. To assess the gait ability, the GAITRITE system was used and the Balance system SD was used to test balance. All measurements were performed before and after intervention. Results: The experimental group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05) and show significant increase in the dynamic standing balance (p<.05). However, control group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05), but shows no significant differences in dynamic standing balance. Furthermore, there were significant differences gait velocity, dynamic standing balance between two groups (p<.05). Conclusions: The results demonstrated that the elastic pelvic belt application is effective to improve gait velocity, dynamic balance in the subacute stroke patients. Thus, the elastic pelvic belt is seemed to be one of the potential methods to facilitate the active rehabilitation program for hemiplegia patients.