소아 가정방문 물리치료의 인식도와 수요도에 관한 설문조사 = Awareness and Demand for Pediatric Home-Based Physical Therapy in Korea

다국어 초록 (Multilingual Abstract)

Pediatric home-based physical therapy (PHBPT) provides professional rehabilitation programs at the patient`s home, where the activities of daily life are actually performed. PHBPT also allows to avoid the difficulties of transporting children with disabilities to the clinic. Despite these advantages, PHBPT is not yet widely practiced in Korea. There is little objective information regarding the opinions of the main stakeholders on PHBPT. To investigate the awareness and demand of PHBPT among the main stakeholders, 41 pediatric physical therapists (PT) (of 60 contacted) were recruited from different regions of Korea on the basis of the regional population distribution. The recruited PTs completed their questionnaires and also participated in collecting questionnaires from 35 medical doctors (MD) with whom they worked and from randomly selected 201 parents of children with disabilities recruited. The overall response rate was 85.5%. The awareness of PHBPT differed between PTs (95.1%) and parents (67.2%) (p<.001). The survey showed that 82.9% of MDs had at least heard about PHBPT. Significantly more parents (83.5%) than MDs (57.1%), and 70.0% of PTs, wanted to start PHBPT service immediately (p<.001). Significantly more parents (90.0%) than PTs (73.2%) were willing to participate in PHBPT (p<.001). Opinions on the details of policies and procedures (i.e., necessity for prescription, treatment cost, and treatment frequency) differed among the respondent groups, but all favored a minimal qualification of 6∼10 years of pediatric experience and a treatment session duration of 1 hour. These findings provide objective information to support health service administrators to understand the current demand and develop feasible policies and procedures of PHBPT in Korea.

참고문헌 (Reference)

1 유호신, "전국 의료기관 가정간호사 근무 실태" 한국간호과학회 35 (35): 1229-1237, 2005

2 김윤겸, "장애아동 재활치료 서비스 바우처 사업 내 음악치료 현황" 한국장애인재활협회 15 (15): 179-204, 2011

3 구신실, "뇌성마비유아 가족지원 실태 및 부모의 인식" 한국지체.중복.건강장애교육학회 52 (52): 377-396, 2009

4 김미향, "뇌병변장애아동의 인지능력과 운동능력 및자조기술 향상을 위한 미술치료 사례연구" 한국미술치료학회 16 (16): 765-786, 2009

5 이충휘, "가정방문 물리치료서비스의 이용의사에 관한 연구" 한국전문물리치료학회 7 (7): 64-78, 2000

6 한동욱, "가정방문 물리치료 시행을 위한 시스템 개발" 대한물리치료학회 17 (17): 1-26, 2005

7 Korea Ministry of Health & Welfare (KMHW), "Visits the health care business"

8 Lee JH, "The treatment effect of motor development of developmental disability children" 11 (11): 113-123, 2003

9 Kim MS, "The study of efficient way of home-based physical therapy" Samyook University 2011

10 Park KH, "The significance of vojta method in the early diagnosis of the infantile cerebral palsy" 10 (10): 43-48, 1986

11 Moon TS, "The research of the introduction of home physical therapist system" Yonsei University 2001

12 Mayo NE, "The effect of a home visit on parental compliance with a home program" 61 (61): 27-32, 1981

13 Kim SJ, "Survey of the demands of the parents of children with cerebral palsy" 24 (24): 1070-1078, 2000

14 Korea Ministry of Education (KMOE), "Special education law for the handicapped act"

15 Kim SK, "Research of home-visits physical therapy needs" Daejeon University 2002

16 Yang KH, "Research of family support for children with cerebral palsy" 10 : 135-182, 2002

17 Palisano RJ, "Recent advances in physical and occupational therapy for children with cerebral palsy" 11 (11): 66-77, 2004

18 Jasen LM, "Parental experience of participation in physical therapy for children with physical disabilities" 45 (45): 58-69, 2003

19 Korea Ministry of Security and Public Administration (KMSPA), "July 2012 resident population"

20 Fox CM, "Intensive voice treatment(lsvt loud) for children with spastic cerebral palsy and dysarthria" 55 (55): 930-945, 2012

21 Caldwell BM, "Infant day care and attachment" 40 (40): 397-412, 1970

22 Law M, "Home and community occupational therapy for children andyouth: A before and after study" 72 (72): 289-297, 2005

23 Americal Hospital Association (AHA), "Growth trends in hospital home care 1980-1990"

24 Leemrijse CJ, "Direct access to physical therapy in the netherlands: Result from the first year in community-based physical therapy" 88 (88): 936-946, 2008

25 Korea Ministry of Health & Welfare (KMHW), "Children with disabilities family support program"

26 Ju HS, "A study on the parents’ attitudes and changes toward their children with cerebral palsy" Daegu University 1997

27 Yang YA, "A study on the needs about nursing home care physical therapy system" 9 (9): 19-28, 2000

28 Yang YA, "A positive study on home-visiting physical therapy system" Hanyang University 1997