Clinical impact of admission hyperglycemia on in-hospital mortality in acute myocardial infarction patients

Kim, Eun Jung,Jeong, Myung Ho,Kim, Ju Han,Ahn, Tae Hoon,Seung, Ki Bae,Oh, Dong Joo,Kim, Hyo-Soo,Gwon, Hyeon Cheol,Seong, In Whan,Hwang, Kyung Kuk,Chae, Shung Chull,Kim, Kwon-Bae,Kim, Young Jo,Cha, Kwa Elsevier 2017 INTERNATIONAL JOURNAL OF CARDIOLOGY Vol.236 No.-

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Acute hyperglycemia on admission is common in acute myocardial infarction (AMI) patients regardless of diabetic status, and is known as one of prognostic factors. However, the effect of hyperglycemia on non-diabetic patients is still on debate.</P> <P><B>Methods</B></P> <P>A total of 12,625 AMI patients (64.0±12.6years, 26.1% female) who were enrolled in Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and December 2015, were classified into 4367 diabetes (65.4±11.6years, 30.4% female) and 8228 non-diabetes (63.3±13years, 23.9% female). Patients were analyzed for in-hospital clinical outcome according to admission hyperglycemic status.</P> <P><B>Results</B></P> <P>In diabetic patients, independent predictors of in-hospital mortality were old age, high HbA<SUB>1</SUB>C, pre-Thrombolysis In Myocardial Infarction (TIMI) flow 0, left ventricle ejection fraction<40%, cardiogenic shock and ventricular tachycardia. In non-diabetic patients, independent predictors of in-hospital mortality were old age, high admission glucose (≥200mg/dL), pre TIMI flow 0, failed percutaneous coronary intervention, low left ventricle ejection fraction<40%, cardiogenic shock, stent thrombosis and decreased Hb≥5g/dL. In hospital mortality was significantly higher in diabetic patients compared to non-diabetic patients (5.0% vs. 3.4%, <I>p</I> <0.001). However, non-diabetic patients with hyperglycemia have significantly higher mortality compared to diabetic patients (17.4% vs. 7.2%, <I>p</I> <0.001). Comorbidity including cardiogenic shock (<I>p</I> <0.001), cerebral hemorrhage (<I>p</I> =0.012), decreased Hb≥5g/dL (<I>p</I> =0.013), atrioventricular block (<I>p</I> <0.001) and ventricular tachycardia (<I>p</I> =0.007) was higher in non-diabetic with hyperglycemia than in diabetic patients.</P> <P><B>Conclusions</B></P> <P>These findings underscore clinical significance of admission hyperglycemia on in-hospital mortality in non-diabetic AMI patients.</P>

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1997)

김재홍,문득곤,김정수,김용준,임동진,박상훈,김희성,이민수,송기훈,김갑형,김형석,성소영,이인섭,김석우,황지환,조창근,김경문,부태성 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

Background : In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. Objective & Methods : For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1997. 99 strains of N. gonorrhoeae were isolated, among which 45(45.5%) were PPNG. Conclusion : The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 45.5% in 1997.

Adult invasive pneumococcal disease in the Republic of Korea: Risk medical conditions and mortality stratified by age group

Kim, Jong Hun,Baik, Seung Hee,Chun, Byung Chul,Song, Joon Young,Bae, In-Gyu,Kim, Hyo Youl,Kim, Dong-Min,Choi, Young Hwa,Choi, Won Suk,Jo, Yu Mi,Kwon, Hyun Hee,Jeong, Hye Won,Kim, Yeon-Sook,Kim, Jeong Elsevier 2018 INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES Vol.74 No.-

<P><B>Abstract</B></P> <P><B>Objectives</B></P> <P>This study aimed to characterize the risk factors for mortality in adult patients with invasive pneumococcal disease (IPD) stratified by age groups, after implementation of the national immunization program of 23-valent polysaccharide vaccine (PPSV23) for those aged ≥65 years in the Republic of Korea (ROK).</P> <P><B>Methods</B></P> <P>Clinical data and pneumococcal isolates from adult patients with IPD (≥18 years of age) were collected prospectively from 20 hospitals through the nationwide surveillance program from March 2013 to October 2015.</P> <P><B>Results</B></P> <P>A total of 319 patients with IPD were enrolled. Median age was 69 years. Overall in-hospital mortality was 34.2%: 17.1% in those aged 18–49 years, 23.7% in those aged 50–64 years, 33.0% in those aged 65–74 years, and 51.0% in those aged ≥75 years (<I>p<</I> 0.001). In particular, early death within 7days of hospitalization accounted for 60.6% (66/109). While old age (≥65 years), higher Pitt bacteremia score (≥4), and bacteremic pneumonia were independently associated with IPD mortality in all age groups, an additional mortality risk factor of immunocompromised status was identified for patients aged 50–64 years. PPSV23 serotypes accounted for 64.4% (122/189) of the pneumococcal isolates serotyped.</P> <P><B>Conclusions</B></P> <P>This study suggests that vaccine-type IPD continues to place a substantial burden on older adults in the ROK, necessitating an effective vaccination strategy for those at higher risk.</P> <P><B>Highlights</B></P> <P> <UL> <LI> National immunization of the elderly with the 23-valent polysaccharide vaccine (PPSV23) was implemented in Korea in 2013. </LI> <LI> Overall in-hospital mortality was 34.2% for adult invasive pneumococcal disease (IPD) and 51.0% for patients ≥75 years of age. </LI> <LI> Mortality risks were older age, higher bacteremia score, and immunocompromised status. </LI> <LI> An effective vaccination strategy for those at higher risk of IPD is needed. </LI> </UL> </P>

In-hospital mortality in patients with STEMI admitted during off hours

( Sung-Soo Kim ),( Myung Ho Jeong ),( Jeong Gwan Cho ),( Young Keun Ahn ),( Jong Hyun Kim ),( Shung Chull Chae ),( Young Jo Kim ),( Seung Ho Hur ),( In Whan Seong ),( Taek Jong Hong ),( Dong-hoon Choi 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

Conflicting results exist on the outcome of off hours PCI in ST elevation myocardial infarction (STEMI). However, there were only a few studies that have focused on the clinical characteristics and outcomes of off hours PCI in STEMI. So, we studied the clinical characteristics and hospital mortality in STEMI patients treated with primary PCI during regular hours (weekdays 9:00 AM to 6:00 PM) versus off hours Weekdays 6:01 PM to 8:59 AM, weekends, and holidays) in Korea Acute Myocardial Infarction Registry. We analyzed in hospital and one year mortality among 5,665 consecutive ST segment elevation myocardial infarction patients treated with primary PCI between November 2005 to January 2008. Total 2,848 (50.2%) patients were treated during off hours. Baseline finding were similar, although regular hours patients were older. Median symptom to balloon time (304 min, IQR 175 to 750 vs. 270 min, IQR 145 to 551, p=0.001) were longer for regular hours primary PCI. Median door to balloon time (71min, IQR: 48 to 132 vs. 59 min, IQR 39 to 110 min, p=0.001) were longer for off hours pPCI. Also, Cardiac enzyme such as Max CK-MB (212.1±299.3 vs 194.7±303.4, p=0.031) and max TnI (72.6±239.5 vs. 58.9±94.4, p=0.013) were increased in off hours pPCI. However, unadjusted in hospital (6.0% off hours vs. 6.0% regular hours, p=0.946) and one year cardiac mortality (11.3% off hours vs. 11.7% regular hours, p=0.661) were comparable. In multivariate analysis, off hours primary PCI did not predict an adverse outcome. In conclusion, when primary PCI was performed within an appropriate reperfusion strategy, the clinical effectiveness of either off hours or regular hours pPCI is comparable.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

Suppression of peroxisome proliferator-activated receptor gamma-coactivator-1alpha normalizes the glucolipotoxicity-induced decreased BETA2/NeuroD gene transcription and improved glucose tolerance in diabetic rats.

Kim, Ji-Won,You, Young-Hye,Ham, Dong-Sik,Cho, Jae-Hyoung,Ko, Seung-Hyun,Song, Ki-Ho,Son, Ho-Young,Suh-Kim, Haeyoung,Lee, In-Kyu,Yoon, Kun-Ho Association for the Study of Internal Secretions 2009 Endocrinology Vol.150 No.9

<P>Peroxisome proliferator-activated receptor gamma-coactivator-1alpha (PGC-1alpha) is significantly elevated in the islets of animal models of diabetes. However, the molecular mechanism has not been clarified. We investigated whether the suppression of PGC-1alpha expression protects against beta-cell dysfunction in vivo and determined the mechanism of action of PGC-1alpha in beta-cells. The studies were performed in glucolipotixicity-induced primary rat islets and INS-1 cells. In vitro and in vivo approaches using adenoviruses were used to evaluate the role of PGC-1alpha in glucolipotoxicity-associated beta-cell dysfunction. The expression of PGC-1alpha in cultured beta-cells increased gradually with glucolipotoxicity. The overexpression of PGC-1alpha also suppressed the expression of the insulin and beta-cell E-box transcription factor (BETA2/NeuroD) genes, which was reversed by PGC-1alpha small interfering RNA (siRNA). BETA2/NeuroD, p300-enhanced BETA2/NeuroD, and insulin transcriptional activities were significantly suppressed by Ad-PGC-1alpha but were rescued by Ad-siPGC-1alpha. PGC-1alpha binding at the glucocorticoid receptor site on the BETA2/NeuroD promoter increased in the presence of PGC-1alpha. Ad-siPGC-1alpha injection through the celiac arteries of 90% pancreatectomized diabetic rats improved their glucose tolerance and maintained their fasting insulin levels. The suppression of PGC-1alpha expression protects the glucolipotoxicity-induced beta-cell dysfunction in vivo and in vitro. A better understanding of the functions of molecules such as PGC-1alpha, which play key roles in intracellular fuel regulation, could herald a new era of the treatment of patients with type 2 diabetes mellitus by providing protection from glucolipotoxicity, which is an important cause of the development and progression of the disease.</P>

중년기 우울증 여성의 생활사건, 대처방식, 사회적 지지 및 가족관계

김동인,이진욱,김임,이선미,은헌정 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

국문초록본 연구는 중년기 우울증 여성의 생활사건 스트레스, 대처 방식, 사회적 지지, 가족 관계 등의 정신사회적 요인들을 알아보기 위한 것으로 각 변인들이 어떻게 우울과 관계가 있는지를 우울증 환자 집단과 정상인 집단으로 나누어서 비교 연구하였다. 이를 위해 35세 이상 64세 이하의 116명의 우울증 환자와 113명의 정상인을 대상으로 Beck 우울 질문지(BDI), 생활사건 질문지, 대처방식 척도, 대인관계 지지 평가척도(ISEL), 가정환경척도 등의 검사를 하였고 다음과 같은 결과를 얻었다. 1) 최고 스트레스는 환자 집단의 경우 결혼생활 스트레스(42명, 36.2%), 정상인 집단의 경우는 가정생활 스트레스(44명, 38.9%)였다. 2) 소극적 대처(t=0.93, p=.35)만을 제외하고 환자 집단과 정상인 집단에서 BDI 우울 점수(t=15.94, p<.0001), 생활사건 스트레스 점수(t=4.73, p<.0001), 적극적 대처점수(t=6.29, p<.0001), 사회적 지지점수(t=7.20, p<.0001), 가족 관계 점수(t=5.75, p<.0001)에서 유의한 차이를 보였다. 3) 우울증 환자 집단에서 BDI 우울 점수는 생활사건 스트레스(r=.24, p<.01) 변인과 유의한 정적 상관을 보였고, 적극적 대처(r= -.22, p<.01) 변인, 사회적 지지(r= -.35, p<.001) 변인, 가족관계(r= -.30, p<.001) 변인과는 유의한 역 상관을 보였다. 4) 우울증 환자 집단에서 BDI 우울에 대한 각 변인들의 중다회귀분석은 사회적 지지(12.3%, β= -.281, T= -3.162, P=.002, 생활사건 스트레스(5.1%, β=.279, T=3.195, P=.002), 적극적 대처(3.5%, β= -.204, T= -2.225, P=.028) 변인이 합하여 20.9%의 설명력을 나타냈다. 5) 중년기 여성에서 생활사건 스트레스는 가족 관계에서 겪는 스트레스가 가장 큰 스트레스였고, 대처방식은 우울과의 관계에서 일관성이 부족하였으며, 사회적 지지는 우울에 영향을 주는 가장 중요한 요인이었고, 가족관계는 양 집단에서 유의한 차이는 있었으나 우울에 대하여 의미있게 설명하지 못하고 있다. ABSTRACTLife Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women Jin-Wook Lee, M.D., Yim Kim, M.D., Sun-Mi Yi, M.S., Dong-In Kim, M.D., Heon-Jeong Eun, M.D. Department of Neuropsychiatry, Presbyterian Medical Center, Chonju The objective of this study was to explore the psychosocial factors such as life events, coping styles and family relationships in middle-aged depressed women. This study was designed to compare how different variables relate to depression in two different test groups : a depressed patient group and a normal group. The Beck Depression Inventory(BDI), The Ways of Coping Checklist, Interpersonal Support Evaluation List(ISEL), Family Environment Scale were administered to 116 depressed patients and 113 normal persons between the ages of 35 and 64. The results were as follows : 1) The highest stress was marital stress(n=42, 36.2%) in patient group and family stress(n=44, 38.9%) in normal group, respectively. 2) There were significant differences between patient group and normal group in BDI scores(t=15.94, p<.0001), life events(t=4.73, p<.0001), active copinig(t=6.29, p<.0001), social support(t=7.20, p<.0001), and family relationships(t=5.75, p<.0001) except for passive coping(t=0.93, p=.35). 3) In depressed patient group, BDI scores had a significantly positive correlation with the scores of the life events(r=.24, p<.01) and negative correlation with active coping(r= -.22, p<.01), social support(r= -.35, p<.001) and family relationships(r= -.30, p<.001). 4) In depressed patient group, multiple regression analysis showed that social support(12.3%, β= -.281, T= -3.162, P=.002), life events(5.1%, β=.279. T=3.195, P=.002), and active coping(3.5%, β= -.204, T= -2.225, P=.028) had predictability on the BDI scores and the total predictability was 20.9%. 5) Stress experienced in family relationships were highest in life events and there was a lack of consistency(in the BDI scores of the coping styles). Social support was the most important factor and there were no significant differences between the two groups in family relationships.

만성 궤양성 대장염의 추적관찰 - 단기적 치료 반응 및 재발율을 중심으로

장동경(Dong Kyung Chang),이국래(Kook Lae Lee),김재규(Jae Gyu Kim),김용태(Yong Tae Kim),정현채(Hyun Chae Jung),송인성(In Sung Song),최규완(Kyoo Wan Choi),김정룡(Chung Young Kim),박재갑(Jae Gahb Park),이풍렬(Poong Lyul Rhee),최상운(Sa 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6

N/A Our retrospective study on 240 cases with chronic ulcerative colitis in Seoul National Uni- versity Hospital spanning from January,1975 to December,1993 revealed the following results. According to the extent of disease, there was 27.5% in proctitis, which was more frequent than that of the previous domestic reports, 15.8% in distal, 22.9% in left and 31.7% in exten- sive colitis. According to the severity of disease, there was 47.5% in mild, 32.9% in moderate and 19.6% in severe disease. There was a positive correlation between severity and extent of disease. The extraintestinal complications were not related with the extent, or severity. Howev- er 3 cases(1.3%) of toxic megacolon appeared in moderate or severe extensive colitis, one of which progressed to perforation. Two cases(0.8%) of mortality were noticed, one caused by perforation, the other by operation related complication. There was not a single case of colon cancer developed during follow up period. Most cases showed excellent short term response to medical treatment; the symptomatic remission rates were 90.3%, 85.7%, 72.9% and 58.9% in order of proctitis, distal, left and extensive colitis, and the endoscopic remission rates were 78.8%, 50.0%, 59.1% and 30.0% respectively. Higher remission rates corresponded with lower extent of the disease. According to the severity, the symptomatic remission rates of milder dis- ease were significantly higher. The cumulative relapse rates were 38.7% in 1 year, 62.4% in 2 years, 73.3% in 3 years and 81.9% in 5 years, which were not related to the extent but in- creased according to the severity. The cumulative operation rates were 5.0% in 1 year, 7.6% in 2 years, 10.2% in 3 years and 15.9% in 6 years. The emergency operation accounted for only 22.2% of all operation and the others were elective ones. The most frequent indication of surgery was medical intractability which was determined after mean 35 days of intensive med- ical therapy. We concluded that severity and extent of ulcerative colitis had predictive value of the responses to medical treatment or relapses, furthermore despite the high relapse rates, medical therapy was the first line treatment because of its high remission rates on a short- term base. (Korean J Gastroenterol 1994; 26: 907 918)

백서 혈관평활근 세포에서 α-Lipoic acid가 PAI-1 발현, 세포의 증식, 주유능 및 신생내막 형성억제에 미치는 효과

신동우,이동욱,이상준,김혜순,강효경,안종덕,이인규 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.6

연구배경:당뇨병의 혈관 합병증의 발생에 있어서 산화스트레스는 중요한 역할을 하는 것으로 알려져 있다. 혈관 평활근세포에서 고혈당은 안지오텐신Ⅱ와 더불어 활성산소족(ROS)을 증가시키며, 산화스트레스에 민감한 전사인자들을 활성화시켜 동맥경화증을 유발하는 것으로 알려져 있다. 이에 저자들은 항산화제로 알려진 알파­리포산이 혈관 평활근세포의 증식속도와 이주에 미치는 영향과 PAI­1발현에 미치는 영향을 조사하였고 이와 동시에 백서의 혈관 손상 모델을 이용하여 알파­리포산이 신생내막 증식을 억제시킬 수 있는지를 알아보았다. 방법:In vitro 실험은 백서의 대동맥 평활근세포를 고농도의 포도당(22mM)과 100nM의 안지오텐신Ⅱ로 4시간 배양하였다. 알파­리포산을 처리 후, PAI­1 mRNA의 발현을 보기 위해 노던 블롯을 시행하였고 평활근세포의 유주능과 증식속도에 미치는 영향을 보기 위해 성장속도의 유주능 분석을 시행하였다. 또한 평활근세포의 유주능에 NF­μB 경로가 미치는 영향을 보기 위해 겔 지연 분석과 NF­μB 보고 유전자 분석을 시행하였다. In vivo 실험으로 백서의 혈관손상 모델을 이용하여 알파­리포산 처리 후 혈관의 신생내막 두께를 비교하였다. 결과:In vitro 실험에서 고농도 포도당과 안지오텐신Ⅱ에 의해 유도된 PAI­1 mRNA 발현증가는 알파­리포산 처리에 의하여 용량에 비례하여 억제되었다(p<0.05). 알파­리포산 처리로 혈관 평활근세포의 유주능은 유의하게 억제되었으나(p<0.01),증식속도는 유의하게 억제되지 않았다. 또한 알파­리포산 처리로 NF­μB 발현도 유의하게 억제되었다(p<0.01). In vivo 실험에서 알파­리포산을 주입한 군에서 혈관손상에 의한 신생내막의 증식이 유의하게 억제되는 것을 보여주었다(p<0.01). 결론:알파­리포산은 백서의 대동맥 평활근 세포의 증식속도는 억제하지 못했으나 유주능은 유의하게 억제하였으며, 혈관 손상 모델에서 신생 내막 증식도 유의하게 억제함을 확인할 수 있었다. 이러한 작용은 알파­리포산에 의한 NF­μB 경로의 억제와 연관이 있는 것으로 사료된다. Background : Exposure to large amounts of glucose causes a characteristic dysfunction and morphologic changes of the endothelium by an increased production of reactive oxygen species(ROS) in diabetes. The plasminogen activator inhibitor-1(PAI-1), which modulates fibrinolysis and cell migration may influence proteolysis and neointimal formation in vascular smooth muscle cells(VSMC). Antioxidants have been proposed to inhibit multiple proatherogenic events. This study investigated the effect of α-lipoic acid on PAI-1 expression and VSMC proliferation and migration both in vivo and in vitro. Methods : In the in vitro study, cultured rat aortic smooth muscle cells(RASMC) were incubated in a medium containing high glucose (22 mM) and 100 nM angiotensin Ⅱ for 4 hour. After α-lipoic acidtreatment, a -migration and growth assay of the RASMC, and a gelmobility shift assay and reportergene analysis for nuclear factor- иB(NF- иB) and northern blot analysis for PAI-1 were performed. In the in vivo study, the effect of α-lipoic acid on neointimal hyperplasia in a rat carotid balloon injury model was evaluated. Results : RASMC migration was inhibited significantly by α-lipoic acid (p<0.01), but their prolife ration was not inhibited. The NF-иB DNA binding activity and NF-иB promoter activity was inhibited by α-lipoic acid significantly (p<0.01). α-lipoic acid inhibited PAI-1 mRNA expression by high glucose and angiotensin Ⅱ in dose dependent manner (p<0.05). In the rat carotid artery balloon injury model, neointimal formation was reduced by α-lipoic acid treatment in a dose dependent manner significantly (p<0.01). Conclusion : α-lipoic acid suppresses migration, but not prolife ration in RASMC. α-lipoic acid also reduce neointima formation in a rat carotid balloon injured model. This effect might be related to the blocking of NF-иB which increase the expression of the genes associated with atherosclerosis including TNF-α, IL-1, IL-6, endothelin-1, MCP-1, VCAM-1, ICAM-1, E-selectin, tissue factor(J Kor Diabetes Asso 25:446~459, 2001).

장애인 평생교육 실태 및 개선방안 연구

정인숙,김현진,김형일,정동영,정희섭 국립특수교육원 2005 연구보고서 Vol.- No.9

본 연구는 장애인의 삶의 질을 제고하는데 필요한 장애인 평생교육의 실태를 조사하고 지원대책을 마련하는데 목적을 두고, 장애인 평생교육의 개념과 특성, 장애인 평생교육의 지원체제, 외국의 장애인 평생교육 실태 등을 탐색하여 이론적 토대로 삼고, 2005년 6월 21일부터 8월 13일까지 전국의 18세 이상 장애인 2,922명을 대상으로 설문조사와 71명을 대상으로 면담조사를 통해 평생교육 실태와 지원요구를 조사하였다. 또한 전국의 평생학습관 239개, 지역평생교육정보센터 26개 등 일반인 평생교육기관 265개와 장애인 평생교육 관련기관 464개를 대상으로 설문조사와 일반평생교육기관 46개 및 장애인 평생교육기관 67개를 대상으로 면담조사를 통해 운영실태와 지원요구를 조사하였다. 본 연구를 통해 나타난 장애인 평생교육 실태와 지원요구 및 평생교육기관 운영실태와 지원요구는 다음과 같다. 첫째, 장애인 평생교육 실태조사 결과, 장애인들은 학교 졸업 이후 교육을 1회도 받지 않은 경우 34.8%, 1회 받은 경우 19.6%, 2회 받은 경우 14.9%순으로 나타났다. 장애유형별로 교육을 1회도 받지 않은 경우는 청각장애 47.2%, 지체장애 36.9%, 언어장애 33.3%, 발달장애 32.7%, 뇌병변장애 31.8%, 시각장애 31.5% 중복장애 29.2%, 정신지체 28.8%순으로 나타났고, 교육을 받은 경우를 살펴보면 지체장애, 뇌병변장애, 시각장애, 청각장애, 언어장애, 중복장애는 1회만 받은 경우가 많고, 정신지체와 발달장애는 4회 이상 받은 경우도 있는 것으로 나타났다. 장애인들이 학교 졸업 이후 받은 교육 프로그램의 내용은 정보화교육 46.0%, 직업교육 33.8%, 여가교육 22.6%, 교양교육 20.7%, 문해교육 15.4%순으로 나타났다. 장애유형별로 살펴보면 지체장애 52.2%, 시각장애 50.2%, 뇌병변 장애 46.9%, 발달장애 45.9%, 중복장애 45.7% 순으로 정보화교육을 가장 많이 받았고, 발달장애 51.4%는 여가교육을, 정신지체 47.4%, 언어장애 36.4%는 직업교육을 받은 것으로 나타났다. 또한 연령별로 20세미만은 직업교육을, 20대에는 직업교육과 정보화교육을, 30대 이후에는 정보화교육을 많이 받는 것으로 나타났다. 장애인들이 학교 졸업 이후 교육을 받은 경우 중에서 교육을 받은 기관은 장애인복지관 34.0%, 장애인단체 23.6%, 장애인평생교육기관 11.1%, 일반인 평생교육기관 10.9%, 사회복지관 9.8%, 장애인 직업 전문학교 8.2%순으로 나타났다. 전체적으로 장애인 기관에서 교육을 받은 경우는 80.3%, 일반인 평생교육기관에서 교육을 받은 경우는 32.0%로 나타났다. 장애유형별로 지체장애 26%와 청각장애 25.0%는 장애인단체에서, 뇌병변장애 43.6%, 시각장애 44.0%, 정신지체 41.0%, 발달장애 64.1%, 중복장애 31.9%는 장애인복지관에서 언어장애 40.0%는 장애인 평생교육기관에서 교육을 받은 것으로 나타났으며, 일반인 평생교육기관에서 교육을 받은 경우는 지체장애 52.9%, 중복장애 39.1%, 청각장애 33.0%, 시각장애 25.9%, 뇌병변장애 22.4%, 정신지체 22.1%, 언어장애 15.0%, 발달장애 18.0%순으로 나타났다. 장애인들의 평생교육비는 본인이 부담하지 않은 경우가 39.9%로 나타났으며, 부담한 경우 1인당 월 10만원 미만이 37.5%, 월 10만원 이상에서 월 20만원 미만이 14.2%, 월 20만원 이상이 8.8%순으로 나타났다. 장애유형별로 모든 장애영역에서 월 10만원 미만이 30%~50%정도로 나타났으며, 월 10만원 이상을 부담하는 경우는 발달장애 41.1%, 언어장애 35%, 정신지체 28.9%, 지체장애 27.7%, 청각장애 25.7%, 시각장애 15.3%, 뇌병변장애 13.9%순으로 나타났다. 둘째, 장애인들의 평생교육 요구를 조사한 결과, 가장 받고 싶어 하는 성인교육 프로그램의 내용은 직업교육 31.0%, 정보화교육 30.4%, 여가교육 18.2% 교양교육 14.8%, 문해교육 8.8%순으로 나타났다. 장애유형별로는 언어장애 41.9%, 뇌병변장애 39.9%, 지체장애 39.0%, 청각장애 33.1%, 시각장애 31.8%가 정보화교육을 가장 원하고 있는 것으로 나타났고, 발달장애 58.8%, 정신지체 41.0%, 중복장애 32.4%는 직업교육을 가장 원하고 있는 것으로 나타났다. 연령별로 20대는 직업교육, 30대는 직업교육(34.6%)과 정보화교육(32.8%), 40대와 50대는 정보화교육, 60대에는 여가교육을 가장 요구하고 있는 것으로 나타났다. 성인교육을 받고 싶은 기관은 장애인평생교육기관 23.8%, 장애인복지관 22.6%, 일반인 평생교육기관 22.2%, 사회복지관 8.9%, 대학 일반성인 프로그램 6.2%, 장애성인학원 5.5%, 대학 장애성인 프로그램 5.2%, 일반성인 학원 2.7%순으로 나타났다. 장애유형별로 지체장애 36.4%, 뇌병변장애 34.0%는 일반인 평생교육기관을 선호하였고, 정신지체 33.7%, 중복장애 34.0%, 청각장애 27.8%는 장애인 평생교육기관을 선호하였으며, 또한 시각장애 30.4%, 발달장애 31.6%는 장애인복지관을 선호하였고, 언어장애는 대학 장애성인 프로그램과 사회복지관을 선호하는 것으로 나타났다. 연령별로 20대와 40대는 장애인 평생교육기관, 30대는 일반인 평생교육기관, 50대와 60대는 장애인 복지관을 선호하는 것으로 나타났다. 셋째, 평생교육기관의 운영실태를 조사한 결과, 일반인 평생교육기관의 이용대상 연령대는 30~39세 60%, 40~49세 48%, 50~59세 31%이었고, 장애인 평생교육기관은 20~29세 64.8%, 40~49세 38.6%, 30~39세 31.1%, 50~59세 26.1%로 나타났다. 평생교육기관의 규모는 일반인 평생교육기관은 101명 이상의 규모가 36.6%, 20~40명의 규모 23.8%, 81~100명의 규모 15.8%순으로 나타났고, 장애인 평생교육기관은 20~40명의 규모 40.2%, 20명 미만의 규모 28.7%, 101명 이상의 규모 12.6%로 일반인 평생교육기관은 80명이상 규모가 52.4%인 반면, 장애인 평생교육기관은 80명 이상의 규모가 18.3%에 불과한 것으로 나타났다. 장애인 편의시설 설치 현황을 살펴보면 일반인 평생교육기관은 장애인 주차장 82.7%, 장애인용 대소변기 77.6%, 승강기와 경사로 67.3%, 출입구 높이차이 제거, 출입구 출입문, 복도 손잡이 설치는 각각 약 30%인 것으로 나타났고, 장애인 평생교육기관은 장애인용 대소변기, 승강기 경사로 78%, 장애인주차장 76.8%, 복도 손잡이 68.3%로 나타났다. 평생교육 프로그램 운영기간은 일반인 평생교육기관은 3개월 이상 6개월 미만이 48.0%, 6개월 이상 1년 미만이 25.5%, 3개월 미만이 20.6%, 1년 이상이 5.9%순으로 나타났고, 장애인 평생교육기관은 1년 이상이 38.4%, 6개월 이상 1년 미만이 32.6%, 3개월 이상 6개월 미만이 12.8%, 3개월 미만이 9.3%순으로 나타났다. 그리고 1일 평생교육 프로그램 운영시간은 일반인 평생교육기관은 2시간이 71.3%로 나타났고, 장애인 평생교육기관은 2시간이 19.5%이며 6시간, 8시간, 4시간 순으로 다양하게 나타났다. 평생교육 프로그램의 주요 내용은 일반인 평생교육기관의 경우 교양교육 77.5%, 여가교육이 62.7%순으로 나타났고, 장애인 평생교육기관은 직업교육 71.6%, 여가교육과 교양교육 각각 30%로 나타났다. 그리고 수강생 1인이 부담하는 교육비는 일반인 평생교육기관의 경우 수강료가 없는 기관이 73.5%, 월 10만원 미만이 22.5%로 나타났고, 장애인 평생교육기관의 경우 수강료가 없는 기관이 77.3%, 월 10만원 미만이 17%로 나타났다. 평생교육 프로그램의 담당인력은 일반인 평생교육기관의 경우 5명 미만이 40.6%, 5~10명이 23.8%로 나타났고, 장애인 평생교육기관은 5명 미만이 64.4%, 5~10명이 20.7%로 나타났다. 그리고 평생교육 담당인력의 자격증은 일반인 평생교육기관의 경우 기능사?기술사 34.7%, 일반학교 교사 33.7%, 평생교육사 17.9%로 나타났고, 장애인 평생교육기관의 경우 사회복지사 66.3%, 기능사?기술사 24.4%, 특수학교 교사 23.3%로 나타났다. 넷째, 평생교육기관의 지원요구를 조사한 결과, 장애인의 평생교육 프로그램을 운영하는 시설로 가장 적절한 형태에 대해서는 일반인 평생교육기관 관계자의 경우 일반인 독립 평생교육시설 36.7%, 사회복지관 26.5%, 장애인 독립 평생교육시설 24.5%순으로 응답하였고, 장애인 평생교육기관 관계자는 장애인복지관 36.9%, 장애인 평생교육시설 26.2%, 장애인직업훈련학교 23.8%순으로 응답하였다. 장애인 평생교육 프로그램의 적절한 운영기간에 대해서는 일반인 평생교육기관 관계자는 3개월~6개월 미만 47.0%, 6개월~1년 미만 25%, 3개월 미만 22%, 1년 이상은 5%순으로 응답하였고, 장애인 평생교육기관 관계자는 6개월~1년 미만 42.5%, 1년 이상 29.9%, 3개월~6개월 미만 20.7%순으로 응답하였다. 장애인 평생교육 프로그램의 1일 운영시간에 대해서는 일반인 평생교육기관 관계자의 경우 2시간 76%, 4시간 9%, 3시간 7%, 6시간 4%순으로 응답하였고, 장애인 평생교육기관 관계자의 경우 2시간 24.1%, 6시간 20.7%, 4시간 16.1%, 3시간 13.8%순으로 응답하였다. 그리고 장애인 평생교육 프로그램의 내용에 대해서는 일반인 평생교육기관 관계자의 경우 직업교육 65%, 교양교육과 정보화교육 21%, 여가교육 17%순으로 응답하였고, 장애인 평생교육기관 관계자의 경우 직업교육 70.9%, 여가교육 23.3%, 정보화교육 20.9%, 교양교육 10.5%순으로 응답하였다. 장애인이 부담해야 할 적절한 평생교육비에 대해서 일반인 평생교육기관 관계자는 월 10만원 미만 68.4%, 월 10만원~20만원 미만 4.1%순으로 응답하였고, 장애인 평생교육기관관계자는 월 10만원 미만 75.0%,월 10만원~20만원 미만 7.1%순으로 응답하였다. 그리고 평생교육기관의 운영경비 지원기관으로 적절한 기관에 대해서 일반인 평생교육기관 관계자는 국가 75%, 지방자치 단체 43%순으로 응답하였고, 장애인 평생교육기관 관계자는 국가 81.4%, 지방자치 단체 32.6%순으로 응답하였다. 또한 장애인 평생교육 담당인력으로 가장 적절한 자격에 대해서는 일반인 평생교육기관 관계자는 특수학교 교사 49.5%, 사회복지사 33.3%, 평생교육사 21.2%, 기능사?기술사 17.2%순으로 응답하였고, 장애인 평생교육기관 관계자는 사회복지사 50.0%, 특수학교 교사 29.8%, 기능사?기술사 23.8%순으로 응답하였다. 그리고 장애인을 위한 개선사항으로 일반인 평생교육기관 관계자는 장애인 편의시설 설치 36.6%, 교육 프로그램 개발 27.7%, 이동문제 편의시설 25.7%, 일반성인의 장애인 이해 24.8%, 재정적 지원 14.9%, 기관 운영자의 장애인 이해 12.9%순으로 응답하였고, 장애인 평생교육기관 관계자들은 교육 프로그램 개발 36.1%, 재정적 지원 34.9%, 일반성인의 장애인 이해 22.9%, 이동문제 및 편의시설 19.3%, 장애인 편의시설 설치 10.8%순으로 응답하였다. 이와 같은 장애인 평생교육 실태와 지원요구 및 평생교육기관의 실태와 지원요구 면담자료 등을 토대로 본 연구는 모든 장애인의 평생교육 권리를 보장하고, 장애인의 지역사회 중심 교육체제를 구축할 뿐 아니라, 장애인의 통합교육 기회를 확대하고, 장애인 평생교육 지원을 확대하기 위해서는 다음과 같은 대책을 우선적으로 마련해야 한다고 결론을 내렸다. 첫째, 장애인도 동등하게 평생 교육을 받을 수 있는 권리를 보장 받을 수 있도록 하기 위해서는 장애인들의 평생교육 기회 확대가 필요하며, 이러한 기회를 확대하기 위해서는 일반인 평생교육기관에서 일정비율의 장애인 참여를 규정하는 장애인 의무 평생교육 제도를 시행해야 하며, 일반인 평생교육기관에서 운영하는 프로그램에 특화된 장애인 프로그램의 운영을 규정하는 장애인 평생교육 프로그램 운영 의무 제도를 시행해야 한다. 그리고 장애인 평생교육 기회 확대를 위해 장애인 교육시설의 프로그램 운영내용과 방법을 개선해야 하며, 장애학생의 교육을 담당하는 특수교육기관의 운영내용과 방법을 개선해야 한다. 둘째, 장애인이 지역사회 평생교육 프로그램에 접근하고 참여할 수 있는 문화의 창조를 위해서는 평생교육기관 및 시설에 장애인 지원 매뉴얼을 제작?배부하며, 평생교육기관과 시설에 장애인 편의시설을 설치해야 한다. 그리고 장애인의 평생교육을 위해 장애인을 대상으로 교육 프로그램을 제공하는 지역사회 기관과 시설의 네트워크를 구축해야 하며, 장애인의 평생학습기관과 시설을 지원하는 기관을 설립?운영해야 한다. 셋째, 장애인 평생교육의 질 제고를 위해 장애인 교육 프로그램의 연구?개발을 확대해야 하며, 정기적으로 장애인 평생교육 프로그램의 내용과 운영실태를 평가해야 한다. 그리고 장애인 평생교육 담당인력의 전문성 제고를 위해 평생교육사의 양성 및 현직 교육과정에 장애인 평생교육 과목을 필수과목으로 편성해야 하며, 장애인 평생교육 전문인력으로 장애인평생교육사를 양성?배치해야 한다. 넷째, 장애인 평생교육 행정 지원 확대를 위해 교육인적자원부, 시?도교육청 및 시?군?구교육청의 장애학생 교육 담당조직에 장애인 평생교육 업무를 부과하며, 교육인적자원부, 시?도교육청 및 시?군?구교육청의 장애학생 교육 담당조직에 장애인 평생교육 장학기능을 부과하고, 교육인적자원부, 시?도교육청 및 시?군?구교육청의 장애학생 교육 담당조직에 장애인 평생교육 전담인력을 배치해야 한다. 그리고 장애인 평생교육 재정 지원 확대를 위해 장애로 인하여 평생교육의 기회를 제대로 제공받지 못하고 있는 장애인들을 대상으로 평생교육을 무상으로 제공해야 하며, 장애인이 평생교육을 원할 때, 적절한 평생교육을 제공하기 위해 장애인 평생교육 욕구를 조사?분석하는 장애인 평생교육 실태조사를 정기적으로 실시해야 하며, 장애인 교육기관과 시설 운영의 공평성과 투명성을 확보하고, 장애영역별, 장애정도별로 적절한 교육공학적 지원을 확대해야 한다. The purpose of This study is to investigate the current status of lifelong education for individuals with disabilities which is necessary to protect the quality of life for individuals with disabilities, and to make the desirable the policy. Based on concept, characteristics, support system, abroad situation of lifelong education for individuals with disabilities, we surveyed the status and support need through questionnaire and interview with 2,922 persons from age 18 from 21th June 2005 to 13th August. In addition to we survey the status of the management support need of 239 lifelong learning centers in the nation, 26 information centers for local lifelong education, 265 lifelong education institutes for ordinary people, 88 lifelong education institutes for individuals with disabilities. The survey results are as follows. First, the status survey results of lifelong education for individuals with disabilities show that 34.8% of individuals with disabilities doesn't have education opportunity at all, 19.6% of them has it once, 14.9% of them has it twice. Clarified by categories of disabilities, people has no opportunity as follows ; hearing impairments 47.2%, physical impairment 36.9%, developmental disabilities 32.7%, brain stroke 31.8%, visual impairments 31.5%, multiple impairments 29.2%, mental retardation 28.8%.. and people has opportunity once as follows ; physical impairments, brain stroke, visual impairments, language impairments, multiple impairments. Development impairments has above four opportunities. After graduation school, individuals with disabilities have program as follows: information education 46%, vocational education 33.8%, leisure education 22.6%, literacy education 15.4%. Clarified by categories of disabilities, they have information education program as follows: physical impairments 52.2%, visual impairments 50.2%, brain stroke 46.9%, developmental impairments 45.9%, multiple impairments 45.7%, developmental impairment 51.4% has leisure education, mental retardation 47.4% and language impairment 36.4% has vocational education. Also, by aging, people who are below age 20 has vocational education, people above aged 30 has information education. Institutes which individuals with disabilities have education after graduation school are as follows. Welfare Center for individuals with disabilities 34%, Organization for individuals with disabilities 23.6%, lifelong education institute for individuals with disabilities 11.1%, lifelong education institute for ordinary people 10.9%, social welfare center 9.8%, vocational special school for disabled people 8.2%. Clarified by categories of disabilities, they have education program as follows : physical impairments 26%, hearing impairments 25% have education in the organization for individuals with disabilities and brain stroke 43.6%, visual impairments 44.0%, mental retardation 41.0%, developmental impairment 64.1%, multiple impairment 31.9% have welfare center for individuals with disabilities and language impairment 40.0% have lifelong education center for individuals with disabilities. Also, in lifelong education institute for ordinary people, they have education as follows. Physical impairments 52.9%, multiple impairment 39.1%, hearing impairments 33%, visual impairments 25.9%, brain stroke 22.4%, mental retardation 22.1%, language impairment 15.0%, developmental impairment 18.0%. Lifelong education for individuals with disabilities tuition fee is as follow. 39.9% of individuals with disabilities doesn't pay tuition fe. 37.5% of them pays tuition fee below 100,000 won a month, 14.2% from 100,000 won to 200,000 won a month, 8.8% above 200,000 won a month. Clarified by categories of disabilities, 30%-50% of all disability categories pay tuition fee below 100,000 won a month. And case of paying tuition fee above 100,000 won a month is as follow. developmental impairment 41.1%, language impairment 35%, mental retardation 28.9%, physical impairment 27.7%, hearing impairment 25.7%, visual impairment 15.3%, brain stroke 13.9%. Second, lifelong education for individuals with disabilities needs survey results show that the favorite adult education programs are as follows. vocational education 31.0%, information education 30.4%, leisure program 18.2%, general education coruse 14.8%, literature education 8.8%. Clarified by categories of disabilities, language impairment 41.9%, brain stroke 39.9%, physical impairment 39.0%, hearing impairment 33.1%, visual impairment 31.8% wanted information education, developmental impairment 58.8%, mental retardation 41.0%, multiple impairment 32.4% wanted vocational education. Clarified by age, they wanted vocational education in 20 age, vocational education and information education in 3 age information education in 40, 50 age, leisure program in 60 age. The places where they wanted are as follows. lifelong education center for individuals with disabilities 23.8%, welfare center for individuals with disabilities 22.6%, lifelong education institution for ordinary people 22.2%, social welfare center 8.9%, adult program in college 6.2%, institution for adult individuals with disabilities 5.5%, adult with disabilities program in college 5.2%, institution for adult 2.7%. Clarified by categories of disabilities, physical impairment 36.4%, brain stroke 34.0% wanted general lifelong education institution and mental retardation 33.7%, multiple impairment 34.0%, hearing impairment 27.8% wanted lifelong education institution for individuals with disabilities and visual impairment 30.4%, developmental impairment 31.6% wanted welfare center for disabled people, language impairment wanted the adult with disabilities program in college and socila welfare center. Third, lifelong education institution status of the management survey results show that use age of general lifelong education institution is as follows. 60% of it is from age 30 to 39, 48% is from age 40 to 49, 31% from age 50 to 59. And use age of lifelong education for individuals with disabilities is as follows. 64.8% of it is from age 20 to 29, 38.6% from age 40 to 49, 38.6% from age 30 to 39, 26.1% from age 50 to 59. The scale of institutions is as follows. 40.2% of them cover from 20 person to 40, 28.7% of them cover below 20 person. 18.3% cover above 80 person. Status of facilities for individuals with disabilities shows that 78% of lifelong education institution for individuals with disabilities has restroom, elevators, slope for the disabled, and 76.8% of them has parking lot for the disabled, 68.3% has hallway handle. Period of program management shows that 38.4% of lifelong education institutions for individuals with disabilities is above 1 year, 32.6% of them is from 6 month to 1 year. 12.8% of them is from 3 month to 6 month, 9.3% of them is below 3 month. Time of program management shows that 19.5% of lifelong education institutions for individuals with disabilities is 2 hours, others is 6 hours, 8 hours, 4 hours. Program contents is that 71.6% of them has vocational education, 30% of them has leisure and general education course. The tuition fee shows that 22.5% of them is below 100,000 won a month. 77.3% of them has no fee, 17% of them has below 100,000 won a month. The number of staffs shows that 64.4% has below 5 person, 20.7% has from 5 to 10 person. 66.3% has social welfare certificate, 23.3% has special education teacher, 24.4% has special engineer and 31.4% has other things. Fourth, we survey the support needs of institution. The results are as follows. 36.9% of staffs in lifelong education institution for individuals with disabilities thought that the proper facilities is welfare center for individuals with disabilities and 26.2% of them thought that it is lifelong education facilities for the disabled, next to vocational training center for the disabled as 23.5%. 24.1% of them thought proper management time is 2 hours, 20.7% 6 hours, 16.1% 4 hours, 13.8% 3 hours. They respond about program 70.9% of them wanted vocational program, leisure 23.3%, information education 20.9%, general education program 10.5%. Lifelong education for individuals with disabilities tuition fee is as follow. 75.0% of staffs in lifelong education institution for the disabled respond that under 100,000 won is the proper a month, 7.1% of them does over 100,000 won to 200,000 won is proper. And 81.4% of respondent thought it is reasonable for Nation supply the budget, and 32% of them thought that it is local self-government staffs who are related in individuals with disabilities don't pay tuition fee. 37.5% of them pays tuition fee below 100,000 won a month, 14.2% from 100,000 won to 200,000 won a month, 8.8% above 200,000 won a month. Clarified by categories of disabilities, 30%-50% of all disability categories pay tuition fee below 100,000 won a month. And case of paying tuition fee above 100,000 won a month is as follow. developmental impairment 41.1%, language impairment 35%, mental retardation 28.9%, physical impairment 27.7%, hearing impairment 25.7%, visual impairment 15.3%, brain stroke 13.9%.. About staffs certificate, 50.0% of lifelong education institution staffs with disabilities want the social welfare people, 29.8% of them want special education teacher, 23.8% does engineers. What they want to change for the disabled are as follows. Education program development 36.1%, financial support 34.9%, general adult's understanding of the disabled 22.9%, moving problem and easy facilities 19.3%, establish facilities for the disabled 10.8%. Based on lifelong education status and support need of the disabled and lifelong education institution, to protect lifelong education's right of the disabled, to establish education system based on community of the disabled, we have to make the policy as follows. First, it is needed to expand the opportunity of lifelong education for individuals with disabilities in order to protect the right of which the disabled can receive education equally. In order to expand the opportunity, it is needed to make the policy which it is compulsory for individuals with disabilities to participate in general lifelong education institution as part. In general lifelong education program, we have to make the program for the disabled. Also, to expand the opportunity of the lifelong education opportunity for the disabled, we have to change the program contents and method in education institution for the disabled. Second, for the establishment of the culture in which individuals with disabilities can take part in the lifelong education program of the community, we have to distribute the manual which the staffs can use for the disabled in lifelong education institution and facilities, to make the facilities for the disabled. Also, we have to make the network of community institute and facilities which supply lifelong education program for the disabled and to establish and manage the institute which support the lifelong education institutes and facilities for the disabled. Third, we must extend the study and development of education program for the quality of lifelong education for individuals with disabilities, estimate the lifelong education program and management's status of the disabled. And the lifelong education for individuals with disabilities course has to be the compulsory subject in the training course and in-service training course of the lifelong education person, and lifelong education person for the disabled has to be trained, placed as the specialist of the disabilities' lifelong education. Fourth, to extend administration support of lifelong education for individuals with disabilities, it is needed to give the affairs, staffs, and functions that are related to lifelong education of the disabled to the division of education for the disabled in the Ministry of Education and Human Resources Development, Metropolitan Office of Education, Provincial Office of Education, and District Office of Education. We must give lifelong education of individuals with disabilities who are not received the opportunities of lifelong education because of handicap for free. And to give the proper lifelong education, we have to survey and analyzed the needs and status periodically. Also, we have to ensure the equatability and transparency about education institution's management, to increase proper educational and engineering supports depending on level of disability.