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박지원,소희영,김창희 한국장애인재활협회 2011 재활복지 Vol.15 No.1
Purpose: This study was done to compare patient need with nurse perception of importance and performance of rehabilitation nursing service. Method: A questionnaire composed of 43 items was used to collect data. Participants were 211 patients receiving care after industrial accidents and 150 nurses working at a special hospital for industrial disasters. Results: Mean score for nurse perception of importance of rehabilitation nursing service was 4.17, which was statistically significant compared to the mean score for patient need (3.78) and statistically significant for all domains of rehabilitation nursing service (physical·therapeutic, t=-8.622, p=.000; psychological·holistic, t=-3.772, p=.000; educational·informational, t=-6.409, p=.000; social·occupational, t=-4.870, p=.000). The score for patient need (3.78) was higher than for nurses' performance (3.48). Scores for nurses' performance were higher than patient need only for the physical·therapeutic domain (t=-1.207, p=.229), while scores for patient need were statistically significant for the other three domains; psychological·holistic (t=2.438, p=.015), educational·informational (t=3.474, p=.001), and social·occupational (t=7.764, p=.000) compared to scores for nurse performance. Conclusion: The findings indicate that although nurses recognized rehabilitation nursing service as important, they only perform physical and therapeutic services. Therefore special education, supplementation of human resources, and strategy to systemize medical and nursing structures are required to improve the performance of psychological, educational, and social services. 연구목적: 본 연구의 목적은 재활간호서비스에 대한 환자의 요구도와 간호사의 중요도 인식정 도 및 수행도의 차이를 비교분석하는 것이다. 연구방법: 박지원 등(2009)이 개발한 43문항으로 구성된 재활간호서비스 측정도구 설문지를 이용하여 1개 산업재해 전문병원에 입원한 환자 211 명과 같은 병원에 근무하는 간호사 150명으로부터 자료를 수집하였다. 연구결과: 재활간호서비 스에 대한 간호사의 중요도 인식(M =4.17)이 환자의 요구도(M =3.78)보다 통계적으로 유의하게 높 게 나타났다. 재활간호서비스 영역별로 차이를 비교해 보면 신체 ․ 치료(t =-8.622, p =.000), 심리 ․ 영적(t =-3.772, p =.000), 교육 ․ 정보(t =-6.409, p =.000), 사회 ․ 직업(t =-4.870, p =.000) 모든 영역 에서 간호사의 중요도 평균점수가 환자의 요구도 평균점수에 비해 통계적으로 유의하게 높았다. 반면 환자의 요구도(M =3.78)는 간호사의 수행도(M =3.48)보다 높게 나타났다. 이를 영역별로 비교 해 보면 신체 ․ 치료(t =-1.207, p =.229) 영역만 간호사의 수행도 평균점수가 더 높게 나타났고, 심 리․ 영적(t =2.438, p =.015), 교육 ․ 정보(t =3.474, p =.001), 사회 ․ 직업(t =7.764, p =.000) 영역에서는 두 집단 간에 통계적으로 유의하게 환자의 요구도 평균점수가 높게 나타났다. 결론: 간호사는 재 활간호서비스 내용에 대해 환자보다 중요하게 인식하고 있으나 신체 ․치료 영역의 수행도만 환자 의 요구를 충족하고 있다. 심리, 교육, 사회적 영역의 수행도를 높이기 위한 전문적인 교육과 인 력보충, 의료 및 간호시스템을 체계화하는 전략이 필요하다.
촉각 자극과 두점식별 자극에 따른 뇌활성도 분석: fMRI 사례 연구
박지원,김중선,Park, Ji-Won,Kim, Chung-Sun 대한물리치료학회 2010 대한물리치료학회지 Vol.22 No.4
Purpose: Sensory input is very important for proper performance of human. Two-point discrimination is the most widely used tactile sensory test. The purpose of this study was to find the changes in cortical activation patterns between tactile stimulation and two-point discrimination. Methods: Two healthy subjects participated in our study. fMRI scanning was done during 4 repeated blocks of tactile stimulation and two point discrimination of the right index finger tip. In one block, stimuli were repeated 10 times every three seconds. To determine the changes of cortical neurons during sensory input, intensity index was analyzed. Results: When tactile stimulation of the right index finger tip was completed, only contralateral primary somatosensory area was activated. In contrast, during two-point discrimination, both the primary somatosensory area and ipsilateral supplementary sensory area were activated. Conclusion: During two point discrimination, both primary somatosensory area and ipsilateral supplementary sensory area were activated. Therefore, two-point discrimination is required more complex and conscious activity than tactile stimulation.
뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구
박지원,김상우,이병희 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.2
Background: This study evaluates physical function, balance, and cognition rehabilitation motivation. Design: Cross-sectional study. Methods: The subjects include 67 stroke patients to measure physical function, balance, and cognition rehabilitation motivation. For evaluation of physical function, Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using Functional reach test (FRT), Berg Balance Scale (BBS). For evaluating Cognition, Korean-Mini Mental State Examination, motivation for rehabilitation scale was used to measure for motivation. Results: The results of this study that the moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p<0.01), The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p<0.01), The moderating effect of external motivation was also significant in the effect of FRT on physical function (p<0.01). However, the results of the rehabilitation motivations generally divided into three groups (Lower, Average, Upper) and all three results were statistically significant only in groups of average and lower. Conclusion: This study confirms that the rehabilitation motive has demonstrated significant adjustment effects between the body function and balance. In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.