지역사회작업치료 서비스 현황 및 만족도에 관한 조사 연구 : 광주광역시 내 보건소 및 보건지소 자료를 중심으로

이소연(Lee,Soyeon),방요순(Bang,Yosoon),김황용(Kim Hwangyong),고영경(Ko,Youngkyoung),손보영(Son,BoYoung) 한국지역사회학회 2011 지역사회연구 Vol.19 No.3

This study was to identify the current state and client satisfaction level together with service providers’ recognition and opinion of the community-based occupational therapy services in Gwangju. The survey study was conducted, from January 27th through March 14th in 2011, with 160 clients receiving occupational therapy services at public health centers and their branch offices in Gwangju. The results were as follows. Persons over 65 years old suffering from stroke wanted community based occupational therapy services more than other age groups. The service wanted most was about improving body functions. The client satisfaction was highest for permanent employees among permanent employees, temporary employees, and volunteers. The client satisfaction on facilities and equipments was relatively high except a couple of categories (transportation and new equipments). Service providers perceived that physical facilities and equipments were inadequate; human and financial resources were insufficient; education about professional knowledges and skills were inadequate; and they were in clients’s confidence.

스텝을 활용한 인지-운동프로그램이 경도인지장애 노인의 인지기능, 보행, 우울에 미치는 효과

주은솔 ( Ju Eunsol ),방요순 ( Bang Yosoon ),오은주 ( Oh Eunju ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.3

Purpose : The purpose of this study was to determine the effects of a cognitive-exercise program using step on the cognitive function, gait, and depression of elderly with mild cognitive impairment. Methods : The subjects comprised 30 elderly people with mild cognitive impairment who used elderly welfare centers in the provinces A, B, and C between March 21 and June 7, 2019. They were divided into an experimental group (n=15) and a control group (n=15) before undergoing an experiment based on a pretest-posttest control group design. The lowenstein occupational therapy cognitive assessment-geriatric population was used to assess the subjects’ cognitive function, while the 4-stage balance test, 30-second chair-stand test, timed up & go test, and functional reach test were employed to evaluate their gait. In addition, the beck depression inventory was used to measure their levels of depression. Results : The cognitive-exercise program using step enhanced the subjects’ cognitive function and gait and reduced their levels of depression. Furthermore, statistically significant differences were found between the experimental group and the control group. Conclusion : The cognitive-exercise program using step promoted the process of sensorimotor and cognition through the learning process of various steps taking left and right steps and cognitive activities. It improves gait by activating the coordination of the musculoskeletal and nervous systems of the body and positively affecting posture control, balance, flexibility, and lower extremity muscles. It also relieved depression by performing successful step learning and cognitive activities with forward-looking (doing) that leads to pleasure and achievement. The present study confirmed the value of a cognitive-exercise program using step to treat multiple domains of functional decline in elderly patients with mild cognitive impairment. This is therefore proposed as an intervention program for this patient group.

클라이언트 중심 가정방문 일상생활훈련이 인지지원등급, 노인의 인지기능, 작업수행, 일상생활수행도에 미치는 영향

손보영 ( Son Boyoung ),방요순 ( Bang Yosoon ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.4

Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject’s performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

보건계열 대학생의 학업적 자기효능감, 전공만족도, 진로결정수준에 대한 연구

주은솔 ( Eunsol Ju ),방요순 ( Yosoon Bang ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.5

본 연구는 보건계열 대학생들의 학업적 자기효능감, 전공만족도, 진로결정수준 간의 관계를 확인하고자 하였다. 보건계열전공 대학생 165명을 대상으로 설문조사를 시행하였으며, 수집된 자료는 SPSS 22.0 프로그램을 사용하여 Pearson 상관계수와 다중회귀분석을 실시하였다. 연구 결과, 학업적 자기효능감, 전공만족도, 진로결정수준은 정적인 상관관계를 나타내었다. 또한 학업적 자기효능감 중 자기조절 효능감이, 전공만족도 중 인식만족이 진로결정수준에 가장 영향을 미치는 요인으로 확인되었다. 본 연구의 결과를 통해 대학생의 진로결정수준을 높이기 위해서는 학업적 자기효능감과 전공만족도의 향상을 위한 다양한 교수학습법의 개발뿐만 아니라 교수와의 지속적인 상담, 비교과 프로그램의 운영 등이 필요할 것으로 사료된다. The study was to identify the relationship between academic self-efficacy, satisfaction with major, and career decision-making level of college students majoring in Health-Sciences. The survey was conducted on 165 college students majoring in Health Sciences, and the collected data were analyzed with Pearson correlation coefficient and multiple regression analysis using SPSS 22.0 program. As a result, academic self-efficacy, satisfaction with major, and career decision-making level were showed a positive correlation with each other. Also, self-control efficacy among academic self-efficacy and recognition satisfaction among satisfaction with major were the most influential factors for career decision-making level. Through the results of this study, it is considered that to improve the career decision-making level of college students, it is necessary not only to develop various teaching and learning methods that enhance the academic self-efficacy and satisfaction with major but also continuous consultation with professors and operation of the extra-curricular programs.

후마네트 운동프로그램이 노인의 낙상 관련 체력요인과 인지기능에 미치는 영향

김혜정 ( Kim Hyejoung ),방요순 ( Bang Yosoon ),손보영 ( Son Boyoung ),오은주 ( Oh Eunju ),황민지 ( Hwang Minji ) 대한통합의학회 2017 대한통합의학회지 Vol.5 No.2

Purpose: This study examined the effects of the fumanet exercise program on the cognitive function and fall down-related physical fitness factor in elderly people. Method: The study period was May 2-June 24, 2016. The participants included 20 elderly persons (control group 10, experimental group 10) who registered at the day-care Center in G. City. Descriptive statistics were used for the analysis of the control and experimental groups` general characteristics. The chi-square and Mann-Whitney U tests were conducted to identify the two groups` general characteristics` and dependent variables` homogeneity. The Wilcoxon signed-rank test was used to compare the pre-and post-intervention cognitive function and fall down-related physical fitness factor, and a Mann-Whitney U test was used to analyze the rate of cognitive function and fall down-related physical fitness factor changes between the groups after the intervention. Result: The participants` fall down-related physical fitness factors (balance, gait, leg strength) increased and memory in the cognitive function sub-area improved in the participants who participated in the fumanet exercise program. The amount of change in gait was significantly different between the control and experimental groups. Conclusion: The fumanet exercise program included gait training using the learn, remember and repeat phased steps. Therefore, this study proposes using the fumanet exercise program to improve the elderly`s cognitive function and physical fitness factor.

실습 스트레스 및 실습 만족도, 임상수행능력의 차이

황민지 ( Minji Hwang ),방요순 ( Yosoon Bang ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.5

본 연구의 목적은 COVID-19 상황에서 교내실습 경험한 작업치료대학생과 임상실습을 경험한 작업치료대학생의 실습 스트레스 및 실습 만족도, 임상수행능력의 차이를 파악하는 것이다. 2021년 8월 23일부터 9월 15일까지 작업치료대학생 83명에게 설문지를 이용하여 자료를 수집하였고, 수집된 자료는 SPSS 24.0을 이용하여 분석하였다. 연구결과, 실습 스트레스는 임상실습을 경험한 작업치료대학생이 유의미하게 높았고, 실습 만족도는 교내실습을 경험한 작업치료대학생이 유의미하게 높았다. 임상수행능력은 임상실습을 경험한 작업치료대학생이 유의미하게 높았다. 이에 본 연구결과를 바탕으로 COVID-19와 같은 전염성 질환에 대비한 대면, 비대면, 교내, 임상 등 다양한 방법의 실습 프로그램의 개발과 학습방법에 대한 연구가 추가적으로 필요할 것으로 본다. This study investigated the differences in practice stress, practice satisfaction, and clinical competence between occupational therapy students who experienced school practice and those who experienced clinical practice during the COVID-19 pandemic. Data were collected using survey questionnaires received from 83 occupational therapy students in Aug. 23 to Sept. 15, 2021 and then analyzed using SPSS 24.0. Research results showed that the occupational therapy students who experienced clinical practice had statistically significantly higher practice stress and clinical competence, whereas those who experienced school practice had statistically significantly higher practice satisfaction. Based on the findings of this study, further research is necessary on the development of various practice programs and learning methods, including face-to-face, non-contact, intramural, and clinical practices, in preparation for infectious diseases such as COVID-19.

국내 파킨슨병 환자의 낙상관련 중재 프로그램에 관한 체계적 고찰

주은솔 ( Eunsol Ju ),방요순 ( Yosoon Bang ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.6

본 연구는 국내 파킨슨병 환자의 낙상관련 중재 프로그램을 체계적으로 고찰하여 국내의 실정에서 적용할 수 있는 프로그램에 대한 임상적 근거와 기초자료를 제공하고자 하였다. 본 연구는 2011년 1월부터 2021년 6월까지 국내의 논문검색 데이터베이스를 통해 파킨슨병 그리고 운동 또는 중재 또는 재활치료를 주제어로 문헌을 검색하여 총 12편의 논문을 선정하였다. 문헌 분석결과, 무작위 대조군 연구, 비무작위 대조군 연구는 각 6편씩이었고, 중재기간은 6-10주, 주 3회, 회당 30분≤~<60분이 많았다. 중재 프로그램은 복합운동 프로그램이 가장 많았고, 낙상관련 요인인 균형, 근력, 보행, 유연성에도 유의미한 효과를 나타내었다. 추후 국외·국내 문헌으로 범위를 확장하고 파킨슨병 환자의 다양한 요인들을 포함한 포괄적인 문헌검색 조건을 제시한 연구가 이루어져야 할 것으로 본다. This study was to systematically review fall-related intervention programs for patients with Parkinson’s disease in Korea to provide clinical grounds and basic data for programs that can be applied in the Korean environment. Data search was conducted from January 2011 to June 2021. Using the keywords ‘Parkinson’s disease’ and ‘exercise’ or ‘intervention’ or ‘rehabilitation’ through domestic literature search databases, 12 studies were finally selected. As a result, randomized controlled trials and non-randomized controlled trials were 6 each, and the period of intervention was 6-10 weeks, 3 times a week, 30≤-<60 minutes per session were the most. Among the intervention programs, combined exercise programs predominated, and it showed a significant effect on fall-related factors, such as balance, muscle strength, gait, and flexibility. Future studies should expand the research scope, both domestically and internationally, and suggest more comprehensive conditions for a literature search, including various factors of patients with Parkinson’s disease.

보건계열전공 대학생의 학업적 자기효능감, 온라인수업 성취도 및만족도 간의 관계

주은솔 ( Eunsol Ju ),오은주 ( Eunju Oh ),방요순 ( Yosoon Bang ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.2

본 연구는 보건계열 대학생의 학업적 자기효능감, 온라인수업 성취도 및 만족도의 수준과 변수들 간의 연관성을 알아보고자 하였다. 연구기간 및 대상은 2021년 2월 1일부터 26일까지 C대학교에 재학중인 보건계열 대학생 228명으로 하였다. 학업적 자기효능감은 3학년이 1학년보다 높았다. 온라인수업 성취도는 학년이 높을수록, 이전 온라인수업 경험이 있는 경우에 높았다. 온라인수업 만족도는 3학년이 1학년보다, 이전 온라인수업 경험이 있는 경우, 녹화와 실시간수업의 병행이 녹화보다 높았다. 변수들은 서로 정적인 상관관계를 보였다. 본 연구는 보건계열전공 대학생을 위한 교수학습 측면의 기초 자료가 될 수 있을 것이다. This study investigated the academic self-efficacy, achievement level in online classes, and satisfaction, for the students majoring in Health Sciences, and the association of such variables. The study was conducted on 228 students majoring in Health Sciences at C college from Feb. 1 to 26, 2021. The study showed the following results; the academic self-efficacy was higher in the 3rd grade than in the 1st grade; for the achievement level in online classes, the higher the grade was, the higher it was. And the students with previous online class experience showed high achievement level; for the satisfaction with online classes, the higher the grade was, the higher it was. And the students with previous online class experience also showed high satisfaction. For the type of class, the combination of recording and real-time class was higher than that of recording only. The variables showed a positive correlation with each other. Furthermore, this research can be used as an academic reference for teaching and learning for college students majoring in Health Sciences.