뇌성마비아동의 초조기치료 지연요인에 관한 연구

장기연,신정순 최신의학사 1987 最新醫學 Vol.30 No.12

대전지역 노인의 일상생활동작 수행과 삶의 질에 관한 연구

장기연,강정미 대한작업치료학회 2005 대한작업치료학회지 Vol.13 No.1

목적 : 본 연구는 대전지역 노인들의 일상생활동작 수행수준과 삶의 질에 관련된 요소를 측정하여 노인들의 일상생활동작 수준 및 삶의 질에 따른 일상생활동작 수행의 차이에 대해 알아보고자 시도되었다. 연구방법 : 연구 대상은 대전광역시에 거주하는 65세 이상의 재가 노인 500명으로 하였다. 본 연구에서 사용된 설문지는 일반적인 특성 및 일상생활동작 능력 평가도구인 Barthel Index, Frenchy Activities Index와 SF-12에서 발췌한 삶의 질 관련 요소들로 구성되었으며, 일대일 면접조사를 통해 수집되었다. 결과 : 대전 지역 노인들의 일상생활동작 수행점수는 평균 96.05(표준편차 11.04)이었으며, 노인의 결혼 상태, 가족구성, 자녀유무, 직업유무에 따라 기본적 일상생활동작수행의 차이가 있었다(p<0.05). 수단적 일상생활동작 수행점수는 평균 18.41(표준편차 10.28)로 노인의 성별, 연령, 교육 수준, 가족구성, 자녀유무, 직업유무에 따라 수단적 일상생활동작 수행의 차이가 있었다(p<0.05). 노인의 주관적 건강상태 및 생활전반에 대한 만족도에 따른 기본적 일상생활동작 수행수준과 수단적 일상생활동작 수행은 그룹 간 유의한 차이가 있는 것으로 나타났다(p<0.05). 결론 : 본 연구결과를 통해 대전 지역노인들의 기본적인 일상생활동작 수행의 수준과 수단적 일상생활동작 수행의 수준을 알 수 있었고, 주관적 건강상태나, 생활만족도와 같은 삶의 질에 관련된 요소와 일상생활동작 수행수준 간에 관련이 있음을 알 수 있었다. 앞으로 노인들이 건강하게 살 수 있도록 삶의 질을 높이기 위해서는 일상생활동작 수행수준을 높일 수 있는 작업치료사의 역할이 요구되며, 노인들의 의존적인 문제를 보완하고 능동적이며 긍정적인 삶을 유지할 수 있는 중재 방안이 마련되어야 할 것이다. Objective : This study is designed for gaining relationship between ADL performance and quality of life by measuring the relating factors to the activities of daily living and quality of life for elderly’s in Daejeon city. Methods : For this investigation, we chose 500 of elderly who were over 65 old, and inhabited in Daejeon city. For the assessment of this study, Barthel Index, Frenchy Activities Index, and the factors of SF-12 which is related to quality of life were used. Results : The finding of this study were as follow. The mean of BADL performance score of elderly in Daejeon was 96.05(SD 11.04) and there were significant differences at BADL performance by marriage status, family organization and existence of off- spring and occupation(p<0.05). The mean of IADL performance score of elderly in Daejeon was 18.41(SD 10.28) and there were significant differences at IADL performance by sex, age, educational status, family organization, and existence of off-spring and occupation (p<0.05). BADL and IADL performance scores were significantly high when elderly’s satisfactions of living and subjectivity of health status were high(p<0.05). Conclusion : For promoting elderly’s quality of life, occupational therapists should have a plan of intervention which prepared for the complement of elderly’s dependency problems and preserving their own life spontaneously and affirmatively.

구강 운동 기능의 정상 발달

장기연 대한작업치료학회 1995 대한작업치료학회지 Vol.3 No.1

단축감각프로파일(Short Sensory Profile;SSP)과 일본감각력개정판(Japanese Sensory Inventory; JSI-2)의 비교연구

장기연 우송대학교 2004 우송대학교 논문집 Vol.9 No.-

The purpose of this study was to compare with SSP and JSI-2 for having basic data which can be used to develop & standardize Korean sensory integration assessment tool. The subjects were 19 children who were treated at Woosong Research Center as diagnosed Developmental disorder. SSP and JSI-2 were completed by whose children's parent & the scores of two assessments were analyzed. The Results were as follow: 1. There was no significant correlation between diagnostic classifications of SSP & JSI-2 2. There was significant correlation between total scores of SSP & JSI-2 3. There were significant correlations among those assessment subitems This shows that SSP & JSI-2 are similar assessment for sensory modulation problem, also have differences among the subitems & comparisons for classification. From this study, we know that the assessment results should be carefully reflected regarding the specific property of each tool. Further research and discussion are needed in developing & standardizing easily & accurately administered evaluation tool for Korean version.

작업치료교육프로그램 인증평가제도 연구 (미국제도를 중심으로)

장기연 대한작업치료학회 2002 대한작업치료학회지 Vol.10 No.2

Nowadays, there are many issues in introducing accreditation of occupational therapy education in Korea. Accreditation is a system for recognizing educational institutions and professional programs affiliated to those institutions on a level of performance, integrity, and quality which entitles them to the confidence of the educational community and the public they serve. I believe accreditation system in the United States is well-established through nongovernmental, voluntary institutional or professional association. On the basis of analyzing accreditation system of the United States, this study introduces the arrangement for establishing of accreditation policy in Korea.

Effects of Sensory Integration Therapy with Sibling on Peer Interactions among Children with Disabilities

장기연,김기종 한국신경근육물리치료학회 2022 한국신경근육재활학회지 Vol.12 No.4

This study aimed to evaluate the effects of applying sensory integration therapy on the peer interaction of siblings with children with disabilities. These subjects were preschool children aged between 3 and 7 years who had used the child development center. A total of 20 children were recruited, 10 for the experimental and control groups. Then, 10 healthy siblings of children with disability supported the experimental group and compared with the control group. The sibling sensory integration therapy was performed in the experimental group, whereas individual sensory integration therapy was conducted in the control group. The treatment was administered once a week for a total of 10 weeks, 40 min per session, and 10-min interview with the children's parents. Based on the theory of sensory integration therapy, play that meets the neurological needs of each child was selected and provided. The total score is 0-96 points, indicating that the higher the score, the more negative peer interactions, and that the lower the score, the more positive the peer interactions. Among them, 22–29 and 31 questions were scored in reverse because they meant that the lower the score, the more negative the interactions. This tool is divided into three subcategories: play disruption (13 questions), disconnection (11 questions), and interaction (8 questions). A significant difference was confirmed in the area of play disruption in the experimental group and total scores; however, no significant difference was observed in the other areas. When sensory integration therapy intervention was applied to children with disability and their siblings, it was more effective within the play disruption area of peer interaction than in children with disability without a sibling.

자폐스펙트럼장애아동의 청각행동특성과 사회성과의 관계

장기연,이헌주,김길순,라대엽,장애정,신숙연 대한감각통합치료학회 2014 대한감각통합치료학회지 Vol.12 No.2

Objective : The purpose of this study is to investigate about what autistic-spectrum disorder child’s relationship between the sensory process types, the auditory behavioral characteristic and sociality Methods : The study performed from May to June, 2014. Targeting 15 children diagnosed as the autistic spectrum disorder and other 11 children suspected as having the autistic spectrum disorder in their ages of full 2-14 years old. This study used the Auditory Behavioral Checklist, Ewha-Check List for Autistic Children, Social Maturity Scale, School Function Assessment and sensory profile. For the data analysis, the statistical analysis was conducted with the SPSS 18.0. Results : First, in the relationship between the sensory process type and the auditory behavior, the preschool children and the school children showed some positive correlations with the hearing in the background noise and the communication, respectively. Second, the hearing in the background noise and the communication showed some meaningful relationship with sociality. Conclusion : The occupational therapists need to investigate effects of the sensory integrative intervention with sensory diet to improve sociality. 목적: 자폐스펙트럼장애 아동의 감각처리유형, 청각행동특성, 사회성과의 관계를 살펴보고자 하였다. 연구방법 : 연구대상은 만 2~14세까지의 자폐스펙트럼장애로 진단 받거나 의심되는 아동 26명을 대상으로 2014년 5월부터 6월까지 실험하였다. 검사도구는 감각력검사, 청각행동특성검사, 이화자폐아동 행동발달평가검사, 사회성숙도검사, 학교기능검사를 사용하였고, 자료분석은 SPSS 18.0을 사용하였다. 결과 : 첫째, 감각처리는 청각행동특성에서 학령전 아동은 배경소음속듣기와 학령기 아동은 의사소통과 통계적으로 유의미 했다. 둘째, 배경소음속듣기와 의사소통은 아동의 사회성과 관련이 있었다. 결론 : 작업치료사는 자폐스펙트럼장애 아동의 사회성을 향상시키기 위해 감각통합치료를 지속적으로 적용, 확대하는 것이 필요하다.

작업 중심 지역포괄센터 모델 개발

장기연,김희정,김슬기,권이영,차유진,김도훈,황재영 대한작업치료학회 2016 대한작업치료학회지 Vol.24 No.3

목적 : 본 연구는 국내 노인보건의료 및 복지서비스 대상자의 누락 및 중복, 노인장기요양보험제도의 사각지대, 지역사회 내 공공·민간 복지 서비스 산재 그리고 경도 장애 대상자 제외 등의 문제점을 해결하기 위한 한국형 작업 중심 지역포괄센터 모델의 구축 방안을 제시하고자 실시하였다. 연구방법 : 국내외 노인복지 서비스 관련 법제도 분석, 실태현황 및 문제점 그리고 선진국의 사례를 토대로 한국 실정에 맞는 작업 중심 지역포괄센터 모델을 개발하였다. 모델의 적절성과 국내 적용 가능성 및 효과성을 확인하기 위해 전문가 내용타당도 검증과 포커스 그룹 자문을 통해 최종 모델을 개발하였다. 결과 : 작업 중심 지역포괄센터 모델은 의료연계, 재가급여 강화, 건강증진, 권익증진 및 주거안전 5가지 서비스를 계속적·포괄적으로 제공하는 시스템으로 개발되었다. 내용타당도 검증결과 문항별 타당도 전체 평균은 9점 만점 중 7.16점으로 높게 나타났다. 결론 : 작업 중심 지역포괄센터는 지역사회에 거주하는 노인 및 고령자가 활동 및 참여를 통해 존엄을 유지하면서 가능하면 오랫동안 정든 지역사회에서 지속적으로 생활하기(aging in place) 위해 필요한 의료, 예방, 주거 및 생활 지원 서비스를 제공해 줌으로써 삶의 질 향상에 기여할 것으로 보인다. 또한 작업치료사가 케어매니저 역할을 함으로써 지역사회재활 전문가로 인정받을 뿐만 아니라 이 분야로의 합법적인 진출의 시발점이 될 것으로 기대하는 바이다. Objective : This study aims at suggesting how to build a Korean model for regional comprehensive center focusing on occupation in order to solve problems such as omitting and overlapping in the subjects for healthcare and social welfare for the elderly in Korea, blank in long­term care for the elderly, scattered services in both public and private sectors in local communities, and exclusion of patients with mild disability. Methods : Based on the analysis on the laws and policies related to social welfare services in Korea and abroad, their current status and problems, and the case studies from the developed countries, a model for regional comprehensive service focusing on occupation, suitable to the Korean circumstances was developed. To confirm the model's appropriateness, its feasibility in Korea, and its effectiveness, contents validity by experts and consulting by focus group interview(FGI) were conducted and then the final model was developed. Results : The regional comprehensive model focusing on occupation was developed as a system to provide continuously and comprehensively five services. As a result of the verification of the content validity, the entire average of validity per question was 7.16 of 9, showing the higher point. Conclusion : Regional comprehensive center focusing on occupation will contribute to enhance quality of life by providing medical, preventative, housing, and living support services required for aging in place in longtime familiar local society as possible, keeping dignity through activities and participations by elderly and aged people in local society. In addition, occupational therapist will play a role of care manager and be recognized as regional social rehabilitation expert, becoming the legitimate beginning to entry into the sector.

W 섬유강화 알루미늄합금 복합재료의 계면거동에 관한 연구

장기연,허재근,현창용,김석윤 ( G . Y . Jang,J . G . Huh,Ch . Y . Hyun,S . Y . Kim ) 한국열처리공학회 1992 熱處理工學會誌 Vol.5 No.4

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뇌졸중 환자의 감감 및 지각기능과 일상생활 동작능력에 관한 연구

장기연 대한작업치료학회 1996 대한작업치료학회지 Vol.4 No.1

This study was designed to evaluate the sensory-perception and it's relation to activi- ties of daily living in stroke patients. The subjects were who had been treated at the Yonsei University Rehabilitation Hospital from march. 2, 1996 to oct. 10,1996. Sensory-Perception was measured by several test for evaluating wide range of per- ception and sensation(proprioceptipn). These test were MVPT, The Line Bisection Test, Bodyscheme & Body image Test, clinical test for proprioception and FIM(Functional Independence Measure) to evaluate activities of daily living. The results were as follows: 1. Visual perception and ADL( total& sub) scores were correlated significantly. 2. ADL(total& sub)scores were significantly different among groups which had been devided with sensory-perceptual function. 3. The factors significantly influencing total score and subscore of ADL were visual percept ion and sensory percept ion. From the results, it is necessary to emphasize the improvemet of sensory-perceeption besides visual perception in order to enhance ADL and functional level in stroke patients.