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pISSN : 1226-0134 / eISSN : 2671-4450

2020 KCI Impact Factor : 0.94
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2017, Vol.25, No.4

  • 1.

    Analysis of Medical Rehabilitation’s Fee Using National Health Insurance Service’s Big Data: Focusing on ICF Model

    차유진 | 송영진 | Eun Young Kim and 2other persons | 2017, 25(4) | pp.1~17 | number of Cited : 9
    Abstract
    Objective: The aim of this study is to investigate how the national health insurance’s fees for services reasonably pay for the International Classification of Functioning, Disability and Health(ICF). Methods: We used data from the national health insurance service’s national sample cohort 2002–2013, which is sample of one-million people representing the entire population of health insurance beneficiaries, including medical aids. We analyzed claims for section 3: the professional rehabilitation fee under the national health insurance's fee schedule. Results: South Korea's rehabilitation fee schedule does not reflect the notion of the ICF's health and rehabilitation, which ultimately seek improving quality of life through independent living, activity/participation, and a return to society. In addition, we also found that a rehabilitation delivery system of acute-subacute(recovery)-chronic phase for efficient rehabilitation services considered base on a patient’s disease and severity has not been established in this country. Conclusion: To provide efficient and effective rehabilitation services, a rehabilitation delivery system of the acute-subacute(recovery)-chronic phase should be reformed, and the role of healthcare institutions based on a classification is also needed. Finally, for improvement and the inauguration of guideline for assessment and review, an optimum fee schedule regarding rehabilitation services should also be introduced.
  • 2.

    The Factors Affecting Job Retention for Injured Workers Participating in Vocational Rehabilitation Program

    노동희 | 조은주 | Han Seung Hyup and 2other persons | 2017, 25(4) | pp.19~31 | number of Cited : 3
    Abstract
    Objective: The purpose of this study is to analyze the factors affecting the job retention of injured workers. Methods: From November 2014 to August 2016, 92 injured workers attending a return-to-work program at C hospital in Gyeongsangnam-do were recruited. We investigated the socio-demographic factors and the factors related to industrial accidents, companies, and the return-to-work program affecting their job retention. Results: There was a correlation between job retention and age, which is a socio-demographic factor. The period of medical service after an industrial accident, pain severity, and the factors of an industrial accident showed a significant effectiveness with regard to job retention. Moreover, employment status and work intensity, which are factors related to a company, showed an influence on job retention. In particular, the initial result of the work capacity and start time on work hardening were associated with job retention. However, there was no relation between duration of work hardening and job retention. Conclusion: This study suggests that a younger age, shorter sick leave, lower amount of pain, lower work intensity, better initial result of work capacity, earlier start on a return-to-work program, and a regular position have advantage in injured worker returning to work.
  • 3.

    Intervention of Powered Seating Function: A Systematic Review

    우지희 | Kim, Jongbae | 2017, 25(4) | pp.33~44 | number of Cited : 0
    Abstract
    Objective: The purpose of this study was to analyze the purpose, method, and effectiveness of powered seating function intervention, and to share information regarding the powered seating function to occupational therapist and to suggest the usefulness of the powered seating function to improve wheelchair payment systems. Methods: This research searched for studies published in ScienceDirect and ProQuest databases from 2007 to 2016. The key words were “Power wheelchair user” OR “Handicapped with people” AND “Tilt-in-space” OR “Backrest recline” OR “Elevating legrest” OR “Seat elevator” OR “Power Seat Function(PSF)” Results: The PSF intervention was provided for the comfort and stability of Activity of Daily Living(ADL) performance of wheelchair users, and reduced the seating pressure. Depending on the purpose of the intervention, the angle of the tiling and backrest reclining were combined. The tilt and reclining seating function were effective in reducing the sitting pressure on the ischial and coccygeal areas of wheelchair users who cannot achieve postural control. Conclusions: In the future, a study from an occupational therapy perspective should be carried out on how the results obtained by applying intervention to various subject in the environment affect the social participation and quality of life of wheelchair users.
  • 4.

    Effect of Job Function Empowerment Program for Vocational Rehabilitation on Job Competency of Those With an Intellectual Disability

    Hwang, Min-Ji | Bang Yoo-soon | 손보영 and 1other persons | 2017, 25(4) | pp.45~60 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to investigate the effects of functional empowerment program for vocational rehabilitation on the hand function, cognitive function, social skills, and job competency of people with intellectual disabilities, and to identify the influence of hand function, cognitive function, and social skills on job competency. Methods: A pretest-posttest control group design of the true experimental design was used, and the intervention was conducted for 50 min, 3 times a week, for a total of 12 weeks. For comparison of before and after the intervention, a pinch gauge and purdue pegboard were used for hand function, a Loewenstein Occupational Therapy Cognitive Assessment was used for the cognitive function, and a work personality profile was used for job competency. Results: The experimental group’s hand function, cognitive function, social skill, and job competency were improved, and showed significant differences compared to the control group. The main factors affecting the job competency were the cognitive function and social skills. Conclusion: It was confirmed that the program has value and usefulness as a vocational rehabilitation program to effectively strengthen the functional capabilities of intellectual disabilities. Therefore, this study proposes the use of a program for the functional empowerment of intellectual disabilities of those who want to find a job.
  • 5.

    Analysis of Cognitive and Social Cognitive Factors Affecting Social Participation in Patients With Mild Cognitive Impairment

    전은혜 | 조영남 | jung jae hun and 1other persons | 2017, 25(4) | pp.61~74 | number of Cited : 1
    Abstract
    Objective: The purpose of this study was to investigate the cognitive function and social cognition affecting the social participation of patients with Mild Cognitive Impairment(MCI). Methods: 32 MCI subjects were selected through the Cognition Scale for Older Adults(CSOA), and we administered a Faces test, Picture sequencing test, Social Skills Scale(SSS), and the Independent Living Skill Survey(ILSS) for collecting data on social cognition and Korean Activity Card Sort(K-ACS) for social participation. For the data analysis, we implemented a descriptive statistic, a pearson correlation coefficient and a multiple regression analysis. Results: This study shows that social participation in MCI patients correlates with Full scale IQ(FIQ), Basic IQ(BIQ), Executive IQ(EIQ), Working Memory Index(WMI), Visuospatial Function Index(VFI), Memory Function Index (MFI), and Mini Mental State Examination-Korean version 1(MMSE-K1). EIQ and FIQ were more significant factors than other cognitive functions. In social cognition, we found that social participation in MCI patients correlates with the Faces test, Picture sequencing test, SSS, and the ILSS. Emotion recognition and interpersonal relationship were more significant factors affecting social participation. Conclusions: Intervention for social participation in MCI patients is needed to systematic approach of cognitive function and social cognition. In particular EIQ, FIQ, emotion recognition, and interpersonal relationship should be considered.
  • 6.

    A Survey on Awareness and Experience on Therapeutic Relationship and Therapeutic Use of Self for the Occupational Therapists

    NAMHAE JUNG | Bae, Won-Jin | 2017, 25(4) | pp.75~85 | number of Cited : 2
    Abstract
    Objective: The purpose of this study was to investigate the awareness and experiences in terms of the therapeutic relationship and therapeutic use of self for the occupational therapists. Methods: A total of 237 occupational therapists participated in this survey through e-mail from June to July in 2017. The survey was composed five areas: the general characteristics, awareness of therapeutic use of self, learning experience, the effect of specific behaviors of clients on their therapeutic relationship, and the effect of therapeutic relationship on the therapists. Results: 70.0% of the respondents indicated that they appreciated the idea that a therapeutic relationship and therapeutic use of self in the field are important. 13.9% of respondents indicated that they don't use them strategically, and responded that they have a lack of learning experience. Clients without enthusiasm, with a low esteem, and having unrealistic expectations about the outcome of the occupational therapy were the hardest factors on the respondents. Conclusion: This study should be utilize as a basic study on the therapeutic relationship and therapeutic self use. In the future, a study on the relationship between the influencing factors and therapeutic self use, and experience on the strategies of the therapeutic use of the self for specific diseases and situations, is needed.
  • 7.

    The Education of Occupational Therapy Clinical Practice in Korea

    Kyeong-Mi Kim | Kiyeon Chang | Lee Hyang Sook and 3other persons | 2017, 25(4) | pp.87~100 | number of Cited : 6
    Abstract
    Objective: Aim is to try to examine the solution the problems in the view of clinical practice educator after trying to investigating the point of the present situation and problems, solutions of the occupational therapy programs in Korea. Methods: The questionnaires were analyzed by using e-mail and smart phone from 99 clinical practice educators from May 9 to May 17. 2016 Results: The rehabilitation hospital was the highest ratio in clinical practice education type. The problems of the clinical practice education form the viewpoint the clinical practice educator were high in the lack of basic academic ability and essential knowledge of the students. The solutions were high in suggestion guideline of contents of clinical practice education at the level association and the students' essential competency according to clinical practice level. The problems of the clinical practice education form the viewpoint the clinical practice institution were high in the lack of time for tutoring the students and limitation on evaluation and therapy training according to institutional regulations. The solutions were high in activation of regular meeting and education for clinical practice educators at the association level and exemption (substitute) from regular time for the clinical practice educator. Conclusion: This study investigated the current status and problems of clinical practice education in occupational therapy, and suggested various solutions to be solved in the future.
  • 8.

    Improvement of Occupational Therapy Services Based on Factors Related to Quality of Life of Hospitalized and Outpatient With Schizophrenia

    김주희 | HAE YEAN PARK | Yoo, Eun-Young and 1other persons | 2017, 25(4) | pp.101~111 | number of Cited : 0
    Abstract
    Objective: The purpose of this study is to provide a basis for services provided to schizophrenia patients in the area of occupational therapy by analyzing factors on the quality of life of schizophrenia patients in a comprehensive manner. Methods: The subjects were 68 schizophrenia patients diagnosed by specialists in the dept of psychiatry. Among them, 31 were in-patient and 37 were out-patient. One-on-one interviews were carried out on the qualified subjects. A correlation analysis and multiple regression analysis were also conducted. Results: As a result, the factors affecting the quality of life of schizophrenia patients include the final education level, occupation, social support, symptom, and function. For the in-patients, their symptoms, functionality, and social supports showed a significant effect. For the out-patients, their final education level, self-esteem and social support showed a significant effect. Conclusion: This study is significant in that it analyzed the factors diversely affecting the quality of life, which are important targets for the treatment of schizophrenia patients. It is expected that this study can provide the basis of an occupational therapy service for an improvement of the quality of life in the area of psychiatric rehabilitation.
  • 9.

    A Study on the Derivation and Evaluation of Core Practice Competency for Occupational Therapy

    Lee Hyang Sook | Noh Chong Su | 윤여용 and 1other persons | 2017, 25(4) | pp.113~129 | number of Cited : 8
    Abstract
    Purpose: This study identified the Core Practice Competencies(CPC) of occupational therapists able to measure the effects of education, and examined an evaluation method for competency experts and beginning occupational therapists. Method: From November 2016 to July 2017, the validity of the occupational therapist CPC items were examined for competency experts and beginning occupational therapists. Through a literature review and consultations with experts, 134 CPC sub-items were derived. The first questionnaire(52 respondents) for the competency experts focused on their importance and frequency. Atotal of 104 CPC sub-items were confirmed for the first time. The validity and evaluation method were investigated through a second questionnaire(54 persons). The beginning occupational therapists(102 persons) also examined the validity, importance, frequency, and evaluation methods of 104 sub-items. Result: The sub-items of CPC consist of 104 items. The Content validity Index(CVI) ranged from 0.85 to 1.0 for a group of job experts and a group of beginning occupational therapists. The 104 sub-items were categorized into 21 evaluation areas that were presented at Korean Accreditation Board for Occupational Therapy Education(KABOTE). According to the characteristics of the items, the evaluation methods include the actual performance(highest), Subject, Object, Assessment, Plan(SOAP), video, chart review, and case study. Conclusion: A CPC, which must essentially be fulfilled during occupational therapy training, was investigated. The sub-items were identified and the evaluation methods were presented. This result will be used as a tool for evaluating the competency of pre-occupational therapist in a school or clinical setting.
  • 10.

    Effect of Occupational Therapy Intervention on Mastectomy Patients’Physical Function, Upper Extremity Function and Quality of Life

    Kim, Hye-Mi | OH MYUNG HWA | Baik Ji Young and 1other persons | 2017, 25(4) | pp.131~141 | number of Cited : 0
    Abstract
    Objective: This study was conducted to check the effect of occupational therapy intervention on the physical function, muscle activity, and quality of life of breast cancer patients. Methods: The subjects of this study were 15 mastectomy patients, and an occupational therapy intervention program consisting of stretching was applied as the therapeutic activity. The trial was applied for 40 min per day, twice a week for 12 weeks. The physical function was checked using Korean version of Brief Fatigue Inventory (BFI-K) and Baseline Dyspnea Index(BDI) the muscle activity was checked using surface Electromyographic (sEMG), and the quality of life was checked using Functional Assessment Cancer Therapy-Breast(FACT-B). Results: The degree of fatigue was improved after intervention, dyspnea significantly decreased after intervention (p<.01), and the muscle activity showed a statistically significant difference only in pectoralis major(sternocostal head), anterior deltoid, middle deltoid, and infrasupinatus(p<.05). The quality of life after intervention showed that the total score of life quality, Physical Well-Being(PWB), Functional Well-Being(FWB), Breast Cancer Subscale (BCS), and significantly improve(p<.001). Conclusion: We can conclude from the above that the occupational therapy intervention was effective on breast cancer patient recover.