2018, Vol.26, No.4

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

pISSN : 1226-0134 / eISSN : 2671-4450
https://journal.kci.go.kr/kjot

Objective : This study was conducted to determine the emotional labor of occupational therapists and the level oftheir feelings of depression and to examine the impact of their emotional labor on their depressive mood. Methods : Subjects of this study were clinical occupational therapists working at hospitals and clinics in Seoul andGyeonggi regions. The factors of emotional labor were set as independent variables, the general characteristicvariable and job characteristic variable which showed significant results in the chi-square test was set as theadjusted variable and whether the depression happens or not was set as the dependent variable, after which amultivariate logistic regression analysis was conducted. Results : Components of emotional labor, including frequency of emotional display(OR 1.699, 95% CI 1.202-2.401),attentiveness to required display rules(OR 1.436, 95% CI 1.070-1.982), and emotional dissonance(OR 1.866, 95%CI 1.336-2.607) all had a significant effect on depression. The possibility of depression was significantly higherin women than men(OR 5.736, 95% CI 1.746-18.846), those working for more than 8 hours per day than lessthan 8 hours per day(OR 8.609, 95% CI 2.306-32.137), and those working with children than those working withadults(OR 4.249, 95% CI 1.668-10.824). Conclusion : This study revealed that the emotional labor that occupational therapists are exposed to whileinteracting with patients and their caregivers exerts an influence on their feelings of depression. This suggests theneed for developing various preventive intervention programs designed to alleviate the depressive symptoms ofoccupational therapists and formulating appropriate policies.

Objective : The aim of the study was to investigate the application of nonpharmacological cognitive interventions inpatients with dementia. Methods : We searched published studies in KISS, PubMed, and Sciencedirect databases from January 2013 toDecember 2017. The main keywords used were “Dementia” AND “Cognitive stimulation OR Cognitiverehabilitation OR Cognitive training” and a total of ten studies were selected for analysis from 753 searchedarticles. Results : Seven of the ten selected studies showed significant improvements in cognitive function after intervention,whereas three studies showed no improvement in cognitive function; however, activation of brain waves,improvement in the relationship between care givers and patients, improvement in the quality of life of care givers,and improvements in visual motor skills were shown. Mini-Mental State Examination(MMSE) was used as theassessment tool for identifying the effects of the cognitive function improvement, and in four studies the qualityof life of dementia patients was measured as an intervention effect. The main subject of the cognitive interventionis patients with mild to moderate dementia. Conclusion : The results of this study can be used as a basis for the selection of intervention methods, as well astheir duration and assessment, according to the characteristics of dementia patients.

Objective : This study implemented occupation-based practice as a group program for children withneurodevelopmental disabilities, and investigated the quality of occupational performance, performance andsatisfaction, and efficacy levels of the program. Methods : ADOC-S(Aid for Decision making in Occupation Choice-School) and COPM(Canadian OccupationalPerformance Measure) were used to establish common meaningful occupational goals for 10 children withneurodevelopmental disabilities. After occupational analysis of the ‘subway use’, the Performance Quality RatingScale(PQRS) were used to evaluate the quality of occupational performance. Occupation-based interventions wereimplemented by participants individually performing meaningful occupations in the most natural and real-lifeenvironments as possible. The trial consisted of 1 session of pre-intervention assessments, 8 sessions ofintervention, where a single session of 100 minutes is provided once a week. Post-intervention evaluation wasconducted over one session. Results : The quality of occupational performance by PQRS was 38.10 higher than before intervention. Theoccupation-based intervention as a group program used the maintain and modify(compensation, adaptation)approaches and acquisition model. In the early stages of intervention (1 to 4 sessions), the occupationalperformance was greatly improved. The performance level of COPM increased by 5.80 and the satisfaction levelwas increased by 7.00. In addition, high scores were found in program satisfaction through parental interview. Conclusion : The results of implementing occupation-based interventions to children with neurodevelopmentaldisabilities showed increase in quality of occupational performance, performance, and satisfaction along withpositive effects of satisfaction levels for the program.