2020, Vol.28, No.2

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 examine the effects of lifestyle intervention programs on oldercommunity-dwelling adults by assessing their depression, health, and occupational balance, and to determine thefeasibility of the program. Methods: One group pre-post design was used, and elderly people in the community who were participating in apublic health center program were recruited. The participants received lifestyle intervention based on a programthat had already proven its effectiveness through other studies. During 7 of the 12 sessions, the participants wereasked to complete a program satisfaction questionnaire aimed to examine the feasibility of the program. During thelast session, researchers assessed the depression (Center of Epidemiologic Studies Depression Scale; CES-D),health (World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0), and occupational balance(Life Balance Inventory; LBI) of the participants and analyzed the data. Results: Nine elderly community-dwelling people participated the study and attended an average of 7.33 (SD=2.35)out of the 12 sessions. As a result of the program satisfaction questionnaire, the participants’ subjective efficacy,validity, and feasibility revealed appropriate. The overall LBI balance, challenge and interest, and identity subscalescores increased significantly (p<0.05). However, neither their depression nor their health scores changedsignificantly. Conclusion: The proposed lifestyle intervention program significantly improved the occupational balance of elderlyparticipants, and can positively affect the health of elderly community-dwelling people. However, to confirm theeffect more clearly, further study is needed to overcome the limitations of the program.

Objective: The purpose of this study was to determine the association of interpersonal competence and emotionallabor with job stress in occupational therapists. Methods: The subjects of the study were 295 occupational therapists in Korea. All correspondence was conductedthrough SNS, and the analyzed questionnaires consisted of 9 items on general and job characteristics, 18 items oninterpersonal skills, 9 items on emotional labor, and 24 items on job stress. Results: The type of employment and payment were associated with job stress. Total interpersonal competence andtrust showed negative associations with job stress. Total emotional labor and frequency of emotional display andattentiveness to required displaying of rules showed a positive association with job stress. Conclusion: In this study, we found an association between interpersonal competence and emotional labor with jobstress of Korean occupational therapists. Therefore, it is necessary to enhance the interpersonal skills ofoccupational therapists such as their trust and to manage their emotional labor when performing their job. Inaddition, there is a need to conduct further studies related to job stress in terms of interpersonal competence andemotional labor for quality healthcare management.

Objective: The review aims to investigate the role of occupational therapy in orthopaedics focusing on theorthogeriatric model of care. Methods: Researched related literature through search engine Google and web database; Cinahl, Cochrane, Embase,and Web of Science from September to November in 2018. The search keywords are ‘Orthogeriatric model ofcare’, ‘guideline’, ‘hip fracture’, ‘replacement’, ‘knee arthrop+I4lasty’ ‘Orthopedic’, ‘Orthogeriatric’, ‘Occupationaltherapy’, ‘Elderly’ and ‘Discharge planning’. This review constructs the role of occupational therapy based on theorthogeriatric model of care. Results: It is found that the Orthogeriatric Model of Care (OMC) facilitates recovery and returning to the communityfor the elderly who undertaken orthopedic surgery. OMC consist of a multidisciplinary team including physician,nurse, physiotherapist, occupational therapist, social worker, dietician and speech pathologist. Implementing OMCreduced mortality, complication, delirium, admission of intensive care unit and nursing home, and increaserecovery, functional outcome and cost-effectiveness. Occupational therapy plays important role in OMC such aspre-operation assessment and education, delirium management. early mobilization, joint education, fall prevention,rehabilitation, discharge planning and management after discharge. Conclusion: In Korea, the orthopedic care system is placed way behind compare to developed countries. there isstill a limited OT role in the orthopedic area. This may be the reason that Korean orthopedic patient stays longerat the hospital and higher readmission rates after orthopedic surgery. The Korean medical insurance system isrequired to develop to support OT to work in the orthopedic area. This will help to support ‘community care’which government louched in 2018.