1.A Study of Rehabilitation Nursing Curriculum.
Keum Soon KIM ; Jeong Hwa KIM ; Nan Young LIM ; Hee Young SO ; Hea Young LEE ; Mi Young CHON ; Cha Yeon LEE ; Kyung Hee YOO
Korean Journal of Rehabilitation Nursing 2005;8(2):175-179
PURPOSE: To survey the present status of the rehabilitation nursing course at three year diploma programs, baccalaureate degree programs (BSN), RN-BSN, and graduate programs in Korea and to analyze the contents of the syllabus to provide the basic data in developing a standard model for rehabilitation nursing curriculum. METHOD: Data was collected from all the nursing programs in Korea from July 2005 to Nov. 2005 by mail and fax. RESULT: The rehabilitation nursing courses has been offered 12 diploma program, 16 BSN, 4 RN-BSN, and 16 graduate programs. And the credits of the rehabilitation nursing course offered by the program were as follows : one credit (6 diploma and 1 BSN), two credits (6 diploma, 14 BSN and 1 RN-BSN), and three credits (1 BSN, 3 RN-BSN and 16 graduate). CONCLUSION: Future studies need to be focused on developing rehabilitation nursing curricula reflecting the updated contents of rehabilitation nursing.
Curriculum*
;
Korea
;
Nursing
;
Postal Service
;
Rehabilitation Nursing*
;
Rehabilitation*
2.Rehabilitation services in Papua New Guinea.
Papua and New Guinea medical journal 2004;47(3-4):215-27
It is now accepted that in developing countries community-based rehabilitation (CBR) is the most effective way to meet the needs of the disabled. The proportion of the population of Papua New Guinea (PNG) having access to CBR is not known. The purpose of this project was to clarify the extent of rehabilitation services in PNG. It was hoped that by establishing the extent of services, communication and cooperation between them would increase, leading to more efficient and effective use of the limited resources (human and otherwise) available for rehabilitation in PNG. A questionnaire was sent to all known existing rehabilitation services, all provincial health departments, provincial hospitals and church health services. A 47% response rate was achieved. Results showed that most provinces have some form of rehabilitation available but rehabilitation is not spread equally throughout PNG. Most of the services are based in the urban centres and the rural population is badly served except in the Highlands Region and the Sepik provinces, which appear to be more comprehensively served by CBR. The services that do exist are hampered by lack of human and material resources and difficulty accessing clients due to transport difficulties. There needs to be a greater movement of rehabilitation into the community with government backing. The greatest effort is being made by Callan Services for Disabled Persons based in Wewak with its group of Special Education Resource Centres that also carry out CBR. CBR would appear to be an appropriate way to address the needs of the disabled PNG population, but in order to be successful it requires greater backing and more trained personnel.
Rehabilitation aspects
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Papua New Guinea
;
Disabled Persons
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Rehabilitation service
;
seconds
3.Regulation of functions, duties and organizational structure of hospital for nursing and rehabilitation under provincial health service
Journal of Practical Medicine 2002;407(1):2-3
The functions, duties and organizational structure of hospital for nursing and rehabilitation were regulated in the decision No 963/1999/QD-BYT by Minister of Health. The functions- duties include the consultation, treatment, nursing and rehabilitation, profession leading, scientific research, international cooperation and economic management. The organizational structure of hospital depends the state regulation. The hospital is directly managed by the provincial health services.
Nursing Service, Hospital
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Rehabilitation Nursing
;
Urban Renewal
4.Research on the Quality of Life of Low Vision Patients.
Journal of the Korean Ophthalmological Society 2007;48(9):1269-1275
PURPOSE: To Carry out a low vision quality of life questionnaire and to evaluate subjective quality of life of low-vision patients. METHODS: The subject were 250 patients whose visual acuity was between hand motion and 0.3 among the patients at our clinic. The normal control group included 60 patients. After a review of the literature, we selected a useful questionnaire to assess quality of life in low vision patients and translated the questionnaire into Korean. The questionnaire used had 25 items concerning low vision and each question was multiple-choice, and the sum of the total points was used to assess of the quality of life. RESULTS: The range of scores was from 0 to 125 points (the higher the score, the higher the quality of life). Fifty-one patients among 250 patients in the low vision group replied to our questionnaire. Fifty patients among 60 patients in the control group replied. The average low vision quality of life (LVQOL) score for patients with low vision (67.3+/-26.7) was significantly lower than the average score of those with normal vision (114+/-9.72). There was no statistically significant difference between the average score of patients questioned by mail versus telephone CONCLUSIONS: The score of low vision patients was significantly lower than that of the control group, so this questionnaire can be applied to low vision patients specifically to evaluate quality of life. Optimally, the the questionnaire shoud be administered before and after the low vision consultation. The comparision of prerehabilitation score with postrehabilitation score might be helpful to evaluate the quality of life in a post rehabilitation state.
Hand
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Humans
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Postal Service
;
Quality of Life*
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Surveys and Questionnaires
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Rehabilitation
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Telephone
;
Vision, Low*
;
Visual Acuity
5.Research on the Quality of Life of Low Vision Patients.
Journal of the Korean Ophthalmological Society 2007;48(9):1269-1275
PURPOSE: To Carry out a low vision quality of life questionnaire and to evaluate subjective quality of life of low-vision patients. METHODS: The subject were 250 patients whose visual acuity was between hand motion and 0.3 among the patients at our clinic. The normal control group included 60 patients. After a review of the literature, we selected a useful questionnaire to assess quality of life in low vision patients and translated the questionnaire into Korean. The questionnaire used had 25 items concerning low vision and each question was multiple-choice, and the sum of the total points was used to assess of the quality of life. RESULTS: The range of scores was from 0 to 125 points (the higher the score, the higher the quality of life). Fifty-one patients among 250 patients in the low vision group replied to our questionnaire. Fifty patients among 60 patients in the control group replied. The average low vision quality of life (LVQOL) score for patients with low vision (67.3+/-26.7) was significantly lower than the average score of those with normal vision (114+/-9.72). There was no statistically significant difference between the average score of patients questioned by mail versus telephone CONCLUSIONS: The score of low vision patients was significantly lower than that of the control group, so this questionnaire can be applied to low vision patients specifically to evaluate quality of life. Optimally, the the questionnaire shoud be administered before and after the low vision consultation. The comparision of prerehabilitation score with postrehabilitation score might be helpful to evaluate the quality of life in a post rehabilitation state.
Hand
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Humans
;
Postal Service
;
Quality of Life*
;
Surveys and Questionnaires
;
Rehabilitation
;
Telephone
;
Vision, Low*
;
Visual Acuity
6.Does the Korean Rehabilitation Patient Grouping (KRPG) for Acquired Brain Injury and Related Functional Status Reflect the Medical Expenses in Rehabilitation Hospitals?
Hoo Young LEE ; Jin Young LEE ; Tae Woo KIM
Brain & Neurorehabilitation 2019;12(2):e19-
This study identified the explanatory power of the Korean rehabilitation patient group (KRPG) v1.1 for acquired brain injury (ABI) on medical expenses in the rehabilitation hospitals and the correlation of functional outcomes with the expenses. Here, the design is a retrospective analysis from the claim data of the designated rehabilitation hospitals. Data including KRPG information with functional status and medical expenses were collected from 1 January and 31 August 2018. Reduction of variance (R2) was statistically analyzed for the explanation power of the KRPG. Association between functional status and the medical expenses was carried out using the Spearman's rank order correlation (rho). From the claim data of 365 patients with ABI, the KRPG v1.1 explained 8.6% of variance for the total medical expenses and also explained 9.8% of variance for the rehabilitation therapy costs. Cognitive function and spasticity showed very weak correlation with the total medical expenses (rho = −0.17 and −0.14, respectively). Motor power and performance of activities of daily living were associated weakly (rho = −0.27 and −0.30, respectively). The KRPG and related functional status in ABI reflects the total medical expenses and rehabilitation therapy costs insufficiently in the designated rehabilitation hospitals. Thus, the current KRPG algorithm and variables for ABI may need to be ameliorated in the future.
Activities of Daily Living
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Brain Diseases
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Brain Injuries
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Brain
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Cognition
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Diagnosis-Related Groups
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Fee-for-Service Plans
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Humans
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Muscle Spasticity
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Neurological Rehabilitation
;
Rehabilitation
;
Retrospective Studies
7.Current Physical Therapy Status for the Children with Cerebral Palsy in Korea.
Sei Joo KIM ; Chang Hyung LEE ; Jin Kyung NA ; Sang Heon LEE ; In Young SUNG ; Byung Kyu PARK
Journal of the Korean Academy of Rehabilitation Medicine 2000;24(2):200-207
OBJECTIVE: Treatment of children with cerebral palsy needs much time and effort, so it is very hard for many patients to get hospital based treatment. To develop the home treatment program with the parents, we tried to elucidate the current difficulties to which therapists were facing during the treatment of cerebral palsies. METHOD: A cross-sectional study was performed to 250 physical therapists in 110 hospitals with a questionaire by mail. Sixty two universities and general hospitals, 37 rehabilitation centers and 31 community rehabilitation centers were involved in treatment for cerebral palsy, 51% of them are located in Seoul and Kyungi-do. RESULTS: 1) The current treatment time was 33.7 minutes, but most therapists replied that 45 minutes would be optimal. 2) Fifty four therapists (86.1%) had reviewed on introduction or basic course of the Bobath or Vojta program; the duration of the course ranged from 5 days to 1 to 2 months. 3) Fifty five cerebral palsy patients (66.7%) continued treatment for 1 to 2 years and 25% received treatment for more than 2 years. 4) Twenty nine patients (35%) received home therapy from trained parents, 75% of the cases noted significant improvement. CONCLUSION: Cerebral palsy treatment programs require more time than the actural duration of time given during therapy sessions. Thus, parent education for home therapy is considered to be an essential part of cerebral palsy management.
Cerebral Palsy*
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Child*
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Cross-Sectional Studies
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Education
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Hospitals, General
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Humans
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Korea*
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Paralysis
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Parents
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Physical Therapists
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Postal Service
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Rehabilitation Centers
;
Seoul
8.Cardiac Rehabilitation of a Patient With an Advanced Dilated Cardiomyopathy: A Case Report.
Chul KIM ; Hee Eun CHOI ; Byeong Ju LEE
Annals of Rehabilitation Medicine 2014;38(4):554-558
The dilated cardiomyopathy is the common type of cardiomyopathy, and its distinctive characteristic is the systolic dysfunction. Not many reports were issued about the efficacy of cardiac rehabilitation in patients with an advanced dilated cardiomyopathy until yet. A 50-year-old man who was diagnosed with dilated cardiomyopathy with congestive heart failure was admitted to the emergency room after a sudden collapse and a ventricular fibrillation was presented in the actual electrocardiogram. After three months, the patient participated in an 8-week cardiac rehabilitation program with electrocardiogram monitoring for 50 minutes per session at five times per week. The maximal oxygen consumption improved from 13.5 to 19.4 mL/kg/min during this time. At 3.9 metabolic equivalents, the myocardial oxygen demand decreased from 21,710 to 12,669 mmHg.bpm and the Borg's scale of perceived exertion decreased from 15 to 9. The left ventricular ejection fraction improved from 14% to 19%. So in this case report will be presented a patient after a successful cardiac rehabilitation program. Before this the patient suffered from a much more advanced dilated cardiomyopathy and was resuscitated from cardiac arrest.
Cardiomyopathies
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Cardiomyopathy, Dilated*
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Electrocardiography
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Emergency Service, Hospital
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Heart Arrest
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Heart Failure
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Humans
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Metabolic Equivalent
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Middle Aged
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Oxygen
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Oxygen Consumption
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Rehabilitation*
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Stroke Volume
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Ventricular Fibrillation
9.A Survey II for Satisfaction for Stoma on Ostomates.
Joon Ho KIM ; Seok Hwan LEE ; Young Gwan KO ; Soo Myung OH ; Choong YOON ; Hoong Zae JOO ; Kee Hyung LEE
Journal of the Korean Society of Coloproctology 1999;15(1):31-35
PURPOSE: This survey was designed to acknowledge that it is necessary to rehabilitate ostomates. METHODS: This medical survey attempted to make an analysis of the types and causes of stoma, the problems stemming from the stoma, the degree to which ostomates are satisfied with their life quality, and the extent to which they are affected in doing their jobs, on the basis of the examinations conducted for eighty eight ostomates, who responded to the questionnaire at the 3rd Workshop for Stoma Rehabilitation for Ostomates on August 29, 1998 by the Department of Surgery, Kyung-Hee University Hospital, or who replied back to the questionnaire that was sent by mail. RESULTS: On examination, it was found that the ratio of male to female was nearly 1.5:1 (53:35); by age distribution, the ostomates in their 50 and 60's constituted 65.9%; by stoma pattern, colostomy was made up of 81 cases (92%), ileostomy 4 cases (4.5%), urostomy 2 cases (2.3%); by duration, permanent stoma was 81 cases (92%), temporary stoma 6 cases (6.8%); by the cause of stoma operation, malignancy consisted of 78 cases (88.6%), IBD 4 cases (4.5%), congenital anomaly 1 case, car accident 1 case, benign bladder disease 1 case, intestinal obstruction after radiation therapy 1 case, but 2 cases were not identified. Besides, it was also examined that, regarding the degree of post-operation satisfaction for stoma, dissatisfaction amounted to 58 cases (65.9%); as for the problems stemming from the stoma, skin irritation or injury reached 30 cases (34.1%), discomfort for stoma location 17 cases (19.35%), parastomal hernia 8 cases (9.1%), stoma retraction 4 cases (4.5%) and disease recurrence 3 cases (3.4%); as for the degree of the satisfaction of ostomates for their life quality, dissatisfaction revealed 70 cases (79.5%); regarding the extent to which the ostomates are affected in doing their jobs, fifty four out of eighty eight ostomates (62.0%) had a disturbance. CONCLUSIONS: This medical survey clearly shows that most of ostomates suffered from stoma in their daily lives and doing their occupations, thus they need helps from the experts such as colorectal surgeons and enterostomal therapists, or the ostomy association. In addition, it is also necessary to pay a more deliberate attention to determining the location of stoma.
Age Distribution
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Colostomy
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Education
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Female
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Hernia
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Humans
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Ileostomy
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Intestinal Obstruction
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Male
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Occupations
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Ostomy
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Postal Service
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Quality of Life
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Surveys and Questionnaires
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Recurrence
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Rehabilitation
;
Skin
;
Urinary Bladder Diseases
10.Clinical Features and Long-term Outcome of Lower Extremity Amputees: A Follow-up Questionnaire Study in Three Regional Centers.
Jin Ho KIM ; Tai Ryoon HAN ; Seung Sang HAN ; Ki Sung YOON ; Jae Young LIM ; Suk Jin LIM ; Joong Kyung CHOI
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(5):1039-1045
OBJECTIVE: To evaluate the clinical features of lower extremity amputees and the process of prosthetic fitting and its use at follow up and to know the effects of prosthetic rehabilitation on adaptation to prosthesis and its long-term use. METHOD: One hundred and twenty four patients who underwent amputation surgery in 3 major hospitals in Korea from 1990 to 1997 were enrolled. They were evaluated by reviewing of medical records for anthropometry, level of amputation, causes of amputation, other coincidental medical problems, general physical states and followed up by telephone and mail questionnaire with respect to general outcome, prosthetic fitting, satisfaction of prosthesis, state of prosthetic use, functional state of prosthetic ambulation. RESULTS: The most common cause of amputation was trauma. The mean time to fit the prosthesis was 4.1 months and only 38 patients was supervised by rehabilitation programs. The patients who were supervised by rehabilitation program were fitted and able to ambulate significantly earlier than those who were not. They wore and used prosthesis significantly more often than those who were not supervised. The patients with above knee amputation who were supervised were significantly independent with walking aids. CONCLUSION: Rehabilitation training program enables amtupees to be fitted and walk earlier with prosthesis. Also, this program lowered the dependency on walking aids in above knee amputees.
Amputation
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Amputees*
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Anthropometry
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Education
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Follow-Up Studies*
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Humans
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Knee
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Korea
;
Lower Extremity*
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Medical Records
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Postal Service
;
Prostheses and Implants
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Surveys and Questionnaires*
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Rehabilitation
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Telephone
;
Walking