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고려진 ( Ko Ryeo-Jin ) - 건강보험심사평가원
이꽃메 ( YI Ggod-Me ) - 상지대학교 보건과학대학 간호학과
유원섭 ( Yoo Weon-Seob ) - 을지대학교 의과대학 예방의학교실
김교현 ( Kim Kyo-Hyun ) - 을지대학교 의과대학 예방의학교실
오희영 ( Oh Hee-Young ) - 을지대학교 간호대학
이소나 ( Lee So-Na ) - 옥천군보건소
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Abstract
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Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment.
Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject’s functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0.
Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001).
Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.
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KeyWords
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뇌병변 장애, 재활, 장애인
Brain diseases, Rehabilitation, Disabled persons, MDS, MDS-HC
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원문 및 링크아웃 정보
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등재저널 정보
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