목적 : 본 연구의 목적은 다감각환경 적용이 인간의 정서상태에 미치는 영향을 조사하여 스트레스 관리 및 예방법으로서의 의미가 있는지 알아보고자 하였다． 연구방법 : 155명의 대학생을 대상으로 스노즐렌 적용을 하였으며 측정도구로 개정판 대학생용 생활 스트레스 도구와 정서상태 검사(POMS)를 사용하여 치료전후를 비교하였다．스노젤렌 적용방법은 대상을 개별과 그룹으로 무작위로 구성하였고，1회씩 30분의 치료를 실시하였다． 결과 : 정서상태 점수는 치료전 103점에서 치료 후 69점으로 감소하여 유의하게 감소하였고，각 요인별 정서요인 들도 모두 유의한 차이를 보였다．개별치료，그룹치료간의 치료형태에 따른 정서상태 변화의 차이는 없었으며，성별에 따라서는 피곤감을 제외한 모든 요인에서 치료전후의 유의한 차이가 없었다．정서상태 총점과 불안감，우울감，분노감，피곤감 요인이 스트레스와 밀접한 상관관계를 보였다． 결론 : 스노즐렌 적용이 정서상태에 긍정적인 영향을 미친다는 것을 확인하였으며 이를 통하여 정신건강예방 분야에서 작업치료 중재방법으로 활용하기 위한 지속적인 연구가 필요할 것으로 기대된다．

목적 : 장애아동 부모들의 치료교육에 관한 욕구 조사를 통하여 현재 치료교육의 문제점을 알아보고 작업치료계 입장에서의 개선방안을 제시하고자 하였다. 연구방법 : 전국의 장애아동 부모들을 대상으로 설문지를 배부하여 402부를 회수하였고 SPSS를 이용하여 기술통계 분석을 하였다. 본 연구에 사용한 측정도구는 연구자가 개발한 설문지로 내용 타당도를 확보하기 위해서 여러 전문가들에게 점검받아 수정하였다. 결과 : 부모들이 가장 원하는 치료교사로는 전문 치료 영역을 가지고 있는 치료사이며 77%의 부모들이 택하였다. 한 학교에서 치료교육을 받는 경우는 27%이며 사설기관에서 재활치료를 받고 있는 아동이 55%이고 두 곳 모두에서 치료교육 및 치료를 받는 아동이 65%였다. 이로 인한 사치료비는 가구당 월 평균 49만원 정도였다. 사설치료를 받는 부모들의 79%가 치료교육의 질적인 문제를 지적하였다. 결론 : 치료교육의 주체인 장애아동과 부모들이 요구하는 부모들이 요구하는 치료교육의 현실화를 위해서는 세부 전문영역을 가지는 치료교사를 양성하여야 한다. 또한 전문 영역의 치료사를 관련지원서비스를 제공하는 전문가로 활용하여야 할 것이다. 이로 인해 치료교육의 질적, 양적 향상을 도모하여야 한다.

목적 : 본 연구의 목적은 치매노인에게 다감각환경(스노젤렌) 프로그램이 이상행동과 보호자 고통정도의 감소에 영향을 주는지 알아보고자 하였다. 연구방법 : 본 연구는 치매전문요양원에 입소하여 생활하는 6명의 중등도-중증 치매노인을 대상으로 8주간 스노젤렌 프로그램을 적용하였다. 프로그램 효과를 검증하기 위해 사용한 평가도구는 신경정신행동검사(Neuropsychiatric Inventory)였고, 12가지 이상행동빈도와 이에 따른 보호자의 고통정도를 스노젤렌 프로그램 전과 후로 나누어 각각 측정하였다. 결과분석은 비모수 통계방법인 윌콕슨 부호 순위 검정(Wilcoxon signed rank test)을 사용하였다. 결과 : 치매노인의 이상행동증상 빈도의 평균이 57점에서 37점으로 35% 감소하였고, 보호자의 고통정도는 평균이 29점에서 19점으로 29.6% 감소하였다. 결론 : 본 연구의 결과를 통해 다감각환경을 이용한 프로그램이 중증 치매노인의 이상행동과 보호자 고통정도가 감소시키는데 긍정적인 효과가 있음이 증명되었다.

목적 : 본 연구의 목적은 주의력결핍 아동에게 심부압박 자극의 한 방법인 무게감 있는 조끼를 착용시켜 과제 수행능력의 향상에 영향을 주는지 알아보고자 하였다. 연구방법 : 연구대상자는 주의력결핍 장애로 진단을 받은 남아 2명으로, 연령은 8.2세와 6.5세였다. 연구설계는 ABA 개별실험연구를 사용하였고, 대상자 1은 11회기를, 대상자 2는 9회기의 실험을 실시하였다. 종속변수는 주의산만행동 빈도와 과제 집중률로 하였고, 모든 치료기간 동안에 아동에게는 20분의 인지과제를 실시하여 행동을 관찰하였다. 치료기간에는 1.5kg의 무게를 첨부한 조끼를 착용하고 인지과제를 수행하였다. 결과분석은 회기별 변화정도를 시각적 그래프와 평균값을 이용하여 제시하였다. 결과 : 대상자 1의 주의산만 행동의 평균빈도는 기초선A에는 35.3회, 치료기간B는 13.6회, 기초선 회귀A’는 25.6회로, 대상자 2는 기초선A 38.7회, 치료B 10회, 기초선 A’ 16.3회로 무게감 있는 조끼를 착용 하였을 때 주의산만 행동빈도가 감소되었다. 주의집중 정도는 대상자 1은 치료기간 동안 기초선에 비하여 평균 18.3%, 대상자 2는 24.7%의 향상을 보였다. 결론 : 무게감 있는 조끼를 이용한 심부압박 자극이 주의력 결핍과 과잉행동 아동의 문제를 긍정적으로 변화시킴을 알 수 있었고, 조끼는 심부 압박자극을 지속적으로 간편하게 줄 수 있어 임상적으로 적용하기에 매우 유용한 도구로 추천할 만 하다.

목적 : 본 연구의 목적은 상상연습이 뇌졸중 환자의 편측무시에 미치는 효과를 알아보는 것이었다. 연구방법 : 연구 대상은 뇌졸중으로 인한 편마비 진단을 받은 1인으로 개별실험 연구방법(single-subject experimental research design) 중 ABA 설계를 사용하였다. 기초선 기간에서는 상상연습을 하지 않고 편측무시를 1일 5분 동안 1회씩 5일 동안 측정하였고, 훈련 기간에는 상상연습 후 대상자의 편측무시를 측정하였다. 상상연습은 왼쪽 공간에서 왼팔을 기능적으로 사용하는 것으로 구성하였으며, 1일 5분 동안 1회씩 6일 동안 시행하였다. 훈련 기간이 종결된 후 상상연습 없이 다시 대상자의 편측무시를 1일 1회씩 3회 측정하였다. 선 나누기 검사, 앨버트 검사, 읽기 검사, 쓰기 검사를 사용하여 대상자의 편측무시를 측정하였다. 결과 : 기초선 기간보다 훈련 기간 및 기초선 회귀 기간 동안에 대상자의 편측무시가 선 나누기와 선을 선정하는 검사에서는 현저히 감소하였으나 편측에 있는 글자 읽기와 쓰기 같은 검사에서는 거의 감소되지 않았고, 건측에서만 감소되었다. 결론 : 상상연습이 뇌졸중 환자의 편측무시를 감소시키는데 있어서 선 나누기와 선 선정하는 과제에서는 효과가 현저히 있었으나 읽기와 쓰기 같은 기능적 활동 수행에서는 그 효과가 미미하거나 거의 없는 것으로 나타났다. 상상훈련의 치료기간을 2～3주 연장하는 실험을 통해 상상훈련이 편측무시가 있는 뇌졸중 환자의 기능적 활동 수행을 향상시키는데도 효과가 있는지 확인할 필요가 있겠다.

Objective : The purpose of this study was to compare the sensory-based behaviors of young children with and without cerebral palsy as reported by their parents on the Short Sensory Profile.Method : Short Sensory Profile questionnaire was completed by parents of 59 children with cerebral palsy 1 through 9 years of age and parents of 129 children without cerebral palsy 1 through 6 years of age.Results : The performance of children with cerebral palsy was significantly different form that of children without cerebral palsy on 4 of 7 factors. Factors were difference found included Movement Sensitivity, Auditory Filtering, Low Energy/Weak, Visual/Auditory Sensitivity. Conclusion : Finding from the study suggest that young children with cerebral palsy have probable deficit in a variety of sensory processing abilities as measured by the Short Sensory Profile. The Short Sensory Profile can provide information about the sensory processing skills of children with cerebral palsy to assist occupational therapist in assessing and planning inter-vention for these children.

Objective: The purposes of this study were to understand behavior problems of preschoolers and to investigate the relationship between behavior problems and the sensory processing skills. Participants: Parents of preschoolers between ages of 4 and 6 who attended D kindergarten or S nursery school in the national capital region. Method: Parents filled out the questionnaire at home from 12th to 14th of August in 2002. We used SSP (short sensory profile) which was used by Kim, Mi-Sun in 2001 to understand the sensory processing skills. We also used CBCL (child behavior checklist) which was reconstructed by Jung, Yeon-Woo in 2001 to understand behavior problems. The results were analyzed with SAS 6.12. Results: 1. The total incidents in behavior problems were 87 out of 200. And the total incidents in sensory processing were 164 out of 190. Among low-ranking patterns, the mark of overactivity was highest with 21.56 point and the mark of flinching activity was lowest with 13.97 point. 2. There was no significant difference in the gender comparison of sensory processing, but there were significant differences in gender comparison of aggressive behavior and flinching behavior in behavior problems. 3. There was no significant finding in age difference. 4. In correlation between behavior problems and sensory processing skills, as the incidents of hyperactivity rose the incidents of underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of anxiety behavior rose the incidents of underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of flinching behavior rose, incidents of movement sensitiveness, low energy and weakness decreased. In relations, as the children acted aggressively the incidents of sensitiveness, low energy, weakness and auditory filtering decreased. In relations, as children acted immaturely the incidents of sensitiveness, underresponsive/seeks sensation, auditory filtering, low energy and weakness decreased significantly. Conclusions: We hope that the children who have behavior problems with difficulties in sensory processing skills can be distinguished on the basis of this study. And we also hope the development of a study which can present the effectiveness of sensory integrative treatment for the children with behavior problems.

Objective: The purpose of this study was to measure the level of stress of cerebral palsy wokers, and to investigate the relationship between the stress and stress inducing factors of cerebral palsy wokers in Korean manufacturing industry. Method: The sample used in this study consists of 66 employees with cerebral palsy. They are employees of the protective employment companies located in Seoul, Inchon and Gyung-gi province. The psycho-social well-being index (PWI), which was designed through modification of Goldberg’s 60-items of General health Questionaire (GHS), was used to measure the stress level. The independent variables are general and disability characteristics, workplace-related characteristics. The collected data were analyzed using SAS version 6.12 program. Results: The results of this study were summarized as follows : The average score for the level of stress response was 55.19 (±19.17). The high risk group was 32% of the woker with cerebral palsy, the latent stress group was 62%, and healthy group was 6%. The overall stress level was very high. The level of stress was significantly higher in respondents who has poor self-perceived health status, who can not satisfied with their job and workplace. Conclusions: In conclusion, the result of this study suggest that appropriate prevocational programs, should be estabilish and provided for reducing the stress of cerebral palsy wokers.

It is expected that the demands of medical services in terms of health medical and social welfare will be increased rapidly due to the development of old-aged society and medical technologies. Accordingly the roles and tasks of the occupational therapist become more important, and the demands for the occupational therapist will be also increased. Therefore more systematic and effective manpower management on the occupational therapists is required. When the occupational therapists are classified by their job sites - clinic, health, and other, this study shows that the proportion of occupational therapist in clinic is the biggest. It is also expected that the proportion will be kept in the future. On this point of view, the demand and supply for the occupational therapists in clinics are discussed in this study. The number of occupational therapists demanded are usually depended upon the factors such as health care needs from public, system of medical fee payment and medical insurance, medical policy, share and coordination system of the role of medical service suppliers, and usage of medical facilities by public. This study shows that even the occupational therapists including the students in college in 2000 itself are over-estimated and over-supplied already under the current system of legislation, even though the estimation on manpower needed in this field shows lack of. In this point of view, this study proposes the measures against the problems expected as follow. 1. Legislative specification In spite of the varieties of the occupational therapy, only 4 categories of therapy -simple therapy, complex therapy, special therapy, activities of daily living adjustment training method - are specified in the insurance category of the law. Moreover, the law stipulates that special therapy and ADL adjustment training method shall be prescribed by the rehabilitation medicine. Thus the occupational therapy could not be requested from neurosurgery and orthopedic surgery at all. Nevertheless, it is strongly requested that patients from pediatrics, psychiatric, geriatrics, neurology, orthopedics as well as rehabilitation medicine shall be regarded as the subjects of the special therapy in the law. 2. Certification of psychiatric health care supplier According to the clause 7 of the psychiatric health law, only 3 groups of psychiatric health specialists including clinical psychologist, nurse, and social welfare specialist can supply a psychiatric health care. Anyhow the job descriptions on the clause 2 of the PH law implementation regulation such as ADL adjustment training, occupational and recreational therapy, etc should be classified as the job of occupational therapist. The psychiatric health care courses including the practices are established for the curriculum of the department of occupational therapy in college. And considering that the development of independent ADL ability for the patients is one of the most critical areas of the occupation therapy discipline, the occupational therapist shall supply the psychiatric health care services, 3. Short of facilities and the alternatives The number of occupational therapy clinics in Korea, 98, is not sufficient. Moreover many of the clinics are at big hospitals in big cities, and only 32 clinics are in regional areas. It is required to inform the government agencies and public opinion leaders that occupational therapy clinics shall not be limited to the big hospitals, rather than health offices managed by government should accept the clinics at first. The ultimate purpose of health services, promoting personal health status and help him to return to the society, is likely accorded with that of occupational therapy. Therefore it is requested that the occupational therapy clinics shall be opened in psychiatric resorts, health offices, special institute for disabled, rehabilitation institutes, and the facilities for old aged persons as well as in hospitals.

The use of food frequency questionnaire to estimate dietary intake has become widespread in epidemiologic studies. It has been suggested that knowledge about a person's usual serving size of each food, in addition to consumption frequency, will improve the accuracy of this method. This study was performed to investigate the nutritional status and one sowing sizes of commonly consumed dishes in Korean college women. Intakes of dish or food in 156 college women were measured by 7-day weighed food records in May, 1992 and May, 1993. For each dish or food, variance in one serving size was partitioned into within-person(intraindividual) and between-person(interindividual) components. All nutrient intakes except vitamin A and vitamin C were less adequate. The major dish groups which contributed to the most daily nutrient intakes were boiled rice, bread, fruits, dairy product, and biscuit and snack groups. In more than 50% of dishes, the within-person variation was greater than between-person variation. And the variety and amount of food which was used in one dish were too variable to make standard recipe.