Purpose: This study was conducted to assess the post-discharge experiences of caregiving mothers of pediatric patients with intestinal failure who were receiving home TPN treatment. Methods: This was a qualitative study utilizing Colaizzi’s phenomenological research method. The eight participants were mothers of pediatric outpatients from the short-gut syndrome clinic at a tertiary hospital in Seoul who were continuing home TPN treatment through a CVC. Data were collected from January to May 2022 through individual in-depth interviews, and analyzed. Results: Analysis of 127 meaningful statements from the mothers identified 12 themes and 36 sub-themes, organized into five categories: “Mixed emotions regarding hospital discharge”, “Problems after discharge”, “Stress in everyday life”, “Support from nurses and family members”, and “Looking to the future”. Conclusion: The study results provided insights into the meaning and value of the post-discharge experiences of mothers of pediatric patients with intestinal failure. These findings will be valuable in the development of interventions to provide education and other support measures for primary caregivers of children with intestinal failure.

본 연구는 범죄를 저지른 청소년 중 소년보호처분에 따라 소년원에 입소하였다가 일정 기간 이후 퇴소한 ‘소년원 퇴원생’에게 관심을 가졌다. 이들이 퇴소한 후 다시 범죄를 저지르지 않고 안정적으로 지역사회에 정착하고 자립할 수 있도록 소년원 안 팎에서 각종 노력을 실시하고 있지만, 소년원 퇴원생의 약 20%가 재범을 통해 다시금 소년원에 들어오는 상황에 놓여있다. 그러므로 소년원 퇴원생이 지역사회에 정착하고 자립하는 방안에 대해 교정복지적인 관점에서 관심을 가지고 개입을 시도할 필요가 있다. 이를 위해 본 연구는 소년 범죄와 소년원에 관한 현황과 함께 현재 실시되고 있는 자립지원 프로그램에 대해 소개하였다. 또한 자립지원을 위한 교정복지적 개입 방안 을 제시하였고 그 내용은 다음과 같다. 첫째, 소년원 퇴원생을 위한 자립생활관의 분위기를 퇴원생 친화적으로 개선하고 해당 기관 직원들의 전문성 개발이 필요하다. 둘 째, 소년원 퇴원생을 위한 기숙형 훈련학교의 교육과정을 다양화하고 맞춤형 교육과 정이 개설되어야 한다. 셋째로 다양한 기관들의 다각적 연계를 통해 지역사회 네트워 크 활용이 요구된다. 넷째, 민간 자원봉사자를 활용하여 소년원 퇴원생에게 사회적 지 지체계 마련이 필요하다. 마지막으로 소년원 퇴원생을 위한 법적 제도가 구체화되어 야 한다.

The purpose of this study was to utilize the K-MBI (Korean Modified Barthel Index) and subscales of K-MBI in predicting the length of hospital stay (LOS) and the discharge destinations for stroke patients. The study population consisted of 97 stroke patients (57 men and 40 women) admitted to the Seoul National University at the Bundang Hospital. All participants were assessed by K-MBI at admission and discharge after rehabilitation therapy and the information available was investigated at admission. The data were analyzed by using the Mann-Whitney U test, the stepwise multiple regression and the logistic regression. The median LOS was 30 days (mean, 32.8 days; range, 22 to 43 days). The K-MBI score at initiation of rehabilitation therapy (p<.001), the type of stroke and living habits before a stroke were the main explanatory indicators for LOS (p<.05). Within the parameters of K-MBI measured at initiation for rehabilitation, feeding and chair/bed transfer were the explanatory factors for LOS prediction (p<.01). Confidence in the prediction of LOS was 20%. Significant predictors of discharge destination in a logistic regression model were the discharge K-MBI score, sex and hemiplegic side. Dressing in items of discharge K-MBI was the significant predictor of discharge destination. The K-MBI score was the most important factor to predict LOS and discharge destination. Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.

The purpose of this study is to evaluate the cognitive perceptual performance skills in relation to activities of daily living(ADL) by using Lowenstein Occupational Therapy Cognitive Assessment(L0TCA) to measure the cognitive perceptual performance and FIM to measure the ADL. The subjects in this study were 24 stroke patients who were admitted for intensive treatment at Department of Rehabilitation in Samsung Medical Center from December. 1997 to June. 1998. SAS was used to analyze data. Using simple regression analysis was used to measure influence of LOTCA on FIM at discharge and to measure influence of patient's concentration on both FIM and LOTCA. Stepwise multiple regression analysis was used to confirm the relationship of FIM to each subtest of LOTCA. The results of this study are as follow : 1. Statistically. LOTCA score at admission showed correlationship with FIM score at discharge. (R2 = 0.50. p<0.0001) 2. Visuomotor organization showed the most significant correlation between LOTCA on FIM at discharge. Motor FIM with perception and visuomotor organization, and cognitive FIM with perception showed significance. 3. The relationship between each subtest of FIM and each subtest of LOTCA. self-care was significantly correlated with visuomotor organization and perception. sphincter control was significantly correlated with orientation and perception, mobility and locomotion was significantly correlated with orientation and visuomotor organization, communication was significantly correlated with perception, social cognition was significantly correlated with perception and thinking operation. LOTCA is significantly correlated to FIM at discharge. Therefore, LOTCA can predict the ADL performance skills. Also, orientation and perception are the most predictable area of LOTCA throughout the entire subtests.