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"Disabled person"

Original Articles
Care Experiences of Personal Assistant for the Disabled: A Mixed Method Study
Myo Gyeong Kim, Sun Ju You, Gyeong Suk Jeon, Yoo Mi Kim
Korean J Adult Nurs 2019;31(5):507-521.   Published online October 31, 2019
DOI: https://doi.org/10.7475/kjan.2019.31.5.507
PURPOSE
This study explored the care experience of persons assisting the disabled people with their activities.
METHODS
Concurrent triangulation mixed methods design was used. The quantitative data on care experience were collected from 370 personal assistants for the disabled persons from May 10 to June 30, 2017, while qualitative data were collected through focus group interviews with 11 personal assistants in August 2017.
RESULTS
The participants experienced unfair treatment including requests for doing work for the client's family or unrelated work (35.2%), violence or assault (23.6%), sexual harassment or interest (7.1%), and infection risk (7.1%). Many of them suffered from health problems such as work-related muscular pain, headache, or fatigue. There was low satisfaction with the psychosocial work environment and 16.2% participants experienced depression. The participants' care experience was classified into four categories of “feeling like giving up because of emotional difficulty”, “work overload and tough working condition”, “expectation to improve work confidence through practical skill training”, and “hope for systematic support”.
CONCLUSION
The results suggest that need-based emotional competence building programs are required to prevent their physical and emotional exhaustion among the personal assistants along with strengthening their job capacity. Furthermore, the decision makers need to pay attention to their work environment to ensure their emotional competence.
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PURPOSE
This study was a secondary data analysis aimed at identifying the predictors of health-related quality of life (HRQoL) of the home-dwelling disabled person by using EQ-5D which is a standardized instrument used as a measure of health outcome.
METHODS
Data were drawn from the 3rd Korea National Health and Nutritional Examination Survey conducted by the Ministry of Health and Welfare (MOHW). Subjects were 1,021 home-dwelling disabled persons over 19 years of age. Data were analyzed by using descriptive statistics, t-test, Pearson's correlation, one-way ANOVA, Scheffe test, and Stepwise multiple regression.
RESULTS
HRQoL (Health Related Quality of Life) is differentiated within age, genders, educational level, employment status, economic status, types and grades of disability, health problems associated with limited mobility, and the limited duration of time. HRQoL is correlated with age, number of cohabiters, educational level, grades of disability, activities of daily living (ADL), and instrumental ADL (IADL). HRQoL is significantly associated with ADL, health problems in connection with limited mobility, employment status, types of disability, marital status, grades of disability, and the limited duration of time. These factors explained 63.7% of variance in HRQoL.
CONCLUSION
HRQoL among the disabled is related to their characteristics, ADL, and IADL. For this reason, it is necessary to develop health programs to promote those variables required to improve HRQoL.
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Acceptance of Disability and Related Factors of Hemiplegic Elderly and Non-Elderly
Mi Hee Kim
J Korean Acad Adult Nurs 2009;21(5):547-558.   Published online October 31, 2009
PURPOSE
This study was conducted to study the acceptance of disability and influential factors between hemiplegic elderly and non-elderly after stroke.
METHODS
Data were collected with questionnaires from 104 elderly and 134 non-elderly with hemiplegia. Data were analyzed by chi-square-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression.
RESULTS
Significant predictors of acceptance of disability were family support, activities of daily living, and age, and these factors accounted for 24.2% of variance in acceptance of disability in the hemiplegic elderly. On the other hand, the significant predictors were family support and employment, and these factors accounted for 32.3% of variance in acceptance of disability in the non-elderly. Family support was the most influential variable in both the elderly and the non-elderly.
CONCLUSION
An acceptance of disability program for the hemiplegic elderly should be designed differently from that for the non-elderly.
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Health-Related Experience of Women with Physical Disabilities using Feminist Qualitative Approach
Hye Min Hwang, Myungsun Yi
J Korean Acad Adult Nurs 2009;21(4):367-378.   Published online August 31, 2009
PURPOSE
The purpose of the study was to understand and describe health-related experience of women with physical disabilities, using feminist qualitative approach.
METHODS
Eight women with physical disabilities participated to the study. Their mean age was 43, ranging from 39 to 67 years old. The data were collected by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using traditional qualitative content analysis from a feminist perspective.
RESULTS
Six major categories emerged from the data. Category 1: "Isolation and alienation from the world.", Category 2: "A distorted self-image of physically disabled body.", Category 3: "Difficulties due to a fixed gender role.", Category 4: "Constant suffering from chronic pain.", Category 5: "Health problems that they have to endure by themselves.", Category 6: "Sublimation through selfreliance." The results of the study show how Korean women with physical disabilities suffer from social stigma, indifferences, and discriminations and struggle to survive in these unfriendly surroundings.
CONCLUSION
The results of the study would help health professionals in designing effective intervention to improve health and to empower women with physical disabilities by providing deep understanding and critical insights of those women.
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Construction of Health-related Quality of Life Model in Acquired People with Physical Disabilities
Kye Ha Kim
J Korean Acad Adult Nurs 2006;18(2):213-222.   Published online June 30, 2006
PURPOSE
This study was designed to construct a structural model for explaining model health-related quality of life in acquired people with physical disabilities.
METHOD
The hypothetical model of this study was consisted of 6 latent variables and 14 observed variables. Exogenous variables included in this model were physical status and economical level. Endogenous variables were social attitudes, family function, self-esteem, and health-related quality of life. Data were collected from 226 acquired people with physical disabilities residing in Seoul and Kyunggi-do from January to February, 2005. The collected data were analyzed using SAS 8.2 version and LISREL 8.32 version program.
RESULTS
The results of the fitness test of the modified model were follow as; chi-square=67.479 (df=50, p=.05), GFI= .959, AGFI=.914, SRMR=.049, NFI=.961, NNFI=.979, CN=249.244. Health-related quality of life was influenced directly by physical status, economic level, and social attitudes and accounted for 88.8% of the variance by these factors.
CONCLUSION
These results suggest that physical status is the most significant effect on health-related quality of life, and social attitudes and economic level are important factors having influences on health- related quality of life. Therefore improving physical status and economic level, and modifying negative attitudes are necessary to increase health-related quality of life of acquired people with acquired physical disabilities.
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Depression in Physically Disabled Persons
Kye Ha Kim, Ok Soo Kim, Jung Hee Kim
J Korean Acad Adult Nurs 2004;16(2):297-305.   Published online June 30, 2004
PURPOSE
The purpose of this study was to investigate whether subjective health and social support influence depression directly or indirectly through self-control of the physically disabled. METHOD: A five item General Health Short Form (SF-36) Health Survey Questionnaire was used to measure subjective health. Social support and self-control were measured by Social Support Questionnaire 6 and Mastery Scale. The level of depression was measured by CES-D (Center for Epidemiologic Studies Depression). RESULT: The level of depression was high (M=22.23). Seventy percent of the subjects were depressed. Subjective health and satisfaction with social support influenced self-control. Subjective health influenced the level of depression directly and indirectly, but self-control influenced the level of depression only directly. CONCLUSION: Subjective health and satisfaction with social support influenced depression through self-control in physically disabled persons. Therefore, when we manage these subjects' depression, it is seemed that program which lowers the level of depression by assessing and correcting these factors should be prepared.
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Development of an Instrument to Measure the Motivation for Rehabilitation in the Disabled
Hye Sook Han, Nan Young Lim
J Korean Acad Adult Nurs 2002;14(4):554-563.   Published online December 31, 2002
PURPOSE
to develop an instrument to assess the rehabilitation motivation and to test its reliability and validity.
METHOD
The data was collected with in-depth interviews of nine participants that include adults with disabilities acquired after they reached 18 years' of age. The development of the preliminary items was based on the theory of self-determination proposed by Deci and Ryan (1985) and the results from the analysis of the data. After these, appropriate specialists clarified the validity of the contents of the preliminary items twice. A test to reliability and validity was conducted with 186 disabled. A principal axis factor analysis with oblimin rotation was performed on 29 items.
RESULT
Finally 27 items were selected. The 5-factor solution emerged as the most appropriate model for the data. The different types of motivation for rehabilitation were identified as: task-oriented motivation, change- oriented motivation, obligatory motivation, external motivation, and amotivation. The alpha coefficient of internal consistency was .85.
CONCLUSION
The results of this study suggest that the instrument to measure motivation for the rehabilitation of the disabled may be a useful instrument with a high degree of reliability and validity.
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