고령자 가정환경수정 관련 정책에 대한 이해: 작업치료사의 관점에서

황나경,심선화 한국융합학회 2021 한국융합학회논문지 Vol.12 No.12

The purpose of this study was to explore the domestic and overseas home modification policies, and review the direction of domestic home modification policies to enable ‘Aging In Place; AIP’ and the competencies required of occupational therapist as and expert in home modification. In order to expand occupational therapy for domestic home modification and strengthen occupational therapist competency, it is required to establish a clear and practical home modification process that reflects the design and intervention of occupational therapy. Appropriate selection and standardization of the evaluation tools that identifies the needs of the elderly and reflects the characteristics of domestic housing types are also required. In addition, it is necessary to understand policies and systems, and endeavour to establish a relevant knowledge base for communication and cooperation with experts in other fields. In terms of the policy, there is a need for the home modification support system that allows the elderly to adapt to their aging regardless of their income level, beyond the existing support system, which was implemented mainly for low-income people and disabled. In addition, as in overseas cases, the efforts need to be made to provide various and efficient measures, such as support for barrier-free housing, expansion of the scope of support through cooperation between the national government and local governments, low-interest loans and tax reductions, and establishment of governance with organizations and institutions related to home modification services. 본 연구는 국내⋅외 가정환경수정 관련 정책들을 살펴봄으로써 ‘Aging In Place; AIP’ 실현을 위한 국내 가정환경수정 관련 제도의 방향성과 가정환경수정 전문가로서 작업치료사에게 요구되는 역량에 대해 살펴보고자 하였다. 국내 가정환경수정 분야의 확장과 작업치료사 역량 강화를 위해 가정환경수정의 설계와 중재 실현이 반영된 명확하고 실질적인 가정환경수정 프로세스 확립이 요구되며, 거주인의 구체적인 필요와 요구를 파악하는 평가와 국내 주택 유형의 특성을 반영한 가정환경 평가도구의 적절한 선택 및 표준화 과정이 필요하다. 또한 정책과 제도에 대한 이해 및 타 분야 전문가와의 소통⋅협력을 위한 관련 지식 기반 구축을 위해 노력해야 할 것이다. 제도적 측면에서는 기존의 저소득층, 장애인 중심으로 시행되었던 주택개조 지원제도에서 저소득 고령자를 포함하여 소득 수준에 관계없이 고령자가 자신의 노화에 적응해 갈 수 있는 주택개조 지원제도가 필요하다. 더불어 국외 사례에서와 같이 베리어프리(Barrier Free) 주택개조 지원제도와 정부와 지자체의 협력을 통한 지원범위 확대, 저리 융자와 조세 감면, 환경수정 서비스 관련 단체 및 기관들의 거버넌스 구축 등 다양하고 효율적인 방안 마련을 위해 노력할 필요가 있다.

가상현실 기반 가정환경 수정에 관한 내러티브 문헌 고찰

황나경,심선화 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.12

나로우주센터 기상환경 분석

황나경,하종성 한국기상학회 2015 한국기상학회 학술대회 논문집 Vol.2015 No.10

저항성 고개 숙이기 운동이 연하장애를 동반한 뇌졸중 환자의 연하기능에 미치는 영향

황나경,이지영,오동환,박지수,조영문,이동건,홍원진,정애,조영석 대한작업치료학회 2015 대한작업치료학회지 Vol.23 No.2

목적 : 본 연구에서는 연하장애를 동반한 뇌졸중 환자를 대상으로 저항성 고개 숙이기 운동이 연하기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구는 뇌졸중 환자 58명을 무작위로 저항성 고개 숙이기 운동군과 두부거상 운동군으로 할당하였다. 실험군은 저항성 고개 숙이기 운동을 실시하였다. 반면 대조군은 두부거상 운동을 실시하였 으며 중재기간은 하루 15분간 일 2회, 주 5회, 6주 간 실시하였다. 결과 : 본 연구 결과 실험군과 대조군 모두 비디오 투시 연하장애 척도(Videofluoroscopic Dysphagia Scale; VDS)의 총 점수와 인두기 점수, 침습-흡인 척도(Penetration-Aspiration Sclae; PAS) 그리고 기능적 구강 섭취 척도(Functional Oral Intake Scale; FOIS) 모두에서 유의한 향상을 보였다(p<.05). 하지만 두 군의 중재 전-후 변화량을 비교한 결과 비디오 투시 연하장애 척도와 침습-흡인 척도에서 유의한 차이를 보였다(p=.04, p=.00). 결론 : 본 연구를 통해 저항성 고개 숙이기 훈련은 기존에 연하치료의 교정적 방법으로 사용되고 있던 두 부거상 운동과 유사한 효과가 있음을 확인하였다. Objective : The purpose of this study was to investigate the effect of a resistive chin tuck exercise on the swallowing function in stroke patients with dysphagia. Methods : Fifty-eight patients were randomly assigned to either a resistive chin tuck exercise group or a Shaker exercise group. The experimental group performed the resistive chin tuck exercise, and the control group performed a Shaker exercise, each for 15 minutes a session, twice a day, five times per week, over a six -week period. Results : Both groups showed a significant improvement in their total and pharyngeal stage Videofluoroscopic Dysphasia Scale (VDS), Penetration-Aspiration Scale (PAS), and Functional Oral Intake Scale (FOIS) scores(p <.05). However, through a comparison of the variations of the total scores for VDS and PAS before and after intervention, there were significant differences between the two groups (p=.04, p=.00). Conclusion : The findings confirmed that the resistive chin tuck exercise conducted in this study has a similar effect as a head-lift exercise used as one of the remedial methods in conventional swallowing treatment.

증례 : 순환기 ; B형 벽내 혈종에서 심낭압전과 심막염

황나경 ( Nakyoung Hwang ),박진섭 ( Jin Sup Park ),차광수 ( Kwang Soo Cha ),김은희 ( Eun Heui Kim ),한성용 ( Sung Yong Han ),강진숙 ( Jin Suk Kang ) 대한내과학회 2015 대한내과학회지 Vol.89 No.6

We report the case of a patient with cardiac tamponade and pericarditis in type B intramural hematoma. A 75-year-old woman was admitted to the emergency department presenting with general weakness and dizziness for several hours and hemodynamic collapse. Thoracic echocardiography and computed tomography (CT) showed a large pericardial effusion and aortic intramural hematoma but no evidence of aortic dissection. Therefore, we concluded that the intramural hematoma did not involve the ascending aorta and thus immediately performed pericardiocentesis. Follow-up CT showed no pericardial effusion or specific changes in the range or depth of the intramural hematoma, and she was discharged continuing colchicines and ibuprofen therapy for acute pericarditis. Cardiac tamponade in type B intramural hematoma is extremely rare. Prompt diagnosis and initial treatment resulted in a substantial improvement in clinical status. (Korean J Med 2015;89:695-698)

아크제트 플라즈마를 이용한 메탄건식개질 반응에서 CO₂와 O₂ 첨가의 영향

황나경(N. K. Hwang),차민석(M. S. Cha),송영훈(Y.-H. Song) 한국연소학회 2008 한국연소학회지 Vol.13 No.4

The reaction mechanism of methane dry reforming has been investigated using an arc-jet reactor. The effects of input power, CO₂/CH₄ and added O₂ were investigated by product analysis, including CO, H₂, C₂HY and C₃HY as well as CH₄ and CO₂. In the process, input electrical power activated the reactions between CH₄ and CO₂ significantly. The increased feed ratio of the CO₂ to CH₄ in the dry reforming does not affect to the CH₄ conversion, but we could observe increase in CO selectivity together with decreasing H₂ generation. Added oxygen can also increase not only CO selectivity but also CH₄ conversion. However, hydrogen selectivity was decreased significantly due to a increased H₂O formation.

병원급 의료기관에서 근무하는 작업치료사의 소진 경험에 대한 현상학적 연구

황나경(Hwang, Na-Kyoung),정민예(Jung, Min-Ye) 대한신경계작업치료학회 2020 재활치료과학 Vol.9 No.4

목적 : 본 연구는 현상학적 연구방법을 통해 병원급 의료기관에서 근무하는 작업치료사의소진의 본질을탐구함으로써 소진을 완화하기 위한 방법을 개발하는데 필요한 기초자료를 제공하고자 한다. 연구방법 : 병원급 의료기관에서 근무하는 작업치료사 6명을 대상으로 8주간 심층면담을 실시하였다. 면담자료는 Colaizzi의 현상학적 연구방법을 통해 분석하였고, 자료 전사 및 주제생성과, 범주화 과정에파랑새 2.0 소프트웨어를 사용하였다. 결과 : 수집된 자료를 통해 14개의 주제, 9개의 주제모음, 3개의 범주를 도출하였다. 분석 결과, 소진의원인은 병원 작업치료 업무에서 오는 소진, 업무 환경에서 오는 소진 등으로 확인되었고, 소진이 개인의삶에 미치는 영향은 내면 심리변화와 타인에 대한 영향이었다. 소진에 대한 대처 전략으로는 개인 삶의풍요화, 자기 인식과 철학, 인식적 접근, 사회적 지지, 삶의 새로운 목표 설정 등으로 나타났다. 결론 : 반복되는 재활과정에서 오는 타성과 치료 효과에 대한 확신 부재에서 경험하는 직업 정체성 갈등을해결하고 작업치료의 가치 제고를 위한 자생적 노력이 필요함을 제언한다. 또한 소진예방을 위한조직 차원의 규정 및 교육 프로그램 마련과 수평적인 인간관계를 지향하는 조직문화의 확립이필요할 것이다. Objective : This study aimed to understand the burnout experience of hospital occupational therapists through phenomenological research. Methods : We conducted in-depth interviews with 6 occupational therapists working at hospital for 8 weeks. The data were analyzed using the Palangsae 2.0 software to derive meaning through the process of transcription and data entry, coding, and topic creation. Results : From the collected data, 14 sub-themes, 9 theme clusters, 3 categories were identified. The cause of burnout was confirmed as being due to therapy-related work and workplace conditions. The impacts of burnout on individual life were psychological in nature and also included being an adverse, influence on others. The coping strategies to deal with burnout were enrichment of personal life, self-awareness and philosophy, conscious approach, social support, and setting new goals for life. Conclusion : We suggest that spontaneous efforts are needed by occupational therapists in order to alleviate the conflicts of job identity. In addition, organizational regulations and programs and the establishment of horizontal organizational cultures are required to overcome and prevent burnout of occupational therapists.

대기압 플라즈마를 이용한 메탄의 건식개질과 부분산화반응의 비교

황나경(Na Kyung Hwang),차민석(Min Suk Cha),이대훈(Dae Hoon Lee),송영훈(Young-Hoon Song) 대한기계학회 2008 대한기계학회 춘추학술대회 Vol.2008 No.11

Plasma techniques have been proposed to generate a hydrogen enrich gas to investigate a feasibility of plasma techniques on a fuel reforming, we considered a dry reforming and a partial oxidation with methane in the atmospheric pressure. For these experiments, we employed an arc jet plasma reactor. The effects of input power and oxidizer in each process were investigated by product analysis, including carbon monoxide, hydrogen, ethylene, propane, and acetylene as well as methane and carbon dioxide. In both processes, input electrical power activated the reactions significantly. The increased ratio of the carbon dioxide to methane in the dry reforming doesn't affect to a methane conversion, whereas increased ratio of oxidizer to methane in the partial oxidation was very effective for the reaction. Moreover, for a simultaneous treatment of methane and carbon dioxide, a feasibility of a dry reforming combined with partial oxidation also has been investigated

아크제트 플라즈마에서의 메탄 건식 개질의 특성

황나경(N. K. Hwang),차민석(M. S. Cha),이대훈(D. H. Lee),김관태(K. T. Kim),이재옥(J. O. Lee),송영훈(Y.-H. Song) 한국연소학회 2008 KOSCOSYMPOSIUM논문집 Vol.- No.-

The reaction mechanism of methane dry reforming has been investigated using an arc-jet reactor. The effects of input power, CO₂ /CH₄ and added O₂ were investigated by product analysis, including CO, H₂, C₂HY and C₃HY as well as CH₄ and CO₂. In the process, input electrical power activated the reactions between CH₄ and CO₂ significantly. The increased feed ratio of the CO₂ to CH₄ in the dry reforming doesn't affect to the CH₄ conversion but increase the selectivity of CO with suppressing the reaction of H₂ generation. Added oxygen can also increase not only CO selectivity but also CH₄ conversion, For more understanding these results. the reaction has been compared with thermo-equilibrium calculation.

메탄개질에서의 아크젯 플라즈마의 역할

황나경(Na kyung Hwang),이대훈(Dae Hoon Lee),송영훈(Young-Hoon Song) 한국연소학회 2006 한국연소학회지 Vol.11 No.3

A reaction mechanism of methane partial oxidation, which consists of thermal and plasma chemistry reaction pathways, has been investigated using with an arc-jet reactor. The reaction zone of the arc-jet reactor is spatially separated into thermal and non-thermal plasma zone. Methane conversion rates, selectivity of H₂ and C₂ chemicals in each zone are obtained, which reveals clearly different characteristics of reaction pathways depending on the temperature conditions. The conversion rates obtained in thermal plasma zone is higher than those in non-thermal plasma zone. The selectivity, however, obtained in non-thermal plasma zone is significantly higher than those in thermal plasma zone. Further parametric study on O₂/C ratio, arc length and SED shows that the present process is mainly governed by thermal chemistry pathways.