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Occupational Therapy for the Improvement of Activities of Daily Living in Children and Adolescents in Korea: Systematic Review
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È«Àº°æ ( Hong Eun-Kyoung )
½Å¼º´ëÇб³ ÀÛ¾÷Ä¡·á°ú
Abstract
¸ñÀû : º» ¿¬±¸¿¡¼´Â ÀÏ»ó»ýÈ°È°µ¿ Çâ»óÀ» À§ÇØ ¾Æµ¿¡¤Ã»¼Ò³â ÀÛ¾÷Ä¡·á¸¦ Àû¿ëÇÑ ±¹³» ³í¹®À» ü°èÀûÀ¸·Î ºÐ¼®ÇÏ¿© Âü¿©ÀÚÀÇ Áø´Ü¸í, »ç¿ëÇÑ Æò°¡µµ±¸, ÁßÀç¹æ¹ý°ú ±× È¿°ú¿¡ ´ëÇØ ¾Ë¾Æº¸°íÀÚ ÇÏ¿´´Ù.
¿¬±¸¹æ¹ý : 2010³âºÎÅÍ 2019³â 9¿ù 30ÀϱîÁö °ÔÀçµÈ ±¹³» ÇмúÁö¸¦ ´ë»óÀ¸·Î ÇÏ¿´´Ù. °Ë»ö¿£ÁøÀº Çмú¿¬±¸Á¤º¸¼ºñ½º¿Í Çѱ¹ÇмúÁ¤º¸¸¦ »ç¿ëÇÏ¿´´Ù. »ç¿ëÇÑ °Ë»ö¾î´Â ¡®¾Æµ¿ÀÛ¾÷Ä¡·á & ÀÏ»ó»ýÈ°¡¯, ¡®¾Æµ¿ÀÛ¾÷Ä¡·á & ÀÚÁ¶¡¯, ¡®¾Æµ¿ÀÛ¾÷Ä¡·á & ÀÚ±â°ü¸®¡¯, ¡®¾Æµ¿ÀÛ¾÷Ä¡·á & ÀÛ¾÷¡¯, ¡®ÀÛ¾÷Ä¡·á & ½Ä»çÇϱ⡯, ¡®ÀÛ¾÷Ä¡·á & AMPS(Assessment of Motor and Process Skills)¡¯, ¡®ÀÛ¾÷Ä¡·á & WeeFIM¡®(Functional Independence Measure for children)À̾ú´Ù.
°á°ú : ÃÑ 14ÆíÀ» ºÐ¼®ÇÏ¿´°í ¿¬±¸ÀÇ ÁúÀû ¼öÁØÀº ¥³, ¥´°¡ °¢°¢ 36%·Î ÃÑ ¿¬±¸ÀÇ 72%¸¦ Â÷ÁöÇÏ¿´´Ù. Âü¿©ÀÚÀÇ Áø´Ü¸íÀº ÁöÀûÀå¾Ö°¡ 50%¸¦ Â÷ÁöÇÏ¿´°í ³ú¼º¸¶ºñ¸¦ Æ÷ÇÔÇÑ ³úº´º¯ÀÌ 20%À̾ú´Ù. ÀÏ»ó»ýÈ°È°µ¿À» Æò°¡Çϱâ À§ÇØ °¡Àå ¸¹ÀÌ »ç¿ëÇÏ´Â Æò°¡µµ±¸´Â COPM(Canadian Occupational Performance Measure)À¸·Î 36%¸¦ º¸¿´°í, WeeFIMÀÌ 22%, °üÂûÀÌ 13%À̾ú´Ù. ÁßÀç¹æ¹ýÀ¸·Î °¡Àå ¸¹ÀÌ »ç¿ëÇÏ´Â °ÍÀº °¨°¢ÅëÇÕÄ¡·á·Î 36%À̾ú°í, ÀÎÁöÇÁ·Î±×·¥ÀÌ 22%À̾ú´Ù. ÁöÀûÀå¾Ö ¾Æµ¿¿¡°Ô ÀÚÁ¶È°µ¿ ±×·ìÄ¡·á¸¦ Àû¿ëÇÑ ÇÑÆíÀÇ ¿¬±¸¸¦ Á¦¿ÜÇÏ°í, ¸ðµÎ ÁßÀçÈ¿°ú°¡ ±àÁ¤ÀûÀÎ °ÍÀ¸·Î ³ªÅ¸³µ´Ù.
°á·Ð : ü°èÀû °íÂû¹æ¹ýÀ» ÅëÇØ ÀÏ»ó»ýÈ°È°µ¿¿¡ ´ëÇØ ÀÛ¾÷Ä¡·á Àû¿ëÀ» ¾Ë¾Æº» ±¹³»ÀÇ ¿¬±¸´Â ¾ø¾ú´Ù. µû¶ó¼ º» ¿¬±¸´Â ÀÓ»ó¿¡¼ ÀÛ¾÷Ä¡·á Àû¿ëÀ» À§ÇÑ ±Ù°ÅÀÚ·á·Î »ç¿ëµÉ °ÍÀÌ´Ù.
Objective : The purpose of this study is to provide evidence for a systematic analysis of occupational therapy evaluations and interventions for the activities of daily living of children and adolescents.
Methods : The research period was from 2010 to September 2019. The articles were collected from the Research Information Sharing Service (RISS) and Koreanstudies Information Service System (KISS) databases. The key words were ¡®pediatric occupational therapy & activities of daily living¡¯, ¡®pediatric occupational therapy & self care¡¯, ¡®pediatric occupational therapy & self management', ¡®pediatric occupational therapy & occupation¡¯, ¡®occupational therapy & eating¡¯, ¡®occupational therapy & AMPS (Assessment of Motor and Process skills)', 'occupational therapy & WeeFIM (Functional Independence measure for children'.
Results : A total of 14 studies were analyzed, the qualitative level ¥³, ¥´ of the study was 72% of the total research. The diagnosis of participants included 50% intellectual disorder and 20% brain lesion, including cerebral palsy. The most frequently used method to assess the activities of daily living was Canadian Occupational Performance Measure (COPM). The most frequently used method to therapy was sensory integration therapy. The intervention effect of all studies was positive, however, the use of group programs on the occupational therapy on children with intellectually disorder didn't work.
Conclusion : In Korea, there are no articles that systematically analyze whether occupational therapy improves the activities of daily living in children and adolescents.
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activities of daily living; children and adolescents; occupational therapy; systematic review
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