• Title/Summary/Keyword: Special care

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TREATMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 1. CONSIDERATION FROM THE PERSPECTIVES OF SPECIAL CARE DENTISTS (장애인 구강진료 접근성 제약 - Part 1. 장애인 치과 의료진 측면에서의 고찰)

  • Chang, Juhea
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.7-13
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    • 2019
  • The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients' lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.

CURRENT STATUS OF SPECIAL CARE DENTISTRY EDUCATION OF DENTAL SCHOOLS IN KOREA (한국 치과대학 및 치의학 전문대학원의 장애인치과학 교육 현황)

  • Oh, Yea Rang;Nam, Ok Hyung;Kim, Mi Sun;Choi, Sung Chul;Kim, Kwang Chul;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.7-10
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    • 2018
  • Special care dentistry, also known as special needs dentistry, is concerned with the oral health of people who have intellectual disability, or who are affected by other medical, physical, or psychiatric issues. Dental schools must educate dental students for the competency in managing and treating individuals with special health care needs. The purpose of this study is to identify the current status of special care dentistry education in Korean dental schools. A questionnaire relating to the education of special care dentistry was sent to eleven dental schools in Korea via email. The result turned out that eight out of eleven schools had classroom teaching of special care dentistry, while only four had practical teaching programs. Nine schools had dental clinics for the disabled, in which two of them had special care clinics within the Pediatric dentistry clinic, and other seven in separate clinical sites. Despite the increased interest in special care dentistry, education including classroom teaching and practical teaching was still insufficient and needed more development. This study implicated a small but valuable understanding of special needs dentistry education in Korea.

Analysis on Implementation and Improvement of Positive Behavior Support Between Child Care and Education Teachers and Special Education Teachers in Inclusive Settings (통합어린이집 보육교사와 특수교사의 긍정적 행동지원 실행도 비교 및 증진방안)

  • Song, Ye Hee;Cho, Youn Kyung
    • Korean Journal of Childcare and Education
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    • v.16 no.5
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    • pp.173-200
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    • 2020
  • Objective: The goal of this study was to explore the implementation status of positive behavior support(PBS) for child care and education teachers and special education teachers at inclusive settings, and to investigate support needs of both teachers for improving the implementation of PBS. Methods: This study made up 405 surveys for child care and education teachers and special education teachers in 45 inclusive settings from July to August in 2019. A total of 244 surveys(60.2%) were completed and returned. Results: Special education teachers were statistically higher than child care and education teachers in the implementation of the center based level 1, the small group based level 2, and the individual based level 3 of PBS. In open-ended responses, when implementing PBS, the two groups of teachers had difficulties in getting knowledge about how to instruct preschoolers and implementing PBS. Both groups of teachers wanted the education and the training opportunities for PBS at first, and to 'reduce the teacher-to-child ratio'in the public support system. Conclusion/Implications: Based on the results, suggestions were discussed on how to improve the implementations of PBS of child care and education teachers and special education teachers at inclusive settings.

A Study on the Intention to Use Community Care Service by Pre-Caregivers Based on Dementia Under the Long-Term Care Insurance System for the Aged -Special dementia rating (5 rates) in the focus (예비치매 부양자의 재가서비스 이용에 관한 연구 -치매특별등급(5등급) 중심으로)

  • Son, Yi-Suk;Lee, Kyung-Soo;Chung, Jae-wook
    • Journal of Korean Clinical Health Science
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    • v.4 no.3
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    • pp.603-614
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    • 2016
  • Purpose. The purpose of this study was to provide basic data regarding the intention to use community care service based on special grading for dementia in the South Korean Society. Methods. A survey was conducted using a questionnaire adapted on the basis of literature review regarding the first to fourth grade under the long-term care insurance system for the aged from May 1 to 30, 2015 and a total of 272 questionnaires were statistically processed using SPSS 21.0. Frequency analysis, descriptive statistics, and cross-tabulation analysis were performed. The non-parametric type of test, ${\chi}^2$ test, was used for statistical testing. Results. This study obtained the following results: First, caregivers had greater intention to ask recipients to use daytime and nighttime care service. Second, there were statistically significant differences in caregivers' education, occupation, monthly average income, co-residence status, intimacy, and care-giving burden (emotional, financial, and social) and recipients' activities of daily living, instrumental activities of daily living, mental health status, dementia status, and intention to use community care service based on special grading for dementia. Conclusions. There are very few statistical data and academic materials regarding special grading for dementia, which has recently been established. The results of this study are therefore expected to help make a systematic analysis of the intention to use community care service by caregivers based on special grading for dementia.

Differences on the Importance of Recognition of Contingency from Early Childhood to Elementary Education Between Early Childhood and Early Childhood Special Education Teachers at Inclusive Child Care and Education Settings (어린이집 통합학급 보육교사와 특수교사의 유·초 연계 중요도에 대한 인식 차이)

  • Kim, Minjung;Cho, YounKyung
    • Korean Journal of Childcare and Education
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    • v.16 no.2
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    • pp.67-87
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    • 2020
  • Objective: In order to provide basic data that can strengthen the recognition of continuity of early childhood and primary education, early childhood education and early childhood special education teachers at inclusive child care and education settings participated in this study. Methods: The researchers conducted a survey on 192 early childhood teachers and 167 early childhood special education teachers in Seoul and Gyeonggi-do province. The collected data were analyzed statistically. Results: First, early childhood special education teachers were higher than early childhood teachers statistically on the prerequisite elements of continuity. Second, early childhood education teachers were higher than early childhood special education teachers statistically regarding the prerequisite educational techniques required for continuity of early childhood and primary education. In particular, early childhood teachers put more of an emphasis on learning and sociality-communication than early childhood special education teachers did. Conclusion/Implications: It is necessary that in-service education on prerequisite elements be stressed, and there be more detailed activities and education about programming and its utilization for early childhood special education teachers.

Awareness of Professionalism and Job Stress in Child-Care Teachers of Children with Special Needs (장애아 보육교사의 전문성 인식과 직무스트레스의 관계)

  • Lee, Kyeong Hwa
    • Korean Journal of Child Studies
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    • v.28 no.3
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    • pp.61-75
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    • 2007
  • This study defined awareness of professionalism and job stress in 353 child-care teachers of children with special needs and analyzed the relative contribution of professional awareness to job stress. Teachers showed high awareness of 'ethics' and 'enthusiasm enhancing professionalism', and this awareness correlated highly with professionalism in the 'specialized knowledge and skills' sub-factors. Teachers showed high levels of stress in the 'general duty' and the 'guidance of children with special needs' categories, and this correlated highly with stress caused by 'child-care center management.' The results of canonical correlation analysis indicated that of professionalism sub-factors only the awareness of 'social services' contributed positively to job stress.

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Working Mothers' Work-Child Rearing Strain and Their Demand on Back-up Care Services (취업모의 일-자녀양육 양립 부담감과 영유아기 자녀를 위한 시간연장 보육서비스 요구)

  • Lee, Wan-Jeong
    • Journal of Families and Better Life
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    • v.27 no.4
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    • pp.117-126
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    • 2009
  • The purpose of this study was to analyze the difference of working mothers' work-child rearing strain and their demand on special care services according to each mother's work conditions and childcare situation. 477 working mothers who have only one child each were gathered by the use of the purposive quota sampling method and analyzed with t-test, F-test, correlation, and multiple regression. The main results showed that working mothers had high work-child rearing strain and demand on special care services when their working conditions were inflexible and they were not satisfied with the care services for their child. The major variable which explained working mothers' demand on special care services was e their work-child rearing strain.

An Exploratory Study on Decisions by foster Parents to care for Children with Special Needs : The Case of 'H' Foster Agency (특수욕구를 가진 아동에 대한 일반위탁부모의 위탁의사: 'H위탁보호기관'의 사례를 중심으로 한 탐색적 연구)

  • Kim, Bong-Sun;Jung, Hee-Young
    • Journal of Families and Better Life
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    • v.24 no.5 s.83
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    • pp.141-159
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    • 2006
  • It is generally blown that foster children often have special needs such as disability and psycho-behavioral problems. It is also known that foster parents will provide better care with those children when they are coping well with foster children with special needs. The purpose of the study was to explore the perceptions foster parents have and what factors affect their decisions to care for children with special needs. Literature review reveals that successful foster parent care is related to the foster parents' motivation, role perception, and social support systems. foster parents' motivation is related to 'altruism toward foster child', 'the egocentrism of the foster parent', 'previous experience with adoption' and 'the past experiences of the foster parent'. Role perceptions of the foster parent consist of 'supporting the internal system of the foster child' and 'supporting the external system of the foster child'. The social support system is characterized as the limited notions of a family oriented concept. In addition, a foster parent's decision to look after special-needs children is related to their motivation while the decision to foster disabled children is related to the levels of available social support systems as well as motivation. The results of the study implies that the motivation level and that of social support system are closely related to different aspects of the special-needs foster child; this factor should also be considered when recruiting foster parents or placing special needs children.

DENTAL STUDENTS' PERCEPTIONS AND BEHAVIOR INTENTIONS TOWARDS PATIENTS WITH SPECIAL CARE (치의학대학원 학생의 장애환자에 대한 인식 조사)

  • Park, Sang-Euk;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.91-97
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    • 2013
  • The objective of this study was to explore perceptions of dental student of patients with special care. Their satisfaction with education, and their professional attitudes and behavioral intentions concerning treating these patients were the issues of this paper. Paper-and-pencil survey data were collected from 289 dental students at the school of dentistry, Seoul National University. Most respondents agreed that it is important to be educated about providing care for patients with special needs at the school. The higher grade students they are, they got the higher degree of understanding about treating these patients and the more satisfaction with the education. However, their intentions to treat these patients in their future professional lives were negatively correlated with degree of students. Based on these findings, it is recommended that school curriculum about treating patients with special care be reconsidered to develop students' comfort level in treating special needs populations.

Post discharge care of prematurity (미숙아의 퇴원 후 관리)

  • Yoon, Hye Sun
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.14-19
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    • 2007
  • Advances in neonatal care have been responsible for the improved survival of prematurity but have not resulted in decreased morbidity. Once the high-risk infants is discharged from the hospital, his or her many special care needs do not cease. A well-coordinated multidisciplinary approach is essential in the follow-up care of these infants. Special attention must be given to their growth and nutrition, immunization, vision and hearing, and sequelae of illnesses experienced during the neonatal period. The role of pediatrician in helping these infants attain their full physical, neurodevelopmental, emotional, and psychosocial potential by providing optimal care is invaluable.