4 2 (2 0 0 1) Th e Korean J ou rn al of Reh abilit ation Nu rsin g Vol. 4, No. 2, December, 200 1 :,, ******. 1., 198 1, 1988 (,,,, 2000 ).,.. 98% 70% 1..... 1) 2),, 3).. 1. 20001,449,500 3.09 %. 1995 2.35% 2000 3.09 % 0.74 %. 1999 1 (, 2000). * ** *** - 24 0 -
4 2 1) 2000 2000 1,449, 496, 958,196 66.1%. 605,127 4 1.7%, 13,4 8 1 9% ( 1 ). 1,398.296,5% 5 1.33.5%. 6 1% 39 % (, 200 1). < 1> 2 0 0 0 606,422 605,127,, 33,126 223,246 90,997 181,881 0.01 0.02. 87,387 175,578 86,793 108,678 1,514 13,481 10,000 2-3 23,559 71,797 23,427 25,284,, 4,971 44,424 958,196 1,449,496 0.4 7%. 90 %. (44.8%) ( 2 ). 3) 1989 2 18,60 1, 2000 1,024,37 1 4.7, 199 5 1,053,486 378,3232000 1,449,496 1,024,371 ( 3 ). 199 5 36.9%, 2000 70.7% (, 200 1). 2. 1) 2000 62.6 %, 96.7%. 26.5%.,. 2 ) 2000 ( 100 ) 3.09% 1995 2.35% 0.74%. 1.35%, 0.52 %, 2) 2 1 < 2 > 2 0 0 0 ( : % ) 1.35 0.52 0.47 0.42 0.44 0.31 0.05 0.17 0.06 0.13 1.7 2.5 3.4 6.0 14.3 23.8 4.3 3.4 96.3 91.6 92.2 84.7 61.4 44.8 93.6 95.8 (, ) < 3 > () 89 90 91 92 93 94 95 96 97 98 99 2000 218,601 248,447 272,541 293,467 317,939 347,275 378,323 416, 889 480,188 582,913 753,451 1,024,371-24 1 -
(, 1999)..,.,. 3) LPG,,,,,,,, (, 2000 ), LPG,. 3. 300 56% (74 ),.. 98 %..,,. 2000 19 5(, 2000 ) 4. 6. 25 Dr. Yh ap & Pet ri Dr. Ru sk. 19 70, 1982 (, 2000)., 1990, 1997 11.,.,,,,,,. ( ) ( ) ( ) ( ) 57 4 376 339 22 3 4 9 4 13,035 7,500 1 3 4 1 4 372 192 4 1 4 4 2 518 700 2 1 2 460-600 4 10 4 7,896-24 2 -
4 2.,.,.,,., (, 1998).. 1.,.,. 1997 4 11 (29.7%), 9 (50 %) (, 1997), 2000 25 4 15, 3 24924 (49.0%) (, 200 1). 4,, 2, 10, 7, 1, 1. 35 25.,.,. 3.,. 10 1 (, 1999 ) 1. :,,,,,, 2.: 3.: 4. :,,,,,, 5. :,,,, 6. :, 7. :,. 3.,,.. 2. 1.. 199 1 2000 8 (, 200 1) 35. 8, 2, 2 5 1) 1990.. - 24 3 -
Y N S 144 150 230,,,, 0 0 0 0 0 0 / 0 0 0 0 0 0 0 0 0 0 0 0 x x 0 x x x 0 x 0 0 x 0 0 0 / 0 0 0 0 0 0 0 0 0. 2 ),.., (, 200 1), 1-2. (, 200 1),. 2),,,. 3).,. 2. 1)., 3..,,.. (general practitioner of r eh abilit at ion ).. - 24 4 -
4 2. 198 1, 1988.,,., 199 7 11. 49 24 (49%), 199 1 2000 8 35.,..,,,.,,.,.. (1997). :,., 24-2 7.,,,,,,, (1999 ).,, 2 (1), 4 5-60. (1998 )...,,,, (200 1)., 200 1-. (2000 )., 2000, 1-2 3. (2000).. :,,, (200 0 )., :.,,,,, (2000 )., :. (200 1)... 200 1, 18-24. (200 1)... 200 1. 8-14.,,,,,,, (200 1).., 4 (1), 118-123. (200 1). 2000. -Ab s tr a ct- Key co nce pt : Reh abilit at ion nu rsin g st atu s Reh abilit at ion nu rsin g pr ospect Reh abilit at ion pr oj ect Cu r r en t St a t u s a n d t h e Fu t u r e Pr o s p e ct of Reh a b ilit a t ion Nu r s in g in Ko r e a Kang, Hy u n S ook * Su h, Y eon Ok ** Lee, Hae S ook *** Th e h ist ory of reh abilit ation of disabilit ies in Kor ea b ega n wit h t h e for eign er s a n d * Kyunghee University ** Soonchunhyang Univer sit y *** Kyungh ee Medical Cent er - 24 5 -
missionaries wh o were int erest ed in it after Kor ean War. In 198 1, Disabled Per sons Welfare Act was en act ed an d t h e 88 Paralympics brou gh t t h e n ations att ent ion t o th e welfare an d reh abilit ation of person s with disabilities. Since th en, t h e facilit ies and th e services for th e disabled per sons h ave expan ded r apidly an d t h e reh abilit ation tr eatment and nu rsing int ervention ar e drawin g mor e att ent ion. Against th is backgr ou nd, th e su rvey on t h e cu rr ent st at u s of disabilit ies, welfare service, facilities, and reh abilit ation nur sin g was condu ct ed. Th e resu lt s of th is survey are as follows. 1. Accordin g t o t h e 2000 census of disabilities, t h e nu mber of person s with disabilit ies in Kor ea is estimat ed at 1,449,500, or 3.09% of t h e entire Korean population, 0.74 % u p from 2.35% in 199 5. disability and, in 2000, th e number increased by 4.7 times t o 1,024,37 1. Th ese figu res are differ ent fr om th e actu al nu mber of disabled person s. Accor ding t o th e 199 5 censu s, 1,053,486 were disabled per sons bu t only 378,32 3 regist ered for disabilit y. An d, in t h e 2000 census, 1,024,371 out of th e 1,44 9,4 96 of disabled persons regist ered for disability. 5. Welfare Service for Persons with Disability 62.6 % of th e t ot al disabled people ar e r egist er ed and ph ysically disabled per sons accou nt ed for th e h igh est per cent age of 96.7%. 26.5% of non-regist ered disabled people said th at t h ey didnt k n ow th e r egistr at ion procedure. Th e rest of th em r eplied t h at th ey didnt t hink th ey wer e disabled or th at registration didnt seem to give any benefit s. 2. Disability Types in 2000 Th e 2000 census sh owed th at th e per sons with disabilit ies number ed 1,44 9, 496 out of th e t ot al population and 1,024,37 1 person s are regist er ed for disability, makin g u p 70.7% of t h e estimat ed disabled population. Amon g th em, ph ysically disabled per sons accou nt ed for t h e largest 4 1.7% (605,12 7) and m ent ally r et ar ded person s st ood at t h e smallest 9 % (13,48 1). 3. Per cent age of Disability Presen ce Th e su rvey sh owed t h at m ore t h an 90% of disabilit y wer e acqu ir ed. However, 44.8% of ment al disability an d 6 1.4 % of h earin g / speakin g disabilit y wer e n ot acqu ir ed aft er birt h. Th is mean s th at th ese disabilit ies h appen ed by congenit al cau se or birth accident. 6. Welfare Policies for Disabled Persons Th e welfare ben efit s given t o t h e disabled ar e as follows : Issu an ce of disabled sign for car drivers, P ermission t o u se LP G fuel, Commu nication fee redu ction, Tax exemption r elat ed t o cars, Redu ction of public facility fees, Hou seh old allowan ce, Tax r edu ct ion or exem pt ion, Medical allowan ce an d edu cation su bsidy for ch ildr en, and Hou sin g. 7. Current Con dition of Welfar e F acilities by Disability Type Th e welfare institu tions for disabilities numbered 188 in t otal and th ey can accomm odat e 16,82 3 per sons. Cat egories of t h ese in st it ut ion s ar e physical disabilit y (37), visu al disability (10 ), h earin g/ speakin g disability (14 ), m ent al ret ar dat ion (59 ), an d sanat orium s (68 ). 4. Yearly Figure of Registered Disabled Persons In 1989, 2 18,60 1 person s regist ered for 8. Hu m a n Resou r ce of Reh abilit at ion of Disabilit ies - 24 6 -
4 2 Advan ced edu cation program s inclu de reh abilit ation nu rsing in it s cu rricu lu m an d th is was select ed as t h e pr ogr am of Korean Academic Societ y of Nu rsin g in 1990. In November 1997, Korean Academic Society of Reh abilit ation Nur sing was lau n ch ed and many academic m eeting and semin ars wer e h eld. Th is organization is also m aking effort s t o develop t h e edu cation progr am for qu alified reh abilit ation nur sing pr ofession als and t o develop t h e st andar ds of r eh abilit at ion nu rsin g pr actice. In t h e professionals of th e reh abilit at ion, th ere are reh abilit ation specialist, physical therapist, speech th erapist, occu pational th erapist. It is n eeded t o com e u p with th e m easu res t o su pply st able hu man r esour ces followin g t h e dem an d of disabled p er son s a n d t o r ecogn ize t h e privat e cert ificat es for r eh abilit ation pr ofession als as official ones aft er r eviewin g th e edu cation and t rainin g pr ograms of privat e in st it ut ion s. 9. Reh abilit ation Nu rsin g 1) Reh abilit at ion nur sin g was t au ght as an indepen dent subj ect in 11 u ndergradu at e progr am s an d 9 gradu at e progr am s. 2) Research on r eh abilit ation nu rsing in Korea were 24 experiment al research and 11 non- experiment al research. Th e int ervention of experim ent al r esear ch wer e most ly edu cation and exercise reh abilitation pr ograms. 3) In th e th ree reh abilit ation h ospit als, nu rsin g is divided int o t wo cat egories, direct nur sin g and edu cat ion & cou nselin g. Direct nur sing in clu des t rach eost omy or nasogastric tube care, urination and defication, skin car e, pain contr ol, complication pr evention and car e, prevent ion of inj ury from a fall, et c. - 24 7 -