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The Definitions of Multimorbidity and Multiple Disabilities(MMD) and the Rehabilitation for MMD 多病多残(MMD)的定义及MMD的康复
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.120
M. Kohzuki
Japan has already become the world's first super-aged society. The advent of super-aged society has increased the possibility that the elderly population may have more than one or multiple disabilities. Multiple disabilities generally refer to the state that people have two or more disabilities, but has not clearly defined yet. In other words, there is no standardized definition of the multiple disabilities in the whole world including Japan, because they can be differently defined according to the types of disabilities and pertinent laws or systems. This study aimed to define the multiple disabilities by introducing the ways to define it and trying to produce the standardized definition as Multimorbidity and Multiple Disabilities (MMD). Since the ways to define MMD including the types and degrees of disabilities may make the future for persons with MMD greatly different, they should be taken seriously. Furthermore, to respond with the rehabilitation needs of persons with MMD, the human resources need to be cultivated and the scientific basis needs to be built.
日本已经成为世界上第一个超老龄化社会。超老龄化社会的到来增加了老年人口患有一种以上或多种残疾的可能性。多重残疾一般是指人同时具有两种或两种以上残疾的状态,但目前还没有明确的定义。也就是说,包括日本在内的世界各国对多重残疾都没有统一的定义,因为多重残疾可以根据残疾类型和相关法律或制度进行不同的定义。本研究旨在通过介绍多重残疾的定义方法,对多重残疾进行定义,并试图形成一个标准化的定义,即多重病态和多重残疾(MMD)。由于定义烟雾病的方法,包括残疾的类型和程度,可能会使烟雾病患者的未来有很大的不同,因此应该受到重视。此外,为了应对烟雾病患者的康复需求,需要培养人力资源并建立科学基础。
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引用次数: 6
Impact of Movement Cost on Income and Expenditure Ratio in Home-Visit Long-Term Care Service Businesses in Japan 流动成本对日本家访长期照护服务企业收支比的影响
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.34
Hitoshi Sasaki, Y. Sekita
There are particular costs that lower the efficiency of providing home-visit long-term care services. These are the costs associated with the time taken to move between homes, such as labor costs and the expenditure incurred for the movement. These costs are collectively referred to here as “movement cost”. To ensure stable business operation, to ensure efficient use of social insurance funding, and to increase service efficiency, it is necessary to examine movement cost and other fixed costs, as well as all associated costs. In this study, we constructed a model for the income and expenditure ratio of a home-visit long-term care service business,by using movement time,and the main determining factor of movement cost, as a variable in order to investigate the influence of movement time on business performance. In addition, we conducted a sensitivity analysis by varying certain parameters to assess the degree of influence on the income and expenditure ratio. The results demonstrated that a change in the part-time worker fraction can lead to the conditions where the impact of movement time on the income and expenditure ratio precipitates a catastrophic change in business profitability . This result suggests that collective housing, which requires little movement, is a more efficient solution than home-visit care for providing local community-based nursing care for the elderly. movement cost, income and expenditure ratio, long-term care insurance system, home-visit long-term care service, catastrophic change hsasaki.csw.office@gmail.com(Hitoshi SASAKI) Asian J Human Services, 2015, 8:34-50. © 2015 Asian Society of Human Services Received
提供家访长期护理服务的效率受到一些特殊费用的影响。这些是与搬家所花费的时间相关的成本,例如劳动力成本和搬家所产生的支出。这些成本在这里统称为“移动成本”。为了保证业务的稳定运行,确保社会保险资金的有效使用,提高服务效率,有必要审查运输成本和其他固定成本,以及所有相关成本。本研究以移动时间为变量,以移动成本为主要决定因素,构建家访长期照护服务企业的收支比模型,探讨移动时间对企业绩效的影响。此外,我们通过改变某些参数进行敏感性分析,以评估对收入和支出比率的影响程度。结果表明,兼职工人比例的变化会导致流动时间对收入和支出比率的影响导致企业盈利能力的灾难性变化。这一结果表明,集体住房需要很少的移动,是比家访护理更有效的解决方案,为当地社区的老年人提供护理。流动成本、收入支出比、长期照护保险制度、家访长期照护服务、灾难性变化hsasaki.csw.office@gmail.com(佐佐木仁)[J] .人力资源管理,2015,8:34-50。©2015亚洲人类服务协会收到
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引用次数: 0
台湾のソーシャルワークにおける「カルチュラルコンピテンス」の研究動向に関する研究 台湾社会工作的“文化胜任力”研究趋势
Pub Date : 2015-04-30 DOI: 10.14391/ajhs.8.152
麗婷 陳
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引用次数: 0
The Current Condition and Underlying Problems of Social Service in Korea 韩国社会服务的现状及存在的问题
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.20
Taekyun Yoo, Seongwon Yun, Myung-won Seo, Sooyoung Choi
Social service, both in name and reality, was introduced in 2007 to make more jobs in Korea, along with its budget, workforce in this field increasing continuously. Despite its growth, social service in Korea has some concerning issues. One of them is that social service virtually caters only to the poor, and the other is the limited scope of social service to care services. In this paper two solutions are suggested. First, eliminating the income standard when selecting beneficiaries so that more people can have access to social service. It can invigorate the market of social service and encourage both provider and consumer to exchange their service and demand. It can also respond to increasing social needs, and create decent jobs. Second, operating the social service in the same way as social security system. It can be more realistic, considering political and financial aspects. This study has its limitations; that it considered only the two problems mentioned above. However, this study mainly covers rising social demands caused by economic depression, low birthrate, and the aging society.
2007年,韩国为了增加工作岗位,引进了名义上和现实上的社会服务。随着预算的增加,社会服务领域的人力也在不断增加。韩国的社会服务事业虽然发展迅速,但也存在一些令人担忧的问题。其中一个是社会服务实际上只照顾穷人,另一个是社会服务对照顾服务的范围有限。本文提出了两种解决方案。首先,在选择受益人时取消收入标准,使更多的人能够获得社会服务。它可以活跃社会服务市场,鼓励提供者和消费者交换他们的服务和需求。它还可以满足日益增长的社会需求,创造体面的就业机会。第二,以社会保障制度的方式运行社会服务。考虑到政治和财政方面,它可以更现实。这项研究有其局限性;它只考虑了上面提到的两个问题。然而,本研究主要针对经济萧条、低出生率和老龄化社会导致的社会需求上升。
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引用次数: 3
The Effects of Exercise, Cognitive Intervention and Combined Exercise and Cognitive Intervention in Alder Adults with Cognitive Impairment and Alzheimer’s Disease 运动、认知干预及运动与认知联合干预对老年认知障碍合并阿尔茨海默病的影响
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.131
Minji Kim, Chaeyoon Cho, Chaewon Lee, M. Kohzuki
Cognitive impairment is a defining feature of dementia caused by neurodegenerative conditions such as Alzheimer’s disease (AD) and cerebrovascular disease. The combination of different protective factors of healthy cognitive aging might be most promising when attempting to delay cognitive decline and preserve cognitive abilities. Particularly, the combination of cognitive and physical activity has attracted increasing interest. But there is no review on the effects of exercise, cognitive intervention, and combined exercise and cognitive intervention in patients with cognitive impairment and AD and it is not cleared what is the best therapeutic intervention for these patients. 26 studies were identified in this review, most studies assessed general cognitive state such as MMSE or ADAS-Cog. Several studies indicated negative results included exercise, cognitive intervention, and combined exercise and cognitive intervention. Combination therapy may be plays an important role in enhancing cognitive function. The mechanisms of benefit from individual and combined physical and cognitive interventions are not clear, it has been postulated that physical and mental activity may therefore have potential to improve cognitive function. More research is needed to study the effect of combined non-pharmacological interventions in older adults with cognitive impairment.
认知障碍是由阿尔茨海默病(AD)和脑血管病等神经退行性疾病引起的痴呆症的一个典型特征。当试图延缓认知衰退和保持认知能力时,不同的健康认知衰老保护因素的组合可能是最有希望的。特别是,认知和身体活动的结合吸引了越来越多的兴趣。但目前还没有关于运动、认知干预以及运动与认知联合干预对认知障碍合并AD患者的影响的综述,也不清楚对这些患者最好的治疗干预措施是什么。在本综述中确定了26项研究,大多数研究评估一般认知状态,如MMSE或ADAS-Cog。一些研究表明,运动、认知干预以及运动和认知联合干预的负面结果。联合治疗可能在增强认知功能方面发挥重要作用。个体和联合身体和认知干预的益处机制尚不清楚,因此假设身体和心理活动可能具有改善认知功能的潜力。需要更多的研究来研究联合非药物干预对老年认知障碍患者的影响。
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引用次数: 1
Measuring Inhibitory Control without Requiring Reading Skill 在不需要阅读技能的情况下测量抑制控制
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.13
H. Okuzumi, Ryotaro Saito, Y. Ikeda, Yuhei Oi, Shogo Hirata, Koichi Haishi, Rena Sagisaka, Haruno Sako
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引用次数: 0
QOLの観点に基づいた障害者雇用促進制度・政策の評価指標・尺度の開発に関する研究 基于QOL观点的促进残疾人就业制度和政策评估指标和尺度的研究
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.107
偕珍 權
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引用次数: 1
Study of Treatments and their Effects on Behaviour Improvement of Children with Problem Behaviour such as ADHD ADHD等问题行为儿童的治疗方法及其行为改善效果研究
Pub Date : 2015-04-30 DOI: 10.14391/AJHS.8.51
Eonji Kim, Geumju Lee, Injae Lee, Jaewon Lee
This study tried to verify effectiveness of treatments for children who received Early Intervention Service (EIS) for children with problem behaviour. The research evaluated the validity of treatment service in improvement of problem behaviour in the areas of internalizing, externalizing, attention and sociality, and verified differences of effectiveness between methods of treatment. One hundred and ninety seven children participated in this study. They received the treatment services from 5 different branches of H Center, specialized center for emotional and psychological treatment, which was providing EIS on problem behaviour. According to the analysis of pre-post test on problem behaviours, the treatment which EIS centre provided had positive influence on behaviours change of object children, especially Play Therapy and Art Therapy made greater improvement of children’s behaviours. These results suggest the need of continuous study and development in intervention programs related to Play Therapy and Art Therapy.
本研究试图验证接受早期干预服务(EIS)治疗有问题行为儿童的有效性。本研究从内在化、外在化、注意力和社会性四个方面评估了治疗服务在改善问题行为方面的有效性,并验证了治疗方法之间的有效性差异。197名儿童参与了这项研究。他们接受了H中心5个不同分支机构的治疗服务,H中心是专门的情绪和心理治疗中心,提供问题行为的EIS。通过对问题行为的前后测试分析,EIS中心提供的治疗对对象儿童的行为改变有积极的影响,尤其是游戏治疗和艺术治疗对儿童行为的改善作用更大。这些结果表明,需要继续研究和发展与游戏治疗和艺术治疗相关的干预方案。
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引用次数: 0
An aim of the disaster prevention for safety live of the elderly requiring the long term care 防灾的目的是保障需要长期照顾的老年人的安全生活
Pub Date : 2014-10-30 DOI: 10.14391/AJHS.7.100
K. Kitagawa
The intensive-care homes for the elderly and health services facilities for the aged that accommodate many elderly people who are vulnerable to disasters and needs care and assistance during the period of emergency evacuation need to be prepared for the damages of disasters. This study aimed to analyze the effects of the experiences of employees whose facility was suffered from damages from disasters on the preparation for disaster prevention by investigating the consciousness of disaster prevention and mitigation for the employees of nursing care insurance facilities. The results of this study showed that the employees of facilities who experienced the damages from disasters presented the strong anxiety to them and those experiences were reflected in the preparation for evacuation and disasters prevention. 10% of facilities had the experiences from the damages from disasters. The safety degree of facilities were relatively high, but the majority of facilities did not provide the explanation about the emergency evacuation in disaster situations.
老年人特别护理院和老年人保健服务设施为许多易受灾害影响并在紧急撤离期间需要照顾和援助的老年人提供服务,需要为灾害造成的损害做好准备。本研究旨在通过调查护理保险机构员工的防灾减灾意识,分析遭受灾害损害的机构员工的经历对防灾准备的影响。本研究结果显示,遭受灾害损害的设施员工对其表现出强烈的焦虑情绪,这种焦虑情绪反映在疏散准备和防灾准备中。10%的设施遭受过灾害的破坏。设施的安全程度相对较高,但大部分设施没有提供灾害情况下的紧急疏散说明。
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引用次数: 0
Effects of pointing movements on visuospatial working memory 手指运动对视觉空间工作记忆的影响
Pub Date : 2014-10-30 DOI: 10.14391/AJHS.7.16
Yuhei Oi, Y. Ikeda, H. Okuzumi, M. Kokubun, Keisuke Iwai
Results of several studies indicate that pointing movements can interfere with visuospatial working memory (VSWM). The interference effect of movements of pointing to target locations is explained as attributable to failure of the appropriate use of retrieval strategies. This study further investigated the effects of pointing movements on VSWM performance, particularly addressing retrieval strategies. 28 participants (17 women, 11 men; M age = 23.0 yr, range = 21–29) were administered a VSWM task based on the Corsi blocks task, but modified to make it difficult for participants to use efficient retrieval strategies such as chunking or forming global visual images. Participants were required to recall the locations of targets in forward and backward order. Three conditions with respect to encoding were tested: (a) In the target-pointing condition, participants were required to point to the target locations. (b) In the no-pointing condition, participants were required only to view the presentation of targets. (c) In the irrelevant condition, participants were required to point to irrelevant locations. Significant differences were observed among the conditions and between the recall directions. However, performance when pointing to the target locations was not reduced compared to that achieved when viewing the presentation of targets. Results of this study support the view that the interference effect of pointing movements to the target locations derives from failure of the appropriate use of efficient retrieval strategies. Results also suggest that the effects of pointing movements on VSWM performance are task-dependent. Key-words Spatial memory, action, memory strategies, encoding, retrieval m141204w@st.u-gakugei.ac.jp(Yuhei OI) Asian J Human Services, 2014, 7:16-22. © 2014 Asian Society of Human Services Received
多项研究结果表明,指指动作会干扰视觉空间工作记忆。指向目标位置运动的干扰效应可以解释为未能正确使用检索策略。本研究进一步研究了指向运动对VSWM性能的影响,特别是解决了检索策略。28名参与者(17名女性,11名男性;(年龄= 23.0岁,年龄范围= 21-29岁),在Corsi块任务的基础上执行VSWM任务,但修改后使参与者难以使用有效的检索策略,如分块或形成全局视觉图像。参与者被要求按照向前和向后的顺序回忆目标的位置。在编码方面测试了三种条件:(a)在指向目标条件下,要求参与者指向目标位置。(b)在无指向条件下,参与者只被要求观看目标的呈现。(c)在不相关条件下,要求参与者指向不相关的地点。不同条件和不同回忆方向之间存在显著差异。但是,指向目标位置时的性能与查看目标表示时的性能相比并没有降低。本研究的结果支持这样的观点,即指向目标位置的干扰效应源于未能适当使用有效的检索策略。结果还表明,指向运动对VSWM表现的影响是任务依赖的。关键词:空间记忆,动作,记忆策略,编码,检索m141204w@st.u-gakugei.ac.jp(王玉黑)亚洲服务学报,2014,(7):16-22。©2014亚洲人类服务协会收到
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引用次数: 1
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Asian journal of human services
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