머리말

 작업치료 분야는 그 영역이 매우 광범위하며, 다차원적인 분야이다. 의학, 심리학, 사회학 등 인간과 관련된 다영역적 학문으로, 그 어떤 분야보다 다양하고 다차원적인 성격을 지닌 학문이라 할 수 있다. 국내 작업치료 역사는 한국전쟁을 시작으로 이미 반세기가 지났으며, 1개교에서 시작된 작업치료 정규교육과정은 이미 60개 이상의 대학에 개설되어 있다. 연간명1,500 이상의 졸업생들이 배출되고 있으며, 보다 다양한 분야로 진출하고 있다. 반면 국내 작업치료의 현실은 전공 교육과정에 필요한 교재가 여전히 부족한 상태이며, 이로인해 많은 학교에서 어려움을 겪고 있다. 국가고시를 준비해야 하는 재학생들에게 교재 부족은 매우 큰 부담이 되고 있으며 이로 인해 본 저서를 기획하게 되었다.

최근 국가고시 경향은 보다 전문적이고, 임상적이며, 보다 세부 분야의 문제들이 출제되고 있는 경향을 보이고 있다. 과거 출간된 서적들 대부분이 암기형 문제 풀이식으로 구성되어 있어 국가고시를 준비하는 학생들에게 큰 도움을 주지 못했었던 반면, 본 서적은 다양한 분야와 실기형 문제들을 탑재하는 동시에 풍부한 해설을 통해 체계적이고, 논리적인 학습이 가능하도록 편집하였다. 최근 국가고시는 임상 중심의 치료에 초점을 두고 있으며, 보다 전문적인 지식을 요구하고 있다. 본 서적은 작업치료 전공 학생들의 임상수행능력과 졸업생의 전공 지식 수준 향상에 기여하고자 노력하였다.

본 서적은 학생들의 이해도를 높이기 위해 구체적이고, 체계적인 해설과 매뉴얼을 제공하고 있으며, 실전 문제와 같은 유형의 문제들을 통해 실전대비 능력을 극대화하고자 노력하였다. ‘탱크 매뉴얼(Tank Manual)’의 체계적인 정리는 학생들 스스로 전공 학습이 가능하도록 하였으며, 출제비중이 높은 이론 및 실기, 그에 따른 해설을 통해 학생들의 학습효과를 극대화시키는 동시에 국가고시에 대한 자신감을 높여주고자 노력하였다. 또한 국내 작업치료(학)과의 커리큘럼을 근거로 구성되었으며, 원서 중심의 교과서를 기반으로 편집하였다.

작업치료사 국가고시를 준비하는 모든 학생들에게 등대와 같은 책이 되기를 희망하며…

2019년 4월

 국시연구회

CHAPTER 1 관절염 ····················································································9

 1.1 ························································································ 11 개요

1.2 ···································································· 11 류마티스 관절염

1.3 ··············································································· 19 골 관절염

1.4 ················································································· 20 섬유근통

1.5 ··········································································· 21 의학적 관리

1.6 ··········································································· 22 심리적 요소

1.7 ········································································ 23 작업치료 중재

1.8 ··············································································· 25 치료 방법

1.9 ··········································································· 28 부목의 사용

1.10 ········································································· 32 에너지 보존

1.11 ············································································· 33 관절 보호

1.12 ············································································· 35 보조 도구

1.13 ······························································ 36 치료 시 주의 사항

1.14 ······························································ 37 환자 및 가족 교육

Summary ······················································································ 42

예상문제풀이 ················································································· 44

CHAPTER 2 수부 및 상지 손상 ····························································117

 2.1 ······················································································ 119 개요

2.2 ············································································· 119 신체 평가

2.3 ············································································· 133 기능 평가

2.4 ······················································································ 134 치료

Summary ···················································································· 148

예상문제풀이 ··············································································· 151

CHAPTER 3 엉덩관절전치술 ·································································233

 3.1 ······················································································ 235 개요

3.2 ················································ 235 골절의 일반적 의학적 관리

3.3 ········································································ 237 엉덩관절골절

3.4 ···································································· 238

 3.5 ···································································· 239 무릎관절전치술

3.6 ········································································· 239 심리적 요소

3.7 ········································· 240 하지관절의 전치술 시 고려사항

3.8 ······················································································ 240 재활

3.9 ·································································· 241 작업치료의 역할

3.10 ADL ··················································································· 242

 Summary ···················································································· 245

예상문제풀이 ··············································································· 247

CHAPTER 4 요 통 ·················································································277

 4.1 ······················································································ 279 개요

4.2 ········································································ 280 척추사이원판

4.3 ································································ 281 요통 환자의 재활

Summary ···················································································· 292

예상문제풀이 ··············································································· 295

CHAPTER 5화 상 ·················································································329

 5.1 ······················································································ 331 개요

5.2 ········································································· 331 피부의 기능

5.3 ········································································· 332 화상의 분류

5.4 ································································ 336 초기 의학적 관리

5.5 ············································································· 337 상처 관리

5.6 ······································································ 337 관련된 문제들

5.7 ············································································· 339 화상 재활

5.8 ······································································ 341 작업치료 평가

5.9 ······································································ 341 작업치료 중재

5.10 ······························································ 352 화상 관련 합병증

Summary ···················································································· 355

예상문제풀이 ··············································································· 359

CHAPTER 6 절 단 ·················································································417

 6.1 ······················································································ 419 개요

6.2 ············································································· 422 상지 절단

6.3 ····························································· 426 상지 의수 프로그램

6.4 ·································································· 429 의수족 프로그램

6.5 ···································································· 435 의수 사용 훈련

6.6 ············································································· 436 전동 의수

6.7 ·································································· 437 하이브리드 의수

Summary ···················································································· 438

예상문제풀이 ··············································································· 441

CHAPTER 7 노 화 ·················································································483

 7.1 ······················································································ 485 개요

7.2 ······················································································ 486 건강

7.3 ································································ 486 노화로 인한 변화

7.4 ································································ 493 노인에 대한 공상

7.5 ··············································································· 494 작업치료

 예상문제풀이 ··············································································· 497

CHAPTER 8 심폐질환 ············································································511

 8.1 ······················································································ 513 개요

8.2 ··············································································· 514 심장질환

8.3 ········································································· 519 만성 폐질환

8.4 ···················································· 520 작업치료의 평가 및 치료

8.5 ······································································ 521 작업치료 중재

 예상문제풀이 ··············································································· 526

CHAPTER 9 종 양 ·················································································557

 9.1 ······················································································ 559 개요

9.2 ············································································· 560 

 9.3 ······················································· 562 작업치료 평가 및 중재

 예상문제풀이 ··············································································· 565

CHAPTER 10 감염 및 HIV AIDS ···························································577

 10.1 ···················································································· 579 개요

10.2 AIDS ······································································ 580 의 단계

10.3 ···················································································· 581 약물

10.4 ···················································································· 582 예방

10.5 ···················································································· 583 평가

10.6 ···················································································· 584 중재

 예상문제풀이 ··············································································· 585