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 교육 과정에 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, 출제 비중이 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 정의 및 역사·········································································7

 1.1 정의·························································································· 9

 1.2 역사························································································ 10

 1.3 작업수행················································································· 18

 1.4 Occupational therapy practice framework 3rd Edition ········· 19

 1.5 작업수행 모델········································································ 39

 1.6 작업치료의 과정···································································· 44

 1.7 치료 계획··············································································· 50

 1.8 작업치료 보고········································································ 54

 1.9 기록과 보고 과정 및 형식···················································· 55

예상문제풀이················································································· 58

CHAPTER 2 시지각···············································································177

 2.1 시작장애의 평가와 치료······················································ 179

예상문제풀이··············································································· 188

CHAPTER 3 ADL···················································································223

 3.1 ADL과 IDL 분류································································ 225

 3.2 ADL 및 IADL 관 요소련··················································· 228

 3.3 평가······················································································ 228

 3.4 훈련······················································································ 229

 3.5 문제에 따른 중재································································ 229

예상문제풀이··············································································· 249

CHAPTER 4 치료적 작업 및 도구들·····················································309

 4.1 적응 및 등급화···································································· 311

 4.2 운동······················································································ 312

 4.3 능동적 작업········································································· 314

 4.4 철학적 배경········································································· 314

 4.5 분야의 발전········································································· 315

 4.6 목적 있는 작업과 활동······················································· 315

 4.7 작업과 건강········································································· 316

 4.8 활동분석··············································································· 316

 4.9 치료적 접근········································································· 317

 4.10 활동의 적응과 단계화······················································· 317

 4.11 활동의 선택······································································· 320

 4.12 모의 또는 능력부여 활동·················································· 321

 4.13 Adjunctive modalities ························································· 323

예상문제풀이··············································································· 334

CHAPTER 5 보행보조도구와 보조기·····················································345

 5.1 보행보조기구의 개요··························································· 347

 5.2 보행보조기구의 종류··························································· 349

 5.3 이동보조기구········································································ 353

 5.4 이동 방법············································································· 363

 5.5 보조기 제작········································································· 369

 5.6 상지의 보조기······································································ 389

예상문제풀이··············································································· 394

CHAPTER 6 운전재활············································································435

 6.1 운전 평가············································································· 437

예상문제풀이··············································································· 443

CHAPTER 7 감각기능장애의 평가와 중재············································445

 7.1 신체감각계··········································································· 447

 7.2 신체감각계중재···································································· 458

예상문제풀이··············································································· 461

CHAPTER 8 안전과 감염관리································································471

 8.1 임상에서의 안전 권고사항·················································· 473

 8.2 특수 장비의 주의사항························································· 474

 8.3 감염관리··············································································· 478

 8.4 사고 및 응급상황································································ 484

예상문제풀이··············································································· 491

CHAPTER 9 수공예···············································································499

 9.1 목공예·················································································· 501

 9.2 가죽공예··············································································· 504

 9.3 바늘공예··············································································· 507

 9.4 구리공예 및 금속공예························································· 509

 9.5 모자이크··············································································· 511

 9.6 도자기공예··········································································· 513

 9.7 직물 짜기, 코바늘, 매듭장식, 기타 섬유공예···················· 519

 9.8 종이공예··············································································· 521

예상문제풀이··············································································· 524

CHAPTER 10 기 타···············································································613

 10.1 작업치료 윤리강령····························································· 615

 10.2 작업치료의 업무범위························································· 616

 10.3 작업치료 관련 의료 보험수가··········································· 616

 10.4 정신의학과 건강보험 요양급여 기준································ 619

예상문제풀이··············································································· 620