• Title/Summary/Keyword: 다학제간

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Relationship of Knowledge about Disease, Illness Attitude, and Quality of Life for Patients with Chronic Obstructive Pulmonary Disease(COPD) (만성 폐쇄성 폐질환자의 질병관련 지식, 질병태도, 삶의 질에 관한 연구)

  • Bang, Yun Yi;Park, Hyojung
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.410-422
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    • 2017
  • The purpose of this study was to investigate the correlation between knowledge related to disease(KRD), illness attitude, and quality of life(QOL) in relation to the Chronic Obstructive Pulmonary Disease(COPD). According to the study result, there were significant differences with regard to KRD in accordance with subjects' education, monthly income, mMRC(modified Medical Research Council) Dyspnea Scale, inhaled bronchodilator and antibiotic treatment. In addition, there were significant differences with respect to illness attitude according to monthly income and mMRC. In case of the QOL, there were significant differences in accordance with age, marital status, monthly income, inpatient status, history of hospital admission, oxygen use, comorbidity, mMRC, and inhaled steroid. It has shown that there was a significant correlation between KRD and QOL(r=-.438, p<.001), illness attitude and QOL(r=.279, p=.001). Thus, it is important to grasp monthly income and mMRC, which are correlated with the three elements in common. As per assessment about COPD patients in the clinical situation, it is necessary to develop a multi-disciplinary approach, health coaching program for improving KRD and having a positive attitude based on the low-income group with taking interest in the circumstances of mMRC as well as objective test results.

Factors affecting HRQOL in Elders with Hearing Impairment : Based on the 2018 KNHNES (청력저하 노인의 건강과 관련된 삶의 질 영향요인: 2018 국민건강영양조사 자료를 이용하여)

  • Ha, Jeongmin;Park, Dahye
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.97-104
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    • 2020
  • The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2018. A total of 528 elders who had hearing impairment were included. Statistical analysis was performed using SPSS 25.0, χ2-test, t-test, correlation, and regression analysis to confirm the quality of life, and the influencing factors. There were significant differences in HRQOL according to gender, age, education, marital status, income, occupation, number of household members, tinnitus, number of comorbidities, smoking status, alcohol drinking status, subjective health status, regular exercise, restriction of activity, depressive mood and perceived stress. The results indicated that age, BMI and number of comorbidities had a significant negative association with HRQOL. In addition, marital status, number of comorbidities, body mass index, subjective health status, regular exercise, restriction of activity and perceived stress were predictors of life quality in elders with Hearing Impairment and the variable in the health-related quality of life was explained by 37.3%. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.

An Analysis of Research Using the Rhythmic Auditory Stimulation Technique: A Comparison of Music Therapy and Physical Therapy Approaches (국내 리듬청각자극(RAS) 기법 활용 연구 분석: 음악치료와 물리치료 비교를 중심으로)

  • Lee, Jiyeon
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.71-96
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    • 2020
  • The purpose of this study was to identify research that included the rhythmic auditory stimulation (RAS) technique and to compare this body of research within the field of music therapy with that in physical therapy. Forty-five studies were identified that were published from January 1999 through November 2018, and these were analyzed in terms of intervention procedure, type of rhythmic cueing, and therapeutic basis described by the researcher. While research in both fields used rhythmic cueing as the primary therapeutic agent, differences were found in the area targeted by training and specific type of rhythmic cueing used. Research conducted in the field of music therapy focused primarily on gait function, while research in the field of physical therapy tended to address gait-related physical issues, such as balance, muscle strength, and proprioceptive sensation as well as gait. While all of the identified studies from the field of music therapy used music for cueing, a metronome was used more often for cueing in physical therapy research. In terms of description of theoretical basis, theory of entrainment was more sufficiently described in music therapy research. These results indicate that while music therapy research maximized the role of various elements of music in intervening in gait function, physical therapy research addressed gait in relation to other physical functions. Considering that both aspects are essential for gait training, this study supports the need for a multidisciplinary approach to neurological rehabilitation with RAS.

Pressure Ulcer Risk Factors and Preventive Intervention in Long-Term Care Facilities : A Mixed method study (노인요양기관의 욕창발생 위험요인과 욕창예방 관리: 혼합연구)

  • Yun, Haesun;Park, Jeeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.147-155
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    • 2020
  • The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.

Study on Economic Value and Variance on Water Supply in Industrial Complexes (산업단지 내 공업용수 공급의 경제적 가치 및 한계생산가치 변동성에 관한 연구)

  • Kim, Gilho;Kim, Deokhwan;Kim, Kyungtak;Kim, Hung Soo
    • Journal of Wetlands Research
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    • v.20 no.2
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    • pp.190-200
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    • 2018
  • This study estimated the marginal production value based on the production function approach to confirm the economic value of industrial water supply projects. For this, we analyzed 4 data sets classified by 11 industry types according to Cobb-Douglas Function, Translog Function, and Translog function with sector dummy variables. As a result, the average industrial marginal product value of the entire industry was 3,217~5,357 won/ton, 2,994~4,569 won/ton and 3,620~5,342 won/ton, respectively. The results by industry type were the largest in furniture and other manufacturing industries and showed the lowest marginal production value in the textile and leather industries. Overall, the results from the Cobb-Douglas function were highly evaluated. And the volatility according to data sets was also analyzed in the Cobb-Douglas function. There have been few studies on the economic value of industrial water compared to domestic water. It is considered that multidisciplinary consensus will be needed through active research in the future.

Environmental Flow Assesment for Sustainable River Management in Guem River (지속가능한 하천관리를 위한 금강의 환경유량 산정)

  • Kim, Jeong-Kon;Kim, Gee-Hyoung;Ko, Ick-Hwan;Park, Sang-Young;Seo, Jin-Won;Jang, Chang-Lae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.622-627
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    • 2007
  • 최근 하천의 모습은 이수 및 치수를 위해 설치된 수공구조물과 각종 오염원으로 인한 수질악화, 산업화 및 도시화에 따른 물순환시스템의 변화로 하천의 물순환 시스템이 바뀌게 되고 하천을 찾는 시민들의 환경의식 미성숙으로 인한 직간접적인 하천오염 활동이 이루어지고 있다. 하천에 대한 이러한 변화는 수질, 수량 및 하천의 구조적 측면에서 하천 생태계에 많은 영향을 끼치고 있다. 따라서 하천의 정상적인 기능을 회복시켜 하천 생태계 보전과 환경적으로 안정된 하천 조성이 이루어지도록 하기 위해서는 하천을 보다 자연스럽고 지속적으로 관리하기 위한 효율적인 환경유량의 관리가 필요하다. 하천의 전체적인 생태시스템을 고려한 환경유량의 관리를 위해서는 기존 환경유량의 개념, 산정방법 등 현황을 분석하고 하천 생태계에 영향을 미치는 인자들에 대한 관리방안을 마련하는 것이 중요하다. 본 연구의 목표는 하천생태계에 대한 영향인자의 장단점을 분석하고 이들이 어느 정도의 영향을 미치고 있는지를 정량적으로 파악함으로써 사회적으로 요구되는 환경유량을 산정할 때 어류 및 식생 등 하천의 생태계와 하천의 수량 및 수질, 하천의 수리구조물 등 하천의 구조적인 변화를 고려할 수 있는 방안을 마련하는 것이다. 이를 위하여 우선적으로 국외 선진국에서 활용되고 있는 다학제간 전문가 그룹(Multi-disciplinary Expert Team, MET)을 통해 하천 생태시스템을 분석하고 환경유량 산정 모형을 활용하여 저수지 댐과 연계 운영함으로써 어류 및 식생 등 생태서식처와 사회환경 개선에 필요한 유량을 유지할 수 있는 방안을 적용하고자 한다. 본 연구에서는 대상유역인 금강유역에 대해 환경유량을 산정하기 위한 개념모형을 구축하였다. 개념모형은 대청댐 건설 이전, 대청댐 건설이후${\sim}$용담댐 건설 이전, 대청댐과 용담댐 건설 이후 등 3개의 시나리오를 통해 하도 및 수변공간과 유량변화에 따른 유황분석 등을 통해 손실된 생태시스템을 정량화하여 궁극적으로는 복원을 위한 대응방안을 마련하도록 할 수 있도록 구축되었다. 또한 댐으로 인한 하류지역의 영향범위 및 하천생태계에 미친 영향을 감소하기 위하여 적절한 환경유량을 산정하기 위한 것이다. 구축된 개념모형을 바탕으로, 금강유역에 대한 기초적인 수문, 하천특성, 현장조사 등을 실시하였다. 향후에는 본 연구결과를 기초로 하여 환경유량을 산정하기 위한 모형을 개발하고 산정된 환경유량을 확보 및 관리하기 위한 방안과 친환경적인 댐 운영방안을 마련하게 될 것이다.

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Models for Spiritual Care in Hospice and Palliative Care

  • Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.41-50
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    • 2018
  • Spirituality is an essential part of human beings. Spiritual care, designed to meet the spiritual needs of terminally ill patients and their families, is one of the most important aspects of hospice and palliative care (HPC). This study reviewed and analyzed literature utilizing the most commonly used Korean and international healthcare databases to identify care models that adequately address the spiritual needs of terminally ill patients and their families in practice. The results of this study show that spirituality is an intrinsic part of humans, meaning that people are holistic beings. The literature has provided ten evidence-based theories that can be used as models in HPC. Three of the models focus on how the spiritual care outcomes of viewing spiritual health, quality of life, and coping, are important outcomes. The remaining seven models focus on implementation of spiritual care. The "whole-person care model" addresses the multidisciplinary collaboration within HPC. The "existential functioning model" emphasizes the existential needs of human beings. The "open pluralism view" considers the cultural diversity and other types of diversity of care recipients. The "spiritual-relational view" and "framework of systemic organization" models focus on the relationship between hospital palliative care teams and terminally ill patients. The "principal components model" and "actioning spirituality and spiritual care in education and training model" explain the overall dynamics of the spiritual care process. Based on these models, continuous clinical research efforts are needed to establish an optimal spiritual care model for HPC.

A Study on the Research Topics and Trends in Korean Journal of Remote Sensing: Focusing on Natural & Environmental Disasters (토픽모델링을 이용한 대한원격탐사학회지의 연구주제 분류 및 연구동향 분석: 자연·환경재해 분야를 중심으로)

  • Kim, Taeyong;Park, Hyemin;Heo, Junyong;Yang, Minjune
    • Korean Journal of Remote Sensing
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    • v.37 no.6_2
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    • pp.1869-1880
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    • 2021
  • Korean Journal of Remote Sensing (KJRS), leading the field of remote sensing and GIS in South Korea for over 37 years, has published interdisciplinary research papers. In this study, we performed the topic modeling based on Latent Dirichlet Allocation (LDA), a probabilistic generative model, to identify the research topics and trends using 1) the whole articles, and 2) specific articles related to natural and environmental disasters published in KJRS by analyzing titles, keywords, and abstracts. The results of LDA showed that 4 topics('Polar', 'Hydrosphere', 'Geosphere', and 'Atmosphere') were identified in the whole articles and the topic of 'Polar' was dominant among them (linear slope=3.51 × 10-3, p<0.05) over time. For the specific articles related to natural and environmental disasters, the optimal number of topics were 7 ('Marine pollution', 'Air pollution', 'Volcano', 'Wildfire', 'Flood', 'Drought', and 'Heavy rain') and the topic of 'Air pollution' was dominant (linear slope=2.61 × 10-3, p<0.05) over time. The results from this study provide the history and insight into natural and environmental disasters in KRJS with multidisciplinary researchers.

Analysis of health-related quality of life factors in south Korean one-person households (한국 1인 가구의 건강관련 삶의 질 영향 요인 분석)

  • Gu, Hye-Ja
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.453-463
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    • 2019
  • The purpose of this study was to investigate one-person household its health-related quality of life(HRQOL) using data from the seventh Korea national health and nutrition examination survey(KNHANES Ⅶ-2) 2017. The subjects were 301. The data were analyzed by frequency, descriptive analysis and linear regression analysis using SPSS complex samples Win 25 program. The HRQOL score was 0.92, and 2.5% of the subjects in the pain and discomfort area had severe problems. HRQOL related to the subject was 0.034, 0.039, and 0.031, respectively, when the household income level was lower, the education level was lower than elementary school graduates, and if they did not drink at present. HRQOL was 0.072, 0.065, 0.103, and 0.040 in perceived health status good or moderate, the absence of activity limitation and arthritis, was explained 43.1%. There is a need to develop interdisciplinary approaches with great interest in improving the one-person households HRQOL.

Comparison of the nutritional indicators of critically Ill patients on extracorporeal membrane oxygen (ECMO) (체외막산소화장치 (ECMO) 적용 중환자의 영양지표 비교)

  • Shin, Nah-Mee;Ha, Suk Yeon;Cho, Yoon Soo
    • Journal of Nutrition and Health
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    • v.54 no.5
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    • pp.489-500
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    • 2021
  • Purpose: This study aimed at investigating the nutritional status, nutritional support, and nutritional indicators of critically ill patients on extracorporeal membrane oxygen (ECMO) in intensive care units (ICU). Methods: This descriptive study obtained data from the medical records of 37 patients who were treated using ECMO at a university hospital in Korea. The patients were admitted to the Korea University Anam Hospital ICU with acute or serious damage to vital organs from January 1, 2014 to June 30, 2016. Results: Although 32 patients (86.5%) were at a high risk of malnutrition, 26 patients (70.3%) were considered normal in terms of nutritional status by the nutritionist at the beginning of their ICU stay. However, after two weeks, nine patients had passed away and only one patient maintained normal status. Parenteral nutrition was started first but took 4.25 ± 6.95 days till initiation. Only eight patients (21.6%) were able to meet their requirement for both calories and protein. The group provided with adequate calorie and protein showed significantly longer use of the ECMO and respirator and longer ICU and total hospital stay than their counterparts. Normal levels of serum albumin and protein of the group at low-risk for malnutrition on the day of initiation of ECMO, which were significantly higher than the high-risk group, declined by the last day of ECMO leading to a lack of significant differences between the two groups. Conclusion: Considering that the nutritional indicators of patients deteriorated as the days on ECMO increased, more aggressive nutritional management to ensure adequate nutritional support should be emphasized from the beginning and throughout the ICU stay.