• Title/Summary/Keyword: 동기증진치료

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Development and Effects on a Program for Decreasing Violent Behaviors of the Spouse Abusers with Drinking Problems - Applying Motivational Enhancement Therapy - (음주문제를 가진 가정폭력가해자 폭력행동감소 프로그램의 개발과 효과 - 동기증진치료의 활용을 중심으로 -)

  • Jang, Soo-Mi
    • Korean Journal of Social Welfare
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    • v.56 no.1
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    • pp.103-126
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    • 2004
  • The court-mandated spouse abusers with drinking problems not only resist and complain about taking the court-mandate but also have the low motivation to change their problem drinking and violent behaviors. Therefore, in this study the program is developed to decrease violent behaviors of spouse abusers with drinking problems. Also, the usefulness of this program is examined by quantitative and qualitative methods. The results are as follows: The experimental group's pre-to-post variation is decreased by significant level statistically more than the comparison group's variation in drinking problems. Regarding violent behaviors among groups, the experimental group's pre-to-post and pre-to-followup variation are decreased significantly. It is assumed that Motivation Enhancement Therapy(MET) influences the differences of motivation to change violent behaviors in both groups. The reason is that MET is considered to have influences on the group's dynamics and interaction. Also, it is helpful to change the negative emotions to the positive emotions and to stimulate the group interaction and the participation. This study will be contributed to promote the speciality on providing services for family in a domestic violence in Korea. Through this study, I suggested future implications in research, practice, and political side on spouse abusers with drinking problems.

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Effect of Breathing Exercise on Improvement of Pulmonary Function in Patient With Amyotrophic Lateral Sclerosis: Case Study (근위축성 측색 경화증 환자에서 호흡운동 치료가 폐기능에 미치는 효과)

  • Jung, Young-Jong
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.71-80
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    • 2001
  • 근위축성 측색 경화증 (amyotrophic lateral sclerosis: ALS) 환자에게 있어 호흡기능장애는 죽음에 이르게 하는 주요 원인 중 하나이다. 본 연구는 근위축성 측색 경화증이 있으며 호흡기능이 약화되어 있는 51세의 여성 환자를 대상으로 호흡운동 치료를 시행한 후 폐기능(pulmonary function)이 증진되었는지를 알아보고자 실시하였다. 연구 대상자는 6주간의 호흡운동 치료 프로그램에 참여하였다. 호흡운동 치료 프로그램은 횡경막 호흡(diaphragmatic breathing), 복부근육강화(abdominal mu scles strengthening), 지갑입술 호흡(pursed lip breathing), 그리고 동기 유발성 흡기폐활량계(incentive spirometer)를 이용한 흡기운동 등으로 구성되었다. 폐기능 검사는 이동식 호흡측정기(spirometer: MICROSPIROHI-198)를 이용해서 시행하였다. 또한 하지 에르고미터(cycle- ergometer)를 이용해 운동 시간을 측정함으로써 폐기능의 증진 여부를 알아보았다. 연구 대상자는 6주간의 호흡운동 치료 기간 동안 노력성 폐활량(forced vital capacity: FVC)과 정상 예측치에 대한 노력성 폐활량의 비율(percentage of the predicted forced vital capacity: %FVC), 그리고 하지 에르고미터의 운동 시간에 있어 현저한 증가를 보였다. 그러나 노력성 폐활량에 대한 1초간 노력성 폐활량 비(FEV1/ FVC)에 있어서는 약간의 감소를 보였다. 근위축성 측색 경화증 환자에게 6주간의 호흡운동 치료를 실시한 결과, 폐기능의 증진에 효과적임을 알 수 있었으며, 앞으로 더 많은 연구 대상자에게 그 효과를 알아보는 연구가 필요할 것이다.

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The Study of an Improvement of Learning understanding Ability Throught Practice to Based Evidence (EBP를 통한 학습 이해 능력 개선에 관한 연구)

  • Lee, Dong-Yeop
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.590-593
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    • 2011
  • 본 연구는 물리치료학과 학생들을 대상으로 근거중심의 학습을 통해 학습 이해도와 성취도, 실무능력을 증진시키고자 하는 연구를 실시하였다. 과학적이고 근거중심의 단계별 수업을 이수한 1학년 대상자인 17명이 연구에 참여하였고, 남자와 여자로 구분하여 강의전, 후로 나누었다. 성별에 따른 성취도 분석과 강의 전, 후에 따른 근거중심 학습의 효용성에 관한 특성을 비교하였다. 통계처리 방법으로 실험 전 후 차이를 검증하였고, 모든 통계적 유의수준은 0.05로 하였다. 본 연구의 결과 근거중심 학습의 필요성, 학습 시너지 효과, 전문학술지 접근도에서 강의 전에 비해 후에 유의한 감소를 보였다. 향후 저학년인 1, 2학년 물리치료학과 학생들에게 흥미를 유발하고 동기를 부여하여 저널 탐색을 통한 임상 물리치료에 대한 접근도를 강화시킬 필요가 있고 이를 통해 이론중심의 수업보다 실무중심의 명확한 근거 위주의 수업을 지향해야 할 필요성이 있다고 생각한다.

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A Study on Professor Trust, Achievement Motivation, and Self-efficacy among Allied Health Students : Focusing on the G University (보건계열학과 대학생들의 교수신뢰, 성취동기, 자기효능감에 관한 연구 : G대학 중심으로)

  • Hwang, Min-Ji;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.157-166
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    • 2019
  • The purpose of this study was to investigate the level of professor trust, achievement motivation, and self-efficacy of health college students in G university, and to analyze the relationship between these variables and its influential factors to provide basic data on improvement of teaching methods and academic achievement. The study period was March 1 through 30, 2018. Study subjects were 276 health college students in G university located in G. City. The survey was conducted by the researcher, described the purpose of the study and distributed and collected the questionnaires. The questionnaire consisted of professor trust 27 items, achievement motivation 28 items and self-efficacy 24 items. As a result, professor trust was higher when the grade was lower and the degree of major satisfaction was better, and in order of the division of the health administration, the department of speech-language therapy, and the department of nursing. Achievement motivation was higher in the first grade than in 4th grade and when the degree of major satisfaction was better. Self-efficacy was higher in order of higher grades. Professor trust, achievement motivation, and self-efficacy were correlated with each other, and achievement motivation and self-efficacy influenced the professor trust. The result of this study suggests that the achievement motivation and self-efficacy of college students will be improved based on the mutual trust among the members of the university.

Influences of Self-esteem, Rehabilitation Motivation on Quality of Life in Stroke Pateints with Rehabilitation Therapy (재활치료 중인 뇌졸중 환자의 자아존중감, 재활동기가 삶의 질에 미치는 영향)

  • An, Eun-Seo;Suh, Soon-Rim;Kim, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.176-187
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    • 2019
  • This study was conducted to investigate the levels of self-esteem, rehabilitation motivation and quality of life and to identify the influencing factors of quality of life in stroke patients who were receiving rehabilitation therapy. Data were collected from February 22 to March 20, 2016 using self-administered questionares and the data from 216 participants were analyzed using SPSS WIN 21.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: the mean self-esteem was 3.09/5, rehabilitation motivation was 3.60/5, and quality of life was 2.95/5. Sex, age, education, caregiver, occupation, duration after attack, the degree of disability(dependence), and cognitive function were significantly associated with quality of life. There was positive correlation between quality of life and self-esteem(r=.45, p<.001) and there was positive correlation between quality of life and rehabilitation motivation(r=.27, p<.001). Variables such as self-esteem, duration after attack, the degree of disability(dependence), and cognitive function explained 43.6%(F=14.87 p=<.001) of the variance in quality of life in model 3. Consequently, it is needed to develop and apply nursing intervention and programs for improving self-esteem during rehabilitation in order to improve quality of life of stroke patients.

The convergent influence of Perceived Stress and the Empowerment on Rehabilitation motive of Stroke patients (뇌졸중 환자가 지각한 스트레스와 임파워먼트가 재활동기에 미치는 융복합적 영향)

  • Kang, Hyo-Jeong;Kwon, Suhye;Youn, Soon-Chul
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.291-303
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    • 2016
  • The purpose of this study has been done to identify the influencing factors on rehabilitation motive of stroke patients. A sample of 138 stroke patients in Long-term Care and rehabilitation hospitals completed questionnaires through face - to - face interviews. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. Rehabilitation motive of stroke pacients was correlated with empowerment (r=.467, p<.001), but not with perceived stress(r=.-.186, p=.029). In a multiple regression, empowerment (${\beta}=.432$, p<.001) and primary care-giver (${\beta}=.175$, p=.023) were associated with rehabilitation motive. These factors attributed to 24% of the total variance in rehabilitation motive. Therefore, the study finding suggests that these significant factors should be considered when developing and implementing convergent care strategies for stroke patients in order to promote their rehabilitation motive.

Web-based Interactive Applications and System to Motivate the Rehabilitation of the Brain Disease Patients (뇌질환 환자의 재활 동기 증진을 위한 웹 기반의 상호 작용형 애플리케이션 및 시스템)

  • So, Seong-Seok;Ryu, Mun-Ho;Yang, Yoon-Seok
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.71-79
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    • 2011
  • The rapid growth of the older population and the decrease in the ages of patients suffering from brain diseases yield desperate demands for social rehabilitation methods to help the brain disease patients to come back to their society. This study developed a prototype of an web-based interactive applications and system to motivate the rehabilitation of the brain disease patients by increasing self accomplishment, and strong willingness to recover. For easy access and dynamic interactions, we utilized various programing languages and authoring tools compatible with Web 2.0 environment. The developed system does not need installation of any dedicated software. It provides an open platform in which many useful interactive applications are easily integrated. It will be extended to a system which provide advanced rehabilitation for brain disease patient and the elderly.

Cognitive-Motor Interaction-Based Instrument Playing for Improving Early Social Skills of Children With Autism Spectrum Disorder (ASD 아동의 초기 사회기술 향상을 위한 인지-운동 통합 기반 악기연주 중재)

  • Yu, Hyun Kyung
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.75-97
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    • 2023
  • This study aimed to investigate the effect of cognitive-motor interaction-based instrument playing on the early social skills of children with autism spectrum disorder (ASD). Nine children with ASD, averaging 5.6 years of age, participated in twelve individual sessions lasting 30 minutes each. The intervention comprised five stages: self-regulation, motivation to engage in social interaction, acceptance of a partner in co-playing activities, interpersonal coordination with a partner, and engagement in joint music playing. To evaluate changes in early social skills, joint attention and social interaction behaviors were observed, and the Social Responsiveness Scale (SRS-2) was administered pre- and post-intervention. Social synchronization was measured through a dyadic drum task, measuring synchronization accuracy, duration, and timing. Following the intervention, all nine children demonstrated increased early social behaviors, although there were no significant differences in SRS scores. Moreover, synchronized movement improved significantly in accuracy and maintained duration but not in reaction time. This study highlights the significance of recognizing the cognitive-motor interplay as crucial element in facilitating early social skills development in children with ASD.

희귀 의약품의 현재 상황과 발전 방향

  • Son, Yeong-Bae;Gu, Hyeon-Min;Jin, Dong-Gyu
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.13 no.1
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    • pp.62-68
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    • 2013
  • 우리나라의 경우 희귀질환은 국내 유병인구가 2만명 이하로 드물게 나타나는 질환으로 적절한치료 방법과 대체의약품이 개발되지 않은 병을 말한다. 희귀의약품은 대상 환자 수가 적어 연구개발이 어렵고 시장에서 수익성을 기대하기 어려워 제약기업이 쉽게 개발할 동기를 갖기 어렵기 때문에 선진국에서는 희귀의약품의 개발을 촉진하기 위한 제도를 운영하고 있다. 국내에서도 희귀질환자들에게 치료기회를 확대 제공하기 위한 일환으로, 1999년 정부의 적극적인 지원하에 한국희귀의약품센터가 설립되었다. 한국희귀의약품센터는 적용대상이 드물고 대체의약품이 없어 긴급한 도입이 요구되는 의약품 및 희귀질환자 치료용 약품의 구입공급과 제반 정보의 수집 및 제공을 함으로써 국민의 건강증진에 기여하고 있다. 한국희귀의약품센터의 주요 역할은 희귀의약품 및 희귀질환에 대한 최신정보를 수집 분류 데이터베이스화하여 이를 희귀의약품의 수요자 및 공급자 등 필요로 하는 자에게 제공하고 있으며, 특히 적용 대상이 드물고 대체의약품이 없어 긴급하게 도입할 필요가 있는 의약품 및 희귀질환자 치료용 의약품에 대하여 자가 치료용 의약품의 수입추천 안내 및 수입대행, 희귀의약품의 지정추천업무 등을 수행하고 있다. 희귀의약품 지정에 관한 규정은 1998년 4월 16일에 식품의약품 안전처에서 고시하였으며 2013년 2월에 식약처에서 고시 제 2013-8호로 개정하였다. 개정 이유는 지속적인 투자, 연구 개발이 필요한 희귀의 약품의 개발을 활성화하고 지정 한도액을 상향하는 등 희귀의약품 지정제도 개선하고자 하는 것이다. 이번 개정의 주요 내용은 개발 초기부터 '개발단계 희귀의약품' 지정하고 지정 갱신을 위해 별도 생산(수입)실적 보고를 폐지하며, 위탁제조판매업자의 희귀의약품 지정 신청을 가능하게 하고, 유병인구 500명 이하인 경우 지정한도 금액 상향 등이다. 이번 개정을 통해 희귀의약품에 대한 연구 개발이 더욱 확대 될 것으로 기대하며, 앞으로도 희귀질환 환자들에게 원활하게 희귀의약품이 공급되도록 지원 정책이 추진되어야 할 것이다.

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Effects of Depression on the Rehabilitation Motivation of Middle-Aged Stroke Patients - Focused on the Mediating Effects of Resilience (뇌졸중 중년 환자의 우울이 재활동기에 미치는 영향 - 극복력의 매개효과 중심으로)

  • Oh, Soo-Yong;Hwang, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.58-66
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    • 2017
  • This study was a descriptive correlational study investigating the mediating effects of resilience in the relationship between depression and rehabilitation motivation in middle-aged stroke patients. There was a total of 185 middle-aged patients aged 40 to 64 years, who were diagnosed with stroke at a university hospital and rehabilitated at three local hospitals located in S city and four hospitals in U city. The data were collected using a self-reported questionnaire between the 1st and 31st of December in 2016. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and step-wise causal method using SPSS/WIN 22.0 statistical program. To test the statistical significance of the mediation effect, PROCESS and bootstrapping were used. The mean age of the subjects were $56.26{\pm}6.37$ years. There were 70.3% male subjects, an average depression level was $21.21{\pm}7.09$, an average resilience was $25.52{\pm}9.63$, and rehabilitation motivation was $47.44{\pm}5.87$. Depression was negatively related to resilience and rehabilitation motivation. However, resilience and rehabilitation motivation have a static correlation. These results confirmed that resilience appears to be a complete mediating effect in the relationship between depression and rehabilitation motivation. Therefore, it is important to develop a resilience enhancement program to improve the motivation of rehabilitation for stroke patients.