• The Journal of Korean Academy of Sensory Integration
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• v.14 no.2
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• pp.46-57
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• 2016

Objective : The purpose of this study is to prove the effects of exercise intervention on postural control of children with cerebral palsy in Korea by systematic review. Methods : Total 18 studies were selected through Korean research database engine such as DBpia, KISS and RISS for the systematic review in this study. Key words used were 'cerebral palsy', 'postural control' and 'balance' and publication time period was limited only after October 2006 in the research selection. All the selected studies were reviewed in terms of quality level of evidence and methodological quality level, and then the results were analyzed with Patient, Intervention, Comparison, Outcome (PICO). Results : For the level of evidence, it is found that 8 studies show Grade I, 5 studies show Grade III, and 2 studies show Grade V. In terms of Methodological quality, majority of the studies showed 'Fare' level. Majority of target population of the studies was children with spastic diplegia. Most research design of the studies were randomized controlled trials. The results in several suited showed that the postural control exercise used in Korea has positive impact on improvement of motor and balance ability. Conclusion : Impact of the exercise intervention used in Korea for postural control of children with cerebral palsy has been evidenced in this study. It is proposed that further research need to be done considering several types of cerebral palsy.

• The Journal of Korean society of community based occupational therapy
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• v.6 no.1
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• pp.33-39
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• 2016

Objective : The cognitive rehabilitation were necessary for the elderly has generally decreased memory in order to recovery and maintain. This study showed that effect of memorial strategy program on memory in the elderly. Methods : 20 elderly who has used seniors welfare center in Busan was divided into an experimental group and control group. The control group used program of seniors welfare center, the experimental group participated memorial strategy program twice a week, total of 8 times. We used contextural memory test(CMT) to compared before and after. Results : Immediate recall and delayed recall were no statistically significant difference(p>.05) in both experimental group and control group when compared before and after. But there was statistically significant difference(p<.05) in a experimental group after memorial strategy program. Conclusion : This study shown that memorial strategy program help memory improve in the elderly. Many programs for memory improve in the elderly expect that prevent dementia or mild cognitive impairment.

• The Journal of the Korea Contents Association
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• v.13 no.11
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• pp.1036-1045
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• 2013

The purpose of this study was to examine the effects of Simulation as a Problem-Based Learning (S-PBL) on critical thinking disposition, self-efficacy, and learning attitude and to compare an ordinary least square and a quantile regression method in impacting factors on critical thinking disposition. 143 students from six classes were randomly selected from a total of ten fundamental classes were assigned 66 in the control group and 77 in the experimental group. The results were that the experimental group received S-PBL and improved their critical thinking disposition and self-efficacy compared to the traditional learning method. In ordinary least square, affecting factors on critical thinking were the learning method and self-efficacy and these variables explained 41.0% in the critical thinking disposition. The results of the quantile regression method showed that affecting factors of critical thinking disposition were learning attitude of 0.1 quantile to 0.7 quantile and self-efficacy of all quantiles, and learning attitude of 0.4, 0.6, and 0.7 quantiles. Conclusion: The S-PBL is an effective method for nursing students who have low critical thinking disposition score to increase critical thinking disposition. And instructors can actively use S-PBL to enhance critical thinking disposition as well as self-efficacy in class.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.36-47
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• 2013

Objective : To identify the effect of bilateral arm training for activities of daily living(ADL) of the chronic phase after stroke. Methods : 20 patients with stroke, randomized to an experimental group(n=10) and a control group(n=10). Both groups received the usual occupational therapy. In addition, an experimental group received an bilateral arm training, 30-min sessions per a day for 6 weeks. The Functional Independence Measure(FIM) was used to evaluate ADL for both groups. Results : First, there is a significant difference before and after receiving the bilateral arm training(p <.05). Second, there are significant differences in all ADL areas of Self-care, Transfer, Social cognition after bilateral arm training(p<.05). Third, there are significant differences in all sub-areas of Self-care, only stairs of Locomotion, and only Problem solving of Social cognition by comparing sub-areas as bilateral arm activity(before and after) and occupational therapy intervention(before and after). Conclusion : Using bilateral arm training for the chronic phase after stroke improved their abilities of ADL. Therefore, there are an expectation to use bilateral activity training for the chronic after stroke clinically and a need of further study about bilateral arm training related to ADL in the future.

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.338-346
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• 2015

The purpose of this study was to develop a motivational enhancement therapy(MET) for impaired fasting glucose(IFG) patients in early stages of health behavior change and evaluate its effects on health promotion lifestyle, the stages of change and HbAlc. Data was collected in Health Center of U city, December 2011 to March 2012, conducted on 78 IFG patients who visited to the Health center, they randomized to intervention group(n=27) and control group(n=33). The intervention group received the MET, the control group received standard care. This MET programe was applied from MET programe. After developing, it confirmed content validity. Data was analyzed using descriptive statistics, $x^2-test$ and t-test with the SPSS WIN 20.0 program. Participants in the intervention group reported significantly increased scores of the stage of change(t=-20.224, p=.000) compared to those of the control group but no difference of health behaviors(t=-1.297, p=.200) and HbAlc(t=.794, p=.431). The findings indicate that the MET is an effective intervention in improving ealth behaviors and expect to be applied effectively to the preparation for implementation of health care interventions.

• The Journal of the Convergence on Culture Technology
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• v.7 no.3
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• pp.359-363
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• 2021

The purpose of this study is to investigate the effect of gardening programs using therapeutic gardens on the fall efficacy of the elderly. This study was applied to 31 elderly facility users from April to August 2019 at a nursing home P located in Gyeonggi-do. Among the 31 participants who participated in the program, 16 subjects in the experimental group and 15 subjects in the control group were randomly selected. As for the experimental group program, a fall program consisting of fall education and strength training four times a week and a horticultural occupational program were implemented once a week in a healing garden for a total of 15 weeks. The control group performed fall program for 30 minutes 5 times a week for a total of 15 weeks. The fall efficacy of the tested group increased by 5.50 points from 29points before the program to 34.50points after the program, and statistically significant results were obtained (p=0.000). The control group who only progressed the fall program increased 3.63 points from 28.87points before the trial to 32.50points after the trial, and statistically significant results were obtained (p=0.000). From this result, it can be confirmed that the horticultural program using the treatment garden has the potential as a program related to falls. In the future, various studies are needed so that gardening programs using gardens can be applied to prevent falls of the elderly.

• Journal of Industrial Convergence
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• v.21 no.8
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• pp.97-110
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• 2023

This study presents a systematic literature review aimed at integrating and analyzing the research findings regarding the components of various self-care intervention programs conducted for individuals with chronic obstructive pulmonary disease (COPD) both domestically and internationally. The paper selection criteria were established based on materials from PubMed, CINAHL, EMBASE, /MEDLINE, RISS, DBpia, KISS, and KMbase databases, covering the period from January 1, 2000, to September 30, 2022. The inclusion criteria included controlled pre-post experimental study designs. A total of 23 studies were included in this systematic review. The intervention-related factors examined included the sample size, type of intervention mediator, intervention frequency, and duration. Additionally, factors associated with intervention effects, such as measurement tools and variables, were analyzed. The findings of the analysis support the notion that self-care intervention programs for COPD can contribute to the prevention of symptom exacerbation and hospital readmissions among patients. Consequently, the development of a tailored self-care intervention program specifically designed for COPD patients in South Korea is warranted, considering aspects such as patient accessibility, convenience, and motivation for long-term sustainability.

• Neonatal Medicine
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• v.18 no.2
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• pp.353-358
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• 2011

Purpose: The goal of this study was to compare the efficacy of oral 25% dextrose treatment or/and pacifier for analgesia in healthy newborns during intramuscular injection of a hepatitis B vaccine. Methods: A prospective, randomized, partially blinded, clinical trial was performed in 132 healthy newborns. They were assigned randomly to 4 treatment groups: control group (2 mL distilled water), dextrose group (2 mL 25% dextrose), pacifier group, dextrose+pacifier group (pacifier coating with 25% dextrose) during intramuscular injection of hepatitis B vaccine. For all groups, Neonatal Infant Pain Scale (NIPS), Neonatal Facial Coding System (NFCS), Premature Infant Pain Profile (PIPP) scores were evaluated before the injection, during the injection, and at 2 minutes after the injection. Pain scores were compared among the 4 groups. Results: Maternal and neonatal characteristics were similar among the 4 groups. 25% dextrose treatment led to lower NIPS pain scores during injection (6.4${\pm}$0.9 vs. 5.5${\pm}$1.7, P=0.01) and after injection (1.6${\pm}$2.0 vs. 0.6${\pm}$0.9, P=0.01) and NFCS pain scores after injection (1.5${\pm}$2.3 vs. 0.7${\pm}$0.8, P=0.04) than control group. The number of neonates who feel the pain (indication of scores: NIPS${\geq}$4, NFCS${\geq}$3) decreased (9 (23.1%) vs. 0 (0%), P=0.04 via NIPS, 7 (17.9%) vs. 0 (0%), P=0.02 via NFCS). However, all treatment groups did not decreased PIPP scores, compared with the control group. Conclusion: Oral 25% dextrose is effective than distilled water or using pacifier with or without 25% dextrose in reducing pain during intramuscular injection of hepatitis B vaccinations. Further study based on this preliminary study need about nonpharmacologic management of pain in newborns.

• Therapeutic Science for Rehabilitation
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• v.4 no.2
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• pp.33-50
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• 2015

Objective : This study was conducted to determine various interventions in accordance with the recovery and cognitive processes in order to improve executive function in stroke patients through a systematic review. Methods : The literature search focused on Level I-IV studies published between January 1996 and April 2015 for 20 years in electronic databases(e.g. MEDLINE, SCOPUS, RISS). The keyword search terms were 'Stroke', 'Executive function', 'Executive function deficit', 'Occupational therapy', 'Rehabilitation', 'Remedial', 'Compensatory' and 'Education'. Result : A total of 13 articles were appraised using the hierarchy of levels of evidence-based practice and 6 Level I evidence articles, 1 Level II articles, 2 Level III articles and 4 Level IV articles. Each intervention improved executive function but was different in degree of generalization. Conclusion : Through this systematic review, we found that there are a variety of applied interventions improving executive function in stroke patients and are different in effect depending on methods of interventions. This study provided evidences to occupational therapists for the clinical practice of interventions to improve executive function in stroke patients.

• Tuberculosis and Respiratory Diseases
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• v.45 no.4
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• pp.813-822
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• 1998

Background: Extubation is recommended to be performed at minimum pressure support (PSmin) during the pressure support ventilation (PSV). In field, physicians sometimes perform additional 1 hr T-piece trial to the patient at PSmin to reduce re-intubation risk. Although it provides confirmation of patient's breathing reserve, weaning could be delayed due to increased airway resistance by endotracheal tube. Methods: To investigate the effect of additional 1 hr T-piece trial on weaning outcome, a prospective study was done in consecutive 44 patients who had received mechanical ventilation more than 3 days. Respiratory mechanics, hemodymic, and gas exchange measurements were done and the level of PSmin was calculated using the equation (PSmin=peak inspiratory flow rate $\times$ total ventilatory system resistance) at the 15cm $H_2O$ of pressure support. At PSmin, the patients were randomized into intervention (additional 1 hr T-piece trial) and control (extubation at PSmin). The measurements were repeated at PSmm, during weaning process (in cases of intervention), and after extubation. The weaning success was defined as spontaneous breathing more than 48hr after extubation. In intervention group, failure to continue weaning process was also considered as weaning failure. Results: Thirty-six patients with 42 times weaning trial were satisfied to the protocol. Mean PSmin level was 7.6 (${\pm}1.9$)cm $H_2O$. There were no differences in total ventilation times (TVT), APACHE III score, nutritional indices, and respiratory mechanics at PSmin between 2 groups. The weaning success rate and re-intubation rate were not different between intervention group (55% and 18% in each) and control group (70% and 20% in each) at first weaning trial. Work of breathing, pressure time product, and tidal volume were aggravated during 1 hr T-piece trial compared to those of PSmin in intervention group ($10.4{\pm}1.25$ and $1.66{\pm}1.08$ J/L in work of breathing) ($191{\pm}232$ and $287{\pm}217$cm $H_2O$ s/m in pressure time product) ($0.33{\pm}0.09$ and $0.29{\pm}0.09$ L in tidal volume) (P<0.05 in each). As in whole, TVT, and tidal volume at PSmin were significantly different between the patients with weaning success ($246{\pm}195$ hr, $0.43{\pm}0.11$ L) and the those with weaning failure ($407{\pm}248$ hr, $0.35{\pm}0.10$L) (P<0.05 in each). Conclusion : There were no advantage to weaning outcome by addition of 1 hr T-piece trial compared to prompt extubation to the patient at PS min.