• Title/Summary/Keyword: 예방적 중재방법

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Pressure Ulcer preventive intervention and risk factors for pressure ulcers : A review of the literature (욕창예방을 위한 중재와 영향요인 : 체계적 문헌고찰)

  • Yun, Haesun;Park, Jeeyeon
    • Journal of Digital Convergence
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    • v.18 no.2
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    • pp.323-331
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    • 2020
  • This study was to perform a systematic review to examine pressure ulcer preventive intervention and risk factors. PRISMA flow diagram in accordance with the selection process of this research was done. The literatures were retrieved from domestic and international study from 2010 to June, 2019. A total of 30 literatures were selected according to the selection criteria of this study. The literatures were searched electronically using the search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention'. The results of this study suggest that mediation with position change and pressure reduction device reduced the incidence of pressure sores and was important for prevention. Based on the results of this study, we provide basic data for preventive intervention of pressure ulcers that are appropriate for each medical institution.

A Literature Review for Fall-Prevention Nursing Program Development based on the Fall Information of a Rehabilitation Hospital (일 지역 재활병원의 낙상 정보에 근거한 낙상예방 간호중재 프로그램 개발을 위한 문헌분석 연구)

  • Park, Hee-Ok;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
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    • v.10 no.8
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    • pp.99-107
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    • 2020
  • This study is to design an effective fall-prevention nursing program. Researchers investigated the current condition and risk factors for falls in the small-medium sized rehabilitation hospital with descriptive research. We conducted integrative literature review to reflect the current approach of fall-prevention nursing program. We found that the risk factors for falls are related to the characteristics of clinical setting of the hospital. We suggested the nursing intervention with applying fall risk assessment scale that is sensitive to the elderly population and the intervention that shows maximum effect. In conclusion, this study proposed the way of selecting an effective fall-prevention nursing program based on a clinical setting and prospective of its application. This will contribute to the improvement in nursing practice with the critical view in hospital fall.

Effects of Active and Passive Distraction Intervention on Pain Responses of Preschool Children during Immunization (능동적 및 수동적 관심전환 중재가 예방접종 시 학령전기 아동의 통증반응에 미치는 효과)

  • Im, Eun-Seon;Kim, Jin-Sun
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.102-112
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    • 2016
  • The purposes of this study were to identify the effects of distraction strategies compared to usual pain management, and to compare the effects of passive and active distraction on pain responses of preschool children during immunization. A quasi experimental with non-equivalent control group posttest design was used. Participants for each group were 30 preschool children who visited a pediatric clinic to have influenza immunization. Children in experimental groups selected one of two distraction types. Pain responses were measured by children, parents, and researcher. Pain responses by children, parents, and researcher during immunization were significantly different between groups. Children in passive or active distraction group were more distracted than children in control group. Moreover, self-reported pain response by children($2.70{\pm}0.88$) and researcher($12.97{\pm}2.39$) in active group were higher than pain scores by children($2.27{\pm}0.64$) and researcher($10.63{\pm}1.65$) in passive group. Results of this study identified that distraction intervention is an effective method for decreasing pain responses in preschool children during immunization. Passive distraction is more effective than active distraction. Use of distraction strategies during immunization should be facilitated. Further research comparing distraction strategies by types and forms is needed.

High school teachers' knowledge and misconception on youth suicide (청소년 자살에 대한 고등학교 교사의 지식과 오해)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.97-117
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    • 2007
  • The goal of this study was to find out how prepared Korean high school teachers are to identify suicidal students and connect them to appropriate resources. This study surveyed 390 high school teachers in terms of their level of knowledge on youth suicide and their misconception on suicide. In addition, this study examined what kind of actions they usually take once they identify suicidal students. Results indicated that high school teachers in Korea did not have sufficient knowledge to identify suicidal students and they did not think they are capable of identifying those students. Although their misconception on youth suicide was not as pervasive as expected, some of the misconception were still problematic in relation to suicide intervention. Furthermore, their intervention strategies for suicidal students were quite limited, focusing on isolated individual efforts. It is critical to develop and implement teacher training programs for youth suicide prevention which address suicide risk factors, warning signs, crisis response, and referral procedures.

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Intervention Program Effectiveness for Preventing Sexual Violence: A Systematic Review (성폭력 예방 교육 중재 프로그램에 관한 체계적 문헌고찰: 국내 연구를 중심으로)

  • Woo, Chung Hee;Ryu, Gi Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.409-419
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    • 2019
  • This study was conducted to synthesize sexual violence prevention programs by systematic review and to establish an effective program for its prevention. Existing studies of domestic sexual violence prevention programs were retrieved using RISS, KISS, and NDSL from 2000 until August 2018. Of 1125 studies identified, 22 met the inclusion criteria. Study participants were children to adults and students with disabilities. The methods of intervention varied according to the characteristics of the participants and included lectures, discussions, role plays, puppet shows, songs and campaigns. The contents of the intervention were related to the concepts of sexual violence, sexual violence coping, sexual harassment, and gender equality, while the main variables influencing the results of intervention were sexual knowledge, sexual attitude, sexual violence knowledge, sexual violence coping and gender equality consciousness. In most of the studies was effective. However, for some studies, sexual awareness and sexual attitude were not significant influencing factors. Future sexual violence prevention programs should include gender equality and bystander concepts, that can recognize social responsibility for sexual violence.

Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury : A Systematic Review (지역사회 재활이 외상성 뇌손상 환자에게 미치는 효과: 체계적 고찰)

  • Park, Young-Ju;Chang, Moon-Young;Kim, Kyeoung-Mi
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.13-23
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    • 2012
  • Objective : The purpose of this study was to provide evidence for effectiveness of community-based rehabilitation methods and results after traumatic brain injury through systematic review. Methods : The materials of the research were collected by retrieving research items in the areas of "community-based rehabilitation" and "traumatic brain injury" from the data base of Ovid and PubMed. Among the collected materials, 7 research results are suggested concerning the effectiveness of rehabilitation in community-based after traumatic brain injury in terms of subjects, measurement tools, cure methods and results. Results : Characteristics of subjects were diverse in numbers of subject, age, level of impairment and duration of disease. Research designs were all experimental studies and the most outcome parameters of community-based rehabilitation was occupational performance(27.7%). Cure methods were used occupational therapy programs concerning rehabilitation programs, cognitive therapy, cognitive behavioral therapy and home based occupational therapy. Conclusion : The results implied that community-based rehabilitation is effective on occupational performance, participation, prevention, and occupational justice, partially effective on adaptation, health and wellness, and non effective on the role competence. It is suggested the future research need to be done to develop intervention programs and studies in every types.

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Comparative Effects and Ranks of Pressure Ulcer Preventive Programs in Intensive Care Units: A Network Meta-analysis (중환자실 욕창예방 프로그램 효과의 비교순위: 네트워크 메타분석)

  • Ko, Ji Woon
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.563-572
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    • 2021
  • This study conducted a network meta-analysis to compare the effectiveness and ranking of pressure ulcer preventive programs in intensive care units. A frequency network meta-analysis was performed to identify evidence from relevant randomized control trials. A total of 10 randomized control trials involving 5 intervention subgroups were included in this study. Based on the ranking probabilities(P-Score), preventive materials was ranked as the most effective among all programs (P-Score 85.3.%: OR=0.12, 95% CI: 0.03, 0.49). Next was silicone foam dressing(P-Score 84.5%: OR=0.14, 95% CI: 0.05, 0.38), care bundle(P-Score 60.0%: OR=0.29, 95% CI: 0.07, 1.25), reposition (P-Score 32.3%: OR=0.66, 95% CI: 0.21, 2.09) and synthetic fabrics (P-Score 23.8%: OR=0.85, 95% CI: 0.20, 3.65). It is necessary to develop practical and efficient interventions that can prevent pressure ulcers in intensive care unit patients, improve patient safety, and reduce nurses' workload.

Characteristics and Effects of Lifestyle Interventions for Community Dwelling Older Adults: A Systematic Review (지역사회 노인을 대상으로 적용한 라이프스타일 중재의 형태와 효과에 관한 체계적 고찰)

  • Won, Kyung-A;Shin, Yun Chan;Park, Sangmi;Han, Areum;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.7-30
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    • 2019
  • Objective : The purpose of this study was to analyze the format and effects of lifestyle intervention provided to community dwelling older adults. This systematic review was written following the PRISMA guideline. Methods : The National Digital Science Library(NDSL), RISS, PubMed, and CINAHL were used to search for articles published from January 2008 to December 2017. In total, 20 articles were selected for the analysis and the risk of bias was screened through the Physiotherapy Evidence Database Scale. Lifestyle interventions in the articles were classified according to the disease of the participants. Results : Major contents of the lifestyle interventions were increased physical activity like moderately intensive exercise and education or training to help participants have a healthy diet. Of the 20 articles, 17 included more than 2 types of contents. Examining biochemical factors was the most common measurement among the multifaceted measurements used to assess the effects of lifestyle interventions. The results of the lifestyle interventions described in each article did not indicate congruent effects. 14 of the 20 articles reported the lifestyle interventions had significant effects. Conclusions : The results of this study could help practitioners select the contents of and provide lifestyle interventions to older adults. Further study on the various applications of lifestyle interventions in a community setting is necessary.

Systematic Review of Evidence-Based Intervention for Gait in Dementia Patient (치매환자의 보행에 관한 근거기반 중재에 대한 체계적 고찰)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.21 no.2
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    • pp.667-675
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    • 2021
  • This study conducted a systematic review of evidence-based interventions to confirm the importance of gait in dementia patients and to inform the necessity of various interventions necessary for gait. Based on PRISMA's guidelines and evidence-based intervention, a systematic review were conducted, and papers published in domestic journals for the past 10years were collected, and the dependent variables measured along with the intervention type and gait were analyzed. For data search, research papers from January 2011 to June 2020 were collected through RISS, KISS, the National Library of Korea, and the Library of Congress. The main search terms were 'dementia patient', 'walking', and 'walking ability'. Searched 57 papers on dementia patients and gait that meet the literature selection criteria. Among them, papers overlapping with papers before 2010, papers whose dependent variable is not related to gait ability were excluded, and finally, other than dementia diseases. As for the type of gait intervention, there were many programs related to exercise such as fall prevention and physical activity, and the dependent variables measured along with gait were physically and psychologically diverse. Although domestic studies for dementia patients are conducted in a variety of directions and methods, there are few studies on the improvement of function and gait of the lower extremity part of the body. Therefore, it is necessary to study the multifaceted and various intervention methods for walking in dementia patients.

Trends in Health-Related Intervention Research Applied to Children and Adolescents in Multicultural Families (다문화가족 아동과 청소년에게 적용된 건강 관련 중재연구의 동향 : 간호교육에의 시사점)

  • Yoo, Hana;Cho, Jung A.
    • Journal of Practical Engineering Education
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    • v.11 no.1
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    • pp.133-141
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    • 2019
  • The purpose of this study was to analyze the current status and effects of health-related intervention for children and adolescents in multicultural families and to provide a evidence of nursing educational intervention. The Scoping strategy was applied, the 12 published literature were analyzed according to the selection criterion and exclusion criterion among 604 published literature retrieved through 8 electronic databases. The results of this present study showed that most research was conducted on elementary school students, and types of intervention programs were art therapy, music activities, psychotherapy, and physical activities. This study suggests the need for intervention to prevent and promote health problems among children and adolescents in multicultural families, and the necessity of preparing intervention strategies including physical, psychological, and developmental areas.