• Title/Summary/Keyword: 임상변인

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The Effect of Neuromuscular Reeducation on the Cognitive and Functional Assessment for Hemiplegic Patients (신경근 재교육이 편마비 환자의 인지와 기능에 미치는 효과)

  • Shin, Hong-Cheul;Kim, Woong-Gak;Lee, So-Joon;Kang, Jeong-Il;Peak, Heon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.7-17
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    • 2002
  • 편마비 환자의 인지 기능과 운동 및 신체적 기능에 관련된 변인을 분석하고자 하였다. 본 연구는 인지 기능이 편마비 환자에게 미치는 영향과 인지 영역의 손상이 편마비 환자의 독립적 기능 및 수준 향상의 예언 인자로서의 고려해야 할 개념을 검사나 평가 척도로 비교, 분석 하였다. 연구 대상은 전라북도에 소재한 한방병원에 입원 및 통원하고 있는 52-73세의 연령 범위에 있는 편마비환자 20명 이다. 편마비 환자의 기능적 능력, 운동 회복, 신체적 기능 그리고 인지적 상태를 평가하기 위해 편마비 환자를 위한 임상적 결과 변인 척도, 운동 평가 척도와 바델 척도 그리고 기능적 독립성 측정 척도를 평가도구로 사용하였다. 편마비 환자의 신체적, 운동 그리고 기능적 능력 상태를 평가도구에 의해 측정된 결과를 분석한 바 운동, 신체적 그리고 인지적인 영역과 기능적 독립 측정 척도 및 바델 척도와 관련성이 있음을 보여주고 있다. 편마비 환자의 신체적, 인지적 결함이나 손상 부위, 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 인지와 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 높이고자 하는데 연구의 의의가 있다.

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A Qualitative Study of Physicians' Use of Clinical Information Resources and Barriers (임상의사의 진료목적 정보원 이용과 장애요인에 관한 질적 연구)

  • Kim, Soon;Chung, EunKyung
    • Journal of the Korean Society for Library and Information Science
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    • v.50 no.4
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    • pp.55-75
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    • 2016
  • We analyzed the characteristics of the physicians preferred information sources and barriers through in-depth interviews. Information searches for patient treatment were subdivided into deciding patient treatment methods, understanding the latest treatment trends, and preparing presentation materials for conferences. The variables that affected the search behaviors were identified as being background knowledge on the topic, clinical experience, job title, search skills, user training, and familiarity with the library homepage. PubMed was the most preferred choice because of users' familiarity, reliability, and the vastness of information; Google was also used frequently for easy access and fast search result. The accuracy and the recentness of information were the most significant criteria. Easy interface and convenient access were also considered important due to physicians' time constraints. Searching obstacles were divided into difficulty of searching system, unfamiliar term, too vast resources, difficulty to get fulltext articles and complex advanced search features. The results of this study can be utilized as a basis for improving information service of library and curriculum development for physicians.

The Aspect of Music Therapists' Experiences in Countertransference and Countertransference Management Ability (음악치료사의 역전이 경험 양상과 역전이 관리 능력)

  • Yi, So Young
    • Journal of Music and Human Behavior
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    • v.5 no.1
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    • pp.19-45
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    • 2008
  • The purpose of this study was to offer fundamental data to manage countertransference, and to research into countertransference management ability by aspects in therapists' experiences in countertransference and their professional characters. For the paper, a survey was conducted on 62 music therapists who provided professional music therapy after finishing graduate school of music therapy through clinical practice and internship, and the result was drawn as follows. Around 84% of participants answered that they had been in trouble by countertransference in the analysis of a questionnaire regarding experience in countertransference. 48% among them first experienced countertransference during the practice in graduate school. 27% and 14% respectively answered that they experienced it within 3 years after graduation and during internship. Also, the result showed that therapists usually had difficulty with adults with mental disease, and the second most difficult clients were children with developmental disabilities. 76% of participants who had difficulty by countertransference answered that they were able to manage it to some degree, and almost all who answered thought that research into countertransference and management were necessary. About the question as to how to manage countertransference, 54% suggested self-analysis and self-therapy. 33% answered that countertransference should be treated through supervision. Finally, 13% of participants answered that it should be handled in graduate school. In this paper, which empirically examined therapists' experience in countertransference and countertransference management ability had meaning in providing essential basic data for music therapists to apply and manage countertransference for therapists themselves, as well as for clients.

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Analysis of the Importance of Subjects to Improve the Educational Curriculum in the Radiological Science - Focused on Radiological Technologists - (방사선(학)과 교육과정 개선을 위한 교과목 중요도 분석 - 방사선사를 중심으로 -)

  • Kim, Jung-Hoon;Ko, Seong-Jin;Kang, Se-Sik;Kim, Dong-Hyun;Kim, Chang-Soo
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.125-132
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    • 2012
  • In this study a group of experts and clinical radiological technologists were surveyed to evaluate the clinical importance of current subjects in the radiological sciences. For the data collection and analysis, an open-ended questionnaire was distributed to the group of experts, and a multiple choice questionnaire was distributed to radiological technologists. Subjects were classified into 9 groups for analysis of the importance of subjects, and in regard to the questionnaire design for measurement of variables, departments and type of hospital were set up as independent variables, and the 9 groups of subjects were set up as dependent variables. As a result, clinical radiological technologists perceived Diagnostic Imaging Technology and practical courses, including general radiography, CT and MRI, as the most clinically necessary subjects, and the group of experts placed most weight on basic courses for the major. The result of this study suggests that the curriculum should be revised in a way that combines theory and practice in order to foster radiological technologists capable of adapting to the rapidly changing healthcare environment.

Factors Influencing the Satisfaction of In-School Clinical Practice Due to COVID-19 (COVID-19로 인한 교내 임상실습 영향요인)

  • Seung-Ju Kang;Chung-Sin Shim
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.245-250
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    • 2022
  • This study aims to identify the factors that affect the satisfaction of practice among nursing students who participated after replacing it with on-campus practice in a situation where practice was not possible due to COVID-19. Data were collected from 144 nursing students who participated in the clinical practice alternative campus practice conducted from September 13 to December 3, 2021 at a university located in G province. Data analysis was analyzed by ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analysis. The subject's satisfaction with practice is a general characteristic, self-efficacy (r=.540, p=.000), self-leadership (r=.553, p=.000), and critical thinking ability (r=.382, p=.000). , there was a significant correlation between major satisfaction (r= .248, p=.003). Variables that affect the clinical performance of the subjects were self-efficacy 20.4% (𝛽=.266, p=.047), self-leadership 51.2% (𝛽=.271, p=.047), and satisfaction with practice The explanatory power of the variables was 33.8%. Therefore, it is necessary to develop and apply a curriculum that can increase self-leadership and self-efficacy in order to increase the satisfaction of nursing students' practice.

The Effects of Personality Types of Dental Hygienist Students on Clinical Practice (치위생(학)과 학생들의 성격유형이 임상실습에 미치는 영향)

  • Kim, Chang-suk
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.176-184
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    • 2020
  • This study identified personality types of 433 college students of Busan, Ulsan and some regions of Gyeongsangnam-do and inquired into influences of personality types on their satisfaction with clinical practice. According to the results, students with extroverted and low-neurotic tendencies showed significant results in the subordinate factors of satisfaction with clinical practice. As for factors influencing the extraversion factors personality type, it turned out to have a significant level in satisfied with teach (p<0.001), satisfied with facility and satisfied with clinical practice (p<0.05). On the other hand, as for factors influencing the personality type of neurotic tendencies, it turned out to have a significant level in satisfied with practice content (p<0.05), satisfied with teach (p<0.001), satisfied with interpersonal (p<0.05) and satisfied with clinical practice (p<0.05). Therefore, it will be indispensable to conduct a personality type test during the period of university days, to increase satisfaction with clinical practice of students majoring in Dental hygienics. Moreover, based on the test results, it will be required to develop a variety of programs to strengthen a customized counseling program and improve interpersonal skills.

Influence of Clinical Nurses' Intrinsic Motivation, Affective Commitment, and Turnover Intention on Organizational Performance (간호사의 내재적 동기부여, 정서적 몰입 및 이직의도가 조직성과에 미치는 영향)

  • Jung, Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.11
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    • pp.594-601
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    • 2017
  • The purpose of this study was to identify the effects of clinical nurses' intrinsic motivation, affective commitment, and turnover intention on organizational performance. Participants were 189 nurses currently working at four general hospitals in C city. Data were collected by a self-report questionnaire and analyzed by using the SPSS/WIN 18.0 program with descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Mean scores were as follows: intrinsic motivation($3.02{\pm}0.57$), affective commitment ($3.47{\pm}0.71$), turnover intention ($3.30{\pm}0.59$), and organizational performance ($3.37{\pm}0.52$). Organizational performance was significantly correlated with intrinsic motivation, affective commitment, and turnover intention. Nurses with higher affective commitment and intrinsic motivation showed higher organizational performance, where as higher turnover intention was correlated with lower organizational performance. The factors that influenced organizational performance were affective commitment(${\beta}=.42$), intrinsic motivation(${\beta}=.36$), and turnover intention(${\beta}=-.11$), with an explanatory power of 51.6%. Results of this study indicate the need to evaluate and manage the significant predictors of organizational performance. Further studies are needed to identify the relationships between clinical nurses' intrinsic motivation, affective commitment, turnover intention, and organizational performance.

Analysis Relationship of Critical Thinking, Clinical Decision Making and Job Satisfaction of Dental Hygienists (치과위생사의 비판적 사고성향, 임상적 의사결정능력과 직무만족도 간의 관계)

  • Kim, Hye Jin;Jaung, Ae Hwa
    • The Journal of the Korea Contents Association
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    • v.13 no.2
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    • pp.322-330
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    • 2013
  • The purpose of this study was to examine the influence of critical thinking, clinical decision making and job satisfaction of 132 dental hygienists. The data was collected from 1st May to 31th October, 2012 in Ulsan, Pusan and Gyeongsangnam-do areas. The majority participants were female, 30.6 years old, graduate diploma course of dental hygienist, and working in dental clinics. In critical thinking, truth-seeking was highest score, 3.36 but maturity was lowest score, 3.00. In clinical decision making, canvassing of objectives & values was highest score 3.39, but search for alternatives or options was lowest score, 3.10. In job satisfaction, professional status was highest score 3.20, but incomes & promotion was lowest score 2.84. In correlation between general characteristics and critical thinking, there was significantly different in religion, education status, total working period and working areas. There was significantly different with religion and education status in clinical decision making, And There was significantly different with religion and education status, total working period, and working areas in job satisfaction. Critical thinking, clinical decision making and job satisfaction was positive relationship. To improve professional competence and job satisfaction of dental hygienist it need to use actively the critical thinking and clinical decision making. And it need to prepare the education and strategy to increase the job satisfaction of dental hygienist.

Clinical and Polysomnographic Characteristics of REM Sleep-Dependent Obstructive Sleep Apnea (REM 수면 의존성 폐쇄성 수면무호흡증 환자의 임상적 특성과 수면 변인에 관한 연구)

  • Lee, Yu-Jin;Lee, Soon-Jeong;Kang, Dong-Jin
    • Sleep Medicine and Psychophysiology
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    • v.15 no.2
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    • pp.77-81
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    • 2008
  • Introduction: REM sleep which shows characteristic muscle atonia and increased resistance of upper respiratory track is known to be vulnerable to sleep apnea. Previous studies reported that REM sleep-dependent (or related) obstructive sleep apnea syndrome (REM-dependent OSA) could be one of sleep disordered breathing. The present study aimed to investigate clinical findings and polysomnographic variables of REM-dependent OSA. Methods: Fifty-six patients diagnosed with mild to moderate obstructive sleep apnea by overnight polysomnography (5$53.7{\pm}16.7$ years, 42 males). REM-dependent OSA was defined as AHI-REM/AHI-NREM ratio>2. We compared clinical and polysomnographic findings between REM-dependent OSA and No REM-dependent OSA patients. Results: Among 56 patients, 37.5% (n=21, average age of $52.3{\pm}19.7$ years, 14 males) met the REM-dependent OSA criteria. There were no significant differences in age, sex and body mass index between two groups. After controlling for age, sex, body mass index and periodic leg movements index, REM-dependent OSA patients showed significantly lower AHI, lower number of oxygen desaturation events and higher stage 2 sleep proportion compared to No REM-dependent OSA patients (p=0.010, p=0.006, p=0.031, respectively). After controlling for age, sex, body mass index and periodic legs movements index, AHI-REM was positively correlated with the number of oxygen desaturation events in REM-dependent OSA group (p=0.002). Conclusion: Current results suggested that 37.5% of patients with mild to moderate severity of obstructive sleep apnea could be classified into REM-dependent OSA. REM-dependent OSA was more common in mild severity of OSA, equally prevalent in both sexes and accompanied with sleep architecture changes, i.e. increased proportion of stage 2. In addition, apneic events during REM sleep in REM-dependent OSA were related to oxygen desaturation.

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Convergence Influence of Clinical Physical Therapist's Attitude toward Work Environment and Professionalization on Job Satisfaction (임상 물리치료사의 업무환경 및 전문성 제도화에 대한 태도가 직업만족도에 미치는 융복합적 영향)

  • Ro, Hyo-Lyun;Yoo, Hee-Sang
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.43-52
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    • 2021
  • This study investigated the influence of clinical physical therapist's perception of their work environment and their attitude toward professionalization on individual job satisfaction. This study is a cross-sectional survey of clinical physical therapists 356 working in hospital, and utilized a structured questionnaire. As a result of this study, in their twenties, women, physical therapist with low clinical experience, and physical therapists working at hospital level showed low job satisfaction. Most of the physical therapists said that they needed a system for professionalism, and the lower the job satisfaction was, the higher the attitude toward the necessity of introducing a professional system. The variables affecting job satisfaction were academic background and annual salary. Therefore, in order to improve the job satisfaction of physical therapists, improvement of salary and learning for professionalism played an important role in improving job satisfaction. Self-development and job specialization through the introduction of a system for equipping expertise appear to be important to improve the job satisfaction.