• 성인간호학회지
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• 제20권3호
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• pp.431-442
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• 2008

Purpose: The purpose of this study was to examine the effects of resistance exercise program for elders with type 2 Diabetes on the self care, stress and HbA1c. Methods: Thirty three elders with type 2 Diabetes(18 experimental and 15 control subjects) were selected conveniently among the aged who had been enrolled in a community senior center. The subjects in experimental group participated in a resistance exercise program for 8 weeks. Data were analyzed using the SPSS/Win 12.0. Results: The resistance exercise program showed a statistical difference in self care(t=-4.39, p=.000) and stress(t=2.22, p=.034). However, there was not a statistical difference in HbA1c (F=.556, p=.557), but experimental group had decreased continuously in HbA1c after the program. Conclusion: The resistance exercise program improved self care and reduced the stress in the elders with type 2 Diabetes. Therefore, resistance exercise program can be applied as an effective nursing intervention to promote self care, decrease the stress and to prevent complication for the elders with type 2 Diabetes.

• 기본간호학회지
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• 제13권3호
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• pp.376-381
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• 2006

Purpose: The purpose of this study was to evaluate the effect of web-based diabetic education on glycosylated hemoglobin(HbAlc) and self-care in people with type 2 diabetes. Method: Twenty-five patients were requested to input the blood glucose level weekly at http://www.biodang.com by cellular phone or wired Internet for one year. The researcher sent optimal recommendations weekly to each patient using the short message service for cellular phones and wired Internet. Results: Patients had a significant mean decrease in HbAlc, from 8.0% at pre-test to 6.9%, after three months and rested at 6.8% until 12 months. Patients had a significant mean increase in physical exercise adherence, from 3.3 days at pre-test to 4.1 days per week, after three months. Patients had a significant mean increase in foot care adherence, from 4.8 days at pre-test to 6.9 days per week, after one year. Conclusion: These findings indicate that Internet education could be used to improve HbAlc, physical exercise, and foot care adherence in type 2 diabetic patients.

• 기본간호학회지
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• 제15권2호
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• pp.186-194
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• 2008

Purpose: The purpose of this studγ is to understand relations among perceived stress, stress coping method, self-rare behavior and Hemoglobin $A_1c$ of elderly diabetic mellitus patients. Method: Participants were 128 patients who were under medical treatment in outpatient department at C university hospital. The collected data were analyzed using technical statistics, frequency, percentage, T-test, ANOVA and person's correlation coefficient by SPSS 12.0. Result: There were positive correlation between self-care behavior and coping method based on emotions under the lower category of stress coping method. Hemoglobin $A_1c$ of patients had a negative correlation with physical exorcise of self coping method under the lower category. Perceived stress had also a negative correlation with emotions as coping method in the lower category and medication of self-care behavior. Conclusion: It was noted that elderly diabetic mellitus patients didn't much use a coping method based mainly problems and another method based emotions in case of perceived stress. The findings of this study will be useful for developing an nursing intervention program focused on elderly diabetic mellitus patients.

• 기본간호학회지
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• 제19권3호
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• pp.353-362
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• 2012

Purpose: The objective of this study was to examine the correlation between HbA1C, self-care behavior, and quality of life among depressed and non-depressed patients with type II diabetes Methods: Data were collected between May 26 and July 5, 2011 using a questionnaire. The questionnaire included depression (CES-D), self-care behavior and quality of life. Hemoglobin A1C was ed from medical records. Data were analyzed by descriptive statistics, t-test, $x^2$-test, ANCOVA and Pearson's correlation coefficient. Results: In this study sample (n=301), 20.9% of diabetic patients (n=69) were depressed. After adjustment for relevant covariates, depressed patients showed to have lower self-care behavior (2.8 vs 3.4, p<.001) and quality of life (2.8 vs 3.5, p<.001) scores, but the difference in HbA1C was no longer significant. Conclusion: This study suggests that the assessment and intervention for depressed diabetic patients can result in effective self-care behavior, which accordingly leads to improvement of the quality of life.

• 지역사회간호학회지
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• 제28권2호
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• pp.216-225
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• 2017

Purpose: The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes. Methods: The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical regression analysis. Results: The study results showed that self-care behavior (${\beta}=-.34$, p<.001), empowerment (${\beta}=-.34$, p<.001), and social support (${\beta}=-.20$, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%. Conclusion: Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2013년도 추계학술발표대회
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• pp.9-11
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• 2013

본 논문에서는 귀의 형태와 색을 통해서 질병을 자가진단 후 귀의 특정 부위를 자극하는 이침요법을 위한 시술 보조 시스템을 제안한다. 제안 시스템은 피시술자의 귀의 이미지 정보와 질병에 대한 정보를 처리하여 이침을 위한 혈자리를 귀 이미지에 표시해 주는 시스템을 구현하였다. 특히 귀를 인식하는 부분에 있어서, Haar-like feature와 Adaboost알고리즘을 사용하는 OpenCV내의 함수를 사용하였고 인식된 귀영역을 그리드 영역으로 나누고 질병에 대한 사전 정보에 따라서 그리드 영역내의 이침혈자리 시스템을 표시하는 시스템으로 구성하였다.

• Applied Microscopy
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• 제36권4호
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• pp.279-289
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• 2006

STZ 유발 당뇨병 흰쥐에 척중혈(GV6)과 태백혈(SP3)에 대해 침 시술을 하여 체중, 혈당량변화, 당내성변화, 혈액내 지질함량, transaminase활성도 측정, 간조직의 조직학적 관찰, 간조직에서 IGF-I mRNA유전자 발현변화 및 간세포의 미세구조변화를 관찰한 결과 다음과 같은 결론을 얻었다. 실험군에서는 대조군에 비하여 체중감소 억제 및 혈당 강하의 효과가 있었고, 간의 조직학적 관찰 결과 STZ로 인하여 손상된 간장 조직이 상당부분 회복되었는데 이로써 척중혈(GV6)과 태백혈(SP3)에 대한 자침이 당뇨로 인한 간장조직의 회복에 임상적으로 유의한 효과를 나타낼 것으로 사료된다. 그러나 실험 결과 중 체간부 경혈인 척중혈 (GV6)과 사지부 경혈인 태백혈 (SP3)의 효과는 각각 차이가 있었는데, 체중감소 억제, 혈당량의 감소, 당내성 검사에서 혈당량의 감소, 혈청 HDL-cholesterol의 감소, 간효소치의 감소등에서는 척중혈(GV6)을 단독 시술하는 것이 가장 유효하였다. 척중혈 (GV6)과 태백혈 (SP3)의 병용 시술의 효과는 전체적으로 단독시술에 비해 떨어지거나 비슷하였으며, 간조직에서 IGF-I mRNA발현양상은 병용시술이 당뇨에 의해 감소된 IGF-I 유전자 발현의 증가를 유도하였다. 이상의 결과에서 STZ유발 당뇨병 흰쥐에서 척중혈(GV6)과 태백혈(SP3)의 침 시술이 당뇨병의 제증상을 유의하게 개선시키는 것으로 나타났으며 척중혈(GV6)에 대한 시술이 태백혈(SP3)또는 척중혈 (GV6)과 태백혈(SP3)을 동시에 시술하는 것보다 유의한 효과가 있는 것으로 나타나 앞으로 임상에서 당뇨병 치료에 사용될 수 있을 것으로 생각된다.

• 대한약침학회지
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• 제14권2호
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• pp.61-74
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• 2011

This is a case report about effect of syeom pharmacopuncture, bee venom and autohemo-seperated regeneration pharmacopuncture(ASRP) for acute traumatic subdeltoid bursitis with partial tear of subscapularis tendon, which was diagnosed by symptoms and MRI(Magnetic resonance imaging) and caused by bongchuna treatment. We evaluated the patient using Visual Analogue Scale(VAS) every two or four days and range of movement(ROM), physical examination of shoulder about one per ten days and observed improvement with reexamination by ultrasonography and MRI as well. Pharmacopuncture rapidly reduced pain and improved range of motion and function of shoulder in patients with acute sub-deltoid bursitis even though it was severe symptom. Our result suggest that autohemo-seperated regeneration pharmacopuncture might be effective in regenerating the tear of soft tissue such as subscapularis tendon.

• 한국산학기술학회논문지
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• 제14권4호
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• pp.1774-1780
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• 2013

본 연구는 당뇨 환자를 대상으로 신경병증 통증과 혈당조절정도 및 자가관리간의 관계를 파악하는 서술적 상관관계 연구이다. 자료는 일 대학교 병원의 내분비 내과에서 2011년 5월 10일부터 5월 31일까지 당뇨로 방문한 환자 중 연구기준에 적합한 108명을 대상으로 자가보고식 설문지와 의무기록을 이용하여 수집되었다. 자료분석은 SPSS WIN 18.0을 이용하여 서술통계와 Pearson's correlation coefficient를 실시하였다. 연구 결과 당뇨환자의 통증은 $9.3{\pm}0.4$점이었으며 당화혈색소 수치는 7.5% 이상인 군이 33.3%를 차지하였고 자가관리는 $5.40{\pm}0.76$점이었다. 당뇨환자의 신경병증 통증은 혈당조절 정도가 양호할수록(r=.18, p=.035), 자가관리 수행정도가 높을수록(r=-.19, p=.023) 적었다. 결론적으로 당뇨환자의 신경병증 통증을 조절하기 위하여 보다 엄격한 혈당관리와 자가관리를 향상시키는 노력이 필요하다.

• 한국간호교육학회지
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• 제20권1호
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• pp.81-92
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• 2014

Purpose: This study was to identify the effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin (HbA1C). Further, this study was held to examine about patient's preferred methods of education and re-education frequency. Methods: 166 type 2 diabetes patients from two hospitals in Incheon participated in this study. Data were analyzed by using descriptive analysis, t-test, ANOVA, Scheffe's test and multiple regression analysis. Results: 72.3% patients needed re-education and the average interval of re-education was 8.53 months. Patients preferred education methods were lectures, practical training, and studying from pamphlet. Depending on the frequency of diabetes education, there were significant differences in the level of diabetes knowledge (F=10.88, p<.001) and self-care behaviors (F=4.59, p=.012), but there was not significant difference with HbA1C (F=1.53, p=.220). As to how much the diabetes education helped managing diabetes, there was a significant difference in the level of self-care behaviors (t=2.01, p=.049), but there were not significant differences in level of knowledge (t=1.10, p=.275) and HbA1C (t=-.33, p=.746). The experience of diabetes education was a significant factor which influenced patient's knowledge (t=3.93, p<.001) and self-care behaviors (t=2.21, p<.001). But HbA1C was not influenced by the experience of diabetes education (t=-1.68, p=.096). Conclusion: It is necessary to provide diabetes education with appropriate interval and methods and subjects that reflect the needs of patient through the study results.