• Title/Summary/Keyword: 중재방법

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A Study on Experiences of Social Workers Working in Hospice Palliative Care Multidisciplinary Team - Focused on Professional Identities - (호스피스 완화 돌봄 분야에서 일하는 사회복지사의 다학제적 팀 활동 경험에 관한 연구 - 전문적 정체성을 중심으로 -)

  • Choi, Hee Kyung
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.201-230
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    • 2013
  • The study attempted to analyze the experiences concerning professional identities of social workers working in hospice palliative care(HPC) multidisciplinary team by adopting ground theory method. The data were drawn from in-depth interviews with 11 social workers working in HPC teams for more than a year. As a result of the study, 166 concepts, 21 themes and 10 categories were presented. The core theme was identified as "growing up as a professional recognized by clients and other team members". The characteristics of social work and those of hospital setting systematic barriers and problems of the governmental support program worked as external conditions. The conflicts and confusions in social workers' professional identities were brought about as results of the conditions while successful team and the characteristics of individual setting promoted to get over the problems. The social workers experienced professional rewards and personal growth from hospice practices by utilizing diverse strategies. It was proposed that social workers should make efforts to be recognized as an essential profession in HPC multidisciplinary teams together with resolving the institutional problems such as regulations on qualifications of HPC social worker, professional education and governmental supports to improve work conditions.

Research on Elderly's Experience for 'YangSaeng Exercise as a Recreational Welfare Service (여가복지서비스 활동으로서 노인의 양생(養生)체조 참여경험 탐색)

  • Kim, Sueyeon;Won, Youngshin;Lee, Sanghee
    • 한국체육학회지인문사회과학편
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    • v.57 no.1
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    • pp.347-367
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    • 2018
  • The purpose of this study is to explore the meaning of YangSaeng exercise as a recreational activity for older adults. Twelve older adults who participated in the 'YangSaeng Exercise' at the S Senior Welfare Service Center were interviewed through purposeful sampling method. Each participant was interviewed two times, and data were analyzed using Strauss and Corbin's(1988) grounded theory method. Centralization was appeared as 'An addiction to YangSaeng exercise' and causal conditions were appeared as 'Visiting Welfare Center' and 'Participation in YangSaeng exercise program' and situational context were appeared as 'Self-management of old ages' and 'For possession of Independent Life' as the results of Axial Coding. Moreover, arbitrational conditions were 'Coexistence of Regret and Attraction' and interaction strategies were appeared as 'Accept', 'Effort and Easing Mind' and 'Share Together'. As a result, 'Appreciation', 'YangSaeng Exercise that comes in my Life' and 'Softly Pitapat' were derived. Core category of 'Living Joyfully with comforted and eased' was selected through outline of story which means it contains Positivity and Expectations, Acceptance and Acknowledgement, Satisfaction and Appreciation, and Commitment and Hope. Based on the findings, we acknowledge that YangSaeng exercise plays a role in improving quality of life of older adults as a recreational activity. This study sheds light on the possibility of implementing 'YangSaeng Exercise' as a health promotion activity among older adults.

A Study of the Effectiveness of Habitat for Humanity Korea's Disaster Risk Reduction Interventions: Focusing on the Mental Health of Residents of a Perennially Flooded Area in Southern Bangladesh (한국 해비타트의 재난위기경감 개입 효과성 연구: 방글라데시 남부 상습 침수지역 거주민의 정신건강 실태를 중심으로)

  • Suyeon Lee;Eunseok Seo;Goosoon Kwon
    • Journal of the Society of Disaster Information
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    • v.19 no.4
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    • pp.788-805
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    • 2023
  • Purpose: This study aimed to verify the impact of Habitat for Humanity Korea's disaster risk reduction intervention on the mental health and satisfaction with life among residents of southern Bangladesh who had constantly suffered from disaster stress due to perennial flooding. Method: The target group was 138 residents who were pre-surveyed in August 2020 and post-surveyed in November 2021. The interventions consisted of individual incremental housing, public facilities for evacuation, and disaster response training for capacity development. The data were analysed using paired sample t-tests for pre-post changes and one-way analysis of variance to identify differences between treatment groups. Result: The results showed significant improvements in residents' depression, anxiety, somatisation and satisfaction with life after the intervention, with significant differences in mental health levels between the intervention treatments. Specifically, relatively higher disaster mitigation effects were found for individual infrastructure improvements and employment facilities compared to disaster response drills. Conclusion: These results demonstrate the positive role of Habitat for Humanity Korea's disaster risk reduction interventions on the mental health recovery of disaster victims and suggest practical approaches that can be applied in disaster risk areas.

AI-based stuttering automatic classification method: Using a convolutional neural network (인공지능 기반의 말더듬 자동분류 방법: 합성곱신경망(CNN) 활용)

  • Jin Park;Chang Gyun Lee
    • Phonetics and Speech Sciences
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    • v.15 no.4
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    • pp.71-80
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    • 2023
  • This study primarily aimed to develop an automated stuttering identification and classification method using artificial intelligence technology. In particular, this study aimed to develop a deep learning-based identification model utilizing the convolutional neural networks (CNNs) algorithm for Korean speakers who stutter. To this aim, speech data were collected from 9 adults who stutter and 9 normally-fluent speakers. The data were automatically segmented at the phrasal level using Google Cloud speech-to-text (STT), and labels such as 'fluent', 'blockage', prolongation', and 'repetition' were assigned to them. Mel frequency cepstral coefficients (MFCCs) and the CNN-based classifier were also used for detecting and classifying each type of the stuttered disfluency. However, in the case of prolongation, five results were found and, therefore, excluded from the classifier model. Results showed that the accuracy of the CNN classifier was 0.96, and the F1-score for classification performance was as follows: 'fluent' 1.00, 'blockage' 0.67, and 'repetition' 0.74. Although the effectiveness of the automatic classification identifier was validated using CNNs to detect the stuttered disfluencies, the performance was found to be inadequate especially for the blockage and prolongation types. Consequently, the establishment of a big speech database for collecting data based on the types of stuttered disfluencies was identified as a necessary foundation for improving classification performance.

Barrier Factors Influencing Glycemic Control in Korean Adults with Diabetes (한국 당뇨병 성인의 혈당조절 장애요인)

  • Taehui Kim;Bohyun Kim
    • Journal of Industrial Convergence
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    • v.22 no.2
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    • pp.143-151
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    • 2024
  • This study compared the health behaviors, health related clinical characteristics between individuals with Glycated Hemoglobin A1C≧6.5% and < 6.5% in 30~59yr. Factors that were associated with A1C were identified by sex, health behaviors, health literacy. This study was an observational study with a cross-sectional design based on data from 2019~2021 Korea National Health and Nutrition Examination Survey. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors to identify the risk factors for Glycated Hemoglobin. The prevalence of A1C≧6.5% among the total was 79.4%(weighted %, n=348). In the A1C≧6.5%, 71.8% were men. In univariate logistic regression for A1C≧6.5%, sex, duration with diabetes, and body mass index(BMI) were influencing factors. In multiple logistic regression by sex, the factors associated with A1C≧6.5 in women were as follows: education(OR 4.5; 95% CI:1.1, 18.5), duration with diabetes(OR 2.9; 95% CI 1.1, 7.9). Strategies should be targeted to improve health behaviors and clinical characteristics for those in their sex, women in low education level, duration with diabetes. Moreover, healthcare providers should understand the barriers to health behaviors and health literacy to effectively deliver healthcare service.

Factors Affecting End-of-life Care Performance of Nurses in Hospice and Palliative Nursing Institutions (호스피스 완화의료 전문기관 간호사의 임종간호수행 영향요인)

  • Min-Gi Jun;Myoung-Jin Kwon
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.107-116
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    • 2024
  • This study is a descriptive research study to determine the extent to which end-of-life care stress, death awareness, and prior decision-making attitudes of nurses at a hospice and palliative nursing institution have an impact on end-of-life care performance. The subjects of this study were 200 nurses working at a hospice and palliative nursing institution. Data collection for this study was conducted from August 9 to September 30, 2021, using two methods: written questionnaire and internet survey. The data analysis method used Pearson's correlation coefficient to analyze the relationship between the subjects' end-of-life care stress, death awareness, prior decision-making attitude, and end-of-life care performance. Hierarchical Regression was used to identify factors affecting the subject's end-of-life care performance. The results of this study showed a significant correlation between end-of-life care performance and death awareness (r=.22, p=.002), and end-of-life care performance and prior decision-making attitude (r=.20, p=.004). And prior decision-making attitude and death awareness had a significant impact on end-of-life care performance. As death awareness and prior decision-making attitudes increased, end-of-life care performance increased, and end-of-life care stress did not appear to be a statistically significant factor influencing end-of-life care performance. In order to improve hospice nurses' ability to provide end-of-life care, intervention that takes into account the influencing factors is required.

University Hospital Nurses' Experience of a Music-Based Online Burnout Prevention Program: A Qualitative Case Study (대학병원 간호사의 소진예방을 위한 비대면 음악기반 심리정서지원 프로그램 참여경험 연구)

  • Yun, Juri;Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.135-157
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    • 2024
  • In this study, the authors developed and implemented an online music-based support program to prevent burnout among university hospital nurses. This study involved 40 nurses from three university hospitals who shared their subjective experiences after participating in 8 music-based non-simultaneous online sessions. The responses were collected as qualitative data and analyzed using the qualitative content analysis method. The analysis identified 66 meaning units, 10 themes, and 3 categories, which included: 'Recovery of physical and psychological stability', 'Self-care and acceptance', and 'Rediscovery of pride and meaning as a nurse'. This study is significant for exploring the experiences of university hospital nurses who participated in a remotely implemented music-based psycho-emotional support program, with respect to burnout prevention. For future directions, we suggest a more in-depth exploration of specific burnout factors and an expansion of research through the diversification of research methods to refine programs aimed at alleviating nurse burnout.

Viewing the Bible as Symbols : Theoretical Reflections of Symbol Didactic (성서를 상징으로 바라보기 : 상징교수학의 이론적 고찰)

  • Won Seok Koh
    • Journal of Christian Education in Korea
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    • v.78
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    • pp.111-136
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    • 2024
  • The purpose of this study is to theoretically explore symbol didactic, which serves as a mediator and integrator of human experience with biblical experience. Based on a deep consideration of the functions and roles of symbols, as studied in psychology, philosophy, religious studies, and theology, this study aims to examine representative theories of Bible didactic that have introduced symbolic action into Christian education. By exploring these theories, we aim to provide a comprehensive understanding of the role of symbols in Christian education and their impact on the learning process. This study is divided into two main parts. In the first half, it examines the meanings of symbols and their functions as discussed by prominent scholars from various disciplines who have paid attention to symbols, including S. Freud and C. Jung in psychoanalysis, E. Cassirer and P. Ricoeur in philosophy, M. Eliade in religious studies, and P. Tillich in theology. In the second half, the study critically analyzes and discusses representative theories of symbol didactic, such as those proposed by H. Halbfas and P. Biehl, which have applied the symbolic action of neighboring disciplines to Christian education. Symbol didactic differs from traditional biblical didactic, which aims to transmit content, by using symbols as a medium to facilitate dialogue between the learner's experiences and those of the Bible. This approach enables learners to experience the deep relationship between the content of the Bible and the experiences of biblical figures with their own experiences, and provides an opportunity to deepen that experience.

Development of Rabbit Brain Tumor Model Using VX2 Cells and Verification with the MRI in Neuroradiologic Research (Neuroradiology 연구를 위한 VX2 세포를 이용한 토끼 뇌종양 모델 제작과 MRI를 이용한 검증)

  • Yong-Woo Kim;Seon Hee Choi;Hak Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.441-453
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    • 2023
  • Purpose To evaluate the development, location, and volume of a VX2 carcinoma using four inoculation methods in a rabbit brain. Materials and Methods Inoculation of a VX2 cell suspension was performed 1) on the appointed day, 2) seven days after storing a VX2 carcinoma in a freezer or 3) seven days after storing a VX2 carcinoma in a deep freezer after sacrificing the donor rabbits. 4) Without sacrificing the rabbits, the VX2 cell suspension was obtained using a gun biopsy, inoculation was performed on the appointed day. MR imaging was performed 10 days after inoculation. Brain tissues were obtained the day after. The development, location, and volume of the tumor were evaluated. Results Seventeen of the 18 rabbits inoculated on the appointed day developed tumors (average tumor volume, 106.32 mm3). One of five inoculated seven days after storing the VX2 tumor in the freezer, and three of five inoculated seven days after storing the VX2 tumor in the deep freezer developed tumors. Inoculation with a VX2 cell suspension obtained with a gun biopsy from five rabbits revealed development of tumors in only two rabbits. The tumors mostly developed in the superficial cortex. Conclusion TVX2 rabbit brain tumor model is easy to develop and revealed variable reproducibility. This model can be applicable in radiologic imaging, treatment planning, interventional treatment and drug delivery research. VX2 cell can be successfully innoculated into the brain using variable methods under researcher's variable conditions.

Establishment Status of the Mandatory Courses for the Qualification of Sensory Developmental Rehabilitation Specialist - Within Curriculums of Baccalaureate Occupational Therapy Programs (감각발달재활사 자격기준 관련 필수과목 개설현황 조사연구 - 4년제 작업치료학과를 중심으로)

  • Kim, Ji-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.3
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    • pp.23-34
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    • 2017
  • Objective : The purpose of this study was to investigate establishment status of the mandatory courses designated by Ministry of Health & Welfare for qualification of sensory developmental rehabilitation specialist(SDRS), within curriculum of baccalaureate occupational therapy(BOT) programs in Korea Methods : This is a narrative study to investigate and analyze certain courses established in curriculums of all 4-years occupational therapy(OT) programs, which is 32 schools. Results : 1) The shared mandatory subject, 'Understanding Children with Disabilities(UDC)', has been established at 9 schools. For the branch mandatory subjects, 'Neuroscience(NS) or Neuroanatomy' has been established at all 32 schools, 'Sensory Processing Dysfunctions and Intervention(SPDI)' or 'Sensory Integration' has been established at 31 schools, and each of 'Assessment & Evaluation for Children(AEC)' and 'Practicum of Sensory Rehabilitation(PSR)' has been established 7 schools for same. 2) For the mandatory courses, all 32 schools were offering designated- and alternative courses of NS, SPDI, AEC, but there was no change in the number of schools offering the practicum course since there was no case of alterative for it. 3) In terms of general provision score, there were 4 schools for score 7, 4 schools for score 6, 2 schools for score 5, 1 schools for score 4, 2 schools for score 3, and 19 schools for score 2. Conclusion : Establishment of the mandatory courses required to the qualification of SDRS among the BOT programs in nation were investigated. Including alternative courses, all the branch mandatory courses except practicum course are established in all the 32 schools. However, the shared mandatory subject, UDC and the practicum subject were established in only few schools. In the provision level evaluation of BOT programs for the SDRS qualification, it is shown that many schools has been started the provision already but still many schools' curriculum did not reflect the willingness and accuracy well. For the schools planning successful accreditation in near future, it is recommended that they prioritize the establishment of the shared mandatory course and the practicum course since these two subjects are recognized as critical factors for that. In addition, it is also needed of comparative inspections for course title and syllabi based on the guideline provided by Ministry of Health & Welfare.