• Title/Summary/Keyword: 중재지

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Effects of Music Therapy on Cognitive function and Agitation, Anxiety and Depression in Dementia Elderly: a Systematic Review and Meta-analysis of Randomized Controlled Trials (음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석)

  • Chai, Gong Ju;Lee, Mi-Kyung;Nam, Eun Sook;Lee, Ho Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.520-530
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    • 2021
  • Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

Factors influencing the behavioral beliefs to care for emerging infectious disease (COVID-19) patients (신종 감염병(COVID-19) 환자 간호의 행위 신념에 영향을 미치는 요인)

  • Park, Yoonjin;Lee, Sun Ra
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.522-528
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    • 2021
  • This is an investigative study to identify the degree of post-traumatic stress and anxiety of nurses in relation to the COVID-19 pandemic, and to analyze the relationship with the nurse's belief in behavior and control that affects nursing intentions to determine their impact on the belief in behavior. The subjects of this study were nurses with experience of directly nursing COVID-19 patients at medical institutions located in Gyeonggi-do. The SPSS 22.0 version was used for the descriptive analysis, independent t-test, one-way ANOVA, Pearson's correlation coefficients and multiple regression. Post-traumatic stress of the participants in this study was found to be 24.20±20.58, anxiety 48.31±6.61, behavior beliefs -1.00±17.12, and control beliefs 3.41±11.66. According to this study, the belief in conduct is negatively correlated with post-traumatic stress (r=-4.71, p<).001) and showed a significant negative correlation with anxiety (r=-2.248, p<.05). There was no significant correlation with control beliefs (p>.05). Based on the results of this study, it is proposed to develop an appropriate psychological arbitration program for mediating post-traumatic stress in order to promote the nurse's behavior beliefs.

The Relationship between Menopausal Symptoms, Perceived Awareness of Menopausal Symptom, Menopausal Attitude and Menopausal Management in Middle Age Women (중년여성의 폐경 증상, 폐경증상에 대한 주관적 인식, 폐경태도 및 폐경관리와의 관계)

  • Kim, Sung Ju;Kim, Young Ran;Lee, Ok Suk;Choi, So Young
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.347-356
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    • 2021
  • The purpose of this study was to investigate the correlation between menopausal symptoms, perceived awareness of menopausal symptom, menopausal attitude and of menopausal management in middle aged women and to identify factors affecting menopausal symptoms. The subjects of study were 242 middle aged women who are living in G, J, K city and understood the research items and agreed to participate in the research. Data were collected from April 10 to May 30, 2019. Data were analyzed using t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression with SPSS/WIN 25.0. In this study, it was founded that perceived awareness of menopausal symptom(β=. 51, p<.001), menstruation status(β=. 23, p<.001), perceived health status(β=. 19, p=. 002), satisfaction of life(β=. 14, p=. 019) and religion(β=. 10, p=. 045) were found to be influential factors affecting menopausal symptoms in middle aged women. The most influential factor was perceived awareness of menopausal symptom. A nursing intervention program is needed to change positively the awareness of menopausal symptom.

The Influence of depression and perceived health status on health promotion behavior of community dwelling frail elderly (지역사회 거주 허약 노인의 우울, 주관적 건강상태가 건강증진행위에 미치는 영향)

  • Kwon, Sang Min;Kwon, Ryeo Won;Lee, Hye Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.742-751
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    • 2020
  • The purpose of this study was to examine the relationship between depression, perceived health status, and health promotion behavior of frail elderly. The subjects were 164 frail elders aged over 65 registered with the home visiting services of two welfare centers in D city. Data was collected using structured questionnaires from January 2 to February 21, 2020. Data was analyzed using the t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/WIN 23.0 program. The mean depression score was 10.67, perceived health status was 6.71, health promotion behavior score was 2.59. Health promotion behavior and depression were negatively correlated and perceived health status was positively correlated. Factors influencing health promotion behavior were age, education level, and depression. These variables accounted for 73.6% of health-promoting behaviors. Based on these results, we conclude that it is important to continue health promotion for the frail elderly through various programs including interventions for depression to prevent the elderly from progressing to disability.

A Study on the Stages of Exercise Behaviors in Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 운동행동 변화단계에 관한 연구)

  • Park, Ji Hyun;Son, Jung Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.331-338
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    • 2020
  • This study examined factors affecting the stages of exercise behavior among patients with rheumatoid arthritis. The analysis was based on data collected from 238 patients who enrolled at the medical center of D university. The participants showed 5 stages of exercise behavior: pre-contemplation 23.9%, contemplation 23.0%, preparation 33.2%, action 5.0%, and maintenance 29.0%. There were statistically significant differences in perceived barriers of exercise, exercise self-efficacy, and perceived health status according to the stage of exercise behavior of the subjects. It was found that among the barriers to exercise, physical and cognitive psychological factors significantly influenced the stages of exercise behavior. Also, exercise self-efficacy significantly affected the stages of exercise behavior. Thus, for rheumatoid arthritis patients to practice and maintain proper exercise behavior, the nursing staff should continue to assess and reduce the barriers to exercise. Exercise programs should enhance self-efficacy to achieve long-term exercise behavior.

A Convergence Study of the Research Trends on Stress Urinary Incontinence using Word Embedding (워드임베딩을 활용한 복압성 요실금 관련 연구 동향에 관한 융합 연구)

  • Kim, Jun-Hee;Ahn, Sun-Hee;Gwak, Gyeong-Tae;Weon, Young-Soo;Yoo, Hwa-Ik
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.1-11
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    • 2021
  • The purpose of this study was to analyze the trends and characteristics of 'stress urinary incontinence' research through word frequency analysis, and their relationships were modeled using word embedding. Abstract data of 9,868 papers containing abstracts in PubMed's MEDLINE were extracted using a Python program. Then, through frequency analysis, 10 keywords were selected according to the high frequency. The similarity of words related to keywords was analyzed by Word2Vec machine learning algorithm. The locations and distances of words were visualized using the t-SNE technique, and the groups were classified and analyzed. The number of studies related to stress urinary incontinence has increased rapidly since the 1980s. The keywords used most frequently in the abstract of the paper were 'woman', 'urethra', and 'surgery'. Through Word2Vec modeling, words such as 'female', 'urge', and 'symptom' were among the words that showed the highest relevance to the keywords in the study on stress urinary incontinence. In addition, through the t-SNE technique, keywords and related words could be classified into three groups focusing on symptoms, anatomical characteristics, and surgical interventions of stress urinary incontinence. This study is the first to examine trends in stress urinary incontinence-related studies using the keyword frequency analysis and word embedding of the abstract. The results of this study can be used as a basis for future researchers to select the subject and direction of the research field related to stress urinary incontinence.

A Preliminary Study on Family Function Components Affecting Individual Health and Disease: A Delphi Study (개인의 건강과 질병에 영향을 미치는 가족기능 구성요소에 관한 사전연구: 델파이 연구)

  • Kim, Ah-Ram;Jeong, Seong-Woo;Jeong, Jiin;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.83-96
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    • 2021
  • Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.

A Comparative Study on the Degree of Alcoholism Recovery, Quality of Life, Empowerment and Self-esteem Based on Different Abstinence Periods of Alcohol use Disorder (알코올 사용장애자의 단주기간에 따른 알코올의존 회복, 삶의 질, 임파워먼트, 자아존중감 비교 연구)

  • Park, Kyung-Eun;Jang, Hye-Ryang;Kim, Na-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.981-995
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    • 2021
  • This study investigated the differences in sociodemographic variables, alcoholism recovery, quality of life, empowerment and self-esteem based on different abstinence periods of alcohol use disorder. The study population from seven different regions in nationwide were 207 individuals with alcohol use disorder who had been abstinent. According to previous studies, 207 individuals were classified into different abstinence periods: less than one year, more than one to five years, and more than five years. As a result, the sociodemographic variables affecting differences in groups were gender, age, marital status, and economic activity. In addition, the group that maintained abstinence from alcohol for more than one year showed significant differences in alcoholism recovery, quality of life, empowerment, and self-esteem than those that maintained abstinence from alcohol for less than one year. Regardless of abstinence periods, alcoholism recovery, quality of life, empowerment, and self-esteem showed significant positive correlations. Therefore, the results of this study identified the factors influencing long-term abstinence and effects and suggested the need for alcohol-dependent recovery programs or therapeutic interventions for individuals who abstained from alcohol use.

Dry Eyes and its Associated Factors in the elderly living in the community (지역사회 거주노인의 안구건조증 유병률과 관련요인)

  • Kim, Su-Yeon;Kim, Min-Ji;KIM, Yu-Jeong;Kim, Jin-Seob;Kim, Hye-Jin;Moon, Seung-Ju;Park, Seo-Woo;Park, Yeon-Su;Baek, Seung-Ah;Won, Jongsoon
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.331-339
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    • 2022
  • This study aimed to identify the prevalence of dry eye, sleep disorder, depression and factors related to dry eye among the elderly living in the community. Study subjects were 149 elderly, 65 years of age or older from nearby people, acquaintances and community elderly-related centers that researchers could access. Data collection period was from June 1 to August 31, 2021. Data were analyzed by frequency, percentage, mean, standard deviation, ANOVA, χ2-test, and multiple logistic regression. The results showed that dry eyes in elderly people were statistically significant according to age (χ2=4.50, p=.034), occupation (χ2=7.14, p=.008), chronic diseases (χ2=6.59, p=.010), drugs (χ2=4.86, p=.027), eye surgery (χ2=6.02, p=.014), and sleep disorders (χ2=7.29, p=.007). Multiple logistic regression revealed that dry eyes were associated with sleep disorders (OR=2.45, 95% CI=1.17-5.13). Therefore, for the management and prevention of dry eyes in the elderly, there is a need for nursing intervention and strategy that can find the causes of sleep disorders and improve the quality of sleep.

A Comparative Study on the Nurses Job Satisfaction and Quality of Life in Integrated Nursing Care Service and General Wards in a Tertiary Hospital (상급종합병원 간호·간병통합서비스병동과 일반병동 간호사의 시점별 직무만족도 및 삶의 질 비교연구)

  • Ha, Yu-Mi;Ha, Eun-Ho;Kim, Ji-Hee;Kim, Hyo-Ju
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.56-66
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    • 2022
  • The purpose of this study was to investigate the job satisfaction and quality of life of nurses in a integrated nursing care service ward (INCSW) and a general ward (GW). A total of 88 nurses working in INCSW and GW were invited and followed up for 6 months over 3 times. There was no significant difference in job satisfaction between INCSW and GW for 6 months, while there was a difference in quality of life: overall quality of life (1st p=.033, 2nd p=.030), and overall general health (1st p=.049). Comparison of two groups by period in job satisfaction, there were statistically significant differences of the item 'recognition from the organization and professional achievement' (2nd versus 3rd, p=.037) and 'interpersonal interaction with respect and recognition' (1st versus 3rd, p=.005; 2nd versus 3rd, p=.006) in the INCSW. Comparison of two groups by period in quality of life, there was a statistically significant difference of the item 'overall quality of life' (1st versus 3rd, p=.025; 2nd versus 3rd, p=.010) in the INCSW. Development of various nursing strategies (such as manpower arrangement that reflects the nursing skill levels, patient needs, job training and organizational culture before placement) can be helpful for improving nurses job satisfaction and quality of life in INCSW and GW.