• Title/Summary/Keyword: 중재 제시 방법

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Elderly Women's Adaptation Process on Separation by Death in Rural Areas (농촌여성노인의 배우자 사별 적응과정)

  • Jang, hee Sun;Kim, Yun Jeong
    • 한국노년학
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    • v.31 no.4
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    • pp.939-967
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    • 2011
  • This study observed elderly women's adaptation process on separation by death in rural areas through grounded theory approach and developed its entity theory. Participants for this study were 14 elderly women who have lost their husbands in the last 12 months. The study was conducted for 8 months starting January 2010. Each interview per session took 40 to 90 minutes, study notes were taken on site, and recorded contents were transcribed by the researcher which was myself. The research data were collected by in-depth interview and with help of local community's nurses who were in charge of taking care of the participants. The collected data were analyzed by applying Strauss & Corbin's grounded theory (1998). As a result of study, 80 concepts, 28 subcategories, and 12 categories were deducted during open coding process. Adaptation process on separation by death was process of 'finding a way to live alone' which used strategy of 'attempting a make changes in life', and 'embracing the situation' which were influenced by conciliatory conditions of 'degree on economic condition', 'change in health', and 'supporting system' which focuses on phenomenon of 'bearing life alone' which is influenced by context condition of 'marital chemistry of couples during lifetime', and 'the couple's leadership during lifetime' together with casual conditions of 'the fall of wall'. The adaptation process accordance to time flow were divided into 4 steps which were step of 'shock and release of emotions', step of 'longing and resentment', step of 'resignation and acceptance', and step of 'life's restructure'. Above results suggest right directions for welfare for the aged and process of 'finding a way to live alone' for participants by controlling several factors and using intervention strategy, and provided basic data required for developing and applying practical welfare mediation.

A Study of the Introduction and Application of Partnering to the Alternative Dispute Resolution(ADR) (재판 외 분쟁해결제도로서의 파트너링 도입에 관한 연구)

  • Lee Tai Sik;Jeong Hyun Jin
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.329-332
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    • 2001
  • Alternative dispute resolution(ADR) techniques, like negotiation, arbitration, meditation, have been used to resolve dispute in Korea construction industry with litigation. Nowadays, in construction, there are growing numbers of disputing cases, because of the different viewpoint of the owner and the constructor, great demand of opening market, and bad construction business situation. As the name implies, ADR plays an important roles after disputes have already arisen. This paper suggests the one of the solutions that prevents disputes befor they have been occurred. There are some proves that the partnering has a substantial effect on reducing disputes and time reduction and improving communication among the parties. This paper proposes the partnering model for the one of preventive methods to solve disputes.

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Systematic Review of Effects of Nasal Continuous Positive Airway Pressure on Apnea of Preterm Infants (미숙아 무호흡을 위한 비강 지속적 양압환기법 효과에 대한 체계적 고찰)

  • Kim, Eun-Joo
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.225-235
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    • 2014
  • Purpose: The purpose of this study was to analysis the effects of nasal Continuous Postive Airway Pressure (nCPAP) for preterm infants using systematic review and meta-analysis. Methods: Thirteen peer-reviewed journals including preterm infants and apnea and nCPAP published between 1973 and 2013 were included. Effect size and statistics of homogeneity were done using STATA 10.0. Results: The design for 9 studies was Randomized Control Trial. In most of studies the pressure of nCPAP was set to 4-6 cm$H_2O$. The effect size of 5 studies for the effect on apnea rate using nCPAP compared to nasal Intermittent Positive Pressure Ventilator (nIPPV) showed that the Standardized Mean Difference (SMD) was -0.11 and was not significantly different (Z=0.41, p=.680). But the difference in nCPAP for nasal Synchronizes Intermittent Positive Pressure Ventilator (nSIPPV) (subgroup) was significant (SMD=-.44). The effect size of 7 studies on effect for ventilator weaning of using nCPAP compared to nIPPV showed the Risk Ratio (RR) as 1.60 and was not significantly different (Z=1.12, p=.268). But the difference between nCPAP and nSIPPV (subgroup) was significant (RR=3.94). Conclusion: The results indicate a need for an advanced care system and suggest continuous studies of apnea in preterm infants.

A Systematic Review of the Bimanual Intensive Training to Improve Bilateral Coordination for Children With Hemiplegic Cerebral Palsy (편측 뇌성마비 아동(hemiplegic cerebral palsy)의 양손 협응 향상을 위한 집중적 양손활동훈련에 관한 체계적 고찰)

  • Byun, Eun-Jin
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.7-17
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    • 2015
  • Objective : To investigate the current researches which identify the improvement of bilateral coordination skill of children with hemiplegic cerebral palsy after bimanual intensive training. Methods : We systematically examined papers published in journals from 2004 to 2014, using RISS, Pubmed. Total 6 studies were included in the analyses. Result : All of the selected 6 studies were foreign papers, and the Pedro score was 5 or more. Among various interventions, modified CIMT designs were the most. The primary outcome measure tools are AHA and JTTHF for evaluating bilateral coordination and hand functions, and QUEST, ABILHAND-Kids, COPM, GAS, PEDI, 3-D movement kinematics were used for evaluating various aspects of effectiveness of interventions. Conclusion : Through this systematic review, it is identified that bilateral intensive training provides positive effects to not only hand functions but also bilateral coordination. Furthermore, it also provided supports to participate in ADL requiring bilateral coordination. These results will provides evidence concerning the effectiveness of BIT for children with hemiplegic cerebral palsy.

The effects of deep neck flexor exercise on pain and neck disability index of the patients with chronic neck pain (심부목굽힘근 운동이 만성 목통증 환자의 통증과 기능에 미치는 영향)

  • Lee, Gyu-Chang;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4331-4337
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    • 2010
  • This study was to investigate the effectiveness of deep neck flexor exercise with using modalities in pain reduction and functional improvement to those who have chronic neck pain. The subjects were instructed the patients with chronic neck pain (37 people). Randomized study design of two groups was used: Only using modalities group and deep neck flexor exercise group with using modalities, and each group was taken by three times per week for 12 weeks. To evaluate the effects of therapies was to research the questionnaire about VAS(visual analog scale), NDI(neck disability index), and endurance of deep neck flexor before experiment, after 6 weeks and after 12 weeks. In visual analog scale(VAS) and neck disability index(NDI), there were significant decreased in using modalities group and deep neck flexor exercise group after 6 weeks more than before experiments but were only significant decrease in deep neck flexor exercise group after 12 weeks. The endurance of deep neck flexor was significantly increased in deep neck flexor exercise group after 6 weeks and 12 weeks more than before experiments. Thorough these results deep neck flexor exercise has the effectiveness to the therapies of chronic neck pain. Using the deep neck flexor exercise would be high effects on pain reduction and functional improvement and also considered in improving the living qualities of those who have chronic neck pain.

Effects of an Abdominal Obesity Management Program on Physiological Bio-markers of Middle-aged Women in Korea: A Meta-analysis (국내 중년기 비만 여성의 생리적 지표에 대한 복부비만관리프로그램의 효과: 메타분석)

  • Kim, KyengJin;Hong, HaeSook;Park, WanJu;Ko, SangJin;Na, YeonKyung
    • Journal of Obesity & Metabolic Syndrome
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    • v.25 no.3
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    • pp.138-148
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    • 2016
  • Background: The purpose of this study is to analyze the effects of an abdominal obesity management program in middle-aged women in Korea. Methods: Examination of databases, including the Research Information Sharing Service, Database Periodical Information Academic, and Korean Studies Information, resulted in identification of 772 studies performed up to 2014, of which 43 satisfied the inclusion data. Data analysis was performed using R version 3.2 to calculate the effect sizes, explore possible causes of heterogeneity, and check for publication bias, using a funnel plot and its trim-and-fill analysis. Results: The mean effect size of the management program was small (g=0.22), along with the anthropometric index (g=0.18), metabolism index (g=0.21), fat-distribution (g=0.36), and inflammatory index (g=0.36). Moderator analysis was performed to determine heterogeneity, but no significant differences were found between the randomized controlled trial (RCT) group and non-RCT group. In addition, the length of the session was found to be statistically significant after performing a meta-regression. Finally, a funnel plot with a trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, the abdominal obesity management program affects middle-aged women in Korea. Further research is needed to target other age groups with abdominal obesity.

Analysis of trends in social welfare research related to death preparation education (죽음준비교육 관련 사회복지학 분야의 연구동향 분석)

  • Kil, Tae-young
    • Korean Journal of Social Welfare Studies
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    • v.48 no.2
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    • pp.267-301
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    • 2017
  • The purpose of this study was to classify the research trends related to death preparation education in the social welfare field in Korea and in order to present a more systematic and developmental research direction. This study is based on the necessity of death preparation education which is a very important role in social welfare practice value, the total of 34 papers were analyzed the research trends related to death preparation education in Korea for the past 25 years. The papers used in the analysis were mainly composed of 9 papers published in 6 journals and 25 papers in master's and doctoral thesis. For this study, I examined the overall status of the study on death preparation education conducted from 1992 to 2016, research methods and research subjects, research keywords, and applied intervention characteristics. As a result of the analysis, the interest in the research related to the preparation education for death was focused on the elderly people and the trend of the study method was the most frequent with 13 researches, and the research trends of the study subjects were the 21 highest reported on the elderly. The main keyword of research was death anxiety (25), which was the most studied variable, and emotional anxiety about death (20) was the most used variable among the applied structuring classifications. In addition, emotional anxiety about death was the most effective test for the effect of intervention for death preparation education.

The Influence of Mental Health on Problem Drinking Among Korean Adolescents : Using the 13th(2017) Youth Risk Behavior Web-based Survey Data (한국 청소년의 정신건강 특성이 문제음주에 미치는 영향 : 청소년건강행태온라인조사 자료(2017년) 활용)

  • Lee, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.160-168
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    • 2019
  • This study was conducted in order to suggest directions for nursing intervention and education to prevent problem drinking of adolescents. We examine the influences of mental health characteristics of adolescents on problem drinking. For the research method, this study conducts secondary analysis using raw data from the 13th (2017) Youth Risk Behavior Web-based Survey. A total of 9,597 cases, excluding adolescents without drinking experience, were used for the final analysis. For the data analysis, the SPSS Win 23.0 program was used, and frequency analysis, ${\chi}^2$-test, and logistic regression analysis were conducted. Research results found general characteristics, school, school record, living type, father's education, and economic state were influencing factors on problem drinking. Regarding characteristics of mental health, depression (95% CI:1.578~1.930, p<.001), subjective happiness (95% CI:1.039~1.491, p=.002), suicidal ideation (95% CI:1.110~1.426, p<.001), and sufficiency of sleep (95% CI:1.085~1.399, p=.001) were primary factors affecting adolescents' problem drinking. Therefore, when conducting education for preventing problem drinking or nursing intervention programs targeting adolescents, it is necessary to provide methods offering experts' in-depth consultation with the consideration of characteristics of mental health of participants. Future research should conduct qualitative studies through in-depth interviews for reviewing problem drinking and identifying characteristics of adolescents. This study provides guidelines for nurses working with problem drinking adolescents in clinical settings and communities.

A Qualitative Research of the Residents Participated Welfare Network - Grounded theory Approach - (주민참여복지 네트워크에 대한 질적 연구 - 근거이론 방법론 -)

  • Kim, Young-Sook;Lim, Hyo-Yeon
    • Korean Journal of Social Welfare
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    • v.62 no.4
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    • pp.223-248
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    • 2010
  • This study is to explore the contents and interaction of residents voluntary network and propose the strategies to promote residents voluntary network. The grounded theory was utilized to attain our object. Total of seven social worker and 17 residents participated in the study. Data were collected through in-depth interviews and documents. The data were analyzed by using Strauss and Corbin's method. Results are the followings. In open coding 13 categories, 32 subcategories and 133 concepts were constructed. In axial coding causal conditions were qualitative ascent of needs, emergence of the right welfare consumer. Phenomenon was agitation of praxis ground and grope of exist. Contextual conditions were crisis resources, skepticism of welfare. Intervention conditions were maturation of welfare cognition and proliferation of the sense of community responsibility. Strategy were resocialization of voluntary organization and construction of field related service delivery system. Consequence were grass routing welfare strategic fitting service system. In selective coding we constructed the core category: The praxis revolution from bottom for break social welfare environment.

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A Review of Self-Monitoring of Blood Pressure for Self-Management of Hypertension (고혈압 환자의 혈압자가측정에 관한 문헌고찰)

  • Park, Young-Lm;L.Cunningham, Susanna
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.95-104
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    • 2007
  • 연구목적: 고혈압환자의 효과적인 자가관리 간호중재를 개발하는데 필요한 기초자료로 혈압자가측정(self-monitoring of blood pressure)에 대한 특성, 장점, 범위 및 제한점을 파악한다. 연구방법: 1996년부터 2005년까지 PubMed에 수록된 고혈압환자의 자가관리 방법중 혈압자가측정방법이 포함된 외국의 연구를 중심으로 체계적인 고찰을 실시하였다. 전체 69개 자가관리방법을 적용한 논문 중에서 혈압자가측정이나 가정에서의 혈압측정(home monitoring)에 대한 45개 논문을 선정하여 분석하였다. 연구결과 전반적으로 혈압자가측정 방법은 고혈압환자의 혈압조절을 향상시키는 효과가 유의한 것으로 나타났다. 환자가 혈압을 자가측정한 방법에서 평균 혈압, 수축기 혈압, 맥압이 유의하게 감소한 것으로 보고되었다. 장기적 프로그램에서 혈압조절율이 향상되거나, 이완기혈압의 감소효과도 보고되었다. 혈압자가측정의 기준치는 연구마다 일치하지는 않았지만 135/85mmHg 수준이 정상혈압의 상한수준으로 제시되었다. 일부 연구에서는 가정 내 혈압측정이 24시간혈압측정을 대체하는 방법으로 추천되었다. 보다 정확한 혈압자가측정을 위해서 신뢰성 있는 혈압측정기구의 사용과 정확한 측정방법이 환자들에게 교육될 필요가 있다. 결론: 혈압자가측정은 고혈압환자의 혈압조절에 유용한 방법으로 고찰되었다. 또한 고혈압의 진단, 혈압치료와 고혈압 약물복용 행위를 향상시키는 교육적 효과도 긍정적으로 나타났다. 따라서 고혈압환자를 위한 효과적인 자기조절프로그램에 혈압자가측정법을 포함하는 것이 추천되며, 추후 한국에서 시도된 관련 연구에 관한 문헌고찰의 비교연구가 필요하다.

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