• Title/Summary/Keyword: 행동중재

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Effect of a Smoking Cessation Motivational Program for Adolescents (흡연 청소년을 위한 금연동기화 프로그램의 효과)

  • Shin, Sung-Rae;Lee, Chung-Ok;Jeong, Goo-Churl
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.130-139
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    • 2013
  • Purpose: In this study an examination was done of the effects of a adolescent smoking cessation motivational program on smoking temptation, internal motivation, stage of smoking cessation and quit rate. The study was done with a nonequivalent control group pretest-posttest design. Methods: Participants in the experimental group were adolescents who smoked and were referred to the program by their high school teachers. They participated in the smoking cessation motivational program for 60 minutes per session, once or twice a week for six weeks. Participants in the control group were selected from the same age group within the school and the program was provided after the posttest was completed. t-test, Mann-Whitney test, and ${\chi}^2$-test were used to analyze data. Results: The level of smoking temptation, internal motivation and stage of smoking cessation had significant change in comparison to the pretest whereas the control group did not exhibit these changes. Conclusion: The results of the study indicate that a smoking cessation motivational program for adolescents is an effective strategy to increase smoking cessation motivation in adolescents, and can be utilized as an effective intervention for adolescents who smoke.

Development of a Scenario and Evaluation for Simulation Learning of Care for Patients with Hyperkalemia of Liver Cirrhosis in Emergency Unit (간호시뮬레이션 학습시나리오의 개발 및 평가 -응급실 내원 간경화증 환자사례를 중심으로-)

  • Kang, Hee-Young;Kim, Eun-Jung;Oh, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.312-321
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    • 2013
  • The purpose of this study was to develop a scenario suited for our clinical situations and evaluate the application possibility by evaluating students' problem solving ability and learning satisfaction in simulation learning. This study consisted of contents which could be applied for varied situations such as complications and symptoms related to liver cirrhosis, looking into hyperkalemia symptoms of patients with liver cirrhosis in emergency unit. The stage of developing scenario was organized in the order of setting simulation learning objectives and situations of scenario, making algorithm, writing checklists of clinical performance appraisal, and debriefing. The scenario was constructed with monitor setting(actions), patient/mannequin(actions), expected interventions(events), and cues in chronological order, according to the scenario progression outline of Jeffries (2007). The scenario was used in 2011, consisting of 4-5 people per group of 53 senior nursing students who registered for 'clinical performance appraisal' course. The problem solving ability improved from a score of 4.05 before simulation learning to a score of 4.30 after simulation learning (t=-3.97, p<.001). The score for learning satisfaction after the simulation learning was high (4.09/5). Considering that simulation learning encouraged students to be the main body of class, this learning method can be the effective way of nursing education.

The Effects of Medical Students' Self-regulated Learning on Career Adaptability (의과대학생의 자기조절학습이 진로적응에 미치는 영향)

  • Chun, Kyung-Hee;Park, Eun-A;Song, Young-Myung
    • Journal of vocational education research
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    • v.30 no.4
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    • pp.161-177
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    • 2011
  • The major purpose of this study is to see the effects of medical students' self-regulated learning on career adaptability. Therefore, we carried out self-regulated learning and career adaptability tests for the 252 medical students belong to the K university to examine the above subject. Then the respondents were divided into two groups according to the level of career adaptability to see the group differences on self-regulated learning. The results of this research are as follows. The group of high career adaptability was scored higher than the lower scored group in every domains of self-regulated learning except test anxiety. And also the result of regression analysis to see the effects of self-regulated learning on sub-domains of the career adaptability like responsibility, interpersonal relationship, proactivity, positive attitude showed statistically significant differences to the total score of career adaptability except motivation controlling. Based on the above results, this study suggest the need of mediation related with self-regulation, and also the need of counselling and education to help the medical students suffering from adaptability. Furthermore, suggest following studies searching the multiple variables affecting career adaptability.

Study of General Characteristics of the Korean Elderly and Their Leisure Time Spending : Analyzing the Data of Hours of Living 2014 (한국노인의 일반적 특성과 여가생활시간에 관한 연구 : 2014년 생활시간조사자료 분석 중심으로)

  • Kim, Hyeong-Min;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.1
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    • pp.57-67
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    • 2019
  • Objective : This study aimed to identify types of leisure time spending of the Korean elderly according to the data of Hours of Living 2014 from National Statistical Office, and compare and analyze features of leisure time spending based on general characteristics of the elderly. Method : This study has only adopted the data of 9228 elder people whose ages were above 65, and their general characteristics and time spending features form the data of Hours of Living 2014. The final comparison and analysis has been made through behavior classification (1 major classification, 7 medium classification, 39 minor classification), which reflects how the elderly spend their leisure time according to their household and personal characteristics. Result : Firstly, the Korean elderly were found to spend most of their leisure time with media. Secondly, analyzing the features of leisure time spending based on household characteristics of the elderly, their gender and household income showed significant differences in all types of leisure time activities except for cultural and sightseeing activity. And their marital status showed significant differences in most of the leisure time activities excluding leisure time activity with media and cultural and sightseeing activity. Thirdly, analyzing the features of leisure time spending based on personal characteristics of the elderly, their education level has made significant differences in all types of leisure time activities. As for their economic activity status and average monthly income, they showed meaningful differences in most of the leisure time activities excluding cultural and sightseeing activity and ritual activity. Conclusion : We should help to find meaningful occupation within personal contexts and arrange it properly with balanced leisure time spending. Moreover, it is highly important to have appropriate occupational approach to prevent social isolation of the Korean elderly, and ensure their fruitful and successful later life.

Development of Smartphone Application for Cognitive Behavioral Therapy-Based Case Management in Patients with Schizophrenia (조현병 환자의 인지행동치료 기반 사례관리를 위한 스마트폰 애플리케이션 개발)

  • Kim, Sung-Wan;Lee, Ga-Young;Yu, Hye-Young;Park, Ji-Hyun;Lee, Yong-Sung;Kim, Ju-Wan;Park, Cheol;Lee, Ju-Yeon;Lee, Yo-Han;Kim, Jae-Min;Yoon, Jin-Sang
    • Korean Journal of Schizophrenia Research
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    • v.19 no.1
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    • pp.10-16
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    • 2016
  • Objectives : This article aims to describe the development of smartphone application for the case management of patients with schizophrenia. Methods : Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (HYM) for cognitive-behavioral case management and symptom monitoring. The development of the application involved psychiatrists, nurses, social workers, psychologists, and software technicians from a software development company (Goosl Corp.). Results : The HYM application for clients includes six main modules including Thought record, Symptom record, Daily life record, Official notices, Communication, and Scales. The key module is the 'Thought Record' for self-directed cognitive-behavioral treatment (CBT). When the client writes and sends the self-CBT sheet to the case manager, the latter receives a notification and can provide feedback in real time. 'Communication' and 'Official notices' are useful for promoting communication between case managers and clients with schizophrenia. Ratings in 'Symptom record', 'Daily life record', and 'Scales' modules are stored in graphic or table form representing changes in them and shared with case managers. Conclusion : The interactive function of this application is the key characteristics that distinguishes it from other mobile self-treatment tools. This smartphone application may contribute to the development of a youth- and customer-friendly case management system for individuals with early psychosis.

Factors Associated with Metabolic Abnormalities in None-Obese and Obese Postmenopausal Women (비(非)비만 및 비만 폐경 여성의 대사이상 관련 요인)

  • Jin Suk Ra
    • Journal of Industrial Convergence
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    • v.22 no.6
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    • pp.107-120
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    • 2024
  • This study aimed to identify factors associated with metabolic abnormalities in non-obese and obese postmenopausal women based on biopsychosocial model. Secondary data analysis was conducted using data from 5,335 postmenopausal women who participated in the Korean National Health and Nutrition Examination Survey (2015-2021). According to logistic analysis with applying a complex simple analysis in SPSS 26.0, biomedical (increased age; a family history of hypertension, type 2 diabetes, dyslipidemia, and cardiovascular diseases) and biosocial factors (low educational level) were associated with 1-2 metabolic abnormalities and metabolic syndrome, regardless of adiposity. Additionally, low familial socioeconomic status and prolonged sedentary behaviors were the biosocial and psychosocial factors associated with metabolic syndrome regardless of adiposity. Finally, insufficient physical activity was associated with metabolic syndrome in obese postmenopausal women. Based on these results, tailored strategies should be developed considering the significant factors associated with metabolic abnormalities and adiposity in postmenopausal women.

A Study on the interracially Married Female Immigrant's Adaptation of Multi-cultural Families : Qualitative Methods (여성결혼이민자가 경험하는 다문화가족 적응에 관한 연구 -T시를 중심으로-)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5066-5075
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    • 2012
  • The purpose of this study was to offer a foundation of developing the more qualitative and individual nursing-intervention strategy for allowing married female immigrants and their children of multi-cultural families to possibly grow and develop as a Korean without discrimination and prejudice in Korean society. Period of data collection in this study was from April 2010 to May 2011. Subjects of this study are totally 13 married female immigrants of multi-cultural families who have preschool children of dwelling in T city. Data analysis is qualitative research that applied Spradley(1990)'s culture-descriptive method. The results were as follows : The common elements, which are shown in married female immigrants, children, and family members of multi-cultural families, were indicated to "social prejudice", "exclusive family atmosphere", "economic difficulty", "coexistent different culture".

Mediating Effects of Psychological Flexibility and Entrapment on the Relationship between College Students's Life stress and Adjustment to College Life (대학생의 생활스트레스와 대학생활 적응 간의 관계에서 심리적 유연성과 속박감의 매개효과)

  • Kim, Sul-Hwan;Son, ChongNak
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.331-339
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    • 2018
  • The purpose of this study was examine the mediating effects of psychological flexibility and entrapment on the relationship between college students's life stress and adjustment to college life. A sample of 142 college students at a university located in Jeonju city completed self-report measures of life stress, psychological flexibility, entrapment and adjustment to college life. In order to examine the mediating effect, The collected data from college students were analyzed by the procedures prosposed by Baron and Kenny. Psychological flexibility and entrapment partially mediated the relationship between life stress and adjustment to college life, indicating that life stress directly affect adjustment to college life and indirectly affect adjustment to college life through psychological flexibility and entrapment. Finally, limitations of the results of this study and therapeutic interventions to prevent maladjustment by college students were discussed.

Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis (암생존자를 위한 심리교육중재의 효과에 대한 체계적 고찰 및 메타분석)

  • Park, Jin-Hee;Bae, Sun Hyoung
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.143-163
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    • 2017
  • Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

A Study on Middle School Teacher's Knowledge, Coping Strategies, and Educational Intervention for Attention Deficit Hyperactivity Disorder (중등교사의 주의력 결핍.과잉 행동장애에 대한 지식, 대처 및 교육적 중재)

  • Lee, Jung-Ok;Seo, Ji-Min;Kim, Jung-Soon;Jun, Seong-Sook
    • Journal of the Korean Society of School Health
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    • v.17 no.2
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    • pp.35-46
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    • 2004
  • Purpose: This study investigated the prevalence of middle school students with ADHD and the level of middle school teacher's knowledge, coping strategies, and educational intervention for ADHD. Methods: There were 185 teachers and 6,381 middle school students at the 6 middle schools in Pusan. The data was collected from December 20, 2003 to January 10, 2004. Results: 195 middle school students had ADHD (3.1%). The male students with ADHD made up 4.4% of the total students and the female students with ADHD totaled 1.3%. The mean score of middle school teacher's knowledge about ADHD was 21.86 of the score total 32. The teachers used a negative coping style less than an active and passive coping style. Of the educational interventions, the environmental intervention in the classroom was used more than the educational intervention activity. 61.1% of the teachers responded that they did not know very much about ADHD. 93.5% of the teachers had no educational experience with ADHD. 94.1% felt that they needed an education program about ADHD and over half of them intended to participate in an ADHD education program. Conclusion: Based on the results of this study, we concluded that the middle school teachers felt that they had insufficient knowledge about ADHD. They wanted the opportunity to increase their knowledge of ADHD. Therefore, it is necessary for educational programs about ADHD for teachers to be developed and made available to them.