• Title/Summary/Keyword: 행동중재

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Exploring the Use of Melody During RAS Gait Training for Adolescents with Traumatic Brain Injury: A Case Study (외상성 뇌손상 청소년 대상 리듬청각자극(RAS) 보행 훈련 시 선율 적용 사례)

  • Park, Hye Ji
    • Journal of Music and Human Behavior
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    • v.12 no.2
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    • pp.19-36
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    • 2015
  • The purpose of this study was to examine the effects of rhythmic auditory stimulation (RAS) on gait parameters, with and without the presence of a melody, for adolescents with traumatic brain injury (TBI). Three adolescents with TBI received a total of ten individual RAS training sessions. At pre and posttest, spatiotemporal parameters including cadence, velocity and kinematic parameters were measured using the VICON 370 Motion Analysis System. The results showed no significant difference in gait velocity between the two conditions, thus the presence of the melody condition did not impact the outcome of RAS gait training. On the other hand, all participants showed improvement in gait function after RAS training. The cadence, velocity, stride length, and symmetry were increased and the stride time was reduced after training. The motion analysis demonstrated that the movement patterns of hip and knee joints improved, as they were more similar to normal gait, which indicates that the walkings tance became more stable. The research findings indicate that rhythm is the primary factor in mediating gait functions via RAS training. This study also supports that RAS training can effectively improve the gait function for adolescents with TBI.

A Rationale for Instrumental Music Playing for Upper Extremity Rehabilitation in Subacute Stroke (아급성 뇌졸중 환자의 상지재활을 위한 악기 연주의 임상적 활용 근거 연구)

  • Jeong, Eunju
    • Journal of Music and Human Behavior
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    • v.10 no.1
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    • pp.1-23
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    • 2013
  • Upper extremity dysfunction is a common consequence following stroke. Spontaneous recovery during the first six months post-stroke is rigorous and considered as a significant indicator of potential long-term progress. Various approaches have been utilized to regain functional upper limb movement necessary for independent living; however, conventional therapy approaches have failed to prove consistency, especially for subacute stroke patients. There is, thus, a need for innovative therapeutic strategies that motivate stroke survivors to facilitate neural and functional recovery during the critical window immediately following stroke. The effect of music on physical enhancement has been frequently reported in the field of medicine as well as neurorehabilitation. The efficacy of rhythm on lower extremity deficits has been well established. Yet, the rationale for using instrumental music making enhancing subacute upper extremities rehabilitation is not clearly described to date. Based on the key mechanism of music as sensori-motor movement facilitator, this paper reviews previous empirical research that utilized music-based interventions for upper extremity rehabilitation for stroke patients, either in the form of receptive or expressive activity. This paper, further, focuses on the current research trends in subacute stroke upper limb rehabilitation and provides applicable rationale of using instrumental music playing.

A Study on perceptions about physical restraint use of nurse in small and medium sized hospitals (중소병원 간호사의 신체 억제대 사용에 대한 인식)

  • Kim, NamSuk
    • Journal of Digital Convergence
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    • v.15 no.12
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    • pp.581-590
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    • 2017
  • This study was conducted to investigate the perception of nurse's use of physical restraints. This study is a descriptive research study for 138 nurses who work at the small hospitals under 300 beds. Statistical analysis was performed using descriptive statistics, t-test, ANOVA, and factor analysis using the SPSS statistical program. The results of this study were as follows: The overall average of the nurses' perception of physical restraint was $3.91{\pm}0.54$, and the most important reason for using a physical restraint was to protect the patient from falling out of bed($4.37{\pm}0.68$). The factor analysis showed that 'behavior, psychological symptom management($3.81{\pm}0.67$)', 'maintain medical treatment($4.11{\pm}0.60$)' and 'patient safety($4.13{\pm}0.63$)'. It is necessary to understand the characteristics and factors of nurse's use of physical restraint in small and medium hospitals. Moreover, it is also required to use minimum physical restraints for patient's safeties and rights based on accurate understanding of physical restraint's use. Therefore, it is needed to provide job training for the physical restraint that is used in various situations and to develop education and intervention program to adjust in nurses' situation.

Reproductive Physiology of Pineal Hormone Melatonin (송과선 호르몬 멜타토닌의 생식 생리학)

  • 최돈찬
    • The Korean Journal of Zoology
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    • v.39 no.4
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    • pp.337-351
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    • 1996
  • Melatonin Is a multifunctional hormone secreted from the pineal gland in the middle of cerebrum and cerebellum. Its synthesis and release reflect photopedod;Photopedod is a yearly predictable ambient factor that most animals utilize as an environmental cue for maximum survival. Hamsters maintaln reproductive activity in summer during which day length exceeds night time. Upon the advent of autumnal equinox they undergo gonadal regression. The photoperiodic effects are prevented by removal of the pineal gland and restored by the timed repiacument of melatonin. The results suggest that melatonin constitutes part of control mechanism whereby environmental information is transduced to neuroendocrine signal responsIble for the functional integrity of the reproductive system. From the studies for the action site of melatonin following the treatment of photopedod or melatonin in the lesion of a spedflc portion of hypothalamus, suprachiasmatic nuclei and pars tuberalis are shown to be a consensus site for melatonIn. The action of melatonin. In the regulation of reproduction is largely unknown. It is mainly due to the lack of acute effect of melatonin on gonadotropin secretion. However, reduction of the gonadotropln release and augmentation of the hypothalamic gonadotropin-releasing hormone (GnRH) content by long-term treatment of melatonln Indicate that constant presence of melatonln may partidpate in the regulation of sexual activity via the GnRH neuronal system. The action mechanism by which melatonin exerts Its effect on GnRH neuron needs to be eluddated. The inability of opiold analogues to affect the reproductive hormones in sexually regressed animals by inhibftory photopedod and melatonin suggests that the opioldergic neuron may be a prime intervening mediator. Recent cloning of melatonin receptor will contribute to investigate its anatomical Identification and the action mechanism of melatonin on target tissues at the molecular level.

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Effects of Stroke Prevention Education Program of Oriental Nursing on Self-Health Perception Change, Health Behavior Change, Self-Care and Physiological Index of adult and elderly people (한방간호 중풍예방교육프로그램이 성인 및 노인의 자가 건강인식 변화, 건강 행태변화, 자가관리와 생리적 지수에 미치는 영향)

  • Chang, Koung-Oh;Oh, Mi-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.111-120
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    • 2019
  • This study is a quasi experimental study to investigate the effects of stroke prevention education program of Oriental Nursing on self-health perception, health behavior change, self-care and physiological index of adults over 55 years old and elderly people. The data were collected from August 12 to November 29, 2017. The 53 study subjects comprised 26 experimental subjects who agreed to participate in the education program and 27 control subjects. In the results, there was no statistically significant difference between the experimental group and the control group in general characteristics and research variables before the program; further, the two groups were homogenous. In the hypothesis test, the change in self-health perceptions of the experimental and control groups was t = -5.28 (p <.001), health behavior change was t = -4.24 (p <.001), self-care was t = -5.28 (p <.05), systolic blood pressure was t = 2.48 (p <.05), diastolic blood pressure was t = 2.78 (p <.05), and cholesterol was t = -3.94 (p <.001). There were statistically significant differences between the two groups and all four hypotheses were supported, which demonstrated the effectiveness of the program. These study results suggest that it is an effective program to change the self-perception of health and health behavior, improve self-care ability, and control the physiological index. It is expected that these findings will be useful in developing a future effective oriental nursing intervention. The education program should be continuously carried out, and the area needs to be expanded.

Domestic Research Trends of The Dementia Prevention Programs for The Elderly (노인 대상 치매예방프로그램 국내 연구동향)

  • Yang, Su-Kyung;Ko, Bo-Suk;Park, Jung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.131-143
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    • 2019
  • The purpose of this study is to analyze the research trend of the dementia prevention program in the elderly. Between 2000 and 2018, the Korean Research Information Service (Riss), Google Scholar Search, DBpia, Korea Academy of Science Information (Dissemination Prevention), Dementia Prevention Program, Dementia, The purpose of this study was to investigate the dementia prevention program for the elderly. Based on the analysis criteria and methods of the 404 papers, 36 papers were finally selected. The results of this study are as follows: First, as a result of analysis of the basic structure of the research data and program implementation structure, And, when applied quantitative research method, 25 cases showed a much higher tendency. As a result of analyzing trends of the implementation structure of dementia prevention program for the elderly, 11 were the most in the nursing home (elderly welfare hospital), and the proportion of elderly women was higher than that of male elderly. 65 years of age or older. Second, as a result of analyzing the type of intervention program for dementia prevention program, Third, the Korean version of the MMSE-K tool, which measures cognitive function, is the most frequently used dementia prevention program measurement tool and the result of analysis of effectiveness, Significant improvement in cognitive function. The results of this study suggest that the prevention of dementia for the elderly should be avoided from a fragmentary program and improve the cognitive function, mental behavior and lifestyle of the elderly, improve the healthy aging and quality of life, Suggesting that a program is required.

The Effect of Self-leadership Program for Nursing Students on Empowerment, Self-directed Learning, and Happiness (간호대학생을 위한 셀프리더십 프로그램이 임파워먼트, 자기주도적 학습능력, 행복감에 미치는 효과)

  • Park, Jung Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.61-67
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    • 2019
  • The purpose of this study is to apply self-leadership program using films to nursing students and to confirm the effects of self-leadership, empowerment, self-directed learning and happiness. The study participants were 60 nursing students, the data was collected from March 7, to June 13, 2017. The data was analyzed by frequency, percentage, mean, standard deviation, and paired t-test using SPSS WIN 24.0 computer program. The self-leadership program consisted of 13 sessions, and 14 films were used for self-management, self-training, and self-branding. The self-leadership of nursing students was significantly increased after education(t=-4.38, p<.001). In details, behavior-focused strategies, natural-reward strategies, and constructive thought pattern strategies were all significant. Empowerment also increased significantly after education(t=-5.83, p<.001), and personal skills, collective recognition, and self-determination were all significant. Self-directed learning were high after education(t=-3.31, p=.002), and learning plans and learning practices were significant. In addition, the happiness of nursing college students was significantly higher after education(t=-4.49, p<.001). As a result of this study, self-leadership program using movies can improve self-leadership, empowerment, self-directed learning and happiness of nursing students and It will be possible to apply as educational intervention in the future.

A Review of Person-centered Care in Nursing Homes (노인요양시설의 인간 중심 케어 (Person-centered care)에 대한 연구)

  • Yoon, Ju Young;Roberts, Tonya;Bowers, Barbara J.;Lee, Ji Yun
    • 한국노년학
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    • v.32 no.3
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    • pp.729-745
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    • 2012
  • The purpose of this study is to review person-centered care models and the scientific evidence for the impact of person-centered care in U.S. nursing homes, and to analyze the applicability of person-centered care for Korean long-term care system. The most commonly recognized person-centered care models were Eden Alternative, Green House, and Wellspring model. The core components of the three models were autonomy, close relationships, homelike environment, and staff empowerment. Thirty eight empirical studies including 10 model testing studies and 28 studies to examine the impact of person-centered care interventions indicated generally positive outcomes in terms of residents, family, and staff/organization level. The authors analyzed the current situation in the Korean long-term care system with respect to the specific core constructs of person-centered care, and proposed applicable models and practical suggestions in consideration of Korean context. Lastly, future considerations regarding policy and research were discussed.

Development of Imagery-Focused Music Listening Program to Improve Emotion Regulation Among Infertile Women (난임 여성의 정서조절기술 향상을 위한 심상 중심 음악감상 프로그램 개발)

  • Rho, Yoonhee
    • Journal of Music and Human Behavior
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    • v.17 no.2
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    • pp.29-56
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    • 2020
  • The purpose of this study was to develop and validate an imagery-focused music listening program for improving emotion regulation among infertile women. For the program development in this study, the literature on emotional issues and coping strategy of infertile women was analyzed to establish theoretical foundation; and the literature on Supportive Music and Imagery (SMI) was analyzed to identify intervention components. Based on the established theoretical framework, the program was developed and finalized after evaluation of validity by four SMI professionals. The developed program was found to systematically target changes in emotions in the step-wise process of discovery, reinforcement, and affirmation of positive emotional resources. The list of music for future use was also identified and presented after systematic analysis of musical features in relation to valence and arousal of emotions. The imagery-focused music listening program was an initial approach to infertile women with SMI, which indicates the possibility of extended application for broadened clinical population.

A Musical Play Program for Promoting Interaction Between Immigrant and Korean Preschoolers (다문화통합어린이집 내 이주배경아동-한국가정아동 간 또래상호작용 증진을 위한 음악극 프로그램 개발)

  • Kim, ChanMi
    • Journal of Music and Human Behavior
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    • v.19 no.1
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    • pp.21-41
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    • 2022
  • The purpose of this research was to develop and verify applicability of a musical play program aimed at promoting interaction between immigrant preschoolers and Korean preschoolers. A daycare center serving the preschool-age children of Korean nationals and immigrant families were the site for this research. Utilizing the elements of a musical play (e.g., role playing, narration, and joint music activity), the program was developed for improving interaction among preschoolers, while promoting intercultural acceptance by providing the opportunity to be exposed to music from different cultures and engage in the joint activity using such music. For the purpose of investigate the applicability of the developed program, the program was implemented with two groups of preschoolers and each group received the musical play program for 30 minutes twice a week for a total of 6 sessions. The results of this preliminary study indicate that the musical play program promoted interaction between peers from different cultural background. Based on the results of this study, musical play programs may be helpful in promoting interactions between preschoolers from different cultural backgrounds and increase of acceptance of immigrant students in Korean daycares and schools.