• Title/Summary/Keyword: 2근관

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The Effect of the Integrated Cognitive Rehabilitation Program on the Cognitive Function and Depression of Elderly with Mild Dementia (경증치매노인에서 통합적 인지재활 프로그램의 인지기능 및 우울정도 개선효과 연구)

  • Oh, Ji Yeon;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.94-102
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    • 2020
  • Purpose: This study aimed to investigate the effect of the integrated cognitive rehabilitation program in elderly patients with mild dementia. Methods: A total of 20 elderly patients with mild dementia participated in the integrated cognitive rehabilitation program. The program was conducted three times per week for a total of 4 periods (10 wks per period) from February 6, 2018 to December 13, 2018. Each session lasted for 1 hour, and the cognitive function and depression of the subjects were measured before and after they participated in the program. Results: After the program, there was a significant increase and decreases in participants' cognitive function and depression respectively. There was a statistically significant difference in cognitive function score over time and period, except for the 2nd period. The difference in the degree of depression over time and period was statistically significant. Conclusion: The results suggest that an integrated cognitive rehabilitation program could help improve cognitive function and the degree of depression in elderly patients with mild dementia.

The Intetions of University Students Regarding Donating Hematopoietic Stem Cells Based on the Theory of Planned Behavior (계획행위이론에 근거한 대학생의 조혈모세포 기증희망 등록의도)

  • Lim, Seungjoo;Cho, Sorin;Yang, Eunjung
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.153-159
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    • 2020
  • Purpose: This study aims to identify the effect of university students' intention to donate hematopoietic stem cells based on the theory of planned behavior. Methods: The subjects include university students who visited the campaign for the registration of hematopoietic stem cell donation held at H university on September 28, 2019 and October 2, 2019. Results: The intention to register for hematopoietic stem cell donation and empirical attitude (r=.72, p<.001), instrumental attitude (r=.64, p<.001), directive norm (r=.53, p<.001), technical norms (r=.55, p<.001) and self-efficacy (r=.86, p<.001) showed a significant positive correlation. The multiple regression analysis revealed that self-efficacy (β=.66) and empirical attitude (β=.23) were the most influential factors. Conclusion: Educational and promotional programs to increase the intention to register for hematopoietic stem cell donation need to be developed to help increase students' self-efficacy and help them develop a positive experiential attitude. In addition, further research is needed to determine whether the intention to register in hematopoietic stem cell donation among university students can lead to actual registration and donation after registration.

Reproducibility of Measures of Lumbar Spine, Hip and Whole Body BMD according to Longitudinal Physical Activity in Older Athletes (노인 운동가에 있어 장기적인 운동에 따른 척추, 힙과 신체 총 골밀도 감소에 관한 재현성)

  • Jung, Youn-Soo
    • Journal of muscle and joint health
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    • v.8 no.2
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    • pp.278-286
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    • 2001
  • With the aging of society a great deal of interest is being placed on the value of longitudinal data in evaluating physiological losses. We present data on test-one/test-two reliability and reproducibility for measures of training, bone density from a longitudinal study of master athletes. Fifty-two males (mean age at test $1=58.2{\pm}9.8\;years$) and thirty-two females ($54.4{\pm}8.8\;years$) were selected from the study population. Bone mineral density was determined using DEXA (Hologic 1500). The characteristics of the subjects are presented below as $means\;{\pm}\;S.D$. The data was imported into the Statistical Package for the Social Science (SPSS 9.0, Chicago, IL). Paired t-tests were performed between visit 1 and visit 2 in subjects. Pearson correlations were performed. The results of this study indicate the measures of training history, body mass and bone density are reasonably stable and reproducible. We conclude that body composition and bone density parameters are stable and reproducible over time in active older subjects. Physiologic measures in master athletes are fairly stable, and reproducible over time Longitudinal studies investigating age-related changes in master athletes need to be conducted on a time schedule of greater than two years.

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Concept Analysis of Shift Work Maladaptation Syndrome (교대근무 부적응 증후군의 개념 분석)

  • Yun, Mi-Jeong;Lee, Eun-Nam;Won, Youn-Hui
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.135-144
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    • 2014
  • Purpose: The purpose of this study was to analyze and clarify the concept of shift work maladaptation syndrome and to facilitate development of interventions for the shift work adaptation. Methods: This study used Walker and Avant's concept analysis process. Results: Shift work maladaptation syndrome can be defined as the following attributes: 1) destruction of the circadian rhythm, 2) existence of a threshold, 3) individual characteristics (year of career, type of personality, and type of coping) 4) somatization, and 5) negative emotional conditions. The antecedents of shift work maladaptation syndrome consist of counterclockwise shift work, irregular shift cycle, night work which is breaking circadian rhythm, and lifestyle changing. The consequences as a result of shift work maladaptation syndrome are deterioration of health (gastrointestinal, neuro-psychic, cardiovascular function), reduction of social relationships, and turnover or resign. Conclusion: The results of this study can be useful as the foundation of shift work adaptation implementation.

Factor Analysis of Uncertainty Experienced by Patients having Rheumatoid Arthritis (류마티스 관절염 환자가 지각하는 불확실성 개념의 요인분석)

  • Yoo, Kyoung-Hee;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.238-248
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    • 1997
  • This study was conducted to identify the characteristics of uncertainty in patients having rheumatoid arthritis. Subjects of the study constituted 528 patients who visited outpatient clinics of two university hospitals and one general hospital in Seoul. A self report questionnaire was used to measure the uncertainty. Reliability coefficients of this instrument was found Cronbach's ${\alpha}=.84$. In data analysis, SPSS PC 6.0 computer program was utilized for descriptive statistics and factor analysis. Three factors were appointed on the basis of literature review for the principal component factor analysis method and Varimax Orthogonal Rotation. The results of factor analysis were as follows ; 1) Three factors for uncertainty were identified through the principal component analysis and varimax rotation, and these contributed 37.4% of the valiance in the total score. Twenty six items among the whole items in the scale loaded above .39 on one of 3 factors. 2) The naming of each factor was as follows : Factor 1 was 'ambiguity' and has 12 items, factor 2 was 'lack of information' and has 8 items, factor 3 was 'unpredictability' and has 7 items. 3) Cronbach's alpha for internal consistency was .84 for the total items and .81, .80, .50 for each of three subscales in that order.

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Modification and Test of Self-help Program for Patients having Fibromyalgia-Pilot Study- (섬유조직염환자용 자조관리과정의 수정 및 검증 -예비조사-)

  • Lee, Eun-Ok;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.262-276
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    • 1997
  • The purposes of this study are 1) to modify a self-help program for patients having fibromyalgia, 2) to revise instruments to measure the self-efficacy and impact of fibromyalgia; and 3) to test the effects of the program in terms of self-efficacy, physical activities, and clinical symptoms. The subjects of this study were persons diagnosed as fibromyalgia at a university hospital. For the first two purposes, six patients were selected. Twenty three subjects for the third purpose were selected and assigned to experimental and control group on the base of their residence. Thirteen were assigned to the experimental group, while 10 to the control group. Instruments selected for revision were self-efficacy scale and fibromyalgia impact profile. On the basis of the text developed by Arthritis Foundation, a program for patients with fibromyalgia was tentatively developed. Instruments for measurement of self-efficacy and impact of fibromyalgia were revised to show high reliabilities. Results obtained by utilization of the program were as follows : 1) There were no increase of self-efficacy and physical activities. 2) There were no improvement of the number of tender points and pain. 3) There were improvement of depression, fatigue and sleep impairment. These findings indicate the needs for modification of the program with emphasis of exercise for relaxation of tender points, increases of enactive action and vicarious learning.

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Effects of a Smoking Cessation Program on Processes of Change, Situational Temptation and Decisional Balance in Male University Student Smokers (금연프로그램이 흡연 남자대학생의 변화과정, 유혹상황, 의사결정균형에 미치는 효과)

  • Kim, Ju-Sung;Lee, Sun-Ok
    • Journal of muscle and joint health
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    • v.17 no.2
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    • pp.113-123
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of a smoking cessation program on processes of change, situational temptation, and decisional balance in male university student smokers. Method: Utilizing a quasi-experimental design, 78 male university students consisted of an experimental group (n=48) and a control group (n=30). A smoking cessation program was applied to the experimental group for a period of 6 months while no program was given to the control group. Study questionnaires were used to measure outcome variables before and after the program. Descriptive analysis, $\chi^2$-test, t-test, and ANCOVA were used with SPSS 18.0 program for data analysis. Results: After treatment with this program, the experimental group showed significantly higher scores for processes of change (experiential and behavioral processes of change) than the control group. The experimental group also showed significantly lower scores for situational temptation (positive social, negative affect, and habit strength). Conclusion: The smoking cessation program may have positive effects on process of change and smoking temptation for male university student smokers.

Effects of BeHaS Exercise Program on The Upper Body Function in Middle-aged Women (베하스(BeHaS)운동프로그램이 중년여성의 상지기능에 미치는 효과)

  • Kim, Ji-Hyun;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.149-157
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    • 2007
  • Purpose: The purpose of this study was to identify the effect of BeHaS exercise program on the upper body function(muscle strength, muscle endurance, flexibility) in middle-aged women. Method: Middle-aged women were recruited in the community the study was conducted from August 2005 to December 2005. Twenty-two experimental subjects were selected from P area, eighteen control subjects were selected from A area. The experimental group carried out the program two times a week for 12 weeks. Muscle strength(grip strength, pinch strength), muscle endurance (push-up), flexibility were measured. Data were analyzed with $x^2$-test, t-test, and ANCOVA using SPSS WIN 11.5. Results: 1) Left grip strength and right pinch strength of the experimental group were significant differences after the BeHaS exercise program. 2)Muscle endurance of the experimental group(t=3.14, p=0.015) was significant difference after the BeHaS exercise program. 3) Left and right flexibility showed no significant differences after the BeHaS exercise program. Conclusion: The results suggest that BeHaS exercise program would partially improve upper body function of middle-aged women. Further studies are necessary in order to determine the effects of flexibility after BeHaS exercise program.

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Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Nursing Students (간호대학생의 심폐소생술 수행의지에 미치는 영향요인)

  • Park, Ju Young;Kim, Hyun Jin;Song, Kyeong Jin
    • Journal of muscle and joint health
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    • v.26 no.2
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    • pp.131-140
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    • 2019
  • Purpose: The purpose of this study was to explore factors influencing for intention to perform cardiopulmonary resuscitation (CPR) in undergraduate nursing students. Methods: A total of 146 students at G University participated in this descriptive study. With a self-administered questionnaire, the data were collected from November 26 to November 30, 2018. Results: In this study, intention to perform CPR had significant positive correlations with attitude of CPR (r=60, p<.001), self-efficiency of CPR (r=.53, p<.001), and confidence in automated external defibrillator (AED) utilization (r=.47, p<.001). Stepwise multiple regression analysis showed that factors influencing for intention to perform CPR were attitude of CPR (${\beta}=.60$, p<.001) and confidence in AED utilization (${\beta}=.26$, p<.001). Overall, approximately 41% of the variability in intention to perform CPR was explained by these variables ($R^2=.41$, F=50.04, p<.001). Conclusion: In order to promote the intention to carry out CPR among nursing college students, it will be necessary to develop strategies to strengthen a positive attitude toward CPR in fundamental nursing and clinical nursing practices in addition to improve confidence in AED utilization.

An Exploratory Study of Healthcare Utilization Process among Patients with Multimorbidity (복합만성질환자의 의료이용 과정에 관한 근거이론적 탐색)

  • Yu, Soo-Young;You, Myoung Soon
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.161-173
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    • 2021
  • Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness using health care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: This qualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposive sampling among those who saw physicians more often than the national average from the 2013 medical-claim data. The transcribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serial symptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "my body is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising from the situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced social support and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependence on medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary relief through dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of the patients with multimorbidity is required.