• 제목/요약/키워드: Check list

검색결과 394건 처리시간 0.024초

담정격(膽正格) 병행치료와 일반한방치료가 교통사고 후 PTSD환자의 심리상태와 통증에 미치는 영향에 대한 비교 (Comparative Study of General Oriental Medical Treatment and Damjeonggyeok Acupuncture on Pain and Post-Traumatic Stress Disorder due to Trafiic Accident)

  • 이지은;천혜선;류충열;조명래;류미선
    • Journal of Acupuncture Research
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    • 제26권6호
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    • pp.151-159
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    • 2009
  • Objectives : The purpose of this study was designed to estimate the effect of Damjeonggyeok acupuncture on Post-Traumatic Stress Disorder patient due to a series of traffic accidents by using Symptoms Check List-90-Rivision(SCL-90-R). Methods : This report have been observed among 30 patients who admitted our department for whiplash injury associated disorders during 04-01-2009 to 09-31-2009. The PTSD patients was divided into 2 groups. One group was treated general oriental medical treatment(Group A) and the other group was treated Damjeonggyeok acupuncture with general oriental medical treatment(Group B). SCL-90-R and visual analogue scale(VAS) were checked before and after treatment for evaluating the improvement of whiplash injury associated disorders with PTSD. Results : 1. Both Group A and Group B showed good effect on decreasing of VAS and improving of psychological symptoms after traffic accident. 2. Group B symptoms about SCL-90-R Conclusions : Damjeonggyeok acupuncture with general oriental medical treatment can be recommended as a useful therapy to treat patients who have PTSD. Further study is needed to confirm the effectiveness of Damjeonggyeok acupuncture on whiplash injury associated disorders with PTSD.

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응급환자 간호사정 도구개발 (Development of an Nursing Assessment Tool for Emergency Patients)

  • 안미현
    • 간호행정학회지
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    • 제4권2호
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    • pp.419-437
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    • 1998
  • Nurses use a nursing process. that is a scientific approach method. in order to understand the clients' condition and to solve their problems. Professional nurses have accepted the nursing process as a standard framework for nursing activities, and the first step of the nursing process is nursing assessment. The purpose of this study was to develop a nursing assessment tool for emergency patients. Assessment is a first step in the nursing process, and scientific assessment helps to better understand the patients. Thus the development of an assessment tool for emergency patients will improve of nursing quality and advance to efficacy of emergency room(ER) management. The study involved the development of a conceptual framework, preliminary tool, content validity verification process. and reliability verification process. The conceptual framework was developed through a review of the literature. and preliminary tool was developed from the conceptual framework that based on care flow sheet' developed James A. Haley. The preliminary tool was evaluated for validity and reliability by seven experts, one ER nurse manager, two ER head nurses, two emergency medicine doctors. and two ER charge nurses and by ten nurses with one to five year careers in ER nursing. The results of this study was as follows 1. The conceptual framework which was developed was composed of three parts. They were triage criteria, first assessment and secondary assessment. 2. The preliminary tool which was developed had 31 items based on the conceptual framework. 3. To test expert validity a 4-point scale was used. items which had gained 3-4 points from six persons of the seven experts were selected. All 31 items from the preliminary tool were selected. 4. The reliability test was done by ten nurses educated in the use of the assessment tool. Two pairs of nurses simultaneously assessed the same patients. A total agreement percentile was calculated and result was 87.3% agreement. 5. After the validity and reliability testing. the final emergency patient nursing assessment tool was finalized with 31 items. and a check-list for the responses. This study concludes that the tool which was developed is both valid and reliable will advance quality care for emergency patients. This emergency nursing assessment tool was also found to be an adequate tool for assessment of emergency patients.

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지시적 심상요법의 유형에 따른 간호학생의 근육주사 관련 스트레스 및 수행도 비교 (Guided Imagery Types on Stress and Performance of an Intramuscular Injection of Nursing Students)

  • 석민현;오원옥;길숙영
    • 대한간호학회지
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    • 제36권6호
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    • pp.976-982
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    • 2006
  • Purpose: The purpose of this study was to compare the feeling state guided imagery(FSGI) and end state guided imagery(ESGI) on stress and performance of an intramuscular injection of nursing students. Method: The design was a time series with a nonequivalent control group pretest-posttest study. Data was collected from the 23 rd to the 25th of Nov. 2004. The subjects of this study were 40 female sophomores (21 for the ESGI, 19 for the FSGI). The instruments used in this study were the Visual Analogue Scale for Stress and the Nursing Skill Performance Check-list on Intramuscular Injection developed by the researchers(10 items). Guided imagery was provided through audiotapes for 8 minutes. A pretest was given before applying the guided imagery, posttest 1 was performed after the intervention, posttest 2 was performed before the intramuscular injection and then evaluation of the performance of the intramuscular injection was done. Data was analyzed using t-test, and Repeated Measures ANOVA. Result: The level of stress for those who received the ESGI and FEGI was not significant and the level of the nursing skill performance for those who received the ESGI was significantly higher than that of students who received the FEGI. Conclusion: The use of ESGI has an effect on learning psychomotor nursing skills and further research is needed on stress.

사용자 감정 예측을 통한 상황인지 추천시스템의 개선 (Improvement of a Context-aware Recommender System through User's Emotional State Prediction)

  • 안현철
    • Journal of Information Technology Applications and Management
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    • 제21권4호
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    • pp.203-223
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    • 2014
  • This study proposes a novel context-aware recommender system, which is designed to recommend the items according to the customer's responses to the previously recommended item. In specific, our proposed system predicts the user's emotional state from his or her responses (such as facial expressions and movements) to the previous recommended item, and then it recommends the items that are similar to the previous one when his or her emotional state is estimated as positive. If the customer's emotional state on the previously recommended item is regarded as negative, the system recommends the items that have characteristics opposite to the previous item. Our proposed system consists of two sub modules-(1) emotion prediction module, and (2) responsive recommendation module. Emotion prediction module contains the emotion prediction model that predicts a customer's arousal level-a physiological and psychological state of being awake or reactive to stimuli-using the customer's reaction data including facial expressions and body movements, which can be measured using Microsoft's Kinect Sensor. Responsive recommendation module generates a recommendation list by using the results from the first module-emotion prediction module. If a customer shows a high level of arousal on the previously recommended item, the module recommends the items that are most similar to the previous item. Otherwise, it recommends the items that are most dissimilar to the previous one. In order to validate the performance and usefulness of the proposed recommender system, we conducted empirical validation. In total, 30 undergraduate students participated in the experiment. We used 100 trailers of Korean movies that had been released from 2009 to 2012 as the items for recommendation. For the experiment, we manually constructed Korean movie trailer DB which contains the fields such as release date, genre, director, writer, and actors. In order to check if the recommendation using customers' responses outperforms the recommendation using their demographic information, we compared them. The performance of the recommendation was measured using two metrics-satisfaction and arousal levels. Experimental results showed that the recommendation using customers' responses (i.e. our proposed system) outperformed the recommendation using their demographic information with statistical significance.

도시재생사업 건설단계의 참여주체별 위험인지 체크리스트 개발 (A Development of Risk Identification Checklist for Stakeholders in the Construction Phase of the Urban Regeneration-Projects)

  • 박규영;양문석;김선규
    • 한국건설관리학회논문집
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    • 제10권4호
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    • pp.67-75
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    • 2009
  • 최근 활발히 진행되고 있는 도시재생사업과 같은 대규모 복합개발사업은 사업기간이 길고 다양한 사업주체들이 참여한다. 이러한 특성 때문에 사업추진 과정상 많은 위험요인들을 내포하게 되고 이를 관리하는 것은 사업의 성패에 큰 영향을 미친다. 그러므로 도시재생사업에서 위험을 인지하고 대응하는 일련의 위험관리 과정은 정확하고 체계적으로 수행되어야 한다. 위험관리과정에서 위험인지단계는 다양한 위험요인을 인지하고 그 위험의 성격을 규정하는 첫 단계이며, 위험을 인지하는 기법 체크리스트는 가장 보편적이고 실용적인 방법이라고 할 수 있다. 따라서 본 연구에서는 도시재생사업의 개발단계에서 사업주체들의 업무를 분석하고, 위험요인을 도출하여 사업주체별로 위험을 분류하는 체크리스트를 제안하였다. 이러한 주체별 위험인지 체크리스트는 실무자가 쉽게 위험을 파악할 수 있는 도구로써, 도시재생사업과 같이 다양한 사업주체들이 자신은 물론 다른 사업 참여자들의 위험을 인지하는데도 효과적일 것이라고 기대된다.

건설공사 사전분쟁요인 도출 및 중요도 분석 (Deduction or Importance Analysis for Pre-dispute Factors in the Constructions)

  • 박성용;고대준;하봉균;양진국;이상범
    • 한국건설관리학회:학술대회논문집
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    • 한국건설관리학회 2008년도 정기학술발표대회 논문집
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    • pp.505-508
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    • 2008
  • 건설공사는 점점 대형화되고 복합화됨에 따라 도면과 시방서만으로는 모든 정보를 표현하는 것이 어려우며, 불확정적인 요소를 계약서에 명문화하는 것의 한계성으로 인해 분쟁이 지속적으로 발생하고 있다. 또한 우리나라의 건설공사는 상호평등의 원칙보다는 발주자 위주의 계약관행이 존재하고 있어서 비합리적인 조항을 계약관련 서류에 포함시키는 등의 일이 발생하고 있다. 계약상의 불이행이나 불만이 발생하더라도 약자의 위치에 있는 시공자는 계약체결 경향과 건설업체의 후속공사 수주목적을 위해 자체적 클레임회피경향이 지배적이다. 이렇듯 겉으로 표출되지 못하는 분쟁의 요인들이 존재하는 것이다. 이에 본 연구에서는 겉으로 표출되지 못했던 사전분쟁단계에서의 요인들을 조달청의 민원상담사례를 분석하여 사전분쟁요인들을 도출하고, 계층분석적 의사결정방법(AHP)을 활용하여 도출된 요인들간 중요도 분석을 실시하였다. 이상의 분석된 결과는 차후 건설공사에서 분쟁예방을 위한 체크리스트로 활용이 가능할 것으로 사료된다.

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정신분열증환자에서 Nemonapride와 Haloperidol의 치료결과 및 내약성에 대한 비교분석 (Comparison of Therapeutic Efficacy and Tolerance Between Nemonapride and Haloperidol in-Schizophrenic Patients)

  • 성상경;홍광화
    • 생물정신의학
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    • 제2권1호
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    • pp.123-130
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    • 1995
  • A single-blind comparative study was performed using haloperidol as a reference drug in order to evaluate the efficacy and safety of nemonapride, a new benzamide derivative, in sixty-nine Korean schizophrenic patients. the total period of the study was 8 weeks, maximum dosage of nemonapride was 36mg and that of haloperidol was 24mg. Psychopathology and extrapyramidal symptoms were assessed every week or four weeks until the end of the 8th week using the PANSS, BPRS, and 4 point general side effect check list, The drug safety was assessed every week until the end of the 8th week using vital sign, body weight, EEG, EKG, and blood chemistry. In total. one patient discontinued nemonapride treatment and seven patients discontinued haloperidol treatment before the end of the study. Therefore sixty-one patients(88 %) completed the study. PNASS and BPRS scores of the two groups on the end study point demonstrated a significant improvement compared with baseline score. The number of patients who had a clinical improvement of at least 20% in baseline score was similiar in both treatment groups. The difference of Simpson's rating scale socres were significant in both groups, and mean scores were more high in the haloperidol group than in nemonapride group. No significant EKG, EEG changes were induced, no relevant change in body weight or clinical laboratory parameters were observed in the sixty-one patients during 8 weeks and no Significant difference in the both groups. From these results, nemonapride is considered to be a clinically useful drug having a wide range of antipsychotic effect in schzophrenic patients.

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도서관건축디자인을 위한 패턴언어 구축에 관한 기초적 연구 (A Basic Study on the Making a Pattern Language for the Architectural Design of Public Libraries)

  • 이상복;이정미;곽동화;임채진
    • 한국문헌정보학회지
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    • 제42권2호
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    • pp.421-444
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    • 2008
  • 본 연구는 도서관건축디자인을 위한 기존의 참고자료 및 디자인 정보가 그 이용자에게 수동적, 고정적으로 제시되어지는 문제점을 인식하고 기존의 디자인방법론을 근거로 디자인 정보를 보다 능동적으로 이용할 수 있도록 하는 방법을 모색하여 제안하는 것을 연구목적으로 하는 기초적 연구이다. 이러한 연구 목적의 달성은 다음과 같은 의의를 가진다고 사료된다. 즉, 건축설계자료가 디자인 해결을 위한 관계의 구조로 제시되어지기 때문에 기존의 자료보다 더 능동적으로 활용되어질 수 있다는 점이다. 또한 제안되어진 디자인 정보는 도서관을 평가하기 위한 체크리스트의 역할뿐만 아니라 도서관 설계를 위한 규범적 디자인 정보의 역할도 가지고 있기 때문에 디자인 정보 이용자가 지역 커뮤니티 시설로서의 공공도서관의 건축과정에 자연스럽게 참여할 수 있는 기회를 제공한다는 점이다.

간이정신진단검사(SCR-90-R)와 사상체질분류 검사지(QSCC II)를 이용한 유방암 환자에서의 부적응 증상 연구 (Study on Psychological Distress in Women with Breast Cancer by Using SCL-90-R and QSCC II)

  • 권모란;권구연;감철우;류호룡;방선휘;유화승;조정효
    • 동의생리병리학회지
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    • 제21권5호
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    • pp.1313-1318
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    • 2007
  • The objective of this study was to examine the psychological distress in women with breast cancer. Subjects were 25 women with breast cancer and 25 healthy women, who were recruited from January 2005 to September 2006 at Dunsan oriental hospital of Daejeon university. Psychological distress were assessed using SCL-90-R(Symptom-Check-List-90-Revised), and diagnosis of sasang constitution was done by QSCCII (Ousestionnare for Sasang Constitution Classification II). Psychological distress were significantly showed in breast cancer patients compared with healthy women. They are associated with unmarried or divorced women, lower level of education, and longer time lapse after diagnosis. Especially, phobic anxiety was significantly higher in Soeumin than Taeumin and Soyangin. These results lead us to the conclusion that it is necessary to psychological stabilization by various method in care program of breast cancer.

병원중심 가정간호 기관의 기록체계개발 - 미국 일개 종합병원을 대상으로 - (Development of Documentation System in Hospital-based Home Health - in one general hospital in the U.S.A. -)

  • 강창희
    • 한국보건간호학회지
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    • 제6권2호
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    • pp.58-69
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    • 1992
  • The purposes of this study were 1) to assess the currunt documentation system 2) to identify the problems in communication regarding to documentation 3) to develop new documentation system 4) to suggest effective communication channel using new documentation system Research was conducted by direct observation, chart review, staffs interview and servey. Results were as follows: 1) nursing care plans were not used in ongoing care 2) documentation format was primarily narrative and charting was time consuming 3) documentation did not reflect the nursing process 4) patient records were not used as effective communication tool between case manager and part time nurse 5) difficult access to patient record for nurse manager created inefficiency in coordinating 6) documentation of patient education did not describe the precise contents of education, and the responses of the patients and evaluation To solve these problems, new documentation format was developed. With new formats nurses : 1) use standardized care plan which contains nursing diagnosis, ecpected outcome, time frame for evaluation, flow sheet for updating the plans 2) leave one copy of care plan at patient home for mutual agreement with patent and communication among nursing staffs 3) carry one copy of care plan for updating 4) document and evaluate the patient education using education check list keeping in patient's home 5) document nursing process in focus charting visit report 6) carry one copy of visit report 7) have one copy of visit report which was deligated to part time nurses 8) use documentation in direct communication with part time nurse 9) use beeper and memo to promote communication

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