• 문화기술의 융합
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• 제5권2호
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• pp.139-146
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• 2019

본 연구의 목적은 남성간호사가 여성간호사에 대한 적응과정이 어떠한가를 남성의 관점에서 심도 있게 파악하여남성간호사의 여성간호사에 대한 적응의 의미를 찾는 것이다. 본 연구는 여성간호사에 대한 남성간호사의 적응은 어떠한가? 라는 연구 주제를 가지고 현상학적 방법을 통하여 남성간호사의 여성간호사에 대한 적응과정을 탐색하였다. 연구 참여자는 본 연구의 의도와 방법을 듣고 동의한 25개월 이상의 병원근무경력을 가진 남성간호사로 총 12명을 대상으로 하였다. 본 연구의 결과는 39개의 구성의미와 13개의 주제 묶음, 4개의 범주로 도출 되었다. 범주로는 부적응상황에 가로막힘, 대인관계로 동화되어 가기, 업무능력 향상시키기, 전담간호사로 피해가기로 나타났다. 본 연구 결과를 통해 남성간호사의 여성간호사에 대한 적응 과정을 이해하여 임상 현장에서 효과적인 간호인력 관리 방안 마련을 위한 기초자료로 활용될 수 있을 것이다.

• 대한추나의학회지
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• 제3권1호
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• pp.55-64
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• 2002

Objectives : Acupuncture therapy is known as a effective method to CVA with paralysis. To make clear about effectiveness of acupuncture affecting to active and static postural adaptation for the patient with hemiparesis, we studied whether acupuncture changed ability of maintenance with one leg standing posture, and character of gait such as gait velocity, cadence, stride length, step length and base of support. Methods : This clinical study has been carried out with 10 cases of CVA patient with hemiparesis. We treated patients with acupuncture for 4 weeks, estimated each paralytic leg and well leg before 1st treatment and after last treatment, and compared the change of one leg with the other. To estimate the change of ability of static postural adaptation, we checked the time of duration with one leg standing posture. And about active postural adaptation, we used temporal distance gait analysis with Ink-Foot-Print method. Results and Conclusions : In static postural adaptation, paralytic leg significantly improved the duration with one leg posture. And In active postural adaptation with gait analysis, paralytic leg showed significant improvement in stride length and step length. Base of support and cadence were also significantly improved.

• 대한임상전기생리학회지
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• 제5권1호
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• pp.59-71
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• 2007

The purpose of this study was to study for the change of neural adaptation by muscle contraction force when neuromuscular electrical stimulation(NMES) was applied. Sixteen subjects(8 male, 8 female) without neuromuscular disease volunteered to participate in the study. All subjects were divided into two subgroups: control(no electrical stimulation) group, NMES(50% maximal voluntary isometric contraction) group. NMES training program was performed in the calf muscle over three times a week for 12 weeks. Before and after experiment MVIC of ankle plantar flexor was measured by use of dynamometer. H-reflex and V-wave in tibial nerve were measured. The following results were obtained; MVIC and V/Mmax ratio were significantly increased in the electrical stimulation groups. However, H/Mmax ratio was not changed. It was closely relationship between MVIC and V/Mmax ratio. In this study, the effect of neural adaptation of central neural adaptation was found in this study. Accordingly, NMES means not only a change of muscle fiber and skeletal muscle volume but also a effect of neural adaptation of central neural drive. Also, it was found that there was closely relationship between MVIC and neural adaptation of central neural drive by NMES.

• 치위생과학회지
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• 제21권1호
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• pp.19-27
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• 2021

Background: The purpose of this study was to investigate the effects of dental hygiene students' communication ability and conflict management types on adaptation to college life improve adaptation to college life and to suggest strategies to play a role as a professional dental hygienist in clinical practice. Methods: The subjects of this study were selected by random sample extraction of dental hygiene students from two colleges in Gyeonggi and one Chungcheong area. The survey was conducted online for dental hygiene students from July 20 to October 31, 2020. In order to comply with research ethics, this study was investigated with the consent of the subjects. The sample was analyzed for the final 351. Results: Dental hygiene students' communication ability was 3.74 points, conflict management types was 3.01 points, and adaptation to college life was 3.30 points. In the type of conflict management according to the general characteristics, the problem-solving method, the avoidance method, the compromise method, and the concession method showed statistically significant differences in major satisfaction. Among the types of conflict management, the highest positive correlation (r=0.613) was shown in the relationship between the problem-solving method and the compromise method. Factors influencing the adaptation to college life were concentration, forced method, self-disclosure, conversational coherence, and social relaxation. Conclusion: This study is significant in that it derives sub-areas of communication ability and conflict management types that influence adaptation to college life. In the future, there is a need to improve the quality of dental hygienists by continuously conducting research on the types of conflict management targeting dental hygienists, and responding more proactively and actively to conflict situations in the clinical field.

• Child Health Nursing Research
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• 제9권1호
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• pp.9-17
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• 2003

Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

• 임상간호연구
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• 제21권2호
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• pp.196-206
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• 2015

Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

• 대한감각통합치료학회지
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• 제20권1호
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• pp.39-54
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• 2022

목적 : 본 연구는 아동 발달센터에서 근무하는 신입 작업치료사들이 감각통합치료 임상 적응과정에서 겪는 경험을 이해하고 본질을 파악하여 임상에서의 적응과정을 알아보고자 하였다. 연구방법 : 본 연구는 현상학적 연구 방법을 사용하였다. 참여자는 임상경험이 1년 미만인 4명이다. 자료수집은 심층 면담을 통해 진행하였으며 내용은 녹음 후 전사하여 분석하였다. 결과 : 아동 발달센터에서 근무하는 신입 작업치료사의 적응과정을 분석한 결과, 3가지 범주, 6가지 주제, 16개의 중심의미가 도출되었다. 범주로는 아동 발달센터에서 근무하는 신입 작업치료사는 적응과정을 겪으며 임상 실행에서 오는 어려움, 근무환경에서 오는 장애, 센터 내부에서의 긍정적 요소, 센터 외부에서 오는 지원, 스스로의 노력, 적응을 하며 바뀜을 경험하였다. 결론 : 아동 발달센터에서 감각통합치료를 하는 신입 아동 작업치료사들이 적응하여 충분한 역할을 수행할 수 있도록 기관과 주변의 도움이 필요할 것이다.

• 한국임상보건과학회지
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• 제5권3호
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• pp.973-980
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• 2017

Purpose. To understand the effectiveness of training programs to improve the daily living activities and social adaption abilities of stroke patients. Methods. The participant included 1 stroke patient in Jeonbuk, from March to August 2016. The test tools used was the Canadian occupational performance measurement, International classification of function, disability and health co-resets. After applying the training program, I compared the daily life satisfaction and social adaption abilities. Results. According to this study, both daily life satisfaction and social adaption abilities improved. Conclusion. In conclusion, after an exercise program, self- help program, and underwater exercise programs, daily life satisfaction and social adaptation levels were improved. Therefore, the programs that apply to stroke patients could be found to be effective.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.197-208
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• 2018

간호대학생의 대학생활적응, 전공만족도, 임상실습만족도와 직업정체성 간의 관계를 알아보고 간호대학생의 직업정체성에 영향을 미치는 요인을 파악함으로써 간호사로서의 직업정체성을 향상시키고 궁극적으로는 간호사 이직률을 감소시킬 방안을 강구하는 기초자료로 이용하고자 시행된 서술적 조사연구이다. 대상자는 D지역에 소재한 2개 대학에 재학 중인 간호학과 재학생으로 임상실습에 참여한 경험이 있는 3,4학년 학생 중 연구목적을 이해하고 자발적으로 연구 참여에 서면 동의한 335명에게 설문지를 배부하고, 부적절하게 응답한 18부를 제외한 317명(응답률 94.6%)의 설문지를 분석하였다. 연구결과, 대학생활적응, 전공만족도, 임상실습만족도, 직업정체성 네 변수 간에는 모두 통계적으로 유의미한 정(+)의 상관관계가 있었다. 또한, 대학생활적응, 전공만족도, 임상실습만족도가 증가할수록 직업정체성도 높아졌고 회귀모형의 설명력은 50.6%였다. 직업정체성에 가장 큰 영향을 미치는 요인은 독립변수 대학생활적응이었다. 결론적으로, 간호대학생에게 간호사로의 직업정체성을 높여 신규 간호사의 이직률을 낮추기 위해서는 간호대학에서 대학생활적응력을 높일 수 있고 전공만족도와 임상실습만족도를 향상시킬 수 있는 방법을 지속적으로 개발하여 적용하려는 노력이 필요하다. 특히 대학생활적응, 전공만족도, 임상실습만족도, 직업정체성 모두에 영향을 미치는 실습만족도를 향상시키려는 구체적인 노력이 필수적이다.

• 임상간호연구
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• 제25권2호
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• pp.151-160
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• 2019

Purpose: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. Methods: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. Results: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. Conclusion: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.