• 제목/요약/키워드: Clinical study

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익기보혈탕과 녹용 복용이 한방병원 외래 환자의 피로 증상과 심박변이도 결과에 미치는 영향: 후향적 차트 리뷰 (Clinical Effectiveness of Ikgibohyeol-tang(Yìqìbǔxuè-tāng) and Deer Antler on Fatigue Symptoms and HRV Results in Outpatients at Korean Medical Hospital: A Retrospective Chart Review Study)

  • 하원정;문상관;이한결;조승연;박성욱;정우상;박정미;고창남;조기호;권승원
    • 대한한의학회지
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    • 제43권3호
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    • pp.139-149
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    • 2022
  • Objectives: This study was designed to investigate the clinical effectiveness of Ikgibohyeol-tang(Yìqìbǔxuè-tāng) granules and Deer antler granules on fatigue symptoms. Methods: This is a 39-patient case series from a retrospective chart review of outpatients who were treated with Ikgibohyeol-tang granules and Deer antler granules at a Kyung Hee University Korean Medicine Hospital (Seoul) between 1st, January 2015 to 1st, August 2021. We reviewed the patients who complained of fatigue and analyzed changes in the degree of discomfort with fatigue and accompanying symptoms and HRV (Heart Rate Variability) score before and after treatment. Results: After taking Ikgibohyeol-tang granules and Deer antler granules, the degree of discomfort with fatigue and accompanying symptoms decreased significantly compared to before taking them. After treatment, Autonomic nervous system activity, Stress resistance, Heart Stability increased, and Stress index, Degree of fatigue decreased significantly. Conclusions: This study showed subjective symptoms and objective indicator (HRV score) were improved by taking Ikgibohyeol-tang granules and Deer antler granules.

Pragmatic Clinical Studies: An Emerging Clinical Research Discipline for Improving Evidence-Based Practice of Cardiovascular Diseases in Asia

  • Dong Zhao;Chen Yao
    • Korean Circulation Journal
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    • 제52권6호
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    • pp.401-413
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    • 2022
  • Pragmatic clinical studies, an emerging clinical research discipline, include a wide range of studies that are largely embedded with routine clinical practice and aim to evaluate the comparative effectiveness and safety of different clinical intervention strategies. Increased availability and quality of electronic medical/health records drives the development of pragmatic clinical studies. In this review, we describe evolution of the conceptual framework of pragmatic clinical studies and share perspectives on the importance of pragmatic clinical studies in evidence-based practice for cardiovascular diseases, as a complement to conventional randomized controlled trials. We also highlight specific needs of pragmatic clinical studies in improving evidence-based practice for cardiovascular disease in Asian countries. The main challenges of pragmatic clinical studies are discussed briefly in this review.

응급구조학전공 학생의 병원 임상실습 만족도에 영향을 미치는 요인 (Influencing Factors on the Satisfaction of the Paramedic Students in Clinical Training)

  • 박소미;최은숙
    • 한국응급구조학회지
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    • 제16권1호
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    • pp.91-101
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    • 2012
  • Purpose: This study aims to assess the influencing factors on the level of satisfaction with clinical training and to provide basic data for more efficient clinical training. Method: The study was conducted on 402 paramedic students who have experienced clinical training from September 6 until October 12 in 2011. The questionnaires consisted of 40 questions. We used SPSS 18.0 frequency analysis, technical statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. Result: 1. The level of satisfaction with clinical training showed significant difference between the frequency (F=8.837, p=.000) and clinical training managers (F=5.418, p=.001). 2. The level of satisfaction with clinical training showed the strongest positive correlation with the satisfaction of clinical training hospitals (r=.694, p=.000). 3. Multiple regression analysis revealed the most powerful predictor for satisfaction with clinical training was the satisfaction level of clinical training hospitals(48.2%) and the frequency of clinical training experiences(.8%), the preparation before the clinical training(5.4%), the total duration of clinical training(.7%), and the satisfaction of emergency department education(1.0%). These five variables accounted for 56.1% of the satisfaction of clinical training among paramedic students. Conclusion: As student's satisfaction of the clinical training increases, the quality of paramedics is expected to improve in the future. As a result, the future paramedics can be nurtured to be highly skilled in on-the-scene emergency situations after graduation.

의과대학 문제중심학습에서 튜터의 전문분야와 교수경험이 학습결과에 미치는 영향 (The Impact of Tutors' Domain and Teaching Expertise on Medical Students' Learning Outcomes in a PBL Environment)

  • 강명희;이수지;김민정;김민지
    • 의학교육논단
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    • 제13권2호
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    • pp.9-23
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    • 2011
  • This study aimed to investigate the effects of tutors' domain and teaching expertise on learning outcomes in a problem based learning (PBL) environment. Four tutors and 25 first-year medical students participated in this study. Tutors' domain expertise was classified by clinical or non-clinical which is basic medicine and teaching expertise by previous tutoring experiences or not. The results showed a statistically significant difference in achievement depending on the tutors' domain expertise. Students grouped with an experienced clinical tutor attained higher achievement scores than those with an experienced non-clinical tutor, while those with an inexperienced non-clinical tutor attained higher scores than those with both inexperienced clinical tutors and experienced non-clinical tutors. Students with clinical medicine tutors also showed higher satisfaction scores than those with non-clinical medicine tutors. In particular, students grouped with an experienced clinical tutor gained higher satisfaction scores than those with inexperienced non-clinical tutors, and among the inexperienced tutors, students tutored by a clinical tutor showed higher scores than those with a non-clinical tutor. Different intervention styles were also found depending on tutors' domain and teaching expertise. Experienced tutors gradually reduced the tutoring intervention, whereas the novice provided more as the semester proceeded. Moreover, experts with a clinical medicine degree preferred direct teaching, whereas, non-clinical tutors preferred facilitating. Also, experienced tutors in the clinical medicine facilitated critical awareness than the other tutors. These results show the importance of developing a program for novice tutors to improve PBL in medical education.

임상실습 전 시뮬레이션 기반 교육이 간호학생의 간호지식, 임상실습 불안, 임상수행 능력에 미치는 효과 (Effects of Simulation-Based Education before Clinical Experience on Knowledge, Clinical Practice Anxiety, and Clinical Performance Ability in Nursing Students)

  • 고은정;김은정
    • 한국간호교육학회지
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    • 제25권3호
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    • pp.289-299
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    • 2019
  • Purpose: This study aimed to examine the effects of simulation-based education on nursing knowledge, anxiety, and clinical performance ability in nursing students before their first clinical practice. Methods: Third-year university students who had not yet entered their first clinical practice were recruited to participate in the study. Nineteen students formed the experimental group and participated in simulation-based education for 7 sessions. The 19 students in the control group were provided with clinical practice orientation in the form of traditional lectures. Outcome measures assessed nursing knowledge, clinical practice anxiety, and clinical performance ability. Data were collected before and immediately after the simulation-based education and after six weeks of clinical practice. Results: Nursing knowledge and clinical anxiety were not statistically significant between the groups. However, there was a significant improvement in the clinical performance abilities of the experimental group. Among the subcategories, the ability to apply the nursing process and the ability to educate and cooperate were shown to maintain significant differences from the control group by the end of the six weeks of clinical practice. Conclusion: The simulation prior to nursing students' first clinical practice could be useful to improve clinical performance ability. Nursing educators should consider building programs to reduce anxiety and improve performance ability through simulations.

간호대학생의 월경통증, 임상실습 스트레스 및 임상수행능력에 관한 연구 (A Study on Menstrual Pain, Clinical Practice Stress and Clinical Competence Among Nursing Students)

  • 문덕희
    • 융합정보논문지
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    • 제11권8호
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    • pp.53-61
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    • 2021
  • 본 연구는 임상실습을 처음 시작하는 간호대학 3학년생을 대상으로 월경통증, 임상실습 스트레스, 임상수행능력 정도와 상관관계를 확인하고 임상수행능력에 영향을 주는 요인을 알아보고자 실시하였다. 간호대학생 155명을 대상으로 2020년 10월 1일부터 10월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe test, Person's correlation coefficients, 다중회귀분석을 하였다. 연구결과 월경통증은 5.01점, 임상실습 스트레스는 2.82점, 임상수행능력은 3.4점 이었다. 월경통증은 임상실습 스트레스와 양의 상관관계를(r=.319, p=.000), 임상수행능력과 음의 상관관계를(r=-.279, p=.000) 보였으며, 임상실습 스트레스와 임상수행능력은 음의 상관관계를(r=-.333, p=.005) 보였다. 임상수행능력에 가장 유의한 영향을 준 요인은 월경통증이고 설명력은 25.0%였다. 따라서 간호대학생의 임상수행능력을 증진시키기 위해 월경통증 완화를 위한 중재 교육이 필요하다.

한방신경정신과 영역의 Alzheimer형 치매 관련 연구현황 (The Current Status about Alzheimer's Dementia in the Journal of Oriental Neuropsychiatry for Evidence Based Medicine)

  • 김태윤;금창준;오재우
    • 동의신경정신과학회지
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    • 제25권3호
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    • pp.287-296
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    • 2014
  • Objectives: Alzheimer's Dementia is somewhat common in clinical stages, and there are many reports and papers regarding this subject. We explain the present state of Alzheimer's Dementia in JON (The Journal of Oriental Neuropsychiatry) for the benefits of clinical practice. Methods: We searched for articles in JON from 1990 to 2014 and selected ones that were related to Alzheimer's Dementia; then, we analyzed the data and placed it in four categories, like experimental study, case study, Clinical Data-Analysis study, and clinical trial. Results: 1) We found 47 articles relating to Alzheimer's Dementia in JON from 1997 to 2014: 41 experimental studies, 1 case study, 1 Clinical Data-Analysis study, and 4 Clinical trials. 2) There were Chung-kyung Acupuncture Method, Auricular acupuncture, and Cha-rak Acupuncture Method to treat Alzheimer's Dementia. 3) There were many additional treatments, like aroma therapy. 4) In the experimental study, they reported on several herbs, including herbal prescriptions that affected the suppression of related mRNAs and genes. 5) There were 4 clinical trials regarding herbal prescription that was effective for treating Alzheimer's Dementia. Conclusions: In JON, regarding Alzheimer's Dementia, the majority dealt with experimental studies. Therefore, we also have to expand our sight into other fields of study. We need more clinical trials and case studies for the treatment of Alzheimer's Dementia in Oriental Neuropsychiatry.

업무분석을 통한 임상 영양사 적정인원 산출 사례연구(II) (Developing standardized Clinical Dietetic Staffing Indices in Hospital Foodservice)

  • 양일선
    • Journal of Nutrition and Health
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    • 제28권7호
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    • pp.675-687
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    • 1995
  • The purpose of this study were to analyze work patterns of clinical dietitians by time study, to investigate labor time used in each clinical dietetic activity, and to develop standardized indices of clinical dietetic staffing needs. Two general hospitals(A & B) in Seoul were selected for study. The results of this study can be summarized as follows. 1) For the A hospital, the percentage of clinical dietetic activities such as attending meeting, professional research, foodservicemanagement, clerical activity for the foodservice, administrative activity and delay were 17.5%, 1.3%, 14.5%, 23.4%, 21.3%, 4.6%, and 17.3% respectively, while 22.4% 3.5%, 23.7%, 10.9%, 15.8%, 4.2%, and 19.5% respectively for the B hospital. 2) For the A hospital, the percentage of direct patient care like outpatient nutrition education, group nutrition education, and patient meal planning were 69.5%, 10.5%, 7.6%, and 12.4% respectively while 78.9%, 7.3%, 8.9%, and 5.1% respectively for the B hospital. 3) Time spent for performing direct patient care such as basic care, intermediate care, and indepth care per patient were 28.0min, 73.1min, and 53.0 min respectively for the A hospital, while 45.3 min, 76.2 min, and 52.6 min respectively for the B hospital. 4) Full time clinical dietitian staffing needs were calculated for the three parts ; basic care, intermediate care, and in-depth care. For A hspital, the appropriate numbers of full time clinical dietitian were 3.5 persons in basic care, 3.6 persons in intermediate care, and 1.3 persons in in-depth care, while 6.1 persons, 6.3 persons, 3.2 persons respectively for B hospital.

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간호대학생의 자아탄력성이 임상수행 능력에 미치는 영향: 비판적 사고성향의 매개효과를 중심으로 (Effect of Ego-Resilience of Nursing Students on Clinical Practice Competency: Focus on the Mediating Effects of Critical Thinking Dispositions)

  • 송은주;박숙경
    • 한국보건간호학회지
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    • 제34권1호
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    • pp.60-73
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    • 2020
  • Purpose: The purpose of this study was to determine the mediating effect of critical thinking dispositions in the relationship between ego-resilience and clinical practice competency. Method: This study used a descriptive design with a survey method. A total of 193 nursing students were recruited from 4 colleges of nursing in C city, and A and B province in Korea. The data was collected using questionnaires from October 6, 2017 to October 24, 2017. The data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analysis, and linear regression analysis. Result: There were showed significant positive relationships of clinical practice competency with ego-resilience. In addition, critical thinking dispositions had a partial mediating role in the relationship between ego-resilience and clinical practice competency. Conclusion: This study identified the mediating effects of critical thinking dispositions and how to improve clinical practice competency. The results of this study can be used as basic data for establishing an educational approach to enhance clinical practice competency, which is considered a key competency for nursing college students.

간호 대학생의 긍정적 정서, 셀프리더십 및 임상실습 만족도간의 관계 (Relationship between Positive Affectivity, Self-Leadership, and Satisfaction of Clinical Practice among Nursing Students)

  • 이순늠;김정아
    • 한국간호교육학회지
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    • 제22권2호
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    • pp.125-136
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    • 2016
  • Purpose: This study aimed to identify the relationship between positive affectivity, self-leadership, and satisfaction of clinical practice among nursing students. Methods: This study was a descriptive correlational study. A total of 205 participants were obtained by convenience sampling from third- and fourth-year nursing students in three nursing schools. The data were collected by using a self-reporting questionnaire. Collected data were analyzed with SPSS Win 18.0. Results: Mean scores were 3.40 (5-point scale) for positive affectivity, 3.68 (5-point scale) for self-leadership, and 3.30 (5-point scale) for satisfaction of nursing clinical practice. There was a significant positive correlation of nursing students among positive affectivity (r=.43, p<.001), self-leadership (r=.41, p<.001), and satisfaction of clinical practice. The predictors were levels of satisfaction about nursing major, grade, positive affectivity, and rehearsal, which accounted for 34% of the variance in satisfaction with clinical practice nursing students. Conclusion: It is necessary to enhance the levels of satisfaction about nursing major, the level of positive affectivity, and self-leadership in nursing students. The results of this study delineate the need for the development and application of diverse educational programs that can increase positive affectivity and self-leadership for clinical practice.