• Title/Summary/Keyword: Convergent Health Care

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Development and Psychometric Evaluation of the Ischemic Stroke Distress Scale (ISDS) (허혈성 뇌졸중 환자의 디스트레스 측정도구 개발 및 평가)

  • Kang, Jaejin;Yoo, Yang-Sook
    • Journal of Korean Academy of Nursing
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    • v.53 no.1
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    • pp.12-27
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    • 2023
  • Purpose: This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods: Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results: The final scale consisted of 17 items and 3 factors. The three distinct factors were 'self-deprecation, worry about future health, and withdrawal from society' and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to 'duration since diagnosis' (t = 2.65, p = .009), 'presence of sequela' (t = 10.16, p < .001), and 'awareness of distress' (t = 12.09, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .93. Conclusion: The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

Psychometric Evaluation of Uterine Cervical Cancer Screening Embarrassment Questionnaire among Korean Women: Complementary Use of Rasch Model

  • Cho, Eun-Jung;Chung, Bok-Yae;Lee, Kwan;Consedine, Nathan S.;Lee, Won-Kee
    • Women's Health Nursing
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    • v.17 no.5
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    • pp.463-473
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    • 2011
  • Purpose: Cervical cancer can be prevented by regular cervical screening. Embarrassment has been reported as one important barrier to cervical screening uptake. The absence of appropriate instrumentation, however, has limited our understanding of the links between embarrassment and health care outcomes. The purpose of this study was to evaluate psychometric attributes of the uterine cervical cancer screening embarrassment questionnaire. Methods: A convenience sample for field study was recruited from four gynecological clinics in Gyeongju, Korea. Within a cross-sectional descriptive design, 339 women who had cervical screening completed self-administered measures of embarrassment including a visual analogue, general medical embarrassment, dispositional embarrassment, and Pap smear related negative emotion. Results: Rasch analysis of items demonstrated the evidence of one-dimensional construct and good 7-point rating scales functioning. Factor analysis revealed that uterine cervical cancer screening embarrassment was comprised of two domains-bodily manifestations and perceiving an undesirable social face. Construct validity was demonstrated by a high subscale-to-subscale correlation. Convergent and discriminant validity was evidenced by significant correlations with a 100 mm VAS scale, general medical embarrassment, and Pap smear related negative emotion. Known-group validity was established by comparing women with high versus low trait embarrassment. Both two sub-scales and overall scale demonstrated good internal reliability. Conclusion: The Uterine uterine cervical cancer screening questionnaire is a reliable and valid instrument suited to assessing the manifestations of embarrassment during screening. The use of instrument can be extended to understand the client's embarrassment undergoing health examinations which require the exposure of their private parts.

PCM/Nylon6 복합사 염착특성

  • Lee, Jun-Hee;Kim, Hyung-Joo;Yim, Sang-Hyun;Im, Jung-Nam;Son, Young-A
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2011.11a
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    • pp.35-35
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    • 2011
  • Phase change material(PCM) has thermal energy storage and been attracted attention. Latent heat of the organic PCM can keep maintaining temperature when the change of outside energy conditions influence to PCM. Thus, many researchers have interested to thermal energy storage ability and investigated to applications such as thermal storage of solar energy, bioclimatic building, icebank, medical application, clothing industry and so on. Among the many applications, investigation of the PCM in clothing industry is also important because the people has interest functional factor called health-care in the clothing. In addition, PCM can give them mild environment condition such suitable temperature control or humidity. To fabrics, the PCM has various methods such as microcapsule, padding and modified cross-section formation(Sheath/core). Sheath core PCM fabric has a better benefit of durability than other method. However, PCM sheath/core spinning is difficult. In addition, dyeing property is important to use clothing industry due to visual images. In this study, we investigated dyeing properties of Nylon/PCM sheath/core fabrics. Especially, we observed the relation between dyeing property and PCM including ratio. Various temperature and pH conditions were also studied to optimize dyeing properties as acid dye.

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Characteristics and Factors Affecting of Depression by Households Type of Elderly with Disabilities: Convergent Approach of Living Environment and Psychology (가구유형에 따른 장애노인의 특성과 우울 영향 요인: 거주환경과 심리의 융복합적 접근)

  • Park, Ju-Young
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.459-466
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    • 2020
  • This study aimed to analyze characteristics and factors affecting of depression by households type of elderly with disabilities. Data were analyzed using chi-square test, logistic regression analyses according to the PSED. Data were 608 individuals. First, The one-person households group showed significantly female, non-capital, severe disorder, lower health status, lower economic level, higher help for daily life, higher experience of discrimination, lower satisfaction with relationship, lower participation in social activities. Second, Factors affecting depression included experience of discrimination, participation in social activities. Multi-person group included gender, occupied area, health status, economic level and one-person group were help for daily life. In order to reduce depression, it is necessary to reduce experience of discrimination, improve awareness of disability, health care, economic supports and so on. This study is meaningful in that it classifies households types. In the future, there is a need to longitudinal studies.

A Study of Comparison between Ayurveda and Sasang Medicine based on Constitutional Theory (체질론에 근거한 사상의학과 아유르베다의 비교 연구)

  • Kwon, Gil-Ja
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.166-175
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    • 2019
  • The constitution of traditional medicine is distinguished from modern medicine. Sasang medicine describe the constitution which is classified as functional intensity of the lung, spleen, liver and kidney. The functional strength of each part of the human body is not the same in each constitution, and this imbalance is considered as a major factor of the disease. Ayurveda is identified the balance of the three dosha in our body is the basis of health maintenance. The reason for the illness is due to the imbalance among vata which express energy metabolism, pitta which plays a role in metabolism and digestion, and kapha which controls body temperature. The two theories which include knowing the characteristics and trends of diseases according to their constitution, the approach of treatment and the health care of daily life. They are also considered as convergent area about treatment methods in the modern society where individual characteristics and lifestyle are emphasized. The purpose of this study is to understand the concept of constitutional basis for increasing patient satisfaction and to help diversity of treatment in preventive medical area by comparing and analyzing the theory of Sasang and Ayurveda.

The convergent relationship between experience of elderly oral health care education by specialist and attitudes toward the elderly (치과위생사의 노인구강관리 전문가 교육경험에 따른 노인을 대하는 융합적 태도 관계)

  • Lee, Jung-Hwa;Lee, Yu-Hee;Yun, Jung-Won;Jang, Kyeung-Ae
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.43-50
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    • 2019
  • Dental hygienists have received specialist training and experience to identify relationships that affect the attitude towards the elderly dental hospitals, general hospitals, working in a university hospital were survey of 264 people. The relationship between the elderly oral health specialist education experience and the attitude toward the elderly was influenced by the attitude toward the elderly (r=0.160, p<0.01), the experience of the elderly oral tissue regeneration education was related to the attitude toward the elderly (r=0.178, p<0.01), and feeding and swallowing function training education was positively correlated with the attitude toward the elderly (r=0.173, p<0.01). Therefore, it is necessary to develop curriculum in the maintenance training course for the dental hygienists who are experts in oral health care for the elderly, and to develop the curriculum for elderly dental hygiene course in the school education.

Research on Oral Health Knowledge and Oral Health Behavior of Chinese Domestic Students

  • Chung, Kyung-Yi
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.11
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    • pp.173-179
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    • 2022
  • This study was conducted to provide basic data for the development of oral health education programs by examining oral health knowledge and oral health behaviors, and by identifying factors affecting oral health knowledge and scaling experience of Chinese domestic students. From March to May, a self-reported questionnaire was administered to 194 in the G area. The data were analyzed frequency analysis and independent t-test, multiple regression analysis, logistic regression analysis by using SPSS/WIN 26.0 program. The overall average of oral health knowledge was 13.83 out of 24, and knowledge of periodontal disease and scaling was the highest at 3.75, and knowledge of oral hygiene products was the lowest at 1.38. Oral health knowledge was significantly higher in those who had scaling experience for the past year, brushed teeth for more than 3 minutes at a time, used oral hygiene products, and had oral health education experience. As a result of multiple regression analysis, oral health education experience was the most important factor on oral health knowledge. As a result of logistic regression analysis, oral health knowledge was the most influential factor on scaling experience. It is necessary to expand education on the importance of oral care and actively introduce oral health management program for Chinese domestic students.

The Validation Study of Normality Distribution of Aquatic Toxicity Data for Statistical Analysis (수생태 독성자료의 정규성 분포 특성 확인을 통해 통계분석 시 분포 특성 적용에 대한 타당성 확인 연구)

  • OK, Seung-yeop;Moon, Hyo-Bang;Ra, Jin-Sung
    • Journal of Environmental Health Sciences
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    • v.45 no.2
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    • pp.192-202
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    • 2019
  • Objectives: According to the central limit theorem, the samples in population might be considered to follow normal distribution if a large number of samples are available. Once we assume that toxicity dataset follow normal distribution, we can treat and process data statistically to calculate genus or species mean value with standard deviation. However, little is known and only limited studies are conducted to investigate whether toxicity dataset follows normal distribution or not. Therefore, the purpose of study is to evaluate the generally accepted normality hypothesis of aquatic toxicity dataset Methods: We selected the 8 chemicals, which consist of 4 organic and 4 inorganic chemical compounds considering data availability for the development of species sensitivity distribution. Toxicity data were collected at the US EPA ECOTOX Knowledgebase by simple search with target chemicals. Toxicity data were re-arranged to a proper format based on the endpoint and test duration, where we conducted normality test according to the Shapiro-Wilk test. Also we investigated the degree of normality by simple log transformation of toxicity data Results: Despite of the central limit theorem, only one large dataset (n>25) follow normal distribution out of 25 large dataset. By log transforming, more 7 large dataset show normality. As a result of normality test on small dataset (n<25), log transformation of toxicity value generally increases normality. Both organic and inorganic chemicals show normality growth for 26 species and 30 species, respectively. Those 56 species shows normality growth by log transformation in the taxonomic groups such as amphibian (1), crustacean (21), fish (22), insect (5), rotifer (2), and worm (5). In contrast, mollusca shows normality decrease at 1 species out of 23 that originally show normality. Conclusions: The normality of large toxicity dataset was not always satisfactory to the central limit theorem. Normality of those data could be improved through log transformation. Therefore, care should be taken when using toxicity data to induce, for example, mean value for risk assessment.

A Study for Convergence Curriculum of Creative Practical Use of the Direction of Characterization of Healthcare - Centred on a University - (보건의료 특성화 방향에 대한 창의실용 융복합 교육과정을 위한 연구 - 일개 대학을 중심으로 -)

  • Choi, EunMee;Kwon, LeeSeung;Park, YeongSool;Jung, YongSik
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.283-295
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    • 2018
  • This study is to establish the direction of special education curriculum by linking the demands of the health industry and the university curriculum. For this, we conducted a questionnaire survey for 4 months from 18 January to 9 May, 2017. Cronbach alpha coefficient was used for the reliability of the study, frequency analysis was used mainly for the contents of the study, and chi-square test, variance analysis and T test were applied to the study. Cronbach's alpha coefficient was 0.891. Variance analysis, T test and chi-square test show some significant differences. The results of this study are as follows: 35% of practitioners and 22% of convergent intellectuals are desirable in institutions. Practical needs of practitioners are creative practicality, medical policy (58%). It will be necessary to conduct a nationwide survey in the future.

Development of Internet Addiction Measurement Scales and Korean Internet Addiction Index (인터넷중독 측정도구와 한국형 인터넷중독지표의 개발)

  • Park, Jae-Sung
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.3
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    • pp.298-306
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    • 2005
  • Objectives : To develop measurement scales of Internet addiction, and propose a Korean Internet Addiction Index (K-IAI) and classification criteria for Internet addiction from the threshold scores developed. Methods : The identification of the concept of 'Internet addiction' was based on the literature review. To select the scales, an exploratory factor analysis was applied. A construct validation was tested by a confirmatory factor analysis (CFA) with a structured equation model (SEM). In testing the validity of the classification criteria, ANOVA and non-recursive models with SEM were applied. Results : Out of 1,080 questionnaires distributed, 1,037 were returned,; a response rate of 96%. The Cronbach-$\alpha$ of all items was over 0.75. Using an exploratory factor analysis in the condition of a 6 factor constrain as the study model proposed, 23 of the initial 28 items were identified. In testing the discriminant and convergent validity of the selected 23 scales using CFA with SEM, the Internet addiction model explained about 93% of all variances of the data collected, and all the latent variables significantly explained the designated scales. A K-IAI was proposed using the T-scores of the sum of all factor averages. In the classification of users, the basic concept was a twostandard deviation approach of the K-IAI as the criteria of MMPI. The addiction group had a score ${\geq}70$ in the K-IAI, the pre-addiction group between ${\geq}50$ and <70, and the average user group <50. The Internet use times of the classified groups were statistically different in the ANOVA and multiple comparisons. Conclusions : The K-IAI is a reliable and valid instrument for measuring Internet addiction. Moreover, the taxonomy of the groups was also verified using various methods.