• 한국심리학회지 : 코칭
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• 제7권3호
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• pp.109-125
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• 2023

본 연구는 조직의 결과변인에 유의한 영향을 주는 것으로 알려진 권력거리를 종업원-조직 부합의 관점에서 알아보고자 하였다. 군집분석을 통해 종업원과 조직의 권력거리 조합이 현실에서 어떤 하위그룹으로 존재하는지를 알아보고자 하였으며, 조직의 긍정 결과변인과 부정 결과변인들에 있어서 도출된 하위집단들 간 차이가 있는지도 살펴보았다. 총 398명의 데이터가 수집되었으며 군집분석을 통해 총 3개 집단이 도출되었다. 군집 1은 종업원의 권력거리는 낮고 조직의 권력거리는 높은 집단이었으며(LH), 군집 2는 종업원과 조직의 권력거리가 모두 높은 집단, 군집 3은 종업원과 조직이 전반적으로 낮은 권려거리 수준을 보였으나 종업원의 권력거리가 조직의 권력거리보다 유의하게 높은 집단(HL)이었다. 조직 결과변인에 대해 세 하위 집단 간 차이를 분석한 결과, 긍정적 일 정서에서는 집단 간 차이가 없었으며 전반적으로 LH 집단이 가장 긍정적인 조직 결과를, HH 집단이 가장 부정적인 조직 결과를 보이는 것으로 나타났다. 상기 결과를 바탕으로 본 연구의 학문적, 실용적 함의 및 제한점에 대해 논의하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제13권2호
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• pp.33-54
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• 2007

본 연구는 남한주민과 북한이탈주민이 상호 간의 문화와 개인적 특성을 파악하여 좀 더 원활한 대인관계 능력을 획득하고, 상대방 문화에 대한 적응력을 가지도록 하기 위해 구성된 집단상담프로그램의 구성과 그 효과를 검증한 것이다. 이 프로그램은 기존 연구들에서 실제 검증되지 못한 프로그램들이 가진 장점을 최대한 반영하여 양측 주민들이 동등한 입장에서 상호의존적 협동 작업을 하면서 자연스럽게 대인관계 능력을 획득하고, 상대방 문화에 적응할 수 있도록 하는 것이었다. 각 회기는 1.5시간씩이고, 총 4회기로 1주일 간격으로 진행되었다. 본 연구는 사전-사후 조사에 의해 검증되었고, 통제군도 설정되어 있는데, 통제군에 비해 본 프로그램 참가군이 긍정적 효과를 보였다. 단, 북한이탈주민 중 5명이 중도에 이탈하여 프로그램 효과 중 남한 주민의 북한이탈주민에 대한 신뢰감을 낮추는 효과가 발생하였다.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.107-116
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• 2014

본 연구는 지역사회네트워크 기반 사회복지프로그램 기획을 준비함에 있어 컨셉트 맵핑을 활용하고 그 적용가능성을 경험적으로 확인하는 것이다. 컨셉트 맵핑은 다양한 이해관계자들 사이의 모호하고 복잡한 아이디어를 구조화하여 시각적으로 제시해 주는 의사결정 도구이다. 이미 상담, 간호, 공중보건 등 휴먼서비스 영역을 중심으로 프로그램 기획 및 평가 과정에서 나타나는 복잡하고 추상적인 아이디어를 개념화하는데 활용되고 있다. 최근, 우리나라에서도 상담 및 의료 영역에서 서비스 제공자와 이용자 간의 존재하는 성과의 차이를 경험적으로 인지하고, 합의를 이끌어 내는 도구로 활용하고 그 효과성이 발표되고 있다. 본 연구에서는 부산광역시 북구에서 아동 청소년을 대상으로 진행되고 있는 부산공동모금회지원 CI사업의 3차년도 사업기획을 준비하면서 사업주체들이 기대하는 성과를 컨셉트 맵핑을 활용하여 개념화하였다. 컨셉트 맵핑은 준비 단계, 아이디어 수집 단계, 서술문 구조화 단계, 표현 단계, 분석결과 해석 단계, 유용화 단계로 이루어졌다. 참여자들은 부산 북구 사회복지기관 종사자 11명이였으며, 이들이 제시한 서술문은 총 60개였다. 이들이 제시한 서술문을 유사성 행렬 형태로 전환하여 다차원 척도법 분석을 실시하였다. 군집은 총 5개로, '아동 청소년의 인식 및 태도변화', '아동 청소년 체계의 변화', '우호적인 지역사회 형성', '지역주민의 변화', '사업공급주체의 변화'였다. 이 중 가장 우선적으로 성취되어야 할 성과는 '아동 청소년의 인식 및 태도 변화'로, 이 성과를 중심으로 3차년도 사업을 기획하게 되었다. 컨셉트 맵핑을 활용하여 성과를 개념화하는 의사결정과정을 거치면서, 참여 구성원들은 사업의 성과에 대해 명확하게 개념화하였고, 이 성과에 대한 합의가 도출되었다.

• Journal of Genetic Medicine
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• 제11권2호
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• pp.56-62
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• 2014

Purpose: To assess the outcomes of increased fetal nuchal translucency (NT), to aid in prenatal counseling and management in our practice. Materials and Methods: We retrospectively reviewed the medical records of patients who underwent first trimester fetal karyotyping using chorionic villi sampling (CVS) and second trimester level II sonography for a fetal NT thickness ${\geq}3.0mm$ between 11 weeks and 13 weeks 6 days' gestation, at Gyeongsang National University Hospital. Pediatric medical records and a telephone interview were used to follow-up live-born children. Exclusion criteria included incomplete data and CVS for other indications. Results: Seventy cases met the inclusion criteria (median NT thickness, 4.7 mm; range, 3.0-16.1 mm). Twenty-nine cases (41.4%) were aneuploid. The prevalence of chromosomal defects increased with NT thickness: NT 3.0-3.4 mm, 16.7%; NT 3.5-4.4 mm, 27.3%; NT 4.5-5.4 mm, 66.7%; NT 5.5-6.4 mm, 37.5%; NT ${\geq}6.5mm$, 62.5%. The most common karyotype abnormality was trisomy 18 (n=12), followed by trisomy 21 (n=9). In chromosomally normal fetuses (n=41), fetal death occurred in 2 cases (4.9%), and structural malformations were found in 11 cases (26.8%). In chromosomally and anatomically normal fetuses (n=28), one child had neurodevelopmental delay (3.6%). Twenty-eight infants who had a prenatal increased NT were alive and well at follow-up (40%). Conclusion: Outcomes of increased fetal NT might help inform prenatal counseling and management. The high prevalence of chromosomal defects associated with increased fetal NT implies that CVS should be performed in the first trimester, particularly considering the stress associated with an uncertain diagnosis.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제60권5호
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• pp.209-214
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• 2017

Background and Objectives Tinnitus retraining therapy (TRT) is one of the most effective treatment modalities of tinnitus based on the neurophysiological model proposed by Jastreboff and Hazell. This study was performed to evaluate the effect of counselor factor on treatment outcomes of TRT. Subjects and Method The total of 78 patients who had TRT from three different counselors in a tinnitus clinic of tertiary referral center from Jan 2015 to Dec 2015 were included in this study. Their medical records were retrospectively reviewed to evaluate the therapeutic response to TRT. Results Among 78 patients who were followed-up for more than 6 months, 47, 20, and 11 patients were treated by counselors A, B, C (all ENT specialists), respectively. Counselor A had 15-year-experience of TRT counseling, whereas counselor B and C were well trained but beginners of TRT counseling. Initial clinical characteristics including Tinnitus Handicap Inventory (THI) and tinnitus Visual Analogue Scale (VAS) scores of the patients among three groups were not significantly different. Treatment responses evaluated via THI and most of the tinnitus VAS scores after at least 6 months after TRT were significantly improved in all three groups (p<0.05) with no significant difference between the senior (A) and junior (B, C) group. Conclusion TRT seems to be an effective treatment modality of tinnitus even in this short term follow-up study. Treatment outcomes of TRT may not depend on the counselors once they are well trained and follow the same protocol.

• 한국임상약학회지
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• 제32권3호
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• pp.185-190
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• 2022

Background: Denosumab (Prolia®) is administered every 6 months for osteoporosis treatment. Co-administration of calcium and vitamin D is required to minimize hypocalcemia risk. We evaluated clinical outcomes based on the administration interval of denosumab and co-prescription with calcium-vitamin D combination products. Methods: A retrospective study was conducted using electronic medical records from 668 patients who started denosumab therapy between January 1 and December 31, 2018, at Seoul National University Bundang Hospital. Clinical outcomes, as measured by changes in T-score, were evaluated by the intervals and concurrent prescriptions with calcium-vitamin D combination products. Results: Of the 668 patients, 333 patients met the eligibility criteria. These patients were divided into two groups based on appropriateness of the administration interval: "Appropriate" (304 patients, 91.3%) and "Inappropriate" (29 patients, 8.3%). T-score changes were significantly higher in the "Appropriate" than in the "Inappropriate" group (0.30±0.44 vs. 0.13±0.37, p=0.048). At the beginning of the treatment, 221 patients (66.4%) were prescribed calcium-vitamin D combination products, but the changes in T-scores were not significantly different by the prescription status of the product (0.29±0.46 vs. 0.28±0.38, p=0.919). Conclusion: T-scores were significantly improved in patients with appropriate administration intervals. No significant changes in T-scores were observed by the prescription status with calcium-vitamin D combination products. For optimal treatment outcomes, prescribers should encourage adherence to the approved prescription information on dosage and administration, and pharmacists should provide medication counseling for patients.

• 대한간호학회지
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• 제47권2호
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• pp.143-163
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• 2017

Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

• Archives of Plastic Surgery
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• 제43권1호
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• pp.66-70
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• 2016

Background In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. Methods A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. Results The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0-10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. Conclusions The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process.

• 종양간호연구
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• 제11권1호
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• pp.74-82
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• 2011

Purpose: This study was performed to systematically review the recently published nursing intervention studies. Methods: The literature was identified through the Korean Education and Research Information Service (KERIS), the Korean Information Service System (KISS), and National Assembly Library websites. Key words such as breast cancer, nursing, and intervention were used. The factors analyzed are as follows: 1) the characteristics of studies and study populations, 2) the classification of interventions, 3) outcome indicators and their effects, and 4) effective interventions. Results: Thirty two studies were included. Seventeen studies used a single intervention such as aerobic dance, TaiChi, foot massage, aromatherapy, or a stress-reduction method. Fifteen studies used combined interventions, including education, exercise, counseling, support, yoga or meditation. The data on 47 outcome indicators and their effects were segregated into psycho/spiritual outcomes, stress coping, physical outcomes, cardiorespiratory function, symptom management, arm and shoulder functions, fatigue, and quality of life. Some interventions had positive effects on stress, fatigue, and functions of shoulder. Conclusion: Various interventions are available for breast cancer patients, and some have had positive effects. However, more studies are required to develop evidence-based practice guidelines for nursing interventions.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.219-228
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• 2014

목적 본 연구는 간질 아동에게 제공된 심리사회적 중재들의 효과에 대한 연구동향을 밝혀 추후 간질아동을 위한 간호중재의 기초자료로 활용하기 위함이다. 방법 PRISMA 문헌선택 흐름도에 따라 데이터베이스(Ovid-MEDLINE, EMBASE, PubMed, CINAHL, The Cochrane library, KMbase, and Koreamed)를 통해 454개의 논문들이 검색되었고 선정 및 제외기준에 의해 7개의 논문이 최종적으로 선택되었다. 2명의 연구자가 분석에 포함된 모든 연구를 독립적으로 검토하였고, 방법론적인 질 평가를 위해 코크란의 Risk of Bias 도구와 국내의 Risk of Bias Assessment tool for Non-randomized Study 도구를 이용하였다. 결과 중재 전략의 형태는 4가지로 분류되었다: 교육; 상담; 인지행동치료; 신체활동. 중재의 목표들은 매우 다양하였다. 결론 각각의 중재들은 간질관련 건강 결과에 부분적으로 긍정적인 효과를 보여주었지만 불충분한 중재 정보, 타당도가 떨어지는 결과 측정법, 적은 표본 수, 연구 설계의 제한점과 같은 방법론적인 약점들이 있었다.