• 제목/요약/키워드: Design of T.P.

검색결과 2,350건 처리시간 0.044초

요양병원 입원노인의 연하재활프로그램의 효과 (Effects of Swallowing Rehabilitation Program among Elderly In Geriatric Hospitals)

  • 하주영;이수민
    • 한국보건간호학회지
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    • 제28권3호
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    • pp.605-618
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    • 2014
  • Purpose: The purpose of this study was to examine the effect of a swallowing rehabilitation program for elderly on the stage of dysphagia, nutritional status, and swallowing-quality of life. Methods: The research design was Pretest-Posttest Nonequivalent Groups Design. The subjects of this study consisted of 85 elderly patients hospitalized at geriatric hospitals between August 23rd and October 25th in 2012. Eighty five research subjects were assigned to experimental (42 patients) and control (43 patients) groups. The rehabilitation program was provided to the experimental group 5 days per week for 8 weeks. The effects were evaluated by measurement of Mid-upper Arm Muscle Circumference (MAMC), Total Lymphocyte Counts, albumin, Total Cholesterol, and Swallowing Quality of Life (SWAL-QOL). The collected data were analyzed with x2-test and independent t-test using PASW WIN 18.0. Results: Changes in the stage of dysphagia were not significant (p>.05). In nutrition status, the degree of MAMC points in the experimental group was significantly increased compared with that in the control group (t=2.36, p=.021). In swallowing quality of life, the score of SWAL-QOL in the experimental group was significantly increased, particularly burden (t=3.34, p=.002), frequency (t=2.68, p=.011), fear (t=2.44, p=.019), mental health (t=2.47, p=.018), and sleep (t=2.08, p=.044). Conclusion: Based on the results, this swallowing rehabilitation program for elderly would be helpful in promoting their nutritional status and swallowing-QOL in geriatric hospitals.

호흡곤란 응급관리에 대한 시뮬레이션기반 교육이 간호학생의 지식과 수행자신감에 미치는 효과 (Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students)

  • 허혜경;박소미
    • 한국간호교육학회지
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    • 제18권1호
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    • pp.111-119
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    • 2012
  • Purpose: The purpose of this study was to identify the effects on knowledge and performance confidence of nursing students in the emergency care of patients with dyspnea after simulation education using a human simulator. Method: The research design was a nonequivalent control group pretest-posttest design. For the experimental group the human simulator was used to provide simulation. Also included were base learning with audio-visual material, explanations about simulation, using SimMan for human simulation, and debriefing. Pre and post-tests were conducted to compare differences in knowledge and performance confidence. Result: The (t=3.83, p<.000) than the control group. For the experimental group, the differences in pretest-posttest scores for knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the experimental group had significantly higher scores for knowledge (t=3.03, p=.004) and performance confidence (t=3.83, p<.001knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the control group. Conclusion: The results of this study indicate that for student nurses, knowledge and performance confidence in emergency care of patients with dyspnea improve with human simulator simulation education. Further study is suggested to develop other scenarios for emergency care and identify the effects of critical thinking and satisfaction when using human simulator simulation education.

한방차가 시설노인의 생리적 기능과 행동변화에 미치는 영향 (The Effects of Oriental Herbal Tea on the Physiological Function and Behavioral Change of Elders at Geriatric Facility)

  • 김수경;이정은;윤미경;고희정
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1448-1457
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    • 2014
  • 평균수명이 연장되면서 노인인구비율 증가와 함께 각종 노인성 질환이 증가하고 있다. 노인성 질환을 대상으로 한약재를 이용한 치료적 접근위주의 연구는 시도되고 있으나, 건강관리 차원에서 예방적 접근방법으로 한방건강 음료로서의 한방차에 대한 연구는 미미한 실정이다. 본 연구는 노인요양시설을 이용하는 노인을 대상으로 한방차의 섭취가 생리적 기능과 행동변화에 미치는 효과를 확인하기 위한 비동등성 대조군 전후 설계의 유사 실험연구이다. 대상자는 실험군 20명, 대조군 18명으로 총 38명이었다. 2013년 5월부터 6월까지 1회 100ml씩, 일 3회, 30일간 본 연구에서 개발한 한방차를 적용하였고, 양자분석기로 생리적 기능을, 구조화된 설문지로 행동변화를 측정하였다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 분석 결과 실험군에서 생리적 기능 중 혈류순환(t=-4.466, p<.001), 간기능(t=-2.855, p=.007), 뇌기능(t=-2.545, p=.015), 골밀도(t=-6.125, p<.001), 혈당(t=-4.180, p=<.001)과 행동변화의 하위지수인 정서적 요인(t=2.389, p=.023)에서 유의한 변화가 나타났다. 따라서 노인의 생리적 기능 향상과 정서적 안정에 긍정적인 효과가 나타난 한방차의 음용은 노인요양시설에서 노인 건강을 위한 효과적인 중재 방법으로 활용될 수 있다고 사료된다.

Effects of Nitrogen Fertilization on Forage Production and Nutritive Nalue of Geukdong 6, Teosinte Hybrid [Zea mays L. subsp. mexicana (Schrad.) H. H. Iltis]

  • Wang, Chengyu;Lee, Sang Moo
    • 한국초지조사료학회지
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    • 제40권1호
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    • pp.37-43
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    • 2020
  • This study was conducted to evaluate the effects of different nitrogen levels on the yield and nutrient quality of a newly developed domestic hybrid of Teosinte, Geukdong 6〔Zea mays L. subsp. mexicana (Schrad.) H. H. Iltis〕. The field experiment was conducted in a randomized block design with three replicates and consisted of four nitrogen (N) application rates, T1 (200 kg/ha), T2 (300 kg/ha), T3 (400 kg/ha), and T4 (500 kg/ha). No differences were found in plant length, leaf length, leaf width, leaf number, dead leaves, stem hardness, tiller number, and fresh yield (p>0.05). The T3 showed significantly greater dry matter yield at harvest (heading stage) compared to the other treatments (p<0.05). The crude protein content of T4 (10.49%) was higher than those of T1 and T2 (p<0.05). However, there was no significant difference between T4 (10.49%) and T3 (9.63%). The effects on crude fat, crude ash, neutral detergent fiber (NDF), acid detergent fiber (ADF), and crude fiber were not significant (p>0.05). The sugar content was higher in the T2 treatment than the other treatments (p<0.05). For Ca, T3 showed significantly greater content (p<0.05). However, no significant effects were found in the contents of Cu, Fe, K, Mg, Mn, Mo, and Zn (p>0.05). Na content was higher in order of T2 > T4 > T3 > T1 (p<0.05). Total mineral contents were not significantly different among the treatments (p>0.05). Given these results, we recommend the amount of nitrogen fertilization necessary for "Geukdong 6" to be around 400 kg per ha (T3), when considering, high fresh yield, dry matter yield, number of leaves and content of crude protein.

비타민 C 보충이 인슐린 비의존형 당뇨병 환자의 혈당 및 혈청지질에 미치는 영향 (Effect of Vitamin C Supplementation on Blood Sugar and Serum Lipid in NIDDM Patients)

  • 이윤미;박형숙
    • 재활간호학회지
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    • 제5권2호
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    • pp.99-112
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    • 2002
  • The purpose of this study is to determine the effect of oral vitamin C supplements on blood sugar and serum lipid level(total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein) in non-insulin independent diabetes mellitus. The study design was a non equivalent control group pre-test post-test design. Data for the study were collected from June 24 to August 31, 2001. The ninty-five research subject were assigned to experimental group(51) and control group(44). Vitamin C(3g/day) was given to 51 subjects for 4 weeks. Following a 12h overnight fasting, blood sample was obstaind at baseline and at the end of 4week - supplementation. Blood samples were taken for plasma vitamin C concentration, fasting blood sugar, HbA1c and serum lipid level. The pre-equivalent test was used by Chi-squre, t-test and two group's pre and post experimental differences were analyzed by t-tset to compare with each other. The results of this study were as follows ; 1. The difference between the two groups in plasma vitamin C concentration was significant(t=-12.950, p=.000). 2. The difference between the two groups in fasting blood sugar was significant(t=5.293, p=.000). 3. The difference between the two groups in HbA1c was not significant(t=1.758, p=.082). 4. The difference between the two groups in total cholesterol, HDL, LDL was significant(t=3.786, p=.000 ; t=-5.515, p=.000 ; t= 4.169, p = .000). These results suggest that megadose vitamin C supplementation be effective in lowering fasting blood sugar, serum lipids and increasing plasma vitamin C. Thus dietary measures to increase plasma vitamin C may be on important health strategy for reducing the compliance of diabetic patients.

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척추 수술 전 노인환자에게 적용한 아로마 향흡입요법이 통증 및 불안에 미치는 효과 (The Effect of Aroma Inhalation on the Preoperative Pain and Anxiety of the Elderly Preparing to Undergo Spine Surgery)

  • 박소휘;김보경;박경숙
    • 디지털융복합연구
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    • 제17권12호
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    • pp.523-533
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    • 2019
  • 본 연구는 아로마 향흡입요법이 척추 수술 노인환자의 수술 전 통증과 불안에 미치는 효과를 검증하고자 시도한 비동등성 대조군 전후시차설계의 유사실험연구이다. 실험군(n=30)에는 프랑킨센스, 마조람, 만다린을 혼합한 향유를 수술 전일 오후 8~9시와 수술 당일 수술실 가기 1시간 전에 흡입시켰고, 대조군(n=30)에는 일반적인 수술 전 간호를 하였다. 두 군의 통증, 상태불안, 활력징후를 사전과 사후에 측정한 결과, 실험군과 대조군에서 통증(t=-1.223, p=.226), 수축기혈압(t=-0.211, p=.833), 이완기혈압(t=0.638, p=.526), 호흡(t=0.734, p=.466)은 통계적으로 유의한 차이가 없었으나, 상태불안(t=-3.202, p=.002)과 맥박(t=-0.213, p=.037)은 실험군에서 대조군에 비해 유의한 차이가 있었다. 본 연구를 통해 아로마 향흡입요법이 수술 전 환자의 불안 완화에 적용 가능한 독자적 간호중재로 적용될 수 있다.

간호대학생의 플립러닝 학습이 자기주도학습능력, 학습태도, 수업만족도에 미치는 영향 (Effect of Flipped learning on the Self-directed Learning ability, Learning Attitude, Lesson Satisfaction for Nursing Students of the University)

  • 김진;차남현
    • 문화기술의 융합
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    • 제9권3호
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    • pp.11-17
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    • 2023
  • 본 연구는 간호대학생에게 플립러닝 학습이 자기주도학습능력, 학습태도, 수업만족도에 미치는 영향을 확인하고자 시행하였다. 연구대상 및 자료수집은 2022년 3월 1일부터 6월 16일까지 A 시의 대학생 41명을 대상으로 하였고, 연구설계는 단일집단 사전-사후설계인 원시실험설계이다. 사전과 사후조사에서 자기주도학습능력, 학습태도, 학습만족도를 조사하였고 플립러닝 강의를 실험군에게 적용하였다. 통계분석은 SPSS 27.0 버전을 사용하였고 실험 전과 후의 효과 검정은 Paired T-test를 적용하였다. 연구 결과, 간호대학생의 학습태도는 자기주도학습능력과 수업만족도와 양의 상관관계를 보였으며, 플립러닝 교육방법은 자기주도학습능력(t=-8.73, p<.001), 학습태도(t=-6.99, p<.001)와 수업만족도(t=-2.17, p<.05) 모두 통계적으로 유의하였다.

만성 골관절염 노인을 위한 지역사회 간호사 주도 복합운동 프로그램의 효과 (Effect of Nurse-led Community Comprehensive Exercise Program for Elderly with Chronic Osteoarthritis)

  • 백희정;임원지
    • 가정∙방문간호학회지
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    • 제26권1호
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    • pp.102-110
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    • 2019
  • Purpose: This study aimed to investigate the effects of a nurse-led community comprehensive exercise program on the body composition, physical function, and health-related quality of life in elderly patients with osteoporosis. Method: The study was conducted with one group pretest-posttest design. A total of 57 elderly patients participated in 8 weeks of intervention. Data was analyzed with the SPSS ver. 23.0 using descriptive statistics and paired t-test. Results: At the end of the intervention, body mass index was significantly increased (t=2.93, p=.005), but right leg balance (t=2.40, p=.02) was significantly improved. In addition, the total Korean-Western Ontario and McMaster Universities Osteoarthritis Index (K-WOMAC) (t=3.48, p=.001), knee pain (t=2.61, p=.012), stiffness (t=2.53, p=.014), and physical function (t=3.51, p=.001) were significantly decreased. EuroQoL Visual Analogue Scale (EQ-VAS) scores (t=4.25, p<.001) were significantly improved. Conclusion: The nurse-led eight-week community comprehensive exercise program did not show desirable change in the body composition but was effective on the physical function and health-related quality of life for older people with osteoartritis.

흡연 중학생에 대한 자기효능감증진 금연프로그램의 효과 (The Effect of Self-Efficacy Promotion Smoking Cessation Program for Middle School Students)

  • 이지현;강은실;이명화;이영은
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.716-731
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    • 2001
  • The purpose of this study was to test the effect of a self-efficacy promotion smoking cessation program for middle school students. This program was redesigned on the basis of Shin Sung Rye( 1997)' s Self-Efficacy Promoting Program for this study. The design of this paper was quasi-experimental. equivalent control group pre-post test. time series design. The subjects of this study were 53 smoker adolescents in D Middle School in the city of Busan. The results were summarized as follows: 1) The Hypothesis 1 was accepted: The self efficacy of the experimental group was higher than that of the control group after 1 week (expected efficacy t=2.20, p<.05. expected outcomes t=-2.58. p<.05) 4 weeks after education (expected efficacy t=- .19. p<.001, expected outcomes t=-2.586. p<.05). 2) The Hypothesis 2 was accepted: The amount of smoking of the experimental group was reduced more than that of the control group after 1 week (t=2.05, p<.05) and after 4 weeks (t=2.03. p<.05). 3) The Hypothesis 3 was accepted: The positive urine cotinine of the experimental group was less than that of the control group after 1 week after education($x^2$=8.57. p<.01) after 4 weeks ($x^2$=22.49. p<.001). In conclusion. a self-efficacy promotion smoking cessation program for middle school students was an effective smoking cessation program and then it will be valuable for stopping the smoking among the adolescents.

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맨손체조가 노인의 생리적 지수와 체력에 미치는 효과 (Effects of Exercise Designed on Physiological Variables Physical Functions in the Elderly)

  • 민순;주애란
    • Journal of Korean Biological Nursing Science
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    • 제4권1호
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    • pp.71-83
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    • 2002
  • 본 연구는 낮은 강도의 전신운동으로, 특별한 운동기구를 이용하지 않으면서 동작 실시 동안 신체에 부담을 주지 않고 노인의 건강문제를 예방하는 맨손체조운동을 실시하여 노인의 건강을 증진시킴으로써 노인의 생리적 지수와 체력에 미치는 효과를 규명하고자 시도하였다. 본 연구는 맨손체조를 실시한 원시실험연구로 단일군 사전사후 설계이다. 자료수집 기간은 2002년 3월 5일부터 6월 11일까지 15주간이었다. 대상자는 G시에 있는 일 교회 노인대학에 소속된 노인 23명을 대상으로 하였다. 수집된 자료는 SPSS/PC 프로그램을 이용하여 일반적 특성은 실수와 백분율로, 대상자의 맨손체조 실시 전 후의 생리적 지수, 체력의 차이 검정은 paired t-test로 분석하였다. 본 연구를 통하여 얻어진 연구결과는 다음과 같다. 1) 대상자의 심박동수는 맨손체조 실시 전 80.4회/분이었고 맨손체조 실시 후 75.5회/분으로 감소하였으며, 통계적으로 유의하였다(t=2.316, p=0.030). 2) 대상자의 수축기혈압은 맨손체조 실시 전 129.5mmHg이었으나 맨손체조 실시 후 122.8mmHg로, 이완기혈압은 맨손체조 실시 전 78.9mmHg이었고 맨손체조 실시 후 71.52mmHg로 각각 유의하게 감소하였다(t=2.777, p=0.033, t=2.989, p=0.007). 3) 대상자의 산소포화도는 맨손체조 실시 전 96.4이었고 맨손체조 실시 후 96.8로 증가하였으나, 통계학적으로 유의하지는 않았다(t=-1.096, p=0.285). 4) 대상자의 체력은 맨손체조 실시 전 2.1이었고 맨손체조 실시 후 2.3으로 증가하였으나, 통계적으로 유의하지는 않았다(t=-0.746, p=0.464).

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