• 제목/요약/키워드: Direct practice

검색결과 599건 처리시간 0.029초

영양교육이 당뇨병환자의 식사요법에 대한 지식과 실천 및 인지도, 혈당관리에 미치는 영향 (Effect of Nutrition Education on Diabetic Management in Diabetic Patients)

  • 임현숙;천종희;김용성;남문석
    • Journal of Nutrition and Health
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    • 제34권1호
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    • pp.69-78
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    • 2001
  • The purpose of this study was to investigate the effect of nutritional education on the knowledge and the practice & Perception of diet therapy, and on the level of FBG and HBAlc. The subjects were selected among the patients treated in the Inha University Hospital from June of 1996 until April of 1998. Educated group consisted of 20 patients who visited the diet-counseling department as a part of diabetic treatment. Non-educated group consisted of 20 patients who visited the diet-counseling department ignoring doctors prescription purpose. The knowledge and the practice & perception of diet therapy drinking & smoking habits, regular exercise, and general characteristics including family history were analyzed by questionnaires. FBG and HbAlc were measured before and 4 months after the treatment. The results were as follows : Both groups were composed of 12(60%) male and 8(40%) female respectively. The mean age of subjects was 51.4 years in educated group and 51.9 tears in non-educated group. The duration and %IBW were 5.9 years and 109.8 % in educated group and 5.5 years and 111% non-educated group respectively. There were no significant differences in drinking & smoking habits and regular exercise between groups. The diet therapy knowledge score was significantly higher in educated group(p<0.001, 5.8$\pm$2.3/10.0 vs 3.4$\pm$2.0/10.0). The diet therapy practice & perception score was also significantly higher in educated group(p<0.001, 5.6$\pm$2.3/10.0 vs 2.8$\pm$2.2/10.0). Levels of FBG and HbAlc in both group were reduced at 4 month after the treatment(-74.2 mg/dl and -1.4% in educated group vs -58.7 mg/dl and -2.0% in non-educated group). However, the reduced amounts of them were not significantly different. Therefore, nutritional education seems to be very important in improving the knowledge and the practice & perception of the diet therapy. However, it appears no direct influence in reducing FBG and HbAlc levels. Further studies on diabetic management by using more efficient, consecutive and intensive nutritional education methods are needed. (Korean J Nutrition 34(1):69-78, 2001)

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일부 노인의 구강보건지식·행태 및 실천에 관한 조사연구 (A study on oral health knowledge, behavior and practice among elderly people in some regions)

  • 박인숙;김정숙;최미혜
    • 한국치위생학회지
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    • 제10권2호
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    • pp.413-423
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    • 2010
  • Objectives : The purpose of this study was to examine the general characteristics, oral health knowledge and oral health behavior of elderly people and the relationship of their oral health knowledge to practice of the knowledge in an attempt to provide information on the development of the senior oral health care system. Methods : The subjects in this study were 324 elderly people who used five different social welfare centers in the regions of Sooncheon and Yeosoo. Results : 1. The oral health knowledge of the elderly people investigated was at a low level. Among different sorts of oral health knowledge, they had the best knowledge on the cause of dental caries, and they were most ignorant about the right time for regular dental checkup. 2. Regarding connections between general characteristics and oral health knowledge, the elderly people who never went to a dentist had a better knowledge on oral health, and those who cared about oral health had a better knowledge than the others who didn't. 3. As to practice of oral health knowledge, the best oral health behavior they did was to clean the tongue during toothbrushing, and oral health behavior was not to have an unbalanced diet. The second best one was to be well-nourished, and the third best one was to refrain from drinking, smoking and eating sugar-containing food. The fourth best one was to get a regular dental check-up and teeth cleaned. 4. There was a positive correlation between oral health knowledge and oral health behavior. A better oral health knowledge led to a better oral health behavior. Conclusions : The better oral health knowledge of the elderly people was followed by a better oral health behavior, and the development and implementation of customized oral health education programs geared toward the elderly are urgently required. Oral health professionals should direct their energy into providing sustainable and systematic oral health education, and institutional measures should be taken to make it happen.

출연(연)의 경력개발제도(CDP)와 경력정체성의 관계 (The Relationship between Career Development Practice and Career Plateaus in the Government Sponsored Institutions)

  • 차종석;박오원;이병헌
    • 기술혁신연구
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    • 제19권2호
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    • pp.1-23
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    • 2011
  • 일반적으로 직원들이 자신의 경력이 정체되어 있다고 인식하게 되면 직무몰입 및 직무만족도가 낮아지고 이는 궁극적으로 성과에 부정적인 영향을 미치게 된다. 특히, 연구개발 업무와 같이 고도의 전문적인 지식이 필요한 직무에서는 경력개발이 더욱 중요한 의미를 가진다. 기존 연구들이 경력정체성의 부정적 결과에 연구의 초점을 두었다면 본 연구는 경력정체성의 선행요인을 파악하는데 중점을 두고 있다. 본 연구에서는 경력정체성의 선행 요인을 조직수준 변수와 개인수준 변수로 구분한 후 각각의 변수가 경력정체성에 미치는 직접효과 및 변수들간의 상호작용 효과를 분석하였다. 국내 정부출연연구소 연구원 및 행정직을 대상으로 실증 분석한 결과, 경력개발제도와 타 기관 근무경험은 경력정체성과 부(-)의 관계를 보였으며, 연령은 경력정체성과 정(+)의 관계를 보였다. 또한 경력개발제도와 타 기관 근무경험간의 상호작용도 유의적인 결과를 보였다.

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환자 개인정보보호에 대한 치위생 전공 학생의 인식도 (Awareness of Dental Hygiene Department Students regarding the Protection of Patients' Personal Information)

  • 조명숙;이성숙
    • 대한치위생과학회지
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    • 제4권1호
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    • pp.89-98
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    • 2021
  • Background: The purpose of the present study was to gather basic data necessary for developing an educational program regarding the protection of patients' personal information. Such a program would stress the importance of the protection of patients' personal information for dental hygiene students obtaining clinical practice. Methods: A self-reported questionnaire-based survey was conducted targeting dental hygiene undergraduates who were obtaining clinical practice in the capital region. A total of 543 questionnaires were included in the analysis. Results: The results of this study were as follows: 1) the average score for awareness of the Patient Privacy Act was 2.93 on a 4-point scale; 2) the average score for the recognition of the protection of patients' personal information was 3.22 on a 4-point scale; 3) the area-based perception of the protection of patient's personal information was 3.37 points for communication, which scored highest, followed-by the linked-work area at 3.27 points, the patient's information management at 3.22 points, and the direct dental hygiene work at 3.18 points; 4) with regard to awareness of the protection of patients' personal information according to general characteristics, the perception was higher in the advanced academic year (p < 0.01), in those who had education regarding the protection of patients' personal information at both the university and the clinical practice institution (p < .05), and in those with higher grades (p < 0.01). Conclusions: Based on the above findings, the development and application of an educational program to improve awareness of the protection of patients' personal information are considered to be necessary by both universities and clinical practice institutions.

Correlation between Concerns about the Infection of Economic Workers due to the COVID-19 Pandemic and the Practice of Tooth Brushing after Lunch

  • Kim, Min-Young
    • 치위생과학회지
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    • 제22권3호
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    • pp.180-190
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    • 2022
  • Background: Like direct infection from COVID-19, psychological concern about infection could affect health. Concern about COVID-19 infection was associated with individual habits to practice rules for preventing infection. Therefore, this study aimed to check occupational types and whether to practice tooth brushing after lunch depending on the occupation of economic workers and find correlations between concerns about infection due to COVID-19 pandemic and tooth brushing after lunch. Methods: The raw data was from the community health survey conducted in 2020. Among 229,269 adult participants aged 19 years and older, 138,970 economic workers were included in the final analysis. The chi-squared test was used to find differences in psychological concerns due to the COVID-19 pandemic. According to the participants, the rate of practicing tooth brushing after lunch was based on COVID-19-related psychological concerns. Multiple logistic regression analysis was conducted to check the influence of psychological concerns due to the COVID-19 pandemic on the rate of practicing tooth brushing after lunch. Results: According to occupational classifications, professionals and office workers and career soldiers had 1.551- and 1.581-times higher practicing rates than managers, respectively, whereas machine operators, agricultural and fishery sector workers, and daily laborers had lower practicing rates. Regarding COVID-19-related psychological concerns, the group with a lower concern about infection had a 1.076 times higher practicing rate than that with greater concern. The group with greater concern about blame from neighbors had 1.119 times higher practicing rate than that with lower concern. Conclusion: The correlations between higher economic workers' concerns about infection and blame from neighbors and higher recognition of the necessity to prevent COVID-19 and practice tooth brushing after lunch were confirmed. It is necessary to prepare measures for practicing tooth brushing after lunch suitable to the characteristics of occupational types and work environments of economic workers.

정신질환에서 뇌자극술의 적용 (The Application of Brain Stimulation in Psychiatric Disorders : An Overview)

  • 노대영;강리영;김도훈
    • 생물정신의학
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    • 제24권4호
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    • pp.167-174
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    • 2017
  • Based on advances in biotechnology and neuroscience, neuromodulation is poised to gain clinical importance as a treatment modality for psychiatric disorders. In addition to old-established electroconvulsive therapy (ECT), clinicians are expected to understand newer forms of neurostimulation, such as deep brain stimulation (DBS), vagus nerve stimulation (VNS), repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS). Given the growing interest in non-invasive neuromodulation technologies, clinicians may seek sufficient information about neuromodulation to inform their clinical practice. A growing literature suggests that applications of non-invasive neuromodulation have evidence particularly for indications where treatments are currently insufficient, such as drug-resistant depression. However, positive neuromodulation studies require replication, and the precise interactions among stimulation, antidepressant medication, and psychotherapy are unknown. Further studies of long-term safety and the impact on the developing brain are needed. Non-invasive neuromodulatory devices could enable more individualized treatment. However, do-it-yourself (DIY) stimulation kits require a better understanding of the effects of more frequent patterns of stimulation and raise concerns about clinical supervision, regulation, and reimbursement. Wide spread enthusiasm for therapeutic potential of neuromodulation in clinical practice settings should be mitigated by the fact that there are still research gaps and challenges associated with non-invasive neuromodulatory devices.

데이터베이스에 기반한 RC 평면 프레임 구조물의 최적설계 (Optimum Design of Reinforced Concrete Plane Frames Based on Section Database)

  • 곽효경;김지은
    • 한국전산구조공학회논문집
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    • 제20권2호
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    • pp.165-179
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    • 2007
  • 이 논문에서는 철근콘크리트 구조물의 최적설계를 위해 기둥과 보 부재 설계 단면의 데이터베이스를 구성하고 이로부터 단면 번호와 단면 저항 능력간의 관계를 나타내는 회귀분석식을 구성하여, 직접 탐색법으로 빠르게 최적해를 검색하는 효율적인 알고리즘을 제안하였다. 설계 실무에서 가격을 고려하여 설계하기보다는 성능 최적화에 가까운 설계를 수행한다는 사실로부터 제안된 알고리즘을 이용하여 성능 최적화와 가격 최적화를 모두 수행하여 그 결과를 비교 검토하였고, 예제 구조물을 대상으로 적용성과 효율성을 검토하였다. 본 알고리즘은 목적 함수 구성시 제한 조건이 없고 전개 과정이 매우 단순하면서도 빠른 수렴성을 보이며 선택된 해가 설계 규준과 실무상의 제한 조건에 부합하므로 바로 적용 가능하다는 장점이 있다. 전체 구조물의 최적화는 개별 부재의 최적화를 통해 이루어진다.

신생아중환자 분류도구 개발을 위한 간호활동 규명 및 표준간호시간 조사연구 (A Study on Identifying Nursing Activities and Standard Nursing Practice Time for Developing a Neonatal Patient Classification System in Neonatal Intensive Care Unit)

  • 고범자;유미;강진선;김동연;복정희;장은경;박선자;오순자;최윤진
    • 임상간호연구
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    • 제18권2호
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    • pp.251-263
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    • 2012
  • Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using 'the modified Workload Management System for critical care Nurses' (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.

임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로 (Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province)

  • 김현수;황주희;이현정
    • 동서간호학연구지
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    • 제28권2호
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    • pp.151-159
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    • 2022
  • Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

간호학생의 임상실습 간호활동시간 분석 (Analysis of Nursing Care Activities of Nursing Students in Clinical Experience)

  • 이정희;성영희;정연이;김정숙
    • 한국간호교육학회지
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    • 제4권2호
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    • pp.249-263
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    • 1998
  • The competence of newly graduated nurses is based on various clinical expriences gained when they were students. Therefore, instructors of nursing students, professors in nursing schools or directors in hospitals must play a critical role in assisting them to obtain various knowledge and experienced nursing skills. The purpose of this study was to investigate nursing care activities and nursing care hours practiced by nursing students in a general hospital. The subject students were total 214 nursing students, 2nd graders(sophomores) and 3rd graders(juniors) from 5 Junior Nursing Colleges in Seoul and they practiced at S general hospital to gain clinical experience. The data were collected for 4 days. The tools for this study were the direct nursing care activity list consisted of 15 nursing areas and the indirect nursing care activity list consisted of 9 nursing areas. The subject students were supposed to record their own score. The results of this study are ; 1. The nursing care hours per nursing student 1) The average total nursing care hours a day per each nursing student are 362.65 mins(6.04hr), the direct nursing care hours per each nursing stuent are 202.09 mins(direct nursing care rate 56.0%) and it is higher than the indirect nursing care hours, 159.75mins(indirect nursing care rate 44.0%). The direct nursing care rate of each student by a team approach in the evening shift(56.3%) is higher than that in the day shift(55.8%). 2) The hours of checking vital signs are the longest(47.35mins) among the direct nursing care activites and next is in order of counseling 8l emotional support, nurse rounds, and accompaning a patient during examination. The hours of reporting are the longest(32.39mins) among the indirect nursing care activites, and next is the activities related to education such as reviewing chart, looking up references, etc. 3) The freqency of checking vital signs practiced by nursing student is the highest(the average of 55.7 times) among the direct nursing care activities and next is in order of nurse rounds, assistance of feeding, and counseling & emotional support. The required time for nursing students to accompany their patient during examination is the longest(20.7mins) and next are in order of restriction on patient' activity, orientated by a head nurse, skin care, sitz bath, bathing & hair shampoo, and assisting with patients' exercise. 2. The nursing care hours per grader 1) The average hours of total nursing care per a nursing student are 369.2mins(6.2hrs) to 2nd graders, 355.9mins(5.9 hrs) to third graders. The direct nursing care rate per each nursing student to 3rd graders(59.3%) was higher than that to End graders(52.8%). 2) For 2nd graders, the highly marked nursing activities are teaching associated with direct nursing care activities such as drawing up papers, looking up references, reviewing charts, and being orientated by staff nurses. For 3rd graders, measurments, observations, and nurse rounds in indirect nursing care activities are taken highly 3) The most frequent practice of the nursing care activites is checking vital signs : 65 times to 3rd graders and 46.5 times to 2nd graders. Our suggestions based on the results of this study are : 1. It is recommanded to repeat the same designed study in a variety of clinical fields for further study. 2. It is recommanded to collect data not by self-record method but by observated method. 3. It is needed for nursing instructors in Nursing Schools and in hospitals to develop the guidelines and check-list of clinical practice courses.

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