• Title/Summary/Keyword: Effective intervention

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The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake - (전라도에 거주하는 여자노인의 당화혈색소 수준에 따른 건강위험인자의 비교분석 - 생화학적 요인, 식습관 및 영양상태 -)

  • Oh, Se In;Kwak, Chung Shil;Lee, Mee Sook
    • The Korean Journal of Food And Nutrition
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    • v.29 no.3
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    • pp.392-403
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    • 2016
  • The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

Effects of the Doin Gigong Exercise on the Shoulder-Arm Pain in Women (도인기공체조가 여성의 견비통(肩臂痛)에 미치는 효과(效果))

  • Youn, Hyoun-min;Kim, Mi-young;Kim, Yi-soon;Lim, Jin-seob
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.177-190
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    • 2005
  • Objective : This study intends to identify the effects of the Doin Gigong Exercise on the shoulder-arm pain in Women. Methods : The study was performed with nonequivalent control group pretest-posttest design. A total of 45 subjects were divided into 25 persons in experimental groups and 20 persons in contrastive group by convenience sampling. The data were collected by using questionnaires and measured values from June, 2004, to August, 2004. Results : The results of the study are as follows: 1. The homogeneity testing revealed that most study variables were equally distributed between experimental and control groups. 2. The first hypothesis: The experimental group who performed the Doin Gigong Exercise and who decreased on the subjective symptom scale was supported(t=10.245, p=.000). 3. The scond hypothesis : The experimental group who received Doin Gigong Exercise and who decreased on the subjective pain(VAS) was supported(t=6.816, p=.000). 4. The third hypothesis: The experimental group who received Doin Gigong Exercise and who decreased on the muscular stiffness measured techniques(UNIQUE) was supported (t=7.114, p.000). Conclusions : Based on the results described above, it is considered that the Doin Gigon Exercise is clearly effective in all an values of the 5 measured. Therefore, the Doin Gigong Exercise can be thought of as effective nursing intervention for the reduction of shoulder-arm pain in women.

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Visitors' Cognitions of Clean-up Time Movement for Waste Treatment and Use Begavior in Naejangsan National Park (국립공원 이용행태 및 쓰레기 처리를 위한 Clean-up Time 운영에 대한 이용자의 인식 - 내장산 국립공원을 중심으로 -)

  • 김용근;최성식;조중현
    • Korean Journal of Environment and Ecology
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    • v.10 no.1
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    • pp.14-23
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    • 1996
  • Visitors to Naejangsan National Park were surveyed from October 31 to November 3 in 1995, 151 visitors were participated. Of those individuals, 55% were males. 48% of respondests reported that they had gone beyond high school, and over one-half(52%) had gone as far as college. 61.3% were 20 years of age. The largest percentage of respondents were reported that they visited Naejangsan Nat'l Park to see the scarlet maple leaces there. Most respondents who witness other visitors' littering were not likely to intervene to stop their visitors' depreciative behavior(Bystander intervention Begavior). Most of visitors got information for use Naejangsan Nat'l Park from a guide sign(31.8%) or guide themselves(29.1%). They didn't know the Clean-up Time Movement Program. But they understood it after notice hanging placards(81.6%). Most of visitors responded that didn't hear the mass communication program in National. But they recognized necessity of the mass communication program in National Park. The results showed that most visitors believed that Clean-up Time Movement was in succession consequently it turned out to be effective in managing visitors' littering behavior. And it seemed to effective in managing depreciative behavior through the mass communication program in National Park.

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The Effect of Fumanet Exercise Program for Life care on Cognition Function, Depression in Dementia (라이프케어 증진을 위한 후마네트 운동프로그램이 치매노인의 인지기능, 우울기능에 미치는 영향)

  • Lee, Na Yun;Ahn, So Hyun;Yang, Yeong Ae
    • Journal of agricultural medicine and community health
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    • v.45 no.3
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    • pp.121-129
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    • 2020
  • Purpose: As dementia progresses, cognitive function decreasing leads to memory loss, speech degradation, time and space degradation and judgment degradation, which causes difficulties in carrying out tasks related to daily life. It was said that community-based non-drug intervention therapy for early dementia patients was important to participate in entertainment treatment, including activities such as awareness and exercise therapy, exercise rehabilitation, aerobic exercise, and art. Methods: This study conducted 15 experimental and 15 control groups(experimental group : Fumanet exercise, control group : general occupational therapy) for eight weeks at the Daycare Center in Gyeonggi-do to find out the impact of the Fumanet exercise program on cognitive and depression functions of the elderly. The pre-post evaluation used KGDS, MMSE. Results: There were significant differences between the two groups in the function of menopause, memory recall, attention concentration and calculation, and depression, and no significant results were obtatined in memory registration, language function, understanding and fracture. The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia. Conclisions: The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia.

An Exploratory Study of the Effecitve Medical Supports for the Sexual Violence Vvictims: Based on Medical Doctors' Attitudes Toward the Victims, Medical Services Provided and Needs for Medical Supports (성폭력피해자를 위한 의료지원에 대한 전문가의견조사: 경남지역 의사의 성폭력에 대한 태도, 진료실태와 의료지원 필요도를 중심으로)

  • Lee, Myung-Shin;Lee, Gye-Min
    • Korean Journal of Social Welfare
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    • v.61 no.1
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    • pp.263-291
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    • 2009
  • This study aims to explore the possible ways to establish the effective medical supports for the sexual violence victims(svv). Using the data collected from 83 male and female doctors who are interested or involved in providing medical services for the victims, the doctors' attitudes toward the victims, medical services provided, and their needs for the possible medical supports were investigated. For comparison, 3 different groups of doctors were presented. The doctors who had treated svv(type1) seemed to have a difficulty in receiving the fee for the treatment of svv, and to have higher needs for the spermatic(fluid) test as well as the diverse supports for the testimony in courts. The doctors who had no experience of treatment, but were supposed to treat svv(type2) seemed to have negative attitudes toward the victims, and expect more difficulties in treating svv. The doctors of type2 had lower needs for the support for the specialized medical services and assessment of the sexual assault, but higher needs for the testimony supports. The doctors who had no experience of treatment, and were not supposed to treat svv(type3) appeared to have less negative attitudes toward the victims, but more knowledge of law and the community organizations for svv. The type3 doctors seemed to have higher needs for the supports for the specialized medical services, assessment for the sexual assault, and testimony in the courts. Based on the findings, the intervention strategies to create a new effective medical support system for the sexual violence victims were suggested.

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The Effect of Yoga Exercise on the Relieve of Chronic Low Back Pain (요가운동이 만성요통 완화에 미치는 영향)

  • Lee, Kyung-Hye;Kang, Hyun-Sook
    • Journal of muscle and joint health
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    • v.3 no.2
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    • pp.177-193
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    • 1996
  • The purpose of this study was to test whether Yoga exercise, one of muscle relaxation, helps to relieve chronic low back paln. Sample were selected from nurses who were worked at K medical center in the period from March 18 to April 23, 1996. The sample size was fifteen. The research design was one-group pretest-posttest design. To test the major research question, this study had the following procedure. The pretest included measuring individuals' degree of pain and discomfort depending on the scope and types of an range of motion, and their pain by their activity of daily living(ADL). The treatment was conducted twice every other week. The reason why this study had twice observations was to control history effect and maturation which treat internal validity in the research design of this study. In this research design, a treatment was to expose Yoga exercise to samples. The exercise was taken in 30 minutes per day for four days in a week (Two consecutive days and twice every other day). The posttest included re-measuring the individuals' the degree of pain and discomfort, and their pain by their ADL. Several hypotheses concerning effect of Yoga exercise was analyzed by the paired t-test, comparing the difference scores between pre and post tests. The results of this study was as follows. The first hypothesis that the post-treatment group taking the Yoga exercise had the pain score lower than the pre-treatment group was supported(t=3.31, p=.005). The second hypothesis that the discomfort score of the post-treatment group had lower than does that of the pre-treatment group was supported(t=2.75, p=.016). The third hypothesis that the post-treatment group had the pain score by ADL lower than does the pre-treatment group was supported(t=5.52, p=.000). In summary, this study examined the effect of a yoga exercise, one of muscle relaxation, on those who were suffered from chronic low back pain. The effect measured by the degree of pain and discomfort with a visual analog scale was statistically significant. The degree of pain according to postures in ADL also showed statistical significance. These findings showed that a yoga exercise was effective to alleviation of chronic low back pain. A pretest-posttest control group design, however, needs to get more accurate results since the design satisfies Internal validity. Consequently, yoga as an exercise cure improves an interaction between muscles and articulations, and performance of ADL for those suffered from chronic low back pain. Furthermore, this positive impact may be an effective method as nursing intervention for their physical, mental, emotional, social, and psychological recovery.

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Effects of Koryo Hand Therapy on Menstrual Cramps and Dysmenorrhea in College Women Students (고려수지요법이 여대생의 생리통 및 월경곤란증에 미치는 효과)

  • Kim, Chung-Nam;Chang, Young-Sim
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.432-444
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    • 2003
  • Purpose: This study attempted to verify the effect of Koryo hand therapy on menstrual cramps and dysmenorrhea among college students. Method: This study performed the quasi-experimental design with nonequivalent control group and the pre and post-test design from August 28 to November 4, 2002. The subjects of this experimental study consisted of 64 college students in the nursing college of K University in D city and K college students in K city, who had more than 5.0 GRS score of menstrual cramps. Among them, 16 people belonged to the experimental group A by using Ceramic Seo Am moxa therapy, 16 to the experimental group B by using Seo Am pellet therapy, 16 to the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and 16 to the control group. Three different kinds of methods were used three times per week for $5{\sim}6$ weeks(a total of $15{\sim}18$ times) interventions were completed. For the experimental group, A Ceramic Seo Am moxa therapy was given for 40 minutes per each treatment; for the experimental group, B Seo Am pellet therapy was given for 4 hours: for the experimental group, C combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy was given. To measure menstrual cramps, the graphic rating scale (GRS) was used and to measure dysmenorrheal, a dysmenorrhea scale (15 contents) was used, which was modified from Han &Hur's scale (13 contents). Cronbach's was 0.78 in the pre-test, 0.83 in the first post-test, 0.89 in the following post-test. Data were analyzed by one-way ANOVA, 2 test, repeated measures ANOVA, time contrast test and Sheffe test with the SPSS/Win 11.0 program. Results: ? The first hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy and the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy will have different graphic rating scores of menstrual cramps', was supported (F=6.77, p=0.000, Interaction: p=0.000). ? The second hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy, the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and the control group will have a significantly different level of dysmenorrhea', was supported (F=6.88, p=0.000, Interaction: p=0.000). From the above results, it can be an effective nursing intervention to give Koryo hand therapy to college students who have menstrual cramps and dysmenorrhea. Conclusion: These findings indicate that Koryo hand therapy could be applied to improve the quality of life and to prevent drug misuse among college students who are physically, mentally and psychologically suffering from menstrual cramps and dysmenorrhea. Furthermore, Koryo hand therapy could be developed as an effective Korean alternative and complementary care in the future. and it could also provide a guideline to apply Koryo hand therapy to other pain and difficulties.

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The effectiveness of a Autonomous Regulation Improvement Smoking Cessation Program on the Amount of Daily Smoking, Perceived Motivation, Cotinine in Saliva, and Autonomous Regulation for Girls High School Students who Smoked (자율성 증진 금연 프로그램이 흡연 여고생의 일일 흡연량, 타액 코티닌, 지각된 동기 및 자율성에 미치는 효과)

  • Ha, Young-Sun;Cho, Yeon-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6169-6179
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    • 2015
  • This study examined the effectiveness of a autonomous regulation improvement smoking cessation program in girls high school students. The study was carried out with a nonequivalent control group pretest-posttest design. The subjects of the present study were 47 girls high school students in G and K city. The subjects were divided into an experimental group (n=23) who participated in the autonomous regulation improvement smoking cessation program, and a control group (n=24) who did not participate. Data were collected from 1 April 2013 through 26 April 2013. Collected data were analyzed using SPSS PC+ 18.0 with the Chi-square test, Fisher' exact test, Mann-Whitney U test, t-test. The experimental group had significantly different in cigarettes smoked per day(p=.044), cotinine in saliva(p=.048), perceived motivation(p=.001) and autonomous regulation(p=.027) in comparison to the control group. The autonomous regulation improvement smoking cessation program, when delivered to girls high school students who smoked, was effective in discouraging the smoking habit, and can be utilized as an effective nursing intervention for girls high school students who smoke.

Effect of Chlorhexidine Mouthrinse on Prevention of Microbial Contamination during EBUS-TBNA: A Study Protocol for a Randomized Controlled Trial

  • Kim, Na Young;Park, Jae Hyeon;Park, Jimyung;Kwak, Nakwon;Choi, Sun Mi;Park, Young Sik;Lee, Chang-Hoon;Cho, Jaeyoung
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.4
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    • pp.291-298
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    • 2021
  • Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a standard diagnostic method for mediastinal and hilar lymphadenopathy. Although rare, fatal infectious complications can occur following EBUS-TBNA. However, to date, there is a lack of effective preventive strategies to reduce these complications. We started a trial to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA. Methods: This study is a single-center, parallel-group, assessor-blinded randomized controlled trial (RCT). We will enroll 112 adult participants undergoing EBUS-TBNA using a convex probe, and randomly assign them to two groups at a 1:1 ratio. The intervention group will gargle for 1 minute with 100 mL of 0.12% chlorhexidine gluconate before EBUS-TBNA, while the control group will have no mouthrinse before the procedure. Immediately after completion of EBUS-TBNA on all targeted lesions with an aspiration needle, a needle wash sample will be taken by instilling 5 mL of sterile saline into the used needle. The primary outcome is colony forming unit (CFU) counts in aerobic cultures of the needle wash samples. Secondary outcomes are CFU counts in anaerobic cultures, fever within 24 hours after EBUS-TBNA, and infectious complications within 4 weeks after EBUS-TBNA. Conclusion: This trial was designed as the first RCT to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA. Results from this trial can provide clinical evidence for a simple, safe, and cost-effective strategy to prevent infectious complications following EBUS-TBNA (ClinicalTrials.gov ID: NCT04718922, registered on 22 January 2021).

Effects of Stroke Prevention Education Program of Oriental Nursing on Self-Health Perception Change, Health Behavior Change, Self-Care and Physiological Index of adult and elderly people (한방간호 중풍예방교육프로그램이 성인 및 노인의 자가 건강인식 변화, 건강 행태변화, 자가관리와 생리적 지수에 미치는 영향)

  • Chang, Koung-Oh;Oh, Mi-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.111-120
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    • 2019
  • This study is a quasi experimental study to investigate the effects of stroke prevention education program of Oriental Nursing on self-health perception, health behavior change, self-care and physiological index of adults over 55 years old and elderly people. The data were collected from August 12 to November 29, 2017. The 53 study subjects comprised 26 experimental subjects who agreed to participate in the education program and 27 control subjects. In the results, there was no statistically significant difference between the experimental group and the control group in general characteristics and research variables before the program; further, the two groups were homogenous. In the hypothesis test, the change in self-health perceptions of the experimental and control groups was t = -5.28 (p <.001), health behavior change was t = -4.24 (p <.001), self-care was t = -5.28 (p <.05), systolic blood pressure was t = 2.48 (p <.05), diastolic blood pressure was t = 2.78 (p <.05), and cholesterol was t = -3.94 (p <.001). There were statistically significant differences between the two groups and all four hypotheses were supported, which demonstrated the effectiveness of the program. These study results suggest that it is an effective program to change the self-perception of health and health behavior, improve self-care ability, and control the physiological index. It is expected that these findings will be useful in developing a future effective oriental nursing intervention. The education program should be continuously carried out, and the area needs to be expanded.