• 보건의료산업학회지
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• 제9권3호
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• pp.175-185
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• 2015

Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권2호
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• pp.84-95
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• 2017

Attention-deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that begins in early childhood and can persist throughout adulthood. ADHD causes difficulties in various area of life, such as academic achievement, peer relationships, family functioning, employment and marriage. Although ADHD is known to respond well to medication, such treatment is more effective when combined with psychosocial (non-pharmacologic) therapy in terms of alleviating the core symptoms and improving appropriate functions. Psychosocial treatment interventions are divided into psychoeducation, behavioral parent training, school intervention, cognitive behavior therapy, social skill training, parent-child interaction therapy, play therapy, other treatments (coaching, complementary and alternative medicine), neurofeedback and Cogmed. Adult ADHD cognitive behavioral therapy is described separately. These practice parameters summarize the evidence for psychosocial treatment. Based on this evidence, specific recommendations are provided for psychosocial interventions.

• Journal of Preventive Medicine and Public Health
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• 제49권1호
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• pp.69-78
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• 2016

Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.820-828
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• 2014

본 연구는 중학생의 자살생각에 미치는 영향요인을 파악하기 위하여 시도되었다. 자료는 D광역시의 중학생 673명을 대상으로 설문조사하여 수집하였다. 연구도구는 일상생활 스트레스, 삶의 문제, 사회적지지, 우울 및 자살생각 척도를 이용하였다. 자료분석은 SPSS/WIN 19.0 프로그램을 이용하여 빈도분석, 평균과 표준편차, t-test, One-way ANOVA, Pearson's correlation coefficients, multiple regression analysis로 하였다. 대상자의 자살생각은 5점 만점에 1.22점으로 나타났다. 대상자의 종교, 학업성적, 가족형태, 학교폭력 경험 유무, 경제상태에서 유의한 자살생각 차이가 있었다. 대상자의 자살생각은 일상생활 스트레스, 삶의 문제 및 우울과 정적, 사회적지지와는 부적 상관관계가 있었다. 중학생의 자살생각에 영향을 미치는 요인은 삶의 문제, 우울, 사회적지지, 일상생활 스트레스, 학교폭력 경험으로 나타났다. 본 연구의 이러한 결과에 기초하여 중학생의 자살생각을 예방하기 위해 삶의 문제, 우울, 일상생활 스트레스 및 학교폭력을 감소시키고 사회적지지를 증진하는 중재 프로그램을 고안할 필요가 있다고 본다.

• 한국융합학회논문지
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• 제9권6호
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• pp.133-145
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• 2018

본 논문은 생물학적 측면과 사회적 측면에서 상이한 조건을 가지고 있는 전후기 중년 남성의 삶의 질에 미치는 영향 요인을 알아보고자 하는 서술적 조사연구로 2017년 <기혼 중년 남성의 직업 스트레스, 직업 안정성, 우울, 가족유대감, 주관적 건강상태, 사회적 지지가 삶의 질에 미치는 영향에 대한 융합적 연구>인 일차연구 자료와 추가 수집한 자료 총 170부를 이용한 이차분석 연구이다. SPSS/WIN 18.0 프로그램을 이용하여 분석한 결과, 전기 중년 남성의 삶의 질의 영향 요인은 우울, 가족유대감, 규칙적 운동, 노후 생활에 대한 불안, 월 수입 순으로 설명력 77.8%이며 후기 중년 남성은 사회적 지지, 주관적 건강상태, 직업 안정성, 직업 스트레스, 흡연, 근속연수 순으로 삶의 질에 영향을 주는 것으로 설명력은 64.7%로 나타났다. 따라서 전후기 시기별 삶의 질에 미치는 영향 요인에 적합한 간호중재 프로그램 개발과 사회적 환경 조성, 사회적 지지 체계의 강화 및 확충과 정책 수립 등 다학제적, 융합적 접근을 통해 중년 남성의 삶의 질을 향상 시킬 필요가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5377-5383
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• 2015

Background: Participation is one of the major factors affecting the long-term success of population-based prostate cancer screening programs. The aim of this study was to explore strong factors linked to participation in prostate cancer screening among older Jordanian adults using the Health Belief Model (HBM). Materials and Methods: Data were obtained from Jordanian older adults, aged 40 years and over, who visited a comprehensive health care center within the Ministry of Health. A pilot test was conducted to investigate the internal consistency of the the Champion Health Belief Model Scale for prostate cancer screening and the clarity of survey questions. Sample characteristics and rates of participation in prostate cancer screening were examined using means and frequencies. Important factors associated with participation in prostate cancer screening were examined using bivariate correlation and multivariate logistic regression analysis. Results: About 13% of the respondents had adhered to prostate cancer screening guidelines over the previous decade. Four out of the seven HBM-driven factors (perceived susceptibility, benefits and barriers to PSA test, and health motivation) were statistically significant. Those with greater levels of susceptibility, benefits of PSA test and health motivation and lower levels of barriers to PSA testing were more likely to participate in prostate cancer screening. Family history, presence of urinary symptoms, age, and knowledge about prostate cancer significantly predicted the participation in prostate cancer screening. Conclusions: Health professionals should focus more on the four modifiable HBMrelated factors to encourage older adults to participate in prostate cancer screening. Intervention programs, which lower perceived barriers to PSA testing and increase susceptibility, benefits of PSA testing and health motivation, should be developed and implemented.

• The Journal of Korean Physical Therapy
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• 제20권1호
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• pp.1-9
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• 2008

Purpose: This study examined the effects of pre-eccentric exercise to the quadriceps for the prevention of delayed onset muscle soreness (DOMS) and recovery of muscular function, depending on the training intensities. Methods: Subjects were divided into one of three groups that control group, a low intensity eccentric exercise group (LIEE group) and a high intensity eccentric exercise group (HIEE group). Subjects who underwent pre-eccentric exercise undertook exercise at an intensity of 25% and 75% of maximal voluntary contractions, respectively. After undertaking pre-eccentric exercise for eight weeks, eccentric exercise was applied again to induce DOMS. Measurements were conducted to examine pain and muscular function changes before, immediately after, after the induction of DOMS, and at the first, third, fifth and seventh days after the induction of DOMS. Results: Subjects who underwent pre-eccentric exercise showed a significant difference from the control group for the changes in the visual analogue scale (VAS) pain threshold, pressure pain threshold and muscle thickness by isometric contraction from measuring DOMS, and in particular, pain threshold by isometric contraction had remarkable effect in the LIEE group of subjects. For the change of the root mean square values using mechanomyography (MMG) as the measurement of muscular function recovery, subjects who had undertaken pre-eccentric exercise group showed a significant difference as compared to the control group. Conclusion: Pre-eccentric exercise was very effective in preventing and recovering delayed onset muscle soreness and was helpful to prevent and recover from decreased muscular function. The difference based on the intensity of exercise was not great, but it was more effective in the low intensity eccentric exercise group of subjects. Therefore, it can be considered that pre-eccentric exercise has a high application value as a physical therapy intervention for prevention and rehabilitation of sports injuries.

• 부모자녀건강학회지
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• 제11권2호
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• pp.105-114
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• 2008

Purpose: The purpose of this study was to identify parent's knowledge and cope with their child's fever. Confirmed data provide source and it based on parent's education program and nursing intervention. Method: The research design was a descriptive study by questionnaire. Data were collected from July, 16, 2007 to August, 6, 2007. A total 165 parents who visited the children's hospital in Gwangju. Data were analysed using the SPSS WIN 12.0 program. Results: The results of this study were as follows: 1. Fever was major cause which to visit hospital among children(50.3%). 2. Parents main concerned by child fever were convulsion(52.7%) and brain injury(46.7%). 3. When cause fever most parents checking interval are 30 minutes (38.8%), the most fever management was used antipyretics with tepid water massage(59.4%). 4. Antipyretics used interval was 4hours(56.4%). 5. When visit to hospital by fever, most treatment was antipyretics. 6. The method to get fever information, first by doctor(68.5%), second by family-relative(41.8%) and last by nurse(22.4%). Conclusion: It is necessary to provide information about management of fever. Development and distribution for effective education program for child fever at home are also necessary. Therefore we suggest the education program on the internet.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.323-335
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• 2017

Objectives: The purpose of this study is to analyze the current status of nutrition education programs for multicultural families and to provide policy suggestions for improvement. Methods: In-depth interviews of a total of 21 multicultural experts were conducted; 15 people were interviewed individually, while 6 people were interviewed in groups of three. Results: In-depth interviews revealed various problems related to the operation of nutrition education programs. The causes of problems were analyzed and categorized as four factors: systemic, practical, environmental and cultural. As for the systematic factors, insufficient linkage between related organizations and duplicate performance of several projects were identified as concerns Establishment of a control tower and strengthening the linkage among the related organizations may be needed to address this concern. With regard to practical factors, the study identified that language barriers, and lack of nutritional education media and tools translated into multicultural languages were limiting factors. These limitations the development of nutrition education materials that aretranslated into multiple languages, implementation of education programs that are different from the Korean education, and by providing interpreters. As for the environmental factors, low educational level and poor nutritional knowledge of multicultural women made it difficult for them to understand the contents of the education. Demonstration, practical training and urgent education on pregnancy and childbirth nutrition were identified as needs to address these concerns. Withregard to cultural factors, food culture conflict with Korean families, and difficulties in home practices were detected as concerns. Participants in the study suggested that getting education with family and facilitation of weekend and nighttime programs health of this community. Conclusions: Further studies are needed to adopt more effective and efficient nutrition intervention to promote the healthy eating of the married immigrant women based on the study results.

• 한국간호교육학회지
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• 제10권1호
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• pp.161-171
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• 2004

Purpose: The purpose of the study is to investigate the reality of nursing students lived experience of clinical practice nursing of dementia patients, which will provide the basic research material to enhance the effect of their clinical practice. Method: Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 8 second-year nursing students who did the clinical practice at a dementia unit in C hospital. Data was collected from in-depth face to face interviews. Result: $\ulcorner$being confused by the unfamiliar environment of nursing practice$\lrcorner$, $\ulcorner$being disordered about the patients' duality behaviour$\lrcorner$, $\ulcorner$perceiving necessity to accept patients' behaviors$\lrcorner$,$\ulcorner$feeling personal connections likely to grandmother$\lrcorner$, $\ulcorner$realizing the patients affection of their family$\lrcorner$,$\ulcorner$being frustrated by the patients' hopelessness$\lrcorner$,$\ulcorner$lessening biased view on dementia$\lrcorner$, $\ulcorner$feeling the anxiety about the unsecured future$\lrcorner$, $\ulcorner$realizing the necessity of the gradual and individual care$\lrcorner$,$\ulcorner$understanding the nursing of dementia as comprehensive nursing$\lrcorner$Conclusion: We are able to obtain an in-depth understanding about the nursing students lived experience of clinical practice nursing of dementia patients. Based upon this, there is a need to develop a better nursing intervention in order to enhance the effect of the nursing students clinical practice.