• 제목/요약/키워드: Follow-up program

검색결과 873건 처리시간 0.022초

Single-center experience of the Korean-Developmental Screening Test for infants and children

  • Suh, Chae-Ri;Sohn, Su Ye;Kim, Gun-Ha;Jung, Seong-Kwan;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • 제59권12호
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    • pp.483-489
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    • 2016
  • Purpose: We investigated the number of test takers of the Korean-Developmental Screening Test (K-DST) in a single children's hospital within a year, according to age, referral rate, and follow-up percentage. Methods: For this study, 4,062 children who visited and received K-DST at Woorisoa Children's Hospital between January and December 2015 were enrolled. Seven test sets were used according to the Korean National Health Screening Program for infants and children in the following age groups: 4 to 6, 9 to 12, 18 to 24, 30 to 36, 42 to 48, 54 to 60, and 66 to 71 months. The results of the K-DST were categorized into 4 groups as follows: further evaluation (<-2 standard deviation [-2SD]), follow-up test (-2SD to -1SD), peer level (-1SD to 1SD), and high level (>1SD). Results: The test participants' population and follow-up population were concentrated before the age of 24 months (2,532, 62.3%). The children most commonly referred for further evaluation were those in the 30- to 41-month age group. A mismatch was found between the results of the K-DST and the additional questions. Most of the infants and children with suspicious developmental delays showed catch-up development in their follow-up tests (43 of 55, 78.2%). Conclusion: The use of K-DST should be encouraged, especially among children aged over 24 months. Multiple-choice question format for the additional questions is recommended to avoid confusion. We suggest a nationwide study to evaluate and revise the K-DST.

Spiritual Care Training for Mothers of Children with Cancer: Effects on Quality of Care and Mental Health of Caregivers

  • Borjalilu, Somaieh;Shahidi, Shahriar;Mazaheri, Mohammad Ali;Emami, Amir Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.545-552
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    • 2016
  • Background: The purpose of this study was to explore the effectiveness of a spiritual care training package in maternal caregivers of children with cancer. Materials and Methods: This study was a quasi-experimental study with pretest and posttest design consisting of a sample of 42 mothers of children diagnosed as having cancer. Participants were randomly assigned to either an experimental or a control group. The training package consisted of seven group training sessions offered in a children's hospital in Tehran. All mothers completed the Spirituality & Spiritual Care Rating Scale (SSCRS) and the Depression, Anxiety and Stress Scale (DASS-21) at pre and post test and after a three month follow up. Results: There was significant difference between anxiety and spiritual, religious, Personalized care and total scores spiritual care between the intervention and control groups at follow-up (P<0.001).There was no statistically significant difference in stress and depression scores between the intervention and the control groups at follow-up. Conclusions: Findings show that spiritual care training program promotes spirituality, personalized care, religiosity and spiritual care as well as decreasing anxiety in mothers of children with cancer and decreases anxiety. It may be concluded that spiritual care training could be used effectively in reducing distressful spiritual challenges in mothers of children with cancer.

유분증 아동을 위한 배변훈련프로그램의 효과 연구 (THE EFFECTIVENESS OF TOILET TRAINING PROGRAM FOR CHILDREN WITH ENCOPRESIS)

  • 이양희;조영숙;구미향
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제12권2호
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    • pp.263-274
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    • 2001
  • 훈련의 조건과 목표행동의 기준을 변화시키는 설계(changing conditions design and changing criterion design)를 사용하여 일차적 유분증과 이차적 유분증이 있는 아동 2명을 각각 행동치료하였다. 측정된 종속변인은 바람직한 배변행동의 증가와 부적절한 배변행동의 감소였다. 과제분석과 체계적인 강화를 사용하여 아동을 치료한 결과 각각 처치 12와 13주 후에 아동의 유분증은 제거되었다. 치료 종결 두 달 후의 follow-up에서도 부적절한 배변행동은 보고되지 않았으며 바람직한 배변행동이 가정이외의 곳으로 일반화되었음이 보고되었다.

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치주치료 후 유지치주치료의 효과에 관한 평가 : 1년 관찰 (The effect of supportive periodontal therapy after periodontal treatment : A 1-year follow up.)

  • 김신영;김용건
    • 대한치과의사협회지
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    • 제55권1호
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    • pp.22-29
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    • 2017
  • Purpose : Preservation of the periodontal health of the treated patient requires supportive periodontal therapy for the elimination of periodontal disease. After Phase I therapy is completed, patients are placed on a schedule of periodic recall visits for maintenance care to prevent recurrence of the disease. The amount of tooth loss would be the most relevant criterion in an evaluation of the effect of periodontal treatment, but this would require studies with extremely long follow-up periods. Thus the most commonly used outcome criteria in clinical research have been clinical attachment level change, reduction of pocket depth and bleeding frequency. The purpose of this case study is to identify the effect of supportive periodontal therapy after periodontal flap surgery. Materials & Methods : Following routine hygienic phase of treatment, patients with chronic periodontitis received surgical periodontal treatment. Bleeding on probing, pocket depth and clinical attachment level were measured at baseline, pre-operation and 1 year follow up. All procedures were performed by one operator. Results : One year a total of 28 patients (58sites) to recheck remained, when conducted maintenance program after periodontal flap surgery was observed reduction of bleeding frequency, pocket depth and improvement of clinical attachment level. Conclusion : The results from this study indicate that supportive periodontal therapy after periodontal flap surgery is effective for reduction of bleeding frequency, pocket depth and gain of clinical attachment level.

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다문화교육 프로그램의 효과성 검증 (Testing the Effectiveness of Multicultural Education Program)

  • 황성동;임혁;윤성호
    • 한국사회복지학
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    • 제64권1호
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    • pp.125-150
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    • 2012
  • 본 연구는 이주문화에 대한 상호문화적응과 통합의 관점에서 대학생들의 다문화 태도변화를 위한 다문화교육프로그램을 개발하고 그 효과성을 평가하는데 목적이 있다. 연구방법으로 유사실험전후비교 조사설계의 방법을 사용하였으며, 실험집단(45명)과 통제집단(47명)에서 나타나는 다문화태도의 차이를 분석하였으며, 프로그램 효과성의 지속성 여부를 분석하기 위하여 추후조사를 실시하였다. 분석결과, 다문화교육 프로그램에 참여한 실험집단의 사전-사후 차이는 통제집단에 비해 유의미한 것으로 나타났으며(t=4.264, p=.000) 그리고 사전-추후 차이 역시 두 집단 간에 유의미하게 차이가 있음(t=2.466, p=.016)을 알 수 있었다. 하지만 통제집단의 경우 사전-사후-추후점수간에 변화가 없는 것으로 나타났다. 이상의 결과를 바탕으로 하여, 향후 우리사회가 지향해야 할 다문화교육의 전개 방향에 대해 논의하였다.

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의료보험 건강진단사업의 개선방안 (Reform Measures of Health Examination Program in Health Insurance Scheme)

  • 박재용
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.205-233
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    • 1999
  • This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

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The effectiveness of an early intervention program based on electronic games in developing the visual perception of children with intellectual disabilities within the age group 2-5 years

  • Felemban, Bashayer Muhammed;Alqudah, Derar Mohammed
    • International Journal of Computer Science & Network Security
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    • 제22권10호
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    • pp.322-332
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    • 2022
  • The current research aimed to ascertain the effectiveness of the early intervention program based on electronic games in developing the visual perception of children with intellectual disabilities within the age group of (2-5) years, using the quasi-experimental approach with one group, and the study sample consisted of (11) children with disabilities. Simple and medium intellectuals enrolled in the early intervention program at the Successful Communication Center for Day Care in Makkah Al-Mukarramah and were deliberately selected. To achieve the research objectives, the researchers prepared and applied the visual perception scale after ensuring its validity and stability. Three electronic games were also designed and applied to the sample for (17) sessions. The results showed the effectiveness of the electronic games program in developing the visual perception of children with intellectual disabilities within the age group (2-5) years and maintaining this improvement over time. Where the results showed that there were statistically significant differences at the level (α = 0.05) between the grades of the group children in the pre and post-measurements on the visual perception skills scale for children with intellectual disabilities in the post-measurement after applying the program, in favor of the post measurement. The results also showed that there were no statistically significant differences at the level (α = 0.05) between the grades of the group children in the two post and follow-up measurements on the visual perception skills scale for children with intellectual disabilities in the follow-up measurement which indicates the long-term impact of the program. The researchers recommend the necessity of activating educational programs based on various electronic games to develop the visual perception of children with intellectual disabilities and employ them effectively in the educational process for children with intellectual disabilities.

Development of a campus-based intervention program to strengthen food literacy among university students: A qualitative formative study

  • Eunji Ko;Eunjin Jang;Jiwon Sim;Minjeong Jeong;Sohyun Park
    • 대한지역사회영양학회지
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    • 제28권6호
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    • pp.495-508
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    • 2023
  • Objectives: This study aimed to develop a campus-based intervention program to enhance food literacy (FL) among university students. Methods: In the initial phase, we conducted a literature review of FL intervention studies and held in-depth interviews with university students to identify facilitators and barriers to improving and practicing FL. Expert counseling sessions were conducted with nutrition education, marketing, and service design professionals. The results of this phase led to the creation of an initial curriculum draft. In the second phase, a follow-up survey was conducted with young adults to assess the acceptability of the developed curriculum. After the follow-up survey, additional meetings were conducted with the aforementioned experts, and the curriculum was further refined based on their input. Results: An 11-week FL intervention program was devised using constructs from the Social Cognitive Theory. The weekly curriculum consisted of 90-min theory-based and 90-min hands-on experience sessions. Three primary aspects of FL were covered: nutrition and food safety, cultural and relational dimensions, and socio-ecological aspects. Program highlights included cooking sessions for crafting traditional Korean desserts, lectures on animal welfare, insights into zero-waste practices, and communal eating experiences. Based on the study team's previous research, the program also addressed mindful eating, helping participants understand the relationship with their eating habits, and providing strategies to manage negative emotions without resorting to food. Yoga sessions and local farm visits were incorporated into the curriculum to promote holistic well-being. Conclusions: This study elucidated the comprehensive process of creating a campus-based curriculum to enhance FL among university students, a group particularly susceptible to problematic eating behaviors and low FL levels. The developed program can serve as a blueprint for adaptation to other campuses seeking to bolster students' FL.

영향위험 농촌 노인집단에 적용한 영양중재 프로그램의 추후관리 효과(II) (The Effect of Follow-up Nutrition Intervention Programs Applied Aged Group of High Risk Undernutrition in Rural Area(II))

  • 박미연;천병렬;정구범;오현미;이정현;박필숙
    • 한국생활과학회지
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    • 제16권1호
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    • pp.193-204
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    • 2007
  • This research has done for 67 undernutrition people of the aged men and women that are practiced follow-up nutrition intervention programs for 9weeks. The result of health related status, eating habit, food attitude and food intake for 2days is as following. 37.3% of objected old people are drinking, 20.9% of those are smoking and 29.9% of those are exercising. 55.2% of objected old people of the second intervention program about self-rated health say good. Sleeping hours of 25.4% of objected old people is from 6 to 8 hours. Meal amount and appetite above 98% of objected old people, compared to those of before sixty age, are decreasing and similar. 67.8% or 70.1% of the objected old people, compared to those of before sixty age, say same in sweet and salt taste. More significantly increased food group in after intervention than before intervention is vegetables and animal foods. There is no difference between management group and comparison group by ANCOVA analysis. DDS and DVS in management group are no significant differences between before intervention and after intervention.

The Effects of Air Stacking Exercise on Pulmonary Function in Elderly Adults

  • Cha, Hyun-Gyu;Choe, Yu-Won;Kim, Myoung-Kwon
    • 대한물리의학회지
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    • 제11권4호
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    • pp.55-64
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    • 2016
  • PURPOSE: The aim of this study was to examine the effect of air stacking exercise on lung capacity, activities of daily living, and walking ability in elderly adults. METHODS: A total of 27 subjects were randomly assigned to an experimental group (EG=13) or a control group (CG=14). Subjects in the experimental group participated in an active pulmonary rehabilitation program. 5 days a week for 4 weeks. The active pulmonary rehabilitation program was composed of an air stacking exercise with an oral nasal mask and manually assisted coughing. Conventional pulmonary rehabilitation exercises, such as, cough exercise, deep breathing, and abdominal muscle strengthening exercises were performed by both groups. Pulmonary function parameters, peak cough flow (PCF), and oxygen saturation were measured and the 6-minute walk test and Korean version of the modified Barthel index (K-MBI) scores were applied. RESULTS: Significant intergroup differences were observed for forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) results after intervention (p<.05), and for 6 minute walk test and PCF results after intervention and at 2-week follow-up visits (p<.05). Post hoc test results showed significant differences in K-MBI, 6-minute walk test, and FEV1 in the experimental group after intervention (p<.05). FVC values were significantly higher after intervention and at 2-week follow-up visits versus pre-intervention (p<.05). PCF values were also significantly higher after intervention and remained significantly higher at 2-week follow-up visits (p<.05). CONCLUSION: Air stacking exercise in elderly adults improves lung capacity and exercise tolerance.