• Title/Summary/Keyword: Holistic health

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한국적 간호중재 개발 : 대체(보완)요법 (The Development of Korean Nursing Alternative)

  • 신경림
    • 대한간호학회지
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    • 제29권6호
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    • pp.1403-1418
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    • 1999
  • Nursing is a discipline that helps to understand human being, to mitigate pains in life by promoting and recovering health, and to study the basic principles in sustaining and preserving life. To understand man and thus to nurse, it is essential to take the way of life of the specific person, his/her ideas, and natural environment into consideration. This means, the temperament, geography, environment and society peculiar to Korea have formed its own culture distinguished from those of other people. Thoughts and philosophy develop as a products of the specific culture and society. Therefore, accurate understanding of the concepts of nursing in the traditional thoughts and philosophy is indispensible to define Korean nursing. Modern Korean nursing at first rooted in the westernized nursing and western nursing intervention has been applied ever since its introduction in the late 19th century under the paradigm of western natural science. However, Koreans in the past made use of alternative therapy which put its emphasis on the organic and holistic view of life as well as a means for traditional medicine and nursing. This alternative therapy has been largely ignored since the introduction of western medical science, and was considered something used only by the aged or the uneducated. Moreover, Health concerned practices and customary traditional therapy have been discarded in the clinical medicine as "unscientific" or "unsystematic". As described above, it is true that Korean nursing has developed in the quantitative aspect only adhering to western nursing intervention. Now it is the time to stop to hold ourself and to look back our past. To find and develop the originality of Korean nursing to cope with the globalization, it is necessary to rediscover nursing (alternative) therapy in Korean culture ignored so far. For this purpose, this study examines the oriental philosophy to explore alternative nursing theory now under development. Also it aims to present ways to apply alternative therapy to nursing education, research and clinical practices and ultimately to show the desirable direction of the nursing to go in the future. Yangsaeng theory of Taoism and Yin-yang, Oh-hang(five elements) and khi theory in Dongeuibogam which gave enormous influences on Korean medical culture and treatment together with Sahsang(four temperaments) emphasized in Dongeuisusebowon will be examined as conceptual framework. Concepts of nursing are categorized into views on each the universe, the human being and nursing. Views on human being is classified into subcategories of body, life, health, and disease. Also it emphasizes the necessity of including alternative therapy in nursing intervention. Views on the universe is classified into yin-yang, khi, and temperament. Nursing will be available anywhere and easily accessible with this new nursing intervention. Trying to give a new thoughts to all those traditional concepts and alternative therapy, this article suggests the necessity of developing original Korean nursing theory and nursing intervention.

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캐나다 Long-Term Athlete Development(LTAD) 고찰을 통한 국내 스포츠시스템의 통합모델과 운영방안 (Integration of the Korea Sport System: Feasibility of the Canadian LTAD framework)

  • 이은영;임희준;원도연;전용관;정재용
    • 한국체육학회지인문사회과학편
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    • 제55권5호
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    • pp.619-633
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    • 2016
  • 지난 2015년 3월 27일 공포된 체육단체의 통합은 대한민국이 "스포츠강국"에서 "스포츠선진국"으로 발돋움 할 수 있는 계기를 마련한 국내 체육계의 노력의 결실이며, 스포츠계 새로운 패러다임의 도입이다. 이에 본 논문은 체육단체의 성공적인 통합을 위한 스포츠시스템과 프로그램 측면 토대의 마련을 위해, 지난 2012년부터 캐나다의 체육단체 통합과 스포츠시스템의 운영에 발판이 된 Long-Term Athlete Development(LTAD) 프레임워크를 비판적으로 살펴 본 후, 국내 활용도에 대해서 논의해보고자 한다. 또한, 이를 바탕으로 국내에 적합한 통합모델의 제시와 운영전략을 제시하였다. 본 논문에서 제시한 "한국형 스포츠시스템 통합모델"은 우리나라 전 국민을 대상으로 연령·발육발달단계·스포츠 입문 시기 별 스포츠 참여의 틀을 제공한다. 이는 지난 10년 간 체육계의 쟁점이었던 학교체육·엘리트체육·생활체육의 연계는 물론 엘리트선수의 발굴과 육성, 그리고 평생체육으로의 연계까지 가능하게 할 것으로 생각된다. "한국형 스포츠시스템 통합모델"은 앞으로 실제에의 적용, 평가, 그리고 수정의 과정을 거쳐 지속적으로 진화해 나아가야 할 것이다.

간호학생의 영적안녕, 희망 및 자아개념에 관한 연구 (Study on Spiritual Well-being, Hope and Self-esteem of Nursing Students)

  • 최상순;김정숙
    • 한국간호교육학회지
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    • 제4권2호
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    • pp.331-342
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    • 1998
  • Nurses evaluate the physical, emotional, and spiritual well-being of a person when conducting an assessment and forming a plan of care. Nursing is a holistic approach to health and well-being. Implication for Nursing Practice : nurses must assess and support intrinsic religiosity and promote spiritual well-being in peoples coping with severe diseaser. The purpose of this study was to investigate spiritual well-being, hope and self-esteem of nursing students, and to identify spiritual well-being, hope and self-esteem the differences between nursing students of christian university and nursing students of non-christian university. The measurment tools for spiritual well-being, hope anf self-esteem were a self-report questionnaire. The collected data was prepared for computer analysis and analyzed using appropriate statistical methods. General characteristics, spiritual well-being, hope and self-esteem are analyzed by descriptive statistical methods. For hypothesis testing t-test, Pearson correlation are used. The result of this study can be summarized as follows ; 1. The mean score for spiritual well-being in the nursing students was 79.52 of a possible range of 20-120. And the mean score for hope was 58.18 of a possible range of 29-116, the mean score for self-esteem was 112.29 of a possible range of 30-150. 2. 'Nursing students of christian university will demonstrate higher spiritual well-being than the nursing students of nonchristian university' was rejected(t=1.01, p=.96). 3. 'Nursing students of christian university will demonstrate higher hope than the nursing students of nonchristian university' was rejected(t=1.71, p=.05). 4. 'Nursing students of christian university will demonstrate higher self-esteem than the nursing students of nonchristian' was rejected(t=1.53, p=.12). 5. 'The higher spiritual well-being, the higher hope' was rejected(r=-.664, p=.000). 6. 'The higher spiritual well-being score, the higher self-esteem' was supported(r=.487, p=.000).

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당뇨병 환자의 대체요법 경험실태에 대한 조사 연구 (A Survey of Utilization of Complementary Alternative Medicine in Diabetes Mellitus)

  • 이명숙
    • 대한간호학회지
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    • 제31권1호
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    • pp.7-19
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    • 2001
  • In our country, patients with diabetes mellitus are searching for complementary treatments to recover from illness, while they received treatments from the doctor. However, have been evaluated or investigated systematically. This study was carried out to explore application of complementary treatments for patients with DM. For this survey, questionnaires were developed by researchers and the data was collected from July to October of 1999. Among the 223 subjects, there is one general hospital, one oriental hospital, 15 area C.H.P, ahd 2 area health centers. The results were as follows: 1. The total number of cases was 223 and the average age was 62.85 years old and average duration of DM was 8.1 years. The number of patients who had experience with alternative therapies was 145 (65%). The number of those who have not undergone treatments was 78 (35%). 2. The 43.5% of experienced CAM were advised family and relatives. Only 30.3% approved the effect of CAM and 52.5% said that If another a new CAM is introduced, they will try it. 4. Ninety three kinds of complementary treatments were used. Among the used items, 63.7% was various types of plants, 21.6% was animal material and 14.7% was the mixed group. As a single item, Bombyx Mori (Silkworm) was the most frequently used (10.5%) followed by the bean, mushroom, Morus bombycis (mulberry), Ginseng, Commelina Communis (Dalgaebi), Chinese medicine, root of Rosa rugosa (Haedangwha). 5. Among the used items, Trichosanthes kirilowii Max. Eucommia ulmoides Oliver, Commelina Communis, Aralia elata, pine needle, mulberry fruit, root of Rosa rugosa. Ginseng, Lycii Fructus, Dioscorea radix, Polygonatum odoratum, Cassia tora L, Bombyx Mori, loach, Crucian carp were based upon the pharmacological function of effect for control of diabetes mellitus symptom. 6. In the analysis of the relationships between the general characters of the patients with new complementary alternative medicine try and hospital treatment; 1) The shorter group suffered from DM (p=.038), poor Self-MBG (p=.037) and wanted to try new complementary alternative medicine. 2) The group of DM education experience were carried out hospital treatment well (p=.045). In conclusion, further study will be required for the patients experience using alternative therapies as the D-M in terms of holistic view of patients.

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고통과 호스피스 케어 (Suffering and Hospice Care)

  • 김명자;정인숙
    • Journal of Hospice and Palliative Care
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    • 제10권1호
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    • pp.21-28
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    • 2007
  • 본 고에서는 보다 수준 높은 호스피스 케어를 위해서는 고통에 대한 포괄적인 이해와 영적 접근에 대한 의식확장이 전제되어야 한다는 가정 하에 관련된 문헌을 살펴보았다. 최근 건강관련분야 특히 만성적 건강문제에 접근하는 기본 패러다임으로 총체적 모델에 대한 관심이 증대하고 있는데 이는 인간에 대한 존엄과 인간을 몸과 마음 그리고 영적인 요소가 하나로 통합된 존재로 보는 이론체계를 수용한다. 따라서 전인적, 총체적으로 인간을 이해하는 것은 죽음을 앞둔 대상자의 건강과 관련된 의사결정과 치유과정에 필수적인 요소라 할 수 있으며 이 때 제기될 수 있는 윤리적 관점은 또다른 차원의 문제인 것이다. 인간은 죽음을 체험하면서 궁극적인 고통과 대면하게 되는데 이러한 문제를 해결하기 위해서는 의료적 조치인 이성의 힘만이 아니라 절대자인 신(God : 하느님 : 우주)과의 관계 안에서의 모색이 연결되어져야 할 것이라고 본다. 죽음의 고통을 겪고 있는 대상자들은 의료인의 따뜻한 마음과 전인적인 포용력을 요구하는 인간적인 특성을 소지하고 있다. 호스피스에 관심을 갖는 의료인들은 인간의 마음 속 깊은 곳에 자리하고 있는 종교심 또는 영적 영역의 장을 인정하고 애정어린 몸짓으로 대상자의 고통에 함께 함으로써 보다 수준 높은 호스피스 케어가 이루어질 수 있으므로 그들의 곁에 있다는 것을 느끼게 해주는 한편 고통에 대한 의식을 확장하고 발전시키고자 하는 신념을 소지할 필요가 있다.

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지속 가능한 발전(Sustainable Development) -의류 공급 사슬에로의 적용- (Sustainable Development -An Application to Apparel Supply Chain Management-)

  • 강지혜;진병호
    • 한국의류학회지
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    • 제30권6호
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    • pp.829-839
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    • 2006
  • Sustainable development is generally defined as an approach that 'meets the needs of the present without compromising the ability of future generations to meet their own needs' (World Commission on Environment and Development: WCED, 1987, p. 43). The sustainable development is a holistic concept that encompasses three aspects: environmental protection, economic development, and social contribution. From the sustainable development perspective, environmental management must consider contributions to other economic and social aspects. In this sense, it differs from narrowed environmental management which focuses on only environmental impacts, and a well-being concept in Korea that mainly appeals to health. Recently, leading apparel firms, such as Nike, Otto, and Marks & Spencer, are increasingly adopting the environmental management to achieve the future competitive advantage. The environmental management can be achieved through integrated supply chain management. Despite of flowing importance of environmental supply chain management in practice, academic attention to this area has been seriously lacking. This study regards the environmental management by the sustainable development perspective as a solution for Korean apparel firms to solve their current sluggish growth. The purpose of this study was to provide Korean apparel firms with guidelines toward the environmental management based on extensive literature reviews and case studies. The paper started with two important research frameworks, the sustainable development and the environmental supply chain. Within the frameworks, the leading cases of the environmental management of Korean and foreign apparel firms were analyzed. Both macroscopic and microscopic applications of the environmental supply chain management for Korean apparel firms were suggested based on the analyses.

한국적 샤머니즘의 간호학적 고찰 (Nursing Considerations on Korean Shamanism)

  • 김애리
    • 대한간호
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    • 제33권4호
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    • pp.86-98
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    • 1994
  • We have examined the development and conceptual definition of shamanism and divination through significant characteristics of various illnesses. However, the terrminology has been inconsistent and its real conceptual meaning is not well defined. Divination is a historically dominant religious practice which represents the core of Korean folk culture. Despite prevalent prejudice toward its primitive nature, we cannot deny its profound relationship to our unconscious, especially our reliance on its religious role whenever we face crisis or conflict. It is therefore appropriate to use the term divination in this context. Shamanism originated as humanity's oldest mode of communication with divine - a religion, The shaman is not a sorceress but a priestess, a healer, a spritual guide, a leader, a mystic, traditionally having a different significance from that of the contemporary diviner or "shaman". The traditional concept of illness has been profoundly altered to serve new functions: while the shamanistic view is based upon spiritual abduction, divination on the other hand invokes concepts of spiritual invasion phenomena such as spirit intrusion, taboo violations, soul loss, object instrusion, deviations from the appropriate spiritual path besiegement, and curess or predestination (the idea that the sufferer is born with his fate), We should therefore try to understand divination from a more holistic point of view, rather than attempting to fit it into the standrd medical illness. We must recognize divination as a phenomenon within our culture, since most people have a mixed conception of illness arising from a combination of divinational and modem concepts, Since divination's humanistic approach is ingrained in our people, to irresponsibly ignore the spiritual aspects of treatment would exert a negative influence on our culture, Especially now, while attraction is focused on Korean culture and its influence on every aspect of our livies, it is important for nurses to expand our horizons in order to create a way of nursing more suitable to Korean culture. Increased importance is now being given to the opinions of patients themselves about their own illness and health, so nurses should seek to understand how patients accept their illness and what particular kinds of help they expect to receive. Consequently, an understanding of traditional divinations will enable us to utilize these characteristics on the job in order to enhance nursing care.

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숙련성에 따른 중환자실 간호사들의 업무수행 유형 (Characteristics of Nursing Performance based on the Expertise among ICU Nurses)

  • 이명선;오상은;엄미란;김현숙;조결자;최정숙;이경숙
    • 성인간호학회지
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    • 제14권2호
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    • pp.296-305
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    • 2002
  • Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.

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메디컬피부케어를 위한 에센셜 오일 적용방법에 대한연구 (A Study on the Medical Care System using Essential Oil)

  • 이애순
    • 한국패션뷰티학회지
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    • 제5권3호
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    • pp.111-117
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    • 2007
  • Essential oils aims to rejuvenate and beautify medical skin care the body through the use of essential oils, and generally to improve our outward appearance. Much of this section fouses on the different methods by which essential oils can be used to improve the complexion or to treat specific medical care skin conditions. Beauty, however, is not just skin-deep. The condition of the medical care express the overall health of an individual. A relaxed attitude, together with a well-balanced diet, enough exercise, and a daily intake of plenty of spring water or herbal teas, all help to keep the system in top condition. Essential oils is a healing art which has powerful effects on both mind and body. The vital element in essential oils is the pure oils which are extracted from various part of different plants. The key to medical aromatherapy care lies in its dual use of essential oils and medical care massage, thus masking full use of two of our most important senses-smell and touch. Medical aromatherapy care is holistic, working mainly on the nervous system and including the head and body as part of the same treatment. Using pressure points along the spine, Medical aromatherapy care on the autonomic nervous system and has an immediate effect of relexation. In directly it also acts on mood. Many of the medical massage movements help lymphatic drainage. Essential oils have many different qualities; they can be relaxing or invigorating and are generally antisepic and antibacterial. Medical aromatherapy care can have psychological benefits. The power of essences in healing has been recognized in the treatment of insect bites. Clove, thyme, sandalwood, and lavender are a few of the essences that have antiseptic. Essential oils effect the dry skin for small visual pores, dull matte finish, rough sandy feeling, tantskin. Essential oils effect the mature/sun damaged skin for some red or couperose areas, loose saggy skin, exposure to a lot of ultraviolet light. Essential oils effect the medical care nomal skin good elasticity, healthy color(good circulation), smooth terture.

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Needham's grand question: its accurate answer and the mathematical principles of Chinese natural philosophy and medicine

  • Chang, Shyang
    • 셀메드
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    • 제5권2호
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    • pp.9.1-9.14
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    • 2015
  • The so-called "Needham's Grand Question" (NGQ) can be formulated as why modern science was developed in Europe despite the earlier successes of science and technology in ancient China. Numerous answers have been proposed. In this review, it will be pointed out that traditional Chinese natural philosophy (TCNP) and traditional Chinese medicine (TCM) are in fact dealing with problems of highly complex dynamical systems of Nature and human beings. Due to the lack of mathematical machinery in dealing with such complex phenomena, a holistic approach was taken by ancient Chinese instead. It was very successful for the first eighteen centuries. In the recent three centuries, however, the reductionist and mechanistic viewpoints of Western natural philosophy, sciences, and medicine have been prevalent all over the world up to now. The main obstacle in preventing the advancement of TCM, TCNP and its sciences is actually the lacking of proper mathematical tools in dealing with complex dynamical systems. Fortunately, the tools are now available and a "chaotic wave theory of fractal continuum" has been proposed recently. To give the theory an operational meaning, three basic laws of TCNP are outlined. These three laws of wave/field interactions contrast readily with those of Newton's particle collisions. Via the proposed three laws, TCM, TCNP and its sciences can be unified under the same principles. Finally, an answer to NGQ can be accurately given. It is hoped that this review will help promoting a genuine understanding of natural philosophy, sciences, and medicine in an ecumenical way.