• 대한간호학회지
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• 제25권2호
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• pp.351-361
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• 1995

The main purpose of the study is to identify critical risk factors for development of a family assessment tool to screen high risk family. This study used a conceptual framework of family diagnosis developed by Eui-sook Kim's (1993) and analyzed risk factors to identify the high risk family. As employing a explorative and methodological study design, this study has four stages. 1. In the first stage, 34 family risk factors were identified by doing intensive literature review on conceptual framework of family diagnoses. 2. In the second stage, above risk factors were tested for content validity by consultation with 29 persons in community health nursing, nursing education, family theory, and social work. 3. In the third stage, existing survey data was used for actual application of the identified risk factors. The survey data used for this purpose was previously collected for the community diagnosis in a region of Seoul. At the final stage, through the comparison between high risk and low risk families, initially identified 34 risk factors decreased to 25 risk factors. Among 34 risk factors, six factors did not agree with content of questionnaries sand two factors were not significant in differentiating the high risk family Also, two risk factors showed high correlation between themselves, so only one of those two factors was chosen. As a result, twenty-five risk factors chosen to identify the high risk family are following ; 1. A single parent family due to divorce or death of a partner, or unweded single mother 2. A family with an unrelated household members 3. A family with a working mother with a young child 4. A family with no regular income 5. A family with no rule in family or too strict rules 6. A family with little or no support from other lam-ily members 7. A family with little or no support from friends or relatives 8. A family with little or no time to share with each other 9. A family with family history of hypertension, diabetus, cancer 10. A family with a sick person 11. A family with a mentally ill person 12. A family with a disabled person 13. A family with an alcoholic person 14. A family with a excessive smoker who smokes more than 1 pack / day 15. A family with too much salt intake in their diet. 16. A family with inappropriate management skills for family health 17. A family with high utilization of drug store than hospital to solve the health problems of the family 18. A family with disharmony between husband and wife 19. A family with conflicts among the family members 20. A family with unequal division of labor among family members 21. An authoritative family structure 22. A socially isolated family 23. The location of house is not residential area 24. A family with high risk of accidents 25. The drinking water and sewage systems are not hygienic. The main implication of the results of this study is clinical use. The high risk factors can be used to identify the high risk family effectively and efficiently. The use of high risk factors woule contribute to develop a conceptual framework of family diagnosis in Korea and the list of risk factors need to be revised continuously. Further researches are needed to develop an index of weight of each risk factor and to validate the risk factors.

• 대한간호학회지
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• 제30권6호
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• pp.1467-1478
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• 2000

The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

• 대한치과교정학회지
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• 제36권4호
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• pp.275-283
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• 2006

작은 크기의 교정용 미니임플랜트는 교정적 고정원으로 널리 이용되고 있다. 그러나 빈번히 탈락하는 단점이 있어 이를 개선하기 위해 안정성을 향상시키기 위한 다양한 연구가 시도되어 왔다. 이 연구의 목적은 이중 피치와 직경에 관련하여 미니임플랜트의 안정성에 대한 기계적 성질을 비교 분석하는 것이다. 미니임플랜트의 길이는 8 mm였으며, 피치는 단일 피치형과 이중 피치형, 직경은 1.4 mm와 1.6 mm로 단일 피치형 1.4 mm, 단일 피치형 1.6 mm, 이중 피치형 1.4 mm, 이중 피치형 1.6 mm 등 총 4군으로 구성되었다. 각 군은 20개의 미니임플랜트로 구성되었고, 균일한 밀도의 polyurethane foam에 삽입 후 제거하였다. 시간에 따른 삽입 및 제거 토크의 변화와 각각의 최대 토크 등을 측정하여 기계적 성질을 비교 분석하였다. 이중 피치형은 단일 피치형보다 유의성 있게 더 낮은 최대 삽입 토크와 더 큰 최대 제거 토크를 보여주었다. 직경 1.6 mm는 1.4 mm보다 유의성 있게 더 큰 최대 삽입 토크와 최대 제거 토크를 보여주었다. 이중 피치형 1.4 mm군은 삽입 시에는 유의성 있게 가장 낮은 최대 삽입 토크를 보여주었으며 제거 시에는 단일 피치형 1.6 mm군보다 높거나 비슷한 최대 제거 토크를 보여주었다. 특히, 이중 피치형군은 최대 제거 토크 후 지속적으로 높은 제거 토크를 보여주었다. 미니임플랜트의 기계적 안정성은 이중 피치에 의해 향상될 수 있으며, 상부의 미세 나사산은 작은 직경에서도 풀림 토크에 저항하는 기계적 안정성을 향상시킬 수 있을 것으로 보인다.

• 치위생과학회지
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• 제3권2호
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• pp.77-82
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• 2003

본 연구는 우리나라 치과관련 홈페이지의 특성을 분석하고 개선방안을 제시하고자 하는 것이다. 인터넷 웹 검색엔진에서 치과를 검색어로 하여 317개의 치과관련 사이트를 대상으로 하였다. 연구내용으로는 각각의 홈페이지를 직접 방문하여 특성을 알아본 후 일반 기업 및 병원 홈페이지의 특징적인 부분을 비교 분석하였다. 1. 치과관련 홈페이지의 특성 첫째, 치과포탈사이트에서 홈페이지 만든 경우 동일한 컨텐츠와 디자인을 가진 곳이 있었다. 둘째, 네트워크나 프랜차이즈화로 홈페이지 상에서 다른 병원이나 한의원 및 치과병 의원과 링크할 수 있도록 되어 있었다. 셋째, 주소의 일관성이 없었다. 넷째, 일반인들을 대상으로 치과상식 제공과 진료상담을 통한 정보제공 기능만을 하는 곳도 있었다. 다섯째, 치과홈페이지의 대부분은 단순하고도 정적인 화면만을 제공하고 있어 멀티미디어 요소의 활용이 요구된다. 여섯째, 주기적인 업데이트와 유지보수가 필요하다. 2. 치과 홈페이지의 개선방향 첫째, 치과홈페이지를 제작하는데 특화된 내용과 특징을 살리는 홈페이지 개발이 필요하다. 둘째, 3차원적 이미지나 멀티미디어 요소의 사용은 치과치료나 치과상식에 이해를 증진시키고 치과 홍보의 효과를 높일 수 있을 것이다. 셋째, 일반 기업이나 병원에서 사용하는 구인, 구매발주 시스템은 치과경영의 효율성을 증가시킬 수 있을 것이다. 넷째, 네트워크나 프랜차이즈로 묶인 치과병 의원들은 서로 상호 링크가 가능하도록 홍보용 배너를 제작하여 게재하고, 홈페이지 디자인을 통일하거나 공통된 로고를 사용한다면 이미지 확보와 홍보에 효과적일 것이다. 다섯째, 지도 검색기능, 인터넷 검사결과 조회시스템을 추가하면 편리할 것이다. 여섯째, 오락이나 게임 등 다양한 서비스를 제공한다면 치과병 의원의 이미지를 친화적으로 만들고, 재방문을 유도할 수 있을 것이다.

• 재활치료과학
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• 제3권1호
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• pp.57-65
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• 2014

목적 : 본 연구는 뇌졸중 환자를 대상으로 스마트폰 인지 어플리케이션을 이용한 집중력과 기억력 효과를 알아보고자 하였다. 연구방법 : 단일사례연구 방법 중 ABA 설계를 사용하여 기초선 A 5회, 중재기 B 10회, 기초선 A' 5회기로 총 20회기를 총 4주에 걸쳐 적용하였다. 기초선 A와 기초선 A' 기간에는 별도의 중재를 하지 않았고 중재기 B 기간 동안 '기억의 달인(숫자, 도형, 과일 모드)'과 'Matching cute animals'라는 어플리케이션을 통해 중재하였다. 전 회기에 걸쳐 '기억의 달인(랜덤 모드)'과 'Memory free(그림외우기)'어플리케이션을 이용해 기억력과 집중력을 평가하였다. 결과 자료는 그래프와 기술통계량으로 제시하였다. 결과 : 회기 별 실시한 기억력과 집중력 평가 결과, 기초선 A와 기초선 A' 기간보다 중재기 B 기간 동안 집중력과 기억력의 향상을 보였고, 중재 전과 후에 실시한 평가에서도 중재 후의 평가에서 집중력과 기억력의 향상을 보였다. 결론 : 본 연구를 통해 검증된 스마트폰 어플리케이션을 이용한 중재 효과가 임상적 근거를 제공하는데 유용하게 사용되기를 기대하며, 향후 연구에서는 더 많은 표본을 대상으로 장시간에 걸쳐 시행한 연구가 진행될 필요가 있다.

• 대한치과보철학회지
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• 제55권3호
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• pp.258-263
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• 2017

목적: 이번 연구에서, 다양한 상황에서 골소실양을 평가하기 위하여 맞춤형 지대주를 사용한 환자에서 4년간의 후향적 방사선학적인 연구를 시행하였다. 대상 및 방법: 이번 연구의 대상은 CAD/CAM 맞춤형 지대주를 이용한 임플란트 고정성 보철물이다. 2011년 8월 1일부터 2012년 7월 31일 까지 조선대학교 치과병원 보철과에서 제작하여 고정성 보철물로 사용된 CAD/CAM 맞춤형 지대주와 상부 보철물들을 대상으로 하였으며, 고정성 보철물을 제작한 환자에 대하여 방사선학적 평가를 시행하여 보철물 장착 후 3개월, 6개월, 1년, 2년, 3년, 4년 단위로 총 4년 간의 후향적 연구를 시행하였다. 결과:연구 결과, CAD/CAM을 이용한 맞춤형 지대주는 기존 연구 결과에 비해 골소실 양이 적었다. 연결 고정된 그룹과 연결 고정되지 않은 그룹 간에 골소실 양(각각 0.27 mm, 0.5 mm)에 통계적으로 유의한 차이가 없었다. 또한 상악 전치부, 상악 구치부, 하악 전치부, 하악 구치부의 부위별 골소실양(각각 1.37 mm, 0.39 mm, 0.00 mm, 0.30 mm)에 통계적으로 유의한 차이가 있었다. 결론:CAD/CAM을 이용한 맞춤형 지대주는 연결 고정 여부에 따른 골소실 양에서 통계적으로 유의한 차이가 없었으며, 임플란트 식립 부위에 따른 골소실 양에서 통계적으로 유의한 차이가 있었다.

• 대한간호학회지
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• 제30권4호
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• pp.1066-1077
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• 2000

The purpose of this study is to develop self-efficacy promotion program and to test its effects on self-efficacy, self-care, physiologic index of hemodialysis patients after applying this program to them. Preliminary study was carried out to identify the levels and types of self-care, self-efficacy of hemodialysis patients. To develop self-efficacy promoting program, several discussions with nursing professors and nurse specialists on hemodialysis patients were made after in-depth literature review on the area. Through these processes, the self-efficacy promoting program including 20 minutes long videotape and other counciling documents were completed. This videotape consisted of specific self-care techniques for hemodialysis patients including management of fistula, measurement of blood presure and body weight, special diets, medications, exercise and rest, management of physical problems and social adjustment. Two group equivalent pre and post test quasai-experimental research design was used in this study. The total subjects were 34 hemodialysis patients who received hemodialysis three time per week at 1 university hospital. Seventeen experimental group subjects were matched with control group subjects in sex and age. Data were analysed with the SPSS window program. Homogeniety between experimental and control group pretest data was tested by x$^2$ and t-test. There were no significanct differences in general characteristics, illness history, specific self-efficacy and self-care between the two groups. The differences of general self-efficacy of two groups were tested with the Repeated Measure ANCOVA because of significant differences of pretest data of general self efficacy between two groups. The differences of self-efficacy and self-care of two groups were tested with Repeated Measure ANOVA and the differences of physiologic indecies including blood potassium level and blood phosphorus level and interdialytic weight gain were tested by t-test. The results were as follows: 1. There was no significant difference in general self-efficacy between the two groups over four different time, and no interaction by groups and by time. 2. There was significant difference in specific self-efficacy between the two groups over four different time, and interaction by groups and by time. 3. There was significant difference in self-care between the two groups over four different time, and interaction by groups and by time. 4. There were no significant differences of blood potassium level and blood phosphorus level, but there was significant difference of interdialytic weight gain between the two groups. From the results above, it can be concluded that the self-efficacy promotion program for hemodialysis patients was effective to improve degree of specific self-efficacy and self-care and to decrease interdialytic weight gain. Considering results, the followings are recommended: 1) Repeated studies are needed for another hemodialysis patients. 2) This program can be used for improving degree of self-efficacy and self-care of hemodialysis patients by nurse practitioner and nurse educator.

• 대한간호학회지
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• 제30권4호
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• pp.1045-1054
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• 2000

As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

• 여성건강간호학회지
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• 제13권4호
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• pp.245-253
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• 2007

Purpose: The purpose of this study was to measure the effects of a breastfeeding management program for promotion of breastfeeding. Method: The study design was a non-equivalent control group pre-post test. The study subjects were pregnant women receiving a breastfeeding education class in one hospital in Ilsan. The total number of study subjects was 153 pregnant women, namely 75 mothers in the experimental group and 78 in the control group. Data was collected between June and November, 2006. A breastfeeding management program was provided to the experimental group while admitted for delivery, and in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. The rates of breastfeeding were measured in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. Result: There were significant differences in the scores of rate of breastfeeding between the two groups(all cases), which were 93.1 in the experimental group and 85.8 in the control group at week 4; 88.1 vs 71.8 at week 8; 83.4 vs 56.7 at week 12; 71.4 vs 53.9 at week 16; and 65.7 vs 48.4 at week 20 respectively. However, there were not significant differences in the scores of rate of breast-feeding between the two groups, which were 97.7 in the experimental group and 96.0 in the control group in the early postpartum period at week 2, and 59.6 vs 45.3 at week 24. Add to this, the study analyzed only people who had jobs. As a result, the scores of rate of breastfeeding were 94.8 in the experimental group which were significantly higher than 88.5 in the control group at week 4; 93.2 vs 73.3 at week 8; 89.6 vs 57.2 at week 12; and 75.0 vs 46.0 at week 20 respectively. However, there were not significant differences at week 2, week 16 and week 24. Conclusion: The results of this study suggest that a breastfeeding management program during the last trimester of the perinatal period and postpartum period may increase the duration of breastfeeding in postpartum clients who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.

• 한국보건간호학회지
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• 제15권1호
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• pp.96-110
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• 2001

The purpose of this study was to examine the effect of emotional and informational support intervention on role stress and depression of primary family caregivers caring stroke patients and to develop an effective nursing intervention method for them. This study selected the quasi-experiment, based on pre-test and post-test design of non-equivalent control group as a method of study. This study was conducted with 69 primary family caregivers caring stroke patients hospitalized in K and D hospitals in Daegu from August 20 to October 25, 2000. Out of them, 34 were placed in the experimental group, and 35 in the control group. The emotional and informational intervention program was divided into two aspects-emotional support and informational support- and executed three times, using prepared instruments and a guidebook. The intervention program consisted of the 1st intervention for one or one-half hour, the 2nd intervention for 30 minutes in two or three days after the 1st intervention. and the 3rd intervention for 30minutes in another two or three days after the 2nd intervention. Pre-test was carried out just before the 1st intervention, and the post-test was carried out right after the 3rd intervention, in order to collect data. The measuring instrument of role stress used was one that was modified to the role stress instrument of Yang Young-hee(1992) and the stress instrument of Choi Eun-sook (1992). The reliability was Cronbach's $\alpha=.8271$. The measuring instrument of depression used was one that was developed by Beck(1967) and standardized by Han Heung-moo et al(1986). The reliability was Cronbach's $\alpha=.8693$. Data were analyzed with percentage, mean, standard deviation, $x^2-test$, t-test and Paired t-test by using SPSS 9.0 program. The results of this study are summarized as follows: 1. Role stress score of the experimental group was revealed to be significantly lower than that of the control group 2. Depression score of the experimental group was revealed to be significantly lower than that of the control group Accordingly, the emotional and informational support intervention can be a way to reduce role stress and depression of primary family caregivers caring stroke patients.