• PNF and Movement
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• 제15권3호
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• pp.317-331
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• 2017

Purpose: Balance and walking ability are important elements of functional independence for people with stroke and are major goals in rehabilitation. These abilities require trunk performance, but most chronic stroke patients reach a plateau in their rehabilitation. Therefore, the purpose of this study was to investigate the effects of a self-training trunk program to improve balance and walking ability in people with stroke, and to suggest such a self-training program for integrated rehabilitation of people with stroke. Methods: The study recruited 7 people with stroke. The subjects performed trunk training for 30 min per day, 6 days per week, for 3 weeks. Participants were measured on the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Korean Activities-specific Balance Confidence (K-ABC) scale, the Falls Efficacy Scale (FES), the Functional Gait Assessment (FGA), the 6 Minute Walk Test (6MWT) and a gait analysis to measure the training effects. Statistical analysis used the Wilcoxon signed-rank test as a non-parametric statistical test. Results: TIS was not significantly different after the self-training trunk program, but BBS (p>0.05), K-ABC, and FES were significantly improved after the training program (p<0.05). Furthermore, the 6MWT, stride/height %, and one-leg stance were significantly improved after the training program (p<0.05), but cadence, stance, and swing duration were not significantly different after the training (p>0.05). Conclusion: These results suggest that a self-training trunk program should be integrated into stroke rehabilitation to improve balance and walking ability, and further research is needed to develop the program to be more effective for chronic stroke patients.

• 대한정형도수물리치료학회지
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• 제27권3호
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• pp.99-105
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• 2021

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

• 문화기술의 융합
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• 제5권2호
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• pp.163-175
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• 2019

본 연구에서는 통합예술치료가 가정폭력을 경험한 아동의 자아존중감에 미치는 영향의 효과성을 검증해 보는 것이며, 효과성이 있는지를 알아보기 위해 양적연구로는 비모수 통계를 사용하여 자아존중감(Self-esteem)의 차이 검증을 하였다. 질적연구로는 동적가족화, 문장완성검사, 프로그램 보고서, 피드백 일지, 연구자와 보조치료사의 관찰일지를 이용하여 내면을 이해하도록 하였다. 본 연구는 전라북도내 I시에 소재한 I초등학생 49명을 대상으로 실시하였으며, 프로그램 실시 후 총체적 자아존중감 사회적 자아존중감 가정적 자아존중감 학교적 자아존중감이 유의하게 높아진 것으로 나타났다. 또한 통합예술치료는 자신에 대한 일반적인 인식, 구체적 인식을 증진시켜 총체적 자아존중감, 사회적 자아존중감, 가정적 자아존중감, 학교적 자아존중감 향상에 영향을 미친 것으로 나타났다. 따라서, 가정폭력을 경험한 아동의 자아존중감을 향상시키고, 또래관계와 대인 관계 개선을 위해 통합예술치료를 향후 학교나 기관에서 실시한다면 사회적 비용절감과 거리감을 좁혀 나갈 수 있을 것이다.

• 대한가정학회지
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• 제43권6호
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• pp.145-169
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• 2005

This study aimed to evaluate Comprehensive Croup Therapy Program developed for children and mothers of divorced families. The research questions were to determine first, any differences between program participants and non-participant in the areas of life wellbeing, attitude towards divorce, self-esteem, and communication skills as a result of this program; and second the durability of these effects three months after implementation of the program. The subjects of this study were 41 children and 14 mothers of the divorced families. Among them, 18 children and 6 mothers, including 5 mother-child dyads were assigned to experimental group, while 23 children and 8 mothers, including 8 mother-child dyads, to control group. Both groups received pre-and post-test evaluation but experimental group additionally received a follow-up test. The data were analyzed by t-test, Mann-Whitney U Test, Wilcoxon Matched-Pairs Signed-Ranks Test and qualitative analysis. The results showed that therapy Program enhanced the life wellbeing of both child and mother participants significantly, and this effect lasted for at least for three months after the termination of the program. Second, though the effects were not statistically significant, child and mother participants' attitude towards divorce, self-esteem, and communication skills between mother and child changed positively after the program and these effects lasted for over three months.

• 지역사회간호학회지
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• 제32권1호
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• pp.51-63
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• 2021

Purpose: This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a χ2 test, Fisher's exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors' comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

• 대한통합의학회지
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• 제11권1호
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• pp.31-41
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• 2023

Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

• 대한감각통합치료학회지
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• 제21권2호
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• pp.12-23
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• 2023

목적 : 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 다운증후군 아동 1명의 대상으로 개별실험연구를 진행하였으며, 감각통합치료 중재는 주 1회씩 16주간, 가정프로그램은 주 4회씩 16주간 시행하였다. 대상 아동에게 중재 후 시각적 주의력의 변화를 측정하였다. 결과 : 중재 후 물체 주시, 물체 수평적 추시, 물체 수직적 추시 시간은 기초선 기간에 비해 평균값이 상승하였다. 중재 기간에 관찰된 물체 주시, 물체 수평적 추시, 물체 수직적 추시가 기초선 기간의 ±2 표준편차보다 높게 나타났다. 결론 : 본 연구를 통해 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동에게 시각적 주의력과 시지각 향상된 것을 확인하였으며, 효과적인 중재 방법을 제시하였다는 점에 의의가 있다.

• Journal of Animal Science and Technology
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• 제61권6호
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• pp.371-378
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• 2019

The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.

• Child Health Nursing Research
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• 제21권4호
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• pp.293-301
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• 2015

Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

• 지역과문화
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• 제7권4호
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• pp.49-68
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• 2020

현대인의 정신질환에 대한 보완의학 연구는 학문적 분야별로 이루어져 왔다. 심리치료, 미술치료, 문학치료, 무용치료 등이 그 중 하나지만 이러한 비통합적 연구를 현실에 적용하기는 극히 제한적이다. 약물치료 후 보완책을 모색하는 의료계와의 협업도 문제고, 이를 정책적으로 제도화하기는 더욱 어렵다. 이에 본 연구는 대부분의 치료 프로그램이 중시하는 공간의 가치를 연구해 공간 중심의 치료 패러다임으로의 전환을 제언하였다. 독일에서 발달해 국내에 유입된 통합문학치료학의 이론을 기저로 고찰하고 테트라시스템을 우리의 문화유산이도 한 고택 공간에 대입해 적용했다. 그리고 고택 공간의 특성을 치료 프로그램화 하는 방안을 샘플로 제시해 보았다. 안동시의 권성백 고택을 대표적인 공간으로 보고 분석해 보았다. 유사 사례로서 힐리언스 선마을, 독일의 크나이프 마을, 봉은사 템플스테이를 살펴보고 공간의 활용 실태를 파악하였다. 이에 고택 공간들을 테트라시스템으로 분석해 걷기, 시 쓰기, 풍욕, 편지 쓰기 등의 공간치료 프로그램을 제시하였다. 이는 공간의 장소화와 장소성을 프로그램에 접목하는 시초의 연구로서 의미가 크다 할 것이다.