• Title/Summary/Keyword: Intervention design

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The Effect of Health Perception, Exercise Needs, Self-Efficacy on the Frequency of Exercise among Diabetic Patient (건강인식, 운동욕구, 자기효능감이 당뇨병 환자의 운동빈도에 미치는 영향)

  • Park, Keumok;Chung, Su Kyoung
    • Journal of Industrial Convergence
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    • v.18 no.2
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    • pp.37-44
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    • 2020
  • This paper of descriptive-correlative design determined the effects of health perception, need of exercise and self-efficacy on the frequency of exercise among diabetic patients. A total of 86 questionnaires were retrieved from these groups of diabetic patients, who regularly visits endocrinology clinics and accomplished voluntarily the major instrument distributed from two university hospitals in A city, during June to July, 2018. The result was a significant positive relationship that existed between health perception (r=.215, p=.043) and self-efficacy (r=.440, p<.001) with frequency of exercise respectively. Regression analysis revealed that the factor affecting the frequency of exercise is self efficacy (β=.440, p<.001) which illustrated to have a significant effect in the model's explanatory power at 18.4%(F=20.836, p<.001) results. This suggests that diabetic patients with a high positive health perception increase self-efficacy, their self-efficacy will help increase the frequency of exercise if further developed. Therefore, if an intervention program is developed to improve the health perception and self-efficacy education program for diabetics, it will help improve the frequency of exercise, namely diabetes management exercise.

Sexual Perception of Female College Students (여대생의 성(性)인식)

  • Kim, Kwuy-Bun;Oh, Hye-Kyung
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.19-35
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    • 2000
  • This study confirms and describes the meaning of the true experience on sexual perception of female college students as it is. Thus this study, revealing the structure of the meaning, tried to use phenomenal study tool as qualitative research design in order to seek nursing intervention for them. The method of data collection of this study was achieved February, 2000$\sim$August, 2000 through systematic interview, participation and observation from a focus group. The number of each focus group was 3 to 4, and the study analyzed with Giorgi method after selecting total 3 groups with 10 to saturate data, considering of the closeness among group members. The results are as follow; 1) Feeling psychological uneasy : feeling special mood, mysterious thing, tense thing, curious thing, concealing thing 2) Being to someone : receiving unilaterally, giving ahead, attracting attention, being to, being selected unilaterally 3) Feeling like to do together : relying, contacting, being together 4) Accepting another one's self : understanding the partner, taking responsibility for each other, enduring, trusting each other 5) Trying to be best to the partner : physically being pure, mentally being pure, being only one person to the partner, being open to each other, feeling free 6) Harmonizing conditions with conditions : considering appearance, one's family, economic support and so on 7) Making a love without premise of marriage : making a difference between marriage and love 8) Being a difference between men and women : being a different position, being shameful (because of not having a boyfriend), indecent thing 9) Being for a new life : conceiving a new life 10) Being able to have body touch : being able to kiss, being able to sleep together, being able to touch body 11) Being able to make homosexual love : being able to do homosexual love From the above results, right sexual education should deliver the value of sex which exists for life. So we need to develop the Korean-typed sexual education, according to the social and cultural background and reasonable demand level of education subjects. Furthermore we should give systematically connected education through the development of sexual education program by a developmental stage on the sex with broad and dynamic features, revealing different shapes each period of life. Since the members' value by culture is very different, reasonable and healthy sexual education cannot be done through a education program from foreign cultures. Consequently, the development of the study and program on sexual perception of Korean female college students suitable for the Korean cultural situation will be done.

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The Effects of Exercise Therapy Applied in an Efficacy Expectation Promoting Program on Self-Efficacy and Metabolism.- in NIDDM(Non-Insulin Dependent Diabetes Mellitus) Patients - (효능기대증진프로그램을 적용한 운동요법이 자기효능과 대사에 미치는 영향-인슐린 비의존성 당뇨병 환자를 중심으로-)

  • 김춘자
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.132-142
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    • 1998
  • This study was conducted to investigate whether exercise therapy applied in an efficacy expectation promoting program based on the self-efficacy theory of Bandura(1977) would increase self-efficacy and metabolism in NIDDM patients. The study design was a nonequivalent control group pre-test post-test quasi-experimental desist The exercise therapy applied in the efficacy expectation promoting program was composed of a staged exercise program, a small booklet relating personal experience with diabetes mellitus and a telephone coaching program on performance accomplishment. vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The subjects of the study were twenty eight NIDDM patients who received follow-up care regularly through the out-patient department of endocrine medicine in one general hospital which had a diabetic clinic. Fourteen were assigned to the experimental group and fourteen to the control group. The experimental group participated in the exercise therapy applied in the efficacy expectation promoting program from three to five times per week for four weeks and the control group did not have the program. The collected data were analyzed using the X²-test, t-test, paired t-test, and Cronbach's Alpha using SPSS /PC/sup +/. The results are summarized as follows 1. Experimental group had higher efficacy score than control group(t=5.98, p=.00). And. There was a significant different in the efficacy score before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(t=-6.42, p=.00). 2. Experimental group did not have lower level of glucose metabolism than control group(FBS : t=.32, p=.75, HbAlC : t=.60, p=.55, pc 2hrs. glucose : t=-.29, p=.78). But, There was a significant different in the aunt of glucose metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(FBS : t=3.63, p=.003, HbAlC t=4.20, p=.00, pc 2hrs. glucose : t=1.93, p=.001). 3. Levels of lipid metabolism were partly a significant different between Experimental group and control group(triglyceride t=-1.87, p=.07, HDL cholesterol : t=-.29, p=.77. body weight : t=1.78, p=.09, Total cholesterol : t=-2.17, p=.04). And, There was partly a significant different in the amount of lipid metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(triglyceride : t=2.50, p=.03, HDL cholesterol : t=-.43, p=.67, body weight : t=5.34. p=.00, Total cholesterol : t=2.26, p=.04). In conclusion, it was found that exercise therapy applied in an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and metabolism.

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A Study on the Nursing Time in Nursing Units in Hospital to Applied Computer System (전산 시스템이 도입된 일개 종합병원 간호단위의 간호시간 산정에 관한 연구)

  • 장춘자;강익화;이은자;김병연;이민숙
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.441-456
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    • 1995
  • This study was done to determine direct and in-direct nursing time in nursing units in hospital to ap-plied computer system and expect that those results contribute to measure efficiency of nursing practice and planning of nursing manpower. The design for study was a descriptive study. The study results are as follows. 1. Patients admitted to the Internal Medicine and General Surgery units were grouped into four. Group Ⅰ, 32.9% of the total patients, consisted patients whose condition was considered minor Group Ⅱ, 26.1%, was of those whose condition was considered moderate, Group Ⅲ, 41. 8%, moderate severe and Group Ⅳ, 29.2% the most severe. 2. Nursing intervention times by care type were as follows four minutes spent for suction eight minutes, for simple position change, ten minutes, for sheet change, seven minutes for a hot or cool compress, six minutes for dressing change, four minutes for Ⅰ.M. injection, six minutes for patient health education and five minutes for body temperature check. 3. Direct care time by patient group revealed the following : Group Ⅰ rquired 191.4 minutes, Group Ⅱ required 331.1 minutes, Group Ⅲ rquired 499.4 minutes, and Group Ⅳ rquired 1328.0 minutes. 4. The ratio of time for adequate nursing care and direct care time in the Internal Medicine and Goneral Surgery units was 67.4%-83.4% and 94.7%-99.3% in the Intensie Care Unit. 5. Average daily direct care time per patient was 5.5 hours in the Internal Medicine unit and 11.5 hours in the Intensive Care Unit. 6. Time spent in indirect care was 48.3 minutes for computer recording,34.8 minutes for giving and receiving patient information for shift duty, 28.0 minutes for eating and resting time, 26.6 minutes for transfering and identifying patients, 25.6 minutes for identifying Doctor's order, 23.9 minutes for recording vital signs. 7. Time spent in indirect care was 282.2 minutes by head nurses (charge nurses), 258.7 minutes by nurses and 261.6 minutes by nurse aids. 8. The average nurse's workload was 9.3 hours and daily indirect nursing time required 46.3%-50. 5% of above mentioned workload time. .9. The average daily indirect care time per patient was expected to be 57.7 minutes in the Internal Medicine unit and 3.3 hours in the Intensive Care Unit.

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Development of an Infants' Sleep Health Program Using a Video for SIDS Prevention Education and Measurement of the Program's Effects (영아 수면건강 교육프로그램의 개발 및 효과)

  • Jang, Sook;Kim, Il-Ok
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.11-19
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    • 2015
  • Purpose: The purposes of this study were to develop an infant sleep health education program using a video for SIDS prevention education and to measure the effects of the program. Methods: The infant sleep health education program consisted of presentations and motor images. The formation of educational material was directed by the systematic design of instruction. Participants in this study were 59 primiparous women from postpartum care centers. The instruments used in this study were criterion referenced test items for knowledge about infant sleep health and confidence inventory. Experimental group I was given the treatment of infant sleep health education program. Experimental group II was given the program using a video reinforcement after 2 weeks. On the other hand, control group was given no treatment. Results: There was a significant increase in knowledge and confidence in the performance of mother's roles of both experimental group I and experimental group II over the control group. No significant difference was founds for knowledge and confidence in the performance of mother's roles between experimental group I and II. Conclusion: The results indicate that this program is a very effective intervention for better sleep health in infants by helping the mothers increase confidence in their role performance.

Oxaliplatin-induced Peripheral Neuropathy in Patients with Advanced or Metastatic Gastric Cancer (진행성 또는 전이성 위암 환자에 있어서 Oxaliplatin 투여로 인한 말초신경통증 분석)

  • Park, Ae-Ryoung;Kim, Soon-Joo;Bang, Joon-Seok;La, Hyen-Oh
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.1
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    • pp.18-22
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    • 2009
  • Oxaliplatin is a tolerable and effective drug of choice in the treatment of advanced or metastatic gastric cancer. However, it has many dose-limiting neurotoxicities. This study was performed to assess the incidence and types of oxaliplatin-related neurotoxicities. Sixty-four patients receiving oxaliplatin-involved regimen as salvage therapy on metastatic gastric cancer or as the first-line therapy on advanced gastric cancer were evaluated during the period between September 1, 2006 and February 29, 2008. The patients were treated with oxaliplatin 100 $mg/m^2$ and leucovorin 100 $mg/m^2$ simultaneously as 2-hour-lasting infusion on Day-1 followed by 5-FU 1200 $mg/m^2$ as a 22-hour-lasting continuous infusion both on Day-1 and Day-2 by every other week. We developed questionnaires to evaluate patient-recognized neurotoxic symptoms rather than the observer-described events. Surveys were completed at bedside or via telephone interview. Acute and chronic neurotoxicities were graded according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC, version 3) as well as the Oxaliplatin-specific Neurotoxicity Scale. The Grade-3 neuropathy was reported in 19% of the patients (n=12) and grade-1/2 neuropathy occurred in 70% (n=45). The most common symptom was cold-related dysesthesia (83%) regarded as nociperception by the patients. Some patients (19%) experienced functional impairment affecting activities of daily living such as writing, buttoning, and walking. Even though 74% of the patients (42/57) were prescribed with gabapentin to reduce these peripheral symptoms, it did not appear to derive any benefit from this medication. It is suggested that notify the patients about their oxaliplatin-associated, debilitating symptoms, and educate them any self-care strategy at the initiating phase of the chemotherapy. Moreover, it needs to design the intervention studies regarding the prevention and management of the peripheral neuropathy.

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A Study on the Factors Affecting Self-Regulation Program for Hypertensives (본태성 고혈압환자를 위한 자기조절 프로그램 관련요인 연구)

  • Park, Young-Im
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.234-249
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    • 1995
  • Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

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The Analysis of Waste Factors for Business Phases on Customized Apartment Project (맞춤형 공동주택 프로젝트의 업무단계별 낭비요인 분석)

  • Choi, Jung-Im;Lee, Ki-Suk;Jung, Sung-Ho;Song, Young-Woong;Choi, Yoon-Ki
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.3
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    • pp.146-156
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    • 2013
  • Recently, to reflect the various needs of customers in the apartment field, the customized apartment has emerged. From the point of the customer, customized apartments have the definite advantage of being able to guarantee more customer options. On the other hand, from the point of the project manager, there are significant risk factors, with increase of management factors, construction delays, etc. The reasons for this are, to date, the insufficient systematic analysis of the project, and the lack of experience of similar projects. This study provides the waste factors of each phase in a customized apartment project. A survey and interview are conducted to achieve the waste factors using MUDA methodology; a process of the project was analyzed; and a factor of each process was identified. Also, AHP(Analytic Hierarchy Process) are used, to evaluate the waste factors in project stages. The AHP results show that "Design change" and "Inappropriate intervention in construction process" ranked highly in the waste factors. The results of our research will provide a countermeasure that addresses waste factors in similar projects, and contributes to reducing the extra cost and time in new projects.

Comparative Review of Current Clinical Trials on Abdominal Obesity (복부비만 관련 임상시험의 국내외 연구경향 고찰)

  • Lim, Je-Yeon;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.63-77
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    • 2010
  • Objectives : It is known that abdominal obesity increases the possibility of cardiovascular diseases, early death, and metabolic syndrome including dyslipidemia and insulin resistance. Clinical trials have been under way to verify the effectiveness of treatment for abdominal obesity. The objective of this study is to set criteria about how effective oriental medicine and acupuncture are in abdominal obesity. Methods : I manually search "www.clinicaltrial.gov", 4 Korean medical databases and 4 Korean medical journals of abdominal obesity. Search terms used were "abdominal obesity" or "visceral obesity". In order to see detail review, searching was performed from 01, 01, 2005 to 11, 31, 2009. And I classified all the searched studies into design, intervention, purpose, end point, diseases, condition and etc. Results : 1. I could search total 67 trials in "www.clinicaltrial.gov". I found 9, 10, 13, 8, 6 clinical trial from 2005 to 2009 every year. 2. Test on both gender and adult or adult and senior have been most frequent. 3. Randomization clinical trial is 51 cases that occupied 96.2%. 38 cases use control group. 4. Body mass index(BMI) and waist circunference(WC) are major criteria of abdominal obesity clincal trial. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial. 5. I could search total 86 cases in domestic study. I found 15, 23, 23, 20, 5 cases from 2005 to 2009 every year. 6. Test on female and adult have been most frequent in domestic study. 7. Randomization clincal trial is only 2 cases that occupied 2.3%. 62 cases use control group in domestic study. 8. BMI, body fat percent, WC, visceral-subcutaneous fat ratio(VSR), waist-hip ratio(WHR) are criteria of abdominal obesity clincal trial in domestic study. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial in domestic study. Conclusions : To improve abdominal obesity study in traditional korean medicine, it is need to activate clinical trial, meta analysis, develope of clinical practice guidelines, co-works with conventional medicine and etc.

The Effects of Maum Meditation on Anxiety, Self-esteem and Self-actualization for Teachers (마음수련명상이 교사의 불안, 자아존중감 및 자아실현에 미치는 효과)

  • Lee, In-Soo;Kim, Jee-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5722-5730
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    • 2011
  • The purpose of this study was to investigate the effects of Maum meditation on anxiety, self-esteem and self-actualization of teachers and this is a one-group pretest-posttest design study. Three times of surveys were carried out for seven nights and eight days including July 25 - August 1, August 1 - 8, 2009 and January 2 - 9, 2010. Before and after Maum meditation, 108 teachers in the faculty training filled out the structured questionnaire. The data were analyzed by SPSS WIN 12.0. The results showed that there was a significant difference in self-esteem of the teachers between before and after Maum meditation(p=.001). The self-actualization of the teachers was also found to be significant before and after the meditation(p=.002). Maum meditation decreased the teachers' anxiety level and improved considerably the self-esteem and self-actualization level. So it is necessary to develop the self-concept questionnaire that can support the mental health promotion intervention program.