• 제목/요약/키워드: Intervention design

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고혈압 간호중재의 혈압하강 효과에 대한 메타분석 (Meta-analysis of Hypertension-related Nursing Intervention Programs)

  • 소은선;이인숙
    • 동서간호학연구지
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    • 제16권1호
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    • pp.11-18
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    • 2010
  • Purpose: The aim of this study was to examine the characteristics of hypertension-related nursing intervention programs and their effects on systolic and diastolic blood pressure. Methods: Fifteen studies were selected from four databases (Korean studies, Riss4U, RICHIS, and JKAN) published as of 2009. They were analyzed by meta-analysis method. The selected studies contained a control group with pre-test and post-test design, measured blood pressure as a dependent variable, and used a reported statistical value for blood pressure to measure the size of effects. Results: The hypertension-related nursing intervention programs were relatively effective in lowering both systolic and diastolic blood pressure, although they were more efficient to decrease diastolic pressure. Among the hypertension-related intervention programs, complementary and alternative therapies were more effective in lowering blood pressure compared to lifestyle change intervention. Conclusions: To acquire substantial data of intervention effects, and complementary and alternative therapy, subjects in pre-hypertensive stage, and elderly people, better industrial and scholastic research methods need to be developed for future research. Further studies are needed to establish complementary and alternative therapies. Studies with different group of participants and studies using effective research design are in need as well.

자폐스펙트럼장애 아동의 문제행동에 대한 긍정적 행동지원 중재 연구의 체계적 고찰: 단일대상연구 설계를 중심으로 (A Systemic Review of Positive Behavior Support Intervention Studies on Problem Behaviors of Children With Autism Spectrum Disorders: Focusing on Korean Single-Subject Research Design)

  • 유영미;최유임
    • 재활치료과학
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    • 제10권4호
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    • pp.7-24
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    • 2021
  • 목적 : 본 연구는 자폐스펙트럼장애 아동의 문제행동 개선을 위한 긍정적 행동지원 중재 연구 중 단일대상연구 설계를 적용한 문헌의 특성을 살펴보고 질적 수준을 알아보는 것이다. 연구방법 : 본 연구는 문헌연구로써, 분석 대상은 2011년부터 2020년까지 국내에서 게재된 9편의 단일대상연구 논문이었고, 대상 논문을 연구방법의 내용에 따라 일반적 특성과 질적 수준으로 나누어 분석하였다. 결과 : 대상 논문을 분석한 결과, 연구 대상은 취학 전 아동과 초등학령기 아동이 동일한 비율로 나타났고, 연구 설계는 중다 기초선 설계 중 행동 간 중다기초선 설계 연구가 가장 많았다. 모든 논문에서 사회적 타당도, 중재 충실도, 관찰자 신뢰도를 제시하고 있었고, 문제행동은 자해 및 공격행동, 방해행동, 자리이탈행동, 음식 거부 및 구강자극 행동 순으로 나타났으며, 종속변인은 부분 간격 기록법으로 측정한 연구가 가장 많았다. 중재 효과 확인 결과, 중재, 유지는 중재 결과가 효과적이었으나, 일반화의 결과와 효과를 제시한 연구는 제한적이었다. 분석 논문의 질적 수준은 모든 연구에서 높은 질적 수준을 보이고 있었다. 결론 : 본 연구를 통해 자폐스펙트럼장애 아동의 문제행동을 위한 긍정적 행동지원 중재 연구 중 단일대상연구 설계를 적용한 논문의 내용과 질적 수준을 확인하고 긍정적 행동지원 중재가 자폐스펙트럼장애아동의 근거기반 중재를 위한 효과적인 중재임을 확인할 수 있었다.

영적 간호중재가 호스피스 환자의 불안과 우울에 미치는 효과

  • 윤매옥
    • 호스피스학술지
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    • 제2권2호
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    • pp.17-27
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    • 2002
  • Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on anxiety and depression of the hospice patients. This study was devised one group pretest-posttest design. The data was collected during the period from July 10 to September 25 in 2000 at the general hospital in cheonju city. The subjects were thirty-seven patients who referred the hospice service. Method: The tools were used Spielberger's State Anxiety Scale and Zung's Depression Inventory. The spiritual nursing intervention was carried out through Hymn, Scripture, Prayer, the therapeutic use of self over a period of three weeks. Data were analyzed by frequency, percentage, mean, standard deviation, paired t-test. Results: 1.After the spiritual nursing intervention, state anxiety of hospice patients was reduced(t=6.237, p=0.000). 2.After the spiritual nursing intervention, depression of hospice patients was reduced(t=18.58, p=0.000). Conclusion: The hospice patients who were offered spiritual nursing intervention had lower anxiety & depression than those who were not offered spiritual nursing intervention. According to these results, spiritual nursing intervention can be regarded as an effective nursing intervention that relieved anxiety and depression of the hospice patients.

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기능적인 저항훈련이 운동이상형 뇌성마비 아동의 대동작과 균형능력에 미치는 영향 : 단일사례설계 (Effects of Functional Resistance Training on Gross Motor and Balance Abilities in Children with Dyskinetic Cerebral Palsy : Single Case Design)

  • 권해연
    • 대한통합의학회지
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    • 제4권3호
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    • pp.109-119
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    • 2016
  • Purpose : The purpose of this research is to find clinical effects of functional resistance training using weighted vest on gross motor and balance abilities of children with dyskinetic cerebral palsy. Methods : This study selects 3 subjects for 8~12 years old who were diagnosed with children with dyskinetic cerebral palsy. The Design is ABA design of single-subject research design. Baseline(A) and TypeII Baseline(A : 12weeks) phases were received with NDT treatment, Intervention(B : 12weeks) phase provided with 40 minute functional resistance training using weighted vest in a session twice a week. In order to analyze the measure results of gross motor function and performance, balance abilities in children dyskinetic cerebral palsy during baseline, intervention and typeII baseline phase. Result : A statistically significant differences in the total GMFM including walking/running/jumping during baseline, intervention, typeII baseline, but no significant differences in the lying/rolling, sitting, crawling/kneeling and standing. A statistically significant differences in the total GMPM including dissociated movement, coordination, weight shift, stability during baseline, intervention, typeII baseline, but no significant differences in the body alignment domains. A statistically significant differences in the length and surface area ellipse of center of pressure during baseline, intervention, typeII baseline. Conclusion : The intervention method to facilitate multi-joint and closed kinematic chain movement equipped weighted vest applied functional resistance training on children with dyskinetic cerebral palsy effectively improve on gross motor function and performance, balance abilities.

ICF 도구를 적용한 앞십자인대 재건술 환자의 고유수용성신경근촉진법 중재전략의 증례 (A Case Report of a Proprioceptive Neuromuscular Facilitation Intervention Strategy Applied with an ICF Tool in a Patient with Anterior Cruciate Ligament Reconstruction)

  • 송명수;김범룡;김창헌;노현정;강미경
    • PNF and Movement
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    • 제15권1호
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    • pp.1-11
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    • 2017
  • Purpose: The purpose of this study was to use an ICF tool in an intervention for anterior cruciate ligament reconstruction (ACLR) patients to examine and evaluate the patients' functional problems, measure the results of the intervention, and present the process of preparing proprioceptive neuromuscular facilitation (PNF) intervention strategies, thereby contributing to changes in and development of relevant future clinical practices. Methods: A PNF rehabilitation exercise program using an ICF tool was applied to ACLR patients five times per week for four weeks. To measure the resulting changes, the ICF evaluation display, the visual analog scale (VAS), the manual muscle test (MMT), the range of motion (ROM) test, the Lysholm knee score (LKS), and the muscle endurance test (MET) were used. Results: After the intervention was applied to the ACLR patients, improvements were achieved in all the tests: ICF evaluation display, VAS, MMT, ROM, LKS, and MET. Conclusion: Utilizing the ICF tool, this study identified functional problems of ACLR patients. When the intervention was applied, physical functions improved, and structural damage was reduced, leading to enhanced levels of functional activities such as postural changes, posture maintenance, gait, movements, and movements between different places. The patients were able to complete the teacher training, which was their goal.

용서간호중재 프로그램이 여성 암환자의 희망과 삶의 질에 미치는 영향 (Effects of a Forgiveness Nursing Intervention Program on Hope and Quality of life in Woman Cancer Patients)

  • 태영숙;윤수정
    • 종양간호연구
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    • 제6권2호
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    • pp.111-120
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    • 2006
  • Purpose: The purpose of this study was to analysis the effects of a forgiveness nursing intervention program on hope and quality of life in woman with cancer. Methods: The used design was a nonequivalent control group design with pretest and post-test. Thirty patients diagnosed with uterine cervical cancer, breast cancer, ovarian cancer were recruited from a University Hospital in Busan, Korea. An experimental group (n=15) was given the forgiveness nursing intervention program, and a control group (n=15) was done a common nursing intervention. The period of data collection was from June 10 to September 10, 2004. The obtained data were analyzed using ${\chi}^2-test$, Fisher's exact test, t-test, and ANCOVA. Results: The first hypothesis, "The experimental group would have higher hope state than control group" was supported(F =16.967, p = .000). The second hypothesis, "The experimental group would have higher quality of life state than control group" was supported (F =4.850, p =.036). Conclusions: The findings showed that the forgiveness nursing intervention program was effective to increase hope and quality of life in women with cancer. Therefore, this program may be used for a nursing practice for cancer patients who are suffering from emotional distress.

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Designing Intervention Arthritis Self-Management Program with Tai Chi for Older Adults with Osteoarthritis in Rural Korea

  • So, Aeyoung;Park, Sunah
    • International journal of advanced smart convergence
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    • 제7권2호
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    • pp.55-66
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    • 2018
  • Osteoarthritis is one of the most common chronic degenerative disease and prevalent among women in rural area. A variety of self-management programs for arthritis patients have been developed and administered, however the effectiveness and adherence to the program including arthritis exercise are found to be low. The purpose of this study is to design intervention Arthritis Self-Management Program with Tai Chi (ASMP-TC) through identifying and analyzing attributes influencing adherence exercise behavior in Korean older adult women with arthritis in rural area. For this, the existing and relevant evidence on arthritis self-management including exercise intervention were investigated, and then this study describes well-designed arthritis self-management program to provide the credibility and validity necessary for its interventions. In addition, this study try to propose a self-management program model of Tai Chi exercise for rural older adults to improve adherence based on the primary health care facility, which is vulnerable area in Korea.

Effect of Kinesiolology taping and Posture Stabilizing Exercise on Pain, Craniovertebral Angle, Proprioception in Adults with Forward Head Posture

  • Choi, Junghyun
    • 국제물리치료학회지
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    • 제10권3호
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    • pp.1862-1867
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    • 2019
  • Background: The importance of postural stabilization and cervical mobilization in subjects with pain from the anterior head posture is drawing more attention. However, studies on head and neck stabilizing intervention after mobilization are lacking. Objective: To examine the effects of Kinesiotaping and posture setting exercise on forward head posture (FHP). Design: Crossover Study Design Methods: The subjects were 17 male and female college students in their 20s with FHP. They were randomized into the Kinesiology taping group (KTG) with 9 subjects and posture stabilizing exercise group (PSEG) with 8 subjects. The intervention was conducted for 4 weeks, and changes in pain, craniovertebral angle (CVA), and proprioception were observed before and after intervention. Results: Pain was significantly reduced in the KTG and PSEG both before and after intervention. CVA and proprioception were significantly increased only in the PSEG. The differences in CVA and proprioception between the two groups were significant. Conclusions: These findings suggest that the application of posture setting exercise could decrease pain, proprioceptive error and increase CVA on FHP.

Interaction of Learning Motivation with Dashboard Intervention and Its Effect on Learning Achievement

  • Kim, Jeonghyun;Park, Yeonjeong;Huh, Dami;Jo, Il-Hyun
    • Educational Technology International
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    • 제18권2호
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    • pp.73-99
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    • 2017
  • The learning analytics dashboard (LAD) is a supporting tool for teaching and learning in its personalized, automatic, and visual aspects. While several studies have focused on the effect of using dashboard on learning achievement, there is a research gap concerning the impacts of learners' characteristics on it. Accordingly, this study attempted to verify the differences in learning achievement depending on learning motivation level (high vs. low) and dashboard intervention (use vs. non-use). The final participants were 231 university students enrolled in a basic statistics course. As a research design, a 2 × 2 factorial design was employed. The results showed that learning achievement varied with dashboard intervention and the interaction effect was significant between learning motivation and dashboard intervention. The results imply that the impact of LAD may vary depending on learner characteristics. Consequently, this study suggests that the dashboard interventions should be offered after careful consideration of individual students' differences, particularly their learning motivation.

형제그룹 감각통합치료가 전반적 발달장애 아동의 사회적 상호작용에 미치는 효과 (Effect of the Brotherhood Group Sensory Integration Intervention to Social Interaction of the Children With Pervasive Developmental Disorders)

  • 박지훈;김수경
    • 대한감각통합치료학회지
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    • 제10권1호
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    • pp.21-31
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    • 2012
  • 목적 : 본 연구는 형제그룹 감각통합치료가 전반적 발달장애 아동의 사회적 상호작용에 미치는 효과에 대해서 알아보고자 한다. 연구방법 : 전반적 발달장애 진단을 받은 만 7~8세 아동 2명을 대상으로 2011년 7월부터 9월까지 총 8주간 형제그룹 감각통합치료를 실시하였다. 개별실험연구방법(single subject research design) 중 A-B-A' 설계를 사용하였으며, 기초선 A 3회기, 중재기 B 16회기, 기초선 A' 3회기로 총 22회기를 적용하였다. 사회적 상호작용의 질은 기초선 A와 A'기간에 ESI(Evaluation Social Interaction)를 통하여 측정하였다. 사회적 상호작용의 빈도는 기초선 기간에는 중재가 없는 상태에서 측정하였으며, 중재기간에는 매 중재 후 10분간의 자유놀이를 비디오로 촬영하여 등간기록법(interval recording)을 통해 측정하였다. 결과 : 대상 아동 모두에게서 중재 후 사회적 상호작용의 질은 통계적으로 유의한 향상을 보였다. 또한 매 회기 중재 후 실시한 자유놀이에서 대상 아동 모두 기초선 A의 평균과 2표준편차 밴드 이상인 값들이 두 개 이상 연속으로 나타나 사회적 상호작용의 빈도에서도 통계적으로 유의한 변화가 나타났다. 결론 : 형제그룹 감각통합치료가 전반적 발달장애 아동의 사회적 상호작용에 긍정적인 효과가 있음을 확인하였다. 따라서 임상에서 전반적 발달장애 아동에게 사회적 상호작용 향상을 위한 치료방법으로써 형제그룹 감각통합치료를 효과적으로 적용할 수 있을 것이다.

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