• 제목/요약/키워드: Intervention level

검색결과 2,344건 처리시간 0.027초

제 2형 당뇨환자 비만도별 인터넷 당뇨 교육 효과 비교 (Comparison of the Effects of Internet Diabetic Education on Obesity in Type 2 Diabetic Patients)

  • 김희승;김경미
    • 기본간호학회지
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    • 제11권3호
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    • pp.275-280
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effects on obesity of nurse education using the short message service (SMS) of cellular phones and wire Internet. Method: Forty patients in an experimental group, which was assessed pre- and post intervention, completed this study. The patients were divided into two groups according to degree of obesity. The goal of the intervention was to keep blood glucose concentrations close to the normal range. The intervention was applied weekly for 3 months. Participants were requested to input the blood glucose level everyday at http://www.biodang.com by cellular phone or wire internet. The researcher sent optimal recommendations to each patient using SMS of cellular phones and wire Internet. The plasma glucose levels and serum lipids were measured before and after the intervention. Results: After 3 months of education, Glycosylated hemoglobin (HbAlc) decreased by 1.4% in non-obese patients and 0.7% in obese patients. Fasting plasma glucose (FPG) decreased 22.6mg/dl in non-obese patients and 22.3mg/dl in obese patients. Two-hour plasma glucose (2HPG) decreased 97.0mg/dl in non-obese patients and 67.8mg/dl in obese patients. Conclusion: These results indicate that a nurse SMS intervention would improve HbAlc, FPG, and 2HPG in both non-obese and obese patients.

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시.청각적 피드백을 이용한 언어중재가 북한이탈주민의 자연스러운 발화에 미치는 효과 (The effects of Speech Intervention for Speech Naturalness of North Korean Refugees Using Visual and Auditory Feedback)

  • 김태희;김수진
    • 말소리와 음성과학
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    • 제2권4호
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    • pp.213-221
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    • 2010
  • The number of North Korean refugees entering South Korea is continuously increasing. North Korean speakers show significant differences in vowel and consonant phonetics, length of vowels, and the rhythm and intonation of sentences. The object of this research was to examine the effectiveness of a speech intervention program for North Korean refugees using visual feedback through acoustical analysis for intonation. The subjects were three adults with no speech disabilities who had been in South Korea for less than five years. They had not received any prior treatment for inflection change. The program was set in a discourse situation and used Praat to evaluate intonation and provide visual feedback as demonstrating proper intonation changes through pitch contour. The results after intervention are as follows. First, intonation was significantly improved according to a 5-point subjective evaluation scale. Second, the pitch contour was similar to the contour of standard South Korean pronunciation. The subjects were very satisfied with this initial treatment and showed a high level of motivation. In subsequent study, the development of intervention and the comparison of interventions will be needed as well.

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Developing Health Education Programs for Health Promotion: Development of a Training Guide on Prevention of Smoking and Excessive Drinking

  • Bae, Kyung-Hee;Nam, Jung-Ja
    • Korean Journal of Health Education and Promotion
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    • 제3권1호
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    • pp.55-70
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    • 2001
  • Background: Alcohol and tobacco use are two major behavioral risk factors implicated in increased morbidity and mortality. Since both substances are widely used in Korea, a concerted effort is currently underway to reduce the use of tobacco and alcohol in Korea. Objectives: Efforts directed toward preparing health promotion planners and health educators from local health departments to organize and implement community-wide interventions to reduce the proportion of people smoking and reduce the average level of alcohol consumption in the community. Methods: Comprehensive multi-media health promotion materials were developed based on health behavior theories and strategies. The materials were developed to introduce a user-oriented developmental approach by making messages more persuasive and organizing content in a user-friendly manner. Health educators from all local health departments in the country were trained in the use of the materials, to enable them to develop community interventions to reduce smoking and drinking. Implications for Practitioners: The process followed in developing the health intervention materials is described in detail to assist practitioners who need to develop effective programs to reduce the use of tobacco and alcohol. Sections of the report explain health intervention theories, specific program activities to include in an intervention, development, organization, evaluation, choosing a target audience, choosing goals of an intervention, and methods of making program content vivid and persuasive.

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이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과 (The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis)

  • 김지은;이인숙
    • 지역사회간호학회지
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    • 제26권2호
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    • pp.89-99
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    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

아기마사지가 미숙아의 신체성장과 스트레스 반응에 미치는 영향 (Effects of Infant Massage on Physical Growth and Stress Response in Preterm Babies)

  • 정남연;송영신
    • Child Health Nursing Research
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    • 제15권1호
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    • pp.71-80
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    • 2009
  • Purpose: This study was done to investigate the effects of an infant massage on physical growth and stress response in preterm babies. Method: A nonequivalent control group with pre-posttest design was used with 56 preterm babies in the NICU of E medical center at Daejeon. Data were collected from July 2004 to May 2005. The intervention was given for 15 minutes, once a day for 7 days. Physical growth was measured by weight, length, head circumference, and stress response was measured by serum cortisol level. Mean, %, paired-test, t-test with the SPSS/W in 16.0 program were used to analyze the data. Results: After the intervention, physical growth variables (weight, length, head circumference) in experimental group were higher than that of the control group. Also, the serum cortisol level in the experimental group was lower than that of the control group. But none of these results were not statistically significant. Conclusion: The results of this study suggest that a 7-day intervention period may not be long enough to confirm the effects of infant massage on physical growth and stress reaction. Therefore it is suggested that a longer period of infant massage should be tested to determine if it is effective in improving the physical growth and stress reduction in preterm babies.

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건강행동 변화를 위한 보건 커뮤니케이션 전략 개발: 금연을 위한 생태학적 접근전략의 적용 (Development of Health Communication Strategies for Health Behavior Change: Application of Social Ecological Models to Smoking Cessation Intervention)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제27권4호
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    • pp.177-188
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    • 2010
  • Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

치위생과정 기반의 임상치위생 증례보고서 분석 (Analysis of case reports based on dental hygiene process)

  • 이수영;최하나
    • 한국치위생학회지
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    • 제11권5호
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    • pp.749-758
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    • 2011
  • Objectives : The purpose of this study was to analyse case reports performed through a dental hygiene process and provide basic data on clinical education of dental hygiene. Methods : 154 case reports which collected for six years were analysed. This study applied dental hygiene process model in dental hygiene diagnosis. Dental hygiene diagnosis was more cleared by dental a hygiene process model. Data analysis was performed by the Frequency statistics using SPSS 12.0 for Windows. Results : 1. The clients are mainly comprised 20's university student(91.9%). 2. In assessment phase, clients finished 100% test of subjective data. 3. When applied a dental hygiene process model in dental hygiene diagnosis, students have identified 23 type of dental hygiene problem and analysed dental hygiene problem frequently used as bleeding of gingiva, calculus and deposit of dental plaque. 4. In case of plan of dental hygiene intervention, Fluoride application showed the most high level(98.1%) in clinical intervention. 5. Results of intervention showed that performance rate(98.7%) of scaling is the most high level. Conclusions : Dental hygiene process model is more useful than other diagnostic models in clinical practice based on dental hygiene process.

뇌졸중 환자의 재활에서 포괄적인 한방치료의 효과: 후향적 연구 (Effect of Comprehensive Korean Medicine with Rehabilitation in Stroke Patients: A Retrospective Study)

  • 김민수;문병순
    • 동의생리병리학회지
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    • 제30권5호
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    • pp.355-359
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    • 2016
  • This study is to investigate the effect of the level of Korean medical intervention (KMI) on the recovery of activity of daily living (ADL) and the motor function in patients with stroke. A total of 43 stroke patients were recruited. The participants were divided into two groups, the basic Korean medical intervention (BKM) and the comprehensive Korean medical intervention (CKM) group. The patients in BKM group were treated with the basic acupuncture and the consultation of Korean medicine doctors. The treatments of CKM group patients included the comprehensive herbal medical therapies in addition to the treatments of BKM group. The western rehabilitation therapies were performed in all participants with KMI. The functional outcomes using modified Barthel Index of Korean version (K-MBI) and Fugl-Meyer assessment (FMA) were analyzed before and after the treatment between two groups. Significant differences between the BKM and the CKM group were demonstrated in both K-MBI and FMA (p<0.05). There were significant relationships between the level of the KMI and K-MBI/FMA (p<0.05). In conclusion, the comprehensive KMI was more effective to improve the ADL and motor function in patients with the stroke east-west integrative medical care.

전래동화 활용 공평성 향상 프로그램이 유아의 공평성 추론에 미치는 영향 (The Effect of Traditional Fairy Tales - Based Program on the Improvement of Preschoolers Distributive Justice Reasoning)

  • 공인숙;유안진;한미현;김영주;권혜진
    • 가정과삶의질연구
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    • 제19권2호
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    • pp.23-30
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    • 2001
  • The purpose of this study was to examine the effect of the traditional fairy tales based program on the improvement of preschoolers level of distributive justice reasoning. The program was developed on the six Korean fairy tales which deal with the sharing problem among the friends and the families. The subjects were seventy-six, 4- and 5-year-old children selected from two kindergartens in Seoul and Ichon. Solomon 4-group experimental design was used. Each children were assigned for 2 experimental groups and for 2 control groups. Before the intervention, the subjects in experimental group 1 and control group 1 were interviewed individually with story dilemmas for their distributive justice reasoning. For eight-week period, the program based on six Korean traditional fairy tales were used as an intervention. After the intervention, all the subjects were interviewed individually with another story dilemmas. The data were analyzed in SPSS Win 10.0 program, by frequency, percentile, mean, standard deviation, paired t-test and independent t-test. As a result, the children in experimental groups had higher level of distributive justice reasoning than those in control groups. That is, program based on the traditional fairy tales gave positive effect on preschoolers distributive justice reasoning.

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소시오드라마가 특수교육대상 학생 어머니의 양육스트레스, 우울, 부모효능감에 미치는 효과 (Effects of sociodrama on parenting stress, depression, and parenting self-efficacy in mothers of adolescents receiving special education)

  • 한종숙;안정원
    • 가정∙방문간호학회지
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    • 제24권2호
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    • pp.200-209
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    • 2017
  • Purpose: This study aimed to evaluate the effects of sociodrama on mothers of adolescents receiving special education at school. Methods: The participants were 30 mothers of adolescents with autism and intellectual, physical, emotional, and behavioral disability (experimental group=8, control group=16, 4 excluded). Sociodrama was conducted over 6 weeks (6 sessions). Data were collected using a mixed method. A constructed questionnaire on parenting stress, depression, and parenting self-efficacy was distributed before and after the intervention. A focus group interview was conducted subsequently. Data were collected from May to June 2016 and analyzed using Wilcoxon-Mann-Whitney test and a content analysis. Results: The intervention group showed significant changes in parenting stress (Z=-2.34, p=.019), depression (Z=-.3.46 p=.001), and parenting self-efficacy (Z=-2.82, p=.029) compared with the control group. Results of the qualitative analysis exhibited two themes, namely "changes" and "healing and challenges," which were divided into 4 categories and 9 sub-categories. Conclusion: Sociodrama was effective in reducing the level of parenting stress and depression, and increased the level of parenting self-efficacy in participants. Sociodrama can be recommended as an intervention program for parents raising adolescents receiving special education.