• 성인간호학회지
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• 제14권3호
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• pp.428-437
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• 2002

Purpose: The purpose of this study is to examine the changes of surgical patients' body temperature in applying warming to patients. The study of an effective nursing intervention, which aims to prevent hypothermia during surgical operations, use of anesthesia, and to remove dermal discomforts. The nonequivalent control group pre-test/post-test design was used for this quasi-experimental study. Method: The study subjects were adult patients who would take a surgical operation under general anesthesia in C Hospital; the surgical operations done were, total abdominal hysterectomy or Myomectomy; 20 patients were included in experimental group I, 20 patients were included in experimental group II, and 20 patients were in the comparative group. The total number of study subjects was 60. The data was collected from September the 1st, 2001 to October the 20th, 2001. The data was analyzed by SPSS program, F-test and Repeated measures of ANOVA. Multi-comparison method of DUNCAN was used for the sections that show the significant differences at the level of p<.05, which was a posterior examination. Result: 1) "The body temperatures of the three groups of patients will be respectively different at the end of the operations; experimental group I to which warming was applied before the operations, experimental group II to which warming was applied during the operations, and the comparative group with no warming being given," showed (F=12.609, p=.000). 2) "Degrees of shivering symptoms for the three groups will be respectively different at the end of the operations; experimental group I which applied warming before operations, experimental group II which applied warming during operations and the comparative group with no warming." Showed assumed (F=6.626, p=.000). Conclusion: Summing up the above study, the warming assumed during operations was a more effective nursing intervention for preventing patients' hypothermia than the warming assumed before operations.

• Physical Therapy Rehabilitation Science
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• 제9권4호
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• pp.318-323
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• 2020

Objective: Reacquisition of motor functions following stroke depends on interhemispheric neural connections. The intervention highlighted in the present case is an insight for augmenting motor recovery by stimulating the lesioned area and adjacent areas governing the motor behaviour of an individual. The purpose of this study was to determine the changes in the motor and cognitive outcomes through multi target stimulation of cortical areas by application of multichannel transcranial direct current stimulation (M-tDCS) in a stroke survivor. Design: A case report. Methods: The patient was a participant of a trial registered with the clinical trial registry of India (CTRI/2020/01/022998). The patient was intervened with M-tDCS over the left primary motor cortex i.e. C3 point and left dorsolateral prefrontal cortex i.e. F3 point with 0.5-2 mA intensity for the period of 20 minutes. SaeboFlex-assisted task-oriented training, functional electrical stimulation over the lower extremity (LE) to elicit dorsiflexion at the ankle and eversion of the foot, and conventional physiotherapy rehabilitation including a tailored exercise program were performed. Outcome assessment was done using the Fugl-Meyer assessment scale (FMA) for the upper and lower extremity (UE and LE), Montreal Cognitive Assessment (MOCA), Wisconsin Gait Scale (WGS) and the Stroke Specific Quality of Life (SSQOL) measures. Assessment was taken at Day 0, 15 and 30 post intervention. Results: Improvement was observed in all the outcome measures i.e FMA (UE and LE), MOCA, SSQOL and WGS across the span of 4 weeks. Conclusions: M-tDCS induced improvement in motor functions of the UE and LE, gait parameters and cognitive functions of the patient.

• 대한간호학회지
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• 제45권6호
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• pp.857-867
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• 2015

Purpose: The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies. Methods: Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level. Results: Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p =.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%. Conclusion: The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.

• 한국학교보건학회지
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• 제29권2호
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• pp.107-115
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• 2016

Purpose: This study is a descriptive survey which attempts to understand family strength, parenting attitude, and the ego-identity perceived by female high school students and identify the factors influencing ego-identity of the students. Methods: Data collection was carried out through a questionnaire survey of 186 female high school students. The collected data were analyzed by descriptive statistics, t-test. ANOVA, correlation analysis, and multi-variate regression analysis while using SPSS 23.0 program. Results: Family strength and the ego-identity perceived by female high school students were at a mid-level, with an average of 207.76 and 149.72 points, respectively. Parenting attitude showed scores higher than the mid-level, recording 90.36 points in average. As a result of analyzing the correlation between the factors, the higher family strength and the ego-identity of female high school students were, the better were the patenting attitudes of perceived parents. Besides, family health, parenting attitude, and family form (nuclear family) were found to be the factors influencing ego-identity formation of female high school students with the explanatory power being 25.5% in total. Conclusion: Developing intervention programs which take into account family strength is considered necessary to help the youth form positive ego- identity.

• 성인간호학회지
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• 제15권4호
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• pp.617-627
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• 2003

Purpose: The purpose of this study is to investigate fatigue and its related factors in cancer patients receiving radiotherapy. Method: The subjects of this study consisted of 98 patients receiving radiotherapy. Subjects were recruited from C University Hospital radiation oncology unit located in Gwangju from March to May, 2001. Questionnaire and medical records were used for data collection. The obtained data was analyzed using SAS program that included descriptive statistics, t-test, ANOVA, Post-hoc test(Fisher's LSD) and Pearson's correlation coefficients. Result: The fatigue perceived by the subjects was middle level ($5.59{\pm}1.59$) and 72.4% of them reported greater than 5 points. The subjects in no religion, low income, and spouse caregiver groups experienced the higher fatigue than another groups, respectively. The subjects in nasopharyngeal cancer, head & neck radiation site, and analgesics medication groups did, experience fatigue as well. The fatigue not only positively correlated with symptom distress, disruption of usual activity, sleep dissatisfaction, and mood state, but also negatively with less family support. Conclusion: Cancer patients receiving radiotherapy experience the middle level of fatigue and it correlates with the multi-dimensional factors. However, further research is needed to identify the changes in fatigue over the radiotherapy period through longitudinal design and to develop nursing intervention for fatigue decrease.

• Safety and Health at Work
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• 제12권3호
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• pp.289-295
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• 2021

Workplace violence (WPV) is an increasing cause of concern around the globe, and healthcare organizations are no exception. Nurses may be subject to all kinds of workplace violence due to their frontline position in healthcare settings. The purpose of this systematic review is to identify and consider different interventions that aim to decrease the magnitude/prevalence of workplace violence against nurses. The standard method by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) has been used to collect data and assess methodological quality. Altogether, twenty-six studies are included in the review. The intervention procedures they report on can be grouped into three categories: stand-alone trainings designed to educate nurses; more structured education programs, which are broader in scope and often include opportunities to practice skills learned during the program; multicomponent interventions, which often include organizational changes, such as the introduction of workplace violence reporting systems, in addition to workplace violence training for nurses. By comparing the findings, a clear picture emerges; while standalone training and structured education programs can have a positive impact, the impact is unfortunately limited. In order to effectively combat workplace violence against nurses, healthcare organizations must implement multicomponent interventions, ideally involving all stakeholders.

• 여성건강간호학회지
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• 제25권1호
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• pp.19-30
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• 2019

Purpose: To identify needs for pregnancy and postpartum adaptation of Chinese immigrant women and Vietnamese immigrant women in South Korea. Methods: A descriptive research design was employed. Data were collected from 244 Chinese immigrant women and Vietnamese immigrant women from 3 provinces, 20 health care centers, and multi-cultural family support centers. Data were analyzed with descriptive statistics, t-test and ANOVA. Results: An average score for needs perceived by Chinese immigrant women was significantly higher than that perceived by Vietnamese immigrant women. There were significantly differences in physical and emotional adaptation after childbirth, nutrition during pregnancy, cross cultural understanding and personal respect, and adaptation daily activity during pregnancy between the 2 groups. The highest score of needs in Chinese immigrant women was for nutrition during pregnancy and that in Vietnamese immigrant women was for baby rearing and family support. Conclusion: Based on needs of pregnancy and postpartum adaption, nursing intervention program in consideration of cultural characteristics of Chinese immigrant women and Vietnam immigrant women need to be developed for their pregnancy and postpartum health care.

• Archives of Plastic Surgery
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• 제46권5호
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• pp.470-474
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• 2019

Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. The patient was a full-term male with trisomy 21, agenesis of corpus callosum, ventricular septal defect, patent ductus arteriosus, right-sided aortic arch, and congenital absence of sternum with no sternal bars. Following removal of the infected synthetic mesh, negative pressure wound therapy with instillation was used to manage the open wound and provide direct antibiotic therapy. When blood C-reactive protein levels declined to ${\leq}2mg/L$, the sternum was reconstructed using porcine acellular dermal matrix. At 21 months postoperative, the patient demonstrated no respiratory issues. Physical examination and computed tomography imaging identified good approximation of the clavicular heads and sternal cleft and forward curvature of the ribs. This case illustrates the benefits of negative pressure wound therapy and acellular dermal matrix for the reconstruction of absent sternum in the context of infected sternal surgical site previously repaired with synthetic mesh.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.302-310
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• 2018

본 연구는 청소년의 다문화 수용성의 영향을 미치는 요인들 사이의 관계를 확인하고 모델을 구축하기 위해 시도되었다. 이 연구는 2016 한국아동 청소년 패널조사(korean children and youth panel survey: kcps)의 자료 중 7차년도 자료를 이용하였으며, 청소년 본인 1881명 중 응답률이 불충분한 101명을 제외한 1780명을 최종 분석에 활용 하였다. 본 연구의 자료분석은 SPSS 22와 Amos Program 22를 이용하여 유의수준 .05 수준에서 분석하였으며, 대상자의 인구학적 특성과 연구변수의 특성을 파악하기 위해 기술 통계 분석(descriptive analysis)을 실시하였다. 가설적 모형의 적합도 검증 및 가설 검증은 최대우도법(maximum likelihood estimate)을 사용하였으며 모형 적합도 평가는 $X^2$ 통계량, GFI, AGFI, CFI, IFI, RMSEA를 이용하였다. 본 연구의 모형은 우수한 모델 적합도를 나타내었으며, 자아탄력성, 또래관계, 공동체 의식은 청소년의 다문화 수용성에 영향을 주는 요인임을 확인 할 수 있었다. 따라서 청소년의 다문화 수용성을 증진시키기 위해, 자아탄력성, 또래관계, 공동체 의식을 높일 수 있는 혼합형 중재가 필요할 것임을 제안한다.

• 한국융합학회논문지
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• 제9권1호
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• pp.189-197
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• 2018

본 연구는 다문화 가정 청소년의 정신건강 중 우울과 사회부적응에 미치는 영향요인을 규명하여 건강증진 프로그램개발 및 정책개발의 기초자료를 제공하고자 시도되었다. 연구대상은 211명의 다문화 가정 청소년으로 자기보고식 질문지 방법으로 수집되었으며 자료분석은 SPSS 23. 프로그램에 의해 위계적 회귀분석을 사용하였다. 연구결과를 보면 스트레스, 진로성숙도와 부모의 권위주의적 양육태도가 우울에 중요한 영향력을 보여주었다. 또한 사회적 부적응에는 스트레스, 권위주의적인 양육태도가 부정적 영향을, 탄력성, 진로성숙도와 문화다양성 태도, 개방적 의사소통과 부모의 지지가 긍정적 영향을 주었다. 본 연구는 다문화 가정 청소년에 대한 이해와 우울과 사회부적응 등 정신건강을 위한 개입프로그램 개발에 대한 기초자료를 제공할 수 있다.