• 근관절건강학회지
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• 제15권1호
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• pp.5-23
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• 2008

Purpose: This study aims to conduct a systematic review of the physical, psychosocial and physiological effects of Tai Chi exercise in elderly. Method: 37 articles from Medline search of foreign journals (1966-2006) were surveyed by the key words 'Tai Chi', 'Tai-chi program' and 'Tai-chi and elderly' limiting the range to age 65 or older, choosing clinical trial and randomized controlled trial research in English articles. Four articles were excluded due to methodological study, pilot study and review. The research was analyzed according to health status of the subjects, styles and forms of Tai Chi exercises, factors for physical, psychosocial and physiological measures. Result: A short forming Yang style was commonly used in chronic diseases and health for elderly. Variable outcome measures were used in Tai Chi studies relating to balance, muscle strength, walking and mobility, flexibility and cardiorespiratory function in physical measure, quality of life, depression, self-efficacy, health status, cognition and impact questionnaire in psychosocial measure, lipids, insulin resistance and hormone in physiological measure. Conclusion: Tai Chi exercise appears to have physical and psychosocial benefits and also appears to be safe for elderly and chronic diseases. It is suggested that future studies analyze statistical part of systematic reviews through meta analysis.

• 근관절건강학회지
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• 제28권1호
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• pp.10-17
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• 2021

Purpose: This was integrative literature review for analyzing interventions of musculoskeletal symptom and pain on nurses. Methods: Data were searched by using databases, namely SAGE journals, EBSCOhost, PubMed, RISS, NDSL and KCI Search terminology included nurse and musculoskeletal and the language was Korean or Engli.sh. Data analysis was classified by risk of bias, inconsistency, indirectness and imprecision. Total six studies, one Korean and five English articles analyzed. Results: Risk of bias was serious in three of six studies. Regarding inconsistency, one study was moderate effect size and two studies were small effect size. There was no serious indirectness except one study. Regarding imprecision, three studies were not serious. Conclusion: Evidence from six studies was insufficient to support intervention's effect in means of no repeated studies and no high effect size of intervention. Evidence-based interventions must be applied on nurses for reducing musculoskeletal symptoms.

• 한국직업건강간호학회지
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• 제28권2호
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• pp.83-93
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• 2019

Purpose: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. Methods: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. Results: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. Conclusion: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors' needs and characteristics in the RTW field.

• Child Health Nursing Research
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• 제20권4호
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• pp.283-293
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• 2014

목적 간호의 질을 평가함에 있어 환자의 측면에서 평가하는 것의 중요성이 점점 증가되고 있다. 본 연구의 목적은 환자의 눈을 통해 간호의 질을 평가하는 QUOTE 평가의 속성을 발견하고 제시하는 것이다. 방법 본 연구에서는 1997년부터 2013년까지 이루어진 QUOTE 평가 관련 국외 연구논문을 통합적 고찰 방법으로 분석하였고 Whittemore와 Kanfl (2005)이 제시한 4단계에 따라 연구를 진행하였다. 결과 본 연구에서 분석한 QUOTE 관련 연구는 총 32편이었으며, 분석을 통해 QUOTE 평가는 환자와 가족의 개별성을 인정함, 간호사의 다양한 역량을 평가함, 간호환경의 질을 평가함, 모든 평가과정에 대상자가 참여함의 4가지 주요한 속성을 가지는 것으로 밝혀졌다. 결론 본 연구는 임상현장에서 환자와 가족중심 간호를 제공하고 그 간호의 질을 평가할 때 유용하게 사용할 수 있는 평가 개념을 소개하고 그 핵심 속성에 대한 이해를 돕기 위해 시도되었다. QUOTE 평가에 대한 통합적 고찰이 국내 간호 현장에 맞는 다양한 도구개발로 이어진다면, 아동 간호현장에서 대상자와 가족에게 제공되는 간호에 대한 적합한 질 평가와 지속적 질 향상에 기여할 수 있을 것이다.

• 대한간호
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• 제31권3호
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• pp.76-87
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• 1992

The purposes of study was: 1. To identify the direction and scope of research activities in Korean Nursing. 2. To discuss the unique problems present in Korea that warrant nursing research. 3. To delineate the factors that facilitate and/or hinder nursing research in Korea. This study was conducted at six colleges of nursing in Korea. The schools which were selected had doctoral programs at the time, the data were collected in 1990. Four of the schools were located in the metropolitan area of the capital city, Seoul, and two were in two other cities similar in size. The total population of the study was 283 nurses. The instrument for the research was the English version of Research Profile Questionnaire which was translated into Korean by the researchers and was validated in its translation by two professors. A pretest procedure was done before the data collection process. Of the population of 283, 210 subjects received the questionnaire and 150 subjects responded(71.4%). Excluding incomplete questionnaires, 141 questionnaires were utilized for data analysis. Data were analyzed using descriptive statistics. Responses to open-ended questions were content analyzed for themes and categories. Results of the study were as follows : Respondents currently , involved in nursing research numbered 108(76.6%), but 33(23.4%) did not have any research experience. The inexperienced respondenLs tended to be younger than the experienced subjects and most( 60.6%) were employed in hospitals, while 82.4 percent of the experienced nurses were employed in nursing schools. Among the respondents with research experience, 68.5 percent were involved in one to three projects and 31.5 percent were engaged in four or more projects. The experienced nurses indicated that nursing research in Korea is active. On the other hand, the responses of the inexperienced were that nursing research is not active. The most frequently selected research subjects were patients(76.9%, 83 respondents) followed by nurses, healthy persons and nursing students. The relatively high percentage of healthy persons as study subjects, could be explained as a concern of nurses for healthy persons as well as for ill patients. The aforememioned literature review showed a dramatic change in the kinds of study subjects; approximately 33 percent were patients but 25 percent were healthy subjects of various ages. The hospital was the prevailing research setting(67.6%) but at the same time various community settings were used. This is a changing phenomena in nursing research of Korea. Current research designed to build on previous studies amounted to 75 percent; about 39.8 percem were theory and hypothesis generated. Over 65 recommended additional research focusing on hypothesis-testing 0:' theory building. The previously quoted literature review found that only 4.0 percent of the study quescions were developed from a theoretical framework. The most frequently listed current major focus of nursmg research was stress and adaptation. Patients with cancer, pain, social support and care of the elderly were the next most frequently reported. These concerns may reflect problems associated with a technological and industrializing societyl. The most frequently identified problem was lack of clinical research. The need for replication research and research that contributes to the accumulation of nursing knowledge were found to be rare in Korean research. A need for theory testing and theory construction research was also identified. Although advanced statistical methods were often utilized in nursing research, the results were frequently considered by the interviewers not to be applicable in practice, and readers had difficulty in comprehending the findings. Even though the number of clinical nurses involved in research is increasing, it is still considered inadequate. Among 108 respondents, 83(76.9%) gave lack of time as a barrier to conducting nursing research. Over fifty percent of the respondents reported lack of funding or, personally, low confidence in research skills as barriers. The respondents offered 183 suggestions for future emphasis in nursing research. Among the 51 areas of emphasis, clinical research received the highest number and nursing intervention was next. The findings suggested that nursing research should be based on theory, be related to practice and relevant to the situation of a unique Korean culture.

• Child Health Nursing Research
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• 제1권1호
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• pp.47-58
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• 1995

This study was performed to test the validity and reliability of the Health Self-Determinism Index for Children(HSDI-C), an instrument designed to measure dimensions and strength of motivation in health behavior, to improve the applicability of the tool through application to the various samples. The convenient sample of 148 (boys=75, girls=72 third grade=42, fourth grade=22, fifth grade=32, sixth grade=52 : Caucasian=72, Asian=30, African=19) comprised the children at a chatholic elementary school in Chicago. The children completed English version of HSDI-C from December 5th, 1994 to January l0th, 1995. The findings were as follows : 1. Four factors of HSDI-C were isolated through the principal component analysis and oblique rotation, and explained 48% of the variance in total score. Low correlations among four factors were anticipated because each factor contributed uniquely, All items of the tool loaded above .30 on one of 4 factors. But items loaded on each factor in this study were very different from those in the previous studies. 2. Cronbach's alpha coefficient for internal consistency was .81 for the total items and .57∼ .81 for 4 subscales. 3. The differences of HSDI-c mean scores between boys and girls and that of among races were not statistically signifcant, but the mean score of girls and the Caucasian were relatively high. The total mean score of the scale was highest at the 3rd grade, decreased at the 4th or 5th grade, and reincreased at the 6th grade. The trend of mean score of four subscales was similar to that of total mean score. According to the results, suggested below : 1. The items loaded on each factor in this study were very different from those in the previous studies. To clear away the problem of the conceptual confusion, HSDI-C needs to be performed to various and large samples. 2. Unexpectedly, the HSDI-C mean score decreased at middle school age. A longitudinal study will be helpful to search for the change trend of the intrinsic motivation. 3. To improve the applicabilty of the HSDI-C, various reliability and validity test methods besides factor analysis or internal consistency are recommended.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.101-112
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• 2017

본 연구의 목적은 학습자 중심 팀 기반 학습방법(Team Based Learning 이하tbl)이 예비간호학습자의 간호영어교과에서 경험과 효과를 확인 하고자 한다. 예비간호학습자 12명 대상으로 학습 결과 기록지, 학습관찰, 학습만족도, 학습자가 보고서, 동료평가서를 내용 분석하여 학습경험의 의미를 기술하였고 개인별, 팀별 점수는 빈도분석, 대응표본 T 검정을 통해 분석하였다. 연구결과는 1차, 2차 모두 개인별 점수보다 팀별 점수가 높았다. 협동이 잘되는 팀별 순위로 문제를 해결하였고 팀별 점수도 높았다. tbl학습 경험으로는 동료와 친밀감을 형성하며, 학습동기가 되고, 자율학습을 형성하며 학습이 용이해지고, 반복학습을 통해 어렵게 느꼈던 의학용어가 쉽게 암기되었다. 또한 팀끼리 시험을 봄으로 긴장감과 승부욕이 생기게 되어 성적향상에 도움이 된다고 하였고, 즐거운 학습시간으로 기억되었다고 하였다. 본 연구결과 예비학습자들에게 어렵게 접하는 간호영어 과목을 tbl을 통하여 학습동기를 유발하고 자율 학습을 유도하고 성적향상 및 동료와 친밀감이 형성됨을 알 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7847-7852
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• 2015

Purpose: Research carried out with gynecologic cancer patients using CAM was reviewed to provide a source for discussing which CAM method is used for which purpose, patients' perceptions on the effects/side effects occurred during/after using CAM and their sources of information regarding CAM. Materials and Methods: This literature review was carried out for the period between January 2000 and March 2015 using Scopus, Dynamed, Med-Line, Science Dırect, Ulakbim, Research Starters, Ebscohost, Cinahl Complete, Academic Onefile, Directory of Open Access Journals, BMJ Online Journals (2007-2009), Ovid, Oxford Journal, Proquest Hospital Collection, Springer-Kluwer Link, Taylor & Francis, Up To Date, Web Of Science (Citation Index), Wiley Cochrane-Evidence Base, Wiley Online Library, and Pub-Med search databases with "complementary and alternative medicine, gynecologic cancer" as keywords. After searching through these results, a total of 12 full length papers in English were included. Results: CAM use in gynecologic cancer patients was discussed in 8 studies and CAM use in breast and gynecologic cancer patients in 4. It was determined that the frequency of CAM use varies between 40.3% and 94.7%. As the CAM method, herbal medicines, vitamins/minerals were used most frequently in 8 of the studies. When the reasons why gynecologic cancer patients use CAM are examined, it is determined that they generally use to strengthen the immune system, reduce the side effects of cancer treatment and for physical and psychological relaxation. In this review, most of the gynecologic cancer patients perceived use of CAM as beneficial. Conclusions: In order that the patients obtain adequate reliable information about CAM and avoid practices which may harm the efficiency of medical treatment, it is recommended that "Healthcare Professionals" develop a common language.

• 대한약침학회지
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• 제25권2호
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• pp.71-78
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• 2022

Objectives: Post-term pregnancy is a condition associated with increased maternal and fetal complications. Administration of castor oil causes cervical stimulation by increasing the production of prostaglandins. We examined the effects of castor oil on cervical ripening and labor induction through a systematic review and meta-analysis. Methods: The search process was performed to obtain relevant articles from databases including Pubmed, Cochrane library, Scopus, Science direct, SID, Iran Medex, and Google Scholar using the English keywords of cervical ripening, post-term, castor oil, labor induction, Bishop score, and pregnancy considering all possible combinations without time constraints and their Persian equivalents from national databases. Results: A total of eight related articles from the 19 primary studies were extracted and systematically reviewed. According to a cumulative chart, the difference in the post-intervention Bishop score was statistically significant (standard mean difference [SMD]: 1.64, 95% confidence interval [CI]: 1.67-2.11, p = 0.001), indicating an effect of castor oil on increasing the Bishop score. In addition, the difference in labor induction was statistically significant after the intervention (odds ratio: 11.67, 95% CI: 3.34-40.81, p = 0.001), indicating an effect of castor oil on increasing the odds ratio of labor induction (experience of vaginal delivery). Conclusion: This meta-analysis showed that oral administration of castor oil is effective for cervical ripening and labor induction. Midwives should closely monitor pregnant women with prolonged labor and collaborate with obstetricians to employ castor oil as a safe intervention to induce cervical ripening and labor to prevent undue caesarean surgery.

• 한국학교ㆍ지역보건교육학회지
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• 제10권1호
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• pp.35-46
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• 2009

Background & Objectives: The purpose of this study was to offer basic materials for the correct comprehension of dementia and of health education needs by comparing the students' recognition level of dementia. Methods: Three health major departments(the department of nursing science, physical therapy and occupational therapy) and three non-health major departments(the department of English, early childhood education and biology) were randomized in universities. And the 180 juniors students involved in this study and their level of educational experience and of recognition of dementia was analyzed. Results: There weas no difference about recognition of social welfare services between the students of health departments and non-health departments, but there were differences between them about other health education needs. Conclusion: Students of non-health majors who learn the subjects unrelated to dementia should get an education on dementia so that they can understand and recognize health education needs on dementia.