• 제목/요약/키워드: Nursing approach

검색결과 945건 처리시간 0.027초

중년기 여성의 폐경으로 인한 몸의 변화에 관한 체험 연구 (The lived changing Body experience of Postmenopause women)

  • 신경림
    • 대한간호학회지
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    • 제28권2호
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    • pp.414-430
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    • 1998
  • The main purpose of this study was to provide understanding of the meaning of post menopausal womens' lived body changing experience. The methodological approach was guided by Van Manen's hermeneutic phenomenological methodology : inquiring and investigating experience as it was lived rather than as conceptualized : reflecting and analyzing the essential themes which characterize the phenomenon : and describing the phenomenon through the art of writing and rewriting. Multiple strategies for data collecting were used ; in depth face-to-face interview ; analysis of womens' writings : artistic work : and analysis of examples of phenomenon in art, literature, and drama. Although the experience was different for all of the women interviewed, essential themes of experience emerged ; Drifting through the years (solitude, in the twilight of life, loneliness, change of taste, forgetfulness, the sense of missing something), A walking weather forecast, Standing on the threshold of losing ki energy, Lately taking care of my body, Seized with fear all of a sudden, Keenly feeling the preciousness of life, Preferring comfortableness to prettiness, Wanting to recall my past years, A strong impulse to rechallenge life, Becoming more fond of friends. Findings from the artistic and creative inquiry further validated the interview findings and the meaning discovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women's experience, implications for education, research, and practice, direction and need for continuing inquiry were identified.

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고 위험 집단의 아동학대에 관한 연구 - 생활보호 대상자를 대상으로 - (Chlid Abuse in High-risk Group)

  • 안혜영;김신정;고주애
    • 대한간호학회지
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    • 제32권6호
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    • pp.775-783
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    • 2002
  • The purpose of this study was to provide basic data on preventive child abuse program development. Method: Data were collected on 105 high-risk families of child abuse intervention was obtained from their main child rearer who raised the child under 18 years, olds during 10 months period from May, 2000 to March 2001. Result: The results were as follows : 1. Child abuse occurred in the subject's home, in the case of mild child abuse, 'throwing an object at the child' had the highest percentage 39.1%, in severe child abuse, 'rod, stick, belt, broom beating or using a variety of objects such as' had the highest percentage 49.5%, and in very severe child abuse, 'hospitalized by belting' had the highest percentage 3.8% 2. The degree of child abuse potential showed high risk child abuse score with a mean of 213.3. The degree of beliefs in corporal punishment showed that subjects perceived corporal punishment of children positively with a mean of 32.2,. 3. With respect to the child abuse potential, there were significant correlations with the subjects' age (r=.294, p=.002), education level (r=-.442, p=.000), and family income (r=-.355, p=.000). Conclusion: From this study not only child abuse occurrence but also child abuse potential were severely increased in poor livelihood families. Therefore to the high risk group, individual preventive approach must be applied.

Q-방법론을 이용한 중동지역내 중년여성의 건강행위에 관한 탐색적 연구 (An Explorative Study on the Health Behavior of Middle-Aged Women in the Middle East Area Using the Q-Methodological Approach)

  • 박충선
    • 지역사회간호학회지
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    • 제19권3호
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    • pp.408-418
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    • 2008
  • The purpose of the study is to understand the types and the features of the health behavior of middle-aged women in the Middle East using Q-methodology. A survey was carried out during the period from the 1st of October to the 30th of December, 2006. Data for thirty five (35) women out of forty-nine (49) were analyzed through Principal Component Analysis and WRAP (Weighted Rotational Analytical Procedure). Analysis results showed that the group was divided into four types: Type I is health management; Type II is social activity; Type III is exercise orientation; and Type IV is religious dependency. Types I, II, and III were in a positive correlation with one another, and Type IV was not correlated with the other types. Subjective perception on the health behavior of middle-aged women in the Middle East (Jordan) was investigated and compared with middle-aged Korean women. The results of this study may provide more effective ways to improve the condition of health management and to promote the quality of life.

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입원환아 가족의 가족 가치관과 가족적응과의 관계 (Relationships of Family Value and Family Adaptation in Family who has a Child with Hospitalization)

  • 박인숙;이정애
    • 부모자녀건강학회지
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    • 제8권2호
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    • pp.97-111
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    • 2005
  • Purpose: The purpose of the study was to analyze the families values of the family with hospitalized children in order to offer descriptive data, which will facilitate family adjustment in those families. Method: It's intended in this study, as of descriptive approach, to verify the theoretical framework based on McCubbin's Resiliency Model and to examine the influence of family values on family adaptation. The survey was conducted from June 20, 2003 to November 30, 2003 and the analysis included 202 parents of the hospitalized children. The data analysis utilized SPSS 11.0 program. Result: The correlation coefficients among major variables showed that family stressor was positively related with family strains(r=.249, P<.01), and negatively related with family hardiness(r=-.183, P<.05). Family strains was negative related with general family value(r=-.243, p<.01), and family adaptation(r=-.505, P<.05). Correlations of general family value was positive with family hardness (r=.153, p<.05), and family adaptation (r=.200, p<.01). Conclusions: There was correlating relationship between family strains and family adaptation, and general family value showed correlation with family strains, family hardiness, and family adaptation. Theresfore the continuing future research on the relationship between family value and family adaption is necessary.

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치매케어로봇 통합 프로그램의 개발 및 효과검증 -경증치매노인을 대상으로 (Development of Dementia-Care-Robot Integrated Program and Evaluation of Effectiveness -For the Elderly with Mild Dementia)

  • 오진환;이형화;전인희
    • 로봇학회논문지
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    • 제15권4호
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    • pp.330-340
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    • 2020
  • The purpose of this study was to develop Dementia-Care-Robot integrated program based on group customization and to identify effects on IADL, depression, and attitudes toward robot. This study was nonequivalent control group pre-post test design. The subjects were 40 elders diagnosed with mild dementia participating in the dementia center daily program (20 in the experimental group and 20 in the control group). Each session lasted for 30 minutes, twice a week during 6 weeks. Data were collected from July 16 to November 7, 2019, and were analyzed using SPSS WIN 22.0 program to identify differences between groups for variables. After the program, the experimental group improved in IADL, depression, but there were no significant differences between the two groups. In attitude toward robot, the experimental group showed positive change to the robot, but the control group showed negative change to it, also there was a significant difference between the two groups. Findings indicate that integrated program using Dementia-Care-Robot has potential as a strategy to improve the symptoms of dementia and to delay the progression. It needs to be applied in the medical field through convergent approach of engineering.

항암화학요법을 받는 위암 환자의 피로 변화 양상과 관련요인 (Fatigue and Related Factors in Patients with Stomach Cancer during Chemotherapy)

  • 김선희
    • 종양간호연구
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    • 제10권1호
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    • pp.10-18
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    • 2010
  • Purpose: This study was intended to identify the patterns of fatigue and its related factors in patients with stomach cancer during chemotherapy. Methods: Thirty participants (24 males and 6 females) were recruited for this study which utilized a longitudinal and descriptive approach. The research instruments included the Revised Piper Fatigue Scale, Symptom Distress Scale, and Linear Analogue Self Assessment Scale. The participants received 5-FU and Adriamycin at the first week and 5-FU only at the second and third week. The instruments were measured six times in total. The data were analyzed using SPSS 17.0. Results: It was found that fatigue scores in patients with stomach cancer, receiving 5-FU and Adriamycin (FA) regimen, reached the highest level on the third day (F=9.37, p=.024) after the initial infusion, and decreased gradually afterward. The symptom and psychological distress scores illustrated very similar pattern. The concept of multidimensionality of fatigue in patients with stomach cancer was supported in this study, showing that all four dimensions of the scale were positively correlated. Conclusion: The results of this study provided useful information of patients with stomach cancer on fatigue and other related symptoms which they experienced during weekly scheduled chemotherapy with FA regimen.

동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교 (Comparison of Cognitive Levels, Nutritional Status, Depression in the Elderly according to Living Situations)

  • 정영미;김주희
    • 대한간호학회지
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    • 제34권3호
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    • pp.495-503
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    • 2004
  • Purpose: The purpose of this study was to compare the degree of cognitive level, nutritional status and depression in elderly according to living situations. Method: The subjects consisted of 173 elderly classifying three groups(living alone, living with spouse, living with children). Data was collected from March to June, 2003 by a structured questionnaire that included general characteristics, MMSE-K, nutritional status and depression scale. The collected data was analyzed by the SPSS program including descriptive statistics, $\chi$$^2$-test, ANCOVA, Scheffe test and Pearson Correlation Coefficient. Result: In MMSE-K, the living alone group showed suspicious dementia while the other groups were normal. The living alone group showed a high nutritional risk and all three groups showed depression. In MMSE-K, the nutritional status and depression were statistically significant by the living situation. In each group except living with spouse, MMSE-K indicated a significantly negative correlation to depression and nutritional status, while nutritional status showed a significantly positive correlation to depression. Conclusion: It is necessary to develop supportive programs for decreasing the risk of bad health in the elderly and an individual approach according to their living situation. Especially, more concern and intervention is necessary for the solitary elderly.

당뇨병 환자를 위한 엠파워먼트 프로그램 개발 및 당뇨병 환자의 엠파워먼트 과정 경험 -근거이론 방법론 적용- (Development of Empowerment Program for the Diabetes Patients and the Experiences of Diabetes Patient's Empowerment Process - A Grounded Theory Methodology Approach)

  • 최은옥
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.317-328
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    • 2001
  • The purposes of this study were to develop the empowerment education program, to describe the experiences of diabetes patient's empowerment process and to develop a theoretical model of the diabetes patient's empowerment process. Method 1. : The development of the empowerment program for the diabetes patients: The strategies of the empowerment education program were enhancement of problem - solving, decision making, self-efficacy, self-control. participation and mutual support. Method 2. : According to the grounded theory methodology of Strauss and Corbin, the qualitative data was collected with in depth interviews and participants observations until its saturation when the 25 consented subjects were participating and interacting with the other subjects in the empowerment education program. Results: With the analysis of the data, 29 categories were generated. The core category generated, which was a central phenomenon of the empowerment process, was named powerlessness. The intervening conditions facilitating or impeding the empowerment process were discovered as supportive systems through the participation of group meeting, problem solving dialogue, and the knowledge deficit of self-care. The action/interaction strategies were developed as the paricipating, dialoguing, questioning, supporting system, self-controlling, self efficacy, enhancing self-esteem. stress relaxing and instillation of hope.

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보건관리대행사업장 직업병예방관리 사업 프로그램 개발에 관한 연구 (A Developmental Study on Preventing Occupational Disease Programme in Small- Medium Sized Industries)

  • 이명숙
    • 한국보건간호학회지
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    • 제9권2호
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    • pp.104-114
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    • 1995
  • This study was designed to develop preventing occupational disease programme in small-medium scale industries. The intervention was done in 354 enterprises from July to December in 1993 by health personnels in mobile occupational health centers. The summarized results of the above achievements were as follows. 1. Total number of enterprises were 354. Among them $66.9\%$ was under 100 workers, $26.6\%$ was u!1der 200 workers, and $6.5\%$ was belong to over 200 workers. The majority manufactures were non-metallic mineral product industries $(11.3\)$ fabricated metal product industries $(11.0\%)$. and textile industries $(10.7\%)$. 2. In 1993, for 350 enterprises were carried out evaluation of workplace environment. A total of $76.3\%$ industries were found to improper showing higher level of hazardous agent than the TLV. Noise and dust are the typical agent of which levels in workplace were high in most of industries. 3. A total 60 cases $(0.8\%)$ of occupational diseases were detected through physical check-up from 7,394 industrial workers in 1993. Detection rate by hazardous agent was highest among workers in relation to dust, and secondly highest to noise. 4. Through the systematic approach by hazardous agent was increased to the monitoring of work condition and follow up care of occupational disease. In future, there should be development in the scaled check list of preventing occupational disease management.

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miR-29a suppresses growth and invasion of gastric cancer cells in vitro by targeting VEGF-A

  • Chen, Ling;Xiao, Hong;Wang, Zong-Hua;Huang, Yi;Liu, Zi-Peng;Ren, Hui;Song, Hang
    • BMB Reports
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    • 제47권1호
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    • pp.39-44
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    • 2014
  • Increasing data shows miR-29a is a key regulator of oncogenic processes. It is significantly down-regulated in some kind of human tumors and possibly functionally linked to cellular proliferation, survival and migration. However, the mechanism remains unclear. In this study, we report miR-29a is significantly under-expressed in gastric cancer compared to the healthy donor. The microvessel density is negatively related to miR-29a expression in gastric cancer tissues. The ectopic expression of miR-29a significantly inhibits proliferation and invasion of gastric cancer cells. Furthermore, western blot combined with the luciferase reporter assays demonstrate that vascular endothelial growth factor A (VEGF-A) is direct target of miR-29a. This is the first time miR-29a was found to suppress the tumor microvessel density in gastric cancer by targeting VEGF-A. Taken together, these results suggest that miR-29a is a tumor suppressor in gastric cancer. Restoration of miR-29a in gastric cancer may be a promising therapeutic approach.