• 한국콘텐츠학회논문지
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• 제11권6호
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• pp.270-278
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• 2011

이 연구는 20대와 40대의 급성과 만성 요통환자를 대상으로 척추 주위근육의 단면도를 비교하는 것이다. 20대(남자-9, 여자-10)와 40대(남자-8, 여자9)의 대상자들은 MRI로 요추(4번 하부 종단판) 단면도의 척추주위근육(장요근, 다열근, 척추기립근)들의 크기를 PACS(free-handling technique of the picture archiving and communication system(PACS)을 이용하여 측정하였다. 연구 결과 20대 급성과 만성 요통 환자들의 척추 주위근들의 차이는 통계학적으로 유의성이 없게 나타났으나, 40대 급성과 만성 요통환자들의 척추 주위근들의 차이는 만성 요통환자들이 근 위축이 통계학적으로 유의성 있게 나타났다. 또한 20대와 40대의 만성요통환자 척추 주위근들의 차이도 40대 만성요통 환자들에게 유의성 있게 나타났다. 연구에서 20대 만성환자들의 근 위축은 나타나지 않았으나 40대 만성환자들은 다양한 이유로 근 위축이 나타났다. 따라서 40대의 만성 요통환자들은 조기의 다양한 요부 근력 운동 및 기능적 활동 등으로 허리 주위근육의 위축을 감소시키는 것이 필요하다.

• 대한방사선치료학회지
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• 제14권1호
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• pp.187-199
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• 2002

This descriptive study was undertaken to measure quality of life score and investigate the correlation between the demographic characteristics, the diagnostic related characteristics, physical symptom and quality of life of breast cancer patients undergoing radiation therapy as on attempt to provide basic data to help them attain better qualify of life. The subjects for this study were 74 out-patients undergoing radiation therapy at C University hospital in Gwangju, from June, 1998 to July, 2000. The data were obtained using a convenient sampling technique. The tool of this study was the quality of life scale developed by Ro Yoo Ja. The data were analyzed using the SAS program for percentage, mean, standard deviation, Pearson Correlation Coefficient, GLM. The results were as follows: 1. The total average score for quality of life of the subjects was 137.22 and the range was from 38 to 227, item mean score(range 1-5) was 3.15. For each factor in qualify of life of life score, the mean scores(range 1-5) were as follows; family relationship 3.69, relationship with neighbors factor 3.40, self esteem 3.10, physical state and function 2.95, economic life 2.91, emotional fate 2.88. 2. The incidence of physical symptoms was seen fatigue($82.4\%$), skin change($43.2\%$), alopecia($41.9\%$), pain($41.9\%$), anorexia($39.2\%$), anemia($39.2\%$), and headache($31.1\%$) in that order. 3. The result of the analysis of the relationships between the quality of life scores and demogaphic characteristics were as follows : there were significant differences, between age(F=3.44, p=0.013), educational level(F=3.84, p=0.007), duration of marriage((F=5.06, p=0.003) and monthly income(F=4.72, p=0.005). 4. The result of the analysis of the relationships between quality of life scores and diagnostic related characteristics was as follows: there was a significant difference between incidence durations(F=5.02, p=0.003). 5. The correlation of emotional state, economic life, self esteem, physical sate & function, relationship with neighbors, relationship with family in quality of life of cancer patients revealed a positive correlation.

• 치위생과학회지
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• 제14권2호
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• pp.198-206
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• 2014

1. 커뮤니케이션 기술 측정도구 38문항을 번역한 후 번역 정확도, 내용분석, 내용타당도 분석을 통하여 14문항을 수정하고, 10문항을 삭제하였으며, 팀 구성원 커뮤니케이션 4문항은 연구목적에 맞지 않아 제외하여 최종 커뮤니케이션 기술 측정도구는 총 24문항으로 구성되었다. 2. 수정 보완된 커뮤니케이션 기술 측정도구의 요인분석 결과 치과위생사의 커뮤니케이션 기술은 배려와 존중, 정보 제공, 불안과 통증 감소를 위한 커뮤니케이션 등 3개의 항목으로 구분되었다. 3. 확인적 요인분석을 통한 모형의 적합도는 대체로 기준을 충족하였으며 ($X^2=899.170$ [df=227, p<0.001], RMR=0.025, RMSEA=0.078, IFI=0.886, TLI=0.872, CFI= 0.886, GFI=0.848, AGFI=0.815, NFI=0.853) 모든 요인의 개념신뢰도, 분산추출지수가 일반적 기준을 충족시켜 집중타당성이 입증되었다. 모든 요인의 평균분산추출값은 각 요인간상관 관계 제곱값보다 크게 나타나 판별타당성도 입증되었다. 4. 내적일관성을 알아보기 위한 Cronbach's ${\alpha}$는 0.8 이상으로 높은 신뢰수준으로 나타났다. 이상의 결과를 종합해 보았을 때, 치과위생사의 커뮤니케이션 측정도구는 타당도와 신뢰도가 높고 적합하다고 검증되었다. 향후 우리나라 치과위생사의 커뮤니케이션 기술의 전문적인 발전과 연구에 활용되어 궁극적으로 환자 구강건강 증진 및 병원 경영에 도움을 줄 수 있을 것으로 생각된다.

• 지역사회간호학회지
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• 제8권2호
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• pp.262-276
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• 1997

This study evaluates the relationship between health belief. self-efficacy and exercise and diet compliance in coronary heart disease patients. The study subjects were 96 CHD patients who visited the outpatient clinic at 3 general hospitals in Taegu city from April 3, 1997 to May 3, 1997. Data was collected by the researcher and two registered nurses who work at a cardiac outpatient clinic. Face-to-face interview was conducted. Moon's health belief scale(l990) and Hicky and others' Cardiac Diet Self-Efficacy Instrument (CDSEI, 1992), Cardiac Exercise Self-Efficacy Instrument (CESEI, 1992) were used. The instrument developed by the researcher based on the reference review was used to measure exercise and diet compliance. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, ANOVA, Tukey verification and Stepwise multiple regression with the SAS program. The results of this study were as follows; 1. The degree of health belief(score range: 1-4) perceived benefit: 3.06 barrier: 2.04 severity: 2.93 2. The degree of self-efficacy(score range: 1-5) exercise self-efficacy: 2.91 diet self-efficacy: 3.32 3. The degree of compliance (score range: 1-4) exercise compliance: 2.34 diet compliance: 2.95 4. The exercise compliance had a positive correlation with perceived benefit(r=0.5327, p=0. 0001), severity(r=0.2780, p=0.0061), exercise self-efficacy(r=0.6675, p=0.0001), and a negative correlation with barrier{r= -0.4236, p=0.0001). The diet compliance had a positive correlation with perceived benefit (r=0.6439, p=0.0001), severity(r=0.4244, p=0.0001), diet self-efficacy(r=0.6629, p=0.0001), and a negative correlation with barrier{r= -0.5098, p=0.0001). 5. According to pt's education level, (F=3.02, p=0.0336), received massage from mass media on exercise and diet(t=3.81, p=0.0002), presence of cardiac patients in the family members or friends(t=2.00, p=0.0478), created significant differences in exercise compliance. According to occuption(F=3.03, p=0.0215), hospitalized experience(t=4.59, p=0.0000), presence of chest pain(t=3.63, p=0.0005), there was also a significant difference in diet compliance. 6. The combination of exercise self-efficacy, perceived benefit and pt's education level explained 50.18% of the variance in exercise compliance. The combination of diet self-efficacy, perceived benefit and barrier explained 56.76% of the variance in diet compliance. On the basis of the above findings, the follow ing recommendations are suggested: 1. To promote the exercise. diet compliance for CHD patients, a well organized health teaching and nursing intervention program should be developed. 2. More research is needed to investigate other variables affecting exercise and diet compliance of CHD patients. 3. To promote self-efficacy and a positive health belief in CHD patients, a well organized and an approachable nursing intervention program should be developed. 4. Factors other than diet. exercise compliance should be evaluated to discover the impact on CHD patients.

• 대한한의학회지
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• 제27권1호
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• pp.146-154
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• 2006

Objectives : Siguan points (LI4, LR3) have been most frequently applied for various diseases, especially different digestive disorders such as constipation, abdominal pain or various intestinal inflammatory diseases. The fact that gastrointestina movement is closely connected with physiologic functions or pathologic process of alimentary canal led us to ask the question if Siguan points affects on intestinal motility. Design: To investigate the effect of Siguan acupuncture on the intestinal movement in both physiologic and pathologic conditions, we divided the experimental animals into 12 groups. Six groups were pre-treated with loperamide (0.5 mg/kg, sc) or scoploamine (0.5 mg/kg, sc) to suppress the intestinal movement and another three groups were pretreated with carbachol (0.5 mg/kg, po) to activate it, whereas the rest three groups didn't receive any pretreatment to be kept in the physiological condition. After the administration with charcoal meal, mice were acupunctured bilaterally on sham point or Siguan points as the manner of tap-stimulation, with the exception of no acupuncture groups. Methods : Mice were scarified in twenty minutes after the administration of charcoal to measure the distance of charcoal passage from stomach-duodenal junction. The effect on intestinal movement was presented by calculating the relative distance where charcoal arrived to total length of small intestine. Results : In physiological state, charcoal meal passed around 53%, and there was no significant difference between Siguan points and sham points groups. On the other hand. Siguan points-sitimulation significantly ameliorated loperamide or scoplolamine-induced suppressed travel rate of 17.3 % and 18.6% in sham point into 26% and 26.3% respectively (p<0.05). In carbachol-induced accelerated condition, Siguan points-stimulation didn't affect intestinal motility comparing to sham point group passed about 97.6%. Conclusions : These results postulate that acupuncture at Siguan points have a therapeutic effect by restoring cholinergic activity on pathogenically suppressed intestinal peristalsis, but does not affect the gastrointestinal motility in the normal or accelerated condition.

• 대한간호학회지
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• 제22권3호
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• pp.297-315
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• 1992

Caring has been identified as the essence and unifying domin of nursing(Leininger). Many nurses believe that the art of nursing is comprised of actions that are predominantly caring in nature. Although caring has been the traditional ideology of nurses, it is only now beginning to emerge as the central construct for the development of nut sing research, theory and practice. The problem addressed by this study was to identify how hospitalized children and their nurses express the meaning of caring, how they think nurses should care for children and to describe their experiences of being cared for. The purpose was to provide theoretical understanding of caring as perceived in Korea to contribute to the development of Korean nursing knowledge. The subjects were 76 hospitalized children admitted to pediatric units in five teaching hospitals and 66 nurses who were caring for these children. In this descriptive study, data were collected from Nov 11, 1991 to Jan 30, 1992 by interviews and an open-ended questionnaire and analysed by van Kaam's method. Caring themes perceived by the children and their nurses were classified into eight categories, -helping, comfort, love, warmth(only by children), recovery from illness, health maintenance (only by nurses), presence, nurturance and responsibility. Ideal caring behaviors perceived by the children and their nurses were six categories, -to give help, provide comfort, give love, stay with, treat warmly and aid recovery. Subcategories of giving help were promptness and competence, detailed explanations and support and encouragement. Other subcategories of giving help reported only by nurses were individualizing care, recognizing needs and providing a familiar enviornment. Subcategories of maintaining comfort were making comfortable, alleviating pain ; one subcategory reported only by children was consolating. A subcategory of giving love was concern, two subcategories reported only by nurses were compassion and respect. Subcategories of staying with were playing with and touching : only nurses reported empathy, Subcategories of treating warmly were tenderness and kindness. In the experience of caring, there were 4 categories, -to give help, stay with, show concern and provide comfort. Both the hospitalized children and their nurses had experienced caring primarily from their mothers. Mothers' caring behaviors were direct, personal, basic, supportive nursing acts. On the other hand, nurses caring behaviors were task oriented skilled procedures and medically delegated acts. This study contributes understanding of the complexity of caring, more specifically the meaning and experience of caring and ideal caring behaviors. Research may be able to move into verification when instruments are developed to measure the complexity of caring beliefs, values and behaviors in Korea and other cultural settings.

• 대한간호학회지
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• 제30권3호
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• pp.549-559
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• 2000

The purpose of this study was to investigate the correlation between the knowledge and educational needs related to recurrent in coronary artery bypass graft patients as a basis to provide an individual nursing education for the population. The subjects consisted of 110 patients who had coronary artery bypass graft(CABG) at Asan Medical Center in Seoul and Sechong hospital in Buchon. Data was obtained from a knowledge questionnaire and a learning needs questionnaire between November 1998 and February 1999. Data were analyzed using SAS program for Wilcoxon rank sum test and Spearman correlation coefficient. The results were as follows : 1. With regard to the 18 items to measure knowledge, the mean (median) of items 'don't know' was 4.9(4) items. The mean (median) of items answered wrong was 3.2(3) items. The number of items answered 'don't know' tend to show higher in those who had less education, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension 2. With regard to the level of knowledge by questionnaire about CABG, The most "I dont know" (59.1%) highly response was 'He has to be treated with anticoagulant drug to prevent revasculized vessel from obstructing.' The seond highest response (56.4%) was 'If you were hypotensive, the coronary attack would collapse. 'During the hospitalized day, the patient has complete bedrest.' The highest error probability was cholesterol has not to intake.', 'After surgery, the sexual life is need controlled for 1 year. 3. The mean of educational needs was 3.38. With regard to the level of learning needs by sentence about CABG, 'Food that benefit heart disease', 'Recurrence possibility of heart disease', 'Management method of operation site', 'Risk symptom that visit hospital or report immediately' were higher than other sentenses. With regard to the level of learning needs by factor 'food(5 items)', 'disease(9 items)' and 'exercise(3 items)' showed the highest than other factors. The educational needs by patients characteristics tend to show higher in males, under the age of 49, middle or high school degree, previous experience of admission with coronary artery disease, history of myocardial infarction, expierience of PTCA, history of cerebro-vascular accident, previous expierience of smoking than in their counter parts. 4. The number of items answered 'don't know', wrong and correct weren't correlated with the level educational needs. As the results, the number of items answered 'don't know' tend to show higher in those who had less educated, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension .There were higher frequency of items answered 'don't know' on anti-thrombolitic theraphy, hypotension and pain relief. Also there were higher frequency of items answered wrong on bed rest period, cholesterol intake, and sexual life. Educational needs were higher in young age group, had previous experience of procesure and history of other disease. And when we educate CABG patients, education for diet, recurrence possibility of disease, management methods of operation site and risk symptom should be emphasized.

• 한국운동역학회지
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• 제19권4호
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• pp.771-778
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• 2009

본 연구는 구두 굽 높이 변화에 따른 보행 시 족저압력을 비교, 분석함으로써 구체적인 데이터를 정량화하여 높은 굽을 착용함으로 인한 전족부의 압력 증가가 발에 미치는 영향을 알아보고자 한다. 본 연구에 사용된 구두는 선행연구를 바탕으로 여대생이 선호하는 구두 굽 높이 3cm, 7cm를 선택하였으며 여대생 10명을 대상으로 발을 전족부와 후족부로 나누어 수직힘, 최대압력, 평균압력을 측정하였다. 그 결과 전족부에서의 평균압력은 7cm 높이 구두가 높게 나타났으며, 후족부에서는 7cm 높이 구두가 낮게 나타났다. 통계처리 결과 전족부위에서는 3cm 굽 높이와 7cm 굽 높이의 최대압력 비교에서 유의한 차이가 나타났으며(p<.05), 후족부위에서는 수직힘, 최대압력, 평균압력 모두 유의한 차이가 나타났다(p<.05). 이상과 같이 구두를 착용함으로서 전족부의 최대압력이 높아지는 것은 물론이고 후족부위의 수직힘, 최대압력, 평균압력도 높아지는 것을 알 수 있었다. 이러한 현상은 전족부위에 높은 압력분포로 구속압이 증가하여 발가락의 변형을 유발할 수 있으며 후족부위에 압력증가는 장시간 착용 시 뒤꿈치의 통증을 유발할 수 있다. 따라서 굽이 있는 구두를 착용할 때 굽 높이가 7cm일 때 보다는 3cm일 때, 굽 높이가 낮을수록 전족부의 변형 예방과 후족부의 통증을 줄일 수 있을 것으로 기대된다.

• 대한소아치과학회지
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• 제42권3호
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• pp.242-248
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• 2015

최대개구량은 측두하악관절과 저작계의 임상 기능 평가에 유용한 진단 도구이다. 이 연구는 한국 유치열기 어린이의 정상 최대개구량을 측정하고 관련 인자들 간의 상관관계를 조사함으로써, 소아 악관절 장애의 진단 및 치과치료시 안전한 개구 범위 정립에 기여할 수 있는 기초 자료를 마련하고자 하였다. 악관절장애가 없는 건강한 어린이(만2-6세) 151명을 대상으로 최대개구량을 측정하고, 성별, 연령, 신장, 체중과 입의 너비를 기록하였다. 평균 최대개구량은 $37.72{\pm}5.10mm$였고 성별에 따른 유의한 차이는 없었으나, 연령, 신장, 체중, 입의 너비 증가에 따라서는 유의하게 증가하였다(p < 0.05). 최대개구량과 관련 요인들 간의 상관관계 분석 결과, 신장에서 가장 높은 상관관계가 관찰되었다. 결론적으로 한국 유치열기 어린이의 정상 최대개구량에 관한 자료를 얻을 수 있었고, 이 연구는 소아 악관절장애의 진단 및 안전 개구 범위에 관한 기초 지식을 제공할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제20권3호
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• pp.678-686
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• 2020

본 연구는 유도선수의 성별, 체급 및 연령에 따른 신체적 기능과 심리적 기능을 비교하기 위해 시행되었다. 연구의 대상자는 고등학생, 대학생, 실업팀 선수 124명이 참가하였으며, 신체적 검사로 무릎기능 검사지, 발목기능 검사지, 허리 검사지를 자기 기술하여 신체적 검사를 측정하고, 심리적 검사로 기분상태 질문지, 운동선수 자기관리행동 질문지, 운동 대처기술 검사지를 측정하였다. 신체적, 심리적 기능의 성별, 체급별, 연령별 기능을 비교한 결과, 성별에 따른 신체적 검사의 결과에서는 무릎과 허리에서 남녀의 차이가 있었고, 심리적 검사에서는 기분 상태 중 활력과 자기관리행동, 스포츠 대처기술에는 차이가 있었다. 체급별 신체적 검사의 결과, 무릎의 통증과 스포츠 항목에서 체급별 차이가 있었고, 심리적 검사의 결과 기분상태는 활력을 제외한 모든 항목에서 체급별 차이가 있었다. 연령별 신체적 검사는 무릎, 발목, 허리에서 연령별 차이가 있었고, 심리적 검사의 결과, 기분상태검사 중 긴장과 활력을 제외한 모든 항목에서 차이가 있었으며, 자기관리행동 중 몸관리 문항에서만 연령별 유의한 차이가 있었다. 본 연구 결과는 향후 유도선수의 성별, 체급 및 연령에 따른 스포츠 상해 관련 훈련 프로그램 및 의학 기술 개발 관련 기초자료로 활용될 수 있을 것으로 예상한다.