• 디지털융복합연구
• /
• 제18권8호
• /
• pp.301-310
• /
• 2020

본 연구는 대상포진 환자의 건강과 관련 삶의 질에 영향을 미치는 요인을 확인하여 건강한 삶의 증진을 돕기 위한 간호중재 프로그램을 개발하는 기초자료를 제공하고자 수행되었다. 대상포진 환자 141명을 대상으로 2016년 9월 1일부터 12월 31일까지 수집하였고 SPSS/WIN 23.0을 이용하여 수집된 자료를 다중회귀분석으로 분석하였다. 그 결과 대상포진 환자의 현재 통증정도는 5.23±2.11점, 지각된 건강상태는 3.35±1.04점, 자기효능감은 66.36±10.79점, 가족지지는 42.093±8.68점, 사회적 지지는 59.80±20.42점, 그리고 건강관련 삶의 질은 74.12±5.73점이었다. 연구 대상자의 건강 관련 삶의 질 영향요인은 지각된 건강상태, 동거가족여부로 확인되었으며 이들 변수의 설명력은 39.0%로 나타났다. 따라서 지각된 건강상태가 긍정적일수록, 동거가족이 있을 때 대상포진 환자의 건강 관련 삶의 질이 높은 것으로 나타났다. 이러한 연구를 토대로 대상포진 환자의 건강 관련 삶의 질을 향상시키기 위해서는 간호사가 대상자에 맞는 긍정적인 건강상태 지각 형성을 도울 수 있는 중재방안 마련과 본 연구에서 확인된 영향요인들을 고려하여 효율적인 간호중재 프로그램 개발이 되어야 한다고 사료된다.

• Journal of Ginseng Research
• /
• 제48권5호
• /
• pp.504-510
• /
• 2024

Background: As a physiological function of body, immunity can maintain health by identifying itself and excluding others. With economic development and increasingly fierce social competition, the number of sub-healthy population is gradually increasing, and the most basic problem exposed is human hypoimmunity. Hypoimmunity can be manifested as often feeling tired, catching colds, mental depression, etc. In order to enhance immunity, eating healthy foods with the effect of enhancing immunity may become an effective choice. KRG has pharmacological effects of enhancing immunity. Because the screening and evaluation method of immune population are not unified, there are relatively few KRG immunity tests for sub-health population. It is of great significance to study the effect of KRG on people with hypoimmunity to improve sub-health status. Methods: This was a 180-day, randomized, double-blind, placebo-controlled clinical trial. According to the trial scheme design, 119 qualified subjects were included and randomly divided into the test group taking KRG and the placebo control group. Subjects need to check safety indicators (blood pressure and heart rate, blood routine, liver and kidney function, urine routine and stool routine) and efficacy indicators (main and secondary) inspection at baseline, efficacy indicators inspection during the mid-term of the test (90th days of administration), safety and efficacy indicators inspection after the test (180th days of administration). Results: After the test, the safety indicators of placebo control group and KRG test group were basically within the normal range, and there is no significant difference in fireness score between the two groups. Through follow-up interviews, it was found that the subjects in the test group and the control group had no adverse reactions and allergic reactions such as nausea, flatulence, diarrhea, and abdominal pain during the test period. Self-comparison of the test group, the results of the main efficacy indicators: (1) immune related health scores were significantly improved in the mid-term and after the test (P < 0.01), (2) CD3 and CD4/CD8 increased significantly after the test (P < 0.05), (3) IgG, IgA, IgM and WBC increased significantly in the mid-term and after the test (P < 0.01); the results of the secondary efficacy indicators: (1) TNF-α decreased significantly in the midterm (P < 0.05), IFN-γ decreased significantly in the mid-term (P < 0.01), (2) NK increased significantly in the mid-term and after the test (P < 0.05), (3) monocyte increased significantly in the mid-term and after the test (P < 0.01). Inter-group comparison of the test group and the control group, the results of the main efficacy indicators: (1) immune related health scores were higher than that of the control group in the mid-term and after the test (P < 0.01), (2) IgA of the test group was higher than that of the control group in the mid-term and after the test (P < 0.05); the results of the secondary efficacy indicators: (1) WBC of the test group was higher than that of the control group in the mid-term (P < 0.05); (2) monocytes of the test group were higher than that of the control group in the mid-term and after the test (P < 0.05), neutrophils of the test group were higher than that of the control group in the mid-term (P < 0.05). Conclusion: Taking KRG has no adverse effects on the health of the subjects. According to the standard of clinical trial scheme, the immune related health scores and IgA in the main efficacy indicators were positive, which shows that KRG is helpful in enhancing human immunity.

• 대한간호학회지
• /
• 제29권2호
• /
• pp.314-327
• /
• 1999

In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

• 재활치료과학
• /
• 제7권4호
• /
• pp.19-30
• /
• 2018

목적 : 본 연구의 목적은 지역사회 거주 척수장애인의 참여 제약과 관련이 있는 요인간의 상관관계 및 그 영향을 종합적으로 분석하는 것이다. 연구방법 : 연구 대상은 지역사회에 거주하는 미국 척수 손상 협회(American Spinal Injury Assocation; ASIA) 분류법 상 손상정도(Frankel type)가 A,B,C에 해당하는 만 18세 이상 성인 척수장애인 82명이었다. 대상자들을 통하여 참여, 환경적 요인, 기능적 요인, 손상관련 요인, 심리사회적 요인, 인구사회학적 요인을 조사하였다. 참여 수준은 한국형 단축형 크레이그 핸디캡 평가(CHART-K-SF)로, 환경적 요인은 CHIEF-25 한국형으로, 기능적 요인은 척수손상환자 독립성 지수SCIM-III을 사용하였다. 손상관련 요인의 통증 및 통증관련 심리적 고통은 Pain and Distress Scale (PAD)로, 심리사회적 요인 중 자존감은 로젠버그 자아존중감 척도(RSES), 자기효능감은 일반적 자기효능감 척도(GSS)로 평가하였다. 수집된 정보는 SPSS Version 21.0을 통하여 상관관계분석, 로지스틱 회귀분석, 다중회귀분석에 사용되었다. 결과 : 참여 제약의 위험요인은 환경적 요인과 기능적 요인이었으며, 본 회귀모형의 설명력은 약 73.7%였다(R2N=.737). 환경적 장벽이 있는 것이 없는 것에 비해 약 40배 정도 참여 제약을 겪을 위험도가 높았으며, 기능적 수준이 4사분위수(상위 25%)인 것에 비해, 2사분위수일 경우 약 21배, 1사분위수(하위25%)일 경우 약 236배 정도 참여 제약을 겪을 위험도가 높아졌다. 결론 : 본 연구는 지역사회 거주 척수장애인의 참여 제약의 예측요인을 다각적인 측면으로 확인한 것에 의의가 있으며, 이를 통하여 지역사회에서 척수장애인에 대한 작업치료사의 역할을 규명한 것에 중요한 의미를 갖는다.

• 동의생리병리학회지
• /
• 제32권4호
• /
• pp.291-297
• /
• 2018

The purpose of pilot clinical trial is to evaluate the efiicacy and safety of Needle-Embedding acupuncture therapy on TEWL(Transepidermal Water Loss) and Skin hydration. A total of 24 human who visited Dongshin Oriental Medical Center from December 1st, 2016 to July 31st, 2017 were included in the pilot clinical trial. Needle-Embedding acupuncture therapy performed at Gokji(LI11). We observed change of TEWL(Transepidermal Water Loss), Skin hydration before and after Needle-Embedding acupuncture therapy. In the primary endpoint, index of TEWL showed a statistically insignificant decline ($8.5{\pm}2.12{\rightarrow}7.8{\pm}1.53g/h/m^2$). Index of skin hydration showed a statistically significant result ($38.2{\pm}6.77{\rightarrow}36.8{\pm}6.64$). To evaluate the safety, Adverse events and Vital sign check were conducted and there were no problem. And when the physical response, self-awareness, skin system, musculoskeletal pain, and other abnormal responses were assessed 60 minutes and 24 hours and 7 days after Needle-Embedding acupuncture therapy at Gokji(LI11) for stability assessment, Adverse events disappeared during a pilot clinical trial. According to the above pilot clinical trial, it is suggested Needle-Embedding acupuncture therapy were effective for Skin moisturizing and safe.

• 한국산학기술학회논문지
• /
• 제14권12호
• /
• pp.6403-6412
• /
• 2013

본 연구는 임상실습을 하는 간호학생들의 간호과정 스마트폰 애플리케이션의 사용의도를 조사하고, 이 프로그램의 적용효과를 평가하기 위해 시도되었다. 연구대상자는 대구 지역 일개의 간호대학 3학년 학생으로, 2012년 9월부터 2013년 9월까지 외과 병동 성인간호학 실습을 나가는 60명이다. 연구결과 간호과정 스마트폰 사용의도는 학습의 용이성, 사회적 영향, 자기효능감과 유의한 관계가 있었다. 그리고 대상자에게 적용된 간호과정 앱 애플리케이션은 급성통증에 대한 진단, 중재, 결과에 대한 목록이 가장 많았고, 프로그램 사용 만족도는 4.35점이었다. 이 연구결과를 통해 간호과정 앱은 임상실습 현장에서 간호과정 앱 사용에 대한 더 많은 기회와 교육을 제공하고, 그것의 활용에 관하여 손쉽게 적용될 수 있는 방안이 마련되어야 할 것이다.

• 대한두개안면성형외과학회지
• /
• 제19권1호
• /
• pp.41-47
• /
• 2018

Background: The number of surgical risks recalled by a patient after surgery can be used as a parameter for assessing how well the patient has understood the informed consent process. No study has investigated the usefulness of a self-developed mobile application in the traditional informed consent process in patients with a nasal bone fracture. This study aimed to investigate whether delivery of information, such as surgical risks, through a mobile application is more effective than delivery of information through only verbal means and a paper. Methods: This prospective, randomized study included 60 patients with a nasal bone fracture. The experimental group (n=30) received preoperative explanation with the traditional informed consent process in addition to a mobile application, while the control group (n=30) received preoperative explanation with only the traditional informed consent process. Four weeks after surgery, the number of recalled surgical risks was compared for analysis. The following six surgical risks were explained: pain, bleeding, nasal deformity, numbness, nasal obstruction, and nasal cartilage necrosis. Results: The mean number of recalled surgical risks among all patients was $1.58{\pm}0.56$. The most frequently recalled surgical risk was nasal deformity in both groups. The mean number of recalled surgical risks was $1.72{\pm}0.52$ in the experimental group and $1.49{\pm}0.57$ in the control group. There was a significant association between mobile application use and the mean number of recalled surgical risks (p=0.047). Age, sex, and the level of education were not significantly associated with the mean number of recalled surgical risks. Conclusion: This study found that a mobile application could contribute to the efficient delivery of information during the informed consent process. With further improvement, it could be used in other plastic surgeries and other surgeries, and such an application can potentially be used for explaining risks as well as delivering other types of information.

• 근관절건강학회지
• /
• 제2권2호
• /
• pp.131-146
• /
• 1995

Many arthritis patients experience weakness of muscles in extremities mainly due to disuse atrophy and weight gain because of the limited activities and exercises. This study examines the effects of the 6-week aquatic-exercise program on the body fat and the muscle of the rheumatoid arthritis patients. Seventeen patients in the experimental group and 18 in the control group were assigned depending on their preference and physical condition. These patients had more than 3 points of pain out of 10, deformities in knee, wrist and ankle joints. The amount of aquatic exercise increases from 35 minutes in the first week to 60 minutes in the 6th week. In the resting period they discussed their own experiences about exercise, personal and family affairs, and performed some recreation programs in order to increase the self-efficacy and promote the relationship with other patients by the group activities. Skinfold thickness and circumferences of both extremities were measured before and after experiment to compare the difference. For testing the body fat Saham Model was used. Prior to the experiment two group's body weight, skinfold thickness and skin circumferences were not significantly different which indicates the homogeneity of two groups. Body weight and most parts of skinfold thickness of the experimental group were significantly lower than the control group after 6-week aquatic exercise program. Circumference was not significantly lower than the control after the program. These findings indicate the in-crease of muscle sizes and the reduction of the body fat. Therefore a more active application of aquatic exercise into a variety of clients is strongly suggested.

• 근관절건강학회지
• /
• 제18권2호
• /
• pp.257-269
• /
• 2011

Purpose: The purpose of this study was to analyze the effect of aquatic exercise and to identify directions for future research. Methods: Twenty one articles from 2 sites of article database (1990-2010) and 6 from Korean nursing journals were reviewed. Results: There were 20 quasi experimental design and 1 randomized controlled design. Major subjects of research were older women with arthritis. The most common type of exercise was Kim (1994)'s form. The most frequent duration of exercise was over 6 weeks. Outcome measurement was classified to physical and psychosocial variables. For physical outcomes, pain release was found in 13 articles among 15 articles, muscle strength improvement in 5 articles among 10 articles, flexibility improvement in 5 articles among 9 articles, and balance improvement in 3 articles among 6 articles. For psychosocial outcomes, improvement of quality of life was found in 3 articles among 7 articles and self-efficacy improvement in 5 articles among 7 articles. Conclusion : The effect of aquatic exercise over 6 weeks improves the physical and psychosocial functions. It is suggested that meta analysis needs to be done to integrate the various results.

• 동서간호학연구지
• /
• 제8권1호
• /
• pp.89-102
• /
• 2003

This study attempted to analyze the trend of studies related to IHD(Ischemic Heart Disease). This article reviewed 102 researches on IHD conducted from 1980 to 2003, by examining them according to their characteristics, such as sources by publication period, research design, nursing intervention, outcome of experimental research, and theme of qualitative research. The results were as follows : 1. The number of studies related to IHD has steadily increased year by year since 1985, and that of the articles was the highest during the post-2000 period. Especially, the majority of researches has published since 1995. 2. The 69 studies were degree of all 102 studies related to IHD, and the majority of articles' authors belonged to graduate school. Thirty three studies were non-degree articles. As for study design, the number of quantitative studies were 99 and that of qualitative studies were 3. Non-experimental research design were largely survey and correlational study. 3. Non-experimental study makes up a high proportion of the quantitative study. The most of experimental studies were accomplished after 2000. The main subjects were patients, chart records and general subjects. The majority number of subjects was like this : while the number of non-experimental study was between 51 and 100, that of experimental study was below 50. The number of subject of qualitative study is like this : the number of phenomenology study was 21 and 11, and that of case study is 14. 4. Nursing interventions used in the experimental study comprised teaching program, cardiac rehabilitation program, massage, relaxation, music therapy and providing of sense information. And the most nursing intervention effects included physiological effect, increased self-efficacy, relieved pain and increased quality of life. Most studies proved to have the affirmative effects. 5. The number of qualitative studies related to IHD is like this : the number of degree articles was 2 and that of non-degree articles was 1. Its themes included resources of hope, the experience of coronary artery angiography and the experience of admission at ICU(Intensive Care Unit).