• 제목/요약/키워드: Practical Intervention

검색결과 351건 처리시간 0.026초

이혼 전 의사결정단계 부부를 위한 치료 사례 연구 (A Case Study for a Couple in Pre-Divorce Decision-Making Stage)

  • 김정옥
    • 대한가정학회지
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    • 제49권10호
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    • pp.91-101
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    • 2011
  • The purpose of this study was to find a therapeutic intervention for a couple in the pre-divorce stage. We used data from the case study to examine the factors related to marital conflict and enhancements related to the family of origin. Our sample was the couple in pre-divorce stage who has been married for 3 years. The therapeutic intervention methods used were taken from Positive Psychology, Family Systems Theory, Communication Theory, and Solution-Focused Therapy. We counseled the couple once a week for 10 sessions from $5^{th}$ October to $7^{th}$ December in 2010. Our objective was to give a positive perspective on the couple who was in the pre-divorce stage. We also provided clear-cut, practical techniques for responding productively to inappropriate expressions of anger. The couple acquired strategies to make their relationship work more effectively. Finally, the couple set their family goals for adjustment instead of divorce.

동영상 교육 프로그램이 자궁적출술 환자의 잔뇨량, 가스배출 및 상태불안에 미치는 효과 (The Effects of the Video Education Program on the Residual urine, Gas Passing and State Anxiety of Hysterectomy Patients)

  • 강경숙;전은미
    • 여성건강간호학회지
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    • 제16권4호
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    • pp.409-418
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of a pre-operation video assisted education program on residual urine, gas passing and state anxiety in women undergoing hysterectomy. Methods: Nonequivalent control group non-synchronized design was used for the study. In the research, video assisted education program was applied to the experimental group while a similar conventional education was done to the control group. The pre-operation state anxiety and post-operation residual urine and gas discharge of both the groups were measured. The data were analyzed using SPSS. Results: The experimental group was significantly higher than control group on gas passing (t=3.04, p=.00). However the residual urine (t=0.34, p=.73) and state anxiety (t=0.81, p=.82) did not make significant differences. Conclusion: This study is very meaningful in that it developed and provided a nursing intervention can positively affect hysterectomy patients. The pre-operation video assisted education program may be an effective nursing intervention that is clinically practical and useful to reduce time of the gas passing of hysterectomy patients after the operation.

아디포넥틴(adiponectin) 관련 연구논문 분석 (The analysis of Research about Adiponectin)

  • 변영순
    • Journal of Korean Biological Nursing Science
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    • 제12권3호
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    • pp.175-185
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    • 2010
  • Purpose: The purpose of this study is to analyze the trend of research on intervention using adiponectin and to find the utilization in nursing. Methods: A systematic literature review was conducted. From 2005 to 2009, the articles were searched electronically using the data base with the key words of adiponectin. The criteria for inclusion in review were 1) an randomized clinical trial (RCT), 2) human, 3) English or Korean language. Finally, 89 articles (41 domestic studies, 48 foreign studies) were included in the review. Results: The major findings of this study were as follows: 1) In domestic studies, subjects of obesity were 80.5%, and the most frequently used intervention were exercise (95.1%). 2) In foreign studies, there were interventions for subjects of obesity (55.1%), and diabetes (25.0%). 66.7% of studies were in medicine including 56.3% on medicine/hormone therapy. 3) Adiponectin was significantly increased in 31 domestic studies and 33 foreign studies. Conclusion: It needs to understand the influence of Adiponectin in nursing research and practice. The practical use of Adiponectin has to be considered in a sense that it may help determining the direction of the nursing research to provide more objective evidence for nursing practice.

이압요법이 시설거주노인의 근골격계 통증, 우울 및 수면에 미치는 효과 (Effects of Auricular Acupressure Therapy on Musculoskeletal Pain, Depression and Sleep of the Elderly in Long-term Care Facilities)

  • 장은경;박희옥
    • 지역사회간호학회지
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    • 제29권2호
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    • pp.133-142
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    • 2018
  • Purpose: The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities. Methods: The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects). Results: After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time ($x^2=23.89$, p<.001) and degree of depression on time and group ($x^2=37.42$, p<.001, U=122.0, p<001) and degree of sleep on time ($x^2=33.62$, p<.001). Thus, the suggested hypothesis is partially supported. Conclusion: Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.

자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재 (Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea)

  • 권신영;조성진
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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자아존중감이 노인 우울에 미치는 영향 : 가족관계만족도와 근로유형의 조절된 매개효과를 중심으로 (The Effect of Self-esteem on Elderly Depression : Moderated Mediation Effects of Family Relations Satisfaction and Working Types)

  • 양지훈;김민아
    • 한국가족관계학회지
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    • 제20권4호
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    • pp.157-172
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    • 2016
  • Object: This study investigated the effect of self-esteem on depression through family relations satisfaction and tested whether working types would moderate such associations. Method: The subjects were 2,145 elderly who are healthy enough to work and were selected for the ninth Korean Welfare Panel Study. The resulting data were analysed by using the statistical program SPSS 2.1 with reference to steps for testing mediation by Baron and Kenny, moderated mediation by Heyes. Results: Self-esteem has both direct and indirect significant effects, revealing that family relations satisfaction fully mediates the effects of coping strategies of family conflict on depression. From the working types, self-employed/employer and unpaid family worker, moderate the indirect effect of self-esteem on depression through family relations satisfaction. Conclusions: In practical intervention of elderly depression reduction, efforts to increase family relations satisfaction is effective when it is difficult to us address satisfaction. Moreover, we have to provide intervention for elderly with work in context of relationship of individual and familial factor.

Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea

  • Jang, Gun Ja;Ko, Sangjin
    • Child Health Nursing Research
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    • 제27권4호
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    • pp.377-384
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    • 2021
  • Purpose: This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs). Methods: This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels. Results: The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction. Conclusion: A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

Effects of Nursing Skills Educational Programs Using Multimedia

  • Choi, Keum-Bong
    • International journal of advanced smart convergence
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    • 제11권2호
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    • pp.163-170
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    • 2022
  • Nursing students who play a role as future nursing professions are provided with education through various teaching and learning methods in order to develop necessary competencies. The purpose of this study is to confirm the effect of nursing practice education using multimedia. A quasi experimental study with a nonequivalent control group pretest-posttest design was used, and the participants of the study were students from two nursing colleges, who received an educational intervention using multimedia as the experimental group and those without education were selected as the control group. Data collection was conducted immediately before and after educational intervention, and data analysis was performed using the SPSS 21.0 program by x2-test, Fisher's exact probability, and t-test. As a result of the study, the experimental group was statistically significant in self-efficacy (t=3.402, p=0.015), resilience (t=2.047, p=0.045) and performance confidence (t=2.128, p=0.018) compared to the control group. Through these results, we could confirm that multi-media practical education is effective educational method for enhancing nursing students' self-efficacy, resilience, and performance confidence. Therefore, in order to establish a systematization of the nursing profession, it is essential and should be continued for nursing students to use structured multimedia and core fundamental nursing skills.

Physical interpretation of concrete crack images from feature estimation and classification

  • Koh, Eunbyul;Jin, Seung-Seop;Kim, Robin Eunju
    • Smart Structures and Systems
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    • 제30권4호
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    • pp.385-395
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    • 2022
  • Detecting cracks on a concrete structure is crucial for structural maintenance, a crack being an indicator of possible damage. Conventional crack detection methods which include visual inspection and non-destructive equipment, are typically limited to a small region and require time-consuming processes. Recently, to reduce the human intervention in the inspections, various researchers have sought computer vision-based crack analyses: One class is filter-based methods, which effectively transforms the image to detect crack edges. The other class is using deep-learning algorithms. For example, convolutional neural networks have shown high precision in identifying cracks in an image. However, when the objective is to classify not only the existence of crack but also the types of cracks, only a few studies have been reported, limiting their practical use. Thus, the presented study develops an image processing procedure that detects cracks and classifies crack types; whether the image contains a crazing-type, single crack, or multiple cracks. The properties and steps in the algorithm have been developed using field-obtained images. Subsequently, the algorithm is validated from additional 227 images obtained from an open database. For test datasets, the proposed algorithm showed accuracy of 92.8% in average. In summary, the developed algorithm can precisely classify crazing-type images, while some single crack images may misclassify into multiple cracks, yielding conservative results. As a result, the successful results of the presented study show potentials of using vision-based technologies for providing crack information with reduced human intervention.

부부폭력 가해자프로그램의 효과에 대한 메타분석 (A Meta-Analysis on the Effect of Batterer Intervention Programs)

  • 장희숙;허인영
    • 사회복지연구
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    • 제49권4호
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    • pp.101-129
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    • 2018
  • 본 연구는 폭력감소에 대한 부부폭력 가해자프로그램의 전체효과를 확인하였다. 국내에서 2000년부터 2017년까지 발표된 11편 논문을 대상으로 18개 연구결과와 115개의 효과크기를 산출하였다. 가해자프로그램은 폭력행동 변화에 실질적이고 치료적인 차원에서 유의미하게 효과적인 것으로 나타났다. 효과크기는 통제행동, 정서적 폭력, 신체적 폭력 순으로 높았다. 폭력성 이외의 다른 종속변인들의 효과를 조사해 보았다. 가해자프로그램은 내담자들의 성역할과 폭력에 대한 태도를 긍정적으로 변화시키고 있었다. 또한 분노와 우울 수준을 낮추고, 자존감과 의사소통기술을 향상시키며 부부관계만족도를 높이는 것으로 확인되었다. 이 가운데 성역할 태도와 자존감이 상대적으로 큰 효과크기를 보였다. 나아가 이 연구는 폭력행동을 감소시키는 가해자프로그램의 효과에 영향을 주는 요인이 있는지 살펴보았다. 분석결과 접근모델과 상담형태의 조절효과가 확인되었다. 구체적으로, 여성주의 인지행동 모델이 절충모델이나 단일모델보다 효과가 더 있는 것으로 밝혀졌다. 상담형태에서는 가해남성으로만 구성된 집단상담이 부부집단상담에 비해 효과크기가 더 크게 나타났다. 이러한 결과를 바탕으로 부부폭력 가해자프로그램의 효과를 높이기 위한 정책적, 실천적 방안을 논의하였다.