• Title/Summary/Keyword: Quality control program

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The Effect of the Self Efficacy Promotion and Exercise Training Program of Kidney Transplant Recipients (신장이식 환자의 수술 후 자기효능증진과 운동훈련 프로그램 효과)

  • An, Jae-Hyeon
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1181-1194
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    • 2000
  • This study was attempted to evaluate how the self efficacy promotion and exercise training program effect on the postoperative general conditions of transplant recipients after kidney transplantations. The subjects were selected randomly among the patients who underwent renal trans- plantations at three major transplantation hospitals in Seoul, Korea. This study was carried out between November 1999 and March 2000. The observed subjects in this study consisted of 56 patients. The exercise training group(n=16) received the self efficacy promotion and exercise training program for 12 weeks which contained general knowledge for compliance instruction, exercise training and self efficacy promotion education. The self efficacy group(n=18) received general knowledge for compliance instruction and self efficacy promotion education but no exercise training was given. The control group(n=22) were not offered any education. The knowledge for compliance, self efficacy, physical conditions(weight, muscle strength, muscle endurance, flexibility), lab studies (hemoglobin, creatinine, cholesterol), activities of daily living and quality of life were evaluated 3 times, before the experiment, at 8 weeks and at 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and Scheff test. The results were as follows: 1. The knowledge and self efficacy score of the exercise training group and self efficacy group were significantly increased than those of the control group(p=.0001). 2. The weight of the exercise training group was significantly decreased compared to those of the self efficacy group and the control group(p=.0001). Muscle strength (grip strength, back lift strength), and flexibility of all 3 groups were significantly changed(p=.0001). However, muscle endurance in all 3 groups showed no significant differences. 3. The hemoglobin level of the exercise training group and the self efficacy group were significantly increased compared to that of the control group(p=.0001) and the cholesterol levels of the exercise training group and the self efficacy group were significantly decreased compared to that of the control group(p=,0001). However, the creatinine levels in all 3 groups showed no significant differences. 4. The activities of daily living scores of the exercise training group was significantly increased than that of the control group (p=.0003), and the quality of life scores of the exercise training group and the self efficacy group were significantly better than that of the control group(p=.0001). It would be expected that this self efficacy promotion and exercise training program could be applied widely as an effective nursing intervention for kidney transplant recipients.

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Effects of a Rehabilitation Nursing Program on Muscle Strength, Flexibility, Self efficacy and Health Related Quality of Life in Disabilities (장애인을 위한 재활간호프로그램이 근력, 유연성, 자기 효능감과 건강관련 삶의 질에 미치는 효과)

  • Lee Hea-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.484-492
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities. Method: a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0 Result: Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor. Conclusion: RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.

Application of a newly developed software program for image quality assessment in cone-beam computed tomography

  • de Oliveira, Marcus Vinicius Linhares;Santos, Antonio Carvalho;Paulo, Graciano;Campos, Paulo Sergio Flores;Santos, Joana
    • Imaging Science in Dentistry
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    • v.47 no.2
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    • pp.75-86
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    • 2017
  • Purpose: The purpose of this study was to apply a newly developed free software program, at low cost and with minimal time, to evaluate the quality of dental and maxillofacial cone-beam computed tomography (CBCT) images. Materials and Methods: A polymethyl methacrylate (PMMA) phantom, CQP-IFBA, was scanned in 3 CBCT units with 7 protocols. A macro program was developed, using the free software ImageJ, to automatically evaluate the image quality parameters. The image quality evaluation was based on 8 parameters: uniformity, the signal-to-noise ratio (SNR), noise, the contrast-to-noise ratio (CNR), spatial resolution, the artifact index, geometric accuracy, and low-contrast resolution. Results: The image uniformity and noise depended on the protocol that was applied. Regarding the CNR, high-density structures were more sensitive to the effect of scanning parameters. There were no significant differences between SNR and CNR in centered and peripheral objects. The geometric accuracy assessment showed that all the distance measurements were lower than the real values. Low-contrast resolution was influenced by the scanning parameters, and the 1-mm rod present in the phantom was not depicted in any of the 3 CBCT units. Smaller voxel sizes presented higher spatial resolution. There were no significant differences among the protocols regarding artifact presence. Conclusion: This software package provided a fast, low-cost, and feasible method for the evaluation of image quality parameters in CBCT.

A Systemic Review of Community-Based Programs for the Quality of Life of the Elderly (노인의 삶의 질을 위한 지역사회 프로그램에 관한 체계적 고찰)

  • Ju, Eun-Sol;Bang, Yo-Soon
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.173-181
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    • 2021
  • Purpose : The purpose of this study was to identify the clinical effect, assessment, method, and recent trend of the programs by systematically reviewed community-based programs for the elderly's quality of life conducted in the last ten years, and to present comprehensive basic data for occupational therapists who want to apply community-based programs improving quality of life. Methods : This study identified 811 studies from among those registered in the RISS, KISS, DBpia, NDSL, and KCI databases from January to September 2020, using "elderly," "community elderly," "65 aged," "quality of life," "occupational therapy," "occupational therapy program," "intervention," and "intervention program" as keywords. From these results, 11 documents were selected. Results : It was found that studies of occupational therapy programs for the quality of life of the elderly have been continuously conducted since 2010, and most of them were non-random control studies. The quality of life evaluation tool used most frequently was SF-36, and WHOQOL-BREF and SF-8 were also used. The selected programs were classified as were exercise programs and complex programs. For most of the exercise programs, interventions were carried out for 12 weeks, three times a week for 30~60 minutes. In the case of the complex programs, the duration of interventions was nine weeks, and the frequency and time per session varied. All of the exercise programs showed significant effects. Among the complex programs, two studies showed significant effects, but the remaining one study did not. Conclusion : Through this study, the types and effects of occupational therapy programs for the quality of life of the elderly were examined. Hereafter, studies of the development and to verify the effects of these programs should be actively carried out.

Effects of the ADL Activity Group Exercise Program on Independent Life of CNS Patients (일상생활 동작 집단학습 운동프로그램이 편마비 환자의 독립적 생활에 미치는 영향)

  • Park, Hyun-Sik;Kim, Taek-Yean;Park, Jong-Hang
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.66-76
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of the ADL Group Study Program Training on Functional Independence and Quality of Life for the CNS Patients. Methods : Thirty patients with stroke were assigned to experimental and control group. During eight weeks, both group participated in the conventional physical therapy and only the experimental group added in the ADL Group Study program. Experimental group performed two a week for 8 weeks and both group were scored Mini-Mental State Examination-Korean version before the training. The data were analyzed with frequency, independent t-test, paired t-test using SPSS PC(ver.12.0). Results : The result of this study is as fallows : First, after eight weeks, the experimental group the significant improvement in Korean Activity Daily Living scale, washing(p<0.01), bathing, ambulation, toilet using(p<0.05) and decorating, the short distance transfer(p<0.05) in Korean Independent Daily Living scale, vitality(p<0.05) in Quality of Life score. Conclusion : These finding suggest that the ADL Group Study Program Training can be used to improve functional independent and quality of life for the CNS patients. Also, the result of this study can provide a reference for the successful therapeutic program in CNS patients.

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The Effects of Urban Forest-walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life: A Randomized Controlled Trial of Office-workers (직장인의 도심 숲길 걷기 프로그램이 건강증진행위, 신체적 건강, 우울과 삶의 질에 미치는 효과)

  • Bang, Kyung-Sook;Lee, In-sook;Kim, Sung-Jae;Song, Min Kyung;Park, Se-Eun
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.140-148
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    • 2016
  • Purpose: This study was performed to determine the physical and psychological effects of an urban forest-walking program for office workers. For many workers, sedentary lifestyles can lead to low levels of physical activity causing various health problems despite an increased interest in health promotion. Methods: Fifty four office workers participated in this study. They were assigned to two groups (experimental group and control group) in random order and the experimental group performed 5 weeks of walking exercise based on Information-Motivation-Behavioral skills Model. The data were collected from October to November 2014. SPSS 21.0 was used for the statistical analysis. Results: The results showed that the urban forest walking program had positive effects on the physical activity level (U=65.00, p <.001), health promotion behavior (t= - 2.20, p =.033), and quality of life (t= - 2.42, p =.020). However, there were no statistical differences in depression, waist size, body mass index, blood pressure, or bone density between the groups. Conclusion: The current findings of the study suggest the forest-walking program may have positive effects on improving physical activity, health promotion behavior, and quality of life. The program can be used as an effective and efficient strategy for physical and psychological health promotion for office workers.

The Effect of Logotherapy on the Suffering, Finding Meaning, and Suffering, Well-being of Adolescents with Terminal Cancer

  • Kang, Kyung-Ah;Im, Jae-Im;Kim, Hee-Su;Kim, Shin-Jeong;Song, Mi-Kyung;Sim, Song-Yong
    • Child Health Nursing Research
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    • v.15 no.2
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    • pp.136-144
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    • 2009
  • Purpose: To evaluate the effects of a logotherapy education program. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 29 children with cancer. The experimental group (n=17) participated in the logotherapy education program which consisted of 5 daily sessions for one week. The control group (n=12) received the usual nursing care. The effects were measured using suffering, adolescent meaning in life (AMIL), and spiritual well-being (SWBS) scales. Results: There were significant differences in suffering (W=153.00, p<.05) and meaning in life (W=78.00, p<.05) between the experimental and control groups. However, there was no significant difference in spiritual well-being (W=136.50, p>.05). Conclusions: Logotherapy was effective in reducing suffering and improving the meaning in life. Logotherapy can be utilized for adolescents with terminal cancer to prevent existential distress and improve their quality of life.

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Quality Inspection for Cast-In-Place Concrete with the Device to Record Curing Temperature (양생온도 이력 기록장치를 이용한 현장타설 콘크리트의 품질검사)

  • Cho, Yeong-Kweon;Kim, Kwan-Ho;Kim, Meyong-Won;Lee, Jun-Gu;Yoo, Jung-Hoon
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.11a
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    • pp.351-354
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    • 2005
  • Quality of concrete required to achieve the desired levels of strength and durability depend on the effectiveness of the curing method. During cold weather, the concrete at the time of placement should be taken to prevent damage to concrete due to freezing. Since the cement-water reaction is exothermic by nature, the temperature within mass concrete can be quite high. The temperature control for massive sections should be taken more careful than for shallow sections. However, in the constructing hydraulic structures, the curing temperature control for concrete had been very difficult to be taken in a proper way because the conditions constructing them are poor and contractors are small enterprises. For several. reasons including above, Rural Research Institute has developed a device and program for recording curing temperature history in cold weather concrete and mass. As there are two major advantages of the device, namely cheapness and availability, this program and device has been recommended to the use of curing temperature control in cold weather concrete and mass.

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Effects of Home Exercise Program on the Improvement of Muscle Strength in the Elderly (가정운동 훈련프로그램이 노인의 근력증진에 미치는 영향)

  • Park, Rae-Jun;Kim, Han-Soo;Lee, Dong-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.1-13
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    • 2002
  • The purpose of this study was to investigate the effect of home exercise program on the improvement of muscle strength in the elderly. Subjects were forty members living in Daegu (20 males, 20 females), between 65 and 81 years of age. The subjects were divided into two groups; an experimental group and a control group, and each group included 10 males and 10 females. The subjects for the experimental group were participated in the home exercise program for 8 weeks, between April 2001 and June 2001. The results of this study follow: 1.General characteristics statistically significantly affecting for knee extensor strength were weight, height, right sight vision, diastolic blood pressure, pulse rate, obesity and thigh BMD; vision and thigh BMD were for knee flexor strength 2. After the exercise program, knee extensor strength in the experimental group improved 30.8% (p<0.001), and knee flexor strength improved 23.9% (p<0.001). 3. After the exercise program, there was significant difference in knee extensor strength (p<0.05) and knee flexor strength (p<0.05) between the experimental group and the control group. As a continuous health care for the elderly using this home exercise program could be helpful to enhance health of the elderly and promote their quality of life.

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Development and Effectiveness of Expressive Writing Program for Women with Breast Cancer in Korea (유방암 환자를 위한 표현적 글쓰기 프로그램의 개발 및 효과)

  • Park, Eun-Young;Yi, Mung-Sun
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.269-279
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    • 2012
  • Purpose: To develop a expressive writing program for women with breast cancer and to identify its effects on stress physical symptom, cancer symptom, anxiety, depression, and QOL. Methods: A non-equivalent control pre-post design was used. Participants were recruited from self-help groups in six hospitals and were assigned to the experimental group (29) or control group (29). Data were collected before, after, and at four weeks after the intervention program. Changes in the variables were evaluated to test effects of the developed program, using $X^2$-test, Fisher's exact test, repeated measures ANOVA, and paired t-test. Results: The expressive writing program was developed for women with breast cancer based on Pennebaker's expressive writing. Significant differences were found between the two groups for stress related to physical symptoms ($p$<.00) and quality of life ($p$=.024). No significant differences were found in cancer symptoms, anxiety, or depression between the two groups. Conclusion: The results indicate that the expressive writing program designed to express cancer-related deep thoughts and emotions helps in decreasing physical symptoms and improving QOL. Further studies are needed to identify the effect on emotions such as anxiety and depression for women with breast cancer with above average levels of anxiety and depression.