• 제목/요약/키워드: Quality control program

검색결과 1,094건 처리시간 0.03초

자조집단 프로그램이 유방절제술 환자의 적응과 삶의 질에 미치는 효과 (The Effect of Self-help Group Program on Adaptation and Quality of Life of Mastectomy Patients)

  • 박영신;임난영
    • 재활간호학회지
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    • 제2권1호
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    • pp.61-71
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    • 1999
  • This quasi-experimental study was intended to test the effect of self-help group program, which is one of the way to enhance adaptation and quality of life to mastectomy patients. Data was collected from July 14, 1998 to Oct. 31, 1998 at two Medical Center in Seoul. The subjects for this study were the patients who had undergone mastectomy and were follow-up ; 14 in experimental group and 14 in control group matched with age and treatment. The instruments for this study were adaptation in Lee(1994)'s physical symptom questionnaire, Zung's Self-rating Depression Scale(SDS, 1965), and Self-rating Anxiety Scale(SAS, 1970), quality of life in Spranger(1996)'s and No(1988)'s Quality of Life Questionnaire. The self-help group program for mastectomy patients was developed based on literature review and pilot study by the investigator. The subjects of experimental group were participated in 6 weeks self-help group program and were received arm and shoulder exercise, informational support, and interpersonal support by group members. The control group were received no intervention, Both group answered questionnaires prior to intervention and 6 weeks later. The data analyzed by frequency, $X^2$-test, Mann-Whitney U test. Wilcoxon Signed Rank test, Pearson's Correlation Coefficient and Stepwise Multiple Regression using SPSS WIN. The results are as follows ; Hypothesis 1. "The experimental group with the self-help group program will have a higher score on adaptation state than control group." was not supported. But the post test score of anxiety and depression in experimental group were declined and the depression score was reduced relatively. Hypothesis 2. "The experimental group with the self-help group program will have a higher score on quality of life than control group." was not supported. But the posttest score of quality of life in experimental group was reduced relatively. Hypothesis 3. "The higher adaptation state of mastectomy patients, the higher quality, of life." was supported(r=,80, p<.001). Additionally, the lower physical symptom, depression and anxiety, the higher quality of life And depression, which was the main predictor of quality of life, accounted for 59.5%, depression and anxiety accounted for 65.5% of the variance in quality of life. In conclusion, when the self-help group program was intervened to mastectomy patients, it was tended to increase quality of life and to reduce depression and anxiety. So self-help group program can be considered useful nursing inter vention effect on adaptation and quality of life of mastectomy patients. With discussion, I suggest repeated further re search on self-help group with appropriate sample size and longitudinal study. Also during adjuvant therapy, it is needed to develop convenient method to be supported from peer group and family, such as computer mediated support group.

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구강 자가관리 프로그램이 노인의 구강건조증과 구강건강 관련 삶의 질에 미치는 효과 (Effects of an Oral Self-care Program on the Elderly's Xerostomia and Oral Health-related Quality of Life)

  • 김지현;김혜영
    • 지역사회간호학회지
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    • 제29권3호
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    • pp.382-392
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    • 2018
  • Purpose: The purpose of this study is to investigate effects of an oral self-care program on oral dryness and oral health related quality of life in the elderly. Methods: The current research design isa nonequivalent control group protest-posttest design with two groups of elders from two different senior centers in D city. Tools for the research include paper of salivary absorption (WF41-1850, Whatman, Germany), 6 items for subjective oral dryness and OHIP-14 for oral health related to quality of life. The data were analyzed to test three hypotheses by using the SPSS 22.0 program. Results: The three hypotheses were significantly accepted. The subjective oral dryness score was lower in the experimental group than in the control group (t=-2.45, p=.022). Salivary absorption was higher in the experimental group than in the control group (t=3.83, p<.001).Oral health related quality of life was better in the experimental group than in the control group (t=-2.11, p=.044). Conclusion: The oral self-care program has appeared to be effective on oral dryness and an oral health related quality of life in the elderly. Therefore, it can be suggested that the oral self-care program is applicable as an intervention program motivating the elderly to maintain oral health.

제 2유형 당뇨환자를 위한 타이치 자조프로그램이 혈당조절, 심혈관 위험효소, 삶의 질에 미치는 효과 (Effects of Tai Chi Self-help Program on Glucose Control, Cardiovascular Risks, and Quality of Life in Type II Diabetic Patients)

  • 송라윤;이은옥;배상철;안유헌;;이인옥
    • 근관절건강학회지
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    • 제14권1호
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    • pp.13-25
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    • 2007
  • Purpose: The purpose of the study was to identify the effects of Tai Chi self-help program on glucose control, cardiovascular risks, and quality of life in patients with type II diabetes. Method: The study subjects were 95 adults with type II diabetes recruited from five primary health centers and one outpatient clinic. The Tai chi self-help program was provided twice a week for 6 months. Outcome measures included blood glucose(HbA1c), cardiovascular risk checklist, and quality of life(SF36). Result: At the completion of 6-month program, HbA1c for Tai Chi group dropped from 6.79 to 6.59 without significant group differences. However, cardiovascular risk scores for Tai Chi group has been significantly reduced compared to the control group. In 6 months, quality of life (SF36) was significantly better for Tai Chi group especially in the areas of physical and social functioning. Conclusion: Tai Chi self-help program applied for type 2 diabetes patients has been partially effective to control cardiovascular risk factors, and some dimensions of quality of life. Tai Chi self-help program can be safely and easily applicable to primary care centers for diabetic patients and other people with chronic disease for their symptom management, and health promotion.

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The Effects of a Community Psychiatric Nursing Program on the Rehabilitation of Home-based Long-term Psychiatric Patients

  • Lee, Sook
    • 대한간호학회지
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    • 제29권5호
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    • pp.1103-1112
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    • 1999
  • In the last few years, psychiatric nurse practitioners have shown a growing an interest in community psychosocial rehabilitation, caring for chronic psychiatric patients as case manager in South Korea. The purpose of this study was to evaluate the effectiveness of a community psychiatric rehabilitation nursing program on self-care activity and quality of life and to suggest this program as an effective nursing intervention in a group of chronic home-based psychiatric patients in a poor town. A nonequivalent control group, pretest-posttest design was used. Of the twenty women that started the program, sixteen finished it. The data were analyzed by the Wilcoxon Rank Sum Test. The program included the process of case management which consisted of four phases: the first was an active case finding and pre-test, the second was home visiting and contacted by phone. the third was group activity therapy of 12 sessions, and the fourth phase was terminal and post-test. The effects of the program were assessed by quality of life and self-care activity. The quality of life and the self-care activity, especially, area of nutrition. elimination, dressing. leisure activity, and follow-up clinic visiting showed greater improvement than those of the control group. The results of this study suggest that this program was effective in improving the quality of life of chronic home-based psychiatric patients.

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타이치 운동이 중년여성의 피로, 스트레스 및 삶의 질에 미치는 효과 (Effect of Tai Chi Exercise on Fatigue, Stress, and Quality of Life in Middle Aged Women)

  • 박영주;박인혜
    • 근관절건강학회지
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    • 제13권1호
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    • pp.20-30
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    • 2006
  • Purpose: To determine the effect of Tai Chi exercise program on fatigue, stress, and quality of life in middle aged women. Method: The study was designed as a nonequivalent control group pretest-posttest quasi-experimental study. Thirty subjects were assigned for experimental group and thirty four subjects were assigned for control group. The subjects in the experimental group were participated in Tai Chi exercise program for 60 minutes per session 3 times a week for 8weeks. Tai Chi exercise program consists of 10 minutes warm-up, 45 minutes main, and 5 minutes cooling down exercises. In order to evaluate the effect of Tai Chi exercise program, fatigue, stress, and qualify of life were assessed by measuring the condition of the participants in respect of fatigue, stress, and qualify of life with questionnaire. The data were analyzed by using $x^2-test$, Fisher's exact test, t-test by a SAS-pc+ 8.12 program. Result: After 8 weeks Tai Chi exercise program, there were significant improvement in fatigue, stress, and quality of life in middle aged women. Conclusion: Tai Chi exercise program can be an effective nursing intervention to improve fatigue, stress, and quality of life in middle aged women.

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노인 건강증진프로그램이 농촌 노인의 자기효능감, 건강문제, 농부증 및 삶의 질에 미치는 효과 (The Effect of Health Promotion Program on Self Efficacy, Health Problems, Farmers Syndrome and Quality of Life of the Rural Elderly)

  • 박정숙;오윤정
    • 성인간호학회지
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    • 제18권1호
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    • pp.10-21
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    • 2006
  • Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly people on self efficacy, health problems, farmers syndrome and quality of life. Method: The study was a nonequivalent control group pre-post experimental design. The data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. Fortyfour elders were included in the experimental group and 45 elders were included in the control group. The 16-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $X^2-test$, t-test, paired t-test with SPSS/Win 10.0 program. Result: The experimental group showed a lower scores of health problems and farmers syndrome than the control group, and higher scores of quality of life than the control group. There were no significant differences in self efficacy. Conclusion: From the above results, it can be concluded that the health promotion program for rural elderly is an effective intervention for improving the rural elderly's quality of life and reducing health problems and farmer's syndrome. Therefore, development of strategy that can spread the health promotion program for rural elderly to the elderly of other rural areas are needed.

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Evaluation of 8-week body weight control program including sea tangle (Laminaria japonica) supplementation in Korean female college students

  • You, Jeong-Soon;Sung, Min-Jung;Chang, Kyung-Ja
    • Nutrition Research and Practice
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    • 제3권4호
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    • pp.307-314
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    • 2009
  • This study was conducted to evaluate the effects of a body weight control program with supplementation of sea tangle (20 g/day) on 22 female college students. The contents of the program for 8 weeks contained diet therapy, exercise and behavioral modification through nutrition education. Body composition, dietary habit scores, serum lipid profiles, daily nutrient intakes and the quality of life were assessed at the beginning and at the end of the program. Average age of subjects and height were 20.8 years and 161.9 cm, respectively. After 8 weeks, there were significant reductions in body weight, body fat mass, percent body fat, waist-hip ratio and BMI. The dietary habit score such as a balanced diet, regularity of mealtime, overeating, eating while watching TV or using the computer and eating salty food were increased significantly. Serum lipid levels such as total cholesterol level, LDL-cholesterol level and triglyceride level were decreased but not significantly. There were decreases in intake of energy, protein and fat and increases in intakes of dietary fiber, folic acid, calcium and potassium from the beginning to the end of the program. There were significant improvements on subcomponents of quality of life; physical functioning, general-health and vitality. The limitation of this study was the fact that there was no control group, but an overall evaluation suggests the 8-week body weight control program consisting of diet therapy, exercise and behavioral modification with supplementation of sea tangle would be helpful to improve the body composition, dietary habits, daily nutrient intakes and quality of life in Korean female college students.

성인 초기 혈우인을 위한 자조관리 프로그램의 효과 (Effects of a Self-Help Group Program for Young Adults with Hemophilia)

  • 강현숙;김원옥;이혜숙
    • 대한간호학회지
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    • 제35권3호
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    • pp.602-610
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    • 2005
  • Purpose: The purpose of this study was to identify the effects of Self-help program for Young adults with hemophilia. Method: A quasi-experimental design was used. The subjects were 40 young adults with hemophilia, 21 in the experimental group and 19 in the control group. The subjects of the experimental group participated in a self-help group program for five sessions for 5 weeks. The program consisted of health education abouthemophilia, exercise, and therapeutic recreation. Its outcomes were evaluated on self-efficacy, ADL, depression, and quality of life. The obtained data was analyzedusing the Mann- Whitney U test of SPSS. Result: 1) The scores of self-efficacy, ADL and quality of life increased significantly in the experimental group as compared to the control group. 2) The score of depression decreased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program is effective in improving self-management ability and quality of life. Therefore this program could be implemented as a self-help group program for hemophilia clients.

재가 독거노인에 대한 건강다이어리 프로그램의 효과 (The Effect of a Health Diary Program in Solitary Elderly)

  • 이명숙;임현자;김경옥
    • 대한간호학회지
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    • 제37권6호
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    • pp.966-975
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    • 2007
  • Purpose: This study was to develop and to evaluate a health diary program for solitary elderly. Methods: The research design was a nonequivalent control group pretest-posttest design. There were 30 subjects the experimental group and 54 in the control group among solitary elderly over age 65. The independent variable was the health diary program, and the dependent variables were perceived health status, ADL, IADL, Blood pressure, blood sugar, quality of life, self efficacy and health promoting behaviors. The health diary program was performed for 50minutes, twice a week for 8 weeks. Data was collected from April 3 to June 23, 2006. Results: The experimental group showed a significant difference in perceived health status, blood sugar, ADL, IADL, quality of life, self efficacy, and health promotion behaviors than the control group. There were no significant differences in systolic & diastolic blood pressure. Conclusion: A health diary program showed good effects on improving health status, quality of life, self efficacy, and health promotion behaviors. Therefore, we recommend this program be utilized as a health promoting program for the solitary elderly in the community.

GPS 데이터 품질관리 프로그램의 개발 (Developement of GPS Data Quality Control Program)

  • 윤홍식;이동하;이영균;조재명
    • 한국측량학회지
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    • 제24권1호
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    • pp.9-18
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    • 2006
  • 본 연구는 GPS 데이터 해석 시 정밀도를 높이고 현장에서 관측시간 내 GPS 측량의 적절성 및 재측 여부 등을 직접 결정할 수 있도록 GPS 데이터 품질관리 프로그램을 개발하는 것에 그 목적이 있다. 본 연구에서 개발된 GPS_QC 프로그램은 관측시간 내 위성의 기하학적 배치(DOP)와 다중경로 오차량, 전리층 지연량 및 사이클 슬립 등의 품질관리 인자(quality control parameters)를 RINEX 형식의 GPS 관측데이터로부터 직접 계산이 가능하도록 설계되었으며, 이러한 품질관리 인자는 시계열 형태와 그래프로 제공된다. GPS_QC 프로그램은 일반 사용자들이 다루기 어려웠던 기존의 복잡한 GPS 데이터 품질 확인을 간편하게 수행할 수 있도록 함으로써 실제 현장에서 잘못된 GPS 관측에 따른 재측여부 등을 직접 결정할 수 있게 함으로써 시간적 경제적 손실을 절감시키고, GPS 위치해석 시 정밀도를 높일 수 있을 것으로 판단된다.