• The Journal of Korean Physical Therapy
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• 제29권2호
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• pp.69-73
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• 2017

Purpose: This study was conducted to investigate the effects of blood flow restriction and different support surfaces for bridge exercises on the thickness of the transverse abdominis and multifidus, which are trunk-stabilizing muscles. Methods: The study's subjects were 45 adults who were divided into three groups that performed bridge exercises over a six-week period on their respective support surfaces after blood flow restriction. Changes in the thickness of the subjects' transverse abdominis and multifidus muscles were measured using ultrasonography before the experiment, then three and six weeks after the experiment. The changes in each variable over time were analyzed using a repeated-measures analysis of variance (ANOVA). Results: The transverse abdominis showed significant differences in muscle thickness with regard to time and the interaction between time and each group (p<0.05), but no significant differences with regard to changes among groups (p>0.05). The multifidus showed significant differences in muscle thickness with regard to time, the interaction between time and each group, and changes between groups (p<0.05). Conclusion: Blood flow restriction and different support surfaces for bridge exercises led to significant differences in the thickness of the transverse abdominis and multifidus. This study's results may be used as the basis for future studies and for rehabilitation in clinical practice.

• 근관절건강학회지
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• 제29권3호
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• pp.151-164
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• 2022

Purpose: The purpose of this study was to explore the illness experiences of patients who had spinal surgery. Methods: Colaizzi's phenomenological method was used for the data analysis. Patients who had spinal surgery were included in this study. The data was collected between April and October 2022 by conducting a one-on-one, in-depth interview. Results: Five theme clusters were identified based on the illness experiences of patients who had spinal surgery: "An agonizing life changed by pain", "Efforts to alleviate the pain", "Surgery was determined to be the best way to relieve pain", "Recovered daily life after relieving pain caused by surgery", and "Dedicated to living a healthy, pain-free life". The analysis further yielded 20 themes. Patients used various treatment methods to relieve pain, but ultimately chose surgery due to unbearable pain. Patients who had spinal surgery felt grateful that they were feeling good and healthy because they could return to their normal daily lives. After all, the pain was relieved after the surgery. Even though some pain remained unrelieved, the patients had the hope of getting better through exercise and rehabilitation. Conclusion: This study provides an in-depth understanding and meaning of the illness experiences of patients who had spinal surgery and presents new perspectives on clinical practice. The findings of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after spinal surgery.

• 재활복지
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• 제21권4호
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• pp.59-75
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• 2017

본 연구는 장애인운동선수들의 스포츠상해유형에 대하여 알아봄으로써 장애인 운동선수들의 상해 예방 및 치료, 관리, 운영방안에 기초적 자료를 제공하고자 한다. 2015년에 전국장애인체육대회에 참가한 선수 171명을 대상으로 스포츠상해관련 설문을 조사하여 다음과 같은 결과를 얻었다. 상해 부위는 어깨, 손가락, 손목 순으로 상해 빈도가 가장 높았으며, 상해 유형으로는 타박상, 근육통, 염좌 순으로 높게 나타났다. 생해기전으로는 선수들과의 접촉, 기구와의 접촉으로 인한 상해가 가장 많이 발생되었다. 상해발생원인으로는 과도한 승부욕으로 인한 상해 발생가 가장 많았으며, 게임 중에 가장 많이 부상을 당한다고 하였다. 만성적 통증 부위 역시 어깨가 가장 많았으며 다음으로는 대퇴, 손목 순으로 나타났다. 상해 직후 처치는 감독이나 코치, 자가 치료가 순으로 가장 많았으며 치료는 파스나 스프레이를 이용한 치료방법이 가장 많았으며, 치료방법은 물리치료가 가장 많았다. 상해 예방방법으로 준비운동과 정리이 필요하다는 응답이 가장 많았으며 그 다음으로는 체력 훈련이 필요하다고 응답하였다. 이상의 결과를 통해, 장애인 선수들의 상해 예방 및 치료, 관리를 위한 체계적이고, 과학적인 체력관리 및 재활훈련 프로그램 제공을 위한 후속연구가 필요하다.

• Physical Therapy Rehabilitation Science
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• 제10권1호
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• pp.64-68
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• 2021

Objective: In clinical practice, there are a lot of exercise to reduce body weight or reduce the amount of body fat in order to solve back pain. However, many studies have contradicted the relationship between back pain and weight or body fat mass. The purpose of this study was to investigate the relationship between fat mass, body mass index and low back pain of office worker. Design: Crossed-sectional study Methods: Among the white-collar workers diagnosed with non-specific back pain by doctors, subjects who were not included in the exclusion criteria were selected to measure the subject's body fat mass, body mass index, pain intensity, and disability index due to back pain. The NPRS was used for the intensity of back pain of office workers, and the ODI was used for the degree of disability due to back pain. A body composition analyzer was used to measure the body fat mass and body mass index of white-collar workers. Results: There was no significant difference between the two groups in the comparison between the normal group and the excessive group according to the criteria of fat mass and body mass index. In the correlation analysis of fat mass, body mass index, pain intensity, and disability index, it was found that there was a significant correlation between fat mass and body mass index. However, neither fat mass nor body mass index had a significant correlation with pain intensity and disability index. Conclusions: The fat mass and body mass index of office worker do not affect low back pain.

• 대한간호
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• 제35권2호
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• pp.52-70
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• 1996

This historical research was conducted to analyze and categorize the titles which were presented in the journal, The Korean Nurse, from August 1962 to October 1995. Titles which were published with the purpose of educating graduate nurses and to update 0 their nursing knowledge to improve professional practice were included. There were 348 articles published from the beginning of publication in August, 1962 to October, 1995. All of the journals were reviewed except nine missing journals which were not available in any library. According to the characteristics of the articles in the periodical, the articles were divided into three periods. In each of the three peroids there were five categories: Subject, Clinical Practice, Fundamentals of Nursing Science, Nursing Administration, Others. These categories were adopted from Kim's(1994) division system which was developed to analyze nurse's insurance education program. The special feature peroid was from August, 1962 to December, 1974. In this period the articles were presented in an unorganized manner in the area of special feature or main issue. The largest area was the subject category(44%). The second largest area wes the fundamental of nursing science category(31%). From May, 1975 to December, 1977, the articles with the educational purposes were published in a designated area called continuing education. This period was labelled as the continuing education period. Among the published articles in this period, 45% focused on the subject category and 45% on the fundamentals of nursing science category. In this period the articles were focusing on nurses 'work in specific areas such as industry, nurses' aid schools, and nursing administration, articles on physical assessment first started to appear. The written continuing education period was from January 1978 to October, 1995. All the educational articles published in this area were analyzed and categorized into five areas as for the other periods. 48% of the articles focused on the subject category. In the mid-eighties, the term nurse specialist first.appeared and ten years later in 1990, the titles were subdivided into more specific titles, such as, home nursing, industrial nursing, emergency nursing, 23% were in the fundamental nursing science category and they dealt with nursing process, nursing theories, theory development. For the content analysis, three articles, one from each period, dealing with cardiovscular diseases were selected for comparsion. First, the special feature period, the title of the article was on diet therapy for cardiovascular disease patients, but instead the content was about rest, hygiene, medication, observation. They recommended rings to prevent bed sores, which is now considered as a cause for bed sores. In the continuing education period, the content was more focused on rehabilitation rather than general nursing .care. It became more specific, systematic, and organized compared with the special feature period. In the written continuing education period, the focus was on rehabilitation, not broadly, but very specifically on exercise. The further research on the content analysis is recommended along with a comparison of the trends in the Journal of Nurses Academic Society.

• 재활치료과학
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• 제8권1호
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• pp.41-50
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• 2019

목적: 본 연구의 목적은 건강한 성인을 대상으로 양측상지기능 훈련을 통해서 활성화 되는 대뇌 연결성에서 상상 훈련과 신체적 수행 간에 차이가 있는지를 알아보고자 한다. 연구방법: 연구 대상자는 건강한 성인 1명으로 상상훈련과 신체적 수행 시 EEG 측정이 이루어졌다. 양측상지기능 훈련은 대칭 과제와 비대칭 과제로 구성되었다. 대칭 과제는 양손으로 박스를 잡고 동시에 위의 선반으로 올렸다가 다시 내려놓는 과제이고, 비대칭 과제는 한 손으로 병을 잡고 다른 한 손으로 뚜껑을 여는 과제였다. EEG 전극은 Fp1, Fp2, F3, F4, T3, T4, P3 및 P4에 부착되었다. 데이터 분석은 EEG 전극 쌍 간의 상관 분석을 위해 Cross-Line Mapping을 사용하였다. 결론: 본 연구 결과 대칭 및 비대칭의 양측 상지 과제에서 대뇌 연결성 패턴은 운동과 감각 영역에서 유사한 패턴을 가지는 것으로 나타났다. 또한 본 연구를 통해 양측상지기능 훈련 시 상상훈련보다 신체적 수행에서 대뇌 연결성이 더 높은 상호상관을 갖는다는 것을 확인하였다.

• The Journal of Korean Physical Therapy
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• 제13권3호
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• pp.551-559
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• 2001

The purpose of this study is to investigate the effects of the practice exercising and cycling on the gait abilities of dementia elderly patients. Forty forty elderly patients with dementia were participants. Participants were divided into three groups as A, B, and C, Group A was a standard group which had been treated with electric treatment, hot pack, and exercise. The second group B had been treated with cycling added to the treatments of group A. Finally, treatments of group C were arranged by subtraction of exercise from those of group A. The test was a 'timed up and go test' used for measuring the rates of the gait ability through four months. The gait ability of each group was measured after each month. The results of this study are as following: 1. After first month, the averages of changes in gait ability of group C, A and B were -1.69, -1.67, and -1.13 seconds respectively. That means that dementia control was achieved significantly in group A and B (p<0.05)whereas it was not in group C. 2. The averages after two months were -4.00 seconds for group C, -2.60 seconds for group A, and -1.56 seconds for B, respectively. All groups acquired significant effects in treating dementia (p<0.05). 3. After three months, -6.38, -3.00 and -2.31 seconds were average values of group C, A and B respectively. Same as results after two months, there were significant effects in all groups (p<0.05). 4. After four months, the averages of changes in gait ability of three groups were -8.00. -3.93 and -3.00 seconds for group C, A and B respectively. In the all patients treated analysis, treatments showed significant results (p<0.05). 5. Compared with each other through four months. three groups testing the timed up and go test showed more efficient in maintaining gait ability, in order of group B. A, and C

• Journal of Korean Biological Nursing Science
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• 제1권1호
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• pp.1-24
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• 1999

The purpose of this study was to define the content of requisite human structure and function knowledge needed for clinical knowledge of nursing practice. Subjects of human structure and function were divided into 10 units, and each unit was further divided into 21 subunits, resulting in a total of 90 items. Contents of knowledge of human structure and function were constructed from syllabus of basic nursing subjects in 4 college of nursing, and textbooks published by nurse scholars prepared with basic nursing sciences. The degree of need of 90 items was measured with a 4 point scale. The subjects of this study were college graduated 136 nurses from seven university hospitals in Seoul and three university hospitals located in Chonnam Province, Kyungbook Province, and Inchon. They have been working at internal medicine ward, surgical ward, intensive care unit, obstetrics and gynecology ward, pediatrics ward, opthalmology ward, ear, nose, and throat ward, emergency room, rehabilitation ward, cancer ward, hospice ward, and their working period was mostly under 5 years. The results were as follows: 1. The highest scored items of human structure and function knowledge necessary for nursing practice were electrolyte balance, blood clotting mechanism and anticoagulation mechanism, hematopoietic function, body fluid balance, function of plasma, and anatomical terminology in the order of importance. The lowest scored items of human structure and function knowledge necessary for nursing practice was sexual factors of genetic mutation. 2. The highest order of need according to unit was membrane transport in the living unit, anatomical terminology in movement and exercise unit, mechanism of hormone function in regulation and integration unit, component and function of blood in oxygenation function unit, structure and function of digestive system in digestive and energy metabolism unit, temperature regulation in temperature regulation unit electrolyte balance in body fluid and electrolyte unit, concept of immunity in body resistance unit, and genetics terminology in genetics unit. The highest order of importance according to subunit was membrane transportation in cell subunit, classification of tissues in tissue unit, function of skin and skin in skin subunit, anatomical derivatives of the skeleton subunit, classification of joints in joint subunit, an effect of exercise on muscles in muscle subunit, function of brain in nervous system subunit, special sense in sensory subunit mechanism of hormone function in endocrine subunit, structure and function of female reproductive system in reproductive system unit, structure and function of blood in blood unit, structure of heart, electrical and mechanical function in cardiovascular system unit, structure of respiratory system in respiratory system subunit, structure and function of digestive system in digestive system subunit, hormonal regulation of metabolism in nutrition and metabolism subunit, function of kidney in urologic system subunit, electolyte balance in body fluid, electolyte and acid-base balance subunit. 3. The common content of human structure and function knowledge need for all clinical areas in nursing was structure and function of blood, hematopoietic function, function of plasm, coagulation mechanism and anticoagulation mechanism, body fluid, electrolyte balance, and acid-base balance. However, the degree of need of each human structure and function knowledge was different depending on clinical areas. 4. Significant differences in human structure and function knowledge necessary for nursing practice such as skin and derivatives of the skin, growth and development of bone, classification of joint, classification of muscle, structure of muscle, function of muscle, function of spinal cord, peripheral nerve, structure and function of pancrease, component and function of blood, function of plasma, structure and function of blood, hemodynamics, respiratory dynamics, gas transport, regulation of respiration, chemical digestion of foods, absorption of foods, characteristics of nutrients, metabolism and hormonal regulation, body energy balance were demonstrated according to the duration of work. 5. Significant differences in human structure and function knowledge necessary for nursing practice such as classification of tissue, classification of muscles, function of muscles, muscle metabolism, classification of skeletal muscles, classification of nervous system, neurotransmitters, mechanism of hormone function, pituitary and pituitary hormone, structure and function of male reproductive organ, structure and function of female reproductive organ, component and function of blood, function of plasma, coagulation mechanism and anticoagulation mechanism, gas exchange, gas transport, regulation of respiration, characteristics of nutrients, energy balance, function of kidney, concept of immunity, classification and function of immunity were shown according to the work area. Based on these findings, all the 90 items constructed by Korean Academic Society of Basic Nursing Science should be included as contents of human structure and function knowledge.

• Nutrition Research and Practice
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• 제17권5호
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• pp.969-983
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• 2023

BACKGROUND/OBJECTIVES: We investigated the association of plant and animal protein intake with grip strength in Koreans aged ≥ 50 yrs. SUBJECTS/METHODS: The data was collected from 3,610 men and 4,691 women (≥ 50 yrs) from the 2016-2018 Korea National Health and Nutrition Examination Survey. We calculated the total energy intake, and the intake of animal and plant protein and collected dietary data using 1-day 24-h dietary recalls. Low grip strength (LGS) was defined as the lowest quintile (men: up to 26.8 kg, women: up to 15.7 kg). The association of protein intake with grip strength was examined using Pearson's correlation and multiple linear regression analysis. RESULTS: The results proved that participants with LGS had lower daily energy, protein and fat intake, and percent energy from protein than those with normal or high grip strength (P < 0.0001). Total energy intake, animal protein, and plant protein were positively associated with grip strength. A higher intake of total plant protein (P for trend = 0.004 for men, 0.05 for women) and legumes, nuts, and seeds (LNS) protein (P for trend = 0.01 for men, 0.02 for women) was significantly associated with a lower prevalence of LGS. However, non-LNS plant protein intake was not associated with LGS (P for trend = 0.10 for men, 0.15 for women). In women, a higher total animal protein intake was significantly associated with decreased LGS (P for trend = 0.03). CONCLUSIONS: Higher total plant protein and LNS protein intake are negatively associated with LGS.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.51-64
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• 2002

전라남도의 무작위 추출된 10개 시 군과 광주광역시 5개 구의 방문보건사업 담당직원 200명 중 우편설문조사에 응답한 144명을 연구대상으로 하여 방문보건 사업과 관련된 교육훈련경험 여부와 만족도, 응답자의 주관적 판단에 의한 방문보건서비스 관리 지식 정도 그리고 향후 방문보건사업에 필요한 교육훈련에 대한 요구도에 대해 조사하여 향후 방문보건요원의 교육훈련의 기초자료를 제공하고자 하였다. 본 연구의 주요 결과는 다음과 같다. 1. 조사대상자 중 3년 동안 한가지 이상의 중앙교육 훈련 경험자는 43명(29.9%), 광역자치단체의 교육훈련 경험자는 57명(39.6%), 그리고 지방자치단체의 교육훈련 경험자는 53명(36.8%) 등으로 나타났다. 교육과정에 대한 만족도를 점수화 한 결과 중앙 교육($2.38{\pm}0.57$)이 광역자치단체 교육($2.18{\pm}0.57$)과 기초자치단체 교육($2.13{\pm}0.54$)보다 높았다. 2. 조사대상자의 방문보건서비스 관리 지식 정도는 환자 및 질병관리 영역 중 투약 및 검사, 상처 및 욕창 관리, 환자 개인위생, 고혈압환자 관리, 당뇨환자 관리, 관절염환자 관리 그리고 전염성질환자 관리, 고위험 가족 및 가정환경 관리 영역 중 환경위생 관리, 안전 및 사고 관리 그리고 감염관리, 건강증진관리 영역이 5점 만점에 평균 3점 이상이었으며, 재활 및 요양 영역은 전반적으로 평균 3점 이하의 점수를 보였다. 3. 조사대상자의 방문보건서비스 관리 지식 정도는 간호사 자격증을 소지하고 있는 경우 높았으며, 중앙 교육 중 노인보건, 재활 등 실무영역과 정신보건전문간호사, 광역자치단체 교육 중 보건진료원보수교육, 정신 보건교육, 그리고 기초자치단체 교육의 건강증진영역, 노인보건, 재활 등 실무영역, 정신보건영역과 급성질환 관리영역에 대한 교육훈련 경험이 있는 경우 높았다. 4. 조사대상자의 교육내용에 대한 요구도는 노인건강 관리과정이 가장 높았고, 최근 업무가 새롭게 추진되고 있는 노인보건, 호스피스, 치매노인관리, 재활, 건강증진 등이 높은 것으로 조사되었으며, 방문보건사업 업무별로는 방문보건사업전반이 가장 높았고 방문보건사업에서 실제 서비스를 제공하는 분야가 교육의 요구도가 높은 것으로 나타났다. 또한 교육방법으로는 공무원 집단교육(47.0%)을, 교육전담 주체는 광역자치단체 (30.4%)를, 교육방식은 실습(57.7%)을, 교육횟수는 년 2-3회(44.5%)를, 교육기간은 3-5일(41.0%)을 선호하는 것으로 나타났다. 향후 지역사회 주민에게 효과적인 방문보건서비스를 제공하기 위해서는 방문보건사업에 대한 지식 정도를 높일 수 있는 교육훈련의 기회를 확대하고 방문보건요원의 교육요구도에 근거하여 교육훈련을 개선해야 할 것이다.