• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.1
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• pp.45-54
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• 2010

Purpose: The purpose of this study was to develop and test an explanatory model of dyspnea in patients with chronic lung disease (CLD). Methods: Participants were 181 patients with CLD, recruited from the outpatient pulmonary clinic of one university hospital in Korea. Data were collected using questionnaires, as well as measurement of 6-minute walking distance (6MWD), oxygen saturation ($SpO_2$), FEV1% predicted, and Body Mass Index (BMI). Results: The results indicated a good fit between the proposed dyspnea model and the collected data [$x^2$=91.27, p= .13, $x^2$/d.f.=1.17, Normal Fit Index= .934]. Oxygenation ($SpO_2$, = -.530), self-efficacy (= -.429), anxiety (= .253), depression (= .224), exercise endurance (6MWD, = -.211), and pulmonary function (FEV1% predicted, = -.178) had a direct effect on dyspnea (all p< .05) and these variables explained 74% of variance in dyspnea. BMI, smoking history, and social support had an indirect effect on dyspnea. Conclusion: The findings of this study suggest that comprehensive nursing interventions should focus on recovery of respiratory health and improvement of emotions, exercise ability, and nutritional status. From this perspective, pulmonary rehabilitation would be an effective strategy for managing dyspnea in patients with CLD.

• Korean Journal of Adult Nursing
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• v.20 no.4
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• pp.652-663
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• 2008

Purpose: This study was conducted to develop and test an explanatory model on functional capacity in patients with chronic obstructive pulmonary disease using path analysis. Methods: Data were collected from 149 chronic obstructive pulmonary disease patients using 6-minute walk test, measurement of oxygen saturation, pulmonary function test, and self-reported questionnaires from June to October, 2005. The collected data were analyzed using SPSS/WIN 12.0 program and AMOS/WIN 4.0 program. Results: The overall fitness indices of modified model were good($x^2$ = 14.324, p = .281 GFI = .981, RMSEA = .006, AGFI = .944, NFI = .927, NNFI = .999, CFI = .999, PNFI = .613, $x^2$/df = 1.194). Functional capacity was influenced directly by age(${\beta}$ = -.304, p = .000), dyspnea(${\beta}$ = -.278, p = .000), self-efficacy(${\beta}$ = .240, p = .000), social support(${\beta}$ = .175, p = .004), pulmonary function(${\beta}$ = .169, p = .008), and oxygen saturation(${\beta}$ = .099, p = .048). These variables explained 39.3% in functional capacity. Conclusion: The findings of this study suggest that comprehensive nursing interventions should focus on decreasing dyspnea and increasing self-efficacy, social support, and oxygen saturation. In this perspective, pulmonary rehabilitation would be an effective strategy for improving functional capacity in patients with chronic obstructive pulmonary disease.

• Physical Therapy Korea
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• v.17 no.4
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• pp.55-60
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• 2010

Clinical measures that Quantify falling risk factors are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the test-retest and interrater reliability of the dynamic gait index (DGI) for persons with Parkinson's disease (PD). A total of 22 idiopathic PD patients were recruited from rehabilitation hospital, Korea in this study. The DGI was assessed in two sessions that were, three days apart. We also measured Berg balance test (BBT) and geriatric depression scale (GDS) for concurrent validity with DGI. Intrarater and interrater reliability (.96 and .98 respectively) for DGI were high. indicating good agreement. The DGI was showed a good positive correlation with the BBS (r=.852). but not GDS (r=-.462). Intrarater and interrater reliability of DGI were high in people with PD. The DGI could be a reliable measure to evaluate functional postural control during gait activities in the PD population, and the ability of DGI to detect real change is acceptable in research and clinical settings.

• Journal of Korean Academy of Nursing
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• v.31 no.5
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• pp.912-920
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• 2001

The purpose of this study is to identify the correlation that exists between quality of life and self-efficacy of schizophrenic patients, focusing on the influence of related factors on these varables. Method: The subjects of this study were 151 schizophrenic patients. The data were collected using questionnaires. The instruments used for this study were the general self-efficacy scale developed by Sherer ＆ Maddex(1982), the specific self-efficacy scale modified and complemented by these co-researchers on the basis of the past studies and modified SIP by Voruganti(1996). The period of data collection was from July. 2000 to Jan. 2001. Data analysis was done by SPSS, t-test, ANOVA and the Pearson Correlation Coefficient. Result: 1. The level of self-efficacy showed a mean score of 60.0 and the level of quality of life, a mean score of 47.0. 2. The general characteristics affecting the self-efficacy of schizophrenic patients were staying with family (p=0.05) and employment (p=0.00). 3. The general characteristics affecting the quality of life of schizophrenic patients were staying with family (p=0.04), employment (p=0.05) and duration of illness (0.03). 4. A positive correlation was identified between self-efficacy and quality of life (r=-0.469, p=0.000). Conclusion: The study suggests that nursing intervention strategy should be worked out to develop a psychiatric rehabilitation program that can promote self-efficacy and thus enhance the quality of life of schizophrenic patients.

• Journal of the Korean Institute of Rural Architecture
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• v.16 no.2
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• pp.19-26
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• 2014

This study aims on the direction of rehabilitation in rural area through the case analysis and policy of Eco-Quartier in France. At this object, this study was preceded with 3 main contents. Firstly, after examined the changes and policy on the rural area in Korea, it has analysed about the problems and changes on the rural residential environment in Korea. Secondly, it has researched about the various methods relative to the rural area development project, the issue on the sustainable development strategy in rural area and the changes of rural ares in France. Lastly, regarding precedent studies, it has analysed the projects in rural area which has selected through the policy of Eco-Quartier in France. The policy and criterions for Eco-Quartier in France, which was examined by this study, has been achieved through reasonable procedure from the superior concepts to detail planning and the guidelines for the project of rural area. This is expected to use as the basic criterions for the sustainable development and planning orientation of rural area in Korea.

• Korean Journal of Health Education and Promotion
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• v.33 no.4
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• pp.89-100
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• 2016

Objectives: Life style modification leads to decrease health risk and change of health status for person at health risk. This study aimed to suggest essential components and effective strategies for customized health management service to provide individual and risk group in public and private health care organizations. Methods: To systematic review the essential component of health management service, I performed to collect political legislation, research papers, reports, publication and public release for heath management service from 2008 to 2016. Essential components of heath management service were service scope, service design, organizations and applied technology. Results: Service cope was composed of health risk factors, such as smoking, drinking, nutrition, physical activity and weight control. Main strategies were customized health management services, personalized behavior modification programs, evidence-based service protocol, utilization of information and communications technology (ICT), multi-dimension and multi-level approach, and public and private organizations partnership through health policies and health care system. Conclusions: To make the most of the limited resources, it should require a systematic approach that focuses on continuous monitoring and partnership of health management service.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.29 no.4
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• pp.95-113
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• 2016

Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession's writing for practitioners. Results : This review discussed allergic rhinitis's epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation's medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

• Journal of the Korean Society of Physical Medicine
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• v.4 no.1
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• pp.49-56
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• 2009

Purpose : The Purpose of this study was to investigate the effects of image training and vibration on performance of vertical jumping. Methods : Subjects was classified into two groups, which were image training group(n=20) and vibration application group(n=20). The standard methods of each intervention were image training with listening recorded indication for 5 minute and vibration with speed of $1200{\pm}200\;rpm$. Muscle strength was measured using vertical jump performance. Results : The vertical jump performance was significantly increased after image training and vibration application(p<.05), however, it was more significantly after image training(p<.05). Conclusion : This study showed that image training and vibration application were effective treatment strategy on increase of muscle strength. Therefore, it could be considered as a treatment method in the patients with musculoskeletal disease including fracture, chronic degenerative disease and disuse atrophy.

• Physical Therapy Korea
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• v.15 no.3
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• pp.53-61
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• 2008

The purpose of this study was to examine the path analysis of factors related to musculoskeletal diseases of shipbuilding workers by considering related factors synthetically. The survey was completed by 1,536 shipbuilding workers and except for poor responses, 1,532 were analyzed. The survey consisted of questions about lifestyle, duration of service, physical and mental stress, and musculoskeletal diseases. The collected data was analyzed with SPSS/PC+ (a descriptive statistics program) and with AMOS 4.0 (a statistical program for path modeling) to test whether the hypothesized path model fitted the collected data. The results of the correlation analysis showed that musculoskeletal disease was associated with duration of service (r=-.095), physical stress (r=.077), and mental stress (r=.602). The results of the hypothesized path model satisfied the criteria required in relation to fitting the collected data. Musculoskeletal disease was directly affected by mental stress but not by physical stress, duration of service and life style. Thus, it is suggested that reducing mental stress is a strategy for the prevention for musculoskeletal disease.

• Journal of the Korea institute for structural maintenance and inspection
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• v.7 no.1
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• pp.239-249
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• 2003

The bridges, which were built between 20 and 30 years ago in rural area, have to support unexpected overload caused by excessive amount of transportation. For these rural bridges, repairs and replacements are needed. To avoid the high cost of rehabilitation, the bridge rating must correctly report the present load-carrying capacity. Rating engineers use Allowable Stress Design (ASD), Load Factor Design (LFD), and Load Resistance Factor Design (LRFD) to evaluate the bridge load carrying capacity. In this paper, the load rating methods are introduced, and it is illustrated how to use the load test data from literature survey. Load test is conducted to the bridge that was built 30 years ago in rural area. From load test results, new maintenance strategy is suggested instead of the bridge replacement.