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Effects of Nursing Ethics Education on Moral Reasoning and Ethical Decision Making for Student Nurses (간호윤리 교육이 간호학생의 도덕적 사고와 윤리적 딜레마 상황에서의 의사결정에 미치는 효과)

  • Han, Sung-Suk;Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.268-284
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    • 1995
  • This study was designed to test effects of nursing ethics education (NEE) on moral reasoning and ethical decision making of subjects. This NEE that was teached for 10 hours course was composed of these : Nurses' ethical code, moral responsibility, Moral value and professional accountability, Respect for human life, General ethics, Theory and Norms of biomedical ethics, Ethical decision making model and Discussion about hypothetical ethical dilemmas Twenty-five senior student nurses were sampled from four year college of nursing from Nov. 3rd, 1993 to Nov. 24th, 1993. Data were collected through self-reported questionnaires included two kinds of tests. Rest's Defining Issues Test was adopted to measure the stage of moral development, which was classified with the stage 2 (instrumental relativist orientation), the stage 3 (interpersonal concordance), the stage 4 (law and order), the stage 5A (societal consensus), and the stage 5B (intuitional humanism), the stage 6 (universal ethical practice). In particular, the level of principled thinking (P) was measured by summing these scores of the stages 5A, 5B, and 6. The possible range of P is 0 to 95. As for measuring the levels of morality and nursing dilemma, Crisham's Nursing Dilemma Test was adopted. This test generated the morality score(MS) and the dilemma score (DS). The data were analyzed by t-test, ANOVA, Kruskal-Wallis test, Mc Nemar's test and Pearson correlation coefficients. The results were as follows ; 1. For the Moral Reasoning both before and after NEE, The Mean score of the stage 5A was significantly higher than that of other stages.(P=0.0001) Before NEE, the mean score of the stage 4 was significantly different from stage 2, 3, 5A, and after NEE, different from stage 2, 5B,6. 2. The analysis of change of moral development level revealed that the score of stage 4 increased after NEE.(P=0.0004) 3. The Effect of NEE for the mean score of 5A, 6, P after education was significantly different by birth place. 4. With regard to the five dilemmas postulated such as forcing medication performing cardiac pulmonary resuscitation, reporting a medication error, informing diagnosis to terminally ill adult, and providing new-nurse orientation, the mean score of the MS and the DS was no significant difference with general characteristics of the students. Effect of NEE morality score and dilemma score after education was no significant difference. 5. As for the correlations between moral reasoning and decision making, the score of the stage 2, 5A, 6, DS was positively correlated with the scores of before and after. Positive correlation was also observed between the scores of stage 2 and stage 4, stage 3 and 6. On the other hand, the score of P was negatively correlated with the scores of stage 2 and of stage 4 and of stage 5A. The score of the stage 5A was also negatively correlated with the score of the sge 6.

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A Study on the Relationships of Discomfort, Self-Esteem, Personality and Life-Satisfaction in Persons With Rheumatoid Arthritis (류마티스양 관절염환자의 불편감, 자기존중감, 성격 및 삶의 만족도간의 관계)

  • 김명자;송경애
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.185-194
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    • 1990
  • The purpose of this study was to investigate the correlation of discomfort. self - esteem. personality and life - satisfaction in persons with rheumatoid arthritis and to provide basic data to help them attain a better quality of life. From Jan. 27 to Feb. 24, 1988, 53 patients, registered at a rheumatic clinic at one general hospital in Seoul, were accepted as subjects for this study. The instruments used for this study were a discomfort scale and life- satisfaction scale developed by the researcher, Rosenberg's Self - esteem Scale and Wallston and Wallston's Multidimensional Health Locus of Control (MEILC) Scale. The reliability of the scales were tested by Cronsbach's alpha. The collected data were analyzed by the SAS program using unpaired t-test, ANOVA, and Pearson's Correlation Coefficients. The results were as follows : 1. There was a significant difference in the subjects perceived discomfort level(t=-3.49, p= .0010) between the onset of the disease(14.87$\pm$9.02) and the present(19.87$\pm$8.44). 2. There was a significant correlation between the MHLC - internal score and the MHLC -chance score (r=-.4366, p= .0011). 3. The findings related to the demographic variables regarding the MHLC scores were as follows : 1) Regarding sex, there was a significant difference for the MHLC -internal score(t=4.2572, df=15.2, p= .0007) between male(32.13$\pm$2.47) and female(27.56$\pm$4.17). But the MHLC-chance score for male(15.13$\pm$2.85) was lower(t=3.1539, df=21.8, p$\pm$ .0047) than for female(19.47$\pm$6.29). 2) Regarding educational background, the MHLC - chance score for the below - high school group(20.52$\pm$5.81) was higher(t=2.5450, df=51.0, p= .0140) than the college graduate group(16.41$\pm$5.76). 4. The average Self - esteem score was 26.87 (S.D.=5.29) and there was a significant correlation between the Self- esteem score and the MHLC - chance score (r= .3122, p= .0026). 5. It was found that the subjects' Discomfort score was correlated with the Self -esteem score(r=-.3788, p= .0051) and the Life - satisfaction score(r=-3570, p= .0087). It was also found that subjects' Self - esteem score was correlated with the Life-satisfaction score(r= .4474, p= .0008).

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A Study on Pain, Discomfort, Depression and Coping Patterns in Chronic Arthritis Patients (만성관절염 환자의 동통, 불편감, 우울과 대응양상의 관계)

  • Mun, Mi-Suk
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.71-87
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    • 1994
  • The purpose of this study was to assess pain, discomfort, depression and coping patterns and the relations between these in chronic arthritis patients. The sampling method was a purposive sampling technique. 1) Who have been diagnosed as having chronic arthritis and. 2) Who were at the out patients clinic of rheumatoid arthritis departments of one University hospital in seoul between september, 11, 1993 to september, 18, 1993. The instruments used for this study were Graphic Rating Scales of pain, discomfort level of the activities of daily living(ADL) developed by Lee, Eun Ok and The Beck Depression inventory. The research used to measure coping patterns was a tool developed by the present study researcher. Analysis of data was done frequency, Pearson correlation coefficients, ANOVA, regression and ANCOVA. The results were summerlized as follows ; 1. Female exceed male patients in number and onset of joint pain were more prevalent in the age groups of the 40s and the 50s. The average duration of suffering from the pain were seven years six mounths. 2. The mean pain score : The mean sensory score was 119mm and the affective score was 109mm. 3. The discomfort level of ADL, the mean score was 2.95 out of a possible score of 5.0 and depression syndrome subjects were 62.2%. 4. The coping responses for each pattern were as follows : 1) "Active coping" mean score was 2.28. 2) "Wishful coping" mean score was 2.89. 3) "Receptive coping" mean score was 3.31. 4) "Negative coping" mean score was 1.82. 5. Significant differences were found in age, religion, marriage status and the coping patterns of patients. 1) In the coping pattern of "receptive coping", the score of the age groups of the 50s were higher than that of 20s, and in the coping pattern of "negative coping", the score of the age groups of the 20s were higher than other age groups. 2) In the coping pattern of "wishful coping", the score of the christian were higher than other religion groups. 3) In the coping pattern of "negative coping", the score of the marrieds were lower than other groups. 6. Patients who scored low on factor 2, wishful coping, were much more likely to report having pain sensory than patioets scoring high on this factor. 7. Patients who scored high on factor 4, negative coping, were significantly more likely to report having pain sensory than patients scoring high on this factor. Consider overall, chronic arthritis patients report using a wide varity of strategies, certain strategies such as receptive, wishful and active coping are used frequently, whereas other strategies such as negative coping are rarely used. One of the most important finding of present study is that the reported use of coping strategies is related to adjustment to a chronic pain problem. The present study suggests that negative coping is related to poor emotional adjustment as assessed by depression, but not pain ratings. Considered overall, this pattern of findings suggests that counseling patients to decreased their use of negative coping may be useful. The present study has a number of limitations. First, the sample is restricted to chronic arthritis patients. Weather chronic pain patients suffering from other types of pain syndromes use similar coping strategies needs to be determined in subsequent research. Second, the tool of coping pattern must be studied further to obtain reliability.

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Change of Knowledge and Attitude toward AIDS of Soldier through Health Education (AIDS에 대한 보건교육을 통한 일부 사병의 지식 및 태도변화)

  • 홍순이;정문숙
    • Korean Journal of Health Education and Promotion
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    • v.11 no.1
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    • pp.3-15
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    • 1994
  • This study was conducted to investigate changes of knowledge and attitude toward AIDS of soldier through health education. The sample was selected with and experimental group(160 persons who were received health education group) and control group(160 persons who were not received), 20-21 years of age from 320 persons(soldier) who were between in a certain base located in Kyung Gi province. The data was collected from 24th Feb. to 21st April 1993. By questionnaires before and post test for education process about 4 weeks(pre and post test). The results of this study were as follows ; Of 320 soldiers 66.6% had received health education on sex before attending in base, 58.8%(94 persons) of experimental group and 58.1%(93 persons) had experience with sexual intercourse. In characteristics related to sexual intercourse experience, age of first sexual intercourse for experimental group was 19 in highest percentage as 30.0%, 18 in control group, 64.9% of experimental group and 61.4% of control group answered no use condom during sexual intercourse. About the reasons why use condom 51.5% of experimental group answered to prevention of VD and 44.4% of control group answered to prevention of partner's pregnancy in the highest percentage. There was no significant difference between mean score of knowledge level of experimental group and mean score of control group in pre-test. There was significant difference between mean score(15.23) of experimental group and mean score(12.98) of control group(p<0.01) in post-test. The attitude level in pre, post education was mean score 11. There was significant difference between mean score(9.04) of experimental group in pre-test and mean score(9.39) in post education(p<0.05), There was also significant difference between mean score(9.16) of control group in pre-test and mean score(9.60) in post-test(p<0.05), Mean score of perceived susceptability level of experimental group decreased from mean score 2.84 in pre-test to 2.66 in post-test, there was no significant difference between mean score of pre-test and that of post-test in 2 group. There was no significant difference between mean scores of perceived severity of experimental group in pre-test and that in post-test and there was no significant difference between mean score of perceived severity of control group in pre-test and post-test. There was no significant differences between mean scores of perceived benefits to act health behavior of experimental group or control group and pre-test and post-test.

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A Study on Clothing Buying Pattern of Korean High School Girls by their Self-concept (여고생의 자아개념에 따른 의복구매행동 특성)

  • 황춘섭
    • Journal of the Korean Society of Costume
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    • v.43
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    • pp.169-186
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    • 1999
  • The objectives of the present study were to investigate the relationship between self-concept and clothing buying pattern in accordence with their self-concept. The method employed to conduct this study was normative-descriptive survey using questionnaires. Subjects were 438 high school girls in Seoul and the survery was implemented from the begining of May 1998 to the end of June 1998. The questionnaires were completed by students during class. Mean Standard Deviation Chi-Squeare and t-test were employed to analize the data gathered. The results are summarzed as follows: (1) The group who has the higher score in total positive self, self identity self satisfacton self behavior physcial self moral ethical self personal self and family self cares more about economical efficiency of clothing than the group who has the lower score. (2) The group who has the higher score in total positive self, self satisfaction personal self and family self attachs greater importance to the practical use of clothing than those who scored lower with in said categories of self concept. (3) The group who has the higher total positive self score cares originality more than the group who has the lower score when they purchase outdoor garment. (4) The group who has the lower social self score cares modesty and ostentation more than the group who scored higher in social self. (5) The group who has the higher score in positive self behavior personal self and family self cares about convenence in care and maintenance of the clothing than the group has the lower score. (6) Friends buying and use experiences of herself and the observation of other's attire are the main source of fashion information for the present Korean high school girls. The group who has the higher score in total positive self personal self family self, self identity self satisfactio self behavior used their own experiences more often as a source of fashion information than those who scored lower with in said categories of self concept. The group who has the higher score of total positive self personal self family self, self identity self satisfaction self behavior uses family members more often as a source of fashion information than those who scored lower with in said categories of self concept. The group who has the higher score in self identity and self behavior uses store displays more often than the group who scored lower. (7) Bonded processing goods stores or fancy goods shops(haberdashery) located in trendy shopping district discount stores and outlet stores of the famous manufactures are main places where Korean high school girls buy their outdoor garments. The group who has the higher score in social self, self identity and personal self uses department stores more often and rerely shops at bonded processing goods stores of fancy goods shops located in thendy shopping district compared to those who scored lower with in said categories of self concept.

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Study of pH and Gas Analysis of Umbilical Arterial Blood and Apgar Score as Indicators of Newborn Health (신생아 건강지표로서 제대동맥혈의 pH와 Gas Analysis 및 Apgar Score에 관한 연구)

  • Cho, Dae-Hyun;Lee, Mi-Na;Koh, Min-Whan;Lee, Tae-Hyung;Lee, Sung-Ho
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.98-106
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    • 1991
  • Apgar score is most widely used evaluating indicator of newborn health, but it is very Subjective. Umbilical cord blood gas analysis is more objective and effective than Apgar score in evaluation of newborn status. Cord blood gas was changed slightly by processing of time after fetal birth. This study was undertaken to observe objectiveness and effectiveness of umbilical arterial blood gas analysis and effects of time interval of cord clamping to newborn health with 122 pregnant women and their babies. We observed following results : 1. There were poor correlation between Apgar score and umbilical cord arterial blood analysis in evaluating of newborn health (P>0.05). 2. There was no clinical significance of Apgar score or umbilical arterial blood gas analysis as single indicator in evaluating of newborn health (P>0.05). 3. Gas analysis and pH of umbilical arterial blood was more helpful in evaluating of newborn health than Apgasr score. 4. There were no significant effects of time interval of umbilical cord clamping to newborn health. 5. If there were no indications of early umbilical cord clamping, cord blood sampling at immediately after birth without cord clamping was more effective to evaluate newborn status.

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Effect of Moxibustion on Peripheral Facial Paralysis According to Selection Method of Acupoints (말초성(末梢性) 안면신경마비(顔面神經麻痺)의 취혈부위(取穴部位)에 따른 구치료(灸治療) 효과(效果) 비교(比較))

  • Choi, Chul-Hoon;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.87-94
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    • 2008
  • Objectives : This study was to compare the effect of moxibustion therapy on peripheral facial para- lysis according to location of acupoint. Methods : We investigated 41 cases of inpatients with Peripheral Facial Paralysis, and divided them into two groups, One group was treated by moxibustion on local point(ML), and the other was treated by moxibustion on distant point(MD). We evaluated the effect of moxibustion in each group by using Gross Grading System of House-Brackmann(HB score) and Yanagihara's Unweighed Grading System(Y score). Results : 1. In ML and MD, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, ML showed significant decrease on HB score and significant increase on Y score compared with MD. Conclusions : These results suggested that ML should be more useful for improving symptoms related with peripheral facial paralysis than MD.

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Automatic Summarization of Basketball Video Using the Score Information (스코어 정보를 이용한 농구 비디오의 자동요약)

  • Jung, Cheol-Kon;Kim, Eui-Jin;Lee, Gwang-Gook;Kim, Whoi-Yul
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.9C
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    • pp.881-887
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    • 2007
  • In this paper, we proposed a method for content based automatic summarization of basketball game videos. For meaningful summary, we used the score information in basketball videos. And the score information is obtained by recognizing the digits on the score caption and analyzing the variation of the score. Generally, important events of basketball are the 3-point shot, one-sided runs, the lead changes, and so on. We have detected these events using score information and made summaries and highlights of basketball video games.

The Relationship between Creative Problem Solving in Science and Cognitive Strategies in Elementary School Students (초등학교 아동의 과학 창의적 문제 해결과 인지 전략과의 관계)

  • Lee, Hye-Joo
    • Journal of Korean Elementary Science Education
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    • v.26 no.3
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    • pp.286-294
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    • 2007
  • This study investigated the relationship between elementary school students' creative problem solving skills in terms of science and cognitive strategies. Creative problem solving in science was measured by 4 variables; appropriateness, scientific ability, concreteness, and originality. Cognitive strategies were measured by 6 variables; surface(rehearsal), deep(elaboration and organization), and metacognitive strategies(planning, monitoring, and regulating). The KEDI Creative Problems Solving Test in Science(Cho et al., 1997) and the Motivated Strategies for Learning Questionnaire(Pintrich & DeGroot, 1990) were administered to 72 subjects. Data were analyzed by means of Pearson's correlation and multiple regression analysis. Our findings indicated a positive correlation between creative problem solving in science and cognitive strategies. The surface cognitive strategy (rehearsal) positively predicted the total score, the scientific ability's score, the concrete score, and the original score of creative problem solving in science. The deep cognitive strategy(organization) positively predicted the appropriate score and the metacognitive strategy(planning) positively predicted the original score of scientific creative problem solving skills.

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Analysis of Dietary Factors of Chronic Disease Using a Neural Network (신경망을 이용한 만성질병에 영향을 미치는 식이요인 분석연구)

  • 이심열;백희영;유송민
    • Korean Journal of Community Nutrition
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    • v.4 no.3
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    • pp.421-430
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    • 1999
  • A neural network system was applied in order to analyze the nutritional and other factors influencing chronic diseases. Five different nutrition evaluation methods including SD Score, %RDA, NAR INQ and %RDA-SD Score were utilized to facilitate nutrient data for the system. Observing top three chronic disease prediction ratio, WHR using SD Score was the most frequently quoted factor revealing the highest predication rate as 62.0%. Other high prediction rates using other data processing methods are as follows. Prediction rate with %RDA, NAR, INQ and %RDA-SD Score were 58.5%(diabetes), 53.5%(hyperlipidemia), 51.6%(diabetes), and 58.0%(diabetes)respectively. Higher prediction rate was observed using either NAR or INQ for obesity as 51.7% and 50.9% compared to the previous result using SD Score. After reviewing appearance rate for all chronic disease and for various data processing method used, it was found that iron and vitamin C were the most frequently cited factors resulting in high prediction rate.

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