• Child Health Nursing Research
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• 제5권2호
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• pp.185-197
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• 1999

In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

• 디지털융복합연구
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• 제15권1호
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• pp.277-285
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• 2017

본 연구의 목적은 그간 국내에서 연구된 다문화 가정 청소년에게 적용한 중재 프로그램을 객관적이고 실증적인 방법으로 일반화함과 동시에, 향후 중재 프로그램 설계 시 체계적이고 실질적인 기초자료를 제시하고자 연구하였다. 이에 본 연구는 다문화 가정 청소년에게 적용한 중재 프로그램을 2008년부터 2014년까지 국내 석 박사 학위논문, 학술지 논문 중 29편을 선정하여 메타분석을 실시하였다. 연구결과는 프로그램 유형에서 사회적응 프로그램, 연구대상은 중학생, 총회기는 8회기 이하, 주회기는 주 3-5회, 집단크기는 21-30명으로 진행했을 때 효과크기가 가장 높은 것으로 나타났다. 종속변인은 협력관련변인이 심리관련변인 보다 효과크기가 높은 것으로 나타났다. 본 연구는 다문화 가정 청소년 프로그램을 통합적, 객관적으로 분석한 연구라는데 의의가 있으며, 실천현장에서 다문화 청소년 중재프로그램 효과를 최대화 할 수 있는 근거자료로 활용될 것으로 기대한다.

• 한국직업건강간호학회지
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• 제9권2호
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• pp.143-154
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• 2000

This study was carried out to introduce the Foot reflexo-massage (FRM) as a method of nursing practice based on the health promotion of occupational health. Literature reviews were done to achieve study aims from October in 1999 to August in 2000. The results were as follow ; 1. Theory of the FRM was mainly developed from the reflexology based on function and role of foot. 2. The FRM is focused on the appropriate reflexology of foot with pressures of light-moderate-light or light-strong-light scaled strength for 15 minutes at each feet. The massage should begin with the foot area where it is assumed as a was, of internal to external and upper to lower side. It also should start from left to light side of the feet. 3. The FRM is an alternative therapy increasingly demanded as an self applying method between eastern and western due to the benefit of natural healing power with no side effects. 4. The FRM can be an nursing intervention for health promotion of employees through supportive and educative nursing system in occupational health service. As a conclusion of the study, it suggested that the FRM can be recommended as a nursing intervention to promote health of employees and to prevent disease related to work.

• 지역사회간호학회지
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• 제9권1호
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• pp.200-212
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• 1998

Breast cancer ranks as one of the major health problems of adult women. Studies have shown that the BSE educational program based on the Individually Prescribed Instruction Model is effective in BSE practice. To motivate women in BSE practicing, a one-group pretest-posttest design was conducted. The subjects of the study were 49 Women who participated in the educational program of BSE and were mothers of D middle school in D City. The instruments of study were a BSE frequency & proficiency recording chart and a BSE confidence scale developed by Elearnor. The data was collected from September 4 in 1997 to April 30 in 1998 and was analyzed with an SAS program. The results were summarized as follows : 1) Frequency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest(t=1.32, P<.01). 2) Proficiency scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretest (t = 1. 69, P<.001). 3) Confidence scores in BSE practice in the posttest was significantly increased after the intervention as contrasted with that in the pretes(t=l1.48, P<.01). 4) The Pearson correlation coefficient between BSE frequency scores and confidence scores in BSE practice was significant (r =.72, P<.001). On the basis of this study, it can be concluded that the BSE educational program has improved BSE compliance.

• 농촌의학ㆍ지역보건
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• 제23권2호
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• pp.193-204
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• 1998

Cardiovascular diseases are the leading cause of death and disability in Korea. Their risk factors can be classified as either modifiable or nonmodifiable and among modifiable factors are high bood pressure, elevated blood cholesterol, obesity and cigarette smoking. The purpose of this study was to evaluate the risk factors for the cardiovascular diseases in a rural community and to get basic data for the development of a community-based rick reduction intervention program. Evaluation involved population-based, cross-sectional samples of adult residents in a rurual community. We measured blood pressure, body fat percent by bioelectric impedance fatness analyzer and serum cholesterol and interviewed adult residents over 20-year-old age. Blood pressure was checked twice and hypertension was classified by the sixth report of the Joint National Committee on Detection. Evaluation, and Treatment of High Blood Pressure. The Cutpoints for high blood cholesterol was used National Cholesterol Treatment Guidelines and those for obesity was 25% in male. 30% in female. The results were as follows: 1. Prevalence of definitive hypertension was 59.7% in males and 54.4% in female. 2. Prevalence of hypercholesterolemia was 14.3% in male and 18.2% in female. 3. Prevalence of obese was 10.7% in male and 41.1% in female. 4. Among definitive hypertension, hypercholesterolemia, and obesity 52.1% possessed one risk factor, 12.6% two risk factors and 2.5% three risk factors in males. In females 41.4% possessed one risk factor and 27.6%. 5.7% respectively. 5. The smoking rate was 65.8% in males and 5.2% in females. Our results are used effectively for the community-based intervention towards cardiovascukr diseases risk reduction. However, because of limitations in our study design, further datas are needed including other risk factors and in-person clinical datas.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.121-129
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• 2019

본 연구의 목적은 비디오 흉강경을 이용한 폐기포 절제술을 받은 기흉 환자에게 계획된 퇴원 간호 중재 지침을 개발하여 적용한 후 약물복용 이행도, 치료 지시 이행도, 질병에 대한 지식과 간호 만족도에 미치는 효과를 확인하기 위한 것이다. 서울 소재 K 종합병원에서 비디오 흉강경을 이용한 폐기포 절제술을 받은 기흉 환자를 대상으로 자료수집 기간은 2010년 3월 16일부터 12월 31일까지이며, 실험군 29명, 대조군 30명이 연구 대상자로 참여하였다. 계획된 퇴원 간호 중재 지침은 포괄적인 문헌 고찰과 임상 경험을 바탕으로 개발되었다. 계획된 퇴원 간호 중재는 흉부외과 간호사가 3회 실시하였으며 1회 교육시간은 약 30~40분 정도가 소요되었다. 연구결과 계획된 퇴원 간호 중재 제공 후 치료 지시 이행도는 유의한 차이가 없었다. 그러나 복약순응도(t=-2.05, p=.044), 약알 세기 약물 이행도(t=-2.61, p=.011), 질병에 대한 지식(t=-4.39, p=.001), 간호 만족도(t=-4.13, p=.001)는 유의한 차이가 있었다. 본 연구에서 계획된 퇴원 간호 중재의 제공은 기흉 진단으로 수술을 시행 받은 환자를 위한 임상에서 적용 가능한 효과적인 간호 중재임을 확인하였다. 합병증이나 재발과 같은 장기적 영향을 평가하기 위한 종단적 연구가 필요하다.

• 한국생활과학회지
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• 제23권2호
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• pp.269-279
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• 2014

The purpose of this study was to examine the relationship between family violence exposure and school violence, to explore the mediating effects of family life satisfaction, school life satisfaction, and internalizing on those relationship and to suggest practical implications for social work services for those adolescents. 4,773 adolescents were selected for the questionnaire study in Gjwangju. Collected data were analysed by Structural Equation Modeling in AMOS 20.0 and SPSS 20.0. The findings of this study were as follows: First, there were significant correlations among family life satisfaction, school life satisfaction, internalizing and school violence offense with family violence exposure. Second, the structural model analysis revealed that family violence had no direct link with school violence. Third, Family violence had indirect effects on school violence, mediated by family life satisfaction, school life satisfaction and internalizing. Based on these findings, the research discussion reinforced the importance of family focused services to prevent the school violence and suggested effective intervention plan.

• Perspectives in Nursing Science
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• 제11권2호
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• pp.132-143
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• 2014

Purpose: This study was designed to explore adolescents' experience with yoga class in South Korea. Methods: Qualitative data were collected by focus group interviews from February to March 2014. Eleven adolescents who experienced yoga class were recruited from two different schools. The interview questions investigated adolescents' experience with yoga regarding expectations before yoga class, positive changes after yoga, and advice for future yoga classes. Results: Three primary themes from the qualitative content analysis include 1) motivation to join a yoga class, 2) perceived benefits after class and 3) suggestions for school-based yoga. We found that high school students had intrinsic and extrinsic motivations to join yoga classes, and the perceived benefits included physical, psychological, cognitive and social aspects. The students also indicated the need for support by person, yoga with fun and information, yoga tailored by individual goal, simple and easy class. Conclusion: These results suggest that yoga could be an appropriate intervention for holistic health care, and school-based yoga should be applied by focusing on the various situational needs of adolescents'. Furthermore, when yoga leads to healthy habits compared to just simple exercise, a balanced development of adolescents can be achieved.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.169-176
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• 2020

Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.415-423
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• 2022

Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.