• 한국융합학회논문지
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• 제11권6호
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• pp.69-74
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• 2020

본 연구는 척수손상 작업치료 가이드라인의 개발에 앞서 척수손상환자에게 적용하고 있는 작업치료 실태와 임상에서 요구하는 가이드라인의 범위를 알아봄으로써 이에 따른 필요성의 제기 및 근거 기반 재활 중재 서비스 체계 구축을 위한 것으로 동일 분야 연구에 활용이 있을 것으로 사료 된다. 조사방법으로는 현재 작업치료사가 근무하는 기관을 중심으로 작업치료사 112명을 대상으로 2019년 10월 3일부터 17일 까지 총 15일간 설문조사 하였다. 그 결과 임상에서 주로 사용되는 중재방법에는 신체활동훈련 106명(94.6%), 일상생활동작훈련 96명(85.7%), 교육-카운슬링-정보제공 44명(39.3%), 보호자 교육 39명(34.8%)순으로 조사되었다. 연구결과를 통해 작업치료 가이드라인의 인식과 임상적 요구를 확인하였다.

• 대한물리의학회지
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• 제14권4호
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• pp.133-142
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• 2019

PURPOSE: This study examined the effectiveness of an active lifestyle on the HRV and fitness of the older female adults. METHODS: Eighty female older adults (72.68±3.78 years) were sampled from a senior wellness institute. Accelerometers were distributed to each participant to have the device attached to them for one week, and the physical activity data (Energy expenditure in Kcal) of each participant were analyzed. Participants were divided into 3 groups (<1,000 Kcal vs 1,000 to 1,500 Kcal vs ≥1,500 Kcal) based on the amount of weekly physical activity. Before and after data analysis, the HRV was measured at resting state and the Senior Fitness Test was performed. RESULTS: One way ANOVA showed a significant difference in the HRV between the three groups. Group A (≥ 1,500 Kcal) was superior in HF and HF/HF + LF whereas Group C (<1,000 Kcal) showed high level of LF, LF/HF, and LF/HF+LF. The same statistics revealed significant differences in fitness. Most of the fitness variables were superior in Group A and B compared to Group C. Significant correlations were observed between physical activity and both HRV and in fitness. CONCLUSION: Theses results suggest that an active lifestyle may be an effective intervention for the prevention of both cardiometabolic disorder and improvement of the fitness level in older female adults.

• 한국환경복원기술학회지
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• 제11권2호
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• pp.19-27
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• 2008

Ecosystem fragmentation by human intervention breaks down the biosphere habitat. Wildlife corridors connect biosphere habitats to maintain ecosystem continuity and provide animals with connecting routes. In Korea, there are 17 existing wildlife corridors on highways (as of December, 2006. Korea Freeway Corporation). There are 24 highway routes, 2,923km of highway(as of December, 2004. Korea Freeway Corporation). However, wildlife corridors are not enough and roadkill increases every year, so we need to construct additional wildlife corridors on highways. This study proposes a new approach to the location of wildlife corridors on highways, using a comprehensive analysis method for main location elements, and applies it to a study area. First, it examines traditional approaches to location of wildlife corridors through literature review and field study to analyze the present conditions of existing wildlife corridors. Then, it developes a comprehensive analysis method for the location of wildlife corridors. (1) Field investigation : investigate planting, water bodies and so on. (2) Roadkill analysis : roadkill counts, locations, time, and so on. (3) Monitoring : animal traces were surveyed and sensor cameras were installed to determine target species. (4) Simulation for animal movement : most probable wildlife dispersal was simulated by a computer software. (5) A new comprehensive approach overlays all analysis on a map and determines the location of proposed new wildlife corridors. In conclusion, it proposes an over-bridge type wildlife corridor in Dalnaenae Hill (413-414km from Busan) and an underpass type near the entrance to Gwanhyun temple way (415-416km from Busan). This new approach based on roadkill data, computer simulation of wildlife dispersal, monitoring of animals, and site analysis, may contribute to better location of wildlife corridors on highways.

• 여성건강간호학회지
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• 제18권3호
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• pp.209-222
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• 2012

Purpose: The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials. Methods: We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis. Results: The maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ. Conclusion: There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.1894-1903
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• 2015

본 연구의 목적은 만성뇌졸중 환자에게 운동학습이론을 기초한 물리치료와 작업치료를 병행한 집단 과제지향적 순환훈련 프로그램을 실시하여 운동기능, 일상생활동작과 삶의 질적인 변화를 알아보고자 하였다. 6명의 만성 뇌졸중 환자에게 31주간 실시하였다. Chedoke-McMaster 뇌졸중평가, 균형검사, 일상생활활동 운동 처리기술 평가(Assessment of Motor and Process Skills: AMPS)와 뇌졸중 영향척도 측정을 치료 전과 후에 수집하였다. 연구결과, 운동기능 손상영역, 균형과 뇌졸중 영향척도의 기분과 정서영역에서 통계적으로 유의하게 향상되었다. 일상생활활동 운동 처리기술 평가는 운동(motor)영역에서 6명 중 3명에게 처리(process)영역은 4명에서 훈련 후 향상되었다. 본 연구결과를 바탕으로 집단 과제지향적 순환훈련은 지역사회 만성 뇌졸중 환자의 신체적 기능 향상에 이점이 있다고 제언하는 바이다.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.1946-1956
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• 2015

이 연구는 골관절염 대상자에게 자가관리를 실시한 연구에 대한 체계적인 문헌고찰과 메타분석을 통해 객관적인 근거를 제시하는 것이었다. 이를 위해 Ovid Medline, CINAHL, PubMed, RISS, KISS 등을 통해, 주요어 '골관절염(osteoarthriti* OR OA)', '자가관리(self-(management OR care OR help))'를 사용하여 1999년부터 2012년까지 출판된 논문을 선정하였다. 최종 선정된 논문은 총 11편(무작위 대조군 실험연구는 7편, 유사실험연구는 4편)으로 RevMan 5.2 프로그램을 사용하여 메타분석을 실시하였다. 자가관리 중재방법으로 운동, 교육, 마사지, 환우모임이 있었다. 메타분석 결과, 자가관리는 골관절염 대상자의 통증, 신체기능, 일상생활능력, 자기효능감에 유의한 효과가 있었다. 특히, 자가관리가 일상생활능력에 대하여 큰 효과가 있었으며, 통증 및 신체기능에 대하여 중간 정도의 효과가 있었다. 이를 바탕으로 골관절염 대상자를 위한 표준화된 자가관리 프로그램의 개발이 필요하다.

• 한국융합학회논문지
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• 제11권2호
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• pp.341-350
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• 2020

본 연구는 간호 대학생의 영양지식, 식이 자기효능감, 식습관을 파악하고 관련 요인들이 식행동에 미치는 영향요인을 조사하는 서술적 연구이다. G시의 소재 대학교에 2학년 재학생 123명을 대상으로 2018년 6월 18일부터 20일까지 편의표집하였다. 수집된 자료는 SPSS 20프로그램을 사용하여 기술통계, t-test, ANOVA, Scheff, Pearson's correlation, Multiple regression으로 분석하였다. 본 연구결과 대상자의 식행동에 영향을 미치는 요인으로는 학교생활 만족도, 과식과 간식 횟수, 식이 자기효능감으로 파악되었다(adjusted R²=0.48, F=11.31, p<.001). 본 연구 결과 간호대학생의 식행동에 대한 영향요인을 바탕으로 식이 자기효능감을 증진시켜 건강한 식습관을 갖출 수 있는 역량을 갖추도록 간호중재 프로그램 개발을 해야 할 것이다.

• 성인간호학회지
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• 제25권2호
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• pp.219-230
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• 2013

Purpose: This study is reviewed of the available literature to identify the evidence of the value of Kegel exercise programs as an intervention to decrease urinary incontinence and the improvement of the quality of life following a radical prostatectomy in localized prostate cancer. Methods: We searched studies of randomized controlled trials that utilized the Kegel exercise programs with patient with a radical prostatectomy. The review was conducted electronic bibliographic database of Ovid-Medline, Embase, Scopus, KoreaMed and NDSL, etc. Of 630 publications identified, seven studies that met the inclusion criteria, and all studies analyzed by meta-analysis. To ensure the quality of the studies, we used Cochrane's Risk of Bias. Results: Kegel exercise helped patient to achieve continence more quickly (after 1, 3, 6, 12 months) than men not using Kegel exercises. Especially, Kegel exercise significantly reduced the development of urinary incontinence at one month after prostatectomy. The effectiveness of Kegel exercise after prostatectomy was found to improve the quality of life at a significant level. Conclusion: Based on available evidence, Kegel exercise that nurses can teach improved the return to continence more than usual care in men with prostatectomy urinary incontinence.

• 대한통합의학회지
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• 제4권1호
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• pp.65-72
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• 2016

Purpose : This study was carried out to find out the relationship between emotion intelligence, learning flow and career stress of nursing students and influence factors for career stress. Methods : This study targeted 197 university students in their freshman-senior year attending College of Nursing located in P Metropolitan City. For collected data, real numbers and percentage, mean and standard deviation and multiple regression analysis were carried out by using PASW 21.0 program and the correlation between emotion intelligence, learning flow and career stress was analyzed with Pearson's correlation coefficients. Results : Emotional self-awareness(M=3.80, SD =.71), clear goals(M=3.39, SD=.90) and school environment stress(M=2.97, SD=.96) were found to be high in the degree of emotion intelligence, learning flow and career stress of the subjects. The relationship between emotion intelligence and learning flow showed a positive correlation(r=.489, p<.01) in the correlation between emotion intelligence, learning flow, career stress and emotion intelligence showed a negative correlation with career stress(r=-.204, p<.01). Emotion intelligence and learning flow show that career stress is predicted significantly (${\beta}$ =-.15, p < .01) and explained a career stress variate as 18%(F = 24.5, p < .01). Conclusion : Emotion intelligence of nursing students was found to be very influential on the degree of learning flow or career stress. Based on the results of this study, replication studies on emotion intelligence and career stress are needed and the development of intervention programs to increase emotion intelligence is needed.

• 대한물리의학회지
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• 제11권4호
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• pp.105-114
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• 2016

PURPOSE: This study is to investigate the therapeutic effect of Tetrax on balance dysfunction caused by ataxia in cerebellar stroke. METHODS: A total of thirty subjects with cerebellar stroke were recruited. The participants was divided into two groups, the experimental (n=15) and the control group (n=15). Tetrax training and conventional physical therapy (CPT) were performed in experimental group, whereas the patients in the control group were treated with CPT twice a day. Each session of the Tetrax and CPT was carried out for 30 minutes, 5 times per week for 4 weeks. Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA) was the primary outcome measure, and the secondary outcomes covered Berg balance scale (BBS), falling index (FI), Timed up and go (TUG), and modified Barthel index of Korean version (K-MBI). All outcome measures were evaluated before and after 4 weeks. RESULTS: K-SARA was decreased significantly after 4 weeks intervention in both the experimental (p<.05) and the control group (p<.05). Furthermore, the experimental group produced significantly better outcomes in K-SARA, BBS, FI, and TUG compared with the control group (p=.012, p=.027, p=.008, and p=.048). There were significant correlations between K-SARA and BBS, FI, TUG, and K-MBI (p<.001, p<.001, p=.004, and p<.001). CONCLUSION: The restoration of ataxia was related with the improvement of the balance, falling risk, mobility, and activity of daily living. Tetrax training was effectively aided recovery of ataxia after cerebellar stroke.