• 대한간호학회지
• /
• 제43권4호
• /
• pp.547-556
• /
• 2013

Purpose: This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention. Methods: A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention. Results: According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant. Conclusion: The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

• 인간행동과 음악연구
• /
• 제15권1호
• /
• pp.95-118
• /
• 2018

최근 근거중심의 연구와 실제가 강조되면서 중재 연구들이 보다 엄격한 논거를 토대로 수행되고 있다. 이에 본 연구에서는 국내 리듬 과제를 사용한 중재 연구의 특성과 치료 목표별 리듬 과제를 고찰한 후 중재 구성 및 논거를 분석하였다. 선정 기준에 부합한 총 41편의 논문을 대상으로 7개의 중재 항목 및 논거 제시 수준을 분석하였다. 분석 결과 중재제공자 전문성과 중재 구성틀, 중재 기간, 중재 형태, 중재 절차, 활동 및 음악에 대한 논거 제시 수준이 전반적으로 낮았다. 총 7개 중재 관련 항목 중 4개 이상 항목에 논거를 제시한 연구는 10편이었으며 이들을 대상으로 논거에 대한 추가 분석을 수행하였다. 10편 모두 중재제공자, 중재 구성틀, 활동 논거 및 음악 논거를 제시하였으나 중재 유형(개별 또는 집단)과 구성된 중재 기간에 대한 논거는 동일한 수준으로 제시되지 않았다. 또한 리듬 중재 유형에 따른 논거 수준을 살펴본 결과, 기존의 프로토콜을 활용한 4편의 연구는 활동 논거와 음악 논거가 명료하게 제시된 반면 연구자가 구성한 중재를 활용한 6편의 연구는 음악 논거보다는 활동 논거를 중점적으로 제시하였다. 본 연구 결과는 음악치료가 근거 중심의 학문으로 발전하기 위해서는 연구자들이 중재 항목의 타당성과 중재 구성에 대한 논거를 더욱 충실히 제시할 필요가 있음을 보여준다.

• 한국임상약학회지
• /
• 제26권3호
• /
• pp.245-253
• /
• 2016

Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; and suggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention.

• 한국전문물리치료학회지
• /
• 제29권4호
• /
• pp.274-281
• /
• 2022

Background: The range of motion (ROM) and balance ability of the ankle joint affect the stability of the ankle and prevent injuries or hurts from falling. In the clinical tests conducted recently, the floss band is widely used to enhance the range of joint motion and exercise performance, and there are many studies that have applied it to ankle joint increasing dorsi flexion (DF) angle. Objects: This study compared the effects on the range of ankle motion and static/dynamic balance ability of the ankle through three conditions (before floss band intervention, after floss band intervention, and after active exercise intervention) for adults. Methods: One intervention between floss band and active exercise was applied randomly and another intervention was applied the next day. After each intervention, the ROM of the ankle joints and the static balance was checked by measuring conducting one leg test. And the dynamic balance was checked by conducting a Y-balance test. Results: In the case of DF, the range of joint motion showed a significant increase after floss band intervention compared to before floss band intervention (p < 0.05). Static balance ability showed a significant increase after the intervention of floss band and active exercise compared to before the intervention of floss band (p < 0.05). The dynamic balance ability showed a significant increase after the intervention of the floss band compared to before intervention of the floss band and after active exercise intervention (p < 0.05). Conclusion: Based on these results, it was confirmed that the application of floss band to the ankle joint increases DF and improves the static and dynamic balance ability. Based on this fact, we propose the application of a floss band as an intervention method to improve the ROM of the ankle joint and improve the stability of the ankle in clinical field.

• Clinical and Experimental Pediatrics
• /
• 제60권10호
• /
• pp.320-326
• /
• 2017

Purpose: This study aimed to evaluate a pilot project of the Nursing Feeding Center "Posyandu Plus" (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6-36 months at community health centers in Indonesia. Methods: A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3. Results: LFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ ($0.96{\pm}0.97$) and WAZ ($0.45{\pm}0.72$) increased; BAZ increased ($1.12{\pm}0.93$) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by $0.53{\pm}0.52$, which indicated 57.8% had short stature. Conclusion: The NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

• 비교교육연구
• /
• 제27권1호
• /
• pp.1-28
• /
• 2017

본 연구에서는 미국 학교위기대응체계 및 학교기반 위기대응팀과 위기개입을 살펴보고 그 시사점을 도출하여 국내의 학교기반 위기대응체계 구축 및 개선에 방향을 제시하고자 한다. 이를 위해 미국과 한국의 학교기반 위기대응체계에 대한 국내외 문헌을 중심으로 문헌연구를 수행하였다. 미국의 학교기반 위기대응팀의 특징은 다음과 같다. 첫째, 미국은 학교기반 위기대응을 위한 기구와 재정이 법으로 명시되어있어서, 위기발생시 지역, 구, 학교의 역할과 책임소재가 명확하고, 단일한 위기관리 명령체계 구축으로 인한 혼선을 방지한다. 둘째, 학교위기사건 발생 시 학교는 사건지휘체계에 따라 전문위기대응에 관한 역할이 분담되고 위기대응팀과의 협력을 통해 사회 각 영역 간에 의사소통을 원활하게 조정한다. 셋째, 위기대응팀은 위기사건에 지치거나 압도당하지 않도록 팀 구성에 유연성을 발휘하면서 소진을 예방하고 있으며, 학교와 위기대응팀의 협력을 통해 학교자체의 위기역량강화에 초점을 둔다. 넷째, 미국의 학교기반 위기대응팀은 예방단계에서 장기화된 사후관리에 이르기까지 단계별 위기개입을 실시한다. 이러한 결과를 바탕으로 국내 학교기반 위기대응체계의 구축 및 개선에 주는 시사점을 논의하였다.

• Nutrition Research and Practice
• /
• 제15권5호
• /
• pp.639-654
• /
• 2021

BACKGROUND/OBJECTIVES: Many adolescents in developing countries skip breakfast. Innovative nutrition education (NE) strategies are needed to enhance knowledge and skills related to the breakfasts of adolescents in a low socioeconomic setting. The objective was to evaluate short- and long-term effects of a multi-strategy, school-based NE intervention on adolescents' breakfast-related personal influences and behaviors. SUBJECTS/METHODS: An intervention study with a cluster randomized controlled trial design was conducted in 4 senior high schools in Makassar, Indonesia. The multi-strategy NE intervention was delivered for 3 months. Data were collected using a self-administered questionnaire and a 3-day breakfast recall (face-to-face interview). Wilcoxon, McNemar, and Mann-Whitney tests were used to determine intra- and intergroup differences. RESULTS: Unlike knowledge, improvement was observed in attitude and self-efficacy scores in the intervention groups (IGs) (P < 0.01); however, no significant changes were observed in the control group (CG). More students showed improved motivation in the IG than in the CG (P > 0.05). Changes in breakfast frequency and macronutrient intake from breakfast were greater in the IG than in the CG (P < 0.05). CONCLUSIONS: A multi-strategy NE intervention is effective in producing positive changes in breakfast-related attitude, self-efficacy, and motivation of adolescents from a low-middle socioeconomic setting. The intervention improved breakfast frequency and nutrient intake. This intervention has promise for sustaining the observed changes over the long-term.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권6호
• /
• pp.2871-2876
• /
• 2016

The Pap smear test is recommended for early diagnosis of cervical cancer. The aim of this study was to assess knowledge and behavior regarding the Pap smear test based on the Health Belief Model (HBM) in women referred to premarital counseling classes, Hamadan, Iran. This quasi-experimental study was conducted on 330 women, who were allocated randomly to two case and control groups (n=165). Two educational session classes were performed in the case group. Two stages in before and after intervention groups were evaluated. Analysis of data was performed by SPSS/16.0, using t-test, $x^2$, and McNemar's test. P-values <0.05 were regarded as significant. There was no significant difference between the mean scores of the various structures of this model in two groups before the intervention. However, after the intervention there were significant increase in mean score of knowledge and all variables of HBM in the intervention group(P<0.001). The findings of this study highlight the important role of education about cervical cancer on changing women's beliefs about cervical screening.

• 교육시설 논문지
• /
• 제26권6호
• /
• pp.3-17
• /
• 2019

During adolescence, youths may experience many unexpected changes due to sudden variances. At that time, youths were found to show rebellious or abnormal behaviors due to psychological wounds. These are often caused by psychological wounds oriented at home or at school, which may make some problems in adolescents' self-respect and attachment. In this study, we plan to conduct an analysis of the case of the interior therapy of educational facilities through TBRI (Trust-Based Relational Intervention) to discover how psychological therapy for youths is applied to an interior environment. The cases analysis are conducted based on the three principles of TBRI and the twenty seven detailed keywords within each principle. The research method is oriented on the research of literature focusing on TBRI-related external studies and domestic/external studies of interior therapy. The ranges of the case study are studied in six educational facilities retrieved and extracted from the website 'Archdaily' and from the 2019 Journal of the Korean Institute of Educational Facilities. The research article are concluded that TBRI's principles were applied to shape, finish material, color, lighting, furniture layout, plan layout, sculpture, and built-in-furniture by analyzing the interior therapy of educational facilities according to the elements of TBRI.

• 한국치위생학회지
• /
• 제23권1호
• /
• pp.13-23
• /
• 2023

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.