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Factors influencing infertility-related quality of life in infertile women (난임 여성의 난임관련 삶의 질 영향요인)

  • Kim, Yun Mi;Nho, Ju-Hee
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.49-60
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    • 2020
  • Purpose: Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women's infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. Methods: A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. Results: The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=-.42, p<.001) and depression (r=-.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=-0.44, p<.001), fatigue (β=-0.27, p<.001), and husband's attitude (β=-0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. Conclusion: The study provides insights into how infertile women's infertility-related QoL was influenced by depression, fatigue, and their husbands' attitudes regarding infertility treatment. To improve infertile women's infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands' attitudes.

Influence of lifestyle, depression, and marital intimacy on quality of life in breast cancer survivors (유방암 생존자의 생활습관, 우울, 부부친밀도가 삶의 질에 미치는 영향)

  • Seo, Su-Jin;Nho, Ju-Hee;Lee, Myoungha;Park, Youngsam
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.28-36
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    • 2020
  • Purpose: This study investigated lifestyle, depression, marital intimacy, and quality of life (QoL) in breast cancer survivors, with the goal of identifying the impacts of these factors on QoL. Methods: A sample of 146 breast cancer survivors was surveyed in this cross-sectional study. Data were collected from March 20 to May 30, 2019, using self-report structured questionnaires at a hospital located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis. Participants agreed to complete a face-to-face interview, including administration of the Health Promoting Lifestyle Profile II, Depression Anxiety Stress Scale 21-Depression Scale, Marital Intimacy Scale, and Functional Assessment Cancer Therapy-Breast Cancer tool. Results: QoL was positively correlated with lifestyle (r=.49, p<.001) and marital intimacy (r=.45, p<.001) and negatively correlated with depression (r=-.72, p<.001). Hierarchical multiple regression analysis showed that depression (β=-0.63, p<.001), marital intimacy (β=0.19, p=.001), and lifestyle (β=0.13, p=.031) had significant effects on the QoL of breast cancer survivors, accounting for 63.3% of variance in related QoL. Conclusion: This study provides insights into how breast cancer survivors' QoL was influenced by depression, marital intimacy, and lifestyle. To improve the QoL of breast cancer survivors, healthcare providers should consider developing strategies to decrease depression, to increase marital intimacy, and to improve lifestyle.

A Point of View on the Use of Fractals in Art Therapy (미술치료에서 프랙탈의 활용방안에 관한 소고)

  • Lee, Hyun-Jee;Yeon, Ohk-Hyun
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.354-367
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    • 2020
  • This study is on the consideration of the scope of application of art therapy and fractal through the review of literature at home and abroad. The complex system is the opposite of the Euclidean system, a concept suitable for understanding the contemporaries with ambiguous boundaries and decentralized phenomena. The self-similarity and inventiveness of fractal, the geometry of nature, is used as fractal art in art as well as tree trunk, cloud and plant, especially in art therapy, fractal is considered to be available in the field of mandala and neuroscience. From brain-based research to mandala, exposure to natural patterns, clinical diagnosis through fractal analysis and software development, fractal has potential elements that can be developed in art therapy. Fractal, which is easy to link with computers due to its nature, is a necessary study at this point when non-face-to-face contact with the Corona virus is recommended. Currently, research on fractal art therapy is insufficient in Korea. Therefore, this research is intended to present as a basis for scientific and objective diagnostic tools and treatment at clinical sites using art therapy using fractal.

Risk-Accepting Personality and Associated Factors among Korean Farmers (농업인의 농작업 위험 수용도 및 관련 요인)

  • Youn, Ji Young;Choi, Yeongchull;Lee, Won Jin;Kim, Jaeyoung
    • Journal of Environmental Health Sciences
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    • v.42 no.5
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    • pp.333-344
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    • 2016
  • Objectives: This study aimed to examine risk-accepting personality traits and associated factors among farmers. Methods: Data were collected from farmers aged over 40 living in Goryeong, North Gyeongsang-do Province, Korea. Study participants were enrolled in the Korean Rural Cohort study from 2011 to 2014. Surveys for the risk perception of farming were made through face-to-face interviews. Chi-square tests and logistic regression analysis were conducted adjusting for gender, age, marital status, and education. Results: Several factors such as gender, age, marital status, age first worked as a farmer, duration of farming, and history of pesticide poisoning were associated with risk-accepting personality traits among farmers. Farmers with risk-accepting personalities tend to be older, less educated, and have self-employed health insurance. Farmers who started farming after the age of 50 are likely to be risk averse compared to farmers who started farming before the age of 20 (OR=0.41, 95% CI; 0.21, 0.82). Frequent spraying of pesticides was marginally associated with higher risk acceptance among female farmers (OR=1.61, 95% CI: 0.99, 2.64). Male farmers who had experienced pesticide poisoning in their lifetime showed higher odds of risk-accepting personality traits (OR=2.20, 95% CI: 1.03, 4.72) Conclusion: Risk-acceptors were more likely to spray pesticides frequently and to experience more pesticide poisoning compared to risk-averse individuals. This result suggests that farming hazards are to some degree driven by risk-accepting personality traits. Further investigation of how risk-accepting behaviors influence farming practices and pesticide poisoning is needed.

An Analysis of Difficulties of Teachers and Students in Class on Weight (무게 단원 수업에서 겪는 교사와 학생의 어려움 분석)

  • Park, Joonhyeong;Jhun, Youngseok
    • Journal of The Korean Association For Science Education
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    • v.34 no.3
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    • pp.295-301
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    • 2014
  • The purpose of this study is to investigate the difficulties of teachers and students on the unit about 'measuring weight.' In this research, we have acquired data about teachers through survey, interview, and self-reflection journals, at the same time we have collected information on the students through survey, assessment test, and interview. We have extracted the difficulties from analysis with constant comparison method. In addition, we have analysed the curriculum of science and mathematics to know the leaning sequence. The analysis had been checked up by experts in science education. The result of the study is as follows: The difficulties of teachers are from the lack of teachers' descriptive knowledge, disorder of conceptual hierarchy in the curriculum, poor experimental instruments, and low psychomotor skill of students. The difficulties of students are from common misconceptions, opaque concepts, lack of manipulation skill, insufficiency of mathematical ability, difficulty of application of principles to the real situation, and lack of problem-solving ability. In addition, teachers have recognized that students face more difficulties in experiment class, while students think that they face more difficulties in conceptual understanding class.

Degree of Pain, and Barriers and Satisfaction with Pain Management among Home Care Cancer Patients (재가 암환자의 통증, 통증관리 장애정도 및 통증관리 만족도)

  • Moon, Young-Me;Ham, Ok-Kyung;Kim, Jung-Hee;Lim, Ji-Young
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.177-185
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    • 2008
  • Purpose: To investigate the degree of pain, and to identify barriers to and satisfaction with pain management, in an effort to provide baseline data for effective pain management interventions. Methods: The study design was descriptive and correlational. A total of 100 cancer patients who were cared for at home participated in this study. Questions regarding self-rated pain, as well as barriers to and satisfaction with pain management were included in the study instruments. The data were collected by nurses using a face-to-face interview method in May of 2008. Results: Thirty six percent of the participants were in their 70's and 18.0% suffered from cancer of the large intestine. The usual degree of pain was reported as 3.43 out of 10 points, and the study patients were generally moderately satisfied with their pain management (M=$3.15{\pm}0.78$; range, 1-5). The mean barrier score was $3.24{\pm}0.52$ (range, 1-5) and concerns regarding the progress of cancer was the most highly evaluated barrier. There was a negative relationship between the degree of pain and satisfaction with pain management, and between barriers to and satisfaction with pain management. Conclusion: The precise evaluation of pains is crucial to the proper management of pain, and the education and promotion of proper pain management practices may help to overcome barriers to pain management for cancer patients.

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A Prediction Model on Korean Medicine Health Promotion Behavior in Late Adulthood-Elderly (국내 수도권 중·노년층의 한방건강증진행위 예측모형)

  • Kim, Soo-Kyung;Choi, Hyung-Wook;Woo, Won-Hong
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.2
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    • pp.1-12
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    • 2015
  • Objective : This study was a covariance structural analysis to identify korean medicine health promotion behavior by the general characteristics of the subjects and build a predictive model and theoretical framework based on Pender's health promotion model(1996) and related literature reviews. Method : A hypothetical model was consisted of 8 theoretical variables and 27 measured variables. Related variables included Individual Characteristics and Experience, Behavior-specific cognitions and affect and Behavioral outcome. The data was collected from 802 middle and old-aged people living in Seoul and Gyeong gi province through structured questionnaires by face to face interviews between February and March, 2014. SAS ver. 9.1 and AMOS 18.0 programs were used for the data analysis. Results : Difference in the verification of Korean medicine health promotion behavior by the general characteristics, Older people who are male, with higher economic status, no chronic disease or with diabetes, no smoking, no drinking, with more exercise showed significantly higher scores, but education level has no difference. 15 paths were statistically significant among 16 paths on the direct effect, 6 paths were statistically significant among 9 paths on the indirect effect in the hypothetical model. The greatest impact variable on Korean medicine health promotion behavior was perceived self-esteem. Also, the findings showed that the higher perceived social support, perceived health status, previous Korean medicine health promotion behavior, community environment, perceived benefit and the lower perceived barrier had a significant effect on Korean medicine health promotion behavior. Conclusion : This research model has an empirical validity as the variables of this study verified their effects and significances. Therefore, the understanding of Korean medicine health promotion behavior can be increased and the utilization will be higher when seeking a comprehensive health promotion plan. Also, a strategy can be utilized the strategy for Korean medicine health promotion behavior.

Success of Digital Transformation in the Context of the Agile Principles : A Case Study of the Seoul Metro (애자일 수행 방식으로 본 디지털 전환의 성공요인 : 서울교통공사의 디지털 전환 프로젝트를 중심으로)

  • Youn, Jeong Won;Kim, Jong Yoel;Chang, Suk-Gwon
    • Journal of Information Technology Services
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    • v.19 no.5
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    • pp.137-153
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    • 2020
  • Most enterprises today work on digital transformation projects to cope with uncertainties caused by the rapid change and cutting-edge technology. The key point is they need to take a novel approach on new projects for high performance. In this context, there is a growing interest in utilizing agile method; however, many studies on Impact of Digital Transformation on the Results of Innovation do not deal with agile methodology. The research specifies the case of Seoul Metro, regarded as best-practice on digital transformation, based on the agile way of working. The case study is based on in-depth interview with Seoul Metro's executives and employees, and the interview is analyzed using keywords from the 12 Agile Principles. Thus, among the 12 Agile Principles, Motivation and Trust, Face-to-face Interactions, Continuous Attention to Technical excellence and good design, Self-Organizing Team contributed the most to successful digital transformation projects. In addition, based on Requirements Uncertainty and Technical Degree of Uncertainty, they carry different kinds of traits. For instance, the higher the uncertainty toward requirements and required technology is, the more technological development pace is maintained. Given the conservative nature of public corporations, it is necessary to adopt the agile way of working, such as improving employees' technological capabilities and allowing teams to be organized within themselves, in a bid to produce successful innovation outcome.

A Study Mode of Synchronous & Asynchronous for Multimedia Distance Education System (동기 및 비동기 겸용모드의 멀티미디어 원격교육 시스템 개발에 관한 연구)

  • Kim, Sang-Jin;Kim, Seok-Soo;Park, Gil-Cheol;Hwang, Dae-Joon
    • The Transactions of the Korea Information Processing Society
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    • v.4 no.12
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    • pp.2985-2995
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    • 1997
  • In this paper, we proposed the "synchronous & asynchronous distance education system" which is able to interact among teachers and students for open education in cyberspace, and it is based telecommunication technology and multimedia technology. Specially, This system gets rid of the nufamiliarity and inconvenient feeling during the distance education. Also it supports the mediation of floor mode, for a group lecture and supports the synchronous mode for face-to-face effective and asynchronous mode for self-learning. The asynchronous mode has the down load function and the consultant mode (between teacher and student). The element technologies of this system consists of application sharing technique, whiteboard, various video window display, audio support, user interface, environment setup, session management, access control, network control and media control for collaborative distance education.

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The Effects of a Physical Activity Reinforcement Program on Exercise Compliance, Depression, and Anxiety in Continuous Ambulatory Peritoneal Dialysis Patients (신체활동 강화프로그램이 복막투석환자의 운동이행, 우울, 불안에 미치는 효과)

  • 이숙정;유지수
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.440-448
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    • 2004
  • Purpose: This study was to evaluate the effects of a physical activity reinforcement program on exercise compliance, depression, and anxiety in continuous ambulatory peritoneal dialysis(CAPD) patients. Method: A nonequivalent control group with a pre-post test was designed. Data collection was done from December, 2002 to June, 2003 at a hoapital. The degree of depression and anxiety of the patients was assessed by the score of SCL-90-R, and exercise compliance was measured by exercise period, frequency, time and intensity. The experimental group was composed of 19 participants who were educated based on an exercise education protocol and carried out walking exercises two to four times a week after hearing verbal persuasion biweekly through the telephone or a face-to-face interview for 12 weeks, while 17 participants in control group received no intervention. Result: 1. The experimental group showed significant improvement in self-efficacy of exercise compliance (U=79.00, p=.01), exercise period ($x^2$=20.84, p=.00), exercise frequency ($x^2$=9.03, p=.0l), exercise time ($x^2$=9.03, p=.0l) and exercise intensity ($x^2$=11.09, p=.00) compared to those of the control group. 2. The experimental group showed a lower depression score (U=84.50, p=.01) than the results of the control group. 3. However, there were no changes in anxiety level compared to the control group. Conclusion: The physical activity reinforcement program was found to have an effect on exercise compliance and the depression score of CAPD patients. The results provided evidence for the importance of physical activity and verbal persuasion in CAPD patients.