• 제목/요약/키워드: State intervention

검색결과 663건 처리시간 0.029초

항암 화학요법을 받는 유방암 환자의 피로 관련요인 (Factors Related to Fatigue in Breast Cancer Patients Receiving Chemotherapy)

  • 권영은
    • 성인간호학회지
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    • 제17권2호
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    • pp.310-319
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    • 2005
  • Purpose: The purpose of the study is to investigate the degree of fatigue and its related factors in patients with breast cancer. Method: The subjects of this study consisted of 62 breast cancer patients receiving chemotherapy. The Revised Piper Fatigue Scale, Disruption of Usual Activity Scale, Linear Analogue Self Assessment Scale and Self-Care Diary Scale were employed to measure fatigue, disruption of usual activity, mood state and physical symptom respectively. Collected data were analyzed using SPSS-PC to obtain summary statistics for the descriptive analysis, Pearson Correlation, and Stepwise Multiple Regression. Result: The results are as follows. 1. The mean score of the degree of fatigue was 4.82 points indicating moderate level. 2. The mean score of the degree of disruption of usual activity, mood state and physical symptom were 2.66, 5.00, and 4.69 points. 3. Fatigue of the subjects was significantly correlated with disruption of usual activity(r=.517, p<.01), mood state(r=.420, p<.01) and physical symptom(r=.463, p<.01). 4. With the result of stepwise multiple regression, disruption of usual activity, mood state and physical symptom being the three variables which could explain fatigue by 39.1%. The results of this study suggest that comprehensive intervention strategy for fatigue should be developed to maintain quality of life during and following chemotherapy considering these factors.

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등마사지가 위암 수술 환자의 통증 정도, 상태불안 및 수면의 질에 미치는 효과 (The Effect of Back Massage on Degree of Pain, State Anxiety and Quality of Sleep of Postoperative Patients with Gastrectomy)

  • 한미숙;이강이
    • 종양간호연구
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    • 제12권1호
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    • pp.69-76
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    • 2012
  • Purpose: Most of postoperative patients experience pain, state anxiety and sleep disturbance. These problems negatively influence the recovery of postoperative patients. So alleviating these problems has been one of the nurses' central roles. The purpose of this study was to examine the effects of back massage on pain, state anxiety and quality of sleep of postoperative gastrectomy patients. Methods: A non-synchronized non-equivalent control group pre and post-test design was used. The research instruments used in this study were the Numerical Rating Scale (NRS) for pain, the State-Anxiety Inventory (STAI) for anxiety and the Verran and Synder-Halpern scale for quality of sleep. The subjects were patients admitted to a university hospital located in D city. Twenty-nine patients in the experimental group had a 10 minute manual back massage stimulation for 5 days from the 1st day to the 5th day after their operation, and 25 patients in the control group did not. Results: The degree of pain was significantly reduced according to post operation day and quality of sleep was significantly increased. However state anxiety was not significantly reduced. Conclusion: Back massage is a partially effective nursing intervention for postoperative patients with gastrectomy who experience pain and sleep disturbance.

Government Control and Privatized Firms' Performance: Evidence from Vietnam

  • NGUYEN, Manh Hoang;VO, Quy Thi
    • The Journal of Asian Finance, Economics and Business
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    • 제7권10호
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    • pp.663-673
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    • 2020
  • To enhance the performance of privatized firms and state-owned enterprises, Vietnamese government set up a specialized monitoring body named State Capital Investment Corporation (SCIC) in 2006 to supervise their performance. This motivated us to conduct this study to investigate the effective control of SCIC on privatized firms' performance. We collected the annual reports of 500 non-financial privatized firms listed on HSX and HNX during the period from 2007 to 2017 from Thomson Reuters. Observations with missing values were removed and trimming outliers were implemented resulting in a dataset comprising of 4146 firm-year observations. We applied a quadratic regression model of state ownership on firms' performance, and applied the method of Baron and Kenny (1986) to test the moderating effect of SCIC control. To fix "selection bias" that may occur and result in endogeneity of moderator (M), we utilized the PSM technique to analyze the marginal effect of the moderator (SCIC) on privatized firms' performance. Our findings indicate a positive moderating role of SCIC on the relationship between the state ownership and firms' performance. This implies that there is a positive effect of liberating the management of the private firms from government control, which also means that lesser the intervention of government in the day to day operational activities of a private firm, better the performance of a privatized firm is.

감각자극이 미숙아의 체중 증가, 행동상태 및 생리적 반응에 미치는 영향 (Effects of a Sensory Stimulation on Weight Gain, Behavioral State, and Physiological Responses in Premature Infants)

  • 송희승;신희선
    • 대한간호학회지
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    • 제31권4호
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    • pp.703-711
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    • 2001
  • Purpose: The purpose of this study was to examine the effects of sensory stimulation on premature infants. Method: Thirty three premature infants admitted to NICU of D University Hospital in C city were randomly assigned in two groups (Experimental group: 16, Control group:17). For the experimental group, tactile and kinesthetic stimulation developed by Dr. Field was applied 2 times a day for 10 days. Behavioral state was measured using the Anderson Behavioral State Scale (ABSS). Heart rate, respiration, and oxygen saturation were obtained for each infant before and after sensory stimulation. Hypothesis testing was done using the $\chi$$^2$- test, student t-test, and repeated measures of ANOVA. Result: Hypothesis 1: There was a significant difference in the daily body weight gain between experimental and control group (F= 40.77, p= .0001). Hypothesis 2: There was a significant difference in the frequency of 'inactive awake state' between two groups ($\chi$$^2$= 39.778, p= .001). Hypothesis 3: There were significant differences in the mean of heart rate and $O_2$saturation between two groups (t= -2.174, p= .037; t= 3.080, p= .005). However, there was no significant difference in the mean of respiration rate between two groups (t= -1.966, p= .581). Conclusion: The effectiveness of a sensory stimulation on weight gain and behavioral state in premature infants was supported. Further study is recommended to develop a sensory stimulation method as an independent nursing intervention for premature infant.

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치과내원 환자의 치과공포 감소를 위한 중재법 적용 (Intervention for Reducing Dental Fear and Anxiety of Dental Patients)

  • 신선정;신보미;고부일;배수명
    • 치위생과학회지
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    • 제15권3호
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    • pp.369-376
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    • 2015
  • 본 연구는 서울시 일개 치과의원에 내원한 환자를 대상으로 치과공포 수준을 측정하고, 치과공포 수준 감소를 위한 중재법에 대해 환자가 요구하는 방법을 적용한 후 치과공포 중재법의 효과를 측정하였다. 개입한 치과공포 중재법에 대해서는 전체적으로 '도움이 된다(3.57점)'는 의견이었고, 항목별로는 '어떤 진료인지 미리 설명해 준다(4.38점)', '진료 중에 환자가 손을 들면 언제든 치료를 잠시 멈추어 준다(4.35점)', '진료 중 통증이 발생할 것 같으면 미리 말해준다(4.24점)', '의료진이 부드럽고 웃는 표정을 한다(4.06점)' 순으로 도움이 된다고 하였다. 치과공포 중재법 적용 전과 후의 전체적인 만족도는 각각 4.37점과 4.35점으로 높은 수준이었으나, 적용 후 미미하게 감소하였으며 이는 치과치료 항목과 밀접한 연관이 있을 것으로 사료된다. 치과공포 수준을 감소하기 위해서는 환자의 치과공포 수준 뿐 아니라 치과공포 중재를 위한 요구도를 파악하여 이에 맞는 개입방법을 적용하여 주는 것이 효과적이며, 이에 대한 치과의료 인력에 대한 교육과 매뉴얼 개발이 필요하리라 생각된다.

아동의 놀이 향상을 위한 작업치료 중재에 관한 체계적 고찰 (Occupational Therapy Intervention for Improving Play of Children : A Systematic Review)

  • 이선희;박혜연
    • 대한감각통합치료학회지
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    • 제15권2호
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    • pp.93-106
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    • 2017
  • 목적 : 본 연구는 아동의 놀이 향상을 위한 작업치료 중재에 대한 내용을 체계적으로 분석하여 임상현장에 적용하기 위한 근거를 마련하고자 한다. 연구방법 : Pubmed, ProQuest, EBSCOhost, Scopus, RISS, KISS, 국립중앙도서관을 통하여 2007년 1월부터 2017년 4월까지의 논문을 검색하였다. 검색용어는 "Play AND Occupational Therapy AND(Intervention OR Treatment)"를 사용하였다. 2차 분류를 통하여 최종적으로 총 11편의 논문을 본 연구의 분석 대상으로 사용하였다. 결과 : 분석 대상 연구의 근거 수준은 단일 집단 비무작위 연구가 가장 많았으며, 중재 방법은 중재 목표로서의 놀이 중 놀이 중심 중재를 가장 많이 적용하였다. 중재가 적용된 환경은 가정과 치료 세팅에서 동시에 적용된 것을 가장 많이 시행하였다. Attention deficit hyperactivity disorder(ADHD) 아동을 대상으로 한 연구가 가장 많았으며, 평가도구는 Test of Playfulness(ToP)를 가장 빈번하게 사용하였다. 놀이와 동시에 측정된 종속변인으로는 언어 기술, 사회적 상호작용 기술, 의사소통 및 화용 기술, 문제-해결 기술, 양육자 반응성, 부모-아동 상호작용이었다. 결론 : 본 연구는 아동의 놀이 향상을 위한 작업치료 중재에 대해 종합적으로 알아봄으로써 작업치료에서의 놀이 사용의 현황을 제시하고자 하였다. 이를 바탕으로 추후에 놀이 향상을 위한 다양한 연구들이 더욱 활발하게 이루어져야 할 것이다.

치매환자에 대한 손마사지 효과 연구 (The Effect of Hand-Massage on the Relaxation of Dementia Patients)

  • 오진주
    • 대한간호학회지
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    • 제30권4호
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    • pp.825-835
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    • 2000
  • The agitation of dementia patient is a factor which aggravates the care-givers' burdon, and it is needed to develop intervention methods. Hall and Buckwalter hypothesized that an increase in agitation behavior occur when persons experience high levels of stress. This study was conducted to explore the efficacy of hand massage in producing relaxation and decreasing agitation behaviors in persons with dementia. Hand massage was administered once a day in afternoon for 8days to 24 patients and 4days to 23 patients. There was no difference in result between the two groups. Significant differences were found in systolic blood pressure, pulse rate, emotional state from pre to post -intervention with the use of hand massage. The change of systolic blood pressure was 26% explained by ADL, MMSE-K and institutionalized period. The most significant variable was institutionalized period. The change of diastolic blood pressure was 11% explained by ADL, and it was significant. But no decrease in agitation behavior was observed and no increase in functional capacity.

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Distribution Network Switching Automation Using Active Web Based Management

  • Choi, Sang-Yule
    • 조명전기설비학회논문지
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    • 제21권9호
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    • pp.81-86
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    • 2007
  • Electric utility companies have the responsibility of providing good electricity for their customers. They have introduced the DAS(Distribution Automation System) to automate the power distribution networks. DAS engineers require state-of-the-art applications, such as a way to actively manage the distribution system and gain economic benefits from a flexible DAS architectural design. The existing DAS is not capable of handling these needs. It requires operator intervention whenever feeder overloading is detected while operator error could cause the feeder overload area to be extended. It also utilizes a closed architecture and it is therefore difficult to meet the system migration and future enhancement requirements. This paper represents a web based, platform-independent, flexible DAS architectural design and active database application. Recent advanced Internet technologies are fully utilized in this new DAS architecture allowing it to meet the system migration and future enhancement requirements. By using an active database, the DAS can minimize the feeder overloading area in the distribution system without operator intervention, thereby minimizing mistakes due to operator error.

발마사지가 복부수술 전 환자의 불안과 수면만족도에 미치는 효과 (The Effects of Foot Massage on Anxiety and Sleep Satisfaction Response in Preoperative Patients Undergoing Abdominal Surgery)

  • 김금란;오상은
    • 가정간호학회지
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    • 제16권2호
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    • pp.108-114
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    • 2009
  • Purpose: This study utilized a nonequivalent control group pre-post test design to test the effects of foot massage on anxiety and sleep satisfaction response in preoperative patients undergoing abdominal surgery. Method: There were 40 subjects in the study (20 in the experimental group and 20 in the control group). The experimental group received foot massage once a day for 2 days before their operation. Data were analyzed with descriptive statistics including mean, percentage, Chi-square, and t-test. Results: There were significant differences between experimental group and control group in the level of the state anxiety, pulse rate, and sleep satisfaction. Conclusions: Foot massage was effective in reducing anxiety and improving sleep satisfaction in abdominal surgical patients before their operation. Thus, foot massage may be used as an independent nursing intervention. This intervention can be performed anywhere, requires no special equipment, is noninvasive, and does not interfere with patients' privacy.

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여성결혼이민자의 우울에 관한 연구 동향 (Research on Depression in Married Immigrant Women: Trends in Korea)

  • 변성원
    • 한국농촌간호학회지
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    • 제6권2호
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    • pp.69-77
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    • 2011
  • Purpose: This study was done to identify the current status of research on depression in married immigrant women and to suggest directions for future nursing research. Method: Sixteen articles for the period between 2001 and 2010 were selected by key words such as "Married Immigrant Women" and "Depression" from the databases (RISS4U et al). Results: Twelve of the research reports were related to correlations and 4 were related to interventions. Depression level was measured using BDI or CES-D. Depression levels were as follows: 20-30% reported major depression and less than 10%, severe depression. Factors which influenced depression included: socio-demographic factors, and family, economic, psychological and situational characteristics. Psychological treatment prevailed in the intervention research, for example, art therapy, and horticultural therapy. In 2 papers significant improvement in the state of depression among participants in the intervention group were reported. Conclusion: The next phase of nursing research related to married immigrant women is to reconsider the importance of the concept of depression to reexamine research methods and directions.