• 대한물리의학회지
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• 제7권4호
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• pp.401-409
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• 2012

PURPOSE: The purpose of this study is to assess the difference in the effect of provision of feedback on knowledge of performance and knowledge of result in the training using somesthetic video game aimed at enhancement of balance of hemiparalysis patients due to stroke. METHODS: 20 stroke patients participated in the study. The participants were randomly divided into 2 groups, namely, the knowledge of performance feedback group (KP group, n=10) and the knowledge of result feedback group (KR group, n=10). Both groups received somesthetic video game training 5 times (30 minutes each) a week for total of 4 weeks. The KP group received feedback on the patterns of movement in execution of somesthetic video game. The KR group received feedback on the scores acquired following execution of somesthetic video game. Verification of the significance of the data was performed through paired t-test and independent t-test. RESULTS: Both groups displayed significant reduction in the movement of center of pressure (COP) and Timed up and Go (TUG), and significant increase in the Berg Balance Scale (BBS) following the training. Although the movement of COP was reduced for the KP group in comparison to the KR group, it was not statistically significant, and there was significant reduction in TUG and significant increase in BBS. CONCLUSION: The above results illustrate that provision of feedback on knowledge of performance is more effective than feedback on knowledge of result in somesthetic video game training for the purpose of enhancement of balance in stroke patients. Therefore, provision of feedback on knowledge of performance is necessary in somesthetic video game training for stroke patients.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.141-155
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• 2016

본 연구는 중년기 성인의 뇌졸중 관련 건강지식, 낙관적 편견 및 건강증진 생활양식 정도와 관계를 파악하고, 건강증진 생활양식에 미치는 효과를 파악하기 위한 서술적 조사연구이다. 연구기간은 2015년 7월 15일부터 8월 15일이며, 연구대상자는 40세 이상 60세 미만의 성인 191명이며, 자료 수집은 구조화된 설문지를 이용한 자가 보고식으로 이루어졌다. 자료분석은 PASW Statistics 21.0과 AMOS 21.0 프로그램을 사용하였으며, 분산분석, 상관성분석, 구조방정식 모형 분석 등을 실시하였다. 중년기 성인은 뇌졸중 위험요인으로 흡연과 고혈압을 당뇨병보다 높게 인식하였으며, 뇌졸중에 대한 낙관적 편견은 미미하였다. 뇌졸중 관련 건강지식은 낙관적 편견(r=-.143, p=.048), 건강증진 생활양식(r=.268, p=<.001)과 상관관계가 있었고, 낙관적 편견은 건강증진 생활양식의 대인관계 및 스트레스 행위(r=.177, p=.014)와 상관관계가 있었다. 또한 뇌졸중 관련 건강지식이 낙관적 편견보다 건강증진 생활양식에 더 큰 영향을 미치는 것으로 확인하였다. 결론적으로 중년기 성인의 뇌졸중에 관한 능동적인 정보획득과 건강 지식, 낙관적 편견이 뇌졸중 관련 건강증진 생황양식에 중요한 요인임을 알 수 있었다. 그러므로 중년기 성인의 뇌졸중 관련 건강증진 생활양식을 향상시키기 위한 교육 프로그램에는 뇌졸중 관련 건강지식을 높이고, 낙관적 편견을 감소시킬 수 있는 방안이 고려되어야 할 것이다.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2002년도 하계종합학술대회 논문집(5)
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• pp.269-272
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• 2002

In this study, we designed the expert system for the diagnosis of stroke. The causes of stroke in central nervous systems are very diverse, so a doctor who treats the patients with stroke must have the expert knowledge for the quick and correct diagnosis and for the adequate medical management. But the primary physician who engaged in the primary care of the patient with stroke does not have the export knowledge for the stroke. So, we need to develop the expert system for assisting the diagnosis of stroke. Also the diagnosis system can be used as simulator for the medical students who study the neurology. In this study, we developed the diagnosis expert system that offer a pathological name provided by artificial neural networks. And we designed the inference engine and interfaces. The artificial neural network is a system that provide a possible diagnosis of stroke. We implemented the system using Windows2000 Server, IIS5.0 and ASP.

• 가정과삶의질연구
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• 제25권3호
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• pp.151-168
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• 2007

The purpose of this study was to investigate the causal relationship of kindergarteners' alphabet knowledge to their ability to read words, in connection with the features of the Korean alphabet 'Hangul'. A total of 289 children aged four to six from three kindergartens in Busan participated in the study. The main results are as follows. To begin with, the participants showed continuous development in the knowledge of consonant names, vowel sounds, the vowel stroke-adding principle, and the alphabet composition principle. Meanwhile, discontinuous development was found in the knowledge of consonant sounds and the consonant stroke-adding principle, which indicated that kindergartners could show differential speed in various sub-skills of literacy development. The kindergartners' naming of consonants developed before their recall of consonant sounds, and the knowledge of consonant sounds had an effect on the knowledge of vowel sounds. Children had difficulty in treating more complicated letters of the alphabet stroke-adding principle test, and eve syllables of the alphabet composition principle test. Most importantly, the children's alphabet knowledge was strongly related to their ability to read words written in Hangul, as kindergarteners with a greater knowledge of alphabet names, sounds, and principles were shown to read words better.

• 한국농촌간호학회지
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• 제4권2호
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• pp.103-109
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• 2009

Purpose: This study was conducted to test the effect of a 5 weeks health education program on stroke for rural elderly people. Methods: A total of 55 rural elders in Kok Sung County were participated in the health education on stroke program. Descriptive statistics, and paired t-test were used for statistical analysis with SPSS 12.0. Results: The results are summarized as follows : Mean age was 67.3 years and 88.2% of participants were female. The mean pre-test scores for knowledge of stroke were 0.35 and post-test, 0.85 (p< .001). Percentage of accurate response rates of warning signs of stroke were sudden dizziness pre-test 45.5% post-test 80.0%, sudden trouble speaking or understanding, pre-test 27.3% post-test 41.8%, sudden trouble walking, loss of balance or coordination, pre-test 32.7% post-test 70.9%, sudden numbness or weakness of the arm or leg, especially on one side of the body, pre-test 47.3% post-test 72.7%, sudden confusion, pre-test 27.3% post-test 81.8%, sudden numbness or weakness of the face especially on one side of the body, pre-test 40.0% post-test 76.4%, sudden severe headache with no known cause, pre-test 40.0% post-test 70.9%, Sudden trouble seeing in one or both eyes, pre-test 38.1% post-test 66.0%, nausea or vomiting pre-test 16.4% post-test 43.6%. The increases after the health education on stroke were statistically significant. Conclusions: Health education on stroke for rural elderly people are needed and should focus on community health care programs, especially for those who are older, had a low level of education, and low socio-economical status.

• 한국전문물리치료학회지
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• 제20권1호
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• pp.74-80
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• 2013

We evaluated whether group locomotor imagery training-combined knowledge of performance (KP) lead to improvements in gait function in community dwelling individuals with chronic stroke. Ten adults who had suffered a hemiparetic stroke at least 6 months earlier participated in group locomotor imagery training-combined KP for 5 weeks, twice per week, with 2 h intensive training. Dynamic gait index scores increased significantly after the group locomotor imagery training-combined KP. However, times for the timed up-and-go test did not improve significantly after the training. Group locomotor imagery training-combined KP may be a useful option for the relearning of gait performance for community dwelling individuals with chronic hemiparetic stroke.

• 성인간호학회지
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• 제19권2호
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• pp.167-177
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• 2007

Purpose: This cross-sectional survey research was undertaken to identify the factors influencing time from onset to hospital arrival of stroke patients and to provide basic information for the development of intervention programs for stroke patients. Methods: The data were collected using a convenient sampling method from three hospitals in Inchon. The subjects were 78 patients who were diagnosed as stroke by doctor and they voluntarily participated in the study. Results: On the average, subjects arrived at the hospitals by 16.72 hours after the onset of stroke events with the range from 0.17 hours to 72 hours. Thirty-four(43.6%) subjects arrived within 3 hours which can maximize treatment effects. There was significant difference in hospital presentation time according to the level of knowledge(${\chi}^2=18.629$, p=.0003). A negative correlation was found between the hospital presentation time and self-efficacy (r= -.320, p=.004). Stepwise multiple regression analysis revealed that the most powerful predictor was self-efficacy. Self-efficacy, the level of knowledge and physical symptoms were significant factors and accounted for 21.7% of the variance of hospital presentation time in stroke patients. Conclusion: According to the results, self-efficacy is a useful concept for reducing the hospital presentation time from onset of attack in stroke patients. Therefore, nurses should consider educational programs which include not only a knowledge of stroke and recurrence prevention but also the concept of self-efficacy.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.320-326
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• 2023

Objective: The purpose of this study is to investigate the impact of visual biofeedback methods utilizing pressure sensors on the static balance of stroke patients. Design: Randomized crossover study. Methods: A total of 27 patients with hemiparesis participated in this study. The following three feedback conditions were considered: condition 1 (Knowledge of performance feedback), condition 2 (Knowledge of result feedback), and condition 3 (None feedback). A force plate was used to measure static balance. The total sway length, average sway velocity, x-axis excursion, and y-axis excursion of the center of pressure were measured. One-way repeated-measures analysis of variance was employed for comparisons of variables between each condition. The statistical significance level was set at α = 0.05 for all analyses. Results: There was a significant difference in the static balance results between each feedback condition (p<0.05). In the post-hoc results, it was confirmed that the static balance was significant in the order of knowledge of performance feedback, knowledge of result feedback, and none feedback. Conclusions: When comparing the three conditions, it was observed that knowledge of performance feedback showed the most improved effect on static balance ability. As further research progresses, that this approach could be used as an effective intervention method in clinical settings.

• 대한간호학회지
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• 제41권1호
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• pp.47-60
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• 2011

Purpose: This study was conducted to develop an e-Learning program that assists nursing students' clinical Purpose: This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention. Methods: A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group. Results: Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time. Conclusion: Webbased and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a webbased education program for secondary stroke prevention.

• Journal of Korean Biological Nursing Science
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• 제17권3호
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• pp.228-235
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• 2015

Purpose: Although the prevalence rate of chronic diseases is rapidly increasing due to an unhealthy diet in Korea, nurses may not have enough nutritional knowledge to educate their patients. This study investigated the level of nurses' nutritional knowledge for chronic diseases as well as for strokes, and the needs for nurses' nutritional education. Methods: This research is a descriptive research conducted from April to August of 2014, on 242 nurses who work with stroke patients, in two tertiary general hospitals in the city of Seoul, South Korea. Results: The average nutritional knowledge score of our subjects was $19.9{\pm}2.51$ (range 12-24). The correct response rate was 83% which was higher than expected. However, many nurses (31-66%) answered incorrectly on items such as 'Drinking low-fat milk is better than whole milk', and 'Seasoning with a large amount of soy sauce instead of salt can reduce sodium consumption'. We also found that nurses who received continuing education regarding nutrition scored higher than those who did not (p=.020). There was no correlation between nutritional knowledge and the need for nutritional education (r=.034, p=.601). Conclusion: The level of nutritional knowledge of the nurses was relatively low and irrelevant to the completion of nutrition courses during university or duration of experience. Rather, the relevance was higher when the nurse received nutrition-related training after graduating from university. Our results imply that continuous nutritional education is necessary for hospital nurses.