• Journal of Hospice and Palliative Care
• /
• 제26권2호
• /
• pp.51-59
• /
• 2023

Purpose: We evaluated the status of patients enrolled in South Korea's pediatric palliative care pilot project based on the experience of a single center. This study examined factors related to end-of-life services and differences in medical costs. Methods: The medical records of 120 patients referred by a pediatric palliative care team were analyzed retrospectively. Data from July 1 to February 28, 2022 were collected and analyzed using the chi-square test and the Mann-Whitney U test. Results: Volunteer programs and psychological support (100%), family support and education (99.2%), and financial support through institutional linkage (62.5%) were provided to the participants. In the deceased group, there were no significant differences in general characteristics, which included age, gender, primary disease, religion, duration of hospitalization in an intensive care unit (ICU) and non-intensive care unit (non-ICU). However, the ICU group had fewer opportunities to access individual pain and physical symptom management than the non-ICU group and there were limitations in linking with external resources. Medical expenses were significantly different for the ICU group, with a 3-times higher average cost than the non-ICU group. Conclusion: Although an individualized approach is needed for each patient in pediatric palliative care, psychosocial care is essential. In addition, if early intervention for end-of-life pediatric patients is available from a palliative care team, the cost burden of medical care for patients and their families should be minimal.

• 대한통합의학회지
• /
• 제12권1호
• /
• pp.171-182
• /
• 2024

Purpose : The purpose of this study was to investigate health college students' awareness and knowledge of the dementia policy and their attitudes toward dementia. Methods : In this study, 294 questionnaires were collected from 301 college students in the Department of Health of K College in Busan from November 7 to 29, 2022. The questionnaire consisted of 59 items, including 9 items on general characteristics, 10 on awareness of the dementia policy, 15 on attitudes toward dementia, and 25 on knowledge about dementia. The collected data were analyzed using descriptive statistics, independent t test, and one-way analysis of variance with SPSS version 25. A post-analysis was performed using the Scheffe test. Dementia policy awareness, knowledge of dementia, and attitude toward dementia were analyzed with the Pearson correlation coefficient by factor. Results : The health students' dementia policy awareness and knowledge of dementia were high, and their attitudes toward dementia were positive. High knowledge of dementia was influenced by sex, interest in dementia, presence of dementia information, and related volunteer work experience. Positive attitudes toward dementia were related to sex, department, and mode of receiving dementia information. High dementia policy perceptions were associated with interest in dementia and the presence or absence of information on dementia. Positive correlations were found between dementia policy perception and knowledge and attitude toward dementia. Conclusion : According to our study, interest in dementia is increasing owing to the recent dementia safety system. As a result, the dementia policy awareness and knowledge of dementia among college students pursuing health studies were high, and their attitude toward dementia was positive. From these results, we can infer that systematic and continuous education on dementia should be conducted in universities.

• 감성과학
• /
• 제14권4호
• /
• pp.545-554
• /
• 2011

본 연구에서는 코골이 방지 베개의 효율성을 검증하기 위해 수면다원검사 측정 결과를 이용한 분석 방법 및 총 수면 시간과 코골이 시간 등의 효율성 평가에 유용한 변수를 제안하는 것으로 연구가 진행되었다. 사용된 코골이 방지 베개는 두 개의 polyvinylidene fluoride (PVDF) 진동 센서와 펌프, 밸브, 공기주머니로 구성되어있다. 두 진동센서를 통해 코골이 신호를 정확하게 검출하고, 코골이 판정 시 제시된 알고리즘에 따라 베개 내부에 부착된 공기 주머니를 팽창시켜 목을 들어줌으로써 좁아진 기도를 확보하게 해 코골이를 경감시키도록 베개가 설계되었다. 베개의 유효성을 검증하기 위해 수면다원검사를 실시하였고, 실험에는 두 명의 피실험자가 참여하였으며 코골이 베개의 사용 유무에 따라 실험이 진행되었다. 수면다원검사로부터 다양한 변수값을 측정하여 분석하였고, 이 결과 값들로부터 베개의 유효성을 판단하였다. 두 피실험자 모두 총 수면시간은 큰 차이를 보이지 않았으며 총 코골이 시간과 가장 긴 코골이 시간은 감소하는 것을 확인하였고 코골이방지 베개가 코골이를 효율적으로 경감하도록 하는 것을 알 수 있었다. 본 연구의 결과로부터 수면다원검사를 통해 코골이 방지 베개의 유효성을 확인하였으며 측정된 각 변수들과 수면의 질과의 관계를 살펴봄으로써 향후 많은 연구에 활용될 것이다.

• Journal of Hospice and Palliative Care
• /
• 제22권4호
• /
• pp.185-197
• /
• 2019

목적: 호스피스 자원봉사자는 환자와 가족의 곁에서 보이지 않는 손의 역할을 하며 호스피스 완화의료팀 내에서 중추적인 역할을 수행하고 있다. 본 연구는 호스피스 자원봉사자 역량강화를 위한 지속교육과정의 효과를 혼합연구방법을 통해 파악하고자 하였다. 방법: 본 연구는 G도 J시에 소재한 G대학교의 매주 4시간씩 총 20시간의 호스피스 자원봉사자 지속교육 과정에 참여한 호스피스 자원봉사자 30명을 대상으로 하였다. 자료의 양적연구를 위해 대상자의 교육 전후 호스피스 태도, 의미 있는 삶, 자기효능감, 자원봉사활동 만족도를 조사하였다. 자료는 SPSS Window 20.0을 사용하여 기술통계, paired t-test, Wilcoxon signed-rank test로 분석하였다. 질적 연구를 위해 교육 참여자들에게 포커스그룹 인터뷰를 시행하였으며, 수집된 자료는 내용분석하였다. 결과: 호스피스 자원봉사자 지속교육 과정의 효과에 대한 양적연구 결과, 호스피스 자원봉사자의 호스피스 태도(t=-2.52, P=0.018)와 자기효능감(z=-2.06, P=0.40)을 향상시키는 것으로 나타났다. 질적 연구 결과, 참여자들은 자신의 신체를 다치지 않으면서 효과적으로 환자들을 돌볼 수 있는 방법과 영적 돌봄을 제공할 수 있는 실제적인 방법을 알기 원하였다. 참여자들은 삶의 마무리를 돕는 봉사에 대한 자부심과 베푸는 기쁨이 나의 삶에 감사로 돌아오기 때문에 지속적으로 봉사활동을 하고 있었으며, 개인시간 할애가 많음에도 불구하고 환자를 잘 돌보고 싶은 열정으로 지속적 배움에 대한 열의를 나타냈다. 결론: 호스피스 자원봉사자들은 지속교육 과정을 통해 환자와 가족을 돌보기 위한 역량 강화를 원하였으며, 이러한 교육은 호스피스 태도와 자기효능감을 높이는 것으로 나타났다. 자원봉사자들의 역량강화를 위해서는 대상자들의 신체적·사회적·영적인 접근을 모두 강화시키는 지속교육이 필요하다. 효율적이고 체계화된 지속교육을 위해서는 웹기반 교육과정 개발 및 지역별 컨소시엄 형성이 도움이 될 수 있다.

• 정신신체의학
• /
• 제22권2호
• /
• pp.79-86
• /
• 2014

연구목적 일 종합병원에 근무하는 여성 간호사 중 순환교대자와 주간고정근무자 두 군 간의 정신신체 증상의 차이를 조사하였다. 방 법 일 종합병원에서 근무하는 여성 간호사의 인구학적 정보를 수집하여, 두통의 강도(VAS), 두통의 유형, 두통의 빈도를 알기위한 질문지와 우울척도(BDI), 전반적 수면평가지(GSAQ)를 사용하였다. 통계분석은 Mann-Whitney test와 ${\chi}^2$ test를 사용하였다. 결 과 전체 대상군 84명 중 순환군이 37명, 주간군이 47명이었다. 순환군이 주간군보다 젊고 미혼이 많았고 근무연수가 적었다. 순환군이 주간군보다 두통, 불면, 과다 주간졸리움증, 우울, 불안과 같은 정신신체 증상이 통계학적으로 유의하게 많았다. 결 론 종합병원의 순환교대근무 여성간호사가 주간근무자보다 더 많은 두통, 불면, 과다 주간졸리움증, 우울, 불안을 보였다.

• 보건교육건강증진학회지
• /
• 제18권3호
• /
• pp.103-115
• /
• 2001

This study was done describe health promoting lifestyle and to determine affecting factors in elderly based on the health promoting behaviors. The specific purpose of this study was to examine the relationships of life satisfaction, self-esteem and the demographic characteristics to health promoting lifestyle and to determine causal factors affecting the elderly. The subjects were a volunteer sample of 200 elderly in Kyungsan city. The instruments for this study were Health Promoting Lifestyle Profile(47 items), Life Satisfaction Scale(20 items) and Self-Esteem Scale(10 items). Frequency, percentage, t-test, ANOV A, Pearson's correlation coefficient and stepwise multiple regression technique with SAS program were used to analyze the data. The results of the study are as follows; 1) The average item score for the health promoting lifestyle was 3.3; the highest score on the sub scale was self-actualization(M=3.5) with the lowest being exercise(M=2.9) 2) Health promoting lifestyle was significantly different according to marital status and religion. 3) All of the subscales on health promoting lifestyle were positively related to life satisfaction(r=0.534, p〈0.001 and self-esteem(r=0.608, p〈0.001). The life satisfaction was positively related to self-esteem(r=0.593, p〈0.001). 4) Life satisfaction, self-esteem and marital status explained 28.04% of the variance for the total health promoting lifestyle. The results of this study show that life satisfaction, self-esteem and marital status predicted the health promoting lifestyle of the elderly. So health promoting programs that increase life satisfaction and self-esteem should be developed to promote a healthy lifestyle of the elderly.

• 한국보건간호학회지
• /
• 제4권2호
• /
• pp.25-34
• /
• 1990

The Purpose of this study were 1) to find out the characteristics of health promoting Ii festyles of the study samples, 2) to determine the relationships of physical health and mental health, 3) to determine the relationships of health promoting lifestyles and health status. The health promotion model was tested with a volunteer sample of 141 female students in a university in Seoul. The health promoting lifestyle was measured by the scales developed by Walker and Pender(1987). Health status was measured by Cornell medical Index. Pearson's product moment correlations and stepwise multiple regression technique were used to analyze the data. The results are summarized as follows; 1. The items with the highest frequency of the subscales of health promoting lifestyle were 'look forward to the future' $(133,\;95.0\%)$ in self actualization, 'Enjoy being touched and touching people close to me' $(122,\; 87.14\%)$ in relationships with others. The strongest correlation was between general competence In self care and nutritional practice(r=5388, P<. 0001). 2. Fatigability, frequency of illness, miscellaneous diseases, habit, mood and feeling patterns were predictive of mental health. 3. Total health promoting lifestyles explained $14\%$ of the variance for health status. Relationships with others explained $20.9\%$ of the variance for health status. In conclusion, because the most variance explained was $420.9\%$, there must be other variables not accounted for by the model. that influence health promoting behaviors. Psychological factors accounted for more variance than other factors. Intervention studies focused on psychological factors as a means of altering behaviors have great potential for the design of interventions to increase health promoting behaviors. Further testing of the model with this population should be done.

• 농촌계획
• /
• 제19권2호
• /
• pp.1-10
• /
• 2013

This study is intended to examine the perception of importance-satisfaction in selective properties of rural theme park with the users and to suggest operation method and implications for rural theme parks which are being built on a nation-wide basis. The study results are as follows: First, the results from the analysis on importance-satisfaction in the selective properties showed that both attractiveness of natural landscape and excellence of surrounding environment are high. Second, the t-test with matched samples for importance-satisfaction showed that there were significant statistical differences in all items, and the users rated satisfaction lower than the importance. Third, IPA results showed that the items such as diversity of festival event, accessibility and convenience of public transportation, appropriateness of expense and kindness in service appeared in the 2nd quadrant 'direction of concentrated efforts'Therefore, this study was able to identify the perception of importance-satisfaction among the users of rural theme parks. The study findings suggest that it is necessary to preserve surrounding natural environment, ensure appropriate pricing, introduce events and increase service level in constructing and operating rural theme parks.

• Journal of Preventive Medicine and Public Health
• /
• 제23권1호
• /
• pp.57-64
• /
• 1990

Since the reservoir of leptospires organism is consisted of a broad spectrum of animals, the best method of prevention is vaccination. The clinical trial of leptospires vaccine conducted on human volunteer for its immunogenicity and safety. Summarized results are as following : 1. The Oral temperature among vaccinated group ranged from $36.7{\pm}0.46^{\circ}C\;to\;37.0{\pm}0.34^{\circ}C$, while in placebo injected group it ranged from $36.4{\pm}0.46^{\circ}C\;to\;36.7{\pm}0.53^{\circ}C$. There was no association between vaccination and fever (p>0.05) 2. Mild local reactions revealed in vaccinees were swelling (50-75% ), Redness($75{\sim}90%$), and induration ($25{\sim}40%$). Placebo injected group revealed only redness in 12.5% in 1st injection and 37.5% in second injection. The duration local reactions on injection site for th vaccinees and place groups disappeared within 48 hours. 3. Generalized Symptoms complained by the vaccinees were myalgia (25%), back pain(15%), headache (15%), pruritus(15%), and abdominal pain(10%), whereas placebo group complained of headache (25%), myalgia(12.5%), back pain(12.5%), pain in eyes(12.5%), abdominal pain(12.5%) pruritus (12.5%) and nausea(12.5%). 4. The serological test(MAT) of vaccinees showed geometric mean antibody titer as follows : a. L. icterohemorrhagiae lai 1 week after 1st vaccination : 22.45 1 week after 2nd vaccination : 111.23 3 week after 2nd vaccination : 266.64 b. L. canicola canicola 1 week after 1st vaccination : 24.62 1 week after 2nd vaccination : 123.92 3 week after 2nd vaccination : 276.55 c. L. icterohemorrhagiae copenhageni 1 week after 1st vaccination : 28.28 1 week after 2nd vaccination : 128.55 3 week after 2nd vaccination : 247.88 Whereas all of the place injected group showed below 1:20 titers. The sero-conversion rate of vaccinees were 100 percent.

• 대한물리치료과학회지
• /
• 제2권3호
• /
• pp.587-598
• /
• 1995

The purpose of this study was to test the microcurrent electrical neuromuscular stimulation on muscle soreness, serum creatine kinase levels and force deficits evident following a high-intensity eccentric exercise bout. 10 volunteer male subjects were randomly assigned to a treatment group or to a control group. Exercise consisted of high-intensity eccentric contractions of the elbow flexors. Resistance was reduced as subjects fatigued, until they reached exhaustion. Muscle soreness rating was determined using a visual analog scale. Serum creatine kinase levels were analyzed using a blood sample. Force deficits were determined by measures of maximal voluntary isometric contraction at $90^{\circ}$ of elbow flexion on a Orthotron II dynamometer. Muscle soreness rating, serum creatine kinase levels and maximal voluntary isometric contraction were determined at the before exercise and again at 24 and 48 hours postexericse. Treatments were applied immediately following exercise. The control group subjects rested following their exercise bout. Statistical analysis showed significant increases in muscle soreness rating and significant decreases in maximal voluntary isometric contraction when the before exercise was compared with 24 and 48 hour measures(p<0.01). No significant effects were observed between groups in muscle soreness rating and maximal voluntary isometric contraction(p>0.05). Highly significants differences in serum creatine kinase levels were found using on Analysis of variance(ANOVA) repeated measures between groups for each time cycles(p<0.001). This modality may have benefits when used early stage in the muscle damage.