• 제목/요약/키워드: Wearing effect

검색결과 540건 처리시간 0.026초

자체 제작한 정위적체부방사선치료(Stereotactic Body Radiotherapy) 고정용구의 유용성 평가 (Utility Estimation of the Manufactured Stereotactic Body Radiotherapy Immobilization)

  • 이동훈;안종호;서정민;신은혁;최병기;송기원
    • 대한방사선치료학회지
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    • 제23권1호
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    • pp.1-6
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    • 2011
  • 목 적: 정위적체부방사선치료(Stereotactic body radiotherapy) 시 환자셋업의 재현성 및 장시간 안정된 자세의 유지를 위한 고정용구는 정확한 치료를 위해 무엇보다 중요하다. 이에 본 연구는 상품화된 고정용구 두 가지와 자체 제작한 고정용구를 비교 평가하여 정위적체부방사선치료 시 최적의 고정용구를 적용하는데 그 목적이 있다. 대상 및 방법: 일반인 5명을 대상으로 각기 다른 세 가지 고정용구(A: Wing-board, B: BodyFix system, C: Arm up holder with vac-lock)를 각각 적용하였으며 대상자의 가장 안정적인 호흡주기를 선택하여, 고글 모니터를 착용 후 일정한 호흡을 30분간 유지토록 하여 호흡신호를 획득하였다. 호흡신호의 분석은 본원에서 자체 개발한 프로그램을 통해 호흡신호의 최고값(peak value)과 최저값(valley value)의 표준편차(standard deviation) 및 분산값(variation value)을 시간대별로 분리하여 획득하고 이를 이용해서 상대적 비교지수를 구하여 각 고정 용구를 비교평가 하였다. 결 과: 각 고정용구의 호흡시간대별 편차의 변화를 고려한 안정도를 평가하였으며, 고정 용구 별 비교지수는 각 실험자별로 다음과 같다. A: 11.20, B: 4.87, C: 1.63 / A: 3.94, B: 0.67, C: 0.13 / A: 2.41, B: 0.29, C: 0.04 / A: 0.16, B: 0.19, C: 0.007 / A: 35.70, B: 2.37, C: 1.86으로 나타났으며, 실험자 5명 모두 고정용구 C를 사용하였을 때 가장 안정된 값을 나타냈다. 반면 A를 사용했을 때 4명, B에서 1명이 상대적으로 가장 불안정한 호흡결과를 나타냈다. 결 론: 자체개발한 정위적체부방사선치료 고정용구(arm up holder with vac-lock)는 다른 두 고정용구에 비해 호흡을 안정적으로 유지시킴으로서 조사분할내 종양움직임(intra-fraction organ motion)을 감소시켜 치료효과를 높일 수 있을 것으로 생각된다. 특히 셋업을 장시간 유지시켜야 하는 정위적체부방사선치료의 특성상 시간의 경과에 따라 불안한 호흡주기를 나타낸 다른 두 고정용구에 비해 자체개발한 고정용구가 정위적체부방사선치료에 유용할 것으로 사료된다.

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역기하학 렌즈의 유효성과 각막에 미치는영향 (The Efficacy and Effect of Reverse Geometry Contact Lens on Cornea)

  • 김광배;김영훈;박상배;선경호;정연홍
    • 한국안광학회지
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    • 제12권2호
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    • pp.1-12
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    • 2007
  • 본 연구는 학동기 아동에서 근시교정용 콘택트렌즈인 역기하학 콘택트렌즈(RGL, reverse geometry contact lens)에 대한 근시교정 효과 및 안전성을 평가하는데 있다. 본 연구에서는 2004년 3월부터 2005년 7월 사이에 근시굴절교정술을 목적으로 역기하학렌즈를 처방 받은 7세부터 18세사이의 학동기 환자 중 착용 후 3개월 이상 추적관찰이 가능했던 중등도 이하의 근시(-1.00~-5.00 D(Diopter))를 갖는 남녀 53명 106안을 연구대상으로 하였다. 렌즈처방을 위한 검사로는 세극동 현미경, BUT(Break Up Time), 직상검안경, 검영기, 나안시력, 최대 교정시력, 자동굴절검사, 각막곡률측정, 각막지형도검사를 착용 전과 착용 후 1일, 1주일, 2주일, 1개월, 2개월, 3개월 째 각각 시행하여 근시교정 효과와 합병증 발생 여부를 알아보았다. 그 결과는 다음과 같다. 렌즈 착용 전 평균 나안시력은 $0.0938{\pm}0.378$에서 착용 후 1일에 $0.3136{\pm}0.283$이었고, 1주에는 $0.7925{\pm}0.301$으로 급격한 시력향상을 보였으며 2주후부터는 약간씩이었지만 계속되는 추이를 보였다(p<0.01). 각막지형도검사 상 편심율은 역기하학 렌즈 착용 전 평균 $0.548{\pm}0.099$에서 착용 후 3개월에는 $-0.257{\pm}0.283$(t=2.321, p=0.022)으로 감소하였다. 렌즈 착용 후 1일부터 2개월 사이에 급격한 편심율 감소를 보였으며(p<0.01) 2개월 후부터는 약간의 감소를 보였다(p<0.05). 이상의 결과로부터 역기하학 렌즈는 중동도 이하의 근시를 가진 환자에 있어 일시적으로 굴절이상을 교정하고 근시진행을 조절하는데 매우 유용한 방법임을 알 수 있었다. 부작용은 상대적으로 미미하였으나 장기적으로 눈 건강에 미치는 영향에 관해서는 추가 연구가 더 필요하리라 생각된다. 렌즈의 처방은 편심율(eccentricity)과 각막지형도의 분포도를 고려한 주문제작 피팅법이 매우 높은 성공률을 보였다.

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향기흡입법이 발치 전·후에 미치는 불안과 통증에 관한 연구 (A Study on the Effect of Aroma Therapy on Anxiety and Pain Before and After Tooth Extraction)

  • 정미애
    • 한국치위생학회지
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    • 제4권1호
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    • pp.105-117
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    • 2004
  • The purpose of this study was to examine the effect of aroma therapy on anxiety and pain before and after tooth extraction. The subjects in this study were 60 patients who felt severe anxiety and pain due to tooth extraction. The experiment was conducted from January through March, 2004, by organizing an experimental group and a control group with 30 patients each. The experimental group was asked to keep wearing lavender-containing necklaces from two days before tooth extraction to inhale lavender, and no such an action was taken to the control group. The collected data were analyzed with SPSS 10.0 program to obtain statistical data. and ${\times}2$ test and t-test were implemented. The findings of this study were as follows: 1. Regarding whether or not the experimental and control groups were homogeneous, men outnumbered women, and the largest number of the patients were in their 30s. Those who were married were more than the others who were unmarried in number, and those who lived with their spouses under the same roof together outnumbered the others who didn't, as the rate of the former stood at 65 percent in the experimental group and 86.4 percent in the control group. They expressed high satisfaction at their spouses, since 45 percent of the experimental group and 31 percent of the control group did it, but the difference between them and those who were unsatisfied was insignificant (pE0.347). By occupation, the largest number of people in the experimental group, which numbered 16.7 percent, were self-employed, and lots of patients in the control group were government workers. As for blood type, type A was most prevailing, which recorded 43.3 percent. By religion, 43 percent of the experimental group had no religion, whereas 36.7 percent of the control group were Christian. The most common monthly income ranged from 2 million to 2.5 million won. 2. There was little disparity in past pain experience between the two groups before aroma therapy was applied. The experimental group underwent more pain (6.15) than the control group (5.78), but the difference wasn't significant. The experimental group (90%) experienced more anxiety and fear than the control group(83%), but the difference was insignificant. This fact showed that there was little gap between the two groups in anxiety and fear caused by tooth extraction. Contrary to earlier expectation that pre-anxiety might not be the same. little significant difference was found. 3. After aroma therapy was applied, 50 percent of the experimental group and 23.3 percent of the control group suffered significantly less anxiety and fear about tooth extraction(${\times}2$=4.59, pE.05). And the experimental group exposed to aroma therapy was less nervous(3.0) than the control group(4.39), and the gap between the two was significant (t=13.37, pE.001). Therefore, aroma therapy had a good effect on alleviating their anxiety. During tooth extraction. 73.3 percent of the experimental group and 93.3 percent of the control group felt pain. The former group suffered Significantly less pain(${\times}2$=4.32, PE.05). Concerning the extent of pain, the experimental group(2.53) found it less painful to have their teeth extracted than the control group(5.50), and the gap between the two was significant(t=5.89, PE.05). 4. As to the effect of aroma therapy on alleviating anxiety or fear, the experimental group(33.3%) felt that aroma therapy let them more relieved. Every member of that group was willing to use aroma therapy again in the future, and 86.7 percent of that group perceived that aroma therapy made a difference to dental treatment. The experimental group responded to aroma therapy favorably, as every member of it had an intention to advise others to use that therapy.

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가토 하악골체부 신연 골형성술시 하이알우론산이 세포외 기질 단백질의 발현과 골형성에 미치는 영향 (THE EFFECT OF HYALURONIC ACID ON EXPRESSION OF EXTRACELLULAR MATRIX PROTEINS AND BONE FORMATION IN RABBIT MANDIBULAR DISTRACTION OSTEOGENESIS)

  • 박기남;송현철;지유진;유진영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권2호
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    • pp.116-129
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    • 2005
  • Distraction osteogenesis is a new bone formation technique. There is a advantage of the environmental adaptation when distraction force is applied to the gap between osteotomy lines. But it has a disadvantage of long-term wearing of the appliance and long consolidation period. Therefore we make an effort to reduce it and repair normal function. Extracellular matrix proteins have a function to control the cellular growth, migration, shape and metabolism. In these, hyaluronic acid is a member of polysaccharide glycosaminoglycans (GAGs) and has a important function as bone formation and osteoinduction property. Purpose : In this experimental study in rabbit mandibular distraction osteogenesis, we investigated the bone enhancing property of hyaluronic acid and the expression of extracellular proteins such as osteocalcin and osteonectin. Materials and Methods : The experimental study was carried out on 24 Korean male white rabbits (both mandibular body, n=48). Distraction group was divided to distraction experimental (A, n=16) and distraction control (B, n=16) by the application of hyaluronic acid (Hyruan, LGCI, Seoul, Korea). Normal control group (C, n=16) was only osteotomized. After 5 days latency, distraction devices were activated at a rate of 1.4 mm per day (0.7 mm every 12hours) for 3.5 days. Animals were sacrificed at postoperative 3, 7, 14, and 28 days. H&E stain and immunohistochemical stain was done on decalcified section. Additionally RT-PCR analysis was done for the identification of the expression of osteocalcin and osteonectin. Results : The bone formation in distraction experimental group was much more than that in distraction and normal control group at postoperative 28 days. In immunohistochemical stain, osteocalcin was enhanced at only postoperative 14 days, but osteonectin was not different at each post-operation days. In RT-PCR analysis, osteocalcin was not different at each post-operation days, but osteonectin was strongly expressed in distraction experimental group at postoperative 7 days. The expression of osteocalcin and osteonectin was elevated during the healing period. Conclusion : We found the good bone formation ability of hyaluronic acid in distraction osteogenesis through the immunohistochemistry and RTPCR analysis to osteocalcin and osteonectin, known as a bone formation marker. The application of hyaluronic acid in distraction osteogenesis is a method to reduce the consolidation period.

세척조건에 스판덱스사의 길이와 기계적 성질에 미치는 영향 (The Effect of Washing Conditions on the Dimension and Mechanical Properties of Spandex Yarns)

  • 정혜원;김미경
    • 한국의류학회지
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    • 제29권12호
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    • pp.1619-1626
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    • 2005
  • 탄성직물의 내구성은 탄성직물에 포함된 스판덱스사의 성질변화가 큰 영향을 미친다. 그러므로 본 연구에서는 세탁조건이 스판덱스사의 길이, 강도와 신도, $300\%$신장 후의 영구탄성 변화에 미치는 영향을 조사하였다. 시료로는 굵기가 다른 스판덱스사와 heat-set 시 신장률이 다른 편성물을 가정용 드림세탁기에서 세탁온도, 세탁 전 침지시간과 세탁휫수를 달리하여 세탁한 후, 편성물로부터 스판덱스사를 분리하여 기계적 성질을 측정하였다 스판덱스사의 길이는 세탁온도가 높아지거나, $40\%$에서 세탁휫수가 증가하면 계속 감소하였으나 세탁 전 침지시간에 따른 영향은 비교적 적었다 섬유가 가늘수록 길이 수축률이 크며 세척 조건변화에 따른 수축률이 크게 증가하였다. 스판덱스사의 강도와 신도는 반복 세척 시의 감소가 뚜렷하였으며, heat-set 시에는 강도와 신도도 크게 감소하였고, heat-set 시에 가해준 신장률이 클수록 감소가 더 컸다. 한편 스판덱스사의 영구변형률은 세탁온도가 높으며, 침지시간이 길고, 세탁횟수가 많을 때 현저히 높았다. 대체적으로 굵은 스판덱스사의 영구변형률이 크며, 140D는 30회 세척 후에 $28.0\%$의 영구변형 이 일어났다. Heat-set로 스판덱스사의 영구변형은 늘어나며, heat-set 시에 신장률이 큰 스판덱스사의 영구변형이 더 많았다. DSC 열분석 곡선에서 스판덱스 섬유는 반복 세탁과 heat-set여부와 관계없이 동일한 융해온도를 나타내었으며, 이로부터 스판덱스 섬유의 hard segment분자쇄 길이는 세탁 또는 heat-set후에도 변화가 없는 것으로 보여진다.

한국 해녀의 영양섭취 상태 및 에너지 균형에 관한 연구 (Studies on the Nutritional Status and Energy Balance of Korean Women Divers)

  • 주순재;이기열;이양자;박양생
    • Journal of Nutrition and Health
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    • 제16권4호
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    • pp.233-242
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    • 1983
  • This study was attempted to investigate Korean women divers' nutritional status and the effect of their putting on rubber diving suits on the energy balance. For these investigations, measurements of nutrients intake, energy intake and energy consumption during diving work were performed. This study was conducted in summer and winter of 1981. Nutrition survey was carried out by interviewing each individual and the energy consumption during diving work was calculated from the extra oxygen consumption over the resting value and the change in mean body temperature in sea water. The results obtained were summarized as follows : 1) In summer, the divers' dietary intake were 2,454 Kcal for energy, 69g of protein, 16g of fat 578mg of calcium, 11mg of iron, 526 Retinol Equivalent of vitamin A, 1.1mg of thiamin, 1.3mg of riboflavin, 19mg of niacin and 50mg of ascorbic acid. These results showed that the intakes of energy, thiamin, riboflavin, niacin and ascorbic acid were higher than the Korean Recommended Dietary Allowances (RDA). Whereas in winter, the nutrients intake except iron, riboflavin, and vitamin A were higher than the RDA. 2) The energy consumption, measured by oxygen consumption and changes in body heat content, used in diving work were 260 Kcal per day in summer and 370 Kcal per day in winter. These values were about 600-700 Kcal per day lower than 1960s' 1,000 Kcal per day. The divers' energy intake were 2,454 Kcal per day in summer and 2,487 Kcal per day in winter. These data were about 550 Kcal per day lower than 1960s' intake. Since divers have worn the rubber diving suits, the energy consumption decreased as compared with the energy consumed while wearing cotton suits. And this seemed to be resulted in decreasing the energy intake. This result also showed that the balance between energy expenditure and energy intake were kept. 3) The mean subcutaneous fat thickness of divers and nondivers were 8.85 and 9.03 mm respectively. These values were as high as four times as those of 1960s'. The total body fat contents wers 25.8 percent in both diver and nondiver groups and showed an increase as high as twice as compared with 1960s' values.

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운동기능성과 심미성을 고려한 아웃도어웨어의 디자인개발연구 (Design Process of Outdoor-Wear for Improvement of Comfort and Appearance)

  • 박우미;박춘덕;이귀례;나정은
    • 복식
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    • 제52권8호
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    • pp.29-39
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    • 2002
  • It was increased leisure hours by automation and computerization of industry. Many people spend on hours in enjoying leisure sports, and then. nowadays, Many women tend to prefer casual wear to formal suits. The purpose of this research was to design of outdoor-wear that improve the functional and aesthetic effects for clothing comfort. Total 4 design prototype consisting of jumper and slacks were developed for this research. Outdoor-wear design forced on armhole type of jumper and ease of the back crotch length of slacks to improve the functional and aesthetic effects. And Outdoor-wear design focused on color harmony to aesthetic effects. Ease amount and materials of jumper and slacks were controlled. Design A: Jumper was designed as dropped shoulder with set-in steeve and band collar, A break-away zipper to facilitate ventilation control were made the area of back of jumper and the area of outside seam line of slacks Color of jumper and slacks were olive green color. Ease amount of the crotch length of slacks pattern was constructed as 7% of total crotch length: Design B 4DM cut pattern were applied to the jumper and slacks pattern. A break-away zipper to facilitate ventilation control were made the area of back of jumper and the area of inside seam line of thigh. Color of jumper and slacks were grey and orange color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Design C : Jumper was designed as the set in sleeve and hood. and A break- away zipper to facilitate ventilation control were made the ares of the armhole and elbow. Color of jumper and slacks were ivory and orange color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Design D : Jumper was designed as raglan sleeve. Color of jumper and slacks were olive green color. Ease amount of the crotch length of slacks pattern was constructed as 5% of total crotch length. Total six females, ages 20-45, served as subjects for this research. Subjects have standard body type, generally, wearing 66 size of ready-to-wear clothing. The performance of the newly designed outdoor-wear was evaluated for their effectiveness in several aspects such as conditions of skin temperature, sensory evaluation of comfort during body movements, appearance and color harmony and aesthetic collar design. Design 3 was appeared to be the most positive in aesthetic evaluation and functional effects of design 2 of 4DM cut pattern was appeared to be beter than other designs.

털부처꽃과 돌단풍 에탄올 추출물의 한국 성인 체지방량 감소에 대한 유효성 및 안전성에 관한 인체적용시험 (Eficacy and Sfety Human Study of the Ethanol Extracts from Lythrum Salicaria L. and Aceriphyllum Rossii for Reducing Body Fat Percentage of Korean Adult)

  • 박원형;선승호;차윤엽
    • 동의생리병리학회지
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    • 제27권6호
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    • pp.832-841
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    • 2013
  • This research, as a basic preliminary study for development of functional health food, is aimed at assessing the body fat reduction effect and for application to human body for such reduction in actual clinical settings by preliminary extraction of 2 types of wild edible greens, Lythrum salicaria L. and Aceriphyllum rossii. Subjects over the age of 19 and less than 60 years old with BMI value range of $23.0kg/m^2{\sim}29.9kg/m^2$ were recruited through screening were divided into experimental group and control group, each with 25 subjects, through randomized allocation. With both patients and evaluators wearing blindfold, the experimental group was orally administered with 4 capsules of 500mg of composite preparation containing the extracts of Lythrum salicaria L. and Aceriphyllum rossii 3 times a day for a period of 8 weeks while the control group was orally administered with 4 capsules of 500mg of placebo (fake food) with the same appearance as the preparation administered to the experimental group 3 times a day for a period of 8 weeks. After having carried out evaluation on physical examinations (body weight, BMI and body fat ratio, etc.), laboratory tests (general blood test, biochemical test of blood and urine test), lipid test, the changes were analyzed. There was no significant change between the 2 groups and within the groups in BMI and body fat ratio, which are the primary effectiveness evaluation at each time. There was no significant difference between the 2 groups in serum lipid and WHR, obesity related KOQOL, KEAT-26 which are the secondary effectiveness evaluations. There was no change between the 2 groups and within the groups in vital sign, CBC, BC and urin test. These results suggest that Lythrum salicaria L. and Aceriphyllum rossii ext. showed no significant reduction in BMI, body fat ratio and serum lipid. Additional confirmative clinical application test is needed in the future.

치과위생사의 감염관리 실천이 노출 예방에 미치는 영향 (Effect of infection control practice on exposure prevention of dental hygienist)

  • 최영숙;전보혜;조영식
    • 한국치위생학회지
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    • 제10권2호
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    • pp.255-268
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    • 2010
  • Objectives : In the field of dental hygiene, infections pose a serious problem. This issue has left many patients and dental staff exposed to microbes with potentially far-reaching effects. The purpose of this study was to find solutions which could improve Dental health policies and promote improved methods for the control of infections. This survey was conducted between March 3, 2008 and March 30, 2008, in the metropolitan area. The research was carried out in dental clinics and dental hygienists were surveyed through a questionnaire. Methods : Collected data was examined using the SPSS 14.0 program, using frequency, mean and standard deviation analysis, T-test, one-way ANOVA, Scheffe's test and Duncan's test. Further analysis was given using Logistic Regression. Results : The Performance of Infection Control by dental hygienists in Dental Clinics was shown at $2.96{\pm}0.42$. Disinfection, sterilization and the wearing of masks is high at $3.65{\pm}0.64$, $3.64{\pm}0.65$. The perception of the importance of infection control is higher among dental hygienists than dentists. Of the dental hygienists surveyed, 83.9% were exposed to at least one accident while at work. Age and years of experience were important in relation to infection control practices. The rate of infections and the number of accidents experienced related to the dental hygienists performance of infection control. The performance of infection control is influenced by the dental hygienists own perceptions, and the perceptions of their dentists. The dental hygienist's working conditions and their beliefs related to infection control were shown to influence their performance of infection control practices. Conclusion : At the conclusion of this investigation, it was determined that systematic refresher training of infection control should be delivered through further education and various media. Dental health care workers should be encouraged to practice these action items presented in the training. For successful implementation of infection control in every dental health-care setting, it is highly demanded that effective safe-guard tools, strategic support and standardized action items against infection problems are developed.

치매 가정체험프로그램 관람이 치매 인식에 미치는 효과 (The Effect of the Visit to Dementia Home Experience Program on the Awareness of Dementia)

  • 박소연;김덕주
    • 한국산학기술학회논문지
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    • 제19권10호
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    • pp.263-271
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    • 2018
  • 본 연구의 목적은 치매 가정체험프로그램 관람이 치매 인식 개선에 효과가 있는지 알아보고자 한 것이며, 치매 가정체험프로그램 관람에 대한 만족도와 전시관을 관람 한 후 치매에 관한 인식도 변화를 살펴보았다. 2018년 4월 5일부터 5월 25일까지 S시에 거주하는 주민 52명을 대상으로 연구가 진행되었다. 치매 가정체험프로그램은 현관, 화장실, 거실, 주방 각 공간들에 필요한 복지용구 등이 비치되어 구성되었으며, 가상현실 체험 프로그램과 노인 체험복 착용 프로그램들이 함께 진행되었다. 연구 결과 치매 가정체험프로그램 관람 만족도는 전반적으로 높은 것으로 나타나 치매 가정체험프로그램 관람이 치매 인식 개선에 교육적으로 효과가 있었음을 알 수 있었으며, 치매의 원인, 역학 및 제도, 증상 및 진단, 치료 및 예방에 대한 인식을 묻는 문항의 점수가 전시관 관람 후 눈에 띄게 상승함을 알 수 있었다. 그리고 대상자의 연령이 중년 이상인 경우 치매정보제공 및 예방법 소개, 안전하고 편안한 가정환경 조성방법 소개, 체험 프로그램의 적절성 등에서 만족도가 다른 연령대 보다 높게 나타났다. 본 연구에서는 기존에 없었던 차별화된 체험 프로그램을 통해 대상자의 참여를 적극적으로 유도하고, 단시간에 높은 교육 만족도를 끌어냈다는 점에서 긍정적인 결과를 보였다. 추후 더욱더 확장된 체험 프로그램을 만들고, 치매를 간접적으로 접할 수 있는 환경을 제공하며, 시민들이 더 많은 관심을 가질 수 있도록 지속적인 프로그램 진행이 이루어져야 할 것이다.