• 제목/요약/키워드: adapted therapy

검색결과 74건 처리시간 0.022초

환자 맞춤형 전자기장 요실금 치료 시스템 개발 (Development of Individually Adapted Electromagnetic Therapy System in Incontinence)

  • 노시철;강규홍;이정석;민권식;권장우;최흥호
    • 전자공학회논문지SC
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    • 제45권4호
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    • pp.51-59
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    • 2008
  • 요실금은 자신의 의지와는 무관하게 소변이 나오는 배뇨이상으로 삶의 질을 떨어뜨리는 대표적인 여성 질환이다. 치료방법 중 자기장을 이용한 치료는 자발적인 운동을 요구하지 않고, 수치심을 유발하지 않으며, 감염의 위험이 없기 때문에 가장 높은 발전 가능성을 가지고 있다. 하지만 획일화된 치료 프로토콜, 환자 의존적 치료방법, 환자 상태 평가 부재 등의 개선점도 갖고 있다. 이에 본 연구에서는 자기장을 이용하여 골반저근을 자극하고, 치료 중 환자의 상태 변화를 실시간 모니터링하는 시스템을 제안하였다. 또한, 환자의 요실금 정도에 따른 환자 맞춤형 자기장 치료 시스템을 제안하였다. 제안된 시스템은 자기장 발생장치, 냉각장치, 치료의자, 맥박 모니터링을 이용한 환자 감시 장치, 제어 소프트웨어로 구성되었으며, 시뮬레이션을 통한 고전력 시스템 설계 과정과 개발 후 성능 평가를 수행하였다. 제어 소프트웨어 개발을 통하여 사용의 편의성과 관리의 편의성을 확보하였으며, 환자의 증상별 치료 프로토콜을 적용하였다. 본 연구를 통하여 개발된 환자 모니터링을 포함한 환자 맞춤형 자기장 치료 시스템은 자기장 치료에서 발생할 수 있는 위험성을 줄이고, 환자의 증상에 맞게 패턴화된 치료법을 제시함으로써 요실금 자기장 치료의 효율성을 높일 수 있고, 전/후 치료를 통하여 환자에게 보다 접근된 치료법이라고 판단되었다. 이러한 결과는 요실금 환자들에게 보다 안전하고 체계적인 치료법을 제공하며, 요실금 자기장 치료 방법의 다양한 연구를 유도할 수 있을 것으로 사료되었다.

Exploring the Latent Trait and the Measurement Properties of Korean World Health Organization Quality of Life-BREF Measure Applied to Cancer Survivors

  • Bongsam Choi
    • 한국전문물리치료학회지
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    • 제30권2호
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    • pp.120-127
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    • 2023
  • Background: In general, measurement qualities of cross-culturally adapted quality of life (QOL) measures are altered in many aspects, although versions of them are well-validated measures. The latent trait and measurement qualities of the QOL measures for cancer-related samples should be considered when developing cross-culturally adapted measures. Objects: To investigate the latent trait of the translated into Korean World Health Organization Quality of Life-BREF (WHOQOL-BREF) administered to different cancer survivors who had palliative rehabilitation care service (PRCS). Methods: A cross-sectional study with 139 cancer survivors who had an experience of cancer survivorship with PRCS were conducted with a two-step analytic procedure including exploratory factor analysis (EFA) to confirm the latent trait and Rasch rating scale modeling to investigate the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure. Results: While the original WHOQOL-BREF measure constitutes a 4-latent trait, the EFA reveals that 24 items constitute six substantial factors. The item loadings are predominantly spread over factors 1 through 4 in a mixed manner of the latent traits, while the loadings of 'physical health' and 'environmental health' latent traits show similarity to what the original measure intended to assess. The latent trait of the cross-culturally adapted WHOQOL-BREF measure administered to different cancer survivors is likely to reveal more dimensions than the original WHOQOL-BREF measure. Person reliability (i.e., analogous to Cronbach's alpha) and separation are measured with 0.92 and 3.48, respectively. All items except the one item (medical treatment item) fit the Rasch rating model. Conclusion: Findings suggest that the latent trait and the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure should be taken into consideration when applying versions of it to various populations.

희망증진 집단 상담치료가 암환자의 불안 우울 및 삶의 질에 미치는 효과 (Effect of Group Psychotherapy for Promotion of Hope on Anxiety, Depression, and Quality of Life in Cancer Patients)

  • 조종관;손창규;조정효;유화승;서경숙
    • 대한한의학회지
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    • 제29권4호
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    • pp.39-46
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    • 2008
  • Objectives: The aim of this study is to develop a program adapted to cancer patients with reality therapy and evaluate the efficacy for anxiety, depression and quality of life in cancer patients. Methods: We developed a group psychotherapy, the promotion of hope program (PHP) adapted reality therapy and evaluated if it is effective on improving anxiety, depression, and quality of life in cancer patients. Results: PHP decreased anxiety (9.54 vs. 5.62, p<0.01) and depression (8.84 vs. 5.84, p<0.01) of cancer patients, and improved quality of life (3.77 vs. 4.13, p<0.01). Qualitative analysis results also showed the same supportive results. Conclusions: PHP can be an effective program for cancer patients to explore inner world and improve their own self-confidence.

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Halliwick 10 Point Program의 운동학습과정 (Motor Learning Process of Halliwick 10 Point Program)

  • 서삼기;김태열;황태연
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.159-167
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    • 2002
  • The Halliwick concept was developed by James McMillan over 50 years ago, and began as a method for teaching swimming to children with physical disables. After that the Halliwcik concept was developed as a specific strategy(called the Ten-Point Program) for teaching swimming to children with disabilities. Soon after the changes in the physical and emotional behavior were attributed to a unique teaching/learning philosophy and a psycho-sensory-motor learning program that is enhanced by hydrodynamics. Recognizing the therapeutic effects of the Ten-Pont Program adapted the program as a therapeutic intervention called Water Specific Therapy or the Logic Approach to Therapy in Water.

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국내 놀이치료연구 동향 : 놀이치료 관련 학회지 게재논문 중심으로 (1997-2003) (Analysis of Research in the Korean Journals of Play therapy)

  • 박수영;이재연
    • 한국생활과학회지
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    • 제14권1호
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    • pp.47-57
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    • 2005
  • We conducted a content analysis of the researches published for a 7-year period (1997-2003) in the Korean Journal of Play Therapy (Korean Association for Play Therapy) and The Journal of Play Therapy (Korean Association of Psychological Rehabilitation for Children). Specifically, we analyzed a total of 156 articles for research contents, instruments, subjects, statistical analytic methods, and references. The results of the study are as follows: First, the principal areas of research activity and publication were specific theoretical review, personality, and adjustment research. Most outcomes, processes, and outcome researches were conducted in a form of case study. Second, typical samples contained 4 to 6 year old children or elementary schoolers. A lot of them were counseling center clients or normally adapted children. Third, 37% of the articles used ANOVA-related statistical analytic methods, and 35% of them used descriptive statistical analytic methods. Lastly, many articles averagely cited foreign references written 11 years prior to domestic references.

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Progress on Proton Therapy Facility Project in National Cancer Center, Korea

  • Kim, Jong-Won;Park, Sung-Yong;Park, Dahl;Kim, Dae-Yong;Shin, Kyung-Hwan;Cho, Kwan-Ho
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.180-182
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    • 2002
  • A Proton Therapy Center was established this year in National Cancer Center, Korea. We chose IBA of Belgium as the vendor of the equipment package. A 230 MeV fixed-energy cyclotron will deliver proton beams into two gantry rooms, one horizontal beam room, and one experimental station. The building for the equipment is currently under design with a special emphasis on radiation shielding. Installation of equipments is expected to begin in September next year starting with the first gantry, and the acceptance test will be performed about a year later. To generate therapeutic radiation fields the wobbling method will be a main treatment mode for the first gantry. A pencil beam scanning system on the other hand will be equipped for the second gantry relying on the availability at the time of installation. The beam scanning with intensity modulation adapted will be a most advanced form in radiation therapy known as IMPT. Some details on the project progress, scope of the system, and design of building are described.

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물리치료사의 전문직 자아개념과 직무만족과의 관계 연구 (A Study on the Relationship between Professional Self-concept and Job Satisfaction of Physical Therapists)

  • 이경희;정병옥
    • The Journal of Korean Physical Therapy
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    • 제21권3호
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    • pp.109-117
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    • 2009
  • Purpose: We investigated the relationship between professional self-concept and the job satisfaction of physical therapists. Methods: The subjects of the study were 221 physical therapists who worked in medical institutions in Seoul city and Kyounggi do. A questionnaire developed by Arthur and adapted by Sohng and Noh was used for measuring the professional self-concept. A questionnaire developed by Kim and Son and adapted by Kim and Jeon was used for measuring the job satisfaction. Results: The levels of the professional self-concept of physical therapists was a mean of 3.51 points and the level of job satisfaction was a mean of 3.32. There was a statistically significant difference for the professional self-concept of physical therapists according to such general characteristics as age (F=6.38, p<0.05), career (F=4.56, p<0.05) and pay (F=15.94, p<0.05), and there was a significant difference of job satisfaction according to such general characteristics as age (F=15.94, p<0.05), career (F=13.65, p<0.05) and pay (F=12.96, p<0.05). (ED note: this sentence made no sense. What I wrote is guesswork. You have to work on it.) The relationship between professional self-concept and job satisfaction showed a positive correlation (r=0.65, p<0.05). Conclusion: These findings show that modifications to the current program may improve the professional self-concept and job satisfaction of physical therapists.

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불면증(不眠症)에 이침(耳鍼) 시술(施術)을 한 환자(患者) 20례(例) 임상고찰(臨床考察) (Clinical study on 20 cases of insomnia patients with auricular acupuncture therapy)

  • 안대종;왕덕중;이순이;강형원;김진우
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.219-230
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    • 2004
  • OBJECTIVE: This study is aimed to evaluate the clinical improvement of insomnia and patients' original disease after the therapy of auricular acupuncture. METHODS: A questionnaire regarding patients' sleeping behavior was executed to secure the objectivity. 20 patients were selected from 55 patients in Joong Hwa oriental medicine hospital. 20 patients who had undergone auricular acupuncture for insomnia for 6 days were asked before the first therapy to fill in a form regarding their sleeping behavior and retrospectively after 6 days a questionnaire regarding the success of therapy. Auricular acupuncture therapy consisted of 3 consultations at an interval of 2 days. RESULTS: 12 patients were good conditions, 5 were same conditions and 3 were rather poor conditions of 20 patients after auricular acupuncture therapy. CONCLUSIONS: 60% of object improved insomnia after auricular acupuncture therapy. Auricular acupuncture therapy can be applied and adapted individually, furthermore it is economical and small side effects.

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신체이미지와 자아존중감 향상을 위한 패션테라피 프로그램 개발 - 직장인 남성을 중심으로 - (Development of fashion therapy programs for improving body image and self-esteem - Focused on the male workers -)

  • 강유림;김문영
    • 복식문화연구
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    • 제29권2호
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    • pp.167-184
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    • 2021
  • The objective of this study was to develop a fashion therapy program for improving body image and self-esteem among male workers. Accordingly, the demand for fashion therapy programs was examined by conducting a literature review, survey, and in-depth interviews with men working in the Daegu and Gyeongbuk areas. The results are summarized as follows. The fashion therapy program followed a framework of "introduction-development-final" and was 60 minutes in length, for four sessions (one per week). The contents of the program consisted of a study of the participants' appearance and any concerns they had about their body in Session 1. In Session 2, differences in image perception were examined according to color coding of menswear and personal color. Session 3 comprised understanding what styling is required to supplement men's body shape and what style is suitable for each participant. The content of Session 4 determined how to build social performance or positive image using nonverbal elements. Overall, this study has great significance in that it has developed a study on fashion therapy program originally applied for psychological treatment with women that has been adapted as a program to help improve positive emotions and social competitiveness of male workers in an office environment.

부적응 행동 아동의 우울·불안 감소와 자아존중감 향상을 위한 미술치료 사례연구 (A Case Study of Art Therapy for Decrease in Depression and Anxiety and Improv in Self-esteem of maladaptive Behavior Child)

  • 이영환;정남주
    • 한국보육지원학회지
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    • 제5권2호
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    • pp.43-71
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    • 2009
  • 본 연구는 가정이나 학교생활에서의 부적응 행동 아동을 대상으로 미술치료를 실시하여 우울 및 불안 감소와 자아존중감 향상에 어떠한 효과가 있는지 알아보기 위한 것이었다. 연구대상은 J시 초등학교 1학년 여자 아동(만 7세)으로 주 2회, 50분씩 총 24회기 미술치료 프로그램을 적용하였으며, 치료 종결부분에 어머니-아동과 함께 6회기 미술치료를 실시하였다. 아동의 우울 및 불안 감소를 알아보기 위해 Kovacs와 Beak(1977)이 개발한 Children's Depression Inventory(CDI)를 조수철 이영식(1990)이 번안한 한국형 아동용 우울 척도와 자아존중감 향상을 알아보기 위해 Reynolds와 Richmond(1978)가 제작한 Revised Child Manifest Anxiety Scale(RCMAS)을 조수철 최진숙(1990)이 번안한 척도를 사용하였다 그리고 아동의 정서적인 평가를 위해 KHTP, KFD 그림검사를 사전-사후로 실시하여 분석하였으며, 프로그램 진행과정에서의 아동의 변화를 회기별로 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 미술치료가 아동의 우울 및 불안을 감소시키는데 효과가 있었다. 둘째, 미술치료가 아동의 자아존중감을 향상시키는데 효과가 있었다. 셋째, 아동의 KHTP, KFD 그림검사에서는 긍정적으로 정서적 안정이 변화되었으며, 가족의 소속감 응집력이 강화되어 친밀한 가족으로 변화하였다. 넷째, 회기별 미술치료 프로그램 진행과정에서 아동의 우울 및 불안이 감소되고 자아존중감이 향상되었다. 이상의 연구결과를 통해 미술치료가 부적응 행동 아동의 우울 및 불안을 감소시키고 자아존중감을 향상시키는데 긍정적인 효과가 있음을 알 수 있었다.

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