• Journal of Chest Surgery
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• 제33권2호
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• pp.139-145
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• 2000

Background: The purpose of this study is to review the clinical course after the correction of noncomplicated ventricular septal defect and to analyze the morbidity and risk factors of postoperative complications and evaluate residual defect during the follow-up period. Material and Method: From September 1994 to June 1998 24 patients(median age 10 months) underwent surgery under the diagnosis of ventricular septal defect. We made a retrospective review of the clinical records including the operation notes critical care unit records echocardiography results and the follow-up records. Result: There was no early mortality nd late mortality. There was no postoperative complete conduction block. Respiratory complication was the most common complication. The body weight age type of ventricular septal defect associated anomalies and operative procedure were not related to the incidence of complications. residual ventricular septal defects aortic valve regurgitation and tricuspid valve regurgitation were insignificant in postoperative hemodynamics, Conclusions: Correction of the noncomplicated ventricular septal defect was done without mortality and complete heart block. Aggressive preoperative medical treatment and early surgical treatment may decrease postoperative complications. Postoperative residual shunt and tricuspid regurgitation were not problematic during the follow-up

• 대한물리의학회지
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• 제15권4호
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• pp.55-65
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• 2020

PURPOSE: This study examined the effects of breathing exercises via joint mobilization on the lung function and spinal alignment of 30 straight-necked women in their 20 s and 30 s. METHODS: The participants were divided into two groups: an experimental group who performed breathing exercises via joint mobilization, and a control group who performed general stretching exercises. The differences between the two groups were measured and compared at three points in time: during the pre-examination, after four weeks of intervention, and after a four-week maintenance period. The changes in each group were measured before and after the intervention and after a one-month maintenance period and compared. For data analysis, the SPSS 22 was used to obtain the mean and standard deviation with a significance level of α = .05. RESULTS: Eight weeks of breathing exercises via joint mobilization and general stretching exercises positively impacted the lung function and spinal alignment in straight-necked patients. In particular, the experimental group showed more significant differences in spinal alignment after four weeks period of intervention and four weeks of maintenance. CONCLUSION: Breathing exercises via joint mobilization can be considered an effective intervention that can improve the respiratory volume and spinal alignment for patients with straight necks.

• 대한치위생과학회지
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• 제2권2호
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• pp.13-20
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• 2019

This study aimed to investigate the actual smoking status, knowledge of oral health related to smoking, and attitude toward smoking cessation in 161 health students of the University in Jeonnam. This was done to examine the role of smoking cessation guidance as health care professionals after graduation. The collected data were analyzed using SPSS version 18.0. The significance level was α=0.05. Of those surveyed, 33.3% had previously smoked, and 30.4% were current smokers. The high school period had the highest smoking rate, at 59.2%. A daily smoking rate of 20 or more cigarettes was the highest at 30.4%. Of the respondents, 68.3% had received smoking cessation, while 10.6% said that they were encouraged by others to quit, such as friends. As a result of a correlation analysis between major satisfaction, smoking-related oral health knowledge, and attitudes toward smoking cessation, major satisfaction showed a negative correlation(r=-.394, -.337^*) with smoking-related oral health knowledge and attitude towards smoking cessation. Smoking-related oral health knowledge showed a positive correlation(r=.546^**) with attitude towards smoking cessation. As a result of a regression analysis, the knowledge of oral health related to smoking was the primary variable that affected the attitude towards smoking cessation(t=6.799, p<0.001). Based on these results, it is suggested that education on smoking cessation and the risk of smoking is delivered so that health care workers can be better prepared and educated for their future roles.

• 동서간호학연구지
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• 제18권2호
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• pp.111-119
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• 2012

Purpose: Recently, Neurofeedback training system that based on biofeedback of brain wave was introduced. This study was performed to identify the effects of the improvement of brain function by Neurofeedback training on elders(the 2nd or 3rd grade of long-term care insurance services). Methods: A quasi-experimental design using a nonequivalent control group, pre-post test was used. Total 11 elderly were enrolled in this study (experimental group 5, control group 6). The intervention was conducted 3 times a week for 30 minutes from January to June, 2012 (total 60 times). Chi-square test and Mann-Whitney U-test were used to analyze the data. Results: After the Neurofeedback intervention, attention quotient (AQ), anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) of the experimental group were significantly better than those of the control group. Conclusion: The findings indicate that the Neurofeedback training program was effective in reducing fatigue by AQ, increasing the physical and mental stress resistance by ASQ, emotional balance by EQ and improving of total brain function by BQ. Therefore Neurofeedback training be used as an effective training intervention for the health of elderly in geriatric facility.

• 가정간호학회지
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• 제7권1호
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• pp.73-82
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• 2000

Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.

• 한국학교ㆍ지역보건교육학회지
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• 제8권2호
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• pp.49-59
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• 2007

Objectives: This study was designed to understand the oral health fact of high school students, search for an education method and learning goal appropriate for the subjects, and utilize them as basic data to think of effective solutions for oral health care. Methods: The samples to achieve the purpose of this research are composed of 386 students in J industrial high school, OO city, Kyounggido, the number of male students 286, and female students 100. Data were statistically analyzed by frequency analysis, cross tabulation by using SPSS WIN Ver. 12.0. Results: First, The answers in terms of oral symptoms were in the order of 31.8% for gum hurt and bleeding, 31.4% for pain in teeth by drinking or eating hot and cold drinks or food, 27.1% for broken or cracked teeth, 25.7% for aching and throbbing teeth, 20.6% for unpleasant mouth smell, and 5.7% for pain of tongue and soft oral tissues. Second, In terms of behavior for oral health, 88.4% answered that they consume cariogenic snacks, while 29.2% of them, 2.5% of male and 6.3% of female enjoy consuming them but hardly brush their teeth after consumption. Third, In terms of timing for brushing teeth, the results show that 50.0% do so before breakfast, 47.9% after breakfast, 15.2% after lunch, 36.9% after dinner, 65.5% before going to sleep, and 3.5% after consuming snacks, whereas 64.2% answered that they are not aware of fluorine mouthwash. Fourth, In terms of oral health condition. proportion of children with one or more caries in permanent teeth was 71.0%, while 51.4% have $2{\sim}3$ cariogenic teeth, and 16.8% have more than 4 cariogenic teeth. Considering sex, female students have somewhat higher ratio showing 68.5% for male and 78.0% for female, but the ratio was 53.1% for male and 46.7% for female in case of $2{\sim}3$ cariogenic teeth, and 17.5% for male and 15.8% for female in case of more than 4 cariogenic teeth. 9.3% of students turned out to have decayed teeth. Fifth, In terms of oral hygiene condition, only 7.9% of them had excellent condition, and 38.4% need to improve. More specifically, 41.1% of male students and 30.6% of female students need to improve their oral hygiene condition. Conclusions: The study results suggest that School Dental health programs increase and need to be community-incorporated and comprehensive from elementary to high school.

• 한국치위생학회지
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• 제10권1호
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• pp.157-172
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• 2010

Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.

• 농촌의학ㆍ지역보건
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• 제42권4호
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• pp.226-233
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• 2017

이 연구는 입퇴원을 반복하는 치료 미순응 노인 당뇨병 환자들의 퇴원 후 자가 관리 수준을 파악하기 위하여 실시하였다. 일개 종합병원에서 고혈당으로 최근 1년 이내에 2회 이상 입원 치료받은 65세 이상 노인 당뇨병 환자 15명을 대상으로 2015년 11월 1일부터 2016년 3월 1일까지 심층 면담을 통한 질적 연구를 수행하여 다음의 결과를 얻었다. 연구 대상자들은 당뇨병 관련 지식 중 발병원인과 증상에 대한 지식수준이 낮았다. 혈당 측정은 불규칙적으로 하거나 하지 않고 있었고, 가정에 혈당기가 없어 측정을 하지 못하는 경우도 있었다. 일상생활 중 가족들로부터 스트레스를 많이 받고 있었고, 노령으로 인하여 신체 활동에 제한이 많았으며, 뇌졸중의 후유증과 근골격계 질환 등의 문제들로 운동을 거의 못하고 있었다. 규칙적인 식사도 거의 이뤄지지 않고 있었으며, 당뇨병 자가관리 교육은 받을 필요가 없다고 생각하거나 거동 불편으로 받지 못하고 있었다. 자가 혈당 측정 행위 저조, 가족으로부터의 심리적 압박, 퇴원 후 교육 기회 부재 등이 당뇨병자가 관리와 관련된 두드러진 문제점들이었다. 따라서 치료 미순응 노인 당뇨병 환자들의 자가관리 수준을 높이기 위해서는 환자와 가족을 포함하는 맞춤형 교육 프로그램을 개발하고, 교육참여 기회를 보장하여 자가 관리의 중요성과 기술습득을 통하여 자가 관리를 실천하게 하는 것이 필요하다.

• 한국호스피스완화의료학회:학술대회논문집
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• 한국호스피스완화의료학회 2004년도 정기총회 및 하계학술대회
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• pp.103-105
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• 2004

Every one experiences death one day, however no one can hows exactly what it is because people can not experience death until it comes, it is therefore impossible to judge correctly on the phenomenon of the death. On the whole, man experiences indirect death through the mass communications such as TV drama, fiction, magazine etc because those methods can easily access by every one. In addition to this, people usually acquire the negative awareness of death through the dramatic change of story like dying of cancer for dramatic effect by giving scare and fear to the cancers. The purpose of this study is to provide basic information on the spiritual care that enables the facing death patients to accept death as a part of life and divert hope from scare about after death by comparing and analyzing of two aspects of death meaning i.e, Korean fiction and the end stage cancer patients. Additionally, for medical staff to understand the facing death cancer patients by making to aware patients correctly and provide the better quality of care. The study was performed from September 28, 2002 to February, 28, 2003. The materials of this study were collected by direct data obtained from observation, interviews, note and diary of end stage of cancer patients and written materials acquired from Korean contemporary fiction. Participants of this study were 4 end stage cancer patients including 2 lung cancer patients, 1 liver cancer patient and 1 esophagus cancer patient. The methodology used in this study was divided into two types; Huberman & Miles methodology was used for fiction to find and categorize subject, and Colaizzi, one of phenomenological methodology was used for end stage cancer patients to find the major meaning, subject and categorization. Every one experiences death one day, however no one can knows exactly what it is because people ran not experience death until it comes, it is therefore impossible to judge correctly on the phenomenon of the death. On the whole, man experiences indirect death through the mass communications such as TV drama, fiction, magazine etc because those methods can easily access by every one. In addition to this, people usually acquire the negative awareness of death through the dramatic change of story like dying of cancer for dramatic effect by giving scare and fear to the cancers. The purpose of this study is to provide basic information on the spiritual care that enables the facing death patients to accept death as a part of life and divert hope from scare about after death by comparing and analyzing of two aspects of death meaning i.e, Korean fiction and the end stage cancer patients. Additionally, for medical staff to understand the facing death cancer patients by making to aware patients correctly and provide the better quality of care. The study was performed from September 28, 2002 to February, 28 2003. The materials of this study were collected by direct data obtained from observation, interviews, note and diary of end stage of cancer patients and written materials acquired from Korean contemporary fiction. Participants of this study were 4 end stage cancer patients including 2 lung lancer patients, 1 liver cancer patient and 1 esophagus cancer patient. The methodology used in this study was divided into two types; Huberman & Miles methodology was used for fiction to find and categorize subject, and Colaizzi, one of phenomenological methodology was used for end stage cancer patients to find the major meaning, subject and categorization.

• 디지털융복합연구
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• 제14권10호
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• pp.319-326
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• 2016

최근 우리나라는 국제결혼이 증가함에 따라 다문화 여성 인구가 늘어나고 있다. 본 연구의 목적은 구강관리 프로그램을 통하여 다문화 여성의 구강 건강 상태를 추적 조사함으로써 구강건강 상태를 파악하여 개선점 및 이와 관련되는 요인들을 조사하여 향후 다문화가족의 구강관리 프로그램을 구축하는데 도움이 되고자 하였다. 연구 대상자는 대구광역시 다문화 가족 센터에서 모집하여, 1년 동안 지역의 치과 병.의원과 연계하여 필요한 치료를 받도록 하였다. 전체 참가자 608명 중에서 1년간 추적조사 한 표본은 40명이었다. 면접조사로 사회 경제적 수준과 구강 상태에 관한 일반적인 특성에 대하여 알아보았고, 구강 검사를 실시하여 치아우식증과 치주 건강 상태를 알아보았다. 통계 분석은 SPSS 20.0 프로그램을 이용하여 분석하였다. 구강관리 프로그램의 전과 후 결과를 비교 하였을 때, 1년 동안 DMFS, DS, FS, DT, FT 및 CPI가 유의하게 감소하였다. 본 연구를 통하여 다문화 여성 및 가족에 대한 관심과 구강건강 증진을 위한 기초 자료로 이용되기를 기대한다.