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The Effect of Cancer Pain Management Education on the Pain and the Concerns of Pain Management in Cancer Patients (암성 통증관리 교육이 암 환자의 통증과 통증관리 염려에 미치는 효과)

  • Shin, Sun-Bog;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.90-103
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    • 2003
  • Pain management is a major issue in caring of cancer patients. Because pain management cancer patient of does not control effectively, it is important to educate reporting pain and using analgesics for having cancer patient's concerns and anxiety. The purpose of this study was to identify the effect of cancer pain management education on the pain and concerns of pain management in cancer patients. This study was a quasi-experimental as nonequivalent control pretest-post test design. The subjects of this study consisted of 50 (experimental group 25, control group 25) patients hospitalized in K university hospital in Busan. The data were collected from December 1, 2001 to April 12, 2002. The measurement tool for the concerns of pain management had used questionnaires interpretated by Kim(1999) developed by based Ward(1993) and pain nominal scale. The collected data were analyzed frequency, percentage, mean, SD, $X^2$-test, t-test, ANCOVA. The results of this study were as follows: 1. The 1st hypothesis : "The experimental group which had received the cancer pain management education were lower than the control group in the score of pain" was not supported (p>0.05). 2. The 2nd hypothesis : "The experimental group which had received the cancer pain management education were lower than the control group in concerns of pain management" was supported (F=5.285, p<0.01). In conclusion, the cancer pain management education can know what was effective to decrease in the concerns of pain management in cancer patients. Therefore, Pain Management Education must be positively utilized in clinical situation.

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Historical Changes and Future Counterplan of Food Culture in Korea (우리나라 식문화의 변천과 향후 대책)

  • Choe Jin Ho
    • Proceedings of the Korean Society of Crop Science Conference
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    • 1999.11a
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    • pp.25-79
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    • 1999
  • To evaluate the historical changes and future counterplan of food culture in Korea . the following were surveyed : the scale of foodseivice industry. the consumer attitude on functional health food. the fancy and using frequency of fastfood in the growing generation, the actual state on use of imported food. consumer opinions in selecting factor of functional and organic foods. the actual state and consumer attitude on the imported foods, long-term prospect of food service industry in futures. the production of food rubbishes and their reusing rates. the production scales and toxicity problems of agricultural medicines including the postharvest agricultural medicine. the consumer anxiety such as potential environmental and human health risks associated with GMOs (genetically modified organisms) and the import state of GMOs, long-term prospect of population increase in world, and aged population of over 65 years and their social index in Korea, self-supporting rate and national security of food in Korea. the prospect for demand and supply of grains in Korea and world. decrease of the farming population and the decrease problem of agricultural productivity. the problem on the introduction of direct payment system for a farmhouse, and other social problem etc. In cases of 1996, self-supporting rate of food in Korea was the lowest as $26.4{\%}$ in the world but those countries such as USA, UK France, Canada and Denmark were $134.0{\%}\;122.0{\%}$. $190.0{\%}$. $179.0{\%}\;and\;134.0{\%}$, respectively. in 1997 Therefore. our food security appeared as a very serious problem in a viewpoint of the national security That's why this very important Symposium will be held by agriculture-related three Societies to see the last year of 1999 out and the new millennium in.

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A Study on the Factors of the Older Adults' Memory Performance (노인의 기억수행에 영향을 미치는 요인에 관한 연구)

  • Min, Hye-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.2
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    • pp.181-195
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    • 2000
  • The purpose of this study is to find out the effects of personal characteristics, social support, depression, and metamemory on the older adults' memory performances. The subjects of the study consisted of 95 older adults over the age of 60 who are living in Busan. Some data were collected by means of the interview method, using questionnaires for metamemory (MIA questionnaire by Dixon, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986), social resoueces(Duke university, 1978), family support(Hyun-Sook Kang, 1985). The other data were collected by the testing method on the memory performance such as the immeadiate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998), and the face recognition task(Face Recognition Task tool developed by Hye-Sook Min). The results of this study were as follows; 1. The level of metamemory is 3.4 points in the 5 point scale, the grades of the task and the achievement are relatively high and the grades of the change, the control, and the anxiety are relatively low in the sub-concepts. 2. Metamemory have significant relation with age(r=-.44), educational attainment(r=.46), depression(r=-.58), family support(r=.20), social resources(r=.20). 3. The significant variables to predict older adults' metamemory are educational attainment(22%), sex(11%), age (8.3%), depression(4.7%), and illness state(3%). 4. The strong variables to predict memory performances are metamemory, age, depression, social resources, educational attainment, illness state, and limitation of daily living activity related to illness. In conclusion, the enhancement strategies of metamemory and the social support and the prevention or reduction of depression are necessary to increase older adults' memory performances. Ultimately in this respect nurses' roles are very important in developing and performing some intervention programs for old adults' memory improvement, which have significant meanings in the field of nursing science.

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Construct Validity of a Korean Version of the WHOQOL-BREF and EQ-5D Questionnaire Applied on Various Cancer Survivors Undergoing Palliative Rehabilitation Programs

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.27 no.3
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    • pp.212-219
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    • 2020
  • Background: Although the original version of the health-related quality of life (HRQOL) questionnaires are found to be acceptable, the cross-culturally adapted versions may not be comparable to their original version. Objects: To examine dimensionality and construct validity of two Korean versions of the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) and EuroQOL-5 dimension (EQ-5D) questionnaires. Methods: A total of 77 cancer survivors undergoing palliative rehabilitation programs from two rehabilitation institutes was recruited from April 16, 2018 to June 26, 2019. The WHOQOL-BREF and the EQ-5D were filled out by the various cancer survivors following a particular session of rehabilitation programs. The scores were analyzed with Winsteps Rasch analysis computer program using the rating scale model. Rasch fit statistics were used to determine the dimensionality and the item difficulty calibrations of WHOQOL-BREF and EQ-5D. Results: All items except two, negative feeling, need treatment function and pain prevent activity (mean square [MnSq] = 2.42, 1.82 and 2.51, respectively), were found to be acceptable, while two items of the EQ-5D, anxiety/depression and self-care, were misfit (infit MnSq = 1.65 and 0.38, respectively). Item difficulty calibrations of WHOQOL-BREF match person ability measures (i.e., HRQOL) fairly well. However, the person ability distribution showed obvious ceiling effects for EQ-5D. All items of EQ-5D were appeared to be less challenged in comparison with those of WHOQOL-BREF. Conclusion: Item-level analysis using the Rasch model supports the quality of culturally adapted items used to measure the HRQOL one exception; that is, whether or not to include misfit items as part of the HRQOL measurements. Additionally, cancer survivors undergoing palliative rehabilitation programs appear to have more of a tendency to view the EQ-5D items as being more challenging than the WHOQOL-BREF.

The Effects of Work-Related Stress on Workers who are Engaged in the Medium Enterprises (직무 스트레스가 중소기업에서 근무하는 작업자에게 미치는 영향)

  • Park, Keun-Sang;Yeo, Jong-Goo;Kim, Chang-Han
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.3
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    • pp.35-43
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    • 2007
  • This study aims at providing some basic material to be made use of for establishing plans through which one can reduce job-related stress, through conducting a survey on the sources of stress and then distinguishing its symptoms by the sources. As the methods of the study, we conducted a questionnaire survey of some selected medium enterprises' employees in the National Capital region and analysed the results. The questionnaire was designed by using the dynamic stress model of Cooper and Eaker and consisted of 85 questions to examine the sources of stress, the characteristics of personalities, and symptoms by each type of stress. The total valid respondents were 392 persons indicating 65.3% of the response rate. For analysing the results, a rating scale was used, and the reliability and validity were tested by using Cronbach's alpha coefficient. As the result of the study, those workers in medium enterprises were found to be put under much stress by responsibility, physical environment factors and career development factors and so on. As physical symptoms of job-related stress, eye fatigue, stiffness in their shoulders, headache, worry or anxiety, and waist ache presented most in the respondents. In addition, as behavioral symptoms, chronic fatigue was most indicated. In organizational symptoms, dissatisfaction about the company and lack of self-motivation for the job performance were found to show most. Moreover, the results indicated that the closer personalities to those appearing in persons mostly of type A they had, the more they were put under intensive stress by the vagueness of their roles and responsibility among all the job characteristics.

Design of Individual 3D Printer Remote Safety and Quality Management System Based on IoT Beacon (IoT 비콘 기반 개인 3D Printer 원격 안전·품질 관리 시스템 설계)

  • Jang, Dae-Sung;Lee, Hyo-Seung;Oh, Jae-Chul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.2
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    • pp.225-230
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    • 2020
  • The development of the industrial revolution can confirm the paradigm of manufacturing is changing from the mass production of small varieties to the form of small-scale production of many varieties. That is a form that can reduce the burden of indiscriminate raising of producers and a change in the industrial form that seeks to make up for the problems of the productivity portion that should change as modern society develops. Looking at the 3D printing environment, there are many problems in reaching the final stage of printing. The problem is not just the low-cost, low-end 3D Pirnter, but the high-priced 3D Printers released as finished products also show the same symptoms. This can cause anxiety factors in the printing process. Therefore, the research was conducted to compensate such problems. Based on the research, we propose the design of IoT beacon-based 3D Printer remote safety and quality control system targeting 3D Printer individual users.

Reliability and Validity of the Korean Version of the Perinatal Post-Traumatic Stress Disorder Questionnaire (한국판 주산기 외상 후 스트레스장애 척도의 신뢰도 및 타당도)

  • Park, Yu Kyung;Ju, Hyeon Ok;Na, Hunjoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.29-38
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    • 2016
  • Purpose: The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was designed to measure post-traumatic symptoms related to childbirth and symptoms during postnatal period. The purpose of this study was to develop a translated Korean version of the PPQ and to evaluate reliability and validity of the Korean PPQ. Methods: Participants were 196 mothers at one to 18 months after giving childbirth and data were collected through e-mails. The PPQ was translated into Korean using translation guideline from World Health Organization. For this study Cronbach's alpha and split-half reliability were used to evaluate the reliability of the PPQ. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and known-group validity were conducted to examine construct validity. Correlations of the PPQ with Impact of Event Scale (IES), Beck Depression Inventory II (BDI-II), and Beck Anxiety Inventory (BAI) were used to test a criterion validity of the PPQ. Results: Cronbach's alpha and Spearman-Brown split-half correlation coefficient were 0.91 and 0.77, respectively. EFA identified a 3-factor solution including arousal, avoidance, and intrusion factors and CFA revealed the strongest support for the 3-factor model. The correlations of the PPQ with IES, BDI-II, and BAI were .99, .60, and .72, respectively, pointing to criterion validity of a high level. Conclusion: The Korean version PPQ is a useful tool for screening and assessing mothers' experiencing emotional distress related to child birth and during the postnatal period. The PPQ also reflects Post Traumatic Stress Disorder's diagnostic standards well.

Literature Review of Psychosocial Problems, Measurement Tools and Intervention Effects in Patients with Cancer (암환자의 심리사회적 기능, 측정 도구 및 중재 효과에 관한 고찰)

  • Choi, Eun-Ok
    • Journal of Korean Biological Nursing Science
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    • v.7 no.2
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    • pp.31-48
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    • 2005
  • Purpose: Studies focus on cancer control, prevention, or assessment of psychosocial problems and intervention methods. However, few studies exist concerning psychosocial problems, measuring tools for those problems, and interventions for cancer patients in Korea. One of the purposes of this study was to review studies in this area, to examine various psychosocial problems experienced by cancer patients. This is a crucial area to investigate, since psychosocial problems in turn negatively influence the patients' immune function, which speeds the progress of the disease. Another goal was to identify instruments used to measure psychosocial functioning and problems in cancer patients, to analyze their validity and reliability, with the aim to discover the best instruments. A final goal was to explore and compare the effects of psychosocial interventions, to determine the most effective practices. Method: Journal articles published since 1995 were searched from PubMed Data base, Google search engine, and published cancer-related studies, using search keywords "psychosocial function and intervention for the cancer patients"; whole articles of selected references were reviewed and analyzed. Result: Most common psychosocial problems were depression, fatigue, nausea, pain, distress, resulting in a low quality of life. The seven scales found in the literature to assess the psychosocial functioning were Center for Epidemiological Studies-Depression, State-Trait Anxiety Inventory, Symptom Checklist 90-R, Profile of Mood States, Psychosocial Adjustment to Illness Scale, Brief Symptom Inventory, and SF-36 HRQOL(Health Related Quality of Life). Social support interventions for cancer patients were effective in improving quality of life scores. Conclusion: It is necessary to apply support intervention strategies to help cancer patients in Korea. These strategies can help to reduce the effects of psychosocial symptoms, which in turn affect the development and control of cancer. Strategies developed in Western countries may need to be modified for use within Korea. Further studies are warranted to review the support intervention strategies that were being used to for cancer patients

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The Effect of Qigong on the Health Promotion in Post-mastectomy Women (기공(氣功)이 유방절제술을 받은 여성의 건강증진에 미치는 영향)

  • Kim, Yi-Soon;Kim, Gyeong-Cheol;Kwak, Yi-Sub;Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.3
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    • pp.37-49
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    • 2010
  • Objective : Qigong has been reported as an effective for post-mastectomy women. It consists of a series of postures combined with slow, smooth, graceful movements, and is considered a low intensity exercise. In this study, a specialist of Qigong developed a Qigong program for post-mastectomy women in a community. The object of this research is to evaluate the effect of Qigong on a subjective symptom scale, on the grade of discomfort and pain in everyday life, BMI, fat(%), muscular strength, shoulder joint movement, in post-mastectomy women. Methods : The study used a non-equivalent control group non-synchronized design. The experimental group received a Qigong 3 times a week for 12 weeks from September 7th to December 28th in 2009. The subjects were 40 patients are divided into 25 persons in experimental groups and 15 persons in contrastive group. The data were analyzed with descriptive statistics, chi-square test, t-test, Mann-Whitney U test. A P-value less than .05 was considered significant by 2-tailed test. All statistical analyses were performed with SPSS win(ver 12.0). Results : The results were as follows : The score in the subjective symptom(p=.040), and score of anxiety (p=.024), fat(%)(p=.007) were significantly decreased after Qigong program. The values for shoulder flexibility (left : p=.010, right : p=.008), and Muscular strength(grip power)(left : p=.021, right : p=.029) significantly increased after Qigong program. And Flexion(left ; p=.029), Extension(left : p=.001, right : p=.038), Adduction(left ; p=.001, right ; p<0.001) were also significantly increased after Qigong Conclusions : The Qigong is an effective health promotion program for post-mastectomy women.

Analysis of Factors Associated with the Therapeutic Duration of Transforaminal Epidural Steroid Injection in Lumbar Spinal Stenosis Patients (요척주관 협착증 환자에서 경추간공 경막외 스테로이드 주입 후 통증 완화 기간과 관련된 요인의 분석)

  • Hong, Ji Hee;Lee, Yong Chul;Kim, Jin Mo;Han, Sung Ho;Park, Eun Jee
    • The Korean Journal of Pain
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    • v.21 no.2
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    • pp.136-142
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    • 2008
  • Background: A transforaminal epidural steroid injection (TFESI) is one of the methods for the conservative treatment of the lumbar spinal stenosis. As efforts to prolong the therapeutic duration and to predict the outcome of TFESI are very important, we analyzed factors considered to be associated with the therapeutic duration of a TFESI. Methods: Between August 2006 and March 2007, 69 patients (Group A: patients with no pain relief, Group B: patients with pain relief of less than 6 months, Group C: patients with pain relief of more than 6 months) who failed to the medical treatment were included to undertake a fluoroscopic-guided TFESI. Prior to treatment, the VAS (visual analogue scale), ODI (Oswestry disability index), BDI (Beck depression inventory), and BAI (Beck anxiety inventory) scores were determined to evaluate the degree of pain, disability, and psychological status. The VAS and ODI scores were used to assess the degree of pain relief. To identify the total duration of pain relief, regular outpatient visits for six months were conducted, and for the patients who were not able to visit the outpatient clinic regularly, outcome was assessed by telephone interviews after six months. Results: The dural sac cross-sectional area (DSCSA), ODI, pain duration, BDI, BAI, and age showed similar distribution for patients in the A, B, and C groups. Conclusions: The DSCSA, ODI, pain duration, BDI, BAI, and age were not associated with the therapeutic duration of TFESI in lumbar spinal stenosis patients.