• 제목/요약/키워드: clinical effect

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사시의 침치료에 대한 최근 임상 연구 동향 (Recent Clinical Research on Effect of Acupuncture for Strabismus)

  • 이지나;이선행;이진용
    • 대한한방소아과학회지
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    • 제30권2호
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    • pp.23-30
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    • 2016
  • Objectives The purpose of this study is to investigate recent clinical studies on effect of acupuncture for strabismus in Korea and other countries. We have analyzed 10 years (from 2006 to 2015) of case studies and randomized controlled trials (RCT) on effect of acupuncture for strabismus. Methods The search database includes Oasis, KTKP (Korean Traditional Knowledge Portal), Medline, Embase, and Cochrane library. To narrow the search, the following key search terms were used: 'strabismus, acupuncture'. The search was limited to the publication date from 2006 to 2015. 7 case studies and 5 control studies were selected for analysis. Results and Conclusions 1. The acupuncture treatment is effective for paralytic strabismus 2. The studies used BL1, GB1, ST2, TE23, GB15, EX-HN5, ST1, and LI4 acupoints and also an electroacupuncture treatment, which is 15 minutes of extraocular muscle stimulation, was used. 3. Degree of strasbismus was tested by Ocular motor range test, Corneal light reflex test, Ocular abducent scale test (Scott and Kraft, Diploptic range test).

산림 치유 관련 논문에 관한 체계적 고찰 (Systemic Review on Forest Healing Journals)

  • 선승호;이선구
    • 동의생리병리학회지
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    • 제24권4호
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    • pp.566-570
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    • 2010
  • This review was conducted to investigate clinical trial trend, clinical effect, and study methods of forest healing. Literature search was performed using the search engines of eight electronic databases from inception to march 2010 without language limitation. The search terms were "forest healing", "forest experience", "forest therapy", "forest treatment", "clinical trial", and "clinical study". Inclusion criteria were randomized controlled trials (RCTs) among all kinds of study searched about forest healing. Selection literature and data extraction was performed by authors(SH Sun and SG Lee) independently. Total three studies were selected finally. The methodological quality in all study was low because of poor reporting. Study indications were metal health, depression, self-esteem, and stress. The scale of studies was very small, which was the level of pilot study. There were no description for obtaining informed consent and being reviewed by Institutional Review Board (IRB), and could be any problems for statistical method in any studies. It is difficult to accept the fact that each studies had the significant effect for study indications in the results of studies. It is concluded that the evidence that health healing have a significant effect is insufficient. Further systematic and methodological study and well-designed clinical trial will be needed.

간호대학생이 임상실습에서 경험하는 무례함, 극복력, 사회적 지지가 소진에 미치는 영향 (Effect of Incivility, Resilience, and Social Support Experienced by Nursing Students on Burnout in Clinical Practice)

  • 이은정;성미혜;안혜경;김윤아
    • 여성건강간호학회지
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    • 제25권1호
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    • pp.86-98
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    • 2019
  • Purpose: The purpose of the study was to determine effect of incivility, resilience, and social support experienced by nursing students on burnout in clinical practice. Methods: Subjects were 140 nursing students who agreed to participate in this study. Collected data were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation and stepwise multiple regression with SPSS WIN 23.0 program. Results: Burnout showed significantly positive correlation with incivility but significantly negative correlations with resilience and social support. Factors affecting burnout were satisfaction with major-dissatisfaction, satisfaction with major-average, social support, grade, and relationship with peers. Satisfaction with major (dissatisfaction) had the greatest effect on burnout, explaining 41% of the total variance. Conclusion: According to this study, dissatisfaction with major was identified as the most significant factor influencing burnout of nursing students in clinical practice. Therefore, it is important to develop and implement programs that can reduce dissatisfaction with major and increase social support and relationship with peers in order to lower burnout of nursing students. In addition, a systemic management of fourth-grade students with a high level of clinical practice is necessary to reduce the level of clinical practice. The authors declared no conflict of interest.

생모근(生毛根)이 탈모에 미치는 임상적 연구 (Clinical Study on the Effect of Sangmogen on the Alopecia)

  • 김남권;두인선;문연자;우원홍
    • 동의생리병리학회지
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    • 제19권1호
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    • pp.270-278
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    • 2005
  • Alopecia is an increasing disease recently. Alopecia has social and psychological influence on the alopecia patients. But there is no perfect treatment of alopecia. Authors performed clinical study to evaluate the therapeutic effects of herbal soap Sangmogen in patients with alopecia. Twenty patients with alopecia were included in this study. The patients shampooed with herbal soap Sangmogen everyday. Efficacy was determined by investigating counts of hair, terminal hair, vellus hair, hair follicle, hair pull test, erythema, scale and fissure. After a experiment, self-assessment was checked. As the result of the study, we found that a significant effect was observed. So we concluded that herbal soap Sangmogen has a clinical effect on the alopecia.

고혈압 침 임상연구에서 환자의 기대치와 치료효과 간의 상관관계 (The Relationship between Patients' Expectations of Treatment Effect and Clinical Outcome in a Trial of Acupuncture for Hypertension)

  • 김준범;류연;김정은;박지은
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.33-38
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    • 2016
  • Objectives : To identify potential correlation between patients' expectations and clinical outcome in a randomized control study of acupuncture. Methods : In a clinical trial of acupuncture for hypertension, 60 participants with pre and mild hypertension were randomized into an acupuncture group and a control group. After randomization, all participants were asked to rate their expectation for the intervention on a scale of 0 to 10. To analyze the effect of expectation on clinical outcome, change of blood pressure was compared between high and low expectation groups. Results : There was no significant difference of baseline blood pressure between low expectation group and high expectation group. Proportion of acupuncture group and control group was also not different between low and high expectation groups (p = 0.638). The change of systolic blood pressure was -1.55 mmHg in low expectation group and -3.07 mmHg in high expectation group, and it was not significantly different (p = 0.54). There was no significant difference in the change of diastolic blood pressure between two groups (p = 0.58), with -3.24 mmHg in low expectation group and -2.34 mmHg in high expectation group. Conclusion : In this study, the expectation of intervention (including acupuncture treatment) was not associated with the effect of intervention.

임상간호사의 위계지향적 간호조직문화와 이직의도 간 사회적 지지 조절효과 (The Moderating Effect of Social Support between Hierarchy-Oriented Nursing Organizational Culture and Turnover Intention of Clinical Nurses)

  • 김봉미;한기혜;조용애
    • 임상간호연구
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    • 제24권3호
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    • pp.313-323
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    • 2018
  • Purpose: This cross-sectional survey study explored the moderating effect of social support between hierarchy-oriented nursing organizational culture and turnover intention in clinical nurses. Methods: Data were collected using self-report questionnaires from 240 nurses working at three general hospitals in February 2018. Hierarchy-oriented nursing organizational culture, turnover intention and social support were measured using 5, 6, and 8 items, respectively, of validated instruments. Descriptive analysis and hierachical multiple regression were conducted using SPSS/WIN 21.0. Results: Nurses rated $3.66{\pm}0.50$ for hierarchy-oriented nursing organizational culture, $3.40{\pm}0.64$ for turnover intention, and $3.77{\pm}0.56$ for social support respectively. Nurses' turnover intention was positively correlated with hierarchical organizational culture, but negatively with social support. The moderating effect of social support was not significant in the relationship between hierarchical nursing organizational culture and turnover intention. Conclusion: It is required to improve the hierarchy-oriented nursing organizational culture. Institutional preparation and education are urgently needed to strengthen the boss and peer support for clinical nurses and finally to reduce turnover intention.

고혈압을 동반하는 중고도 비만 환자의 중의학 임상연구 체계적 고찰: CNKI 검색을 중심으로 (Systematic Review of TCM on Moderate to Severe Obese Patients with Hypertension in Chinese Medical Journal (CNKI))

  • 박소현;김준호
    • 한방비만학회지
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    • 제23권2호
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    • pp.86-97
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    • 2023
  • Objectives: The purpose of this study is to review clinical studies related to the effect of Traditional Chinese Medicine (TCM) on moderate to severe obese patients with hypertension. Methods: Clinical studies from the China National Knowledge Infrastructure (CNKI) were searched by specific keywords and criteria. Total of 7 randomized controlled trials were selected and analyzed. Results: Various evaluation methods were used to see the effect of TCM compared to conventional western medicine. Most of the studies used herbal medicine combined with conventional anti-hypertensive western medicine. The effective rate of anti-hypertension was higher when TCM was added to conventional anti-hypertensive medicine. Traditional medicine treatment showed significant effect on lowering blood pressure and body mass index. Conclusions: Based on the results of the clinical studies from China, TCM can be a valuable option for moderate to severe obese patients with hypertension. Applying Traditional medicine has a significant effect on lowering blood pressure and weight loss. Combining herbal medicine can be worthy of clinical promotion and application for moderate and severe obese patients with hypertension.

신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과에 대한 융복합적 연구 (Convergence Study on Mediating Effect of Clinical Competence on the Relationship between Grit and Retention Intention among New Graduate Nurses)

  • 고진희;구미옥
    • 한국융합학회논문지
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    • 제11권4호
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    • pp.369-380
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    • 2020
  • 본 연구는 신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과를 규명하기 위해 시도된 서술적 상관관계연구이다. 연구대상은 2개 광역시와 1개 도의 300병상 이상 종합병원에서 근무하는 신규간호사 232명이었다. 자료분석은 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient로 하였고, 매개효과 분석은 Baron과 Kenny의 다중회귀분석을 활용한 3단계 분석방법과 Sobel test로 하였다. 연구결과 신규간호사의 그릿과 임상수행능력(r=.38, p=.011), 그릿과 재직의도(r=.32, p=.016), 임상수행능력과 재직의도(r=.33, p<.001)는 유의한 정적관계가 있었고, 그릿과 재직의도의 관계에서 임상수행능력은 부분 매개효과가 있는 것으로 확인되었다(z=3.14, p<.001). 본 연구결과를 근거로 신규간호사의 임상수행능력과 재직의도를 높여주기 위해 그릿을 향상시킬 수 있는 중재수행을 적극 권장한다.

요추간판탈출증의 임상증상에 관련요인 (Associated Factors of Clinical sign in Herniated Lumbar Intervertebral Disc)

  • 강점덕
    • 대한정형도수물리치료학회지
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    • 제16권2호
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    • pp.88-92
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    • 2010
  • Purpose: This study was undertaken to evaluate the effect analysis of clinical sing in 40 patients with lumbar intervertebral disc. Methods: All patients were assessed by the low back pain protocol which was composed of symptom, clinical sing before and after the treatment. The effect of clinical sing was analyzed by age, occupation, duration of symptom. Results: Occupation by clinical sing of after the treatment was desking job s from 3.6 to 5.2 scores(p<0.05). Duration of symptoms by clinical sing of after the treatment was over 4 months from 3.8 to 5.5 scores(p<0.05). Clinical sing of after the treatment was straight leg raising test from 1.275 to 1.850 scores, sensory disturbances from 1.425 to 2.575 scores, manual muscle testing from 1.525 to 4.625 scores. Conclusion: Herniated disks are most common in middle age, especially between 35 and 45, due to aging-related degeneration of the disks. Significant or increasing pain, numbness or weakness spreading to one or both legs. Progressive loss of sensation in areas that would touch a saddle (inner thighs, back of legs and area around the rectum).

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간호대학생의 자아탄력성이 임상수행 능력에 미치는 영향: 비판적 사고성향의 매개효과를 중심으로 (Effect of Ego-Resilience of Nursing Students on Clinical Practice Competency: Focus on the Mediating Effects of Critical Thinking Dispositions)

  • 송은주;박숙경
    • 한국보건간호학회지
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    • 제34권1호
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    • pp.60-73
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    • 2020
  • Purpose: The purpose of this study was to determine the mediating effect of critical thinking dispositions in the relationship between ego-resilience and clinical practice competency. Method: This study used a descriptive design with a survey method. A total of 193 nursing students were recruited from 4 colleges of nursing in C city, and A and B province in Korea. The data was collected using questionnaires from October 6, 2017 to October 24, 2017. The data was analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analysis, and linear regression analysis. Result: There were showed significant positive relationships of clinical practice competency with ego-resilience. In addition, critical thinking dispositions had a partial mediating role in the relationship between ego-resilience and clinical practice competency. Conclusion: This study identified the mediating effects of critical thinking dispositions and how to improve clinical practice competency. The results of this study can be used as basic data for establishing an educational approach to enhance clinical practice competency, which is considered a key competency for nursing college students.