• 제목/요약/키워드: clinical training

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뇌파를 이용한 생기능자기조절(뉴로피드백) 훈련에 대한 임상연구 동향 - 2000년부터 2013년까지 국내 학술지 논문을 중심으로 - (The Review for Studies of Neurofeedback Training)

  • 임정화;성우용
    • 동의신경정신과학회지
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    • 제25권3호
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    • pp.271-286
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    • 2014
  • Objectives: The purpose of this study is to investigate the clinical trial research trends in regards to the neurofeedback training (NFT) in Korean journals. Methods: We researched articles published in Korean journals from 2000 up to 2013 and were related to the NFT. We searched six electronic databases to find relevant articles, using the term 'neurofeedback'. Results: 1) 6 single group comparative studies and 31 randomized controlled trials were found. 2) Healthy volunteers and students were most frequently studied with neurofeedback training. Other studies included attention deficit hyperactivity disorder (ADHD), Poststroke, panic disorder, premenstrual dysphoric disorder (PDD), temporomendibular disorder (TMD), and obesity. NFT interventions were attempted in diverse training protocols and assessed with many different outcome measurements. 3) Most studies showed effective results after NFT. Conclusions: NFT is increasingly studied and used in various clinical fields. Also, there have been efforts to adopt NFT in Korean medical clinics and researches, and more rigorous and innovative studies are needed in the future.

시뮬레이션 실습 교육에서 나타난 간호대학생의 임상수행능력에 대한 개념분석 (Conceptual analysis of nursing students' clinical competency in simulation-based practical training)

  • 이초원;김은영
    • 한국응용과학기술학회지
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    • 제40권5호
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    • pp.1176-1190
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    • 2023
  • 본 연구의 목적은 시뮬레이션 실습 교육에서 임상수행능력에 대한 명확한 개념의 속성을 규명하고 이를 조직화하여 임상수행능력에 대한 이론적 근거를 마련하기 위해 시도되었다. 연구 방법으로는 Walker And Avant의 개념분석 방법을 사용하였다. KISS, KMbase, DBpia, RISS, PubMed, CINAHL, Medline의 데이터베이스에서 보건의료인 교육을 위한 시뮬레이션 교육이 권고된 시점인 2000년부터 2023년 4월까지 보고된 논문을 수집하였다. 연구 결과 임상수행능력의 속성은 (1) 지식, 판단, 기술의 종합적인 능력, (2) 의료 환경 변화에 능숙히 대처하는 능력, (3) 간호 대상자의 요구에 적절하게 대응하여 간호 역할을 수행하는 능력이다. 본 연구는 시뮬레이션 실습 교육에서 임상수행능력에 대한 연구가 활발한 상황에서 간호학적 관점의 중요성을 인식하고, 개념분석을 한 연구로서 의의가 있다. 본 연구에서 나타난 시뮬레이션 실습 교육에서 임상수행능력 속성을 포함한 훈련 프로그램 및 도구를 개발하고 이를 활용하여 프로그램의 효과를 측정하는 것이 필요할 것으로 사료된다.

작업치료사의 임상 경력에 따른 작업치료직무 중요도에 관한 조사 (A Survey on the Job Importance of Occupational Therapists According to Length of Clinical Career)

  • 박규용;김민호
    • 대한통합의학회지
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    • 제9권2호
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    • pp.109-117
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    • 2021
  • Purpose : This study examined the differences in occupational therapists' jobs depending on their past clinical careers using a survey of the importance of occupational therapy tasks in South Korea. This survey sought to provide fundamental data for strengthening occupational therapists' capacities and developing clinical training programs for therapists' future careers. Methods : An online survey was used to collect data from 93 South Korean occupational therapists. The subjects were divided into three groups for the analysis of the importance of occupational therapy tasks, depending on the length of their clinical careers: less than 3 years, from 4 to 6 years, and over 7 years. Results : A within-groups comparison of task importance found that "occupational therapy evaluation" was most important in all three groups. In between-groups comparisons, "patient information check", "assessment planning and establishment", "sensory function assessment", "social skills assessment", "developmental function improvement", "basic daily activities training", "social skills improvement", and "patient education" demonstrated statistically significant differences (p<.05). Each group showed different priorities. In the less-than-3-years group, "understanding of patient's needs" was most important, followed by "arm function improvement", "arm function assessment", "nerve, musculoskeletal, and motor-related functional improvement", and "basic daily activities training". In the 4-to-6-years group, "arm function assessment" was most important, followed by "basic daily activities assessment", "patient's needs", "arm function improvement", and "patient information check". In the over-7-years group, "understanding of patient's needs" was most important, followed by "patient information check", "basic daily activities assessment", "basic daily activities training", and "sensory function assessment". Conclusion : This study found that what occupational therapists consider important in their jobs varies according to their past clinical career and that occupational therapists with more than 7 years' experience are more aware of the importance of diverse fields of occupational therapy. Differentiated education that considers length of career and a range of training programs for more experienced occupational therapists will be needed in the future.

제퍼슨의 공감 척도를 사용한 치과 대학생의 공감 능력 측정 (Measuring the Empathy Level of Dental Students Using the Jefferson Scale of Empathy)

  • 김희민;양연미;김재곤;이대우
    • 대한소아치과학회지
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    • 제50권3호
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    • pp.252-262
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    • 2023
  • 이 연구의 목적은 소아치과에서의 임상 실습 전과 후의 치과 대학생의 공감 능력 차이를 측정 및 비교 분석하여 공감 능력 향상을 위해 도입한 임상 교육 과정의 효과를 평가하는 것이다. 전북대학교 치과대학 재학생 중 본과 3학년, 총 69명을 대상으로 2년 동안 연구를 진행하였다. 모든 학생들은 본원 소아치과에서 3주 동안 임상 실습을 진행하였고, 실습 전과 후에 각각 설문지(Modified form of Jefferson Scale of Empathy-Health Profession Students Version)를 작성하였다. 이 중 추가적으로 강의 및 역할극 훈련을 시행한 학생들을 실험군으로, 시행하지 않은 학생들을 대조군으로 설정하였다. 실험군은 35명, 대조군은 34명이었으며, 두 군 모두에서 실습 후에 공감 능력 증가를 보였으나, 실험군에서만 유의미한 증가를 보였다(p = 0.0052). 또한 실험군에서만 특정 항목들(6번, 9번, 10번, 15번, 17번, 18번, 19번, 20번)에서 유의미한 증가를 보였다(p < 0.05). 따라서 공감과 관련한 교육의 중요성을 인지해야 하며, 향후에는 학생들의 공감 능력 향상을 위해서 단순 교육보다는 강의 및 역할극과 같은 다양한 형태의 교육 방식을 고찰하고 시도 및 평가하려는 노력이 필요하다.

저항훈련을 통한 노인들의 기능적 수행능력의 변화에 대한 문헌적 고찰 (The Change of Functional Performance Abilities by Resistance Training in Older Adults)

  • 허영구
    • 대한임상전기생리학회지
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    • 제2권1호
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    • pp.101-109
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    • 2004
  • We developed research strategies for measuring functional performance and proprioception. We determined whether resistance training improves functional performance in the older adult, whether resistance training improves proprioceptive sense, and whether improvement in functional performance and/or proprioception are a direct result of the resistance training or a result of movement independent of strength gains. The answer to these questions will enable those in the sport fitness industry and medical practioners to better advise the growing number of older adults about the benefits of specific types of exercise. The will also enable the medical practitioner to prescribe appropriate exercise to those with limitations in functional ability in attempts to restore independent living.

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12세 미만 간헐성 외사시안의 수술 이후 시각훈련효과에 대한 임상연구 (A study on the effect of vision therapy after surgery for intermittent exotropia under 12 years of age)

  • 장우영;이승욱
    • 한국임상보건과학회지
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    • 제9권2호
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    • pp.1520-1525
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    • 2021
  • Purpose. This study conducted visual function training for children under 12 years of age who relapsed after surgery for intermittent exotropia. We are trying to find out whether the visual function has been improved by visual function training. Methods. After surgery, the subject with recurrent exotropia was given a prescription for refractive error, followed by visual function training and vision therapy with visual sence using prisms and lenses. Results. The subjects' positive relative convergence improved to 19.69𝚫, corrected visual acuity improved to 0.88, and stereoscopic vision function improved to 53.08 arc second. It was found that the smaller the angle of deviation at the time of recurrence after surgery, the better the vision therapy effect. Conclusions. It can be seen that visual function training is helpful in improving visual function, and the importance of visual function training can be known.

Clinical Feasibility of Wearable Robot Orthosis on Gait and Balance Ability for Stroke Rehabilitation: A Case Study

  • Shin, Young-Il;Yang, Seong-Hwa;Kim, Jin-Young
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.124-127
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    • 2015
  • Purpose: The emphasis on gait rehabilitation after stroke depends on training support through the lower limbs, balance of body mass over the changing base of support. However, muscle weakness, lack of control of lower limb, and poor balance can interfere with training after stroke. For this case study report, a wearable robot orthosis was applied to stroke patients in order to verify its actual applicability on balance and gait ability in the clinical field. Methods: Two stroke patients participated in the training using the wearable robot orthosis. Wearable robot orthosis provides patient-initiated active assistance contraction during training. Training includes weight shift training, standing up and sitting down, ground walking, and stair up and down Training was applied a total of 20 times, five times a week for 4 weeks, for 30 minutes a day. Gait ability was determined by Stance phase symmetry profile, Swing phase symmetry profile, and velocity using the GAITRite system. Balance ability was measured using the Biodex balance system. Results: Subjects 1, 2 showed improved gait and balance ability with mean individual improvement of 72.4% for velocity, 19.4% for stance phase symmetry profile, 9.6% for swing phase symmetry profile, and 13.6% for balance ability. Conclusion: Training utilizing a wearable robot orthosis can be useful for improvement of the gait and balance ability of stroke patients.

간호대학생의 시뮬레이션 실습교육 경험, 임상실습만족도, 문제해결능력 및 임상수행능력과의 관계 (Relationship Between Nursing Students Simulation Practice Education, Clinical Practice Satisfaction, Problem-solving Ability and Clinical Performance Ability)

  • 양현미
    • 문화기술의 융합
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    • 제10권3호
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    • pp.219-226
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    • 2024
  • 본 연구는 간호대학생의 시뮬레이션 실습교육 경험, 임상실습 만족도, 문제해결능력 및 임상수행능력과의 관계를 파악하기 위한 연구이다. 연구설계는 서술적 상관관계 연구로 연구참여자는 3학년 간호대학생으로 교육과정에 시뮬레이션 실습교육이 있는 일개 대학의 학생 95명과 교육과정에 시뮬레이션 실습교육이 없는 일개 대학의 학생 102명으로 총 197명으로 구성되었다. 수집된 자료분석은 빈도분석, 기술통계, Independent t-test, Pearson correlation을 이용하였다. 연구결과 시뮬레이션 실습교육 경험이 있는 간호대학생은 임상실습에서 임상실습 만족도와 임상수행능력에 유의한 차이를 나타냈다. 그러나 문제해결능력은 유의한 차이가 없었다. 또한 시뮬레이션 실습교육 경험, 임상실습 만족도, 임상수행능력과의 상관관계가 있음을 확인할 수 있었다. 본 연구결과에 근거하여 간호대학생의 임상실습의 효과성을 높이기 위한 다양한 상황의 시뮬레이션 교육프로그램을 개발하고 활용할 수 있을 것이다.

일부 치위생과 학생들의 임상실습교육 시 임상실습지도자의 교수효율성 및 임상실습만족도에 관한 연구 (Study on the teaching efficiency and satisfaction levels of clinical practice instructors during clinical practice training for some dental hygienists and students)

  • 오혜승
    • 한국치위생학회지
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    • 제13권5호
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    • pp.777-786
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    • 2013
  • Objectives : The purpose of the is to investigate the teaching effectiveness of clinical practice instructors and the satisfaction level of dental hygiene majoring students in clinical practice training. Methods : Subjects were second and third grade 480 dental hygiene majoring students in Seoul and Gangwondo. Except 48 incomplete answers, 438 data were analyzed. Questionnaire consisted of general characteristics, teaching of clinical practice instructors, educational content, organization al skills, leadership, learning environment, evaluation skills and clinical practice satisfaction level. Results : 1. A strong positive correlation (r = 0.832) was found between teaching effectiveness and clinical practice satisfaction. A positive correlation more than 0.50 was found between the clinical practice satisfaction, encouragement and support for teaching effectiveness, educational contents, and leadership. 2. There were significant correlations between the encouragement and support (B = 0.209), educational content (B = 0.199), leadership ability (B = 0.257) and ability to create an environment (B = 0.084), evaluation ability (B = 0.083). Conclusions : Teaching effectiveness of the clinical practice instructors had influences on the clinical practice satisfaction. It is necessary to connect clinical practice instructions with satisfaction towards clinical practice to the students.

불안정지지면 훈련과 평류전정자극이 균형 및 고유수용성감각에 미치는 영향 (The Effects of Balance and Proprioception by Unstable Surfaces Training and Galvanic Vestibular Stimulation)

  • 박치복;조운수;황태연;김용남
    • 대한임상전기생리학회지
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    • 제10권1호
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    • pp.7-13
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    • 2012
  • Purpose : This study was conducted to examine the effects of unstable surface training and galvanic vestibular stimulation on balance and proprioception. Methods : 4-week training was applied to 40 normal adults in their twenties (unstable surface training group 10, galvanic vestibular stimulation group 10, unstable surface training and galvanic vestibular stimulation group 10, control group 10). Balance and proprioception was measured before the experiment, after two weeks, and after four weeks. Repeated ANOVA was used for balance and proprioception analysis. Results : As a result of repeated ANOVA on balance changes in double support, a significant difference was found in open sight in interaction among groups and periods (p<0.05). As a result of repeated ANOVA on balance changes in double support, there was a significant difference in closed sight and interaction among groups and periods (p<0.05). As a result of repeated ANOVA on balance changes in proprioception, there was no statistically significant difference in interaction among groups and periods. Conclusion : In conclusion, both unstable surface training and galvanic vestibular stimulation had positive effect on balance control and proprioception improvement, and their excellence was not greatly different. Thus, it is possible to use unstable surface training and galvanic vestibular stimulation for physical therapy intervention to improve balance and proprioception. Since the results showed that simultaneous application of two methods had greater effects on difference compared with a single application, it is suggested to use this intervention in the clinical field.