• 제목/요약/키워드: cognitive status

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입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로 (Characteristics of Fall Events and Fall Risk Factors among Inpatients in General Hospitals in Korea)

  • 최은희;고미숙;유정숙;김미경
    • 임상간호연구
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    • 제23권3호
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    • pp.350-360
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    • 2017
  • Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

모바일 소셜 네트워크 게임의 제약과 지원 기능이 사용자의 만족에 미치는 영향 (Effect of Constraint and Supporting Features of Mobile Social Networking Games(SNGs) on User's Satisfaction)

  • 임채린;신영수;김진우;이인성
    • 한국콘텐츠학회논문지
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    • 제15권7호
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    • pp.353-367
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    • 2015
  • 피쳐폰 시대부터 최근 소셜 네트워크 게임(SNG)의 광풍에 이르기까지 모바일 게임은 모바일 폰의 킬러 콘텐츠로써, 큰 시장 규모와 매출을 자랑하고 있다. 게임 분야의 연구 관점에서 보았을 때, 모바일 게임은 플레이 기기의 스펙부터 플레이 환경까지 사용자에게 제약이 많이 주어지므로, 사용자 만족도에 부정적일 것이라는 예측을 할 수 있다. 그러나 대다수의 모바일 게임 사용자는 게임 경험에 굉장히 만족하고 있다. 이에 따라, 제약이라는 개념에 주목하였다. 또한 제약과 지원이라는 개념을 동시에 독립 변수로 설정하고, 이러한 요인이 사용자의 몰입과 만족에 어떠한 영향을 미치는지 설문조사 방법론을 통해 검증하고자 하였다. 분석 결과, 모바일 게임에서는 제약이 몰입에 긍정적인 영향을 미치는 것으로 나타났으며, 제약을 통해 불편함을 느끼는 것이 아니라 만족감을 얻을 수 있음을 확인하였다. 이를 통해 향후 모바일 게임의 UX 디자인 과정에서 해당 연구들의 결과를 활용할 수 있으리라 기대한다.

여고생의 건강증진 생활양식과 관련요인 연구 (The Determinants of Health Promoting Lifestyle in High School Students)

  • 홍외현;김정남;박영숙
    • 한국보건간호학회지
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    • 제13권2호
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    • pp.183-201
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    • 1999
  • This descriptive correlational study was conducted to identify the variables related to health promoting lifestyle of girls in High school students. 156 high school students and 88 vocational high school students who lives in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4. 1998. Pender and others' Health Promoting Lifestyle Profile. Shere et al's. Self-Efficacy scale. Wallston et al.' s Internal Health Locus of Control scale. Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient. t-test. MANOVA. ANOVA. Tukey verification and Stepwise multiple regression with SAS progrom. The results of this study were as follows : 1. The average score of health promoting lifestyle performance was 2.34(SD=.36)points by the 4 point scale. 2. The combination of self-efficacy. internal health locus of control. mather's educational level and type of school explained $41.31\%$ of the variance of health promoting lifestyle. 3. Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.001), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). On the basis of the above findings, self-efficacy in cognitive factors. and social support in modifying factors were identified as the variables which explained the most part of the Pender's health-promotion model. Nursing strategies enhancing self-efficacy which has the most significant effect on health promoting lifestyle should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.

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대학 교양체육의 성찰과 지향점 탐색 (Reflection and Intention of General Physical Education in College)

  • 윤대현;이주욱
    • 디지털융복합연구
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    • 제12권2호
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    • pp.503-511
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    • 2014
  • 대학에서의 교양교육이 인간의 기본적인 덕성과 지성을 갖추게 하고 올바른 한 인간으로서 주체성을 키우게 하는 보편적인 교육이라는 것과 체육이 신체활동을 통해 심동적, 인지적, 정의적 성장을 도모하는 전인적 교육활동이라는 것을 고려한다면, 대학의 교양교육과 교양체육은 그 가치와 목표를 같이 하고 있다. 더불어 체육이 지닌 근본적인 특성과 추구하는 가치가 교양교육의 가치와 상통하고 교양교육의 목표를 달성하기 위한 수단으로 매우 유용하다면 교양체육은 교양교육의 중심으로 자리매김하여야 한다. 그러기 위해서, 우리는 현재 교양체육 교과 운용 실태를 보다 면밀히 점검하고, 교양체육 운용에서 제기될 수 있는 문제점을 사전에 차단하거나 문제를 해결하며 교양체육이 나아갈 방향을 모색할 필요가 있다. 본 연구에서는 각 시 도 10개의 국립대학교의 교양체육 운영실태를 분석하였으며, 교양체육 운용에서 발생할 수 있는 문제점을 제기하였다. 또한, 대학 교양체육의 나아갈 방향을 '교양교육의 중심으로 자리매김', '체육학의 특징을 반영한 다양한 교과 편성', '기능 위주의 교육에서의 탈피', '전인적 교육활동으로의 교양체육', '교양체육 수업 기회의 증대'로 구분하여 제시하였다.

자녀의 초등학교 입학 전후 어머니의 양육불안에 미치는 영향요인 분석 (An Analysis of the Influential Factors on Mother's Child-rearing Anxiety Before and After Their Children's Entrance into Elementary School)

  • 신수희
    • 한국보육지원학회지
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    • 제15권6호
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    • pp.21-40
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    • 2019
  • Objective: The purpose of this study is to find the tendencies and differences of mother's child-rearing anxiety before and after their children enter into elementary school, to analyze the factors influencing child-rearing anxiety at each time, and thereby to seek a support plan at the time of transition. Methods: The subjects of this study were 181 mothers who participated in two surveys which were conducted before and after their child entered into elementary school. Results: Firstly, mother's child-rearing anxiety before and after their children's entrance into elementary school was at a middle level, but increased significantly when they experienced their children's transition to elementary school. Secondly, mother's child-rearing anxiety, before their children's entrance into elementary school, was influenced by private education, the collection of educational information, cognitive ability, whether or not to develop a work status change plan, and birth order sequentially. Thirdly, child-rearing anxiety after their children's entrance into elementary school was significantly influenced by child-rearing anxiety before their children's entrance into elementary school and the mother's employment. Conclusion/Implications: This study is meaningful in the point that it suggested the necessity for the cooperation between multiple systems, such as systematic and stepwise parenting education, the importance of offering information to educational institutions and local governments, and for work- family support policy to prioritize children in order to support children's successful transition into elementary school.

한국 백세 노인들의 "오래 삶"의 의미에 대한 질적 연구 (Korean Centenarians and the Meanings of "Living at Long-Life")

  • 한경혜;이정화;김주현
    • 한국지역사회생활과학회지
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    • 제15권3호
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    • pp.121-135
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    • 2004
  • 'Long-life' which has been the perennial interest to human beings also carries the risk of multiple losses such as the death of the family members and friends, the loss of physical and cognitive functions. In that regards, living a long life to be the 'oldest-old' could mean not only a 'symbol of successful aging' but also a hardship and low quality of life at the same time. Therefore, the issue of the quality of life of the oldest old has been the subject of the much of the public and research concern in recent days. While there has been increased awareness about the importance of the subjective aspects of the quality of life and meanings attached to the extended life, most researches on the quality of life of the oldest-old have focused only on the objective conditions of the quality of life such as health, economic status and housing conditions. To overcome these limitations this study aims to explore the subject meaning of 'living a long life' in Korean society by investigating centenarians and their caregivers' interpretations of aging experiences. Qualitative data were gathered from the forty-nine Korean centenarians and their caregivers through in-depth interview. Each interview was tape-recorded and transcribed verbatim. Researchers read each transcript a number of times to get some emerging themes. Most striking result was the fact that most of the centenarians express the 'guilty feelings' and try to offer the 'excuses' about their long life. This results were quite contrary to the results of the studies, done in Japan and western countries like Sweden, United States and Germany, where most of the oldest-old express quite positive interpretations about their long-life and take pride in their longevity. Lack of social support, cohort characteristics of the Korean oldest-old and the cultural interpretations linking the death of children to the long life of older generation are given as possible factors to these unique findings of Korean study. The policy implications of the results are discussed.

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단위비율 결정 맥락 문제에서 피제수와 제수 선택에 관한 연구 (A Study on Selection of Dividend and Divisor in Context of Determination of a Unit Rate Problem)

  • 김정훈;정상태;노은환;김선유
    • 한국초등수학교육학회지
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    • 제23권2호
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    • pp.193-217
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    • 2019
  • 연구자는 단위비율 결정 맥락 문제에서 식을 세우는 데 어려움을 겪는 한 학생을 발견하였다. 한 학생의 사례와 살펴본 선행연구를 바탕으로 단위비율 결정 맥락 문제에서 학생들이 나눗셈식을 어떻게 표현하는지, 사용하는 피제수와 제수 선택의 방법이 무엇인지, 그러한 방법은 어떻게 알게 된 것인지 등에 대해 자세히 살펴보고자 하였다. 먼저 학생들의 반응을 분석하기 위해 검사 문항을 만들어 연구 대상자에게 투입하였다. 이후 응답자 중 일부를 대상으로 피제수와 제수 선택 방법과 그에 따른 인지적 특징을 확인하기 위한 면담을 진행하였다. 그 결과 피제수와 제수 선택의 어려움이 다수의 문제임을 확인하였다. 또한 면담 대상자 중 일부는 피제수와 제수를 선택하는 나름의 방법이 있음에도 불구하고 왜 그렇게 선택하는지에 대해 설명하는 것에는 어려움이 있다는 것을 확인할 수 있었다. 연구 결과를 바탕으로 단위비율 결정 맥락 문제에서 피제수와 제수를 왜 그렇게 선택하는지, 표현된 식의 의미가 무엇인지에 대해 강조한 지도가 필요하다는 시사점을 얻었으며 그것을 수행하기 위한 지도방안을 제안하였다.

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비선형 반복 패턴과 스펙트럼 분석을 이용한 집중-비집중 분류기의 성능 평가 (Performance Evaluation of Attention-inattetion Classifiers using Non-linear Recurrence Pattern and Spectrum Analysis)

  • 이지은;유선국;이병채
    • 감성과학
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    • 제16권3호
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    • pp.409-416
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    • 2013
  • 집중은 관련된 사건을 선택적으로 주의하고, 관련 없는 사건을 무시하는 인간의 중요한 인지 기능중의 하나이다. 인간의 집중 능력을 관리 이용하는 컴퓨터 기반 장치에 있어서 집중과 비집중 상태를 구분하는 것은 필수적으로 요구되는 조건이다. 본 논문에서는, 뇌파신호로부터 분류기의 입력으로 사용되는 특징을 효율적으로 추출하기 위하여 비선형 반복 패턴 분석기법과 스펙트럼 분석 기법을 새로이 결합하였고(13개 특징 추출), 서포트벡터머신, 역전파 알고리즘, 선형분리, 로지스틱 회귀 분류 기반 분류기들을 포함하는 집중-비집중 분류기들의 성능을 분석하였다. 그중에서 81 %의 정확도를 보이는 서포트벡터머신 분류기가 가장 좋은 성능을 보였다. 또한 스펙트럼 분석으로 추출한 특징만을 사용하였을 경우(76 % 정확도)가 비선형 분석 방법으로 추출한 특징만을 사용했을 경우(67 % 정확도)보다 좀 더 우수한 성능을 보였다. 비선형-스펙트럼 분석법을 복합 적용한 서포트벡터머신 분류기가 추후 집중 관련 장비 설계에 있어서 효율적으로 적용될 수 있을 것이다.

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폐암환자의 피로와 자기효능의 관계 (The Relationship between Fatigue and Self-efficacy in Patients with Lung Cancer)

  • 이지현;손수경
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.710-718
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    • 2002
  • Purpose: The purpose of this study was to identify the relationship between fatigue, and self-efficacy in patients with lung cancer. Method: The data was collected from January 21th to April 8th 2001. The study subjects were recruited from K hospital in Pusan, Korea. Their fatigue was measured using the 22-item Revised Piper Fatigue Scale developed by Piper et al. (1998) and translated by the investigators, and self-efficacy was measured using the 10-item General Self-efficacy Questionnaire developed by Lee, Schwarzer & Jerusalem. The data were analyzed by SPSS 10.0 program using frequency, percentage, mean and standard deviation, t-test, ANOVA, Post-hoc test (Scheffe's test), and Pearson Correlation Coefficients. Result: 1) The mean fatigue score was $118.48{\pm}33.02$ (range: 22-220). The scores for sub-dimension were $35.40{\pm}10.06$ in behavior/severity, $25.98{\pm}9.06$ in affective score, $27.88{\pm}10.06$ in sensory score, and $29.22{\pm}8.27$ in cognitive/mood. The mean self-efficacy score was $28.80{\pm}5.85$. 2). There were significant differences in the fatigue of patients with lung cancer on income per month (F=4.651, p= .014), 'present pain' (F=2.601, p= .012), 'change of weight' (F=5.911, p= .005), by general characteristics. 3) There were significant differences in the self-efficacy of patients with lung cancer on 'religion' (F=3.732, p= .031), 'employment status' (F=5.525, p= .003), 'past therapy' (F=2.869, p= .034), by general characteristics 4) There was a significant negative correlation between fatigue and self-efficacy (r=- .528, p= .000). Conclusion: Patients with lung cancer experience fatigue. Increased fatigue is associated with decreased self-efficacy. Nurses must provide patients with nursing care for the less occurrence of fatigue and interventions to manage self-efficacy for them.

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급성기 뇌졸중 환자를 돌보는 가족 돌봄제공자의 부담감 관련요인 (Caregivers' Burden in patients with a cute stroke)

  • 강수진;이희주;최스미
    • 재활간호학회지
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    • 제5권1호
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    • pp.27-37
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    • 2002
  • During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress, social isolation, and financial constraints. However, the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Personal Resource Questionnaire). Our results showed that the mean burden score was 3.11, indicating high level of burden. Among the sub-domain scores, financial burden was the highest. In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver(p<.001); low cognitive function of the patients(p<.001); low level of ADL(p<.001); the gender of caregiver(p<.001); the current employment status of caregivers(p<.01); the presence of social support for caregiver(p<.001); and the availability of alternative caregivers(p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%), and gender of caregiver (female, 0.4%) were significant explanatory factors of overall burden. The caregivers' burden in acute stages during hospitalization following stroke was high. Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.

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