• 한국직업건강간호학회지
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• 제29권2호
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• pp.114-122
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• 2020

Purpose: This study aimed to identify the effect of integrated nursing using cognicise and neurofeedback on cognition and α waves among elderly individuals. Methods: This quasi-experimental single group pretest-posttest study included 29 Korean adults aged 65 years or older who participated at a senior welfare center in Y city from February to May 2019. Each integrated nursing session consisted of cognicise (10 minutes) and neurofeedback (20 minutes). Subjects participated twice a week for 10 weeks. Structured questionnaires to assess participants' general characteristics and the Korean version of the Mini-Mental Status Examination for Dementia Screening (K-MMSE-DS) were applied. Alpha waves were measured using BrainMaster. Results: Following the integrated nursing program, alpha waves improved in F3 (t=2.41, p=.023), C3 (t=3.00, p=.006), C4 (t=2.60, p=.015), P3 (t=2.43, p=.022), O1 (t=2.30, p=.029), T3 (t=3.05, p=.005), T4 (t=2.28, p=.030), T5 (t=2.91, p=.007), Fz (t=2.30, p=.029), Cz (t=2.73, p=.011), and Pz (t=2.23, p=.034). Most subjects experienced improvement in concentration after participating in the intervention. Conclusion: This study provides evidence for the use of a neuroscientific approach including brain wave measurement to improve cognitive health among community-living elderly people.

• 한국간호교육학회지
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• 제20권4호
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• pp.639-649
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• 2014

Purpose: This study evaluates the feasibility of Korean Advance Directives (K-AD) developed earlier. Method: From January 1 to February 28, 2013, data were collected from 330 adults through a self-reported questionnaire established by the authors based on literature review and expert consultation. The feasibility of K-AD was multi-dimensionally evaluated through four criteria: cognitive, psychological, document making and socially expecting aspects. Data were analyzed using t tests, one-way ANOVA, and Scheffe post hoc tests via the SAS 9.1.3 program. Results: The feasibility of K-AD differed significantly by gender (p=.003), educational level (p<.001), religion (p=.002), and self-reported health status (p=.039). Differences in the level of easiness with K-AD by gender (p=.008) and education (p=.047) were significant. Perceived simplicity of AD differed significantly by religion (p=.005), and the necessity of AD differed significantly by gender (p=.025) and religion (p=.005). Conclusion: K-AD are sufficiently feasible to be tentatively utilized in practice. This is the first study to explore the feasibility of K-AD on the basis of multiple aspects. However, further studies involving diverse populations and methodologies to validate the usefulness of K-AD are warranted.

• 모자간호학회지
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• 제4권1호
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• pp.80-90
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• 1994

Concept analysis is a strategy that examines the attributes or characteristics of a concept. It is a formal linguistic exercise to determine those defining attributes. The basic purpose of concept analysis is to clarify ambiguous concepts in theory, and to propose a precise operational definition which reflects the theoretical base of the concept. The concept of maternal role is too broad and variable in expression, therefore there has been no authentic definition nor standard opinion for this concept. The purpose of this study is to clarify the concept of maternal role which in turn will help in the development of a theory of maternal role attainment. In order to analyze the concept of maternal role, much effort was extended to look up "maternal role" in various dictionaries and literature, but only a few cases were found which listed this terminology. Consultation on the meaning of "mother" and "role" separately was then done and consequently a definition of "maternal role" was obtained through concept analysis of these two words independently, finding their attributes and unifying them. The attributes of the concept of maternal role which was analyzed based on the steps of concept analysis by Walker & Avant (1988) are : 1) Women who have pregnancies 2) Women who have a child 3) Women who rear a child 4) Expected behavior according to social status 5) Learning through social cultures 6) Social interrelationships. The antecedents of the maternal role are : 1) women who are pregnant and deliver a baby, must keep in contact with their child. 2) Circumstances for childrearing must be provided. 3) Formation of self-concept as mother should be developed, cognitive activity, which is necessary for the nurturing activity, financial support and preparation of childrearing should be provided. And the consequences of the maternal role are : 1) Improvement 2) Changeability 3) Ambiguity 4) Stability Through this concept analysis, the concept of the maternal role is defined as "expected behavior by social interrelationships and learned nurturing behavior through social cultures."

• 가정간호학회지
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• 제23권2호
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• pp.147-154
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• 2016

Purpose: This study aimed to develop and apply simulation-based education, and to verify the effects of this type of education on nursing students' presence in education, systems thinking, and proactivity in problem solving. Method: Subjects were 69 senior college students recruited through convenient sampling. This study used a one-group pre-posttest quasi-experimental design. A structured survey was administered a week before and after provision of the simulation-based education once a week for 4 weeks. Data were analyzed using descriptive statistics and t-tests. Results: Teaching presence increased after the educational intervention; instructional design and organization, and aspect of direct facilitation subscales improved. Learning presence increased after the educational intervention; although cognitive presence did not change, emotional presence increased. With regard to emotional presence, perception and expression of one's emotional status increased, although emotional management did not change. Moreover, systems thinking increased. Among the subscales, team learning showed an increase after the educational intervention. However, there was no significant difference in proactivity in problem solving, although it showed an increase after the educational intervention. Conclusion: Based on the aforementioned study results, there is need to establish educational environments for qualitative teaching and learning presence, and devise strategies to increase learning effects with various teaching methods and type of content.

• 대한가정학회지
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• 제30권4호
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• pp.231-247
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• 1992

A Study on Maternal Verbal Control Patterns and Children's Recognition against those. The primary objective of the material presented in this dissertation is the analysis of the maternal verbal control patterns. The major focus is given to the differences between maternal verbal control patterns and children's recognition against those. The purspoe of this study were; 1) to investigate the maternal verbal control patterns recognized by children according to their family and personal surroundings; 2) to investigate the verbal control patterns in mother's response according to the differences of family and personal surroundings; 3) to find the differences between children's recognition and maternal verbal control patterns; 4) How the maternal verbal control patterns recognized by children are? The materials of this study were 81(37; boys, 44; girl)) from kindergarten in Seou. The sample of age used in this study was 5 to 7 years old. The test about maternal verbal environment used the question sheet for reaction between mother and children by Gumperz. The kids got interviews with same questions as mothers with question sheet. The statistical tools used is the analysis of the data were frequency, crosstab, and t-test. The result of the study were summarized as follows; 1) The maternal verbal control patterns recognized by children had differences according to whether living with grand-parent or not. Living with grand-parent are more person-oriented than without grand-parent group. 2) The maternal verbal control patterns of mother response show the differences within mother's academic background, present situation of child, and parent's expection to child. The imperative verbal control pattern was more frequently used of low academic background who just fraduate the middle or high school. The personal verbal control pattern was more frequently used of high educational background's like university graduate or more educated group. 3) The differences between maternal verbal control patterns with children's recognition and with mother response is that mother responseis more person-oriented than children's. 4) The imperative verbal control pattern used command, verbal purnishment, and physical purnishment. the status-oriented verbal control pattern used univesal positional appeals and limited positional appeals. The person-oriented verbal control pattern used child-oriented cognitive affective appeals.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.219-226
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• 2012

Objectives: To evaluate the risk of fractures related with zolpidem in elderly insomnia patients. Methods: Health claims data on the entire South Korean elderly population from January 2005 to June 2006 were extracted from the Health Insurance Review and Assessment Service database. We applied a case-crossover design. Cases were defined as insomnia patients who had a fracture diagnosis. We set the hazard period of 1 day length prior to the fracture date and four control periods of the same length at 5, 10, 15, and 20 weeks prior to the fracture date. Time independent confounding factors such as age, gender, lifestyle, cognitive function level, mobility, socioeconomic status, residential environment, and comorbidity could be controlled using the case-crossover design. Time dependent confounding factors, especially co-medication of patients during the study period, were adjusted by conditional logistic regression analysis. The odds ratios and their 95% confidence intervals (CIs) were estimated for the risk of fracture related to zolpidem. Results: One thousand five hundred and eight cases of fracture were detected in insomnia patients during the study period. In our data, the use of zolpidem increased the risk of fracture significantly (adjusted odds ratio [aOR], 1.72; 95% CI, 1.37 to 2.16). However, the association between benzodiazepine hypnotics and the risk of fracture was not statistically significant (aOR, 1.00; 95% CI, 0.83 to 1.21). Likewise, the results were not statistically significant in stratified analysis with each benzodiazepine generic subgroup. Conclusions: Zolpidem could increase the risk of fracture in elderly insomnia patients. Therefore zolpidem should be prescribed carefully and the elderly should be provided with sufficient patient education.

• 한국산학기술학회논문지
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• 제20권1호
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• pp.162-169
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• 2019

본 연구는 65세 미만 성인과 65세 이상 노인에서 고혈압 위험요인을 파악하기 위한 서술적 조사연구이다. 6차 고령화 연구패널조사를 활용하여 6,152명의 연구대상자를 분석하였으며, 수집된 자료는 SPSS 23을 이용하여 카이검정과 로지스틱 회귀분석을 시행하였다. 고혈압 유병률에 영향을 미치는 위험요인에 대한 로지스틱 회귀분석 결과는 65세 미만 성인과 65세 이상 노인 둘 다에서, 주관적 건강상태, 당뇨병 유무, 심장질환 유무, BMI에 따른 비만정도가 위험요인으로 나타났고, 65세 미만에서는 만성폐질환, 소화기계 질환, 음주가, 65세 이상에서는 거주지역, 관절염 및 류마티스 질환, 흡연, 인지기능 정도가 고혈압에 영향을 미치는 위험요인으로 나타났다. 우리나라는 급속한 고령화 현상으로 인해 체계적이고 정책적인 만성질환관리가 절실하다. 특히, 나이에 따라 꾸준히 증가하는 고혈압에 대한 효과적인 관리를 위해 연령대에 따른 위험요인을 분석하는 것은 중요하다. 따라서 개인적 노후준비 뿐만 아니라 전반적인 사회복지수준 향상 및 노인복지대책을 통해 질병에 대한 관리가 필요하다.

• 디지털융복합연구
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• 제19권6호
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• pp.299-308
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• 2021

본 연구는 경도 치매환자가 AI 음성 기술을 활용한 개인 맞춤화된 회상 치료 디지털 서비스를 이용할 때 나타나는 유의미한 효과와 실효성을 파악하는 데 연구 목적을 두었다. 이해관계자 인터뷰 결과를 해석하는 과정에서, 음성 AI 기술을 이용한 '개인 맞춤화'라는 디자인 아이디어를 도출했으며, 프로토타입을 만들어 1, 2차에 걸쳐 사용성 테스트를 했다. 주요 결과는 다음과 같다. 회상 치료 자체가 개인 경험에 영향을 많이 받으며, 맞춤화된 치료프로그램을 통해 치료 상태와 결과에 따른 맞춤 돌봄 가이드를 받을 수 있기 때문에, '개인 맞춤화'라는 컨셉이 기존 치료 방법보다 치료의 질을 높일 수 있음을 알 수 있었다. 그러나 경도 치매환자가 지닌 깜빡 잊는 인지적 특징으로 인해 발생할 수 있는 이슈들이 관찰되어, 오류를 예방하고 사용성을 높일 수 있는 마이크로인터랙션을 연구한다면 서비스의 사용성을 더욱 높일 것으로 기대한다.

• 한국농공학회논문집
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• 제63권2호
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• pp.19-31
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• 2021

The Ministry of Maritime Affairs and Fisheries has been promoting the 'Fishing Village Specialization Capacity Enhancement Project' to pursue sustainable development of villages such as income generation by using local tangible and intangible resources led by local residents at the village level since 2013. For the fishing village-Specialization capacity enhancement project, six training sessions (mainly in the village unit) are selected by the public offering method, and the project (income generating business, village development project, etc.) is developed for the selected village residents. It has a process of establishing a village project plan (a preliminary plan for village development or a sixth preliminary industrialization plan) based on the training of experts 5 times, practice or excursion 1 time). In this study, four villages in Gangwon-do fishing villages (two coastal villages and two inland water villages) were surveyed on the perception and satisfaction of fishing village development projects before and after training. The survey analysis was conducted by dividing the analysis of resident capacity and satisfaction into personal, interpersonal, and social dimensions. The survey was conducted by distributing a survey before and after training, and a 1:1 survey was conducted according to the residents' cognitive status. Based on the survey, factor analysis, reliability analysis, and analysis using the corresponding sample t-test showed an increase of 0.02 for Yangyang Mulchi fishing village, 0.11 for Samcheok Jangho fishing village, and 0.36 for Hongcheon River fishing industry, but Yanggu Jinmok fishing industry was -0.29, unlike other regions. As a result of this analysis, it has been empirically proven that provision of training projects through resident participation is a very important factor for the success of the fishing village project. Therefore, rather than fostering local leaders, training and community activities to strengthen personal capacities of residents participating in the project, it is necessary to operate the software business with a focus.

• 한국콘텐츠학회논문지
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• 제21권8호
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• pp.271-284
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• 2021

본 연구는 현재 대학에서 진행되고 있는 온라인 토의수업의 활용 실태 및 효과에 대해 탐색하고자 하였다. 이를 위해 서울과 경기지역 총 4개 대학에 재학 중인 대학생을 대상으로 온라인 토의수업의 운영 실제와 그 효과에 관한 인식을 진단하는 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 적용하여 빈도분석, 기술통계분석, 교차분석, F검증, T검증, Scheffe 검증을 사용하여 분석하였다. 연구 결과, 첫째, COVID19 사태 이후 대학에서는 '비실시간 녹화수업'과 '실시간 쌍방향 화상수업' 방식이 주로 진행된 것으로 나타났다. 둘째, 온라인수업 방식에서 '실시간 쌍방향 화상수업'은 '토의수업 선호도'에 정적 영향을 주며 더 의미 있는 것으로 나타났다. 셋째, 온라인 토의수업 참여에 대해 대학생들은 창의사고능력 확대를 위한 기반으로 인식하고 있었으며, 토의방식과 절차에 대한 학습자의 충분한 인지과정을 기반으로 하는 원활한 의사소통과 교류를 통한 강화가 더 도움이 된다는 것을 시사해준다.