• Journal of Medicine and Life Science
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• 제20권4호
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• pp.158-165
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• 2023

This study prospective randomized controlled trial aims to test the impact of adding health education, awareness of some contributing factors and clinical guidance to therapeutic cabergoline given to infertile women with unexplained resistant hyperprolactinemia. It comprised 120 infertile women with unexplained persistent hyperprolactinemia not responding to therapeutic doses of cabergoline 1.5-2 mg/week who were subjected to proper history taking to exclude concomitant drug intake or possible brain problems in all cases. They were classified into group A (60 cases) who received health education and clinical guidance to search for possible contributing factors and were instructed to avoid them in addition to proper therapeutic doses of cabergoline, while group B (60 cases) received proper therapeutic doses of cabergoline only without clinical guidance. After 1 month, serum prolactin (PRL) was measured for all cases. All cases had high PRL level at the start of the study (79.9±28.4 [39-195] and 78.2±19.9 [42-189] in group A and B, respectively) without any significant difference. Pretreatment counselling revealed that lifestyle factors, sexual behaviors or feeding habits may contribute to resistant hyperprolactinemia in all cases without a significant difference between both groups. Serum PRL dropped significantly more in group A (20.14±10.31 [11-45] vs. 49.32±37.03 [12-100]) after combined health education, clinical guidance of the couple and proper treatment. It is concluded that lifestyle factors, sexual behaviors, and feeding habits would affect the response of hyperprolactinemia to treatment. Health education and clinical guidance with some advice to avoid them, would concomitantly improve the response of resistant hyperprolactinemia to therapeutic doses of dopamine agonists.

• 대한간호학회지
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• 제30권1호
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• pp.18-28
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• 2000

The Purpose of this study is to extend the understanding and knowledge of menopause by comparing menopausal symptoms of married women and nuns in order to improve health and the quality of life for women. In this study a questionnaires were distributed to 116 nuns and 121 married women, from forty to fifty nine years old in Daegu metropolitan city. This study used the measurement of menopausal symptoms (Cronbach's Alpha=0.96) corrected and complemented by this student with consideration of various literature centered around menopausal symptoms, suggested by Janette M. Perz as 51 questions including 4 realms; [mental psychological factors], [physical physiological factors], [eyesight factors], and [urinary generative factors] in order to measure the degree of menopausal symptoms. The results are as follows : 1. There was a significant difference between educational background, religion, occupation, leisure time, satisfaction of marriage or ascetic life, existence of hormonal treatment, name of medical operation, and existence of counselling about menstruation as general and physiological characteristics of the nuns' group and the married women's group. 2. The menopausal symptoms of the nuns' group and the married women's group according to order in which they were presented were; 'feeling tired and lacking in energy(1.71 points)' 'vision not clear or clouded(1.69 points)', and 'be forgetful (1.57 points)' in nuns' group. 'be forgetful (1.87 points)', 'vision not clear or clouded(1.83 points)' and 'feeling tired and lacking in energy(1.76 points)' in the married women's group. The symptoms which showed the highest rank of menopausal symptoms had a maximum score of 4 points. 3. There was a statistical a significance (t=-3.9807, p<.0001) between the two groups which showed, on an average, 57.92 points in the married women's group and 43.03 points in the nuns' group from 0 to 196 of the possible points of menopausal symptoms. In difference of menopausal symptoms by menstrual aspect of the nuns' group and the married women's group, there was statistically significant difference between the two groups, showing 44.81±26.07 score in the nuns' group and 72.33±35.29 score in the married women's group as the mean score of the groups with no menstruation(t=-4.1132, p=0.0001). 4. The differences in menopausal symptoms with respect to the general and physiological characteristics of the nuns' group and the married women's group were that the nuns' group showed less menopausal symptoms on all the items than that of the married women's group. Finally, in these results, the married women's group showed higher menopausal symptoms than that of the nuns' group. Especially as the score of menopausal symptoms since the climacteric was very high it is confirmed to be a new phenomenon. Accordingly, it is considered to be necessary to carry out an indepth study of the factors related to establishing a strategy for nursing service.

• 동아시아식생활학회지
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• 제12권5호
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• pp.352-363
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• 2002

The purpose of this study was to analyze health-related habits, weight control experience and body composition of 344 female students visiting nutrition counselling office. Dietary habits of the subjects were assessed by means of interview with questionnaire and nutrient intakes were evaluated by the simple dietary assessment method. Weight and height were measured to get body mass index(BMI) and waist-hip ratio and their body composition were measured by Inbody 3.0. The obtained results were as follows: 1) Among students, 14.5% were exercising on a regularly basis, of which the exercises were walking and gymnastic exercise(22.1%), jogging(14.1%), and rope-skipping(4.7%), 48.4% of students were little drinking and 30.5% were once a week and smokers were 4.1%. 2) 28.3% of students were little having breakfast and 15.1% were once or twice a week. Two third of total students were not having breakfast regularly. Also only 59.6% of students were having dinner everyday, which means many of them were even skipping dinner. The reasons why they were not having breakfast were because they don't have enough time to eat(66.0%) and for a diet(2.8%) and the reasons for skipping dinner were because they were not hungry(23.0%), for the weight loss(18.2%). It was shown that they would skip dinner rather than breakfast for a weight control. 51.6% of students were taking snack 1~2 times a day and 5.3% were having little snack. 55.4% of students were dining out once a day and 15.4% more am 2 times a day. 3) 46.7% of students were already experiencing weight control before visiting the counselling office. 78.5% of students tried on one kind of weight control method, 11.4% on two kinds, and 10.1 % on more than three kinds. The method they tried for a weight control most was the one food diet using egg, fruits and beans, which is the most popular among them, and the next were an aerobic exercise(23.6%). a diet tried by a famous entertainer (15.5%), and the fasting(14.5%). 4) The average BMI was 21.2 and the body fat rate was 28.1%. As a result of grouping BMI, 12.8% were underweight 67.6% normal weight 11.6% overweight and 8% obesity. Less than standard for the body fat rate were 0.6%, 50.6% standard, 48.5% more than standard. 49.2% of students as normal weight on a BMI were assessed the so-called "skinny obesity. 50% of consulted students situated fat intra-abdominally at the umbilical level(WHR>0.8). 5) The energy intake was 76.6$\pm$17.8% of RDA and constituent ratio of carbohydrate, fat and protein were 64.2$\pm$5.2%, 21.6$\pm$3.7% and 14.3$\pm$2.3%, respectively, which is little over of 20% of recommended ratio of fat. Protein and niacin intake were more than 90% of RDA and riboflavin and vit. C were taken more than 100% of RDA. But Fe intake was 69.4$\pm$19.3%, Ca 76.6$\pm$23.6%, which were the least constituents. There was not remarkable significance between energy intake and nutrient density based on the groups of underweight, normal weight, overweight and obesity of BMI. 6) It was shown that body fat rate had remarkably significant correlation(p<0.000) with BMI(r=0.760) and WHR(r=0.817) respectively, but body fat rate was more correlated with WHR than with BMI. There was not much significant difference between body fat rate and WHR whether they exercised or not. However. BMI was significantly higher in the exercise group because one who showed higher BMI started to exercise since they looked fat in appearance and perceived as they were fat. fat.

• 한국초등상담교육학회:학술대회논문집
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• 한국초등상담교육학회 2004년도 학술대회
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• pp.137-168
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• 2004

The purpose of this study is to find the effect of group counseling program based on reality therapy that is developed by researcher and to investigate whether the program can decrease the academic stress of elementary school students. For this study, firstly a framework for academic stress decrease programs is established and a program is developed in accordance with the framework. Secondly, in order to verify the effect of the program, both quantitative and qualitative methods were applied to 6th grade students through a academic stress test. Experimental group and control group is composed of 18 students, each. During a two month-experimental period, group counseling program based on reality therapy was implemented to the experimental group for 10 sessions but not to the control group. The program included nicknaming, recreation activities to promote friendliness among participants and other various activities to decrease the academic stress. The results of the quantitative and statistical research are as follows: First, group counseling program based on reality therapy is effective to decrease of elementary school students' academic stress. Second, sub factor(such as perceptions of academic stress cause, symptoms of academic stress)of academic stress is significantly decreased in experimental group. But no significant difference is found in control group. Third, for some sub factor(career, friend-relationship, house-environment, behavior-symptom), an independent-sample test and a paired-sample test showed different results: the paired-sample test showed no significant differences in experimental group while the independent-sample test showed significant decrease of academic stress. The results of the qualitative research based on student commentaries on the program is as follows: First, experimental group students report that the program based on reality therapy was effective to decrease of academic stress. Second, experimental group students' commentaries shows that students could remember the WDEP, 'act' factor and acquire the solution of academic stress. Third, for a group counseling, students reported the interest about positive feedback, searching on themselves, growth of human-relationship. This means that the program developed on this study is suitable for group counseling program. In conclusion, this study proves that group counseling program based on reality therapy is effective to decrease of elementary school students' academic stress by increasing individual internal-control. Therefore, it is necessary that we should develop and apply similar program to elementary school students in other to decrease students' academic stress. school students in other to decrease students' academic stress.

• 보건교육건강증진학회지
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• 제21권1호
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• pp.297-317
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• 2004

As many precedent studies have shown, most children grow receiving influence from their parents. The purpose of this study was to serve as a basis for better preventive approach by finding out the relationship between the attention-deficit hyperactivity disorder(ADHD) of elementary school children and maternal behavior characteristics. Moreover, the purpose of this study was to present basic materials for developing program of children and create good relationship between child and parents for better education. For the purposes, two hypotheses were posed. Hypothesis 1： There would be a significant disparity in maternal behavior between the ADHD group and the non-ADHD group. Hypothesis 2： The environment could have an influence on maternal behavior characteristics. The subjects in this study were 71 mothers who had children with ADHD and 69 mothers who had non-ADHD, who selected from mothers of third to sixth graders in elementary school in Kyonggi, Suwon. The instruments used for the diagnosis of ADHD was DSA-IV. The data were analyzed with ANOVA(Analysis of Variance) by SPSSWIN Program. The findings of this study were as fellows： First, Hypothesis 1 was accepted. The mothers who had ADHD children had rejective behavior characteristics in while the mothers group who had non-ADHD children had controling behavior characteristics but there was no significant difference in affectionate attitude and autonomic attitude. Second, hypothesis 2 was accepted generally. The psychological and physical environment had correlation with maternal behavior characteristics. Especially, there was a significant correlational relationship between the maternal satisfaction for their life and rejection of maternal behavior. The following conclusion could be made from the above mentioned findings. First, The maternal behavior characteristics resulted in severe ADHD for children which justified the need of proper education for mothers to care children wellbeing. Second, The environment of psychology had an influence on maternal behavior. This showed that it is essential to develope educational program and counselling system for mothers

• 한국산학기술학회논문지
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• 제15권5호
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• pp.3058-3068
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• 2014

본 연구는 Cox의 상호작용모델에 근거한 건강증진프로그램을 이상지질혈증 경계범위에 있는 대학생에게 적용하여 총콜레스테롤(TC), 중성지방(TG), 고밀도지단백(HDL), 저밀도지단백(LDL)등의 혈중지질 지표에 미치는 효과를 확인하기 위한 실험연구이다. 대상자는 총 39명으로 실험군 20명, 대조군 19명이었으며, 분석은 SPSS WIN 18.0을 사용하여 기술통계, $X^2$-test, independent t-test, paired t-test로 분석하였다. 대상자-전문가 상호작용요소인 간호중재로 건강정보 제공(운동관리, 식이관리, 건강교육), 정서적 지지(경험나누기, 자기표현하기, 격려), 의사결정 통제(전화상담), 전문가적/기술적 능력을 제공하였고, 중재 전 후에 혈중지질 지표를 측정하였다. 본 연구결과 실험군에서 TC, TG, LDL은 유의하게 감소하였고, HDL은 유의하게 증가하여 본 건강증진프로그램은 효과가 있음을 확인하였다.

• 한국산림과학회지
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• 제104권1호
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• pp.150-161
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• 2015

본 연구에서는 성인 대상별 산림치유 프로그램의 선호도를 분석함으로써 산림치유 프로그램의 효율적인 개발 및 운영을 위한 기초 자료를 얻고자 한다. 일반 성인 남 여 516명을 대상으로 산림치유 프로그램 37개에 관한 선호도 설문조사를 실시하였다. 자료분석은 SPSS 21.0 프로그램을 사용하여 각 프로그램의 기술통계분석 및 상관관계를 살펴본 결과 많은 공변량이 확인되어, 자료를 의미있게 축약하기 위해 요인분석을 실시하였으며, 신뢰도 분석, 빈도분석, T-검정, 분산분석을 통해 인구통계학적 특성(성별, 연령, 지역, 직업)에 따른 산림치유 프로그램 선호도의 차이를 살펴보았다. 37개의 산림치유 프로그램을 축약하기 위하여 베리멕스 직각회전법을 이용한 요인분석을 실시하였다. 이를 통해, 프로그램은 7개의 프로그램군(1: 심리치료중심 프로그램, 2: 강의 상담중심 프로그램, 3: 캠핑 산림욕중심 프로그램, 4군: 식이중심 프로그램, 5: 자연 식물중심 프로그램, 6: 명상중심 프로그램, 7: 호흡 요가중심 프로그램)과 7개의 독립프로그램(1: 숲속 잠자기, 2: 비전 퀘스트, 3: 물속에 손과 발 담그기 4: 신발 신고 숲속 걷기, 5: 숲 경관 보기, 6: 등산, 7: 숲속 운동회)으로 축약되었다. 이를 중심으로 성별, 연령, 지역, 직업에 따라 산림치유 프로그램 선호도의 차이를 검증하였다. 첫째, 성별에 따라서 심리치료중심 프로그램군, 식이중심 프로그램군, 명상중심 프로그램군, 호흡 요가중심 프로그램군, 등산 프로그램에 대해서 남 여 간에 유의한 차이가 있는 것으로 검증되었다. 둘째, 연령에 따라서 강의 상담중심 프로그램군, 캠핑 산림욕 중심 프로그램군, 자연 식물중심 프로그램군, 명상중심 프로그램군, 호흡 요가중심 프로그램군, 숲속 운동회 프로그램에 대하여 유의한 차이가 있는 것으로 나타났다. 셋째, 지역에 따라서 심리치료 중심 프로그램군, 강의 상담중심 프로그램군, 식이중심 프로그램군, 자연 식물중심 프로그램군, 명상중심 프로그램군, 비전 퀘스트, 등산, 숲속 운동회에 있어서 유의한 차이가 있는 것으로 나타났다. 넷째, 직업에 따라서 자연 식물중심 프로그램군, 명상중심 프로그램군, 비전 퀘스트, 신발 신고 숲속 걷기, 숲 경관 보기, 등산에 대하여 유의한 차이가 있는 것으로 나타났다. 이상에서 살펴본 바와 같이, 인구통계학적 특성에 따른 산림치유 프로그램의 선호도에 대한 다양성을 고려하여 산림치유 프로그램을 개발하여야 할 것으로 사료된다. 본 연구의 분석 결과가 성인을 대상으로 하는 산림치유 프로그램 개발을 위한 기초자료로 활용되기를 기대한다.

• 초등상담연구
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• 제10권1호
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• pp.77-94
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• 2011

이 연구의 목적은 "논어"에 담겨있는 '마음' 관련 내용을 추출하여 '마음의 본질'을 생각해보고 '마음의 성장과 관련된 상담 요소'를 찾아내어 초등학생용 논어상담프로그램을 개발하는데 있다. 먼저 "논어" 속 공자의 마음교육에 근간이 되는 구절 및 "논어"와 관련된 기존 연구물을 통해 "논어"에 함의된 상담 목표, 상담 원리, 상담자의 역할, 마음의 정체와 특성, 마음의 발달단계를 알아보았다. 이를 통해 초등학생의 논어상담프로그램의 상담 요소와 효과적인 방법을 선정하고 총 10회기의 프로그램을 개발하였다. 프로그램의 효과검증을 위해 음성군의 ${\bigcirc}{\bigcirc}$초등학교 고학년 아동 중 20명과 ${\triangle}{\triangle}$초등학교 20명을 각 실험집단과 통제집단으로 배치하여 실험집단의 아동에게 5주간 프로그램을 실시하였다. 연구도구는 Coopersmith(1967)의 아동용 자아존중감 검사를 재작성하여 사용한 공태수(1998)의 자아존중감 검사지와 Furman과 Bierman(1983)의 교우관계 연구에서 제작한 척도를 조성례(2001)가 재작성한 교우관계 검사지를 사용하였다. 연구결과, 논어상담프로그램에 참여한 실험집단의 아동은 자아존중감과 교우관계에 있어 통제집단과 유의한 차이가 있는 것으로 나타났다. 이 연구는 "논어"에 담긴 마음 성장 관련 내용을 토대로 논어 상담이라는 새로운 상담학적 연구를 이루었다는 점에서 의의가 있다.

• Journal of Oral Medicine and Pain
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• 제21권1호
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• pp.67-78
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• 1996

This study was performed to compare the TMJ sounds by means of vibration-related items by Sonopak such as integral, high integral, above 300/(0-300) ratio, peak amplitude, peak frequency and median frequency before and after occlusa1 splint therapy as well as counselling, physical modalities. For this study 22 patients with craniomandibular disorders (CMDs) were selected and examined by routine diagnostic procedure for CMDs including Transcranial and Panoramic radiographs and were classified into 3 CMDs subgroups : disc displacement with reduction, disc displacement without reduction, and degenerative joint disease. Visual analogue scale (VAS) about joint sound was recorded during treatment period and VAS treatment index (VAS Ti) was calculated from the VAS data and treatment duration. The author evaluated and compared treatment results by several parmeters such as symptom duration, timing of joint sound, parafunctional habits, trauma, and diagnostic classification. The obtained results were as follows : 1. Before the treatment, the highest value of peak amplitude was observed in disc displacement with reduction group and value of median frequency was highest in degenerative joint disease group. In addition the highest values of peak frequency and ratio ware observed in degenerative joint disease group, though they were not significant. Furthermore the lowest value of high integral was observed in disc displacement without reduction group and though it was not significant, value of integral was lowest in that group. 2. Among 3CMDs subgroups disc displacement with reduction group showed the significantly decreased value of high integral and degenerative joint disease group had the significantly decreased value of integral after conservative treatment including occlusal splint therapy. Conclusively conservative treatment including occlusal splint therapy vay be effective in the treatment of CMDs including TMJ sound. 3. Fair prognosis for conservative treatment was observed in acute group under 6 months than chronic group, 6 months over in symptom duration but there was no statistical difference. The result for conservative treatment was observed slightly poor in subjects with bruxism, clenching, unilateral chewing habit and trauma history but there were no statistical differences.

• Child Health Nursing Research
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• 제7권1호
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• pp.21-34
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• 2001

The impact of childhood experience has lifelong significance on subsequent health and development. Especially, the experience of infant is mostly affected by the quality of parental care and rearing environment. But the new mothers usually do not know what to do because of the lack of experience in these days. Therefore, an educational program regarding maternal role would be necessary. This study was conducted to evaluate the effectiveness of the maternal role education program for mother-infant interaction, child-rearing environment, and infant development. Non-equivalent control group time-series design was used, and Barnard's mother-infant interaction model was used as a conceptual framework of this study. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37 weeks, and their mothers. The final sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to September 3rd in 1999. For the intervention group, programmed education which focused on mother-infant interaction, breast feeding, and infant care was provided before discharge. Telephone counselling was provided within one week after discharge. Home visiting for maternal role education was provided twice, one month and three months postpartum. For the control group, home visiting was also conducted but only for data collection. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program was determined with repeated measure ANCOVA and t-test. The results were as follows: 1. Significant differences were found in mother-infant interaction between two groups(p=.000). It indicates that intervention program was effective in improving mother- infant interaction. In subscale analysis, four out of six subscale showed significant differences between the groups: sensitivity to cues (p=.000), social-emotional growth fostering (p=.000), cognitive growth fostering(p=.000) in mothers, and responsiveness to caregiver (p=.019) in infants. 2. The difference in the mean score of childrearing environment (HOME) between the intervention group and control group was significant(p=.003). When each subscale of HOME was examined individually, intervention group showed significantly higher scores in the diversity of stimulation(p=.000), and mother's involvement(p=.001). 3. Three-month-Infants of the intervention group showed higher GQ in the Griffiths mental development scale(p=.026). In subscale analysis, significant differences were found in the personal-social(p=.005), and the hearing and speech(p=.003). In conclusion, the maternal role education program proved to be effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results are very meaningful that we found maternal role education necessary for normal infants' mothers, and that nurses can make a great contribution in promoting health of infants and mothers.