• 제목/요약/키워드: intervention study

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빈곤계층 영유아의 발달과 어머니의 양육을 위한 조기간호중재 프로그램의 효과 (Effects of an Early Nursing Intervention Program for Infants' Development and Mother's Child Rearing in Poverty)

  • 방경숙
    • 대한간호학회지
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    • 제39권6호
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    • pp.796-804
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    • 2009
  • Purpose: This quasi-experimental study was performed to evaluate the effectiveness of an early nursing intervention program to support mothers of children aged 0-3 yr living in poverty. Methods: In this study, mothers who received financial support from the government were recruited from one city and assigned to an intervention group (24) and comparison group (18). They completed a baseline questionnaire about depression, child rearing burden, agreement on physical punishment, and child temperament. Also, Denver II screening of the children was performed by the researcher. Mothers in the intervention group received a home visit intervention every two weeks for three months. At 3-months post-baseline, questionnaire and Denver II screening were reused to compare these two groups. Results: Mother's depression, child rearing burden, agreement on physical punishment, and child temperament were not significantly different between the two groups. However, the percentage of depression declined only in the intervention group. Mothers in the intervention group showed higher Home Observation for Measurement of the Environment (HOME) scores than mothers in the comparison group. Conclusion: The findings of the study show that this nursing intervention is an effective parenting program. The early nursing program for mothers with infant and toddlers in poverty is effective in promoting HOME, the child rearing home environment.

Effects of A Picture Book Reading Intervention Program on Young Children's Language Development and Print Concept

  • Kim, Myoung-Soon;Lee, Min-Joo;Pae, Sun-Young
    • Child Studies in Asia-Pacific Contexts
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    • 제3권1호
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    • pp.33-47
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    • 2013
  • The purpose of this study was to investigate the effects of picture book reading intervention activities on language development of low-income children. The subjects were 60 children in low-income families, aged 5, selected from 24 child care centers located in three cities nearby Seoul, South Korea. The experimental group had received intervention program for 8 weeks, two days a week, and three teachers conducted the intervention program for 30 to 40 minutes for each session. The intervention program was administered to the children with picture book reading activities in the first session, followed by providing more extensive activities in the second session. Afterwards, the study allowed the children to take one picture book to read at home. To evaluate the effect of the picture book reading intervention program, this study utilized instruments called the Preschool Receptive-Expressive Language Scale and the Concepts about Print. Significant differences found between the two groups. The experimental group showed higher scores compared with the control group in the post-test of expressive language development. Also, children in the experimental group showed a significant increase in the concepts about print after the intervention program was administered. In conclusion, findings indicate several changes in positive outcomes after implementation of the picture book reading intervention program.

간호학에서 치료적 중재(therapeutic intervention)에 대한 개념분석 (A Concept Analysis of Therapeutic Intervention in Nursing)

  • 진혜경;김문자;이은남
    • 근관절건강학회지
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    • 제26권1호
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    • pp.1-14
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    • 2019
  • Purpose: This concept analysis was done to clarify therapeutic intervention in nursing. Methods: For this study the process of Walker & Avant's concept analysis was used. Twenty-nine studies from electronic data bases met criteria for selection. Results: Therapeutic intervention can be defined by the following attributes: 1) goal-oriented, 2) forming a therapeutic relationship, 3) reinforcement of coping ability, 4) patient-centered, 5) a holistic integrated approach. The consequences of therapeutic intervention were improvement of quality of life, coping skills, self-care. Conclusion: Attributes of therapeutic intervention identified in this study can be applied to develop tools for measuring therapeutic nursing behaviors or to develop therapeutic nursing intervention programs for patient or family.

국내 아동비만 중재연구의 동향 분석 (Trends in Intervention Study for Childhood Obesity in Korea)

  • 박지영;마현희;이유나;오희
    • Child Health Nursing Research
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    • 제23권1호
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    • pp.81-90
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    • 2017
  • Purpose: The purpose of this study was to identify trends in intervention studies on childhood obesity in Korea. Methods: From 1996, when the first research paper on childhood obesity intervention was published, to 2015, 192 published papers were analyzed using descriptive statistics. Results: The number of studies increased sharply between 1996 and 2007, but declined slightly from then. The majority of studies involved only children as intervention participants. Most were elementary students, and overweight and obese children. Exercise therapy was the most common type of intervention. Parental participation was found in 35 studies, while teacher's participation was found in only one study. In many studies physiological indicators were used as measurement variables, but follow-up was done in only 10 studies. Finally, only a few studies applied a conceptual framework, while a quasi-experimental research design was used for most studies. Conclusion: Examination of trends in intervention studies on childhood obesity in Korea, shows there has been a quantitative increase but not enough improvement in terms of the quality of interventions. Findings in the present study suggest that it is necessary to seek diversity in terms of study participants, interventions and evaluation method along with quality improvement in research methodology.

특수교육지원센터에 기반을 둔 작업치료서비스 전문가의 중재모델 사용 (Using an Intervention Model for Occupational Therapy Service Specialist Based on a Special Education Supporting Center)

  • 김세연;김수정
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.225-234
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    • 2011
  • 본 연구는 교육기반 작업치료 서비스 전문가가 사용하는 중재모델, 중재장소와 중재시간, 중재모델 선택시 고려사항, 중재모델과 중재 영역 간에 상관관계를 알아보기 위해 특수교육지원센터에 근무하고 있는 작업치료사와 작업치료를 전공한 치료교사를 대상으로 설문지를 발송하고, 회수한 총 46부를 분석에 사용하였다. 연구결과 첫째, 학생의 수행 기술을 향상시키는데 초점을 둔 개별치료 모델을 자주 사용하였다. 둘째, 아동수행을 향상시키는 중재모델과 다른 팀 전문가에게 작업치료의 중요성을 인식시킬 수 있는 모델로 개별 치료를 선택하였다. 셋째, 중재모델을 선택하는 요인으로 수행구성요소의 결함과 팀 책임자의 마인드를 들었다. 넷째, 중재모델의 효과성에 대한 학교작업치료사의 의견과 적용시간, 중재 영역과 중재모델 적용시간 간에 유의한 상관관계는 나타나지 않았다. 연구결과를 종합해 보면 학교기반 작업치료사는 여전히 의료모델에 가까운 중재모델을 사용하는 것으로 나타나 학교기반에 효과적인 중재모델을 개발하고 적용하는 연구가 필요할 것이라 생각된다.

뇌성마비 아동의 가족중심중재 프로그램이 대동작 기능과 수행력 및 균형에 미치는 영향 (The Effects of Family-Centered Intervention on Gross Motor Function and Performance, Balance in Children with Cerebral Palsy)

  • 김수민
    • 대한통합의학회지
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    • 제8권3호
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    • pp.189-203
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    • 2020
  • Purpose : The purpose of this study was conducted to examine the effects of application family-centered intervention, by acknowledging the families of disabled children as experts and maintaining mutually cooperative relation throughout the entire processes of treatment and rehabilitation, on gross motor and balance in children with cerebral palsy. Methods : This study was executed with two group, pre-post test quasi-experimental study design. Among the 24 children with cerebral palsy as the subjects were allocated to the experimental and control group. Both groups were subjected to neuro-developmental treatment, with the experimental group performing family-centered intervention program for 40 minutes, 3 times a week for 12 weeks. Assessments were conducted before intervention, after 6 weeks and 12 weeks of intervention on gross motor function and performance, static and dynamic balance. Results : Although there was significant difference in the gross motor function and performance after 12 weeks of intervention, the mean scores of the experimental group increased more after 12 weeks of intervention than those of the control group with significant difference between the groups. Although there was significant difference in the static and dynamic balance after 12 weeks of intervention, the mean values of the experimental group decreased more after 12 weeks of intervention than those of the control group with significant difference between the groups. Conclusion : Therefore, these results suggest that on family-centered intervention on children with cerebral palsy can be provided as an beneficial and reliable clinical intervention program in development on gross motor and balance.

브레즐튼 신생아행동평가법을 이용한 어머니교육이 모아상호작용과 영아행동에 미치는 효과 (Effects of Maternal Education using Brazelton Neonatal Behavioral Assessment Scale on the Mother-Infant Interaction and Infant Behavior)

  • 신영희;이선아
    • Child Health Nursing Research
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    • 제9권1호
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    • pp.74-84
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    • 2003
  • This study was designed to investigate effects of maternal education using Brazelton Neonatal Behavioral Assessment Scale(the following will be marked as NBAS) on the mother-infant interaction and infant behavior. The subjects of this study consisted of 48 pairs of normal mother and infant, 24 pairs for intervention group and 24 pairs for control group. The subjects were recruited from two general hospitals, and an OBGY clinic located in J city. The data were collected from July 30, 2001 to October 6, 2001. Prior to investigation and data collection, following operational hypotheses were set up in order to compare the investigative data against these operational hypotheses(H). H1: Intervention group will higher mother-infant interaction score than control group. H2: Intervention group infants will higher overall performance in infant behavior test score than control group infants. The results of this study were summarized as follows: 1. The mother-infant interaction score was 59.79 points in intervention group and 53.91 points in control group. The mother-infant interaction score of intervention group showed significant difference than control group. Therefore, hypothesis 1 was supported. 2. The infant behavior score of intervention group was significantly higher than control group, but partially. Therefore, hypothesis 2 was partially supported. 1) The social interaction(orientation) score was 46.58 points in intervention group and 43.50 points in control group. The orientation score of intervention group showed significant difference than control group. 2) The state regulation score was 26.79 points in intervention group and 25.33 points in control group. The state regulation score of intervention group showed significant difference than control group. In conclusion, present work demonstrated that maternal education using NBAS is an effective intervention method for promotion of mother-infant interaction and of infant behavior development. Author believes that many inexperience young mother may find NBAS-based maternal education beneficial for their nursing babies, therefore NBAS-based intervention is recommended to be adopted routinely as an integral part of neonatal nursing strategies.

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내과계중환자실에서 인공호흡기관련 폐렴 번들 적용의 효과 (Impact of the Ventilator-associated Pneumonia Bundle in a Medical Intensive Care Unit)

  • 유송이;정재심;최상호;김미나
    • Journal of Korean Biological Nursing Science
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    • 제20권4호
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    • pp.205-213
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    • 2018
  • Purpose: The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia. Methods: This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention. Results: The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio= 4.99, confidence interval= 1.63-15.25, p= .004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention. Conclusion: This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.

학령기 아동의 글씨쓰기 중재법에 대한 국내외 문헌 고찰: 2013년부터 2020년까지 (Review of Domestic and International Literature on Interventions for Handwriting Difficulties in School-Aged Children: 2013~2020)

  • 최지은;안선정
    • 대한통합의학회지
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    • 제12권1호
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    • pp.183-190
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    • 2024
  • Purpose : This study aims to conduct a comprehensive comparison and analysis of intervention strategies utilized for school-aged children facing difficulties in writing, focusing on evaluating the effectiveness of various intervention approaches both domestically and internationally. The primary focus is on assessing the efficacy of each intervention approach and identifying gaps in the existing literature. Methods : Data for this study were gathered from the domestic database RISS from January 2013 to March 2020, and international databases Pubmed and Google Scholar were utilized. The keywords for domestic literature search included 'occupational therapy', 'handwriting', and 'school-aged', while for international literature search, the keywords were 'occupational therapy', 'handwriting', and 'children'. A total of 4 international and 2 domestic articles were selected for review based on predetermined inclusion and exclusion criteria. Results : The study findings present a thorough comparative analysis of intervention strategies, categorizing them into task-oriented intervention, sensory-motor intervention, and integrated intervention. All intervention methods demonstrated notable improvements in the legibility of handwriting. Comparison between domestic and international literature revealed a predominant use of task-oriented intervention in domestic studies, while international studies showcased a diverse range of intervention methods. Conclusion : Interventions were categorized into computer-based, task-oriented, sensory-motor, and integrated interventions. Task-oriented interventions were the most common in both domestic and international studies, while integrated interventions were the most effective. Based on these findings, it is necessary to increase awareness of the need for handwriting intervention research among occupational therapists in Korea. Additionally, there is a need for well-supported handwriting intervention research with larger sample sizes in both domestic and international occupational therapy. Finally, future research should actively investigate the application of tailored integrated interventions for school-aged children with handwriting difficulties.

유방암 환자의 스트레스 대응 능력 증진을 위한 심리사회적 중재 재발 및 효과: 예비연구 (Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors : A Pilot Study)

  • 김조자;허혜경;강덕희;김보환
    • 대한간호학회지
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    • 제34권6호
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    • pp.1069-1080
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    • 2004
  • Purpose: The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies. Methods: One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks. Results: There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress. Conclusions: Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.