• 제목/요약/키워드: intervention treatment

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Ayres의 감각통합중재 중심원리에 따른 치료사의 치료수행도 조사 (Fidelity in Core Principles of Ayres Sensory Integration$^{(R)}$ Intervention: In Clinical Practice)

  • 홍은경;김경미;장문영
    • 대한감각통합치료학회지
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    • 제9권1호
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    • pp.11-20
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    • 2011
  • 목적 : 본 연구에서는 자기-평가 방법을 이용하여 Ayres의 감각통합중재 중심 원리를 바탕으로 한 치료사의 치료적 수행 정도를 알아보고자 하였다. 연구방법 : 연구기간은 2010년 5월부터 6월까지이었고, 연구대상은 감각통합중재를 하고 있는 치료사 66명이었다. 자기 기입식 설문지를 이용하여 Ayres의 감각통합중재 중심원리에 따라 치료를 수행하는 정도를 자기-평가하도록 하였다. 설문지는 감각의 기회제공, 적절한 도전의 과제 제공, 활동을 선택할 기회 제공 등 Ayres의 감각통합중재 중심 원리에 대한 10가지 항목으로 구성하였다. 총 66부의 수거된 설문지는 기술통계를 이용하여 분석하였고, T 값을 통해 퍼센타일을 알아보았다. 결과 : 모든 치료사들은 Ayres의 감각통합중재 중심 원리의 10가지를 모두 고려하여 치료하는 것으로 나타났다. 10가지 Ayres의 감각통합중재 중심 원리 중 자기 조직화 가이드 중심 원리를 제외하고 90%이상에서 종종, 자주, 항상 고려하여 치료하고 있었다. 감각의 기회제공, 적절한 과제제공, 활동 선택 기회제공, 아동의 성공을 최대화, 신체적 안전성 보장, 치료적 존중의 감정 조성은 T 값 50점 이상을 나타냈다. 자기 조직화 가이드, 적절한 각성 유지, 놀이 환경의 조성, 아동이 치료실 정리에 참여는 T 값 50점 이하를 나타냈다. 결론 : 지속적인 Ayres의 감각통합중재 중심 원리에 따른 치료사의 자기 수행에 대한 평가를 통해 치료의 질을 점검하고 높이는 것이 필요하다.

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갱년기 여성 대상 한의약 중재요인의 국내 연구 동향분석 (The Analysis of the Recent Research Trend of Traditional Korean Medicine Intervention with Woman Menopausal Symptoms)

  • 윤정민;장수빈;김경한
    • 대한예방한의학회지
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    • 제22권1호
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    • pp.29-44
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    • 2018
  • Objectives : This study was conducted to survey on the research trends of Traditional Korean Medicine(TKM) intervention with woman menopausal symptoms in Korea. Method : We searched Korean research database by using keyword 'Menopause'. Korean research databases were Korean Studies Information Service System(KISS), Research Information Service System(RISS) and Korean Medicine Information System(OASIS). We classified articles identified by TKM treatments. Results : We analyzed 63 studies by classifying 4 interventions that consist of acupuncture treatment, herbal medicine, lifestyle modification, complex therapy. According to studies using acupuncture, Sameumgyo(三陰交, SP6) was the most treated. Soyosan(逍遙散) was most treated in herbal medicine studies, and massage was most used in lifestyle modification. Conclusion : A variety of treatment using TKM have been used for menopausal women. It is necessary to increase the level of evidence of TKM intervention through additional studies in the future.

기마사지요법이 고혈압 환자의 생리·심리적 상태에 미치는 효과 (Effects of a Qi Massage Program on the Physio-psychological State of Industrial Employees with Hypertension)

  • 한윤주;강경숙
    • 동서간호학연구지
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    • 제20권2호
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    • pp.73-80
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    • 2014
  • Purpose: This research aims to identify the physio-psychological effects of applying a qi massage program as an independent complementary intervention for employees with hypertension in a workplace. Methods: A quasi-experimental design was employed using a nonequivalent control group with pre- and post-tests. The study was performed from August 18 to October 10, 2008 on hypertensive employees being treated with a qi massage program in a company. The control group was recruited first to prevent treatment diffusion. The experimental group was subsequently recruited and received individual treatment for 30 minutes. Collected data was analyzed using SPSS16.0 version. ${\chi}^2$-test, Mann-Whitney U test, Wilcoxon signed ranks test, Fisher's exact test and paired t-test were implemented in order to examine the effects of individual intervention on patients who are treated with the qi massage program. Results: The experimental group showed a greater improvement in systolic blood pressure, diastolic pressure, stress, and quality of life than did the control group. Conclusion: A qi massage program may be implemented as a complementary intervention to effectively treat hypertensive persons.

소아에서 말 언어장애 (Speech and language disorders in children)

  • 정희정
    • Clinical and Experimental Pediatrics
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    • 제51권9호
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    • pp.922-934
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    • 2008
  • Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

고혈압 침 임상연구에서 환자의 기대치와 치료효과 간의 상관관계 (The Relationship between Patients' Expectations of Treatment Effect and Clinical Outcome in a Trial of Acupuncture for Hypertension)

  • 김준범;류연;김정은;박지은
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.33-38
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    • 2016
  • Objectives : To identify potential correlation between patients' expectations and clinical outcome in a randomized control study of acupuncture. Methods : In a clinical trial of acupuncture for hypertension, 60 participants with pre and mild hypertension were randomized into an acupuncture group and a control group. After randomization, all participants were asked to rate their expectation for the intervention on a scale of 0 to 10. To analyze the effect of expectation on clinical outcome, change of blood pressure was compared between high and low expectation groups. Results : There was no significant difference of baseline blood pressure between low expectation group and high expectation group. Proportion of acupuncture group and control group was also not different between low and high expectation groups (p = 0.638). The change of systolic blood pressure was -1.55 mmHg in low expectation group and -3.07 mmHg in high expectation group, and it was not significantly different (p = 0.54). There was no significant difference in the change of diastolic blood pressure between two groups (p = 0.58), with -3.24 mmHg in low expectation group and -2.34 mmHg in high expectation group. Conclusion : In this study, the expectation of intervention (including acupuncture treatment) was not associated with the effect of intervention.

강유역의 간흡충 감염양성자를 위한 사례관리 적용효과 (The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas)

  • 김춘미;김희걸;전경자;김숙영
    • 지역사회간호학회지
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    • 제23권4호
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    • pp.427-437
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    • 2012
  • Purpose: In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis. Methods: The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods. Results: the pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment. Conclusion: The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.

Characteristics of Warm Acupuncture Reported in Experimental Studies: A Descriptive Narrative Review

  • Choi, Ji Won;Choi, Seo Young;Lee, Ji Sun;Yang, Gi Young
    • Journal of Acupuncture Research
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    • 제36권3호
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    • pp.131-139
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    • 2019
  • Background: This study aimed to investigate the correlation between heat transmission and intervention factors for warm acupuncture (such as features of acupuncture material and moxa, the treatment method, and clinical symptoms). Methods: Korean, English, Chinese and Japanese databases were analysed. Experimental studies that explored the association between thermal stimulation delivery and warm acupuncture intervention factors were included. The peak temperature, time to reach the peak temperature, and time of the effective stimulus, were set as the major parameters and analysed. Results: A total of 12 studies were included. Two studies were associated with the acupuncture needle material, 4 studies associated with the moxa mass, 1 study associated with the moxa density, 2 studies associated with the location of ignition, and 1 study associated with treatment environment were reviewed. The reporting quality of the 12 studies was low. Conclusion: This study provided limited information because of the heterogeneity of materials and parameters depending on each experiment. Further studies should clarify the correlation between heat transmission and intervention factors for warm acupuncture.

파워워킹과 플라자댄스가 중년 여성 고혈압 환자의 혈압감소 및 혈중지질에 미치는 영향 (Effect of brisk walking and square dancing on blood pressure reduction and blood lipid in middle-aged female patients with hypertension)

  • 류이회이;김정현;김옥자
    • 대한물리치료과학회지
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    • 제28권3호
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    • pp.76-87
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    • 2021
  • Background: The purpose of this study was to evaluate the effects of power walking and square dancing on middle-aged women with hypertension. Design: Randomized controlled Trial. Methods: 30 middle-aged women with hypertension were selected and divided into two groups. 15 cases in the control group received routine treatment, and 15 cases in the intervention group received community vigorous walking and square dancing intervention on the basis of routine treatment. The intervention time was 40-60minutes/day, 5days/week, total 16 weeks. total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol (LDL), angiotensin II (Ang II), Leptin, blood pressure, and heart rate were measured. Results: Body weight, body mass index (BMI), TC, TG, LOW-density lipoprotein, angiotensin II, leptin, systolic blood pressure and heart rate were significantly reduced after power walking and square dancing (p<0.05). After the experiment, TC and TG in the experimental group were lower than those in the control group (p<0.05), while HDL was higher (p<0.05). Conclusion: The results of this study suggest that power walking exercises and square dances are significant effects on lipid mechanism and heart rate.

Advances in surgical treatment of lymphedema

  • Beederman, Maureen;Chang, David W.
    • Archives of Plastic Surgery
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    • 제48권6호
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    • pp.670-677
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    • 2021
  • An estimated 250 million people worldwide suffer from lymphedema. In the past, the first-line option for treatment was nonsurgical management, either in the form of compression garments or wrapping, or comprehensive decongestive therapy, with debulking surgery reserved for the more advanced cases. However, with improvements in microsurgical techniques and imaging modalities, surgical intervention is increasingly being utilized. This review highlights recent advancements in the surgical treatment of lymphedema, specifically focusing on improvements in imaging, surgical techniques, and prevention of lymphedema.

감각통합기능장애 아동에게 적용한 단기집중치료프로그램의 효과 (The Effectiveness of the Short-term Intensive Intervention Program: Case Report)

  • 최현애;강은아
    • 대한감각통합치료학회지
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    • 제6권1호
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    • pp.25-33
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    • 2008
  • 서론: 대한감각통합치료학회 주최 2008년 치료과정에 참여한 감각통합기능장애 아동의 적응반응의 변화를 통하여 단기집중 치료프로그램의 효과를 제시하고자 하였다. 연구방법: 아동의 평가결과를 기초로 개별 치료를 실시하였고, 각 치료회기에서 보인 아동의 적응반응에 따라 회기별 목표와 활동계획을 수정하여 다음 회기에 적용하였다. 또한 가정연계 프로그램을 고안하여 부모교육을 실시하였다. 결과: 치료회기 동안 아동은 자세조절 능력이 향상되었고, 구강방어증상이 완화되었으며 또래와의 상호작용면에서 적응반응의 향상을 보였다. 결론: 좀 더 효과적인 치료향상을 위하여 집중감각통합치료와 가정연계 프로그램이 지속되어야할 것이다. 또한 부모가 치료 과정에서 나타나는 아동 행동양상의 변화를 이해하고, 아동이 감각통합 발달단계에 맞춰 적절한 감각활동을 탐색하는 것을 돕기 위한 지속적인 부모 교육이 필요하다.

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