• 제목/요약/키워드: medical theory

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국내 리듬청각자극(RAS) 기법 활용 연구 분석: 음악치료와 물리치료 비교를 중심으로 (An Analysis of Research Using the Rhythmic Auditory Stimulation Technique: A Comparison of Music Therapy and Physical Therapy Approaches)

  • 이지연
    • 인간행동과 음악연구
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    • 제17권1호
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    • pp.71-96
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    • 2020
  • 본 연구는 국내 음악치료 및 물리치료 분야에서 리듬청각자극(RAS)을 적용하여 수행된 연구를 비교분석하였다. 이를 위해 1999년부터 2018년 11월까지 발표된 학위 논문과 학술지 게재 연구 중 RAS 및 보행기능 관련 주제어를 검색하여 기준에 부합한 45개의 연구를 선정하였고, 세부중재방법과 리듬자극의 유형, 기술된 치료 원리의 측면에서 분석하였다. 분석 결과, 두 영역에서의 연구 모두 일정한 간격의 리듬을 핵심적인 치료 자극으로 사용하고 RAS의 기본 절차를 따른 점에서는 공통적이었지만, 목표기능이나 구체적인 리듬제공방법에 있어서는 차이가 있었다. 음악치료 연구에서는 모두 보행기능이 목표 변인이었던 데 비해, 물리치료 연구에서는 균형이나 근력, 고유수용성감각 등 관련 신체기능이 목표에 포함되었다. 또한 음악치료 연구에서는 다양한 요소를 포함한 '음악'이 리듬자극으로 활용된 반면, 물리치료 연구에서는 메트로놈을 리듬자극으로 활용한 연구가 음악을 활용한 연구보다 많았다. RAS 원리와 관련하여 단순한 기법 설명 외에 동조화와 같이 치료의 원리가 충분히 기술된 연구는 물리치료보다는 음악치료 분야에서 많이 확인되었다. 이러한 결과는 음악치료 연구에서는 리듬과 더불어 음악의 다양한 요소가 보행에 미칠 수 있는 영향이 고려되어 음악의 역할이 적극적으로 활용된 반면, 물리치료 연구에서는 보행에 영향을 미치는 다양한 신체기능에 대한 개입이 포함된 경향이 있음을 보여준다. 두 가지 측면 모두 재활에 있어 중요한 부분임을 고려할 때, 본 연구는 다학제간 연구를 기반으로 한 RAS 연구의 기법의 확장 적용에 대한 시사점을 제시한다고 할 수 있다.

심신치유를 위한 불교의학, 사상의학, 한의학에서의 심(心)의 연구 (The Study on the Sim(心) in Buddhism Medicine, Sasang Constitutional Medicine, and Oriental Medicine for construction of mind and body cure)

  • 김근우;박성식
    • 동의신경정신과학회지
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    • 제23권1호
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    • pp.1-15
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    • 2012
  • Objectives : The objective of this study is the Basic research for mind and body cure protocol construction through the Sim(心) study at Buddhism Medicine, Constitutional Medicine, and Oriental Medicine. Methods : 1. The Sim(心) in Buddhism is a target of spiritual culture and subjective awareness of An ascetic person in interior psychology. In this research, the Sim(心) has been modified within a concept of Early Buddhism and You-sic in order to have medical logicality. 2. Since the study deep into Sim(心) within Confucianism has various aspects, each Confucian's theory argument or era. We limited the significance of the Sim(心) to be associated with the category of the Sim(心) in Sasang Constitutional Medicine which is a product of practical Confucianism. 3. The criteria of debate for the Sim(心) is based on the "Hwang-je-nae-gyoung", because "Hwang-je-nae-gyoung" is founded to definite the term regarding spirit or mind in Oriental medicine Results : 1. "Hwang-je-nae-gyoung" which came from thought of You-Sic, thought of Taoism, and Early Buddhism becomes the theoretical basis for the Sim(心) in Buddhism Medicine, Sasang Constitutional Medicine, and Oriental Medicine. 2. The Sim(心) in the mind psychology of Buddhism Medicine, Sasang Constitutional Medicine, and Oriental Medicine has active aspects. but the visual thing // There are visual aspects being contrasted with 'Sim(心)' of mind psychology and aspects of activity in Buddhism medicine, Sasang constitutional Medicine and Oriental Medicine; which are 'Hrd', 'Hrdaya', 'four-large' 'five base', 'chin, chest, navel and abdomen', 'head, shoulder, waist and buttocks' consisting 'the body', and the heart and 'four interorgans' from the study of symbolical interorgans). In Buddhism Medicine, Sim(心)'s Epistemology is the most extensively understood fact about 'Sim(心)', and for Sasang Constitutional Medicine and Oriental Medicine. 'Sim(心)' is limited as an 'Element' that comprises the body. 3. The Functional area of the Sim(心) in the Buddhism Medicine, Sasang Constitutional Medicine, Oriental Medicine is composed with 'consciousness(意識)' 'manas-vij_na(末那識)', '_aya-vij_na(阿賴耶識)', 'mind greed(心欲)', 'Li(理)' and 'Sin(神)', about the interpretive area of 'Sim(心)', 'Sin(神)' of Oriental medicine is the most comprehensive concept, and on the side of the depth of 'thinking' and 'consciousness', '_aya-vij_na(阿賴耶識)' from Buddhism Medicine in the key point. 4. The Sim(心) in the Buddhism Medicine, Sasang Constitutional Medicine, has the positive and negative aspects, such as the 'Dukkha(煩惱)' and A merciful heart or Human Sim(心) and Taoism Sim(心).

농촌지역 주민들의 B형 간염 예방접종 의도 및 행동 (Behavioral Intention and Behavior for Hepatitis B Vaccination in Rural Residents)

  • 오숙정;감신;한창현
    • 농촌의학ㆍ지역보건
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    • 제27권1호
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    • pp.125-142
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    • 2002
  • This study was carried out to purpose drawing up the efficient method of rural residents' health management, analyzing factors having influences on the behavioral intention and the behavior of hepatitis B vaccination of rural residents, using the theory of planned behavior(TPB). Surveying the first questionnaire about TPB to 439 people of rural adults over 40-year old who participated to hepatitis B examination program was made from March 14 to April 23 in 2001 at two primary health care posts in a city in Gyeongsangbuk-do and the second survey for hepatitis B vaccination was made to the last subjects of 332 people(75.6%) that had been proved as subjects of inoculation against the hepatitis B as the result of examination after two months of notification. In the behavioral intention rate of hepatitis B vaccination of the subjects within a month, 100%(the top) was 45.2%, 80-90%(the middle) was 21.1% and under 70%(the low) was 33.7%. In simple analysis, vaccination intention was related with significantly health security type and economic status(p<0.05). And vaccination intention was related with significantly all variables of attitude toward behavior and subjective norm, and economic power of utilizing medical facilities and perceived power variable of perceived behavioral control(p<0.01). The vaccination rate of the subjects within a month was 31.3%. In simple analysis, the vaccination rate was higher significantly in the lower the age was, the higher the educational level was(p<0.01), the larger the family was, and subjects having transport(p<0.05). And the vaccination rate was higher in the higher the economic power was and the higher the perceived ability was. As the results of making generalized logit analysis for behavioral intention, the more positive the subjective norm was, the higher was the score of the perceived behavioral control, the intention was higher significantly in the top class on a basis of the low class of behavioral intention. In multiple logistic regression analysis for vaccination(behavior) using intention and perceived behavioral control as dependent variables, it showed that perceived behavioral control variable only influenced significantly. The higher was the score of perceived behavioral control, it showed that they got the more vaccination(p<0.01). And even in the result having analyzed, adding the significant general characteristics variables in the simple analysis to the independent variable, the higher was the score of perceived behavioral control, it showed that they got vaccination more.

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고령자 여성의 체질건강수준에 따른 맥파 특성 연구 (Characteristic Radial Pulse Properties of Elderly Females according to Sasang Constitution-based Health Level)

  • 김재욱;배장한;구본초;전영주;김근호;김종열;김영민
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.970-975
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    • 2012
  • In Sasang constitutional medicine, doctors diagnose and treat patients according to their Sasang consitutition (SC) type. In this work, by a clinical test with a radial pulse tonometer, we investigated radial pulse properties which were significant in distinguishing unhealthy subjects from healthy subjects for each SC type. We measured radial pulse properties on left and right Gwan locations with a pulse tonometer for 299 elderly female subjects of age of 50 years old or above. We used a newly developed SCAT system to determine subjects' SC types. Subjects' health levels of either healthy or unhealthy were determined independently by two Korean medical doctors. To investigate the statistical differences, we used either of Student's t-test or Mann-Whitney U test depending on the normality of distribution of test statistic. For TE type, unhealthy subjects were characterized with significant increases in heart rate, systolic to diastolic period, pulse depth, while they showed significant decreases in width of pulse in normal direction, pulse area in diastolic period, and high harmonic components (6th, 7th) of power spectral density. For SE type, unhealthy subjects were characterized with significant increases in pulse pressure and pulse depth, while no significant differences were found for SY type. We investigated the characteristic differences in radial pulse properties due to change in health levels on each SC type for elderly females. Pulse variables which were significantly different between healthy subjects and unhealthy subjects were found to vary between SC types. For TE type subjects, many variables were found significant at the left Gwan location, which is in support of the theory of hyperactive liver functioning for TE type. Irrespective of the constitution, the related changes in the pulse properties due to worsened health level were in support of elevated blood flow amount in compensation with weakened blood circulatory function.

기본간호학 연구동향 - 기본간호학회지 논문분석을 기반으로 - (The Research Trends in Fundamental Nursing - Based on the Analysis of Journal of Korean Academy of Fundamental Nursing -)

  • 정인숙;강규숙;김경희;김금순;김원옥;변영순;송경애;손영희;양선희;조현숙
    • 기본간호학회지
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    • 제8권2호
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    • pp.132-146
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    • 2001
  • Purpose: This study was to analyze the trends and content of all the research (171 research papers) published in the Journal of Fundamentals of Nursing from 1994, when it began to 2000 using an objective tool developed by the researches, and to identify the direction for the future research in Fundamentals of Nursing. Method: Research published in the Journal of Fundamentals of Nursing from 1994 were reviewed. Result: Most of research (94.2%) was non-degree based and funded research was very limited. The average number of researchers per research study was 2.2 and collaborative research has been gradually increasing. The total number of key words was 331 and the average was 2.6 per research. The major key words were not different from other nursing departments and included home care nursing (10 times), health promotion (8 times), self-care (7 times). self-efficacy (7 times), and homo-dialysis (6 times). Eighty seven percent of the research was quantitative research. and there were very few qualitative studies. Considering theory level, it was found that 40% were factor related research For study design, non-experimental studies were most frequent (66%), and the rate, especially of surveys, has remarkably decreased. Selection of subjects by convenience sampling, was most frequent and there were very few studies that provided the rationale for the calculation of sample size. The major subjects of study were patients (44.8%) with various diagnoses. The subjects usually gave oral consent to take part in that study. Giving information (46.9%) and exercise (26.5%) were common nursing interventions, and physiological indices (16.5%). vital signs (10.3%), physical functioning (8.2%), level of knowledge/skill (7.2%) and level of activity (6.2%) were frequently measured as outcome. Variables questionnaires were the major approach used to collect data, and 57.8% of the research provided the Cronbach alpha to guarantee internal consistency of study instruments. Data were analyzed with computerized statistical packages using, ANOVA (42.0%), T test(39.5%), and chi-square test. For the last seven years, nursing research in Fundamentals of Nursing has gradually improved in both quantify and quality. Conclusion: It was difficult to find any uniqueness or difference compared to other departments of nursing. In fact, because the history of the Journal of Fundamentals of Nursing is rather short, we can expect that there will be further improvement in qualify and content in the future.

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"찬도방론맥결집성(纂圖方論脈訣集成)"에 관한 연구(硏究) (A Study on the ${\lceil}$Chandobangronmaekkyulgipsung${\rfloor}$)

  • 장용우;백상용;정창현
    • 한국한의학연구원논문집
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    • 제9권1호
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    • pp.35-50
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    • 2003
  • In Korean traditional medicine, there are 4 major diagnoses. They are 'Mang (Watching)', 'Mun (Listening)', 'Mun (Asking)', and 'Jeul (Touching)'. These ways are closely related to each other. Among the four, 'Jeul' is the most famous one because it is the final way of checking the pulse for the cure. Pulse checking has been used as an essential way of diagnosis, but there are some difficulties in doing so in the business matter. To overcome these problems the theories should be studied profoundly and heterogeneously. More importantly, these endeavors must be pursued on the basis that pulse-checking must be. done along with other diagnostic ways to diagnose more precisely and practically. Therefore, I want to study and analyze the pragmatic ways to help the business field. Wang Suk-Hua(王叔和) arranged the methods and theories of 'pulse-checking' that was used before Nea-kyung. The book is called Maek-kyung. But this is too complicated to use in the field. As a result Maek-kyul(脈訣) which is made of songs that help to memorize and practice was gain more popularity than the ${\lceil}$Maekkyung(脈經)${\rfloor}$ itself. But the songs are so simple and compact that the offsprings annotated this book again and made books consist of these annotations. Among these books ${\lceil}$Chandobangronmaekkyulgipsung(纂圖方論脈訣集成)${\rfloor}$(1349) which was written in Won(元) dynasty was imported to Cho-sun(Korea) and used as the most important book on pulse-checking. So I will study ${\lceil}$Maekkyul(脈訣)${\rfloor}$ which contains the essence of ${\lceil}$Chandobangronmaekkyulgipsung(纂圖方論脈訣集成)${\rfloor}$. And I will also study ${\lceil}$Dojumaekkyul(圖註脈訣)${\rfloor}$ and ${\lceil}$Maekkyulyouhae(脈結乳解)${\rfloor}$ as conference. The former, written by Jang-sae-hyun(張世賢), contains narrative paintings and prescriptions according to pulses. And the latter, written by Wang Bang-bu(王邦傅), contains criticism of earlies annotations along with his own theory. ${\lceil}$Chandobangronmaekkyulgipsung(纂圖方論脈訣集成)${\rfloor}$ was chosen as a text book of medical examination according to ${\lceil}$Kyungkukdaejun(經國大典)${\rfloor}$ and had been used during Cho-sun, dynasty after closely corrected by Heo Jun(許浚). It means, during Cho-sun Dynasty, everyone who wants to become doctor had studied pulse-checking through this book, and also means Cho-sun medicine emphasizes practicality. This book and the pulse-checking part of ${\lceil}$Dongeibogam(東醫寶鑑)${\rfloor}$, which published later, made the main frame of pulse-checking during Cho'sun Dynasty. As above, studing ${\lceil}$Chandobangronmaekkyulgipsung(纂圖方論脈訣集成)${\rfloor}$ which was major textbook of pulse-checking in Cho-sun, helps to study pulse checking itself as an important way of diagnosis in Korean traditional medicine. And more than that it helps us to understand. the. practical development of pulse-checking dyring Cho-sun dynasty. With these reasons I studied ${\lceil}$Chandobangronmaekkyulgipsung(纂圖方論脈訣集成)${\rfloor}$ conferring ${\lceil}$Dojumaekkyul(圖註脈訣)${\rfloor}$ and ${\lceil}$Maekkyulyouhae(脈結乳解)${\rfloor}$ to understand ${\lceil}$Maekyung(脈經)${\rfloor}$ which is practical book of pulse-checking. During so I got some achievements and I report it as. follows.

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유한요소법을 이용한 치과용 고정체와 치조골에서의 응력분포에 대한 생체 역학적 분석 (A Biomechanical Analysis or the Stress Distribution of Dental Implant and Alveolar Bone Utilizing Finite Element Method)

  • 정지광;신정욱;이성재;김영곤;김정성;박정홍
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.511-514
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    • 1997
  • The objective of this study is to propose a finite element based design of the dental implant replacing unction and shape of natural teeth. For this, geometric actors were varied to investigate stress distribution of the alveolar bone around dental implant. In this study, the results were obtained based on the theory of linear elastic, with geometrically axisymmetric assumption. Geometric actors determining implant shape are ranged as 0.2mm-0.6mm, 0.04mm-0.1mm, 0.46mm-0.84mm or height of thread, radius of curvature of thread, and pitch, respectively. The stresses in the alveolar bone caused by biting force playa major role in determining implant stability. Especially, the stress concentration in the cortical bone causes bone resorption and finally makes the implant unstable. Therefore, the stress distributions were investigated on the side of the alveolar bone focusing on the area of cortical bone. The maximum von Mises stress was found to increase up to 6% as the height of thread increases, while its value was to decrease to 19% when the radius of curvature increase within the assigned ranges. For the variation of pitch, the larger size of pitch results in greater maximum von Mises stress when the length of the implant under consideration is fixed. The existence of the neck below the shoulder did not affect the stress distribution in the region of alveolar bone. However, the stresses on the side of the implant near the neck were found to be different by 20% approximately. Therefore, the neck can provide the stability of the implant against continuing biting movement. As a conclusion, the finite element based study shows a potential in designing the dental implant systematically.

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지산선생이 주창한 담 방광 용어에 대한 연구 (Study on the terms, ′Dam′ and ′Bangwang′)

  • 강경화;백근기;김경철;이용태
    • 동의생리병리학회지
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    • 제17권2호
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    • pp.275-292
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    • 2003
  • In terms of Yin and Yang theory, Dam represents excessive Yang and deficient Yin, and Bangkwang means excessive Yin and deficient Yang. In terms of Ki and Hyung, Dam is vigorous Ki and flabby Hyung, and Bangwang is strong Hyung and weak Ki. In terms of the balance of Ki and Blood, Dam is more Ki and less Blood and Bangkwang is the opposite. In terms of meridians concerned, Dam belongs to Joksoyangdam meridian(足少陽膽經) and Bangkwang belongs to Joktayangbangwang meridian(足太膀胱經), Mr. Jeesan saw that the person having vigorous Ki and flabby Hyung tends to be dynamic and the person having strong Hyung and weak Ki tends to be static and designated both as Dam and Bangkwang, respectively, Meridians are the route of Ki and Blood in the body and since their titles are thought to imply basic oriental medical theories, they are better choices to be comprehensive and systematic than other terms. In the 12 meridians, the 6 foot meridians are more important than the other hand meridians because human beings adapt themselves to the earth. Among the 6 foot meridians, the 3 Yang foot meridians are more representative of the body since they cover more of the body. Joksoyangdam meridian(足少陽膽經) is related to more Ki and less Blood and thus is a relevant term to describe Dam. Likewise Joktaeyangbangkwang meridian(足太膀胱經) is related to more Blood and less Ki and thus can correspond to the term 'Bangkwang'. In addition, the Dam organ and Dam meridians meet the condition of excessive Yang and deficient Yin, vigorous Ki and flabby Hyung, more Ki and less Blood, on the other hand, the BangKwang organ and Bangkwang meridians meet the condition of excessive Yin and deficient Yang, strong Hyung and weak Ki, more Blood and less Ki. Thus the terms of Dam and Bangkwang satisfy the basic concepts Mr. Jeesan established.

전도성사를 매체로 한 직렬 통신 프로토콜 성능 (Performance of Serial Communication Protocols through Conducting Threads)

  • 김나영;김환;김주경;권영미
    • 인터넷정보학회논문지
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    • 제12권5호
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    • pp.21-28
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    • 2011
  • 최근 들어 전도성 섬유를 사용한 의료 및 엔터테인먼트 관련 어플리케이션들이 제안되고 있지만, 전도성 섬유를 이루는 전도성사의 성능에 대한 기본 자료는 그 실을 만들어내는 회사가 제시하는 몇 가지 특성 말고는 통신을 위해 필요한 특성이 정립되어 있지도 않고 검증되어 있지도 않은 상태이다. 따라서 전도성사가 통신에 사용될 때 어느 정도의 통신성능을 보이는 지 검증하고, 기존의 통신 프로토콜들이 전도성사를 이용한 통신에서도 적용될 수 있을지, 아니면 새로운 프로토콜이 개발되어야 할 지 가이드라인이 필요하다. 본 논문에서는 국내 및 국외의 전도성사의 특성을 취합하여 분류해 보고, 가장 간단한 통신 프로토콜인 RS232 등의 직렬 통신 프로토콜들을 이용해 각 전도성사들의 전도 효율성을 실험하여 그 성능을 알아보았다. 국내 및 국외의 6가지 실에 대해 0.5m, 1m, 2m, 3m 길이에 대해 통신 성능을 실험하였으며, 데이터 전송률과 에러율을 측정하였다. 통신 프로토콜로는 RS485가 모든 부류의 전도성사에 대해 데이터를 전송하는 우수한 전도특성을 나타냈으나 거리에 비례하여 에러율이 높아지게 되어 이론상 12km까지 장거리 전송용으로 사용될 수 있는 RS485의 특성을 살릴 수 없었다. 아예 전도 기능을 보이지 않은 실들을 제외한 다른 전도성사들에 대해서는 RS232가 에러 없이 가장 안정적인 처리율을 보였다. USB와 같은 고속 통신 프로토콜도 전도성사를 이용한 데이터 전송에 활용될 수 있음이 확인되었으나, 전송가능 거리가 최대 2m를 넘는 거리에서는 아예 전도성사를 통해 통신이 이루어지지 않았다. 또한 USB 프로토콜은 전원까지 전도성사를 사용해 공급하는 경우 매우 불안한 동작을 보여, 전원공급 문제가 우선적으로 해결되어야 함을 알 수 있었다. 본 연구는 추후 전도성사를 이용하는 통신 프로토콜의 개발과 통신용 전도성 섬유 개발 시 고려해야 할 요구사항의 기본 데이터로 활용될 수 있을 것이다.

광주·전남지역 경호학과 대학생의 심폐소생술(CPR) 교육평가 (Education Evaluation of Basic CPR on Guard Major Collegian in Gwangju and Jeonnam Region)

  • 장철원
    • 한국재난정보학회 논문집
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    • 제7권4호
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    • pp.266-272
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    • 2011
  • 광주 전남지역 전문대학 경호학과 학생 120명을 대상으로 Skill Reporter Mannequin을 이용한 심폐소생술 교육전과 교육후의 심폐소생술 술기 정확도 평가를 실시하였으며 심폐소생술 교육의 만족도를 측정하였다. 조사대상자의 일반적인 특성은 남학생과 여학생이 각각 94명(78.3%)과 26명(21.7%)이었고 학년별로는 1학년 66명(55.0%), 2학년이 54명(45.0%)이었다. 심폐소생술 교육전 인공호흡의 술기는 $26.04{\pm}9.26$에서 교육후 $91.25{\pm}6.68$로 높아져 많은 차이가 있는 것으로 나타났으며(p<0.01) 기본 심폐소생술 교육전 흉부압박의 술기는 $24.33{\pm}8.55$이었으나 교육후 $91.50{\pm}5.25$로 높아져(p<0.01) 심폐소생술 교육은 전문대학 경호학과 학생들의 심폐소생술 술기에 많은 효과가 있음을 알 수 있었다. 남학생의 심폐소생술 교육 만족도는 $4.33{\pm}0.59$, 여학생은 $3.73{\pm}0.67$의 수치를 보여 남학생이 통계적 유의수준 하에서 심폐소생술 교육 만족도가 더 높은 것으로 나타났다(p<0.01). 심폐소생술 교육의 효과를 극대화할 수 있도록 심폐소생술 교육 프로그램 개발과 대학 경호학과의 교육과정에 심폐소생술 내용을 추가하여 교육이 이루어질 수 있도록 하여야 하며, 이에 따르는 교육 공간 및 실습기자재의 확보 등 다양한 정책이 수립되어야 할 것으로 판단된다.