• 제목/요약/키워드: perceived severity

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부정교합의 객관적 정량분석: Part 2. 부정교합 요소들의 치료난이도에 미치는 영향 (The objective and quantitative analysis of malocclusion - Part 2. Influence of malocclusion components to treatment difficulty)

  • 주보훈;이기수
    • 대한치과교정학회지
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    • 제35권1호
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    • pp.69-81
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    • 2005
  • 부정교합의 진단과 치료계획 수립 및 치료방법에서 술자 간의 차이, 교정치료에서 환자간의 수용차이를 보이는 것은 부정교합의 인식 정도가 다양하기 때문이다 정부 및 민간 기관에서 보건정책의 계획과 집행은 체계적으로 진행된 과학적인 연구자료를 기초로 이루어져야 한다. 이 연구는 부정교합의 객관적 정량분석을 위한 마지막 단계로써 객관적인 부정교합의 경중도 (objective malocclusion severity) 와 주관적인 치료의 난이도 (subjective treatment difficulty)의 상관관계를 연구한 결과를 토대로 주관적인 치료의 난이도에 미치는 부정교합 구성요소의 영향을 평가한 후 치료의 난이도를 반영하는 부정교합 구성요소들의 가중치를 도출하고자 하였다. 이를 위하여 , 치아모형 100쌍을 이용하여 경험 있는 치과교정의 8명이 주관적으로 측정한 치료의 난이도와 동료 평가등급 지수를 사용하여 측정한 객관적인 부정교합의 경중도 간의 상관관계를 연구하고, 각 부정교합의 구성요소별 치료난이도에 미치는 영향을 조사하였다. 1) 이들간의 상관관계의 조사에서 객관적으로 계측한 부정교합의 경중도와 평가단의 치료 예상난이도 사이에는 유의한 관련성이 있었으며 2) 부정교합의 구성요소 별 치료 난이도의 관계를 구명하기 위하여, 주관적으로 느끼는 치료난이도의 인식에 있어 중요한 영향을 미치는 부정교합요소를 산정하였고, 3) 치료난이도를 반영하는 부정교합요소별 가중치를 산출하였다. 산출된 부정교합요소와 그 가중치는 전치돌출도가 5. 정중선일치가 4. 협측교합상태가 3, 전치피개도가 2 그리고 상악전치배열이 1 이었다. 4) 5개의 부정교합 요소와 가중치로 통계적인 검증을 거쳐 치료 난이도를 포함하는 부정교합 경중도의 객관적인 평가가 가능한 한국형 동료판정등급 가중지수를 개발하였다. 부정교합 요소에 대한 국내 치과교정의사들의 인식정도에 의하여 산출된 가중치를 이용한 동료판정등급 지수는 부정교합의 객관적 경중도 평가에 있어 치료의 주관적 난이도를 내포한 유용한 도구로서 국내 공공분야 및 전문분야에서 부정교합 난이도와 경중도의 객관적 그리고 정량적 평가를 가능하게 할 것으로 생각된다.

Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: an Application of the Health Belief Model

  • Al-Sakkaf, Khaled Abdulla;Basaleem, Huda Omer
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1463-1467
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    • 2016
  • Background: The incidence of breast cancer is rapidly increasing in Yemen with recent indications of constituting one-third of female cancers. The main problem in Yemen remains very late presentation of breast cancer, most of which should have been easily recognisable. Since stage of disease at diagnosis is the most important prognostic variable, early diagnosis is an important option to be considered for control of breast cancer in low resourced settings like Yemen. In the present study, we aimed at describing breast cancer knowledge, perceptions and breast self-examination (BSE) practices among a sample of Yemeni women. Materials and Methods: This cross-sectional study covered 400 women attending four reproductive health centres in Aden, Yemen through face-to-face interview using a structured questionnaire during April - July 2014. We collected data on sociodemographic characteristics, knowledge about breast cancer, and screening practices as well as respondents' perceptions based on the five sub scales of the Health Belief Model (HBM): perceived susceptibility; perceived severity; perceived barriers; perceived benefits; and self-efficacy. The response format was a five-point Likert scale. Statistical Package for Social Sciences (SPSS 20) was used for statistical analysis. Statistical significance was set at p<0.05. Logistic regression analysis was conducted with BSE as a dependent variable. Results: The mean age of women was 26.5 (S.D=5.6) years. The majority (89.0%) had never ever performed any screening. Two-thirds of respondents had poor knowledge. Perceived BSE benefits and self-efficacy and lower BSE barriers perception were significant independent predictors of BSE practice. Conclusions: Poor knowledge and inadequate BSE practices are prevailing in Yemen. The need for implementing culturally sensitive targeted education measures is mandatory in the effort to improve early detection and reduce the burden of breast cancer.

건강신념모형을 적용한 세네갈 수유 여성의 개인위생 실천에 영향을 미치는 요인 (Factors affecting Practice of Personal Hygiene in Senegal Women applying Health Belief Model)

  • 주영주;오혜경;서형은
    • 문화기술의 융합
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    • 제6권1호
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    • pp.231-239
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    • 2020
  • 본 연구는 건강신념모형을 적용하여 세네갈 수유 여성의 개인위생에 대한 지식과 태도가 개인위생 실천에 미치는 영향을 파악하고자 시도되었으며, 2017년 12월 2일부터 8일까지 세네갈 다카르 주에 거주 중인 15~35세 사이의 수유 여성 217명을 대상으로 구조화된 설문지를 사용하여 자료수집 하였다. 수집된 자료는 SPSS/WIN 22.0 프로그램과 AMOS 21.0 프로그램을 통해 실수, 백분율, 평균, 표준편차, t-test, ANOVA, Path analysis를 사용하였다. 경로분석 결과, 개인위생 실천에 영향을 미치는 요인으로 개인위생에 대한 지식, 지각된 감수성, 지각된 심각성, 지각된 위협, 지각된 이익, 지각된 장애로 나타났으며, 총 87.7%의 설명력을 나타냈다.

AIDS에 대한 보건교육을 통한 일부 사병의 지식 및 태도변화 (Change of Knowledge and Attitude toward AIDS of Soldier through Health Education)

  • 홍순이;정문숙
    • 보건교육건강증진학회지
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    • 제11권1호
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    • pp.3-15
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    • 1994
  • This study was conducted to investigate changes of knowledge and attitude toward AIDS of soldier through health education. The sample was selected with and experimental group(160 persons who were received health education group) and control group(160 persons who were not received), 20-21 years of age from 320 persons(soldier) who were between in a certain base located in Kyung Gi province. The data was collected from 24th Feb. to 21st April 1993. By questionnaires before and post test for education process about 4 weeks(pre and post test). The results of this study were as follows ; Of 320 soldiers 66.6% had received health education on sex before attending in base, 58.8%(94 persons) of experimental group and 58.1%(93 persons) had experience with sexual intercourse. In characteristics related to sexual intercourse experience, age of first sexual intercourse for experimental group was 19 in highest percentage as 30.0%, 18 in control group, 64.9% of experimental group and 61.4% of control group answered no use condom during sexual intercourse. About the reasons why use condom 51.5% of experimental group answered to prevention of VD and 44.4% of control group answered to prevention of partner's pregnancy in the highest percentage. There was no significant difference between mean score of knowledge level of experimental group and mean score of control group in pre-test. There was significant difference between mean score(15.23) of experimental group and mean score(12.98) of control group(p<0.01) in post-test. The attitude level in pre, post education was mean score 11. There was significant difference between mean score(9.04) of experimental group in pre-test and mean score(9.39) in post education(p<0.05), There was also significant difference between mean score(9.16) of control group in pre-test and mean score(9.60) in post-test(p<0.05), Mean score of perceived susceptability level of experimental group decreased from mean score 2.84 in pre-test to 2.66 in post-test, there was no significant difference between mean score of pre-test and that of post-test in 2 group. There was no significant difference between mean scores of perceived severity of experimental group in pre-test and that in post-test and there was no significant difference between mean score of perceived severity of control group in pre-test and post-test. There was no significant differences between mean scores of perceived benefits to act health behavior of experimental group or control group and pre-test and post-test.

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NICU에 입원한 미숙아 어머니의 스트레스 (Study on the Perceived Stress Level of Mothers in Neonatal Intensive Care Unit)

  • 김태임
    • 혜화의학회지
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    • 제8권1호
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    • pp.865-878
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    • 1999
  • With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressfu1"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's ${\alpha}$ coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers of premature baby was slightly high($3.66{\pm}1.1$). The highest scored dimension was 'relationship with their baby and parental role change'($4.21{\pm}0.9$), and next were 'appearance and behavior of the baby'($3.92{\pm}1.1$), 'communication with health team'($3.32{\pm}1.3$), 'sight and sounds of NICU'($3.30{\pm}1.1$). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.

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금융기관 종사자들을 정보보안 위험관리로 이끄는 요인 (Factors Drawing Members of a Financial Institution to Information Security Risk Management)

  • 안호주;장재영;김범수
    • 경영정보학연구
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    • 제17권3호
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    • pp.39-64
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    • 2015
  • 기업들은 정보보안 위험을 관리하기 위해 보안대책을 수립하고 있지만 직원들은 이를 잘 지키려하지 않고, 그들의 정보보안 행동의도는 명확하게 규명되지 않았다. 본 연구는 금융기관 구성원들의 정보보안 위험관리 의도를 이해하기 위해 보호동기이론과 감독 당국의 압력 그리고 보호동기의 근원이 되는 배경요인(근원정보)을 사용해서 연구모형을 개발했다. 금융기관 구성원 201명의 설문조사 자료를 분석해 실증적인 연구결과를 제시했다. 인지된 심각성, 자기 효능감 그리고 감독 당국의 압력은 정보보안 위험관리 의도에 정(+)의 영향을 주었고, 인지된 취약성과 반응 효능감은 의도에 영향을 주지 못했다. 배경요인으로 고려한 보안회피습관은 모든 매개변수에 부(-)의 영향을 주었지만 의도와의 직접적인 영향관계를 확인하지는 못했다. 보안인식교육은 정보보안 위험관리 의도와 인지된 취약성, 자기 효능감, 반응 효능감 그리고 감독 당국의 압력에 정(+)의 영향을 주었고 인지된 심각성에 영향을 주지 못했다. 본 연구의 시사점은 연구자들이 향후 감독 당국의 압력을 조직과 조직 구성원의 행동 관련 정보보안 분야의 연구에서 사용할 수 있는 기반을 마련했고, 배경요인 사용은 보호동기이론의 확장을 위한 근거를 제공했다. 또 보안 실무자와 감독 당국의 정보보안 활동을 위한 기반자료를 제공했다. 그리고 본 연구는 한계점과 향후 연구방향을 제시하고 있다.

여성 관절염 환자의 건강증진과 삶의 질 (Health Promoting Behaviors and Quality of Life of Korean Women with Arthritis)

  • 오현수
    • 대한간호학회지
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    • 제23권4호
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    • pp.617-630
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    • 1993
  • Factors related to health promotion activities and quality of life in Korean women with arthritis have not been clearly identified. Predictors of health promotion might be identified that will enhance the well - being of this group. Accordingly, the findings of the study will contribute additional information about the relationship between health promotion and quality of life and will add to the research on quality of life of individuals with a leading cause of disability--arthritis. The purpose of the study was to examine the relationship of selected background factors (years of illness, perceived severity of illness, uncertainty in illness), perceived self- efficacy, and health promoting behaviors to the quality of life of Korean women with arthritis. A cross - sectional descriptive design was used in this study to investigate relationships among the variables of interest. The sample was composed of 96 women who had arhtrits and visited large university hospital in Seoul for regular check up or pre-scription of medication. The purpose of a descriptive correlational design was to determine the absence or presence of relationships among variables that were measurable (Polit & Hungler, 1981, p.147). The design of this study was appropriate because it yielded answers to the research questions and hypotheses regarding the relationships among the model variables. the Questionnaire contained demographic information, translated Mishel Uncertainty in illness Scale-Community form (MUIS-C) (Mishel, 1987), translated and modified Disease Course Graphic Scale(DCGS) which was developed by Braden (1990), translated Sherer. et al.’s General Self-Efficacy Scale (1982), The Health -Promoting Lifestyle Profile (HPLP), developed by Walker, Sechrist, and Fender (1987) and traslated to Korean by Ha, and quality of life was measured by Face Scale (Andrew, 1976). Several steps of verification for the translation process were carefully conducted. Data analysis included descriptive correlational statistics and multiple regression techniques. Health promotion was the only contributor to pre-dict quality of life. Results showed that enabling cognitive perceptual factor (self-efficacy) mediates the disruptive force (uncertainty in ill-ness) on achieving a health promoting self- help behavior. The findings of this study also indicated that illness - related variable of severity of illness was mediated by health promotion, which buffered it's impact on quality of life.

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온라인 사용자의 비밀번호 보호행위 : 공포 소구와 메시지 프레이밍 효과, 그리고 비밀번호 보호행위의 동기요인 (Online Users' Password Security Behavior : The Effects of Fear Appeals and Message Framing, and Mechanism of Password Security Behavior)

  • 박재영;김전도;김범수
    • 한국IT서비스학회지
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    • 제16권3호
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    • pp.147-165
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    • 2017
  • Recently, there have been numerous issues about password breaches and it is becoming important for the users to manage their passwords. In practice, the online service provider are asking the online users to change their passwords periodically. However, majority of the users are not changing their passwords regularly, and this can increase the risk of password breach. The purpose of this study is to investigate whether 'fear appeals' and 'message framing' enhance the behavior of changing passwords by the online users. Furthermore, we identify the mechanism on how the behavior of changing passwords is enabled using protection motivation theory. The results of an online experiment show that the online users who are exposed to 'fear appeals' perceived a more vulnerability and severity of password breaches, which in turn, increased the intention of changing their password. In addition, we found that perceived severity of password breaches affect fear positively. Moreover, we found that fear has significant impact on the willingness of changing passwords. Finally, Message framing plays a moderating role between fear and change intentions. That is, in a situation where 'fear appeal' is presented, it means that 'gain framing' is more effective than 'loss framing' These findings suggest that the online service providers may need to use 'fear appeals' to the online users. Security managers can address issues related to the password breaches by carefully designing 'fear appeals'.

암환아 부모의 질병에 대한 불확실성, 자기효능감 및 대처정도 (Uncertainty, Self-Efficacy & Coping in Parents′ of Children with Cancer)

  • 오원옥;박은숙
    • Child Health Nursing Research
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    • 제4권2호
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    • pp.274-285
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    • 1998
  • Improvements in therapy have resulted in increasing numbers of children being successfully treated for cancer. However the agrressiveness of therapy & uncertainty about prognosis are associated with many adverse effects, psychological as well as physical for both the child & family. The purpose of this study were to measure the degree of perceived uncertainty, self-efficacy & coping, and then to examine the relationship between the perceived uncertainty, self-efficacy & coping in parents of children cancer patients. The subjects of this study consist of 140 parents with pediatric cancer, registered at pediatric cancer ward & Out Patient Department. Data was collected from July 1st to August 15th 1998. The tools used in this study were Mishel's the Parents' Perception of Uncertainty Scale (28 item, 4 likert scale), Shere's Self-Efficacy Scale (17 item, 5 likert scale) & Folkman & Lazarus Ways of Coping Checklist(34 items, 4 likert scale). Data was analyzed by t-test, Anova, Pearson Correlation coefficient. Results of this study are summerized as follows 1. Parents perceived their uncertainty to be slightly high(Mn 2.41). The degree of perceived uncertainty by the four components were followed as lack of clarity (2.60), unpredictability(2.59), ambiguity(2.51) & lack of information(1.90). The degree of perceived uncertainty of parents with pediatric cancer revealed to be influenced significantly by the family outcome, reliability about health care provider & perceived severity of illness. 2. The range of parents' self-efficacy was measured iron 35 to 85 point, so revealed slightly high. The degree of self-efficacy related to be Influenced signiicantly by the sequency of child birth, family religion & degree of perceived support. 3. The degree of parents' coping was measured slightly high (Mn 2.78). The degree of coping related to be influnced significantly by the sequency of child birth, number of sible & degree of perceived support. 4. parents' uncertainty was related inversely to the parents' self-efficacy(r=-.38, p<.001) & coping(r=-.26, p<.001). And also parents' self-efficacy was positively related to coping(r=.56, p<.001) From the above results, it can be concluded that predicting & controlling parents' uncertainty with children cancer are necessary to improve positive coping strategies. This information may be used as a foundation for developing nursing interventions to decrease perceived uncertainty & to foster self-efficacy & coping for parents with children cancer.

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The Clinical Effect with the Use of Gel Anesthesia within Gingival Sulcus during Scaling

  • Park, Seong-Ok;Im, Ae-Jung;Ahn, Yong-Soon;Jung, Im-Hee;Lim, Do-Seon
    • 치위생과학회지
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    • 제18권5호
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    • pp.319-326
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    • 2018
  • Although scaling is the primary method for improving oral health, it is also associated with dental fear. The objective of this study was to empirically verify whether the use of gel anesthetic within the gingival sulcus during scaling relieves pain and improves other factors. A total of 128 patients scheduled to undergo scaling at a dental clinic of a general hospital located in the Gyeonggi Province, between July 2014 and July 2015, were enrolled in the study. The participants underwent scaling following the application of 20% benzocaine gel or placebo gel anesthetic within the gingival sulcus, and the data was collected using a questionnaire. There was a significant difference in the severity of pain, participant satisfaction, perceived sensitivity, overall discomfort, and fear of scaling between the two groups. The two groups were compared in terms of perceived need for gel anesthesia, willingness to pay for anesthesia costs, and willingness to receive scaling in the future. There were significant differences in all the three parameters depending on whether gel anesthesia was used or not. There were significant differences between the two groups in perceived sensitivity immediately after scaling and one day after scaling, with no difference seen one week after scaling. With regards to overall discomfort over time, there were significant differences between the two groups immediately after scaling. Based on these findings, we expect that application of gel anesthetic within the gingival sulcus during scaling will reduce pain, perceived sensitivity, overall discomfort, and fear of scaling with increased satisfaction.