• 제목/요약/키워드: post management

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재가뇌졸중 환자를 위한 자조관리 프로그램의 효과 연구 (The Effects of Self-help Management Program for Post Stroke Patients at Home)

  • 문영희
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.218-227
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of 5 weeks self-help management program developed by Kim et al. (2000-b) and reinforced with music therapy for post stroke patients. Method: This was pre-experimental study and the subjects were 14 post stroke hemiplegic patients at home who were registered at the Gunsan Health Center. The program was applied for five weeks and two hours for each session composed of the preparation step, the main step and the finishing step. The contents of the program were ROM exercise, daily activity training, risk factors and aftereffects, nutrition management and stress management. To collect data, all subjects were questioned before and after the application of the program. Collected data were analyzed through frequencies, percentages, Wilcoxen signed rank test and Cronbach's alpha using SPSS-WIN program. Result: After the application of the self-help management program, a statistically significant increase was observed in the subjects' ability to perform activities of daily living (p=.039), ability to perform instrumental activities of daily living (p=.005), self-efficacy (p=.001), self-care behavior (p=.001) and quality of life (p=.001), and a statistically significant decrease was observed in depression (p=.012). Conclusion: The present self-help management program was found to be helpful in improving the subjects' physical and psychological functions after they were attacked by stroke, so to be an effective nursing intervention strategy for post stoke patients. Future researches need to reinforce and materialize music therapy and to develop and apply a self-help management program that includes not only post stroke patients but also their families. In addition, it is necessary to expand the scope of subjects and apply follow-up management in order to continue self-help meetings.

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소음지도를 활용한 환경소음 관리계획 수립 (Establishment on Management Plan of Environmental Noise with Noise Map)

  • 선효성
    • 환경영향평가
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    • 제20권2호
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    • pp.123-131
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    • 2011
  • The objective of this study is to prepare the effective management plan of environmental noise with a noise map, and the guideline on the management plan of environmental noise was suggested through the review of existing application examples. The management plan of environmental noise with a noise map includes the practical contents in the stages of subdivision of management areas, establishment of reduction measures, opinion collection, post investigation, and reformulation of management plan. First, the classification of management regions is performed considering the excess degree of noise standard and the facility type in the phase of subdivision of management areas. Second, the optimal management plan is established through the investigation of regional characteristics and various noise reduction measures in the phase of establishment of reduction measures, which includes the examination of noise reduction effects with a noise map and the budget planning with the costing of noise reduction measures. Third, the opinion survey with a local resident and a expert is carried out in order to prove the validity of the management plan in the phase of opinion collection, and the management plan is modified with gathered opinions. Fourth, the post examination plan with noise measurement is performed in order to verify the real effect of noise reduction measures according to the management plan in the phase of post investigation. Finally, the amendment of the management plan as well as the improvement of a noise map is carried out at a regular cycle in the phase of reformulation of management plan.

보리 산물처리에 의한 품질변화와 생력효과 (Effects of Post-Harvest Bulk Management System Using Rice Processing Complex on Labor Saving and Quality of Barley)

  • 이춘우;윤의병;구본철;백성범;손영구;서세정;남중현;김완석
    • 한국작물학회지
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    • 제47권6호
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    • pp.475-478
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    • 2002
  • 보리의 산물처리 확대를 위한 기초자료를 제공하고자 미곡종합처리장을 이용한 보리 산물처리시 품질변화와 생력효과를 조사 분석한 결과는 다음과 같았다. 1. 정립율은 2.5-2.2mm의 비율이 가장 많았으며, 건조방식에 따른 차이는 없었다. 2. 경도는 건조방식에 따른 차이는 없었고, 색도는 산물건조와 관행인 천일건조와 차이는 없었다. 3. 흡수율은, 고형용출물, 퍼짐성 등의 취반특성은 건조방식에 따른 차이는 없었다. 4. 산물처리에 의하여 관행의 ha당 46시간에 비하여 21시간으로 54.3%의 생력효과가 있었고, 수확 후 관리는 54.3% 생력화되었다. 5. 산물처리로 수확 후 관리노력이 관행에 비하여 ha당 25시간이 절감되어 101,83원의 경영비 절감효과가 있었다.

재난피해자의 외상 후 위기와 외상 후 성장, 주관적 안녕감 간의 관계 - 사회적 지지의 매개효과, 소득의 조절효과 - (Disaster Victims' Post-trauma Risk, Posttraumatic Growth and Subjective Well-being - Social Support as a Mediator and Income as a Moderator -)

  • 심서영;손영우;박상현;윤지원
    • 한국안전학회지
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    • 제31권6호
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    • pp.105-112
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    • 2016
  • The current study examined the relationships between disaster victims' post-trauma risk and posttraumatic growth, and the mediational role of social support for this relationships. In addition, we tested the hypothesis that income status would moderate the relationship between post-trauma risk and subjective well-being. Two hundred disaster victims completed Post-trauma Risk Checklist (PRC), Posttraumatic growth scale, Social support scale and Concise Measure of Subjective Well-Being (COMOSWB) as well as questions about their demographic characteristics. Results showed that those with high post-trauma risk demonstrated significantly higher levels of posttraumatic growth as compared to those with low post-trauma risk and social support partially mediated this relationship. Also, high levels of post-trauma risk predicted low levels of recent subjective well-being. Participants with high income obtained higher subjective well-being than did those with low income among high post-trauma risk groups. Implications for post-trauma risk and posttraumatic growth are discussed.

해역이용협의제도의 사후환경관리 개선방안 (Improvements of Post-Project Environmental Management for the System of the Sea Area Utilization Consultation)

  • 김귀영;이대인;엄기혁;전경암;강성경
    • 한국해양환경ㆍ에너지학회지
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    • 제16권2호
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    • pp.121-129
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    • 2013
  • 본 연구는 해역이용협의제도의 실효성 확보를 위하여 해양 개발사업의 사후환경관리에 대한 문제점을 파악하고 개선 방안을 제시하였다. 협의내용 이행 및 점검 소홀, 사후관리조치 및 결과보고 미흡, 사후관리 인식저하 및 전문성 부족 등으로 개발사업의 사후관리가 제대로 이루어지지 않고 있으며, 또한 사후 해양환경영향조사의 경우도 사업전후 결과의 검증이 매우 중요한 사항인데도 형식적으로 추진되는 등 사후환경관리에 많은 문제가 나타나고 있다. 따라서 해역 이용협의제도의 실효성을 확보하기 위한 사후환경관리 개선방안으로 관계자들의 사후관리 인식제고 및 이행력 확보가 절실히 요구되며, 갈등해소를 위한 사후관리시스템 구축, 협의내용 미 이행 사항에 대한 제재 및 책임성을 강화해야 하고, 아울러 체계적인 사후 해양환경영향조사 모니터링방안이 정립되어야 할 것이다.

재가 뇌졸중 노인환자에서 자기효능증진 전략을 이용한 자조관리프로그램의 효과 (The Effects of Community-Based Self-Help Management Program by Strengthening Self-Efficacy of Post Stroke Elderly Patients)

  • 유수정;김현숙;김금순;백환금
    • 재활간호학회지
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    • 제4권2호
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    • pp.187-197
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    • 2001
  • The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

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선진국 사례 벤치마킹을 통한 건설공사 사후평가 성과분석 체계 개발 (Performance Analysis Framework for Post-Evaluation of Construction Projects through Benchmarking from Advanced Countries)

  • 이강욱
    • 한국산업융합학회 논문집
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    • 제25권6_2호
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    • pp.1017-1027
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    • 2022
  • Development of social overhead capital (SOC) requires huge national finance, and performance issues such as cost-efficiency, safety, and environment have been constantly raised. However, currently each construction client has limited access to its own projects' performance without analytic methodology for industry-level comparisons and benchmarking for improvement. To overcome this problem, this study proposes a comprehensive performance analysis framework for post-evaluation of large-scale construction projects. To this end, this study performed a case study of advanced countries (the U.S., the U.K. and Japan) and consultation with related experts to develop a tailored performance analysis framework for the Post- Construction Evaluation and Management system in Korea. The developed framework covers three categories (project performance, project efficiency, and ripple effect), nine areas (cost, schedule, change, safety, quality, demand, benefit-cost ratio, civil complaint, and defect), and 31 detailed metrics. Using industry-level project performance database and statistical techniques, the proposed framework can be used not only to diagnose excellent and unsatisfactory performance areas for completed construction projects, but also to provide reference data for future similar projects. This study can contribute to the improvement of clients' performance management practices and effectiveness of construction projects.

응급환자의 수술 후 관리를 위한 시뮬레이션기반 교육프로그램의 효과 (Effect of a simulation-based program for post-operative care of emergency patients)

  • 채민정;최순희;김정숙
    • 한국응급구조학회지
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    • 제18권3호
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    • pp.91-104
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    • 2014
  • Purpose: This study aimed to confirm the effects of a simulation-based program on knowledge and clinical performance in the post-operative management of emergency patients. Methods: This was a pre- and post-research design with a nonequivalent control group and randomly sampled 29 experimental and control groups, respectively from nursing department juniors for 4 weeks from September of 2014. The experimental group received lectures, team study, team simulation, and debriefing in post-operative management of simulation-based emergency patients and control group conducted in the traditional lecture-type setting. Educational learning effects were measured by using the knowledge and clinical performance measurement tools of 15 and 20 items, respectively. Data were analyzed by using the SPSS program, including frequency, ratio, and results from the Chi-square test, Fisher's exact test, Kolmogorov-Smirnov test, t-test. Results: Our research results indicate that, the experimental group showed significantly higher knowledge and clinical performance score compared with the control group. Conclusion: We confirmed that education on post-operative management of simulation-based emergency patients was an effective educational method to improve the knowledge and clinical performance of nursing students.

베트남 참전군인의 외상 후 스트레스와 사회적 지지가 우울에 미치는 영향 (The Influence of Post-Traumatic Stress and Social Support on Depression of Vietnam Veterans)

  • 현혜순;김태열;김윤영
    • 보건의료산업학회지
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    • 제12권1호
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    • pp.137-147
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    • 2018
  • Objectives : The purpose of this study was to identify the post-traumatic stress, social support, and depression of Vietnam veterans and the effects of post-traumatic stress and social support on depression. Methods : This study was carried out from June 2017 to September 2017 with the cooperation of the Korean Society of Veterans' Affairs and 250 Vietnamese veterans from D city were randomly sampled and collected. The collected data were used by SPSS 24.0 Statistics Program. Results : Social support was inversely correlated with post-traumatic stress (r=-.268, p<.001) and depression (r=-.333, p<.001), and post-traumatic stress and depression (r=.592, p<.001) were positively correlated. Post-traumatic stress and social support of veterans had a significant effect on depression, and post-traumatic stress and social support showed an explanatory power of 37.7% in depression. Conclusions : It is necessary to improve soldiers' mental health by mediating their post-traumatic stress and reducing their depression level by establishing a social support system.

신경역동적 기법과 자가 신경 운동법이 수근관증후군 환자에게 미치는 영향 (The Effect of Neurodynamic Technique and Self Management Exercise for Carpal Tunnel Syndrome Patients)

  • 박현식
    • 대한정형도수물리치료학회지
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    • 제16권2호
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    • pp.48-52
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    • 2010
  • Object: The aim of this study is to descrive the effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients(CTS) Method: 13 patients with CTS participated in this study. They were from 18 to 70 years old and mean age was 25.3. In the evalutaion, gripping with grip dynamometer, strength of gripping with precision pinchmeter, pain level with visual analogue scale. All measurement of each subject were measure at pre- treatment and post treatment(after 1week) and post treattment(after 2 weeks) stage. The physical therapy program consisted of neurodynamic technique and self management exercise. SPSS 12.0 program was used to compile result. Result: The grip, pinch, VAS-P were significantly difference between pre-treatment and post treatment(after 2weeks)(p<.05) Conclusion: This study suggest that 3weeks neurodynamic technique and self management exercise improved grip and pinch strength and decrease pain score.

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