• 근관절건강학회지
• /
• 제8권2호
• /
• pp.250-261
• /
• 2001

Alternative therapy for rheumatoid arthritis has become worldwide phenomenon this decade without scientific validation. This study was undertaken to explore the prevalence, patterns of use, and perceived efficacy of alternative therapies by patients attending a rheumatology clinic. We conducted a crossectional survey of 142 RA patients with structured questionnaire at outpatient rheumatic clinic from July to August in 2001. Results of this study were summarized as follows : 1. 85.9% of subjects were woman. Mean age was 49.97years, duration of rheumatoid arthritis was 5.6years. Mean pain score was 5.29cm. 2. 74.6% of subjects perceived rheumatoid arthritis as a controllable disease. 31% of patients combined medical treatments with alternative therapies. 58.5% of patients perceived that combining medical treatments with alternative therapies is the most effective strategy in controlling disease. 3. 77.5% had used more than one alternative therapy since the diagnosis was made. The major reason of discontinuation of use was no effect for the treatment of their disease. 4. 34.5% were currently using an alternative therapies and 50.9% were going to use alternative therapies in future. 5. 42.7% reported that alternative therapies was effective and only 3.6% reported side effects. 6. The perceived effect score was 3.14cm in general expecially the physiological score 2.91cm, psychological score 4.16cm. In conclusion, our results demonstrate a high use of alternative therapies by rheumatoid arthritis patients. And the perceived effect score of physiological aspect was not higher than one of psychological aspect. Therefore it should be considered in education program for the use of alternative therapies.

• 근관절건강학회지
• /
• 제21권3호
• /
• pp.184-194
• /
• 2014

Purpose: The purpose of this study was to develop and validate a diabetes management self-efficacy scale for older adults (DMSES-O). Methods: A preliminary DMSES-O of 22 items was derived from a literature review and seven domains of self-management behaviors. Content validity was confirmed by experts in diabetes self-management education. To test the reliability and validity of the DMSES-O, data were collected from 150 older adults with type 2 diabetes. The data were analyzed using exploratory factor analysis, and Cronbach's ${\alpha}$ and Pearson's correlation coefficients were calculated. Results: From the exploratory factor analysis, 17 significant items in six subscales were derived. Factors derived were named "problem solving for hypoglycemia and self-monitoring blood glucose," "problem solving for hyperglycemia," "coping with psychological distress and taking medication," "reducing risks of diabetes complications," "appropriate exercise," and "healthy eating." The criterion-related validity of the DMSES-O was established by its correlation with the Summary of Diabetes Self-care Activities Questionnaire. Cronbach's ${\alpha}$, a measure of internal consistency, was .84 for the overall scale and ranged from .54 to .80 for the subscales. Conclusion: The DMSES-O is a reliable and valid instrument to measure selfefficacy for diabetes self-management among older adults.

• Journal of Preventive Medicine and Public Health
• /
• 제38권1호
• /
• pp.16-24
• /
• 2005

Objectives : To help develop strategies to cope with the changes arising from the rapid aging process by predicting the determining factors of intention to actual use of the charged long-term care services for elderly as perceived by the middle aged who play the major role of supports. Methods : Subjects were the parents (men 177, women 507) in their 40s of the students selected from a university of Busan city. A questionnaire survey was conducted for 4 weeks in October 2003 about the knowledge for long-term care service, the intention of actual use, and the preferences about the type of service suppliers. Data analysis was performed with frequency, chi-square test, and t-test using SPSS program (ver 10.0K), along with data mining using decision tree of Enterprise Miner V8.2 by SAS. Results : About half of the subjects (53.7%) had the actual experiences of elderly supports. Intentions to use the charged services were relatively high in home visiting nursing care service (40.1%) and long-term care facilities service (40.4%), and were influenced by previous knowledge about the services. The intentions were stronger in women, those with higher education, and those with greater income levels. Actual elderly supports were mostly (80%) done by women, and the perceived burdens for the supports were bigger in women and those of lower socioeconomic level. Desired charges were about 10,000 won for the bath service, 20,000 won for the rests services per day, and about 500,000 won for the long-term care facilities service per month. From the result of decision tree analysis, the job professionalism was the most important determining factor of intention to actual use of the services with validation as $63{\sim}71%$. Health and welfare mixed type facilities were preferred, and the most important consideration was the level of professionalism. Conclusions : Intention to actual use of the charged services was largely determined by the aspects of time and cost. Polices to increase the number of service suppliers and to decrease the burdens perceived by actual supporters were strongly recommended.

• 대한수학교육학회지:수학교육학연구
• /
• 제22권1호
• /
• pp.69-99
• /
• 2012

본 연구는 수학 학습과 관련한 긍정적인 심리체험의 구성요소 전반에 대한 특성을 보다 포괄적으로 측정할 수 있는 신뢰도와 타당도가 높은 검사 도구를 개발하여 학생들의 강점들을 각각 측정하고, 개개인이 가지고 있는 강점에 대한 자료를 학생들에게 제공하는데 그 목적이 있다. 본 연구의 목적을 위하여, 여러 가지 문헌연구를 통하여 수학 학습과 관련한 긍정적 심리체험의 요소들을 추출하였고, 개방형 설문조사를 통하여 문헌연구의 결과를 확인하였다. 또한, 이러한 과정을 거쳐 얻어진 요소들을 이용하여 106개의 문항으로 된 1차 예비 설문지와 이를 수정 보완한 66문항의 2차 예비 설문지를 만들어 꾸준히 검사지에 대한 신뢰도와 타당도를 검증하여, 최종적으로 65문항의 '수학 학습과 관련한 학생들의 긍정적 심리체험 검사'를 위한 측정도구를 만들었다.

• 대한한의학회지
• /
• 제31권2호
• /
• pp.124-136
• /
• 2010

Objective:: This study aimed to examine the customers' utilization of and satisfaction with oriental medical clinics in South Korea. Method: The data for this study were collected from 1,208 patients of 391 oriental medical clinics through a mail questionnaire survey from September to December 2008. The collected data were analyzed by the frequency analysis and $X^2$-test. Results: The results of the study were as follows. First, the most important reason that patients used oriental medical services was to get both oriental and western medical services simultaneously, because they thought such approach would be more effective for treating their diseases. Second, two important reasons that patients visited oriental medical clinics were "the reputation of and trust in the oriental medical clinics" and "the recommendation of their family and friends". Third, many patients of the oriental medical clinics have concerns about the "high prices and the outcome of oriental medical services". Fourth, the most preferred oriental medical service was "acupuncture". Fifth, it was found that 75% of the respondents were satisfied with the services they had received. They told that the outcome of the care and the kindness of the clinics' staff were very important factors that have an impact on their satisfaction. Conclusion: The study results imply that oriental medical clinics have to make an effort to strengthen their reputation and trust in the community through the scientific validation of oriental medicine, differentiated services mixed with traditional value, customer relationship management, reasonable and acceptable price of the services, staff education, and continuous quality improvement.

• 대한한방소아과학회지
• /
• 제32권1호
• /
• pp.75-82
• /
• 2018

Objectives It is important to maintain health for students. The School Health Law is enacted in Korea to carry out the school health project like Korean Medicine Doctor's student Health and Wellness program. The purpose of this study was to examine the student's satisfaction of the program. Methods The school project was conducted in 19 schools in Seongnam city from May 2016 to December 2016. This school program was consisted of health counseling, necessary treatment, health related lectures, and vocational education about Korean medicine. A satisfaction questionnaire was conducted to gather information about overall satisfaction of the program and the program details such as health counseling, treatment, and health lectures. Results A total of 1,713 students and faculty members participated and 164 of those students completed the satisfaction survey. The overall mean score for the teaching activities was $8.54{\pm}1.76$, satisfaction of health counseling was $8.57{\pm}1.74$, treatment satisfaction was $8.39{\pm}1.83$, satisfaction with the health lectures was $8.23{\pm}1.96$ (range 3~10), and the need for continuity of the program was $8.43{\pm}1.91$ (range 1~10). One of the main benefit from the program was that students were able to get necessary treatment as soon as possible (51.2%). Conclusions We found that Korean medicine is suitable for the program. However, the large-scale prospective study will be needed for validation of the findings.

• 한국콘텐츠학회논문지
• /
• 제16권12호
• /
• pp.507-517
• /
• 2016

본 연구는 중년여성을 대상으로 이들이 경험하는 외상사건의 유형과 특성을 살펴보고 이들이 외상 후 성장과 자기실현을 이루는 과정에서 애착이 미치는 영향을 탐색하고자 하였다. 연구 참여자는 서울, 경기지역의 중년여성 221명이었고 설문지는 외상경험 질문지, 애착 척도, 외상 후 성장 척도, 자기실현 척도로 구성되었으며, 중년여성의 외상경험 유형과 특성은 빈도분석을 실시하였고, 각 변인들 간의 관계를 분석하기 위해 상관계수와 구조방정식 모형검증을 통해 확인하였다. 주요연구 결과를 살펴보면, 첫째, 가까운 사람의 상실(사망, 이별, 이혼, 실연, 절교)이 중년여성들에게 일반적이고, 가장 큰 위기 사건으로 보고되었고, 둘째, 애착, 외상 후 성장, 자기실현 간의 관계를 살펴보면, 부 모안정애착, 영적변화는 인간성, 자기수용성의 하위변인을 제외한 모든 하위변인에서 상관이 있는 것으로 나타났다. 셋째, 구조방정식 모형검증 결과, 애착이 외상 후 성장과 자기실현에 정적인 영향을 미치고, 외상 후 성장이 애착과 자기실현을 매개하는 변인으로 나타났다.

• Perspectives in Nursing Science
• /
• 제16권2호
• /
• pp.84-97
• /
• 2019

Purpose: This study aimed to develop the Korean Prototype of Wellness Index (KP-WI) and identify the relationship between Koreans' health characteristics and wellness. Methods: The Wellness Index (WI) was translated into the primitive version of the KP-WI, considering the Koreans' culture and health behavior. It was administered to 223 service industrial employees at one workplace along with the Positive Affect and Negative Affect Schedule (PANAS) and Stress Questionnaire-Short Form. Data analyses included item-total correlation, Pearson's correlation coefficient, independent t-test, and one-way ANOVA. Results: The primitive version was modified to KP-WI based on the item-total correlation. The items considered to lower the reliability of the KP-WI were eliminated. Cronbach's ${\alpha}$ for each subscale ranged from .857 to .939. Perceived stress and negative emotions correlated significantly with wellness measured by KP-WI (r=-.29, p<.001; r=-.27, p<.001). Positive emotions correlated significantly with wellness (r=.60, p<.001). Conclusion: This study contributes to the development of Korean-style wellness indexes by developing a prototype and exploring the factors related to wellness.

• 해양환경안전학회지
• /
• 제23권6호
• /
• pp.661-668
• /
• 2017

본 연구의 목적은 혼산 화물의 폭발사고에 대한 화학반응 경로를 분석하는데 있다. 분석에는 사건-가지분석기법을 적용한 구조적인 시나리오를 이용하였다. 구조적인 시나리오는 재결서에 기록된 혼산 화물 사고의 내용에서 다양한 화학반응 경로를 추정하여 구축하였다. 분석에는 화학 이론에 의거한 정성적 분석과 화학 반응식을 이용한 정량적 분석 및 설문조사를 통한 확률적 분석 등 세 가지 방법을 혼합 적용하였다. 분석결과, 사고 발생의 주요 경로는 진한 황산과 물이 반응하여 폭발하는 경로, 혼산과 금속이 반응하여 폭발하는 경로, 특수한 물질과 합성하여 폭발하는 경로 등 세 가지로 나타났다. 이 결과는 재결서에 기록된 경로와 유사함을 알았고, 이를 통해서 본 연구에서 제안한 화학물질의 경로분석 기법이 타당함을 알았다. 본 연구에서 제안한 방법은 다양한 화학물질 사고의 화학반응 경로 추정에 적용 가능할 것으로 기대된다.

• 약학회지
• /
• 제58권3호
• /
• pp.208-222
• /
• 2014

Pharmacy practice experiences play a central role in improving the professional abilities and roles of student pharmacists in the changed '2+4'-year curricula of Korean pharmacy schools. For the first 3 years, the students usually learn theoretical areas, and for the last year, they apply learned knowledge to actual pharmacy practice environments. Especially, in order for community pharmacy practice experiences to become firmly established, it is important to evaluate students' feedbacks of community pharmacy practice experiences. However, there have been little studies regarding this area in Korea. This study was to analyze pharmacy students' perceptions and evaluations after community pharmacy practice experiences. The self-reported questionnaire using a 5-point Likert scale was utilized to collect data from the pharmacy students completing community pharmacy practice experiences. Total 62 students responded to the survey questionnaires. The average of students' evaluations of preceptors for overall evaluation items was 4.31 whereas that of student evaluations of practice sites for them was 4.03. The self-evaluations of students' expertises were mostly positive except for that of populations care. The evaluation item 'I believe this experience will help me be a better pharmacist' received the highest satisfaction. According to the results regarding open-ended questions, the students learned the needs for academic motivations and self-developments, and they thought that the curriculum should be standardized and systematized in order to improve contents for community pharmacy practice experiences. Furthermore, based on these results, the guidelines of community pharmacy practice experiences should be modified, and researches on the validation and evaluations of the modified guidelines should be implemented.