• 지역사회간호학회지
• /
• 제14권1호
• /
• pp.16-23
• /
• 2003

Purpose: The purpose of this study was to investigate the effects of music therapy on depression, balance, and flexibility in the elderly. An experimental group consisting of 23 people, was given music therapy for 90 minutes per a week for 6 weeks, while a control group consisting of 21 people, was not given music therapy with quasi-experimental design. Result: The result of the study show that music therapy is effective for decreasing depression and improving flexibility in the elderly. However, this study found no significant differences in balance between the experimental and the control groups. Conclusion: Despite one part, nursing intervention of music therapy to adapt Rhythm for Life elevated the strength of the elderly's body and showed decrease in depression. Therefore the Music therapy Program improves the quality of life in the elderly.

• 대한간호학회지
• /
• 제48권2호
• /
• pp.208-220
• /
• 2018

Purpose: The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention. Methods: A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero. Results: There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups. Conclusion: The results indicated that the neurofeedback training is effective in stress-biomarkers, psychoemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

• 대한물리의학회지
• /
• 제6권3호
• /
• pp.361-368
• /
• 2011

Purpose : The aims of this study was to identify the activation of the mirror neuron system during action observation in people with stroke and the difference between left hemisphere and right hemisphere and to provide possibility of the use of action observation as a clinical method for improving motor function after stroke. Methods : Seventeen participants were asked to observe 3 different stimulation conditions for 80 seconds. A 30 second rest period was given between stimulations. Electroencephalogram(EEG) signals from electrodes on the participant's scalp were recorded during action observation. The activation of the mirror neuron system(MNS) between the picture observation condition and action observation condition was compared with a paired t-test. An independent t-test was used to compare difference between C3 and C4 on the activation of the mirror neuron system in the action observation condition. Results : Result of paired t-test showed a significantly decreased log ratio in the activation of the mirror neuron system in the action observation condition compared to the picture observation condition. Result of the independent t-test indicated no significant differences in the activation of the mirror neuron system in the right and left hemisphere. Conclusion : The mirror neuron system showed greater activation in the action observation condition than in the picture observation condition and activation in the both hemisphere during action observation. We conclude that these findings suggest that this may possibly be an efficient clinical intervention method for improving motor function.

• 인간행동과 음악연구
• /
• 제15권2호
• /
• pp.69-92
• /
• 2018

본 연구는 노래만들기 중재가 인공와우이식청소년의 자기표현 능력 향상을 가져오는지 알아보기 위한 사례연구이다. 본 연구의 노래만들기 중재는 인공와우이식자의 음악지각에 관한 선행연구 결과를 반영하여 CI이식청소년의 성공적인 자기표현 경험을 위해 구성되었다. 단계적으로 구성된 노래만들기와 음악테크놀로지(예, iPad의 GarageBand)가 활용되었다. 두 명의 CI이식청소년이 연구에 참여하였고, 중재는 주 1회씩 총 8주간 제공되었다. 결과분석을 위해 중재 과정 중 변화 양상이 중요함에 따라 자기표현과 관련한 언어적 비언어적 행동과 음악적 반응의 변화를 서술하였다. 연구 결과 노래만들기 중재에 참여한 대상자들은 공통적으로 음악을 통한 자기표현의 자신감 향상과 단순한 자기표현에서 자신의 정서 및 의견을 표현으로의 변화가 관찰되어, 자기표현 능력의 향상에 긍정적인 변화를 확인할 수 있었다. 결과적으로 인공와우이식에 따른 청지각적 특징을 반영한 음악 중재가 성취감 및 긍정적인 자기표현 경험을 도울 수 있음을 확인하였으며, 이는 추후 인공와우이식자를 대상으로 노래만들기 연구가 지속적으로 수행될 필요가 있음을 시사한다.

• 성인간호학회지
• /
• 제12권4호
• /
• pp.560-572
• /
• 2000

This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

• The Journal of Korean Physical Therapy
• /
• 제31권5호
• /
• pp.266-272
• /
• 2019

Purpose: This study compared the effects of Static stretching and Mulligan's Two-leg rotation about the Hamstring flexibility, Hip range of motion, and pain. Methods: The subjects were allocated randomly into two groups: Static stretching group (n=13) and Mulligan's two leg rotation group (n=14). The study was designed with stretching protocols for four minutes and thirty seconds per day five times a week for three weeks in total. Measurements, including the Sit and reach test, Active/Passive Straight leg raise, and Visual analogue scale, were conducted before and after the intervention. The data were analyzed using a paired t-test and independent t-test. Results: The flexibility of the two leg rotation group was higher than the static stretching group after the intervention. The post-sit and reach test value of the two leg rotation group was significantly higher than the pre-sit and reach test value of the static stretching group. In addition, the variance of the sit and reach test of the two leg rotation group was significantly higher than that of the static stretching group. Conclusion: These results showed that two leg rotation techniques have a positive effect on the changes in the sit and reach test and active straight leg raise test. Two leg rotation techniques can be recommended as a self-stretching and easier way to stabilize the lumbopelvic rhythm, reduce the stiffness of the muscle and relieve pain. This is effective in preventing muscle damage, enabling muscle relaxation and reducing the risk of injury to the spine during daily lives and in sports activities.

• 인간행동과 음악연구
• /
• 제16권1호
• /
• pp.25-46
• /
• 2019

본 연구는 중환자 보호자의 불안 감소를 위해 단회기 노래중심 음악치료를 적용한 예비연구로, 총 6명의 중환자 보호자가 음악치료 세션에 참여하였다. 노래중심 음악치료 중재는 초반에 대상자의 현재 정서 상태를 확인하고, 신체적 이완촉진 및 심리적 저항감을 줄이기 위한 음악듣기 혹은 음악에 맞추어 악기(톤차임)를 연주하는 단계를 진행하였고, 이후 노래중심 활동에서는 노래 가사에 대해서 토의하고 실제로 노래를 부르는 과정이 진행되었다. 가사에 대해 토의하면서 대상자가 자신에게 의미 있는 메시지를 확인할 수 있도록 하였고, 노래부르기 동안에는 연구자가 대상자의 정서 상태에 따라 음악 요소(템포, 다이내믹, 리듬, 화성 등)를 조정하며 제공하는 반주에 맞춰 선택된 노래를 부르도록 하였다. 대상자의 변화를 확인하기 위해 참여 전후로 상태불안 척도(STAI) 및 정서 상태에 대한 VAS 척도를 측정하였으며, 중재 과정에서 관찰된 대상자의 언어 반응 역시 분석하였다. 연구 결과, 중재 후 대상자들의 STAI 점수가 유의하게 감소한 것으로 나타났다. 또한 대상자들이 지각하는 정적 정서상태는 유의하게 증가하였고, 단회기 치료과정에서의 심리적 변화에는 개인적 편차가 있는 것으로 나타났다. 결과적으로 단회기 노래중심 음악치료가 중환자 보호자의 불안을 포함한 심리정서적 필요에 효과적으로 개입할 수 있는 가능성을 확인할 수 있었다.

• 중환자간호학회지
• /
• 제7권2호
• /
• pp.14-23
• /
• 2014

Purpose: The purpose of this study was to provide basic information to develop appropriate nursing guidelines for cardiac telemetry. Methods: This retrospective research was conducted to identify the current usage of cardiac telemetry and considered 1,000 patients hospitalized for telemetry. The collected data were analyzed using IBM (SPSS Statistics for Windows 21.0). Results: Four-hundred and ninety-two patients (49.2%) were diagnosed with arrhythmia and 209 (20.9%) with heart failure. Electrocardiogram (ECG) rhythm changes were detected via telemetry in 464 cases. Major arrhythmias were ventricular tachycardia (183, 39.4%) and bradycardia (99, 21.3%). Interventions after detecting arrhythmia were cardioversion (16, 3.4%), defibrillation (1, 0.2%), and cardiopulmonary cerebral resuscitation (5, 1.1%); other patients were treated conservatively with close observation (381, 82.1%). Conclusion: There was appropriate intervention in 46.4% of the considered cases with the detection of ECG changes before patient notification, which implied that cardiac telemetry could be considered for application to patients with hemodynamic instability. Clear standards and guidelines are required to determine who requires telemetry and when to end the telemetry monitoring.

• Physical Therapy Rehabilitation Science
• /
• 제10권4호
• /
• pp.463-469
• /
• 2021

Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.

• 한국콘텐츠학회논문지
• /
• 제14권8호
• /
• pp.319-328
• /
• 2014

본 연구는 대학생들의 일주기 리듬, 학습몰입 및 피로를 조사하고 일주기 리듬 유형에 따른 학습몰입과 피로의 차이를 파악하기 위한 것이다. 본 연구는 서술적 조사 설계를 이용하였으며 연구대상자는 5개 대학에 재학 중인 224명의 학생을 대상으로 편의표집 하였다. 자료는 2013년 5월부터 6월 사이에 Morningness-Eveningness Questionnaire-Korean(MEQ-K), 몰입상태척도, 피로사정척도를 이용하여 조사하였다. 조사결과 대상자의 51.8%가 중간형이었으며, 아침형은 4.0%로 나타났다. 일주기 리듬 유형에 따른 학습몰입과 피로의 차이를 비교한 결과 아침형에 비해 저녁형이 학습몰입의 정도는 낮은 반면 피로의 정도는 높았다. MEQ-K 도구를 이용하여 구분한 일주기 리듬 유형과 대상자 스스로가 평가한 자신의 일주기 리듬 유형을 비교하였을 때 대상자의 32.1%에서 두 가지 유형이 일치하지 않았다. 따라서 대학생들이 자신의 일주기 리듬을 실제와 다르게 인식할 경우 잘못된 인식으로 일주기 리듬과 실제 생활리듬이 불일치할 가능성이 있으므로 대학생들이 자신의 일주기 리듬을 정확하게 이해할 수 있는 중재프로그램이 필요한 것으로 판단된다.