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Influence of Academic Self-efficacy, Critical Thinking Disposition, and Learning Motivation on Problem Solving Ability in Nursing Students (간호대학생의 학업적 자기효능감, 비판적 사고성향, 학습동기가 문제해결능력에 미치는 영향)

  • Kim, Mi Young;Byun, Eun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.376-383
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    • 2019
  • This study was conducted to investigate academic self-efficacy, critical thinking disposition, and learning motivation, which influence problem solving ability in nursing students. Data were collected from June 4, 2018 to June 29, 2018, and the final 213 data points were used for analysis. The SPSS/WIN 22.0 program was used to conduct descriptive statics, Pearson's correlation coefficient, t-tests, ANOVA, Scheffe's test and multiple regression analysis. The problem solving ability according to the general characteristics differed among residential type (F=3.930, p=0.021) and satisfaction with major (F=4.618, p=0.011). In the correlation between academic self-efficacy, critical thinking disposition, learning motivation, and problem solving ability of the subject, academic self-efficacy (r=0.573, p<0.001), critical thinking disposition (r=0.620, p<0.001), and learning motivation (r=0.563, p<0.001). The factors affecting the problem solving ability of the study subjects were major satisfaction (${\beta}=.117$, p=0.036), academic self-efficacy (${\beta}=0.314$, p<0.001), critical thinking disposition (${\beta}=0.318$, p<0.001), and learning motivation (${\beta}=0.217$, p=0.004), with an explanatory power of 45.2%. In this study, it is necessary to confirm the effects of the development of the intervention program and the application of the program, which can improve the problem solving ability of nursing students.

The Characteristics and Types of Psychiatric Consultation for Insomnia Symptom in Hospitalized Patients (불면증으로 의뢰된 입원환자의 임상적 특징 및 협진 유형 분석)

  • Jeon, Hansol;Ryu, Seung-Ho;Ha, Jee Hyun;Jeon, Hong Jun;Park, Doo-Heum
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.68-73
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    • 2018
  • Objectives: The purpose of this study was to explore insomniac demographic characteristics and the type of consultation provided to hospitalized patients asked to the Department of Psychiatry for insomnia and to compare patient insomnia characteristics by consultation type. Methods: We performed a retrospective chart review of 4,966 patients who were hospitalized from August 1, 2005 to December 31, 2011 that received consultation in the Department of Psychiatry. Among them, 236 patients were referred for insomnia. We compared the differences in demographic characteristics and types of consultation between the insomnia patient group and other patient group. We also compared the difference between demographic characteristics and type of consultation by dividing total subjects into 'with reconsultation' and 'without reconsultation' groups. Results: Our results came from the analysis of 9,689 consecutive consultation requests. There were 4,966 patients that participated in the study over 6 years and 6 months. The overall consultation rate was 3.3% of all admissions and insomnia patients comprised 4.8% of those. The ratio of re-consultation for insomnia was 27.5%. There was no significant difference in mean age between the insomnia 'with reconsultation group' and the insomnia 'without reconsultation group', but the 'with reconsultation' group had significantly more male patients and medical patients than the 'without re-consultation' group. For insomnia patients, consultation types were in the order of Mending request (51.3%), Paralle request (36.6%), Complementary request (9.0%) and this composition differed from that of total admission patients. Conclusion: Hospitalized patients referred for insomnia showed a higher proportion of male patients, lower rates of re-consultation compared with other patients, and most of these were for secondary insomnia. Each doctor should be aware of the possibility of inpatient insomnia, conduct positive assessments and referrals as necessary, and psychiatrists who might be asked for consultation need to prepare an active intervention with initial diagnosis and treatment, as well as recommendations for the timing of reconsultation.

A Study on Archiving Science Focused on Representation - Putting in, Managing, and Viewing (재현 중심의 기록학 - 담기, 관리하기, 보기)

  • Ryu, Han-jo;Lee, Hee-Sook
    • The Korean Journal of Archival Studies
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    • no.24
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    • pp.3-40
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    • 2010
  • In recent time, archival science has been in charge of positively preserving and handling with valuable things, as well as managing established ones, However, even though several archival methodologies that manage contexts among tasks, organizations and subjects exist nowadays, there is a lack of theoretical methodology on archiving focusing on valuable things. In this sense, this article dealt with a theoretical methodology which carries out archiving valuable things and represents it based on the value of records. Also, this paper, which covers a methodology that carries out archiving and representing one focusing on the value of the one to preserve, is divided into three chapters: putting in, managing, and viewing. To begin with, in the chapter of purring in, the methodology of documentation based on a strategy to distinguish and represent the value of the valuable things were explained. In addition, the article tried to explain the definition of how the valuable things based on the value of it can be put in, and presented how to divide the one for representation into the objet and the activity so as to provide an effective approach. At the same time, as this paper took an approach to the value of the one, it proposed a way to be able to do archiving effectively by applying a representation unit which has its own value. Secondly, in the chapter of managing, representation class and metadata for managing with a representable structure was considered. Metadata categories were illustrated in order to present the class from individual records to final representation valuable things and to make representation with ease. Furthermore, in the chapter of viewing, the process of representation using theoretically archived records was explained. In fact, viewing is the descriptive domain in general, yet this paper focused on the conceptional part. As a consequence, in this paper, a series of process was considered, which starts from how the subject of representation was archived to managing it. Moreover, the process has a meaning by itself in that it gives a practical method to be applied. Finally, the paper suggested that the argumentation on representation be expanded in the field of archival science so as to present theoretical grounds in this sort of work.

A Study on the Effects of Art Therapy on the Dementia Elderly (치매노인의 집단미술치료 효과에 관한 연구)

  • Lee, Hyun Sim;Kim, Seong Yong
    • 한국노년학
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    • v.28 no.4
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    • pp.1279-1295
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    • 2008
  • This study was done to find out the effects that group art therapy would have on low rank cognitive functions and the self-esteem of the elderly with dementia. The study subjects were four elderly females with light dementia symptoms who scored lower than 19 points on the MMSE-K(Mini Mental State Examination-Korea) test. They were chosen from the ${\bigcirc}{\bigcirc}$ Senior Welfare Service Center located in Seoul. A total of 15 sessions of a group art therapy were given once a week for 60 minutes from January 15th to April 30th of 2008, the research tools employed were the MMSE-K and the Rosenberg Self-Esteem Scale on which a pre-test and a post-test were given. The results obtained are as follows. First, it was shown that group art therapy is effective to improve the cognitive functions of the elderly with dementia. According to the pre-tests and post -tests based on MMSE-K, the average score improved from 16.75 to 19.75, using Wilcoxon non-parameter statistics, verification resultant p-value which significant difference exhibited as .046, from the pre-tests and post-test, the average score improved in the subordinate areas of Orientation, Registration, Attention and Calculation, language function, understanding and judgment but there was no significant difference, memory recollection improved by a score of 0.70 according to the pre-test and post-test. using Wilcoxon non-parameter statistics, the verification resultant p-value which significant difference exhibited as .043. Second, it appeared with the fact that group art therapy effects the Self-Esteem of the elderly with dementia. From the verifications of a pre-test and post-test on Self-Esteem, the average score improved from 20.75 to 24.25, the effectiveness of the program was given proven by statistically considering the statistical resultant p-value of .048.

A study of prostate symptom, sleep quality and quality of life in the community-dwelling korean elderly (남성 노인의 전립선 증상, 수면의 질, 삶의 질에 관한 연구)

  • Shin, Kyung-Rim;Kang, Younhee;Shin, Mee-Kyung
    • 한국노년학
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    • v.28 no.4
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    • pp.1041-1054
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    • 2008
  • This study aimed to identify the severity and types of prostate symptom, to identify the relationship of prostate symptom, sleep quality and quality of life of the elderly in korea, so to provide basic data for developing nursing interventions for the elderly's prostate symptom management. This study used a descriptive correlational research design. The subjects of this study were 100 elderly men over 65yr in an urban city. Data were collected through personal interviews using questionnaires from September 2006 to March 2007. The IPPS, PSQI and SF-36-K were administered. The collected data were analyzed by descriptive statistics and Pearson's correlation. The major findings of this study were as follows: 1) 44% of the participants have moderate to severe Prostate symptom(IPSS>7). 2) Prostate symptom has positive relationship with sleep quality(r=.272, p=.006) and negative relationship with health related quality of life(r=-.197, p=.049). The results of this study indicate that prostate symptom is related to sleep quality and quality of life. So it is necessary to give information to the elderly about the effective coping method of prostate symptom and about the life style which have positive effect to prostate symptom.

Correlation of Unmet Healthcare Needs and Employment Status for a Population over 65 Years of Age (65세 이상 인구의 고용형태와 의료요구 미충족 경험률의 관련성)

  • Kang, Jeong-Hee;Kim, Chul-Woung;Seo, Nam-Kyu
    • 한국노년학
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    • v.37 no.2
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    • pp.281-291
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    • 2017
  • The present study aimed to investigate the rate of unmet healthcare needs for elderly over the age of 65 years, as well as analyze the relevance between employment status and unmet healthcare needs due to financial reasons. With regard to the study method, a logistic regression analysis was performed to investigate the correlation between employment status and unmet healthcare needs due to financial reasons, targeting 5,528 subjects over the age of 65 years. The results showed that the rate of unmet healthcare needs was 18.9%, in which the rate of unmet healthcare needs due to financial reason was 8.1%. The rate of unmet health needs was higher for temporary workers(ORs=1.75) than for retirement workers. However, the rate of unmet healthcare needs caused by financial reasons was higher among day workers(ORs=1.92). In conclusion, in order to prevent unmet healthcare needs for senior Korean patients, it is necessary to not only improve the income security system for the elderly, but also improve the occupational form and level of income of these economically active citizens, considering the increase in average life expectancy. Moreover, it is also necessary to reinforce health insurance coverage systems for settling medical expenses.

The Effect of Qigong Exercise on SF-36 and Psychological Factors of Middle-aged Obese (기공 운동이 비만인의 건강관련 삶의 질(SF-36)과 심리적 요인에 미치는 영향)

  • So, Wi-Young;Seo, Han-Kyo;Choi, Dai-Hyuk;Shin, Hyun-Jung;Cho, Eun-Hyo;Yoo, Byoung-Wook;Jun, Tae-Won
    • 한국노년학
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    • v.30 no.1
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    • pp.21-30
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    • 2010
  • Obese people experience dissatisfaction of body, depression, anxiety, and emotional disturbance by social prejudice and discrimination, further they represent decline of health-related quality of life. Exercise therapy is recommended as one of the positive treatments to improve the emotional pain of obese people. This study is to provide guideline of exercise prescription for obese people by investigating the effects of qigong exercise on psychological factors such as health-related quality of life (SF-36), self-efficiency, depression, anxiety, and fatigue in obese people. The subjects of this study were 50~60s adults participated in Golden-Wellbeing program at S university in G gu of S city and were devided into exercise (N=17) and control (N=16) group. Qigong exercise was performed twice per week for 12 weeks and SF-36, self-efficiency, depression, anxiety, and fatigue were measured before and after 12 weeks of exercise. In the 8 items of SF-36 before and after 12 weeks of qi-gong exercise, there was no significance in role limitation-emotional (F=0.187, p=0.668), mental health (F=2.043, p=0.163) between groups, but there was significance in physical functioning (F=15.151, p<0.001), role limitation-physical (F=18.278, p<0.001), social functioning (F=4.957, p=0.033), vitality (F=11.485, p=0.002), bodily pain (F=6.623, p=0.015), and general health (F=4.498, p=0.042) between groups. Also, anxiety (F=0.631, p=0.433) was not significant, whereas self-efficiency (F=6.124, p=0.019), depression (F=5.109, p=0.031), fatigue (F=7.998, p=0.008) was significant between groups. Even though qigong is slow motion and low intensity of exercise, it was found that qi-gong has exercise effect which induces mental and psychological improvement through this study.

The Life Experiences of the Deaf Elderly (농아노인의 생활 경험)

  • Park, Ina;Hwang, YoungHee;Kim, Hanho
    • 한국노년학
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    • v.36 no.3
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    • pp.525-540
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    • 2016
  • The purpose of this study was to investigate what kind of experiences the deaf elderly would have in the course of life. It also aimed to promote the understanding of their living difficulties and culture among people with normal hearing and provide basic data to help them live with others as members of the community. Phenomenological qualitative research was conducted as part of the methodology. The subjects include seven deaf old people. Based on the results of in-depth interview and analysis, the life experiences of the deaf elderly were categorized into "unforgettable wounds," "life in the community," "life with the family," "marriage of the deaf elderly", and "living by adjusting to reality." First, the subcategories of "unforgettable wounds" include "receiving no treatment for fever," "damage by the Korean War," "alienation from the family," and "people's cold eyes." It turned out that the deaf elderly had led a life, suffering from the heart wounds that they could not forget. Second, the subcategories of "life in the community" include "inconvenience in life," "disadvantages in life," and "severed life." The deaf elderly were not only subjected to inconvenience and disadvantages in life, but also suffered loneliness, being cut off from the community. Third, the subcategories of "life with the family" include "not communicating with children," "being abandoned again," "being used by the family," "being lonely even with the family," and "wishing to live independently from the family." The deaf elderly were not supported by their families and were abandoned or used by them, leading a solitary life. Fourth, the subcategories of "marriage of the deaf elderly" include"send as a surrogate mother," "frequent remarriage and divorce," "lean on as a married couple." Deaf elderly form their own culture of the marriage and lean on each other. Finally, the subcategories of "living by adjusting to reality" include "getting help from neighbors," "behaving oneself right in life," "learning Hangul," "living by working," "living freely," "living by missing," and "controlling the impulse to end life," "resorting to religion." The deaf elderly made the most alienated and vulnerable group with no access to benefits due to their limitations as a linguistic and social minority, but they made efforts to form their own culture and adjust to reality for themselves. Based on those findings, the study made the following proposals: first, there is a need for practical approaches to heal the ineffaceable wounds in the hearts of deaf elderly. Second, there is a need for policies to help them experience no inconvenience and disadvantages as members of community and communicate with people with normal hearing. Third, there should be practical approaches to enable them to get recognition and support from their families and share love with them. Finally, there should be practical policy approaches to help people with normal hearing understand the culture of deaf elderly and assist the deaf elderly to receive supports from the community and live with others within the community.

The influence of the decision making time by using point-of-care creatinine in patients with acute abdomen (급성 복증 환자에서 현장검사 크레아티닌을 이용한 의사결정 시간의 단축)

  • Choi, Younhyuk;Cho, Sunguk;Ahn, Hongjoon;Min, Jinhong;Jeong, Wonjoon;Ryu, Seung;Oh, Segwang;Kim, Seunghwan;You, Yeonho;Lee, Jinwoong;Park, Jungsoo;Yoo, Insool;Cho, Yongchul
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.663-670
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    • 2018
  • Objective: Radio-contrast abdomino-pelvic computed tomography (APCT) is considered the gold standard diagnostic tool for an acute abdomen in the emergency department. On the other hand, APCT has a risk of contrast-induced nephropathy. Emergency physicians evaluate the creatinine (Cr) level prior to taking a APCT for the above reason but it takes time to evaluation the serum Cr level. This study hypothesized that Cr measured by a point-of-care test (POCT) can shorten the time to making clinically important decisions for patients with an acute abdomen. Methods: This prospective randomized study was conducted between March 2017 and October 2017. The subjects were divided into two groups (Cr measured by laboratory vs. Cr measured by POCT). To analyze the clinical acceptability for creatinine, agreement was demonstrated graphically by Bland-Altman plots. This study compared the time to make a clinically important decision by physicians and the length of stay at the emergency department in both groups. Results: A total of 76 patients were eligible for the study, 38 patients were assigned to each group. There was no statistically significant difference in the time to the first medical examination (P=0.222) and emergency department stay time (P=0.802). On the other hand, the time to recognition of the Cr level (P<0.001), time to performing APCT (P<0.001), time to decision making (P<0.001), and time to initiation of treatment (P<0.001) were shortened significantly in the point-of-care creatinine group. Conclusion: In this study, the POCT for creatinine can allow rapid decision making by shortening the time to performing the radio-contrast APCT than the laboratory for patients with an acute abdomen.

The Effect of Feeding Managements on Physiological Characteristics, Productivity and Characteristics of the Loin Muscle of Jeju Cross-bred Horses (사양환경이 제주산마(제주마×더러브렛)의 생리적 특성과 생산성 및 등심근 특성에 미치는 영향)

  • Woo, Jae-Hoon;Son, Jun-Kyu;Yang, Byung-Chul;Kim, Nam-Young;Shin, Sang-Min;Shin, Moon-Cheol;Yoo, Ji-Hyun;Park, Nam Geon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.38 no.4
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    • pp.273-279
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    • 2018
  • This experiment was conducted to investigate the effects of individual management and group management of Jeju cross-bred horses on the physiological characteristics, productivity, and characteristics of the loin muscle of the horse meat. Sixteen herds of Jeju cross-bred horses older than 44 months were selected as experimental subjects. The experiment was conducted by dividing the herds into eight herds for individual management and another eight herds for group management. Herds were fed with concentrated feed of 2.5% of the body weight for four times a day and roughage and water were fed ad libitum. In the 12th week, the intestinal pH was statistically significantly lower with group management than with individual management (p<0.05). However, no symptoms of colic were observed. With regard to the general composition of the loin muscle, fat content was a statistically significant difference between the 7.83% with individual management and 5.65% with group management (p<0.05), indicating that individual management is more effective than group management in terms of fattening. In conclusion, feeding a concentrated feed at a level of 2.5% of body weight with individual management during fattening of Jeju cross-bred horses could be utilized as a fattening method.