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An Analysis of Comparison between Autogenes Training and Imaginary Meditation by Heart Rate Variability and SCL-90-R (심박변이도 및 SCL-90-R 측정을 통한 자율훈련법과 과일 명상의 효과 비교 분석)

  • Suh, Jin-Woo;Kim, Jong-Woo;Chung, Sun-Yong;Kim, Ji-Young;Hwang, Eun-Young
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.35-44
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    • 2008
  • Objective: There are many meditation methods used in clinical field. But the effect of meditation may be different to people's mind, and meditation itself. Now we investigate this subject with two different meditation methods which has been analyzed by heart rate variability. Method: We tried to check people's heart rate who educated meditation, before educated and during the meditation. The meditation was educated differently for each group. One is the auto genes traning, and the other is the imaginary meditation by thinking about eating and smelling favorite fruits. All of them are used to oriental psychiatry clinic patients. And we simultaneously conduct people's emotional state by SCL-90-R. Result: The result in Autogene traning group has significant difference in total power and HRV-index score between before and during the training but in imaginary meditation group has no significance: Autogene traning group has a significance in low frequency score and has increased tendency with increasing tendency of Heart rate index and Total power. Through the SCL-90-R score, the higher depression t-score, the anxiety t-score, and the hostility score is, the HRV scores such as total power, low frequency, and HRV-index much increase. and so on. Conclusion: We can guess that the Autogenes training has more significant effect than the imaginary meditation. And we can also guess that as the emotional problem is getting more severe, the effect of meditation would be much better. And we finally suggest that we should make a standard guideline of imaginary meditation, cause the imaginary meditation has so many variation.

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A Study on the Relation Between Self Esteem and Mental Health in Middle School Students (청소년의 자아존중감과 정신건강에 관한 연구)

  • Choi, Eun-Young;Choi, In-Ryoung
    • Journal of the Korean Society of School Health
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    • v.15 no.1
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    • pp.63-72
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    • 2002
  • The purpose of this study was to find out the relationship between self-esteem and mental health in Middle school students, and provided basic data to develop a nursing program for the prevention of mental disease and the promotion of mental health in adolescence. Subjects were 153 students in the third year of three middle schools located in K city. Instruments used in this study were the self-esteem questionnaire developed by Choi, B. K. & Jun, G. Y.(1993) and the simplified SCL-90 developed by Lee, H. K.(1986) for measuring mental health. Data were analyzed by Cronbach's alpha, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient by using SPSS/PC+ program. It was found that the mean score of the self-esteem was 3.20. The score of self-esteem in family was high and the score of self-esteem in school was low. The mean score of mental health was 1.94. The scores of depression, obsessive-compulsive and interpersonal sensitivity were high, the scores of phobic anxiety and somatization were low. There were significant differences among religions (F=2.709, p= .032), and between personalities (t=-2.285, p= .024) with respect to self esteem. There were no significant differences between general characteristics variables and mental health. However there was significant negative correlation between the mean self-esteem score and the mean mental health score (r=-.431, p= .000). In conclusion, mental health is strongly related to self-esteem. If and adolescent who suffers from mental health is not received proper treatment, his or her mental health prohibits him from managing sound social life even after grown-up. Thus, nursing intervention in adolescence should be developed to enhance the self-esteem of adolescence and to help him raise sound mind.

Set the Cut Off Values for Diagnosing Heart Weak Children ; By Using K-CBCL Total Behavior Problems Score (심계 허약아 진단을 위한 절단값의 산정 ; K-CBCL 총문제행동점수를 기준으로)

  • Jeong, Min-Jeong;Lim, Jung-Hwa;Hwang, Bo-Min;Yun, Young-Ju;Kim, Ki-Bong
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.58-67
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    • 2010
  • Objectives: The objective of this study was to evaluate the correlations between the Weak Children Questionnaire result and K-CBCL score. Also, this study was designed to define the cut off values of Heart Weak Scores by using 'K-CBCL' which represents the total behavior problems scores 50T in order to detect Heart Weak in Children Methods: 271 elementary school students in Daejeon answered the questionnaire and the data was analyzed. Results: There were high correlations between Heart Weak Score and K-CBCL which in a total behavior problems scores. The cut off values of Heart Weak Score, K-CBCL, a total behavior problems scores 50T, were calculated by ROC curve analysis. To diagnose as a Heart Weak Children, the correspondent cut off values for Heart Weak Score were 11 in boys and 8 in girls. Conclusions: To diagnose as a Heart Weak in Children, the correspondent cut off values for Heart Weak Score were 11 in boys and 8 in girls.

Evaluation of Practice Education Using Checklists in Fundamentals of Nursing - Focused on measuring blood pressure on the upper arm and sterilized gloving(open method) - (체크리스트를 활용한 기본간호학 실기 교육평가에 관한 연구 - 상완혈압측정과 개방식 멸균장갑 착용과 벗기 중심으로 -)

  • Kim Yeong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.3
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    • pp.298-306
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    • 2005
  • Purpose: The purpose of this study was to examine satisfaction and dissatisfaction factors with the method of testing practice in Fundamentals of Nursing with the students using checklists. Method: Subjects were 251 students doing three month practice. Checklists by K Publishing were used to assess skill in measuring blood pressure and sterilized. Measure for satisfaction and dissatisfaction factors were developed by researcher through a literature review. Collected data were processed using SAS. Results: 1. Average score for satisfaction was $3.49{\pm}0.68$ for theoretical subjects of basic nursing, $3.44{\pm}0.72$ for practical subjects and $3.29{\pm}0.74$ for practice. Average score for interest was $3.71{\pm}0.73$, 2. Average score for general satisfaction was $3.52{\pm}0.56$, and the satisfaction factor with the highest score was 'It was helpful in improving practical skills after the test'(average $3.78{\pm}0.78$). Average Score for general dissatisfaction was $3.13{\pm}0.59$, and dissatisfaction factor With the highest score was 'As I did not think deeply, I don't know exactly what mistakes I made'(average $3.41{\pm}0.94$). 3. Students who wanted to study further in the future appeared to be satisfied with practical tests using checklists(F=2.04, p=.038), and students appeared to be dissatisfied with them when they didn't have enough time for practice(F=3.38, p=.010). Conclusion: Students' satisfaction was relatively high, particularly as the tests were seen as helpful in improving practical skills after tests.

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A Comparison of Effectiveness and Compliance among Alendronate Pharmaceutical Products in Koreans (한국인에 있어서 알렌드로네이트 제제의 제형간 유효성 및 순응도 비교)

  • Yoon, Ji-Won;Lee, Byung-Koo;Song, Young-Chun;Kim, Jae-Youn;Shin, Hye-Young;Lee, Yeon-Hong;Gwak, Hye-Sun
    • Korean Journal of Clinical Pharmacy
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    • v.18 no.2
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    • pp.114-119
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    • 2008
  • Alendronate is a bisphosphonate that selectively inhibits osteoclast-mediated bone resorption. Dosing convenience is an important element for the enhancement of patient compliance and the effective management of osteoporosis. The purpose of this study was to compare the effectiveness and compliance among alendronate pharmaceutical products (oral once-weekly alendronate 70 mg, daily alendronate 10 mg, and once-weekly alendronate 70 mg with Vitamin $D_3$ 2800 IU) in terms of the change in bone mineral density (BMD), biochemical markers, and compliance estimates. A retrospective chart review was conducted in patients with osteoporosis who received alendronate 70 mg (Group 1), alendronate 10 mg (Group 2), or alendronate 70 mg with Vitamin D3 2800 IU (Group 3) at the endocrinology department of a hospital in Korea from Jan. 1, 1998 to Mar. 31, 2008. The primary endpoints were the increases in spine antero-posterior BMD T-score and femur trochanter BMD T-score, and the compliance of alendronate products. Secondary endpoints included changes in bone turnover-related biochemical markers including bone-specific alkaline phosphatase, urinary N-terminal telopeptides (NTX) and osteocalcin, and in serum vitamin $D_3$ concentration. There was no statistical difference in the BMD increase among the three alendronate products; spine BMD T-score increased by $0.49{\pm}0.52$, $0.39{\pm}0.48$ and $0.50{\pm}0.41$, and femur trochanter BMD T-score by $0.29{\pm}0.42$, $0.21{\pm}0.53$ and $0.24{\pm}0.22$ in Group 1, 2 and 3, respectively. With respect to the increases in femur trochanter BMD T-score and the decreases in NTX and osteocalcin, 70 mg once-weekly group was remarkably superior to 10 mg daily group (p < 0.05) The compliance of 70 mg once-weekly group was significantly higher than that of 10 mg daily treatment group (p < 0.001). In conclusion, all three alendronate treatment groups were equivalent in effectiveness, and the compliance of 70 mg once-weekly group was better than that of 10 mg daily treatment group.

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The Effect of an Information using Computer Orogram on the Reduction of Anxiety in Coron Angiogram Subjects (컴퓨터를 이용한 정보제공이 관상동맥조영술 대상자의 검사 전 불안감소에 미치는 영향)

  • Jeong, Kyung-In;Choi, Soon-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.115-125
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    • 2003
  • This study was conducted to investigate whether a computer information offered in advance of the test would decrease anxiety degree in coronary angiogram subjects. The study design was a nonequivalent control group, none-synchronized design. The subjects of study were 53 patients who were admitted at C hospital in K city for coronary angiogram. The 53 subjects were assigned to experimental(25) and control(28) groups. The computer information set up by researcher was used as the experimental treatment and 10 minutes long. Spielberger's state anxiety scale translated by Kim and Shin(1978) and sphygmomanometer were used for data collection. The data were collected from July 1, 2000 to March 31, 2001, and analyzed by chi-square, paried t-test, t-test, ANCOVA, and Pearson's Correlation Coefficients using SPSS/PC+. The results of this study were summarized as follows : 1. The first hypothesis that 'post-test state anxiety score will be lower than pre-test state anxiety score in experimental group' was supported(t=2.40, p=.020). 2. The second hypothesis that 'post-test systole will be lower than pre-test systole in experimental group' was not supported(t=-.30, p=.765). 3. The third hypothesis that 'post-test Diastole will be lower than pre-test diastole in experimental group' was not supported'(t=-1.42, p=.161). 4. The fifth hypothesis that 'the experimental group who is given the computer information will be lower in state anxiety score than the control group who is not given the computer information' was supported(F=9.17, p=.004). 5. The sixth hypothesis that 'the experimental group who is given the computer information will be lower in systole than the control group who is not given the computer information' was supported (F=7.16, p=.010). 6. The seventh hypothesis that 'the experimental group who is given the computer information will be lower in diastole than the control group who is not given the computer information' was not supported'(F=.55, p=.462). 7. The eleventh hypothesis that 'the lower the post-test state anxiety, the lower the uneasiness score during the test' was not supported(r=-.013, p=.926). 8. The eighth hypothesis that 'the lower the post-test state anxiety, the lower the nervousness score during the test' was supported(r=.326, p=.017).

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Health Promoting Behavior of University Students and Related Factors (대학생의 건강증진해위 수행정도와 관련요인)

  • 김보경;정문숙;한창현
    • Korean Journal of Health Education and Promotion
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    • v.19 no.1
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    • pp.59-85
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    • 2002
  • The purpose of this study was to examine the health promoting behavior of university students and its related factors. A self-administered questionnaire survey was carried out for 1,031(male, 477, female, 554) students from 7 universities in Taegu from March 10 to April 15 2000. Collected data were analyzed by the $X^2$-test, t-test, ANOV A and structural equation modeling analysis. The results of this study were as follows; Mean score of health promoting behavior of women was higher than mean score of men(p〈0.01). According to the subordinate fields, female students showed significantly higher scores in the fields of stress management, nutrition, personal relations and alcohol-cigarette(p〈0.05). And in male students, the only fields of exercise had meaningfully higher score(p〈0.01). The highest degree of performance was marked in alcohol-cigarette field in female, and interpersonal field in male. In Both male and female students, the lowest field was health responsibility. The mean score of health promoting behavior showed significant differences in intermediating factors such as age, health education and grade in male, and such as grade, pocket money for a month, taking health education, perceived body shape and gastrointestinal symptoms in female(p〈0.05). The mean score of health promoting behavior showed significant differences in cognitive-perceptual factors and cues to action such as perceived health status, perceived benefits, perceived barriers, and health concern of parents in both male and female(p〈0.05). By the results of structural equation modeling analysis in male students, the economic status, gastrointestinal symptoms and perceived body shape as lean had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). In female students, perceived body shape as lean and perceived body shape as fat had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade, pocket money and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). On the consideration of above findings, it is recommended that perceived health status and perceived benefits should be raised and perceived barriers should be lowered to increase health promoting behaviors, by means such as institutional approach which can enhance the primary prevention for a disease. In addition, the health policy for improving parents' concern about health as well as university students, through various ways such as health education, consulting, and health program, should be employed.

A Study of the Effect of Structured Rehabilitation Education on the Stress of the Family with Stroke Patients (구조화된 재활교육이 뇌졸중환자 가족의 스트레스에 미치는 영향)

  • Kim, Byung-Eun;Lee, Jung-Min;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.1 no.1
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    • pp.22-39
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    • 1997
  • Purpose: The purpose of this study is to evaluate the effect of rehabilitation education on the reduction of the stress of family members who have patients suffering from stroke and to find a new way to nurse the patients and their family. Subjects & Methods: The subjects were sixty-one family members with the patients who had been hospotalized in K hospital of oriental medicine from september the 9th, 1996 to september the fourteen, 1996. This study was performed by simulated control group pretest-posttest design; pretest was done on the control group through a questionnaire, counselling and observation while posttest was done on the experimental group 1-2 days after systemic rehabilitation education. To teach the patients and their family, the amended version of a book written by Lee Hae-jin was used as a tool for systemic rehabilitation education. As a method to estimate ADL score, modified Kang's method was applied and ADL score was measured by well-trained technician. As for the tool to estimate the degree of family stress, Choi's method adjusted to this study was applied. In the analysis of the data, social property of the patient and the characteristic of the disease were surveyed in $X^2$ examination to confirm the consistency between the experimental group and the control group. The diffrence in the degree of the stress, which is a dependent factor, was examined by t-test. The difference in ADL score between the experimental group and the control group was examined by t-test. The difference in the degree of the stress according to the general feature of the family with stroke patient, social property of the patients and the characteristic of the disease were surveyed by F examination. The difference in family stress according to the degree of ADL was surveyed by F examination. RESULTS: 1. After hypothetically-examined systemic rehabilitation education, the total of the score of family stress surveyed in 34 items of three domains was compared between the experimental group and the control group. There was no statistically significant difference between two groups; mean score of experimental group=2.28, that of control group=2.93(t=.17, df=59, p=. 66). 2. In the survey on family stress in 34 items, the items over mean score 3.0 were firstly the anxiety of possible disability and relapse of the disease and secondly to watch the patient's suffering without doing anything in the domain of the change of the disease and the difficulty in caring. And the items of the lowest stress with less than mean 2.0 score were little chance to meet the relative and friends, inconsistent treatment and attitude of the medical workers and the change of the attitude of the relative due to the patient orderly in the domain of social and personal relation and the responsibility as the family. The items which showed the difference between two groups were aggravation of neighboring patient(t=3.36, df= 59, p=.001) and the possibility of patient's death(t=2.19, df=58.38, p=.033) in the domain of the change of the disease and the difficulty in caring. 3. In the study on the stress difference according to general features of the family with the stroke patient, the score of family stress with the occupation was higher with mean 2.49 than that of the family stress without occupation with mean 2.16, but there was no significant difference. (F=5.21, df=1/59, p=.026). 4. In the study on the stress difference according to social property of the patient and the characteristic of the disease, there was significant difference in the age of the patients (F=2.98, df=3/57, p=.039). These results show that even if there is no statistically significant difference between two groups, sixteen of the experimental group are less than 3.0 in ADL score(standard 6 score)while eight of the control group are less than 3.0 and that ten of the experimental group are in the year range of 39-49 while four of the control group are in the year range of 39-49 which showed significant difference in family stress. These imply that there is a possibility that the experimental group have serious and fundamental stress resulting in high pretest stress compared with the control group. It might be due to the characteristic of simulated control group pretest-posttest design that the psychologic-supportive effect by the education was not observed. On the basis of these results, the followings are suggested. 1) A study on the nursing-mediated method to reduce the stress in the items which are not resolved by rehabilitation education, a study on nursing according to the patient's age and a study on the supportive nursing toward the family with occupation are required. 2) More than two times consecutive nursing-mediated rehabilitation education to measure the family stress is required. 3) Comprehensive and multilateral systemic education program including the instruction on western-eastern medicine, physical therapy, exercise and diet through collaboration of the experts in each field is required. 4) Family stress at home as well as in the hospital needs to be estimated and home rehabilitation and home-nursing needs to be continued.

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Suggestion of Heavy Snow Risk Analysis in Seoul (서울시 폭설위험도 평가방안)

  • Lee, Sukmin;Bae, Yoon-Shin;Park, Jihye
    • International Journal of Highway Engineering
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    • v.16 no.3
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    • pp.59-66
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    • 2014
  • PURPOSES : This study is to suggest heavy snow risk analysis in Seoul. METHODS : Recently, the increase of extreme weather caused by global warming raises the occurrences of unpredictable natural disasters and the loss potential of human disasters by land use facilities accumulation. It is necessary to develop the risk analysis for the natural and human disasters. RESULTS : In this study, heavy snow risk analysis among natural disasters in Seoul was suggested. The spatial unit of risk analysis level was established for the lines and administrative districts. CONCLUSIONS : The risk analysis was performed using risk matrix of disaster occurrence score and disaster damage score. The components affecting the risk disaster analysis by types were analyzed and the application of heavy snow risk analysis was suggested.

The Effect of Health Education on the Performance of Health Promoting Behavior in E.M.T. Students (건강관련 과목이수가 대학생의 건강증진 생활양식에 미치는 변화에 관한 연구)

  • Lee, In-Soo;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.7-16
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    • 2000
  • The purpose of this study to test the effect of health education on the performance of health promoting behavior in E.M.T. students. The data were collected from 77 EMT students by questionnaire. The first survey were conducted from March 20 to April 2. The second survey were conducted from August 8 to September 5 on same group. The data were analyzed by pecentage, mean, t-test using SAS program. The result of this study were as follows : 1. The average item score for the health promoting was 2.35 at freshman. 2. The average item score for the health promoting was 2.59 after one year on same group. In the subcategories, the highest degree of performance was personal relationship support, self-actualization, stress management, nutrition and health responsibility and the lowest degree was sports. 3. Hypothesis that the EMT student who get health education will have a higher degree of health promoting behavior than the freshman EMT student was accepted.

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