Earticle

Purpose: The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgerypatients. Methods: A group of experts developed an early exercise program based on the exercise guidelines ofspine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental groupor a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily livingactivity disorders were measured by self-administered questionnaires. The lower extremity strength was assessedby thigh circumference and the number of standing up from a chair within 30 seconds. Results: The experimentgroup had significantly lower scores in back pain and daily living activity disorders than the control group. The numberof standing up from a chair significantly increased in the experimental group. Conclusion: Our early exerciseprogram was effective in decreasing the back pain and daily living activity disorder and increasing the strength oflower extremity among lumbar surgery patients. The early exercise program should be considered as a nursingintervention in clinical settings for lumbar surgery patients.

목적: 본 연구는 슬관절 전치환술 후 조기 슬관절 운동 교육 프로그램이 환자의 통증, 슬관절가동범위, 환자만족도에 미치는 효과를 파악하기 위하여 시도되었다. 방법: 연구설계는 비동등성 대조군 전후 시차 설계이며 연구대상자는 실험군 32명, 대조군 32명이었다. 실험군은 체계적인 지속적 수동운동(CPM) 운동과 슬관절 운동을 포함한 슬관절 운동 교육프로그램을 받았다. 대조군은 관례대로 행하던 CPM 운동이 적용되었다. 슬관절 통증, 굴곡과 굴곡구축 관절운동범위, 환자만족도는 SPSS 23.0 Window 프로그램을 사용하여 χ²-test, Fisher's exact test, t-test, 및 반복측정 분산분석(ANOVA)으로 분석하였다. 결과: 슬관절 굴곡과 환자만족도는 대조군보다 실험군에서 유의하게 증가하였다. 통증과 굴곡구축은 두 군 간에 유의한 차이가 없었다. 결론: 본 연구에 적용된 교육 프로그램은 슬관절 전 치환술 후 간호에 효율적이고 효과적임을 시사한다.

Purpose: This study was conducted to evaluate the effects of early knee joint exercise education program on pain, knee ROM, and satisfaction among patients with a total knee replacement arthroplasty. Methods: An experimental study with non-equivalent groups was conducted using 32 patients for an experimental group and 32 patients for a control group. The experimental group received knee joint exercise education including systemic continuous passive motion (CPM) exercise and knee exercise. The control group received conventional CPM exercise. Pain, flexion and flexion contracture range of motion, and patient satisfaction were evaluated by x2 test, Fisher's exact test, t-test, and repeated measures ANOVA using the SPSS 23.0 Windows program. Results: There were a significant improvement in patients' knee flexion and satisfaction in the experimental group compared to the control group. There was no significant difference in pain and flexion contracture between the two groups. Conclusion: The findings suggest that the proposed education program is efficient and effective when providing nursing care after a total knee replacement arthroplasty.

Purpose: This study was to determine the effects of a early exercise program on the pain, disability and balance after single-level lumbar discectomy. Methods: Forty patients were randomized into experimental(N=20) and control(N=20) groups. Three days after surgery, patients in the experimental group undertook a 4-week exercise program. Assessments were performed in all patients during the week before surgery and at 4 weeks after. The assessment included measures of back and leg pain(VAS), Oswestry disability index(ODI), stability index(SI) and weight distribution index(WDI). Results: At 4 weeks, VAS, ODI, SI, WDI were significantly reduced in both groups(p<.01). Also the experimental group was significantly reduced back and leg pain(VAS), ODI and WDI were better than the control group(p<.05). Conclusion: It seems that early exercise program is more effective in patients who undergo single-level lumbar discectomy.

본 연구는 인터랙티브 멀티미디어 아트 공연을 초기 치매 환자의 재활 운동을 위해 활용하고자 한다. 무대 위 의 퍼포머와 관객인 치매 환자의 소통과 참여로 인터랙티브 공연이 완성되며 이러한 과정을 통해 치매 환자는 흥미 와 몰입을 동반한 효율적인 재활 운동을 하게 된다. 연구를 위해 초기 치매 환자의 특성과 효과적인 운동 방법을 살펴보고 환자의 공연 관람이 참여로 이어지면서 재활 운동으로 유도 될 수 있도록 프로그램 맵을 구축한다. 관객의 참여로 발생하는 동작과 소리는 Sound Level, Pitch, Velocity의 MIDI 신호로 변환되어 실시간으로 음악과 영상을 콘트롤하는 퍼포먼스가 된다. 이를 통해 환자는 흥미를 가지고 재활 운동에 몰입하게 되며 공연의 참여자로서 성취감을 가질 수 있을 것이다. 또 한 이 연구는 인터랙티브 멀티미디어 아트의 다양한 활용과 응용으로 영역 확장의 의의가 있다.

The study intends to use interactive multimedia art performances for rehabilitation exercises for patients with early dementia. The interactive performance is completed by communication and participation of the performer on the stage and the dementia patient, who is the audience, and through this process, the dementia patient performs efficient rehabilitation exercises with interest and immersion. For the study, the characteristics of early dementia patients and effective exercise methods are examined, and a program map is constructed so that the patient's performance viewing leads to participation and leads to rehabilitation exercises. Movements and sounds generated by the audience's participation are converted into MIDI signals of Sound Level, Pitch, and Velocity to become a performance that controls music and video in real time. Through this, the patient will be immersed in the rehabilitation exercise with interest and will be able to have a sense of accomplishment as a participant in the performance. In addition, this study has the significance of expanding the area through various uses and applications of interactive multimedia art.

Purpose: The purpose of the study was to develop and pilot test an early exercise program for lumbar spine surgery patients. Methods: A group of experts developed an early exercise program based on the exercise guidelines of spine hospitals and literature review. Fifty-three lumbar surgery patients were assigned into an experimental group or a control group and both groups participated in a 7-day exercise program. Pain, sleep disorders and daily living activity disorders were measured by self-administered questionnaires. The lower extremity strength was assessed by thigh circumference and the number of standing up from a chair within 30 seconds. Results: The experiment group had significantly lower scores in back pain and daily living activity disorders than the control group. The number of standing up from a chair significantly increased in the experimental group. Conclusion: Our early exercise program was effective in decreasing the back pain and daily living activity disorder and increasing the strength of lower extremity among lumbar surgery patients. The early exercise program should be considered as a nursing intervention in clinical settings for lumbar surgery patients.

This study analyzes the value of real options for redemptive right provided by Farmland bank business recovery program and estimates the possibility of early excercise of the right, where the program has been an important policy instrument to alleviate farmers’ debt problems since year 2006. The redemptive right can be considered as an American call option because farmers with the right can repurchase the farmland sold to Farmland bank within a maturity date at any time. Thus, we adopt the Longstaff-Schwartz approach, a simulation method that is suitable for the analysis of American call option. Data were obtained from Chungbuk province. Results show that the value of real options for the right is 4,847won/㎡ and the possibility of early exercise is cumulated to 37.5 percent by six years. On the other hand, indecisive cases take place up to 32.2 percent of all cases, which leads to 1,477won/㎡ when the cases are converted to budget loss. Sensitivity analysis includes the change in divided payment ratio, transfer income tax, drift rate, internal fund ratio, and extension of maturity date. The value of real options increases with a transfer income tax and the extension of maturity date, while the possibility of early exercise increases with a transfer income tax, internal fund ratio, and the extension of maturity date. The value of real options is not sensitive to divided payment ratio, and internal fund ratio, while the possibility of early exercise increases with divided payment ratio. This implies that Farmland bank can design any instruments to help farmers to join the program and to boost repurchase of the farmland sold, thus making the program more sound.