년 - 년
치매환자 가족의 온라인 교육프로그램 요구도 조사 KCI 등재
한국디지털정책학회 디지털융복합연구 제15권 제9호 2017.09 pp.301-309
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이 연구는 온라인 치매가족 교육프로그램 개발을 위한 기초자료로 치매환자 가족의 프로그램 사용 의향과 프로그램 구성에 대한 요구도를 파악하기 위해 실시되었다. 서울시 치매관리 사업에 등록된 치매노인을 돌보는 가족 220명을 대상으 로 1:1 개별면접 또는 온라인 설문 조사를 통해 자료를 수집하였으며, 수집된 자료는 기술 통계와 t-test를 이용하여 분석하 였다. 연구결과, 50% 이상의 대상자가 온라인으로 제공되는 가족교육 프로그램을 이용할 의향이 있다고 응답하였다. 프로그 램 요구도는 치매에 대한 정보를 알려주는 동영상 강의와 치매환자를 돌보는 사례 동영상에 대한 요구도가 가장 높았으며, 성별과 연령대에 따라 요구도 항목에 차이가 있는 것으로 나타났다. 온라인 교육프로그램은 시공간적 한계를 극복해서 보다 효과적인 교육을 제공할 수 있는 수단이며, 본 연구 결과에 따라 온라인 교육프로그램 효과를 극대화하기 위해서는 획일화된 방식보다 대상자의 특성을 고려한 개별화된 맞춤형 프로그램 운영 전략 및 체제를 마련하는 것이 중요하다.
The purpose of this study was to explore family caregiver’s need for online education for dementia caregiving. Participants in this study were 220 family caregivers from district dementia centers in Seoul. Family caregiver’s usability and needs of online education program were assessed using self-administered questionnaires. Descriptive statistics and t-test comparisons were conducted. About 50% of family caregivers answered they could use and have intention to use online education. The results showed that there were the highest demand for the video lectures which give information about dementia and case video about caregiving skills. There were differences in needs of online program according to the gender and age. The use of online program offers users the opportunity to participate support program at their own time and pace. In order to maximize the effects of online support programs, it is important to establish the strategies of the customized programs considering the characteristics of the caregivers.
[Kisti 연계] 대한물리의학회 대한물리의학회지 Vol.18 No.4 2023 pp.29-35
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PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.
Edge-Based Individualized Anomaly Detection in Large-Scale Distributed Solar Farms
[NRF 연계] 한국통신학회 ICT Express Vol.8 No.2 2022.06 pp.174-178
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Power output from large-scale solar farms is often plagued by anomalies that can adversely impact grid integration. This paper presents an anomaly detection system that used Siamese-twin neural networks for anomaly detection on edge devices in a solar farm. The model achieved an F1-score of 0.88 and was evaluated using two multi-threading schemes on a Raspberry PI, Nvidia Nano and Google Coral. A single analytics edge device could service 512 solar panels at 1 Hz. The best hardware platform was Nvidia’s Nano using a TensorFlow Lite model consuming about 35 Wh over 12 h, and with maximum CPU utilization not exceeding 60%.
Effectiveness of the Individualized Self-Care Program Based on Orem's Self-Care Theory: Impact on
[NRF 연계] 한국간호과학회 Asian Nursing Research Vol.18 No.5 2024.12 pp.452-459
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Purpose: The purpose of this study was to explore the experience of living with mothers with schizophrenia from childhood to the present from the perspective of their now-adult child. Methods: Individual interviews were conducted with 10 adult children of mothers with schizophrenia. The data were collected in South Korea from July 2017 to March 2018 and thematic analysis was employed. Purposive sampling was used. Results: Four themes were identified: (1) Navigating Childhood Confusion and Isolation Due to Maternal Schizophrenia, (2) Journey Through Loneliness, Resentment, and Emerging Responsibility, (3) Facing real-life difficulties as an adult child with vulnerability, and (4) Satisfaction in well-grown self. Conclusions: Notwithstanding the real-life difficulties due to the unstable life with their mothers with schizophrenia, the children still had faith and confidence in themselves as well-grown thus far. Reflection on memories with their mothers served as a basis for continued maternal-child relationship and for taking on the role of guardians despite the negative experiences of their mothers' psychotic symptoms. Mental health nurses and school health professionals should pay attention to the children of mothers with schizophrenia and their difficulties in providing appropriate mental health services.
[NRF 연계] 한국노인간호학회 노인간호학회지 Vol.26 No.3 2024.08 pp.248-256
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Purpose: The manifestation of behavioral and psychological symptoms of dementia (BPSD) poses a considerable care burden and precipitates adverse health outcomes. Despite the increasing development of digital interventions, their application in the dementia population, specifically regarding their effectiveness in addressing BPSD, remains limited. Therefore, in this study, we aimed to describe a study protocol for evaluating the effectiveness of a mobile app-based individualized non-pharmacological intervention to improve BPSD in community-dwelling older adults. Methods: Employing a randomized control group pretest-posttest design, 36 dyads comprising people living with dementia (PLWD) and their family caregivers will be assigned to either an experimental or control group. The experimental group will engage in a 4-week regimen using a mobile app-based individualized non-pharmacological intervention, which includes recording and predicting BPSD. The control group will use the BPSD record system without accessing the individualized interventions. Both groups will continue with their usual care practices throughout the study period. Subsequently, an evaluation of the effectiveness of the mobile app-based individualized non-pharmacological intervention on BPSD will be conducted, which will serve as the primary outcome. Discussion: We hypothesize that the implementation of the mobile app-based individualized non-pharmacological intervention will alleviate BPSD. However, the research team may encounter several challenges owing to the novelty of digitalized interventions. Nevertheless, the results of this study will provide robust evidence regarding the efficacy of mobile app-based individualized non-pharmacological interventions for community-dwelling older PLWD.Trial registration: This trial has been registered with the Clinical Research Information Service in South Korea (CRIS No. KCT0008713; registered August 18, 2023).
[Kisti 연계] 대한물리치료학회 대한물리치료학회지 Vol.36 No.5 2024 pp.160-165
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Purpose: This study examined the changes in the isokinetic variables of knee extensors according to age and individualized joint angular velocity during isokinetic contraction in women. Methods: Fourteen young and fifteen middle-aged and elderly women participated in this study. The knee extension maximum angular velocity for each participant was measured and considered 100% angular velocity. The peak torque (PT) and average power (AP) of the knee extensors were measured during isokinetic contractions at angular velocities of 10%, 40%, 70%, and 100% of the maximum velocity. The changes in PT and AP were compared according to age (young vs. middle-aged and elderly) and angular velocity (10%, 40%, 70%, and 100%). Results: PT and AP at all angular velocities were significantly higher in the young than in middle-aged and elderly women (p>0.05). PT showed a significant decreasing trend as the angular velocity increased. AP was significantly higher at a 40% and 70% angular velocity compared to other angular velocities in young women (p>0.05). In the middle-aged and elderly, AP at 10% angular velocity was significantly lower than at 40%, 70%, and 100% (p>0.05). Conclusion: This study showed that considering the individual's neuromuscular capacity during isokinetic contraction, the ability to generate power in the middle-aged and elderly is reduced significantly even when the angular velocity was set. Hence, improving muscle contraction ability at high angular velocities may be necessary to prevent and treat the muscle function decline caused by aging.
한국신경근육물리치료학회(구 한국신경근육재활학회) 한국신경근육재활학회지 제9권 제1호 2019.06 pp.64-71
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The purpose of this study was to investigate the effects of the individualized exercise program on the body composition, balance, and cognitive function of the elderly. Twenty-one elderly subjects who were participated. Body composition, balance ability, and cognitive function evaluation was performed for establishing baseline. Under the supervision of exercise expert, 20 students in physical therapy departments prescribed each individualized home exercise program (consisted of three parts: warm-up exercise, main exercise, and cool-down exercise) to the subject as their physical fitness level, health status, and cognitive function. Therefore, there were differences in perceived exercise time, intensity, and number of sets were determined by volunteer students. The prescribed home exercise program to each subjects was instructed to be performed 2 to 3 times a week depending on the patient's condition. After 5 weeks, post-test was performed. Paired-t test was used to compare the differences in significance level of p<.05. In our results, onlybody fat showed statistically significant difference between the average values of body composition values before and after exercise. And there was no significant difference in BBS and MMSE-K (p>.05). Consequently, 5-week individualized home exercise can lead to changes in the body composition of the elderly. However, the 5 week of individualized home exercise was not enough to improve balance and cognitive function. Therefore, instructor should consider applying the exercise inlonger period.
관상동맥중재술 후 개별화된 교육-상담 프로그램이 심혈관위험도 및 건강행위에 미치는 효과
[Kisti 연계] 대한근관절건강학회 근관절건강학회지 Vol.30 No.3 2023 pp.254-262
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Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.
국제기능장애 건강분류: 아동 청소년 버전을 이용한 개별화교육지원팀 중재목표 분석 및 개별화교육계획 구성원으로서 작업치료사의 필요성: 체계적 고찰
[NRF 연계] 대한신경계작업치료학회 재활치료과학 Vol.12 No.4 2023.11 pp.23-37
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목적 : 본 연구에서는 국제기능장애 건강분류: 아동 청소년 버전(International Classification of Functioning, Disability and Health-Children and Youth version, ICF-CY) 프레임워크를 활용하여 개별화교육계획(individualized education plan, IEP) 협력적 팀 중재에 대해 체계적으로 고찰하고자 한다. 이를 통해 국내에서 IEP 협력적 팀 중재 속 작업치료사의 전문적인 영역을 마련하는 데 근거를 만들고, 개별화교육 계획에서 협력적 팀 접근 중재의 목표를 통해 전문가로서 작업치료사의 역할에 대한 기반을 마련하고자 한다. 연구방법 : EBSCOhost, ProQuest, Web of Science를 통하여 2013년 1월부터 2023년 2월까지의 국외 논문을 검색하였다. 국외 검색어에는 “Special education”, “Individualized education plan (IEP)”, “IEP process”, “IEP implementation”, “Occupational therapy”를 사용하였다. 2차 분류를 통해 최종 10편의 연구를 분석하였다. 결과 : 분석 대상 연구의 근거 수준은 무작위 실험설계 연구가 가장 많았고, 중재 대상은 자폐성 장애가 가장 많았으며, 중재 방법은 환경 개선이 가장 많이 적용되었다. ICF-CY를 이용한 IEP 협력적 팀 중재의 목표 분석을 통해 활동에 관하여 5편, 참여와 관련하여 4편, 신체 구조 및 신체 기능과 관련하여 1편인 것으로 확인되었다. 결론 : IEP에서 협력적 팀 접근 중재 속 작업치료사의 역할은 중재의 목표에서 중요한 역할임을 확인할 수 있었다. 이를 기반으로 국내의 IEP에서 협력적 팀 접근의 전문가 중 하나로 작업치료사의 전문성을 설명할 수 있는 근거가 될 것으로 보인다.
Objective : This study systematically reviewed the collaborative team interventions of the Individualized Education Plan (IEP) using the International Classification of Functioning, Disability, and Health-Children and Youth (ICF-CY) framework to establish the professional domain of occupational therapists in Korea and their role as experts in IEP cooperative team interventions in special education. Methods : Articles were collected from the EBSCOhost, ProQuest, and PubMed databases. International search terms included “Special education,” “Individualized education plan (IEP),” “IEP process,” “IEP implementation,” and “Occupational therapy.” The study period was limited from January 2013 to February 2023, and the final 10 studies were analyzed using secondary classification. Results : Most studies were randomized experiments targeting individuals with autism, and often employed environmental improvements. The IEP collaborative team interventions using the ICF-CY framework emphasized goals related to activity (five studies), participation (four studies), and body structure/function (one study). Conclusion : Occupational therapists play a crucial role in collaborative IEP team interventions. This study established expertise in the context of special education in South Korea.
[NRF 연계] 한국장애인개발원 장애인복지연구 Vol.9 No.2 2018.12 pp.71-96
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본 연구의 목적은 고령발달장애인의 개인별지원계획을 활성화시키기 위한 방안을 모색하기 위한 것이다. 이에 본 연구에서는 국내외 고령발달장애인 관련 기존의 선행연구에 대한 문헌적 검토를 통해 도출된 자료를 기반으로 발달장애인지원센터 종사자, 중·고령발달장애인 보호자 및 고령 발달장애인 전문가와 FGI를 실시하였다. 연구결과를 살펴보면, 고령발달장애인의 개인별지원계획 수립 활성화를 위해서는 ʻ인력전문성강화와 네트워크 구축ʼ, ʻ고령발달장애인에 대한 이해강화ʼ, ʻ고령발달장애인 연령을 대상으로 하는 서비스강화ʼ, ʻ개인별지원계획 홍보ʼ, ʻ지역단위 운영ʼ의 필요성이 요구됨을 알 수 있었다.
This study aims to find out the desirable direction of establishment of individual support plan for the elderly with developmental disabilities. To accomplish this goal, we analyzed the data for the elderly people with developmental disabilities, and FGI study with employees of the Developmental Disabilities Support Center, older carers of the elderly with developmental disabilities and workers with Developmental Disabilities. The results of this study are as follows: 'Strengthening the expertise of employees and building networks', 'Strengthening understanding about the elderly persons with developmental disabilities', 'Strengthening the Services targeting the elderly people with developmental disabilities', 'Individual Support Plans' P.R', 'It suggests the need for 'community based operation'.
개별식이교육 프로그램이 혈액투석 환자의 식이요법에 대한 지식과 식이자가간호 이행에 미치는 효과
[NRF 연계] 병원간호사회 임상간호연구 Vol.22 No.3 2016.12 pp.257-264
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목적 : 본 연구는 개별식이교육이 혈액투석환자의 식이에 대한 지식과 식이자가간호이행에 미치는 영향을 확인하고자 한다. 방법: 이 연구는 비동등성 대조군 전후설계의 유사실험연구이다. 실험군 50명과 대조군 50명으로 선정하였다. 실험군에게 2주에 한번씩 12주 동안 개별식이교육프로그램을 적용하였다. 결과: 실험군은 대조군에 비해 식이지식이 유의하게 증가되었다. 식이자가간호이행에서는 실험군의 경우 사전보다 사후에 향상되었으나, 실험군과 대조군간의 차이는 없었다. 결과: 이 연구에서 개별식이교육은 기존의 일률적인 교육에 있어 식이지식에 있어서 효과적인 것으로 나타났다. 따라서 개별식이교육프로그램은 간호중재로서 중요하며, 간호사는 혈액투석환자들을 위해 개별식이교육을 시행하여야 할 것이다.
Purpose: The purpose of this study was to explore the effect of individualized diet education program on dietary knowledge and self-care compliance among hemodialysis patients. Methods: The design of the study was quasi-experimental nonequivalent control group pre-post test design. Fifty patients were assigned to an experimental group and fifty patients were assigned to a control group. Individualized diet education program was applied to the experimental group once every two weeks for twelve weeks. Results: Dietary knowledge increased significantly in the experimental group when compared to the control group. Dietary self-care compliance improved significantly in the post-test of the experimental group, however, the difference was not significant. Conclusion: The individualized dietary education program was effective in improving dietary knowledge. The individualized diet education program needs to be incorporated as an important nursing intervention. Nurses should provide individualized diet education program for hemodialysis patients.
심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과
[NRF 연계] 한국성인간호학회 Korean Journal of Adult Nursing Vol.22 No.3 2010.06 pp.322-328
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Purpose: The purpose of this study was to investigate the effects of an individualized cardiac health education on self-care behavior and serum cholesterol levels patients with coronary artery disease. Methods: Twenty-two patients in the intervention group and 22 in the control group were assigned randomly in this study. The intervention group received an individualized cardiac health education program which consisted of four different sessions for a total of four sessions. Specifically, two sessions occurred during the patients' hospitalization with a third session at the time of discharge with a fourth session scheduled via telephone one week post discharge. Data were collected through a questionnaire for self-care behavior and a blood test for total cholesterol at the time of admission and the two weeks after discharge. The questionnaire for self-care behavior was a standardized instrument and serum cholesterol was measured by Accutrend GC (Roche, Germany). Results: Self-care behavior scores included diet, medication, exercise, risk factor, blood pressure measurement, and visits to hospital were significantly more in the experimental group compared to the control group. Conclusion: The above findings indicate that the individualized cardiac health education was effective in increasing of self-care behavior.
개별교육이 혈액투석환자의 투석관련 지식, 환자역할행위 이행 및 생리적 지수에 미치는 효과
[NRF 연계] 한국성인간호학회 Korean Journal of Adult Nursing Vol.18 No.3 2006.08 pp.367-376
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-Effects of Individualized Education on Knowledge, Compliance, and Physiologic Parameters in Hemodialysis Patients
신장이식환자의 자기효능전략을 이용한 퇴원 시 개별교육과 추후 전화상담의 효과
[NRF 연계] 한국기초간호학회 Journal of korean biological nursing science Vol.17 No.4 2015.11 pp.331-340
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Purpose: This study was to develop and evaluate an individualized education program based on self-efficacy for patients with kidney transplantation in Korea. Methods: A nonequivalent control group pretest-posttest design was used. The participants consisted of 43 patients who underwent kidney transplants at one hospital in Seoul, from July 2012 to April 2013. The experimental group received an individualized education based on self-efficacy in the hospital and follow-up telephone consultation in the 2nd and 3rd week after discharge. The control group received a routine discharge education. Knowledge, self-efficacy, and compliance related to kidney transplant were measured and analyzed by frequency, average, Mann-Whitney U test, Fisher’s exact test, independent t-test, and χ2-test using SPSS Win 20.0. Results: Significant differences were found in self-efficacy between the experimental group and the control group. But no significant differences were found in knowledge and compliance between two groups. The scores of several items on monitoring health status in compliance were higher in the experimental group than those of the control group. Conclusion: The results of this study demonstrate the fact that an education program based in self-efficacy for patients with kidney transplant would be effective in improving self-efficacy and the ability to monitor their health status.
[NRF 연계] 인지발달중재학회 인지발달중재학회지 Vol.1 No.1 2010.12 pp.41-53
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본 연구에서는 6주간 총 12회기에 걸쳐 실험집단 23명(남12, 여11)에게는 개별화 언어교육프로그램을, 통제집단 23명(남13, 여10)에게는 유치원 교육과정 생활주제별 집단 언어교육을 제공하였다. 사전, 사후 언어검사는 제6차 유치원 교육과정과 초등학교 1학년 국어교과를 기초로 개발하였다. 언어검사의 사전사후 점수차를 비교해보면, 실험집단의 평균이 8.79점 증가하였고 통제집단의 평균이 3.83 점 증가하여 증가분에 있어 집단 간 유의한 차이가 있었다(t=3.06 p<.01). 언어영역의 하위 영역인 듣기(t=3.95, p<.001), 말하기(t=2.63, p<.05), 읽기(t=2.29, p<.05), 쓰기(t=2.44, p<.05) 모두에서 유의한 차이가 있었다. 이는 평가에 기초한개별화 교육프로그램이 집단 교육에 비해 효과가 높음을 의미하며 일반 유아교사도 현장에서 활용할 수 있음을 시사한다.
During 6 weeks of 12 40 min. sessions, individualized language program was offered to 23 5-year-olds(12 boys & 11 girls) and regular language program was offered to their counterparts. Linguistic ability tests which were developed based on 6th national curriculum were administered before & after the program for both groups. It was found that the performance improvement was higher for the experimental group compared to that for the control group((t=3.06 p<.01). Similar patterns were found for all four subareas of linguistic abilities such as listening(t=3.95, p<.001), speaking(t=2.63, p<.05), reading(t=2.29, p<.05) & writing(t=2.44, p<.05). This study showed that individualized education program based on the assessment improved performance better than the regular language program and could be easily implemented in the regular early education field.
개별교육프로그램이 역할불이행 혈액투석환자의 투석관련 지식, 이행 및 생리적 지표에 미치는 효과
[NRF 연계] 병원간호사회 임상간호연구 Vol.15 No.3 2009.12 pp.5-16
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Purpose: This study was done to provide effective nursing interventions using an individualized educational program designed to contribute to the knowledge, compliance and physiologic parameters (serum potassium, phosphorus and interdialytic weight gain) of non-compliant hemodialysis patients. Methods: There were 22 participants in the experimental group and 19 in the control group. Nurses with rapport with patients provided education to non-compliant hemodialysis patients for 20 minutes three times a week for six weeks. This education program consisted of individual consulting, telephones conversations regarding hemodialysis, and requests for patient support from patients' families and colleagues. Results: Hypothesis 1; "Knowledge about hemodialysis in the experimental group will be higher than the control. group" was not supported. Hypothesis 2; "Compliance will be higher in the experimental group than in the control group", and Hypothesis 3; "Physiologic parameters of experimental group will improve" were supported as serum potassium and interdialytic weight gain decreased, but results were not consistent for phosphorous. Conclusion: This program for non-compliant patients increased compliance and improved physiologic parameters. Therefore, this educational program should be effective as a nursing intervention.
장기혈액투석 환자를 위한 주기적 개별교육 프로그램 적용 효과
[NRF 연계] 한국성인간호학회 Korean Journal of Adult Nursing Vol.27 No.5 2015.10 pp.572-582
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Purpose: This study was conducted to provide an effective nursing intervention using an individualized educational program composed with knowledge, compliance, and physiologic parameters for long-term hemodialysis patients. Methods: A quasi-experimental study using a non-equivalent control group and pre- and post-test design was conducted with 40 hemodialysis patients at G university hospital in the J city from June to August, 2015. A data was analyzed using frequency, percentage, x2 test, Shapiro-Wilk test, independent-samples t-test and repeated measures ANOVA using SPSS 21.0 program. Results: knowledge about hemodialysis and patient role behaviors were not significantly different between the two measures. In the biological index, there was significant difference between the groups by points in time and group in blood potassium, albumin, and Kt/v. However, there was no difference in gaining weight between hemodialysis, hemoglobin, and blood phosphorus. Conclusion: The individual training program in this study had an effect on changing some physiological indicators of long-term hemodialysis patients. Future research is warranted for developing various kinds of education program incorporating the findings of the study for the given population.
스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향
[NRF 연계] 한국아동간호학회 Child Health Nursing Research Vol.21 No.2 2015.04 pp.168-175
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Purpose: The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children. Methods: This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room. Results: For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t=-3.11, p=.003). Conclusion: The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.
다학제적 개별 교육 프로그램이 방사선 치료를 받는 암환자의 돌봄 요구도에 미치는 효과
[NRF 연계] 대한종양간호학회 Asian Oncology Nursing Vol.8 No.1 2008.02 pp.17-23
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This study was conducted to examine the effect of an individualized educational program by multidisciplinary staffs on the need for caring among patients with radiotherapy. Methods: A quasi experimental study with one group was designed to examine the effect. A total of 48 adult patients were recruited from a university hospital in G-city, Korea from July, 2006 to June, 2007. The level of patients’ need for caring during radiotherapy was assessed at the pre- and post-education by a trained research assistant. The level of patients’ need for caring on radiotherapy was measured with a 20-item questionnaire. Results: Paired t-test showed that the level of patients’ need was reduced at the post-test compared to pre-test (t=3.40, p=0.002). The level of need was higher among the older than 65 yr (F=4.82, p=0.034), and patients who had education years less than 10 yr (F=4.40, p=0.042) and not a spouse (F=5.97, p=0.019) at the pre-test, while there were no difference according to participants’ characteristics at the post-test. Conclusions: This multidisciplinary and individualized education program was effective on reducing the level of need for caring during radiotherapy. Therefore, for long-term self-management, further educational strategies based on patients’ needs through multidisciplinary teamwork need to be developed and applied.
화학요법에 관한 개별적 환자교육이 암환자의 지식과 자가간호 수행에 미치는 효과*
[NRF 연계] 대한종양간호학회 Asian Oncology Nursing Vol.2 No.1 2002.08 pp.27-35
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본 연구는 암환자의 항암화학요법에 관한 교육자료로써 소책자를 만들고 이를 교육하여 환자의 지식과 자가간호수행에 미치는 효과를 파악하여 항암화학요법 환자를 위한 간호중재의 효과를 파악하고자 시도하였다. 연구 설계는 단일군 원시실험연구이다. 연구기간은 2001년 10월 5일부터 2002년 2월 30일까지이었으며, 연구대상은 서울시내 일개 종합병원에 입원하여 항암 화학요법을 받는 대상으로 편의 표출한 24명이었다. 연구도구는 권연숙(1988)의 지식 측정 도구와 Dodd (1984)의 항암요법일지를 번역하여 서순림(1996)의 도구를 수정보완하였으며, 수집된 자료를 SPSS프로그램을 이용하여 통계처리 하였으며, 백분율, 평균, 표준편차, Paired t-test, Pearson Correlation으로 분석하였다. 연구결과는 다음과 같다. 1. 암환자의 화학요법에 관한 자가간호 지식정도는 교육전후에 차이가 있을 것이다는 지지되었다(t=-2.373, P= .026). 2. 암환자의 화학요법에 관한 자가간호 수행정도는 교육전후에 차이가 있을 것이다는 지지되었다(t=-8.73, P= .000). 3. 암환자의 화학요법에 관한 지식정도와 자가간호 수행정도는 유의한 관계가 있을 것이다는 지지되지 않았다( P〉.05). 결론적으로 환자개별교육이 항암화학요법 환자의 지식과 자가간호 수행정도에는 영향을 주는 것으로 나타나 자가간호 수행 정도를 증진시킬 수 있는 중요한 간호중재임을 확인하였다. 따라서 항암화학요법 환자에게 적절한 관리를 할수 있는 자가간호 수행을 위한 간호중재로 환자교육 프로그램의 적극적인 활용이 요구된다. 이상의 결과를 토대로 다음과 같은 제언을 하고자 한다. 1) 단일군 원시실험설계였으므로 결과를 해석하는데 제한이 있다. 따라서 연구 대상자를 확대하여 대조군을 둔 유사실험설계를 제언한다. 2) 화학항암요법 치료를 받는 환자를 위해 표준화할 수 있는 포괄적인 교육 프로그램의 개발을 제언한다. 3) 항암 치료를 보통 6 cycle동안 교육을 언제 몇 번 시켜야 효과적인지에 대한 연구를 제언한다.
The Cancer Patients are rapidly growing and it became one of the main cause of death. Lately with the effect of Chemotherapy, drastically improved patients quality of life and also Prolonged Life of Cancer Patients. But the Chemotherapy not only Kill the Cancer cells but also harm to normal cells witch Cancer lots of side effect. This study was designed to identify the effectiveness of patient education to reduce side effect and help promote self care. The date was collected from October, 2001 to February, 2002 by questionary Survey Method. The subjects were 24 patients Who were and Anti Chemotherapy C University Hospital. Educated booklet contained what is Chemotherapy, what are the side effects, and to promote Self care. Pre test was given after 3-4 weeks re admission period. Analysis data was done by SPSS Program Paired t-test was used to differentiate Knowledge and difference of performing self care. Relationship in between Knowledge and promoting Self care was used Pearson Correlation. As the result of education, knowledge of self care and performance was drastically increased but the relationship in between knowledge of self care performed was not significant. Therefore it is proposed as follows; 1) Further research with experienced subjects to differentiate experience group and control group. 2) Education program need to be develop and standardize for anti cancer Chemotherapy patient. 3) During 6 cycle of Chemotherapy what is ideal number of in order to get the best result.
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