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한신희 대한임상건강증진학회 2004 Korean Journal of Health Promotion Vol.4 No.1
The survival rate of patients with cancer has risen consistently due to the advancement of diagnosis and treatment. To help survivors of cancer adjust more quickly to their lives, rehabilitation and health promotion are a new challenge in medicine. Exercise with cancer patients has proven to be highly effective, so it is strongly recommended. Cancer patients who exercise have reported positive effects on fatigue, physical performance, functional capacity, body weight, body composition, physical symptoms, blood count, immunity and quality of life. Psychologically, depression, anxiety, and fear about recurrence of disease were shown to decline. Patients with cancer are required to submit to screening for identifying clinical characteristics and then commit to the correct exercise program. The program of exercise focuses upon home and hospital based exercise. Home based exercise is very convenient and cost effective. This type of exercise includes walking or brisk walking. The frequency was three to five times per week. Its duration is about 30 minutes per session. Moderate intensity of exercise is completed and supervised by telephone counseling and exercise log. Hospital based exercise was done for inpatients or outpatients of ambulatory settings. Prior to the exercise, an EKG examined cardiovascular function. The exercise type was walking on a treadmill or biking on a ergometer according to an interval-training pattern. It was carried out on a daily basis. Daily duration of an exercise session is approximately 30minutes. Heat rate during the exercise was controlled by a heart-rate monitor and during exercise, a physician continuously supervises the patient. Some strategies such as telephone counseling, exercise log, goal settings, reinforcement, negotiation, counseling or discussion of physician during treatment and the protocol of exercise were applied to initiate, commit and maintain the exercise. 암의 발생 및 생존율의 증가로 인하여 암 환자들의 재활과 건강 증진에 대한 관심이 새로운 이슈로 떠오르고 있다. 최근 암환자들에게 재활 및 건강증진을 위한 방법으로 권장되는 것은 운동이다. 많은 연구를 통하여 암 환자들에게 운동을 시행한 결과 암과 암 치료와 관련된 피로의 감소 및 예방, 신체 수행능력과 기능의 증가, 최대 산소섭취량 증가, 심박수 감소, 근력증가, 체중, 체지방률의 변화, 신체 증상 및 부작용 감소, 혈액수치의 변화, 면역기능의 변화, 삶의 질의 향상을 나타내었다. 심리적인 우울과 불안의 감소 또한 입증되었다. 실제적으로 운동을 진행하는데 있어서 일차적인 스크리닝을 통하여 암 환자의 개인적, 임상적 특성을 파악하는 것이 요구되며, 운동의 이행에서는 유산소 운동으로 걷기나 자전거 타기를 주 3-5회, 1회 20-30분, 최대 맥박수의 60-85%의 운동 강도를 개인의 수행능력을 고려하여 처방된다. 운동은 가정 중심과 병원 중심의 두가지 접근으로 진행되었으며, 가정 중심의 운동은 편리성과 비용 효과성으로 대상자들이 선호하며 운동 진행 중 전화 상담이나 운동일지로 간접적인 감독을 병행하였다. 병원 중심의 운동은 입원 환자나 외래 환자를 중심으로 사전 운동 검사로 심폐기능이나 수행 능력을 확인한 후 중간 강도의 운동 강도로 목표 심박수를 설정하여 병원 내 운동실에서 트레드밀이나 에르고미터에서 걷기나 자전거 타기를 시행하였다. 운동 중 훈련된 테크니션에 의하여 직접적인 감독 및 심박수가 모니터링된다. 운동은 interval training pattern으로 독일의 F. Dimeo의 운동 프로토콜을 중심하여 구체적으로 기술하였으며 운동의 이행에서 운동의 시작은 물론 운동의 유지를 위한 전략으로 전화 상담, 운동일지, 운동 목표 설정, 강화 관리, 협상, 특별히 치료 중 의사의 운동상담 및 운동 프로토콜에 대하여 설명하였다.
한신희,이화인 경인여자대학 2000 경인논집 Vol.- No.8
The purpose of this study is to identify a correlation between clinical competency and self-efficacy; and clinical competency and teacher's effectiveness on nursing students. This research is descriptive corelation study and the subjects are 290 students majoring in nursing at K-College, Inchon. Data was collected during the period of March 1999- December 1999. The instruments used in this study are; clinical competency developed by Lee Won Hee et al (1991), self-efficacy by Sherer and Adams(1983), and teacher's effectiveness by Davidson (1998). The results of this study are as follows. 1) There is positive correlation between clinical competency and teacher's effectiveness on nursing students with a correlation efficient(r=0.37, p<.001: r-0.39, p<.001). 2) There is a positive correlation between clinical competency and self-efficacy on nursing students with a correlation efficient(r=0.34, p<.001: r=0.32, p<.001). 3) There is a difference on clinical competency score between before and after clinical nursing education (t=2.8, p<.01; t=2.19, p<.01). 4) There is a difference on clinical competency score between the sophomore students and the junior students(t=-8.4, p<.001; t=-6.61, p<.001). Further suggestion are systemic teacher's education program and strategies of promotion of self-efficacy.
한신희,박정모 성인간호학회 2002 성인간호학회지 Vol.14 No.3
Purpose: The Purpose of this research was to develop the integrative exercise program for the elderly. Method: The first step was to survey the elder's health status and general health problems The second step was to design the exercise type, intensity, time and frequency. Result: 1. Elders who implement the integrative exercise program had weaker health status, lower physical performance and more depression than any other places. 2. The integrative exercise program developed the preparation stage composed of stretching and Yudongkong-Ki exercise, the central stage was composed of range of motion exercise, muscle strength exercise and aerobic exercise with favorite and popular Korean music. The finishing stage was composed of joint rounding and Yudongkong-Ki exercise. The exercise intensity was RPE(rating perceived exertion) 10-11, maximal pulse rate 40-60%, duration started from 20min to 50min and frequency is 2-3times/wk. Conclusion: The integrative exercise program developed by the researcher is tailored exercise that is more applicable to individual cases in community settings. Eventually, the program is safely applicable to the elders, and is expected to improve the elders' physical function and quality of life.