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Purpose: The aim of this study was to explore the effects of A-solution on halitosis and oral status in preoperative NPO patients. Methods: A nonequivalent control group, non-synchronized pretest-posttest design was used in this study. The participants in this study were 66 patients who were admitted for gynecologic surgery. The experimental treatment was to give oral gargling with A-solution, blended essential oils and diluted with distilled water. To identify the experimental treatment effects, halitosis, salivary pH, and oral status were measured by a portable halitosis detector, visual analogue scale, Bromo Thymol Blue (BTB), Bromo Cresol Purple (BCP) test paper and oral assessment guide. Data were analyzed using X 2-test, t-test with PASW 18.0 version. Results: Participants were homogeneous before experimental treatment. Objective halitosis in the experimental group, measured by a portable halitosis detector (t= -8.34, p
본 연구는 소방공무원의 스트레스와 직무소진, 자살생각의 정도를 확인하고 자살생각에 미치는 영향을 파악하기 위해 시도되었다. M시에 재직 중인 소방공무원 195명을 2020년 3월 1일부터 4월 7일까지 자료수집 하였다. SPSS 22.0 프로그램의 Pearson 상관관계 및 다중회귀분석 등으로 분석하였다. 소방공무원들의 스트레스는 10.2(±6.61), 직무 소진은 17.6(±16.53), 자살 생각은 0.9 (±2.49)이었고, 여성이 남성보다 스트레스와 직무 소진 정도가 통계적으로 유의하게 높았다. 스트레스는 직무 소진(r=.658, p<.001), 자살 생각(r=.405, p<.001)과 정적 상관관계를, 직무 소진은 자살 생각(r=.407, p<.001)과 정적 상관관계를 나타냈다. 자살 생각에 가장 큰 영향을 준 변수는 직무 소진(β=.247), 스트레스(β=.243) 순이며 설명력은 19.0%이었다. 추후 소방 공무원의 정신건강을 위한 체계적인 관리 프로그램 개발 연구를 제언한다. This study analyzed the relationship between stress, job burnout, and suicidal ideation and the factors influencing them on suicidal ideation of firefighters. Data were collected from Mar. 1 to Apr. 7, 2020 for 195 firefighters working in M city. Data were analyzed using Pearson correlation and multiple regression analysis of the SPSS 22.0 program. For firefighters, stress was 10.2 (±6.61), job burnout was 17.6 (±16.53), and suicidal ideation was 0.9(±2.49). There were positive correlations between stress and job burnout (r=.658, p<.001) and suicidal ideation (r=.405, p<.001) respectively, and job burnout and suicidal ideation (r=.407, p<.001). The variables that had the greatest influence on suicidal ideation were job burnout (β=.247) and stress (β=.243) in the order, and their explanatory power was 19.0%. It is suggested to research on the development of a systematic management program for the mental health of firefighters.
Thyroid ophthalmopathy is an autoimmune disease that affect the orbital and periorbital soft tissue, characterized by bulging eye (exophthalmos) and compressed orbital structures, such as the optic nerves. The indications for surgical treatment for thyroid ophthalmopathy include decreased visual acuity caused by optic neuropathy, conjunctivitis and progressive facial de-formity caused by exophthalmos. Orbital wall decompression by nasal endoscopy resulte in good cosmetic effects and visual recovery. Balanced orbital decompression is considered to be a safe and effective surgery that can help avoid postoperative diplopia. We introduce three successful cases of orbital wall decompression for the treatment of thyroid ophthalmopathy.
Background and Objectives Surgical resection is the basic treatment for benign laryngeal tumors and transoral laser microsurgery (TLM) has been used effectively. Transoral videolaryngoscopic surgery (TOVS) is another method of surgical resection that has been introduced. However, there have not been any studies related to the usefulness of TOVS in benign laryngeal tumors. The purpose of this study was to compare the efficacy and surgical outcomes of TLM and TOVS. Subjects and Method A retrospective chart review of 85 patients were conducted. This review included two groups (TLM group, n=44 versus TOVS group, n=41) of patients who underwent transoral surgery for benign laryngeal tumors. Clinicopathologic factors of the patients and surgical outcomes such as the operation time, amount of intraoperative bleeding, hospital stay, and complications were compared between two groups. Results There were no significant differences between two groups regarding the clinicopathologic factors and surgical outcomes. The TOVS group presented relatively larger tumor size (p=0.067) and showed a tendency of shorter operation time (36.8±34.5 min) compared to that of TLM (45.6±27.9 min), but with no statistical significance (p=0.199). Conclusion TOVS may be considered as an alternative surgical method for benign laryngeal tumors.
The purpose of this study was to validate TEIP(Teacher Efficacy for Inclusive Practices) scale for pre-service general education teachers within the Korean context. TEIP was originally developed by Sharma, Loreman and Forlin(2012) to measure general education teachers’ self-efficacy for inclusive education, and has been used in different countries. For this study, 314 pre-service general education teachers from three different universities were participated. The original scale was translated by the researchers of this study. For the content validation of the translated items, a group of 10 professors and another group of 78 teachers were asked to evaluate the clarity and adequacy of each item. Exploratory factor analysis(EFA) and Confirmatory factor analysis(CFA) were conducted. Also, convergent validity and discriminant validity was also employed to examine the construct validity of the scale. SPSS 18.0 and AMOS 18.0 were unitized for the analyses. The results of the study revealed the same three-factor structure of EII, EMB and EC as previous studies. In this study, the final validated scale consisted of 14 items after deleting 4 items from EFA. For CFA, convergent and discriminant validities were also verified. Using CFI, GFI, IFI, TLI, and RMSEA, the model fit was evaluated to be acceptable. The scale had adequate reliabilities as the Cronbach’s ɑ values for the factors ranged from .744 to .845. Based on the evidence of the validation, it was found that TEIP can be used in the Korean context as a validated scale to measure Korean pre-service general teachers’ self-efficacy to implement inclusive education. Limitations and suggestions for further study were discussed. 본 연구는 통합교육에 대한 교사효능감을 측정하기 위하여 호주에서 개발된 척도인 Teacher Efficacy for Inclusive Practices(TEIP)를 예비일반교사를 대상으로 하여 국내타당화 하는 데 목적이 있다. 3개의 대학으로부터 314명의 예비일반교사가 본 연구에 참여하였다. 척도를 구성하는 18개 문항은 번역된 후 2차에 걸쳐 전문가의 내용타당도 검증을 거친 후에 연구대상자에게 설문지로 배부되었다. 본 척도의 구인타당도를 검증하기 위하여 요인분석을 실시하였고, 집중타당도, 판별타당도, 모형적합도를 검증하였다. 탐색적 요인분석 결과 선행연구와 일치하게 3개의 요인(교수, 행동, 협력)으로 성분행렬을 이루었고, 18개 문항 중에서 교수요인 6개, 행동관리요인 5개, 협력요인 3개 문항으로 총 14개 문항이 추출되었고, 이에 대한 집중타당도와 판별타당도가 확보되었다. 모형적합도지수(CFI, GFI, IFI, TLI, RMSEA)를 검증한 결과 TLI값이 수용수준에 약간 미치지 못하였지만, 대체로 양호한 수준의 적합도를 나타났다. 14개문항 전체의 Cronbach’s ɑ 값은 .869으로 양호한 수준의 문항내적일치도를 보여 신뢰도를 확보하였다. 본 연구 결과 TEIP는 국내예비일반교사의 통합교육 실행에 대한 자기효능감을 측정하는 타당한 척도라고 판단된다. 본 연구의 의의, 제한점과 후속 연구에 대하여 논의하였다.
Purpose: The purpose of this study was to identify nursing interventions for the postpartum breast care of mothers and determine the effectiveness of interventions for breast pain and engorgement by systematic review. Methods: Eight national and international databases were reviewed to retrieve and collect randomized controlled trial and controlled clinical trial literature published up to March 2015. Two reviewers independently selected the studies and performed data abstraction and validation. The risk of bias was assessed using Cochrane criteria. A meta-analysis of the studies was performed to analyze the data. Results: The meta-analysis showed that breast massage, along with routine breast care, resulted in a 3.52-point reduction in pain on a 10-point visual analogue scale. Meta-analysis of therapy with cold cabbage leaves and routine breast care showed a pain reduction of 0.54 points. Meta-analysis of cold cabbage leaf application in the experimental group versus cold compress therapy in the comparison group showed a pain reduction of 0.44 points. Meta-analysis of cold cabbage leaf application and routine breast care showed an engorgement reduction of 0.67 points. Conclusion: The results of the analysis of 12 articles showed that hot and cold compresses, breast massage, and cabbage application were effective for postpartum breast pain and engorgement.
본 연구는 청소년의 학업스트레스와 월경 태도, 월경곤란증 실태를 살펴보고 월경곤란증에 미치는 영향을 파악하기 위해 시행되었다. 연구 대상자는 고등학생 여학생으로 연구 참여에 동의한 131명의 설문지가 분석되었다. 상관관계 분석 결과, 월경에 대해 부정적인 태도를 가질수록, 신체 증상이 심할수록, 적극적인 대처를 할수록, 정서적 변화가 클수록 월경곤란증을 심하게 경험한 것으로 나타났다. 청소년의 월경곤란증에 영향을 미치는 요인은 월경 태도 중 신체 증상과 월경에 대한 수용이었으며, 변수에 대한 설명력은 68.8%였다. 결론적으로 청소년의 월경곤란증에 영향을 미치는 요인인 정적 수용 및 신체 증상을 고려하여 학교 보건 차원에서 청소년의 월경곤란증을 관리하기 위한 통합적인 지식을 제공할 수 있는 교육 프로그램 개발이 필요하며, 더 나아가 부정적으로 경험하게 되는 감정조절을 위한 정서적 지지 프로그램과 같은 개별적이고 다차원적인 접근 방안이 모색되어야 할 것으로 생각된다. This study was conducted to examine the academic stress, menstrual attitude, and dysmenorrhea of adolescents and to understand their effects on dysmenorrhea. The subjects of the study were high school girls and 131 people who agreed to participate in the study were analyzed. Correlation analysis shows that the more negative the person is about menstruation, the more severe the physical symptoms, the more active the action, and the greater the emotional change, the more severe the person experienced dysmenorrhea. Factors affecting dysmenorrhea in adolescents were physical symptoms and positive acceptance among menstrual attitudes, and 68.8 percent explained the variable. In conclusion, considering the positive acceptance of menstruation and physical symptoms of adolescents, it is necessary to develop educational programs that provide integrated knowledge to manage dysmenorrhea in school health, and further individual and multidimensional approaches such as emotional support programs for negatively experienced emotions.
Purpose: This study was conducted to identify the mediating effect of happiness on the relationship between gratitude disposition and psychological well-being among nurses working at general hospitals. Methods: The participants were 200 nurses working at general hospitals. A structured questionnaire was administered, and data were collected from November 20, 2020 to December 10, 2020. Data were analyzed using hierarchical linear regression with SPSS for Windows 25.0. Results: Gratitude disposition (β=.62, p<.001) and happiness (β=.66, p<.001) were identified as significant predictors of the psychological well-being of clinical nurses. These variables explained 64% of the variance in nurse’s psychological well-being. Moreover, happiness had a partial mediating effect on the relationship between gratitude disposition and psychological well-being. Conclusion: In order to improve the psychological well-being of clinical nurses, an emotion management program related to gratitude disposition and happiness should be developed and provided.
본 연구는 소방공무원의 스트레스와 직무소진, 자살생각의 정도를 확인하고 자살생각에 미치는 영향을 파악하기 위해 시도되었다. M시에 재직 중인 소방공무원 195명을 2020년 3월 1일부터 4월 7일까지 자료수집 하였다. SPSS 22.0 프로그램의 Pearson 상관관계 및 다중회귀분석 등으로 분석하였다. 소방공무원들의 스트레스는 10.2(±6.61), 직무 소진은 17.6(±16.53), 자살 생각은 0.9(±2.49)이었고, 여성이 남성보다 스트레스와 직무 소진 정도가 통계적으로 유의하게 높았다. 스트레스는 직무 소진(r=.658, p <.001), 자살 생각(r=.405, p <.001)과 정적 상관관계를, 직무 소진은 자살 생각(r=.407, p <.001)과 정적 상관관계를 나타냈다. 자살 생각에 가장 큰 영향을 준 변수는 직무 소진(β=.247), 스트레스(β=.243) 순이며 설명력은 19.0%이었다. 추후 소방 공무원의 정신건강을 위한 체계적인 관리 프로그램 개발 연구를 제언한다. This study analyzed the relationship between stress, job burnout, and suicidal ideation and the factors influencing them on suicidal ideation of firefighters. Data were collected from Mar. 1 to Apr. 7, 2020 for 195 firefighters working in M city. Data were analyzed using Pearson correlation and multiple regression analysis of the SPSS 22.0 program. For firefighters, stress was 10.2 (±6.61), job burnout was 17.6 (±16.53), and suicidal ideation was 0.9(±2.49). There were positive correlations between stress and job burnout (r=.658, p <.001) and suicidal ideation (r=.405, p <.001) respectively, and job burnout and suicidal ideation (r=.407, p <.001). The variables that had the greatest influence on suicidal ideation were job burnout (β=.247) and stress (β=.243) in the order, and their explanatory power was 19.0%. It is suggested to research on the development of a systematic management program for the mental health of firefighters.