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오희영,한경수 원광대학교 치의학연구소 1996 圓光齒醫學 Vol.6 No.1
This study was performed to evaluate and compare conservative treatment results by several parameters such as age, sex, symptom duration, type and timing of joint sound, parafunctional habits, splint type, and diagnostic classification. There have been too many articles reporting long term results of conservative treatment but articles related to comparison of treatment results by patients' self-evaluation have been rarely reported. For this study 258 patients with temporomandibualr disorders(TMDs) were selected and examined by routine diagnostic procedure for TMDs. The subjects were classified into 5 TMDs subgroups and treated with conservative treatments involving splint, physical modalities, jaw exercises, and counseling. Visual analogue scale(VAS) about pain, joint sound, and mouth opening limitation was recorded respectively during treatment period. From the VAS data and treatment duration, VAS treatment index(VAS Ti) was calculated. The obtained results were as follows 1. Pain was the most frequent main symptom in subjects with temporomandibular disorders, and main symptom for mouth opening limitation was comparatively less than for pain or sound in disk displacement with reduction group or in degenerative joint disease group. 2. Degenerative joint disease group had the most poor treatment results and highest Helkimo's occlusal index. 3. Good prognosis for consevative treatment was observed in acute group, under 6 months than chronic group, 6 months over in symptom duration, and subjects with 40 years over in age showed the most poor prognosis. 4. Subjects treated with anterior repositioning splint had better treatment results than subjects treated with centric relation splint, but statistical significance in VAS Ti and treatment duration was not observed. 5. Treatment results according to affected side, types and point of joint sound did not show consistent statistical results. 6. The result for conservative treatment was observed poor in subjects with bruxism and clenching. 7. In studying coincidence between preferred chewing and affected side, frequency of preferred chewing side, in unilateral affection, was higher in ipsilateral than in contralateral side.
오희영,허명행,엄미란 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.4
Purpose. The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff’s aggressive behavior management skills. Methods. One-group, time series, quasi-experimental design with a pre-test and two post- tests was used. Data were collected from cognitively impaired home residents (N = 32) and nursing staff (N = 36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA. Results. Incidence of aggressive behavior was high with a mean score of 3.09 (SD = 3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F = 2.925, p = .066). Nursing staff’s aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.001). Conclusion. Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff’s aggressive behavior management skills.
아파트 단지의 생태환경요소에 대한 시각적 선호도에 관한 연구
오희영,조동길,김귀곤 인간식물환경학회 2005 인간식물환경학회지 Vol.8 No.4
본 연구는 도시내 아파트 단지를 조성하는 데 있어서 도입 가능한 생태환경요소를 파악하고, 이를 어떻게 도입할 것인지를 제시하기 위한 연구다. 이를 위해서 실제 아파트 단지의 입주예정자 120명을 대상으로 하여 설문조사를 실시하여 분석한 결과는 다음과 같다. 첫째로, 잔디만을 이용한 식재보다는 다양한 식물종을 함께 도입하는 것이 시각적 선호도와 생태적 다양성을 함께 높일 수 있는 것으로 나타났다. 설문 결과 도입되었으면 하는 식생 패턴으로는 잔디가 가장 높은 선호도로 나타났으나, 실제로 잔디만 식재된 것보다는 잔디와 야생초화류, 관목, 교목 등을 함께 혼식하는 것이 생태적인 측면에서 바람직하다. 이러한 결과는 실제로 시뮬레이션이나 사진 등을 이용하지 않고 단순히 선호도만 조사한 후 주거단지에 식물소재를 도입하였을 경우와 실제 조성한 경우와는 차이가 생길 수 있음도 유념해야 함을 의미한다. 둘째로, 도시 내 아파트 주거단지에서는 우수를 적극적으로 도입할 필요가 있으며, 우수를 이용한 생태연못의 조성은 가장 바람직한 방법 중의 하나로 분석되었다. 또한, 생태연못은 적절한 식생 관리를 통해서 정돈되어야 시각적 선호도를 높일 수 있는 것으로 나타났다. 셋째로, 다공질 공간을 이용하여 곤충 등의 서식처를 조성해 줄 때에는 시각적인 배려를 우선적으로 하고, 이후에 다양한 곤충이 서식하도록 조성해야 하는 것으로 나타났다. 마지막으로, 주거단지에서는 다양한 야생동물이 도입되어야 하나 나비와 반딧불이, 새, 다람쥐와 같이 친근한 생물종을 우선적으로 고려해야 하는 것으로 나타났다. 앞서 언급한 결과는 시각적 선호도를 높일 뿐만 아니라 도시내 아파트 주거단지에서 생태적 다양성도 함께 높일 수 있는 방법이지만, 식재기법, 생태연못과 물의 이용 등과 같이 다양한 항목들을 망라하고 있다. 따라서, 앞으로는 각각의 생태환경요소별로 다양한 변수를 이용한 선호도 조사를 실시하여 가장 적절한 도입기법을 제시할 필요가 있다. 특히, 식재와 관련해서 입주예정자들의 선호가 시뮬레이션을 하지 않은 질문에서는 잔디가 높게 난 것과는 달리 실제로 시뮬레이션을 했을 경우에는 잔디만 도입된 부분이 가장 낮게 나타난 것에 대한 원인 등을 파악하기 위한 다차원적인 후속 연구가 필요하다. The objective of this study was to identify ecological environment elements that may be introduced in creating urban apartment complexes and to suggest possible options on how to introduce them. To this end, a questionnaire survey has been mailed to 120 residents-to-be of apartment complexes to suggest ecological environment elements and techniques preferred by residents-to-be and, accordingly, they have been applied to study areas. The detailed results of this study are as follows. (1) Introduction of diverse plant species instead of plantation using grasses only and considering the height and density of planting adequately appeared effective in enhancing ecological diversity as well as visual preference. (2) Creation of eco-ponds using rainwater was one of the most desirable options in urban apartment residential complexes. Also, eco-ponds can increase visual preference when they are arranged through adequate vegetation management. (3) The results showed that when creating habitats for such as insects using porous space, it is desirable to consider a visual aspect first and then to create habitats for various insects. When the results of this study are actually applied to a real study area, it will be able to increase ecological diversity in urban apartment complexes as well as raising visual preference. Accordingly, it should be introduced proactively in planning, designing, and creating real apartment complexes.
A Study on Aggressive Behavior Among Nursing Home Residents with Cognitive Impairment
오희영,엄미란,권윤정 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.7
Purpose. With a sample of cognitively impaired nursing home residents and nursing staff, the following were examined 1) the proportion and nature of aggressive behavior, 2) the frequency and types of aggressive behavior, 3) the difference between the residents who demonstrate aggressive behavior and those who do not demonstrate aggressive behavior (age, mental status, functional status, and pain, length of nursing home stay), and 4) nursing staff responses to aggressive behavior by residents. Methods. A cross-sectional descriptive study design was used. Data were collected from cognitively impaired nursing home residents (N=205) and nursing staff (N=60) at two nursing homes using Ryden Aggression Scale I and II, Mini-Mental State Exam, Modified Barthel Index, Verbal Descriptor Scale, and aggressive behavior management questionnaire. Data were analyzed using descriptive statistics including t-test. Results. About 62.9% residents were found to be aggressive and 38.5% were both physically and verbally aggressive. Pushing, making threatening gestures, hitting, slapping, cursing/obscene/vulgar languages, making verbal threats were occurred frequently. Aggressive residents were significantly older, had more cognitive impairment, had more pain, and stayed longer in the nursing home when compared with non-aggressive residents. Considerable proportion of nursing staff responded to aggressive behaviors inadequately. Conclusion. Aggressive behavior among cognitively impaired nursing home residents is prevalent thus needs to be prevented and reduced. Along with environmental modification, educational programs for nursing staff and family caregivers need to be developed and implemented so that they can have extensive knowledge and skills to manage aggressive behaviors.
Perceived Competency, Frequency, Training Needs in Physical Assessment among Registered Nurses
오희영,이지연,김은경 한국성인간호학회 2012 성인간호학회지 Vol.24 No.6
Purpose: The purpose of this study was to identify registered nurses learning needs about physical assessment. Specifically, what are the perceived competency, frequency of skill use and the unmet training needs. Methods:The study was an exploratory survey study. The sample was 104 registered nurses. Data were collected through three instruments: The Perceived Competency in Physical Assessment Scale, the Frequency of Physical Assessment Scale, and the Training Needs of Physical Assessment Scale which incorporated 30 core Physical Assessment skills. Descriptive statistics, t-test, and Pearson’s correlation coefficient were used to analyze the data. Results: Auscultation of heart and lung sounds and inspection of the spine were rated by the subjects as physical assessment skills they feel least competent and also were less frequently performed. The most competent area for physical assessment was neurological system. The respiratory and abdominal system was identified as two systems that more education would be needed. Nurses with less than one year of working experience reported needing more training. Nurses with more than five years of clinical work experience performed physical assessment more frequently than nurses with less than five year of work experience. The perceived competency was positively related to the frequency of physical assessment. Conclusion: Continuing education is necessary to further train registered nurses regarding physical assessment skills and the program needs to be focused on the area which nurses are less competent for and have high training need.