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      • KCI등재

        일 지역 성인의 호스피스 인식과 사전의료의향서에 대한 지식과 태도의 관계

        박경란,장선희 대한통합의학회 2019 대한통합의학회지 Vol.7 No.4

        본 연구는 일 지역 성인의 호스피스 인식과 사전의료의향서에 대한 지식 및 태도를 파악하기 위한 서술적 상관관계 조사연구이다. 연구대상은 경상남도 C시에 거주하는 일반 성인이 221명을 대상으로 2018년 7월 5일부터 7월 15일까지 설문 조사를 실시하였으며, 210명을 최종자료로 분석하였다. 대상자의 호스피스 인식 정도는 4점 만점에 평균은 3.05점이었고, 사전의료의향서에 대한 지식은 9점 만점에 평균 7.49점이었으며, 사전의료의향서에 대한 태도는 4점 만점에 평균은 2.82점이었다. 대상자의 일반적 특성에 따른 호스피스 인식 정도는 경제적 수준, 종교의 중요성, 호스피스에 대해 들어 봄, 사전의료의향서에 대해 들어 봄, 사전의료의향서 작성의향에 따라 유의한 차이가 있었다. 대상자의 일반적 특성에 따른 사전의료의향서에 대한 지식 정도는 연령, 입원경험, 종교, 집안에 문제가 생겼을 때 최종 결정자, 사전의료의향서 작성의향에 따라 유의한 차이가 있었다. 대상자의 일반적 특성에 따른 사전의료의향서에 대한 태도는 결혼상태, 사전의료의향서 작성의향에 따라 유의한 차이가 있었다. 상관관계에 있어서는 호스피스 인식과 사전의료의향서에 대한 태도( =.47, p<.001), 사전의료의향서에 대한 지식과 태도 간에( =.20, p=.005) 유의한 양의 상관관계가 있었다. 이상의 결과를 종합해 볼 때, 호스피스 인식과 사전의료의향서 태도는 양적 상관이 있음이 확인되어 호스피스 인식과 사전의료의향서에 대한 지속적인 교육 및 범국민적 공감대를 활성화하는 것이 필요할 것이다. Purpose : This narrative research study aimed to identify the degree of correlation between hospice awareness and knowledge of and attitude toward advance directives. Methods : A survey was conducted from July 5 to July 15, 2018 with 210 adults in ​​C city, Gyeongsangnam-do. Using the SPSS 21.0 program, the data analysis methods utilized were the independent t-test, one-way ANOVA, Scheffe, and Pearson's correlation coefficients. Results : The degree of hospice awareness was measured according to the general characteristics of the subjects, which were as follows: heard about economic level, importance of religion, heard of hospice, heard about advance directives, and intention to execute advance directives. The knowledge of advance directives had significant differences by age, hospitalization experience, religion, and being the final decision maker for a family problem. The attitude toward advance directives differed significantly by marriage status and the intention to write an advance directives. The relationship between hospice awareness and knowledge and attitude toward advance directives showed a positive significant correlation (r=.47, p<001). The relationship between knowledge of and attitude toward advance directives also indicated a positive significant correlation (r=.20, p=.005). Conclusion : This study provided basic data to inform promotion of hospice awareness and an educational intervention about advance directives.

      • KCI등재

        디지털감각지각훈련프로그램이 발달장애 아동의 손기능과 시각-운동 통합 능력에 미치는 영향

        김고운,오혜원 대한통합의학회 2019 대한통합의학회지 Vol.7 No.4

        목적 : 본 연구는 발달장애 아동 30명을 대상으로 디지털감각지각훈련프로그램을 제공하지 않은 그룹과 발달장애 아동의 손 기능 및 시각 운동 통합 능력에 미치는 영향을 구분하였다. 방법 : 8주 동안 총 16회, 1주일에 2회 50분씩 실험군과 대조군 각 20명으로 나누어 실시하였다. 젭센-테일러 손 기능 테스트는 개입 전후의 손 기능을 알아내기 위해 사용되었으며, 비주얼 모터 통합 기능을 식별하기 위해 Beery VMI-6을 수행하였다. 결과 : 중재 후 실험군에서 손기능 및 시각 운동 통합 능력은 현저하게 증가하였으나 통제군에서는 현저하게 증가하지 않았다. 이는 디지털 감각 훈련 프로그램에서 발달장애 아동의 손 기능 및 시각적 운동 통합에 긍정적인 영향을 미쳤다. 결론 : 따라서, 디지털 감각 인식 훈련 프로그램은 발달 장애 아동의 손 기능과 시각적 운동 통합 능력을 긍정적인 중재 방법임을 보여주었다. Purpose : This study examined the hand function and visual motor integration capabilities in 30 children with developmental disabilities. The children were divided into an experimental group (n = 20) that received digital sensory perception training and a control group (n = 10) that did not receive this training. Methods : Training was conducted a total of 12 times for six weeks, for 50 minutes a day, twice a week, for the experimental group. The Jebsen-Taylor Hand Function Test was used to determine the hand function before and after the intervention, and the Beery VMI-6 was performed to identify the visual motor integration capability. Results :After the intervention, the ability to perform hand functions and visual motor interaction increased significantly in the experimental group but not in the control group. Digital sensory training therefore had a positive effect on the hand function and visual motor integration in children with developmental disabilities. Conclusion : A digital sensory perception training program is an arbitration method that can positively improve the hand function and visual motor integration ability in children with developmental disabilities.

      • KCI등재후보

        음악청취가 학업스트레스와 우울증에 미치는 영향

        장철 ( Jang Chel ),신현석 ( Shin Hyunsuk ) 대한통합의학회 2016 대한통합의학회지 Vol.4 No.3

        Purpose : The purpose of this study was to conduct a music listening program and investigate its effects on depression and academic stress. Method : 30 male and female at K university located in Busan Metropolitan City were selected as subject of this study and a half of them was experimental group, other were control group. An academic stress tester formed by modifying and supplementing sentences and vocabularies of the questionnaire developed by Oh, Mi Hyang and Cheon, Seong Mun (1994) to help understanding of students was used with Beck Depression Inventory (BDI) by Beck(1967), both before and after conductance of music listening program. Result : First of all, In the Academic stress was no difference between each group and there was no difference in effect according to the comparison period. Second, Score of depression in Experimental group was decreased after application of music listening program than control group``s. Third, Score of depression in Experimental group was lower than control group``s, depending on period. Conclusion : Put the results of this research together, music listening program dosen``t affect the academic stress. But this program deceased the depression. In further study, it will be required to subdivided for academic stress and depression study from evaluation of the several times and apply a variety of diseases.

      • KCI등재

        광주,전남 지역의 가정방문 물리치료에 대한 인식도와 필요성에 관한 설문조사

        이동진 ( Dong Jin Lee ),이영신 ( Young Sin Lee ),정석문 ( Suck Moon Jung ),고대식 ( Dae Sik Ko ) 대한통합의학회 2014 대한통합의학회지 Vol.2 No.1

        Purpose : The objective of this study was to investigate the basis for effective introduction of home visiting physical therapy to provide basic information. Thus in our study, we investigated awareness, necessity and operation plan of home visiting physical therapy for patients and guardian. Method : We conducted a survey 172 and guardian. The questionnaire consisted of items for general characteristics, awareness, necessity and operation plan. Data was collected from 2013 november 1 to november 30. Based on the collected data of self-administered questionnaires, we analyzed for frequency of each questionnaire about awareness, necessity and operation plan of home visiting physical therapy. Result : The awareness for home visiting physical therapy. The necessity for home visiting physical therapy indicated a high result. The result for operation plan indicated a national program. Conclusion : Improving on people`s awareness is needed, because the awareness about home visiting physical therapy was low but the need was high. In addition, government institutional arrangements will be needed for advanced medical services as soon as possible.

      • KCI등재

        회전근개 부분 파열환자의 조기 근력강화운동이 통증, 견관절의 기능 및 수면의 질에 미치는 영향

        방효지 ( Hyo Ji Bang ),이효정 ( Hyo Jeong Lee ) 대한통합의학회 2014 대한통합의학회지 Vol.2 No.4

        Purpose : The purpose of this study was to evaluate the effects of early muscle strengthening exercise on pain, shoulder function and sleep quality for rotator cuff tear patients. Method : The subjects of this study, partial tear of the rotator cuff diagnosed patients, four patients were picked up, who were agreed with this research. This experiment is comprised two experimental groups, with two control groups. The experimental groups recieved early muscle strengthening exercise for 6 weeks, which consisted of 4 times per week, 40 min of supervised exercise program. The control groups received a general movement treatment of 6 weeks which consisted of 4 times per week, 40 min, Pain, shoulder function and sleep quality measured by VAS, PPT and ROM, CMS, SST and PSQI. Result : In comparison of VAS, PPT and CMS, SST and PSQI was the experimental group showed a more improved. Conclusion : Therefore, early muscle strengthening exercise is useful to improve the pain, shoulder function and sleep quality for rotator cuff tear patients.

      • KCI등재

        클라이언트 중심 가정방문 일상생활훈련이 인지지원등급, 노인의 인지기능, 작업수행, 일상생활수행도에 미치는 영향

        손보영 ( Son Boyoung ),방요순 ( Bang Yosoon ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.4

        Purpose : This study aims to investigate the effect of instrument-activities daily living training through client-centered home visitation on the cognitive functions, occupational performance, and instrument-activities daily living of elderly at the cognitive support grade(Grade6). Methods : The subject of this study was a 66-year-old woman living in G Metropolitan City, who has been diagnosed with Alzheimer's and mild dementia. The study period was from March 17, 2020 through June 12, 2020, and the A-B-A' design, among the individual case experiments, was adopted as the study design. For the data analysis, descriptive statistic and visual analysis using graph were used for the change of cognitive functions, occupational performance, and instrument-activities daily living. Results : The instrument-activities daily living provided through client-centered home visitation improved the subject's cognitive functions, occupational performance(performance, satisfaction) and instrument-activities daily living. Conclusion : This study showed that daily life training through client-centered home visitation can help elderly people at the cognitive support grade select for themselves the problems of daily life caused by cognitive decline and practice specific action plans, thereby enabling them to maintain and improve the cognitive functions necessary for the performance of activities, such as comprehension, memory, and thinking skills. In addition, it is thought that the activities based on the subject's preferences, performance, and sense of importance assured the subject of feelings of motivation and the possibility of participation, and had a positive effect on the subject’s performance speed and rate. With the above in mind, Instrument-activities daily living client-centered home visitation is proposed as a potential practical intervention program for individuals. It can help elderly people at cognitive support grade to maintain and improve their functions, thereby delaying the progress of their condition to severe dementia.

      • KCI등재

        재활치료와 관련된 사람들의 작업치료에 대한 인식조사

        정명진 ( Myeong Jin Jung ),장철 ( Chel Jang ) 대한통합의학회 2013 대한통합의학회지 Vol.1 No.2

        Purpose : This study was to investigate the awareness on occupational therapy by the people involved in rehabilitation of persons with disabilities Methods : The survey on the awareness of occupational therapy was conducted on 9 organizations and 111 employees associated with rehabilitation, of which the collected data was calculated in percentage using the results Result : 89.2% answered with "I know the subject of occupational therapy," 66.6% with "I know the meaning of it," 81.1% with "I know the purpose of it," being awared that it has been conducted in medical institutions and other places. However those answers might need more precise information for each occasion. In addition, for the distinction between occupational therapy and other kinds(physical therapy, speech therapy, art therapy, play therapy, music therapy), 40.5% answered with "yes in some degree," but 19% with "no." Regarding the eligibility requirement for occupational therapist, 55% answered with "qualified with a licence." Conclusion : Active promotion will be required more focusing on the subject of occupational therapy, the meaning of occupation, the purpose and working places of occupational therapy, the difference from other therapies, and the qualification of occupational therapist.

      • KCI등재후보

        미주신경 자극을 위한 새로운 방법 : 비침습적 TENS 적용에 대한 미주신경 자극의 치료적 효과

        권해연 ( Kwon Haeyeon ),문현주 ( Moon Hyunju ) 대한통합의학회 2016 대한통합의학회지 Vol.4 No.4

        Purpose: The purpose of this study was to investigate the therapeutic effect of non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation application on the autonomic nervous system of human body. Methods: Participants were seventeen healthy adults. Standard deviation of all normal N-N intervals(SDNN), root mean square of successive differences(RMSSD), low frequency(LF), high frequency(HF) were compared in pre and post Mean values after intervention. Data were analyzed in Wilcoxon`s signed-ranks test. Results: The results of this study is that sistolic blood pressure and pulse rate decreased mean value after non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation. High frequency, low frequency, SDNN, RMSSD increased mean value in heart rate variability after intervention. But that is not significant except for SDNN. Conclusion: Non-invasive vagus stimulation by transcutaneous electrical nerve stimulation effect on parasympathetic nerve stimulation, and then it might be effective method for autonomic nerve balance control.

      • KCI등재

        저강도 근력 운동이 우울증 및 감정 조절 장애가 있는 뇌졸중 환자의 노르에피네피린, 에피네피린, 그리고 세로토닌에 미치는 영향

        홍성균 ( Hong Soungkyun ),이동건 ( Lee Donggeon ),이규창 ( Lee Gyuchang ) 대한통합의학회 2018 대한통합의학회지 Vol.6 No.2

        Purpose : This study investigated the effects of low-intensity muscle training on neurotransmitters associated with depression and emotion regulation disorders in survivors with stroke who were diagnosed with depression or emotion regulation disorder. Methods : Survivors of chronic stroke diagnosed with depression or emotion regulation disorder (n = ) were included in the study. Concentrations of serotonin, norepinephrine, and epinephrine were measured before and after. Low-intensity muscle training was performed once a day for 50 minutes, 5 times a week for 10 weeks. Result : Levels of serotonin, norepinephrine, and epinephrine improved significantly after intervention (p < .05). Conclusion : These results confirm that low-intensity muscle training has a positive effect on neurotransmitter concentrations in survivors with stroke diagnosed with depression and emotion regulation disorders. Future studies should analyze the changes in neurotransmitters in more detail using various exercise methods and intensities to investigate their effects on depression and emotion regulation disorders.

      • KCI등재

        간호대학생의 자아탄력성, 자기효능감 및 학과만족도의 관계

        박의정 ( Park Euijeung ),정경순 ( Jeong Gyeongsun ) 대한통합의학회 2018 대한통합의학회지 Vol.6 No.3

        Purpose : The purpose of this study was to understand the correlations between ego-resilience, self-efficacy and Satisfaction of Department on Nursing Students. Method : The subjects of this study were 352 nursing students in K college. The data collection period was from April 3, 2017 to April 20, 2017. The collected data was processed using SPSS 21.0 and were analyzed using frequency, means, standard deviation, t-test, ANOVA, Scheffe’s test and pearson‘s correlation coefficient. Result : The mean scores for ego-resilience, self-efficacy and department satisfaction of the nursing students were 2.75 (±1.00), 2.86 (±0.95) and 3.72 (±0.92) respectively. The ego-resilience score of the nursing students was significantly differed according to their religion (F=4.39, p=.002), choice motivation (F=3.99, p=.004), and relationship with friends (F=13.53, p=.015). The self-efficacy of the nursing students was significantly different by religion (F=3.18, p=.014). The department satisfaction of the nursing students also differed according to choice motivation (F=7.54, p= .007), and relationship with friends (F=11.66, p=.001). There was a positive correlation between ego-resilience and self-efficacy (r=.608, p<.01), between ego-resilience and department satisfaction (r=.342, p<.01), between self-efficacy and department satisfaction (r=.256, p<.01). Conclusion : The results of this study suggest the following: It is necessary to repeat the study with expanded number and scope of subjects in order to increase nursing a students’ interest in Satisfaction of Department. It is necessary to develop programs for enhancing nursing students ego-resilience and self-efficacy which will result in a higher degree of department satisfaction.

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