• Title/Summary/Keyword: 중재 콘텐츠

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Effects of Tongue Strength and Accuracy Training on Tongue Strength, Swallowing Function, and Quality of Life in Chronic Stroke Patients with Dysphagia (혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과)

  • Moon, Jong-Hoon;Kim, Hee-Jin;Kang, Min-Kyu;Won, Young-Sik
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.605-613
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    • 2016
  • This study was investigated to effect of tongue strength and accuracy training (TSAT) on tongue strength, swallowing function, quality of life in chronic stroke patients with dysphagia. Eighteen chronic stroke patients with dysphagia participated in this study, and were allocated randomly to experimental(n=9) and control group(n=9). both group conducted to traditional dysphagia therapy, and experimental group was carried out additionally TSAT. TSAT performed using Iowa Oral Performance Instrument(IOPI), and was set up to 50%, 75%, 100% of maximum isometric tongue strength. Two groups received the treatment for five per weeks, eight weeks. Outcome measurements performed that Maximum Isometric Strength(MIS) was assessed by using IOPI for measure the tongue strength, and Swallowing Function Test(SFT) was used to assess the swallowing function. Swallowing-Quality of Life(SWAL-QOL) was used to evaluate quality of life related to swallow. In results of study, experimental group in comparison of change score between two group significantly improve than control group in anterior and posterior MIS, and SFT. SWAL-QOL was not significantly difference in both group. Based on thin study results, TSAT may be a effective intervention to improve on tongue strength, and swallowing function in chronic stroke patients with dysphagia.

The Effect of Motivational Counseling Program on the Knowledge and Attitude of Smoking Cessation and Smoking Cessation Behaviors of Middle School Students (동기강화상담 프로그램이 중학생의 금연지식, 금연태도 및 금연행위에 미치는 효과)

  • Shin, Eun-Sun;Kim, Soo-Jin
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.444-455
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    • 2016
  • The purpose of this study was to examine the effect of motivational counseling program for improving knowledge and attitude of smoking cessation and smoking cessation behaviors of middle school students. The research design was nonequivalent control group pre- and post-test design. The subjects were 42 third grade students of M and D middle school in G city (experiment group 21, control group 21). The treatment of this study, motivational counseling program was modified by author based on Lim(2010), developed by Valasquez(2001). The effects of this study were evaluated with the scales for smoking knowledge, smoking attitude, daily cigarette consumption, and the scales of stage of change. The data were analyzed with percentage and t-test using SPSS 21.0. The results of this study were summarized as follows: The experiment group who participated in the motivation counseling program had higher scores in knowledge(t=8.99, p=.000) and attitude(t=2.77, p=.008) of smoking cessation and stage of change(t=3.85, p=.000), and lesser daily cigarette consumption(t=-3.68, p=.001) than those of the control group. Based on these results, it was verified that the motivational counseling program may be effective in improving smoking cessation of middle school students. It is recommended that the motivational counseling program will be used as useful psychiatric nursing intervention for smoking prevention, smoking cessation, and mental health promotion for middle school students.

Influencing Factors for Post-traumatic Growth in Patients with Breast Cancer (유방암 환자의 외상 후 성장 영향 요인)

  • Choi, Sung-Hee;Lee, Young-Whee
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.499-509
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    • 2016
  • This study was undertaken to investigate the factors that influence post-traumatic growth in patients with breast cancer. The study subjects were 100 outpatients with breast cancer who visited the outpatient clinic of a university hospital. The instruments used for this study were Korean Post-traumatic Inventory (K-PTGI), Modified Medical Outcomes Study Social Support Survey (mMOS-SS), Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B) and Cancer Coping Questionnaire (CCQ). The data were analyzed by t-test, ANOVA, Pearson-correlation coefficient, and stepwise multiple regression using SPSS/WIN 21.0. The mean score of post-traumatic growth was $3.4{\pm}0.9$ out of 5. Post traumatic growth had statistically significant correlation with social support, breast cancer self-management self-efficacy, and coping behavior. In stepwise multiple regression analysis, post-traumatic growth was significantly influenced by therapeutic compliance related self-efficacy and positive reframing coping behavior and it was account for 29% of the total variance. These results suggest that these influencing factors should be considered in developing the nursing intervention to improve the post-traumatic growth in patient with breast cancer.

Evaluation of Balance and Activities of Daily Living in Children with Spastic Cerebral Palsy using Virtual Reality Program with Electronic Games (전자게임을 이용한 가상현실프로그램이 경직성 뇌성마비 아동의 균형과 일상생활활동에 미치는 영향)

  • Han, Ji-Hye;Ko, Joo-Yeon
    • The Journal of the Korea Contents Association
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    • v.10 no.6
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    • pp.480-488
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    • 2010
  • The aim of this study were to examine the effects of virtual reality program on balance and activities of daily living in children with spastic cerebral palsy (CP) using the Pediatric Balance Scale (PBS) and the Functional Independence Measure for Children (WeeFIM), and to measure relationship between the PBS and the WeeFIM. For this, A total of 20 spastic CP classified as the Gross Motor Function Classification System (GMFCS) I and II were employed. The Participant's were allocated randomly to 2 groups: a virtual reality group (n=10) and the control group (n=10). Both groups received muscle strengthening exercise for 3 sessions, 30 minutes per week over a 12 week period. The virtual reality group practiced additional virtual reality program. The virtual reality group showed significant increases in balance (p<0.05) and activities of daily living (p<0.05). There were a significant correlation between the PBS and the WeeFIM (p<0.05). Application of the virtual reality program to treat the spastic CP will be feasible and suitable. And the PBS was a useful tool to predict activities of daily living in the spastic CP.

Effects of Self Esteem, Impulsive Behavior and Mental Health on Cellular Phone Addiction of Adolescents (청소년의 자아존중감, 충동성 및 정신건강이 휴대전화 중독에 미치는 영향)

  • Lee, Hea-Shoon
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.200-210
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    • 2014
  • Purpose: The purpose of this study was done to investigate the relationship between self esteem, impulsive behavior and mental health among adolescents who were cellular phone addiction and those who were not. Methods: The data were collected using questionnaire from the sample of 239 middle school students. The data were collected from April 8 to 19, 2013. Data were analyzed using frequencies, means, ${\chi}^2$-test, Fisher's exact test, t-test and logistic regression analysis with SPSS 20.0. Results: Firstly, Significant differences were found for grade, sex, period, buying motives, the number of the messages/day, use, phone bill, callers between students who were cellular phone addiction and those who were not. Secondly, Self esteem for the cellular phone addiction were lower than for those in the non-addiction group, and impulsive behavior and mental health were higher. Thirdly, The logistic regression analysis revealed that self esteem, non-planning impulsiveness, mental health total, grade, sex, period, and the number of the messages/day significantly associated with being a cellular phone addiction. Conclusions: The result of this study offer basic data for the development of intervention programs to prevent adolescents cellular phone addiction.

A Study on Parents' Mental Model of Media Environment and Children's Media Use (미디어 환경과 사용에 대한 부모의 심성모형 연구)

  • Lee, Ran;Hong, Jimin
    • The Journal of the Korea Contents Association
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    • v.14 no.12
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    • pp.818-834
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    • 2014
  • The purpose of this study is to examine parents' mental model of media environment and children's media use and to provide some educational suggestions. For this purpose, twelve parents of second-graders to fourth-graders sampled in elementary schools were interviewed with three activities such as a word-association experiment, a sentence completion task and a in-depth interview. The result was categorized into 8 elements such as interaction, source of supply and adverse effects. Furthermore, the analysis on the mental model of media use shows that firstly, the parents understand modern media reflects competence while they have a feeling of fear and newness on media themselves. Secondly, the parents show an ambivalent understanding on media use in terms of both negative and positive effects and have a tendency to control them. Another finding is the fact that the parents understand digital media as a representation of both connection and disconnection. Also, the parents realize media as a cause of conflict and as a place for reconciliation as well. Finally, it is showed that media is not only a personal territory but also a part of social system in the parents' understanding. Based on these findings, some interpretations and parents' educational applications are provided in terms of the Meyrowitz(1998; 1999)'s three perspectives on media.

Relation between Appearance Satisfaction and Self-efficacy in College Students (대학생의 외모만족도와 자기효능감의 관계)

  • Park, Soonjoo;Kim, Hyun-Ok;An, Keum-Ok;Lee, Yiluda
    • The Journal of the Korea Contents Association
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    • v.14 no.7
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    • pp.271-280
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    • 2014
  • The purpose of this study was to investigate the appearance satisfaction and self-efficacy of college students. The relation between appearance satisfaction and self-efficacy was also examined. The study adopted a descriptive survey design. The convenience sample consisted of 395 undergraduate college students from three universities in D city. The data were collected from May to July, 2011 using the Body Cathexis Scale and the Self Efficacy Scale. Data analysis was performed with SPSS WIN 21.0 Program. The scores on both scales showed a significant difference between male and female students, and the male students had higher scores. Male and female students had similar rank order of body part by satisfaction scores. There were significant correlations between appearance satisfaction scores and self-efficacy scores but there were no significant differences between the correlation coefficients in male and female students. This result indicates that the effect of appearance satisfaction on self-efficacy was similar in both male and female students. The findings of this study suggest that an intervention program to enhance appearance satisfaction is effective in increasing self-efficacy of college students.

The Influence of Parenting Attitudes and Parenting Efficacy on Educational Needs of Married Immigrant Women with Adolescent Children (사춘기 자녀를 둔 결혼이주여성의 부모교육 요구도에 양육태도와 양육효능감이 미치는 영향력)

  • Lim, Hyun-Suk
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.202-214
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    • 2017
  • This study figured out the influence of parenting attitudes and parenting efficacy on parents educational needs. Accordingly, it is for the purpose of being tried to establish a basic data for educational programs and intervention strategy to promote parenting attitudes and parenting efficacy for marriage immigration women. This is a study on descriptive correlation among 130 marriage immigration women with adolescent children. As the results of this study, parenting attitudes and parenting efficacy showed to be affected on the parents educational needs and had positive correlation(r=.248, p<.01). Receptive parenting attitudes and autonomous ones in the parenting attitudes had also positive correlation(r=.192, p<.05). It showed that the higher the excessive expectant parenting attitudes are, the higher the educational needs of social instruction are, and the higher the receptive parenting attitudes are, the higher the educational needs to understand growth development are. Also it showed that the lower the parenting efficacy is, the higher the social instruction and the educational need on growth for parents themselves are. The parents educational needs were high in the educational needs on learning, career instruction and education of effective communication. Based on the results above, this study hoped to develop structured education program develop for marriage immigration women and have more education opportunities for enhancing receptive parenting attitudes, autonomous ones and parenting efficacy.

Nursing Needs for Elderly Patients with Regional Anesthesia during Operation (부위마취 수술 노인환자의 수술 중 간호요구)

  • Eom, Hea-Kyoung;Ko, Sung-Hee;Lee, Young-Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.351-360
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    • 2016
  • Purpose: The purpose of this study was to identify the nursing needs of elderly patients who got a surgical operation under regional anesthesia(spinal, epidural, nerve block). Methods: The participants were 126 elderly patients who completed a questionnaire. The data were collected October 1 and October 31, 2012, and analyzed using descriptive statistics, t-test and ANOVA, $Scheff{\acute{e}}$ test. Results: The mean score for the nursing needs of elderly patients administered regional anesthesia during surgery was $3.08{\pm}0.38$, The scores for specific nursing needs were as follows: educational needs ($3.47{\pm}0.50$), spiritual needs ($3.37{\pm}0.78$), physical needs ($3.31{\pm}0.46$), emotional needs ($2.72{\pm}0.50$), and environmental needs ($2.51{\pm}0.47$). There were significant differences in nursing needs relative to gender, religion, and spouse status. Additionally, there were significant differences in nursing needs according to surgery department, the length of time the surgery, and the ASA(American Society of Anesthesiologists) physical classification. of the operation-related characteristics. Conclusion: When caring for elderly patients during the surgery, nurses must provide adequate information about the surgery and anesthesia. Further studies are needed to develop and evaluate nursing interventions to provide quality surgical care for the elderly patients.

The Association between Total Sleep Time and Suicidal Ideation in Adults over the Age of 20 (20세 이상 성인의 수면시간과 자살생각과의 관련성)

  • Hwang, Eun Hee;Park, Min Hee
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.420-427
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    • 2016
  • The purpose of this study was to identify association between total sleep time and suicidal ideation in adults with mental problems and without. The data were derived from the fifth Korea national health and nutrition examination survey and analyzed using the IBM SPSS Statistics version 21.0 software package considering complex samples analysis. The subjects were 6,199 adults. The rate of suicidal ideation was 13.7% (880 people). 13.3% (846 people) of the subjects had experienced depression and out of whom 43.1% (329 people) have had suicidal ideation. 2.7% (164 people) of the subject had received the mental health counseling, and out of whom 40.2% (63 people) have had suicidal ideation. Comparing to group having sleep over 6 hours of more, the group of short sleep had 1.33 times high risk of suicidal ideation among general adults, 1.92 times high risk of suicidal ideation among group who had experienced depression and, 7.10 times high risk of suicidal ideation among group who had received the mental health counseling. Therefore, these results indicate that general adults with short sleep time as well as adults with depression or mental health problems have to be managed to prevent suicide.