• 제목/요약/키워드: 4P's strategies

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지압이 암환아의 오심 구토 정도와 체중변화에 미치는 효과 (Effect of Acupressure on Nausea-vomiting and Weight Change among Pediatric Cancer Patients Receiving Anti-cancer Chemotherapy)

  • 김태임;신영희;오민석
    • Child Health Nursing Research
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    • 제10권1호
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    • pp.98-107
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    • 2004
  • Purpose: This study was to confirm the effect of acupressure on the emesis control and the weight change among pediatric cancer patients receiving anti-cancer chemotherapy. Method: Forty pediatric cancer patients, receiving the induction stage of chemotherapy with MTX and vincristine, were divided into control(n=20) and the intervention group(n=20). Both groups received regular anti-emesis medication, but the intervention group was added acupressure maneuver for 5 minutes on P6 point for 3 times a day for 5days: before chemotherapy, lunch and dinner by investigator during the hospitalization and by mother at home. The instruments for this study were Rhode's(1986) Index of nausea, vomiting and retching(INVR), Cas electric scale and pamphlet developed by researcher. Result: Significant differences in the degree of nausea and vomiting were observed between the control and the intervention group as measured by INVR(t=4.73; p=.01). Repeated measures ANOVA also shows that the group effect was significant(F=22.39, P=.01) as was the time effect(F=380.35, P=.01). The group by time interaction was also significant(F=5.27, P=.01). Acupressure maneuver was apparently effective in reducing the degree of chemotherapy-induced nausea and vomiting. There were also statistically significant weight loss noted in the control group than the intervention group(t=5.42, p=.01). Conclusion: Acupressure on P6 point shows an effective adjunct maneuver in reducing the degree of nausea and vomiting and conserving the weight in pediatric cancer patients. Therefore, it is proposed that acupressure should be applied as supportive nursing intervention strategies to relieve chemotherapy induced nausea and vomiting and to prevent weight loss in pediatric cancer patients.

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Muscle-specific color stability in fresh beef from grain-finished Bos indicus cattle

  • Salim, Ana Paula A.A.;Suman, Surendranath P.;Canto, Anna C.V.C.S.;Costa-Lima, Bruno R.C.;Viana, Fernanda M.;Monteiro, Maria Lucia G.;Silva, Teofilo J.P.;Conte-Junior, Carlos A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권7호
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    • pp.1036-1043
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    • 2019
  • Objective: To investigate the color and oxidative stabilities of longissimus lumborum (LL) and psoas major (PM) muscles from grain-finished Bos indicus cattle in Brazil. Methods: The LL and PM muscles were obtained 24 h post-mortem from eight (n = 8) Nellore bull carcasses, fabricated into 1.5-cm steaks, aerobically packaged, and stored at $4^{\circ}C$ for nine days. Steaks were analyzed for myoglobin concentration, pH, instrumental color, metmyoglobin reducing activity (MRA) and lipid oxidation. Results: The LL steaks exhibited greater (p<0.05) redness, color stability, and MRA than their PM counterparts on days 5 and 9. The LL and PM steaks demonstrated similar (p>0.05) lightness and yellowness on days 0, 5, and 9. On the other hand, PM steaks exhibited greater (p<0.05) myoglobin concentration, pH, and lipid oxidation than their LL counterparts. Conclusion: These results indicated that muscle source influenced the color and oxidative stabilities of beef from grain-finished Bos indicus animals. These results highlighted the necessity of muscle-specific strategies to improve the color stability of beef from grain-fed Bos indicus cattle.

간호대학생의 학업적 자기효능감과 자기주도적 학습력이 삶의 만족도에 미치는 영향 (Influence of Academic Self-efficacy, and Self-directed Learning Ability on Life Satisfaction of Nursing Students)

  • 심정신
    • 문화기술의 융합
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    • 제4권2호
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    • pp.17-25
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    • 2018
  • 본 연구는 간호대학생의 학업적 자기효능감, 자기주도적 학습력과 삶의 만족도 간의 관계를 확인하고 삶의 만족도에 미치는 영향을 파악하기 위한 서술적 조사 연구이다. 자료수집은 K광역시에 소재한 일 간호대학에 재학 중인 대학생 340명이었으며, 연구기간은 2017년 10월 10일부터 10월 17일까지였다. 수집된 자료는 WIN SPSS 20.0 프로그램을 이용하여 빈도, 표준편차, t-test, ANOVA, Scheffe's test, Pearson correlation coefficien, Multiple linear regression 으로 분석하였다. 연구결과 간호대학생의 학업적 자기효능감, 자기주도적 학습력과 삶의 만족도는 통계적으로 유의한 순상관관계를 보였다. 간호대학생의 삶의 만족도에 영향을 미치는 요인은 자기주도적 학습력(${\beta}=.143$, p=.029)과 수업집중도(${\beta}=.099$, p=.048)이며 설명력($R^2$)은 37.0% 이었다. 따라서 간호대학생의 삶의 만족도를 높이기 위해 자기주도적 학습력과 수업집중도 향상을 위한 교육프로그램 개발 및 전략이 필요하다.

Stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake and related psychosocial factors

  • Yen, Wong Chee;Shariff, Zalilah Mohd;Kandiah, Mirnalini;Mohd Kandiah, Mohd Nasir
    • Nutrition Research and Practice
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    • 제8권3호
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    • pp.297-303
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    • 2014
  • BACKGROUND/OBJECTIVES: Understanding individual's intention, action and maintenance to increase fruit and vegetable intake is an initial step in designing nutrition or health promotion programs. This study aimed to determine stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake, self-efficacy, perceived benefits and perceived barriers. SUBJECTS/METHODS: This cross-sectional study was conducted among 348 public university staff in Universiti Putra Malaysia. A pre-tested self-administered questionnaire and two days 24-hour diet recall were used. RESULTS: Half of the respondents (50%) were in preparation stage, followed by 43% in action/maintenance, 7% in pre-contemplation/contemplation stages. Respondents in action/maintenance stages had significantly higher self-efficacy (F = 9.17, P < 0.001) and perceived benefits (F =5.07, P < 0.01) while respondents in pre-contemplation/contemplation and preparation stages had significantly higher perceived barriers (F = 4.83, P < 0.05). Perceived benefits tend to outweigh perceived barriers pre-ceding to taking action. Self-efficacy is important in motivating individuals to increase fruit and vegetable intake as self-efficacy and perceived barriers crossed over between preparation and action/maintenance. Respondents in action/maintenance stages had the highest adjusted mean serving of fruit and vegetable intake (F = 4.52, P < 0.05) but the intake did not meet recommendation. CONCLUSION: Intervention strategies should emphasize on increasing perceived benefits and building self-efficacy by providing knowledge and skills to consume a diet high in fruits and vegetables in order to promote healthy changes in having high fruit and vegetable intake.

발달장애 성인자녀를 둔 부모의 돌봄 스트레스와 삶의 만족도 -가족탄력성, 대처방식의 매개효과- (The caregiving stress and life satisfaction of parents of adult children with developmental disabilities: The mediating effects of family resilience and coping styles)

  • 이원남;김경신
    • 한국가족관계학회지
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    • 제21권4호
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    • pp.27-50
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    • 2017
  • Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.

종사원의 적응판매가 고객만족과 충성도에 미치는 영향 - 특급호텔 레스토랑을 중심으로 - (A Study on the Impact of Adaptive Selling Strategies on Customer Satisfaction and Customer Loyalty: Focused on the Restaurants of Deluxe Hotels in Seoul)

  • 송흥규
    • 한국조리학회지
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    • 제18권4호
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    • pp.1-14
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    • 2012
  • 본 연구는 특급호텔 레스토랑을 이용하는 고객을 대상으로 종사원의 적응판매가 영업성과에 미치는 관계를 조사하기 위해 성과지표를 고객만족과 고객충성도에 미치는 관계로 설정하여 수행하였다. 분석결과, 적응판매는 선행연구의 측정항목을 주요 변수로 채택하고 일부를 보완했는데도 불구하고 2개의 요인으로 구분되었고, 각각 설득제안기술, 친절신속기술로 명명하였다. 레스토랑에서의 적응판매는 설득제안기술이 고객만족에 유의한 영향관계에 있는 것으로 나타났다. 그리고 적응판매가 고객충성도에 미치는 관계에서는 친절신속기술만이 미미한 영향관계를 나타냈다. 결론적으로 설득제안기술의 적응판매가 고객만족도에 영향에는 직접적인 영향을 미칠 수 있으나 고객충성도에는 직접적인 관계에 있지는 않다고 판단된다. 마지막으로 적응판매에 의한 고객만족이 고객충성도에 미치는 관계는 선행연구와 같이 매우 유의한 것으로 조사되었다. 따라서 특급호텔 레스토랑의 환경에서 적응판매의 설득제안기술에 의한 고객만족은 단기적인 면에서 고객만족에 매우 유효한 변수이며, 장기적으로 고객만족은 고객충성도에 유의한 변수로 작용하고 있음을 입증하였다. 본 연구의 의의는 레스토랑에서의 적응판매의 설득제안기술이 영업성과의 지표인 고객만족에 중요한 실천사항임을 확인하였다는 것이고 장기적으로 고객만족이 고객충성도에 결과변수로 재확인하였다는 것이다.

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응급실 간호사의 감정노동과 감성리더십, 소진의 관계 -직원중심 감정노동과 직무중심 감정노동 비교- (Relationship among Emotional Labor, Emotional Leadership and Burnout in Emergency Room Nurses - Comparison of employee-focused emotional labor and job-focused emotional labor -)

  • 어용숙;김묘성
    • 한국산학기술학회논문지
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    • 제18권9호
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    • pp.136-145
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    • 2017
  • 본 연구는 응급실 간호사가 경험하는 감정노동을 직원중심 감정노동과 직무중심 감정노동으로 구분하여 감성리더십과 소진의 관계를 파악하기 위해 시도된 서술적 조사연구이다. 연구대상은 종합병원에서 근무하며 연구참여에 동의한 총 168명의 응급실 간호사이다. 자료는 직원중심 감정노동, 직무중심 감정노동, 감성리더십 및 소진을 구조화된 설문지를 이용하여 조사하였으며 수집된 자료는 실수와 백분율, 평균과 표준편차, t-test, ANOVA, 및 Pearson 상관계수로 분석하였다. 연구결과에서 응급실 간호사의 직원중심 감정노동은 표면행위 평균 3.51점, 진심행위 3.26점이었고, 직무중심 감정노동은 감정표현 빈도 평균 3.73점, 감정표현 지속시간 3.36점, 감정표현 다양성 3.46점이었다. 감성리더십 평균은 3.57점이었고, 소진 중 정서적 소모의 평균은 4.59점, 비인격화 4.13점, 개인성취감 감소 3.60점이었다. 직무중심 감정노동 점수가 직원중심 감정노동 점수보다 높았으며, 직원중심 감정노동 중 표면행위를, 직무중심 감정노동에서는 감정표현 빈도를 가장 많이 수행하였다. 직원중심 감정노동과 소진과의 관계에서 표면행위는 정서적 고갈(r=.27, p<.001)과 비인격화(r=.40, p<.001)에 유의한 양의 상관관계를, 진심행위는 개인 성취감 감소(r=-.36, p<.001)와 음의 상관관계가 있었다. 직무중심 감정노동 중 감정표현 빈도(r=.21, p=.005), 지속시간(r=.16, p=.037), 다양성(r=.15, p=.046) 모두 정서적 고갈과 양의 상관관계가 있었으며, 감정표현 지속시간은 비인격화(r=.30, p<.001)와 양의 상관관계를, 감성리더십은 표면행위(r=.18, p=.020), 진심행위(r=.33, p<.001), 그리고 감정표현 지속시간(r=.23, p=.003)과 양의 상관관계를 보였다. 본 연구결과를 근거로 하여 응급실 간호사의 감정노동 및 소진을 효과적으로 관리할 수 있는 전략 개발 노력이 필요하리라 생각된다.

오운선수작위엄고대언인영득금패(奥运选手作为广告代言人赢得金牌), 비새중화비새후적고표개격상양(比赛中和比赛后的股票价格上扬) (Olympic Advertisers Win Gold, Experience Stock Price Gains During and After the Games)

  • Tomovick, Chuck;Yelkur, Rama
    • 마케팅과학연구
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    • 제20권1호
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    • pp.80-88
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    • 2010
  • 相当多的调查目的是为了证明股东资产值和一些市场战略之间的关系. 之前的研究包括关于股票价格表现和广告之间的关系, 顾客服务学, 新产品介绍, 研究与开发, 名人转让, 品牌感知, 品牌价值评估, 公司名称变化, 以及运动相关的赞助者地位. 另一个据调查可以对股东资产值产生影响的因素是内含特殊体育事件的电视广告, 例如超级杯. 调查指出以超级杯为题材做了广告的公司股票价值都有所提升. 报告给出广告投资和股东价值提升之间的关系, 作为既普通又特殊的事件, 令人吃惊的是调查关注的奥林匹克运动会的相关广告投资以及之后的效果对股东价值的影响效果较小. 然而调查结果显示奥林匹克运动会的主办地却备受关注, 另外所受关注的是赛事的电视广播进行期间广告的财政稳固. 著名的包括Peters (2008), Pfanner (2008), Saini (2008), and KellerFay Group (2009). 这篇论文提出了有关在2000, 2004以及2008年夏季奥林匹克运动会期间在美国国家广播中进行过电视广告宣传的客户的研究.以下为所验证的五个假设: 假设一: 2008, 2004和2000年在美国电视广播中播放奥运广告的公司股票价格在同期比斯坦普500股票价格指数表现要好. 假设二: 奥运相关股票价格比斯坦普500股票价格指数在整个广告播放期间都表现的更好, 播放期间是指从奥运开始前的周一到当年年底. 假设三: 奥运相关股票价格比斯坦普500股票价格指数长期都表现的更好, 长期是指从奥运开始前的周一第二年的年中. 假设四: 在没有奥运会的期间, 奥运相关股票价格和斯坦普500股票价格指数间没有明显差异. 假设五: 在美国电视广播中播放奥运广告的公司的当年年报比其他非奥运年份要好. 本研究记录在过去三届奥运会期间做广告公司的股票价格(北京奥运, 雅典好运, 悉尼奥运). 我们通过Google和电视网络(例如NBC)来确定这些广告. NBC在过去的三届奥运会获得了在美国转播权. 我们使用互联网来确定这些做过广告的品牌的母公司. 股票价格是通过使用Yahoo财经频道来获得的. 本文所使用的所有的信息都是被公开的信息. 总共有117个奥运广告在2008, 2004和2000年在美国播放. 细节可以从图例1中获得. 结果表明这些奥运相关股票在奥运期间以及奥运前期比斯坦普500股票价格指数表现要好. 相同的结果也可以在奥运开始以后到当年年底, 以及之后半年的记录中获得. 价格压力, 信号理论, 高收视率, 以及企业的刺激战略都对这一个结果有着贡献. 论文最后为广告商和研究者提出了建议并对以后的研究提出了方向.

중학교 1학년 학생들의 흡연과 자아존중감, 스트레스와의 관계연구 (Correlation among Adolescent Smoking, Stress, and Self-esteem)

  • 박인혜;류현숙
    • 한국학교보건학회지
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    • 제13권2호
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    • pp.271-282
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    • 2000
  • Primary school is regarded as an important period when many health-related behaviors and life-styles begin to be formed. Acquiring them through school heath education has a strong influence on the health promotion of not only the family but also the community. The goal of this study is to provide baseline data to develop a suitable smoking prevention program for the first graders of middle school. In order to provide this baseline data, the relationships between knowledge and attitudes of the adolescent regarding smoking, and the degree of their stress and self-esteem of the adolescent were explored To achieve this goal a self-administered questionnaire was distributed to the students in two middle schools in Kwang-ju City by school nurses, 400 questionnaires were collected and analyzed using SAS-Fe. The findings were as follows; 1. The subjects of this study were 225 male and 179 female, their average age of than was 12.7. Two students were smoking currently and 49 students had smoked. They started smoking at the mean age of 10.0. 2. Students who were not smoking showed more positive attitudes regarding anti- smoking(F=34.07, p=0.0001), perceived less stress(F=8.32, p=0.0003), and had higher self-esteem(F=15.35, p=0.0001). 3. Those who had the intention to smoke in the future showed more negative attitudes regarding anti-smoking(F=38.97, p=0.0001), perceived more stress(F=4.87, p=0.002) and had lower self-esteem(F=5.55, p=0.0042) 4. Those who had a better self-perception of school performance showed more positive attitudes regarding smoking(F=8.28, p=0.0003), perceived less stress(F=3.48, p=0.0316), and had higher self-esteem(F=22.36, p=0.0001). Those who frequently communicate with their parent showed more positive attitudes regarding anti-smoking(F=4.27, p=0.0082), and had high self-esteem(F=13.28, p=0.0001). 5. There were positive correlations between the attitudes regarding smoking and the self esteem of the adolescent(r=0.36498, p=0.0001), and a negative correlation between the self esteem and the perceived stress of the adolescent(r=-0.34763, p=0.0001). From the above results, we notice adolescent's smoking were related not only with knowledge regarding smoking but also with the intention to smoke in the future, attitudes regarding smoking, and the degree of their stress and self-esteem. So the smoking prevention program to reduce adolescent smoking should include the strategies to increase self-esteem and to address the perceived stress and the dangers of smoking.

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과학영재 고등학생들의 학습관련 어려움: 한국과학영재학교를 중심으로 (Learning Difficulties of Science Gifted High-School Students based on Korea Science Academy Survey)

  • 윤소정;배새벽
    • 한국과학교육학회지
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    • 제31권6호
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    • pp.920-930
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    • 2011
  • 본 연구에서는 한국과학영재학교 학생들의 학습관련 어려움의 원인과 해결 방법에 대해 조사하여 과학 영재 고등학생들의 학습 실태를 알아보고자 하였다. 연구에는 한국과학영재학교 전 학년 284명의 학생들이 참여하였다. 학습관련 어려움의 실태를 조사하기 위하여 창의성 4P 이론에 근거한 과학영재의 학습관련 어려움 설문지를 개발하여 사용하였으며, 신뢰도(Cronbach's ${\alpha}$)는 .88이었다. 결과 분석에는 SPSS 12.0 통계프로그램을 이용하여 빈도분석과 중다변량 분석을 실시하였으며, 유의 수준은 5%미만으로 설정하였다. 과학영재 고등학생들은 학년별로 어려움을 겪고 있는 요인에서 차이를 보였으며, 그러한 차이는 대인관계의 어려움에서 주로 나타났다. 성별에 따른 차이 또한 유의하게 나타났는데, 여학생은 남학생에 비해 일반적 학습능력에서 어려움을 보였으며, 남학생은 여학생에 비해 학습전략 사용에서 더 많은 어려움을 겪는 것으로 나타났다. 과학영재학생들은 학습관련 어려움을 주로 동료들과 함께 해결하는 것으로 나타난 반면, 가장 어려움을 잘 해결해 주는 사람은 928 윤소정.배새벽 기타의 경우 다음으로 AA교사로 나타났다.