• 대한간호학회지
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• 제25권1호
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• pp.5-16
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• 1995

The effects of the mouth care using cool sterile normal saline on oral stomatitis were investigated in 59 patients on chemotherapy. The subjects were divided into two groups, one was experimental group(N=31) in which the subjects were provided mouth care 4 times a day (after meals, before bedtime)with cool normal saline, the other was the control group(N=28), The Oral Assessment Guide(OAG) which it includes eight items(voice, swallowing, lips, tongue, salivation, oral mucous membrane, gingiva & teeth) was used to assess oral status six times(once in the Prechernotherapy Period, and on the third, 5th, 7th, 10th & 14th day postchemotherapy). The means of the total scores at each time were analyzed by repeated ANOVA The results are as follows : 1. The incidence of stomatitis was higher in the control group than in experimental group. The incidence of third grade stomatitis characterized by bleeding, sore, infection & severe pain was 3.3% in the experimental group, and while 21.4% in the control group(p=0.01). 2. The number of stomatitis sites which were occurred in the experimental group were significantly lower than in the control group(p=0.046). 3. The grade of stomatitis(mean of total score) for patients in the control group was significantly higher than for patients in the experimental group (p=0.005). 4. In the control group, voice change increased in the period between the seventh and tenth day after chemotherapy (p=0.04). 5. In the control group, swallowing difficulty was mest severe in the period between seventh and tenth day(p=0.05), and decreased by the fourteenth day(p=0.01). 6. Changes in the lips gradually increased after chemotherapy in the control group(p=0.0025), while they were significantly lower in the experimental group(p=0.0002). 7. The increment of tongue changes started on the third day after chemotherapy reached a peak on the tenth day and decreased by the fourteenth day in both groups(p=0.0016). 8. Driness of the mouth reached a peak on the seventh day after chemotherapy in the control group (p=0.05). 9. The degree of oral mucositis was significantly higher in the control group than in the experimental group(p=0.02) . In the control group, the mucosal change started three days after chemotherapy and reached a peak on the tenth day(p=0.03). 10. Changes in the gingia were significantly higher in the control group(p=0.03). In control group, the degree of gingivitis reached a peak on the tenth day. In conclusion, meuth care with normal saline four times a day could reduce the incidence and grade of stomatitis. Stomatitis was shown to begin on the third day after chemetherapy, reach a peak on the tenth day and be reduced by fourteenth day.

• 한국학교보건학회지
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• 제14권1호
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• pp.73-81
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• 2001

The purpose of this study was to collect basic data for the development of effective oral health education program in elementary school. The subjects in this study Were 604 fourth-year, fifth-year and sixth-year students of an elementary school in Seoul, Oral health awareness and behaviors were surveyed and analyzed. The findings of this study were as follows: 1. The most common time for toothbrushing was after dinner(62.0%) and before bedtime(62.3%). By school year, the largest number who brushed their teeth after dinner were fourth and fifth graders while the greatest number who did so after breakfast were sixth graders. Seventy-four percent of respondents brushed the teeth twice or more a day. By school year, the fifth-year students brushed their teeth the least while girls outperformed the boys in daily toothbrushing frequency(p<0.05). Regarding the intake of cariogenic food, 62.1% took that kind of food once or more a day. By school year, the fifth graders took the most (p<0.05), and girls took more cariogenic food than the boys(p<0.05). 2. Ninety percent of the respondents had visited a dental clinic. By grade, the sixth-year students had visited a dental clinic more frequently and girls more frequently than boys. Eighty percent of the respondents visited a dental clinic to receive treatment but just 12.3% visited a dental clinic to prevent oral diseases. Concerning the fear of dental treatment, only 14.4% expressed fear. School year made no difference, yet the percentage of girls who experienced fear was higher than that of boys(p<0.05). Regarding preventive treatment, 39.7% experienced pit and fissure sealing and 24.2% experienced the application of fluorides. All the students hadn't much experience in preventive treatment regardless of school year -- gender didn't make a difference. 3. Fourty-six percent of respondents had a preference for the fluoride mouth rinsing program; 38.4% wanted that program to continue. As to the reason for preference, 38.2% preferred it because of the prevention of dental caries, 43.0%, the largest percentage, didn't favor it because they found it too much trouble to do(some of the respondents gave two different answers). 4. Despite an increase in the frequency of toothbrushing at the right time, they still took cariogenic food frequently. Their visit to a dental clinics also aimed at treatment more than at prevention, and they had very narrow experience of preventive treatment Furthermore, the fluoride mouth rinsing program failed to draw their interest Therefore, it is recommended that a successful oral health education program should be developed.

• Journal of Community Nutrition
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• 제5권2호
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• pp.105-111
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• 2003

Balanced intake of appropriate nutrients is the key to sustaining and promoting health as well as preventing and treating diseases. It is not always easy, however, to take balanced nutrition and various related factors must be taken into consideration. This report provides a summary of studies that have examined the nutrient intakes of Japanese middle-aged men and the relationship of this intake to drinking, job-related separation from families, and health practices. The alcohol consumption of Japanese middle-aged men has more than tripled in the last forty years. When nutrient intake was examined in relation to alcohol consumption, it was discovered that the maximum acceptable alcohol consumption was approximately 23 grams (about two drinks) of pure alcohol, provided the level of nutrient intake for drinkers was equal to that of non-drinkers. The alcohol energy ratio was approximately 5％. It was also discovered that middle-aged men's eating habits deteriorate when they relocate to new posts without their families and live by themselves. Compared to those living with their families, a higher proportion of those living alone have unfavorable eating habits including skipping breakfast or lunch, having a late lunch, and eating and drinking after dinner until bedtime. When Breslow's seven health practices, nutrient intake, and consumption weight by food group were examined, it was discovered that the group that had many beneficial eating and living habits consumed plenty of legume, pulses, fruit, green yellow vegetables and milk products. Their intake of vitamins and minerals was high and the results of a physical examination proved to be excellent. According to nutrition surveys conducted in Japan, China, the United Kingdom and the United States using a 24-hour recall method with common protocols and strict controls to ensure high levels of accuracy and cross-study validity, the Japanese had the highest cholesterol intake and the lowest dietary fiber intake among the four countries. Also, the alcohol energy ratio of the Japanese exceeded 8％, the highest among the four countries, while their intake of magnesium and iron was the lowest These results indicate that it is necessary to enhance nutritional education for middle-aged men and to reinforce the social environments in which they live and work in order to promote proper diet and nutrition in Japan. (J Community Nutrition 5(2) : 105-111, 2003)

• 대한소아치과학회지
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• 제34권4호
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• pp.590-598
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• 2007

유아용 시럽형 약물은 어린이가 쉽게 복용할 수 있도록 여러 종류의 당분을 감미제로 사용하고 있으며 그로 인한 우식의 위험이 높다고 할 수 있다. 그러나 시럽형 약물의 우식유발성에 대한 보호자의 인지도는 매우 낮으며 의료 종사자들 조차 이를 소홀히 여기고 있어 문제의 심각성이 크다고 할 수 있다. 본 연구는 시럽형 약물이 구강 내 산도에 미치는 영향에 대하여 조사할 목적으로, 15 종의 시럽형 약물의 산도를 조사하고, 그 중 널리 시판되는 4종을 선택하여 이 약물들이 치태의 산도 변화에 미치는 영향을 평가하였다. 또한 가장 흔하게 사용하는 유아용 시럽형 약물의 일종인 코푸시럽의 복용방법에 따른 타액의 산도 변화를 측정하여 다음과 같은 결과를 얻었다. 1. 15 종 시럽형 약물의 산도는 pH $3.0{\sim}6.8$의 범위에서 다양하여 평균 pH $4.7{\pm}0.94$로 나타났다. 2. 치태의 산도변화를 측정하기 위해 선정된 4종의 시럽형 약물 모두는 구강 내 투입 직 후 법랑질의 탈회 임계점인 pH 5.5 이하로 치태의 산도를 급격히 떨어뜨렸으며, 시간 경과에 따른 치태의 산도 변화에서 콜디(종합 감기약)를 제외한 모든 약물에서는 유의한 차이가 없었다(p>0.05). 3. 코푸 시럽으로 구강을 헹구어낸 경우와 코푸 시럽에 이어 물로 구강을 헹구어낸 경우 타액의 산도 변화에 있어서는 유의한 차이가 있었다(p<0.05).

• 한국임상보건과학회지
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• 제1권2호
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• pp.1-9
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• 2013

Purpose: The purpose of this study was to provide basic data of oral health policy and effective nonsmoking educational the basic data comparing the subjective oral health recognition and tooth brushing pattern by smoking whether or not, the subjects were adults to visit dental clinic. Methods: The subjects were a total of about 245 adults visited dental clinics in Busan metropolitan city and Gyeongnam province some areas. The datas were collected from December 17, 2012 to February 17, 2013. Data analyses were done with SPSS program through frequency analysis and chi-square test. Results: The tooth brushing pattern of non-smokers were more brushing after meals and snacks, and then brushing within three minutes before bedtime and brushing with more than 3 minutes, brushing with rotating method is pretty more, smokers were not brushing after the meal, a snack, and then within 3 minutes before going to bed without brushing, more than three minutes brushing with rotation method. Subjective oral health status of non-smokers, the more awareness is pretty healthy, but smokers were the more unhealthy side, the greater the smoking amount among smokers subjective oral health were recognized as a bad side. Conclusion: It was necessary to recognize subjective oral health status and to provide a way to practice corrective brushing pattern according to smoking or not and smoking amount. Subjective oral health awareness and brushing pattern directly related to the smoking or not and smoking amounts of the subject, so when dental care, it should be followed to recognize exactly what to give oral health status of subjects and provide a way of effective oral health management in order to improve the oral health and quality of life.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.156-163
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• 2020

본 연구는 구급대원을 대상으로 현 출동벨에 대한 스트레스를 파악하고 출동벨에 대한 요구 및 개선점을 파악하여 현실적으로 적용 가능한 출동벨 변경을 위한 기초자료로 제공하기 위한 조사연구이다. 자료 수집은 2019년 8월 28일부터 9월 21일까지 자발적 의사에 의해 연구에 동의하는 대상자 267명을 대상으로 온라인 설문조사로 수집되었다. 연구도구는 구조화된 설문지를 이용하였다. 연구결과는 SPSS/WIN 23.0을 사용하여 평균과 표준편차, 백분율 및 빈도 분석, 독립표본 t-검정으로 분석하였다. 현 근무지의 구급 출동벨 유형은 복합형이 143명(53.4%)으로 가장 많았고 출동벨에 대한 부정적인 생각이 132명(49.4%)으로 높아 주기적인 교체가 필요하다고 사료된다. 상황별 스트레스로는 취침 중에 출동벨을 들었을 때 4.35±0.94로 가장 높았다. 일평균 구급출동 횟수에 따른 취침 중 스트레스에서는 9회 이상과 9회 미만 출동하는 그룹이 통계학적으로 유의미한 차이를 보였다(p<0.05). 구급대원이 원하는 출동벨의 유형으로는 '부드러운 음악'과 '자연의 소리' 등으로 현 출동벨의 교체를 원하는 비율이 168명(62.9%)으로 절반 이상을 차지하였고, 24개월 이내로 주기적인 출동벨의 교체를 원하는 비율도 163명(91.6%)으로 높기 때문에 출동벨에 대한 개선이 필요할 것으로 사료된다.

• 한국보육지원학회지
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• 제10권2호
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• pp.111-131
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• 2014

본 연구는 영유아의 스마트기기 사용에 대한 실태와 어머니의 인식에 대해 조사하고자 하며 이 연구를 통해 영유아기 자녀의 스마트기기 사용에 따른 문제점을 예방하기 위한 기초자료를 마련하기 위한 것이 목적이라고 할 수 있다. 부산광역시 소재한 유치원, 어린이집에 다니는 만 1세부터 만 5세까지의 영유아 자녀를 둔 어머니 397명을 대상으로 조사연구를 실시하였으며 수집한 자료는 Window용 PASW 18.0 통계 프로그램을 이용하여 각 문항별로 빈도와 백분율을 실시하였고, 변인별 차이를 알아보기 위해 빈도와 백분율 문항에 대해서는 카이검증 및 일원배치 분산분석을 실시하였다. 그 결과 첫째, 영유아 가정의 스마트기기 사용여부를 살펴본 결과 대부분이 스마트기기를 사용하고 있고 자녀가 원할 때는 사용을 허용하고 있었으며 집에서 잠들기 전 저녁시간에 오락적인 놀이를 위해서 사용하고 있다고 하였다. 둘째, 자녀의 성별, 기관유형, 연령에 상관없이 어머니들 모두 스마트기기의 유해한 부분 차단의 안전성을 가장 많이 요구하는 것으로 나타났다. 결론적으로 어머니들은 스마트기기의 유해 부분을 차단하는 안전성 방안마련과 스마트기기를 학습에 도움이 되는 방향으로 사용하기를 원하고 있음을 볼 때 앞으로 자녀가 안전하게 스마트기기를 사용할 수 있고 교육의 효과도 극대화 할 수 있는 연구들이 필요함을 알 수 있다.

• 대한한방체열의학회지
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• 제5권1호
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• pp.1-13
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• 2006

Objectives : This study was designed to analyze basic data for cold hypersensitivity patients with a questionnaire and investigate correlation between cold hypersensitivity and Heart Rate Variability(HRV). Methods : 49 patients who complain of cold hypersensitivity on hands and feet in ambulatory care were investigated in Oriental Gynecology, Kyunghee Oriental Medical Center and Women medical center, Kangnam Koreana hospital from May 1, 2006 to October 20, 2006. All patients were asked to answer a questionnaire. After careful I examination to rule out other disease which may affect Digital Infrared Thermal Imaging(DITI) and HRV data, patients were taken thermography for the diagnosis of cold hypersensitivity Based on the result of thermography, the patients were divided into two groups(Objective cold hypersensitivity and Subjective cold hypersensitivity). Then, these two groups were compared using HRV data which was measured in the supine position for 5 minutes. Results: 1. For most patients, cold hypersensitivity first developed during puberty. 2. The parts of the body that felt cold first time were hands and feet. 3. The cold sensation was increased in winter or at bedtime Showing that the sensation can be changed according to the level of coldness. 4. Among women who sufferfrom cold hypersensitivity, very few of them were treated. 5. More than half of cold hypersensitivity patients's family member also had a cold hypersensitivity. 6. The decrease in mean values of LF/HF ratio was observed in objective cold hypersensitivity group than subjective cold hypersensitivity group and the decrease was significant(P=0.014) when examined by Student t-test. Conclusions : It is necessary that the cold hypersensitivity patients should be treated carefully considering the facts mentioned above. And it can be suggested that dysautinomia be related with cold hypersensitivity and be evaluated by HRV.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.1207-1215
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• 2015

스마트폰 중독에 따른 패턴을 파악하여 스마트폰 중독 경향을 파악한다. 총1429부를 배포하여 689개를 회수하여 회수율이 48.22%이였다. 최종 650명의 데이터를 연구에 활용하였다. 스마트폰 중독 정도에 따라 3그룹으로 스마트폰 중독 낮은그룹, 주의그룹, 심각그룹으로 구분하였다. 본인이 스마트폰 중독이 되었다고 생각하는가에 대하여 스마트폰 중독 심각그룹 135명 86.5%, 스마트폰 주의그룹 165명 50.2%, 스마트폰 중독 낮은 그룹 59명 35.5%가 '아니다'라고 응답하였다(p<0.001). 대화중 스마트폰을 사용하는가에 대하여 스마트폰 중독 심각그룹과 주의그룹이 50%를 넘고 있는 것으로 나타났다. 또한, 스마트폰 중독이 심한 그룹일수록 취침시간이 자정을 넘어서는 것으로 나타났다. 평소 취침 시간에 대한 조사 결과 스마트폰 중독이 높을수록 자정을 넘겨 늦게 취침하는 경향을 보여 수면이 부족한 현상을 보였다. 스마트폰 중독 정도에 따른 개인의 요인들과의 패턴을 파악하여 패턴 유형에 따른 스마트폰 중독의 발생 정도를 사전에 예측하여 건전한 생활이 될 수 있는 연구의 기초자료로 활용될 수 있을 것이다.

• 융합정보논문지
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• 제11권4호
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• pp.220-229
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• 2021

본 연구는 뇌졸중 환자에게 제공한 음악요법이 우울과 재활 동기에 미치는 효과를 규명함으로써 음악요법을 뇌졸중 환자의 간호중재방법으로 활용하기 위한 근거를 마련하고자 시도되었다. K병원에 뇌졸중 진단으로 입원한 33명을 대상으로 취침 전 30분 동안 사전에 선정된 10곡의 음악을 3일간 듣게 하였다. 그 결과 인구사회학적 특성에서 남성 참여자(25명)가 여성(8명) 참여자에 비해 많았고 연령대는 40대와 50대가 25명(75.8%)에 달했다. Wilcoxon-signed rank 검정을 사용하여 분석한 결과 우울과 재활 동기에는 영향이 없는 것으로 나타났으나, 인지수준이 낮은 MMSE 1그룹(≤ 29)에서 음악요법이 우울감소에 효과가 있는 것으로 확인되었다. 이 결과로 음악 요법의 효과성을 높이기 위한 다양한 간호중재로 적용하는데 기초자료로 제공될 것을 기대한다.