• 한국컴퓨터정보학회논문지
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• 제29권2호
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• pp.145-152
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• 2024

본 연구는 자기효능감, 전공만족도, 임상실습 스트레스가 간호대학생의 핵심간호술 수행자신감에 미치는 영향을 알아보고자 시행되었다. 경상북도 소재 K대학교 간호학과 3,4학년 142명을 대상으로 구조화된 설문지를 통해 자료를 수집하고 SPSS/WIN 22.0 프로그램을 이용하여 분석하였다. 연구결과 일반적 특성에 따른 핵심간호술 수행자신감은 학년(F=-2.08, p<0.05)에서 유의한 차이를 보였다. 핵심간호술 수행자신감은 자기효능감(r=.50, p<.001)과 전공만족도(r=.62, p<.001)와 유의한 양의 상관관계를 나타내었으며, 핵심간호술 수행자신감에 영향을 미치는 요인은 전공만족도(β=.49, p=.002), 자기효능감(β=.24, p<.001)으로 41.7%의 설명력을 가지는 것으로 확인되었다. 본 연구 결과를 바탕으로 핵심간호술 수행자신감을 향상시키기 위한 교육적 전략을 수립하고 이와 더불어 자기효능감과 전공만족도를 향상시킬 수 있는 방안이 필요할 것으로 보인다.

• Annals of Clinical Neurophysiology
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• 제12권1호
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• pp.1-2
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• 2010

Chronic non-specific low back pain (CLBP) is one of the major health problems casting substantial amount of economic expenses and negative impact on quality of life onto an individual as well as society. On contrary to public familiarity, the ways of management of CLBP are diverse and there is yet no general consensus about which approach is better than others or to whom the specific management should be applied. Some hold the negative point of view on the efficacy of the invasive maneuver such as epidural injection because there is no controlled clinical trial (RCT) yielding better long term outcome of those invasive managements over conservative ones. But the experts of interventional or surgical treatment stress the methodological difficulty in performing RCT and assert that those invasive treatments can bring the prompt and complete resolution of low back pain and restoration of function in appropriately selected cases. These seemingly opposite views on the invasive management on CLBP are rather complimentary each other than to be contradictory.

• 대한한의학회지
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• 제26권2호
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• pp.105-125
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• 2005

Objectives: The purpose of this study was to identify resources put into clinical. activities and identify a new RBRVS for oriental medical services in the Korean National Health Insurance. Methods: Based on a survey of physician's time, physical effort & technical skill, mental effort & judgment, and stress that were used for patient treatments, relative input values for the relevant clinical activities were estimated and rearranged in a way to be compared. with the current values in health insurance. Results: We found the actual resource-based relative values for oriental medical services statistically different from the current values, with a narrower variation in value distribution. Conclusions: The findings suggest the C\lrrent RBRVS should be revised to reflect the actual input resources into physicians activities and to avoid a distortion of physicians behavior.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.549-558
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• 2018

본 연구는 임상간호사의 자기 효능감 및 직무스트레스 대처가 극복력에 미치는 영향을 검증하기 위해 시도되었다. 본 연구의 대상은 전라북도 소재 종합병원에 근무하는 간호사 240명이었으며, 불충분한 자료를 제외하고 총 231부가 자료분석에 이용되었다. 자료수집 기간은 2017년 5월부터 6월까지였으며, 수집된 자료는 SPSS 23.0 프로그램을 이용하여 분석하였다. 대상자의 특성, 자기 효능감, 직무스트레스 대처 및 극복력은 빈도, 백분율, 평균 및 표준편차로 분석하였고, 대상자의 특성에 따른 극복력의 차이는 t-test와 ANOVA로 분석하였으며, 사후 검증은 Duncan test로 분석하였다. 임상간호사의 자기 효능감, 직무스트레스 대처, 극복력 간의 상관관계는 Pearsons correlation coefficients로 분석하였다. 자기 효능감 및 직무스트레스 대처가 극복력에 미치는 영향은 다중회귀분석을 이용하여 검증하였다. 본 연구 결과, 자기 효능감 및 직무스트레스 대처는 극복력과 모두 긍정적 상관성이 있는 것으로 나타났으며, 극복력에 영향을 미치는 요인임을 확인하였다. 특히 자기 효능감이 극복력에 미치는 영향이 더 큰 것으로 나타났다. 향후 간호사의 극복력을 증진시킬 수 있는 프로그램을 개발하고 그 효과를 검증하는 연구가 필요할 것으로 생각한다.

• 문화기술의 융합
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• 제9권6호
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• pp.595-604
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• 2023

본 연구는 간호대학생의 임상실습 스트레스와 사회심리적 건강의 관계에서 회복탄력성의 매개효과를 파악하여 간호대학생의 사회심리적 건강을 향상시킬 수 있는 방안 마련에 필요한 기초자료를 제공하고자 시도되었다. 연구대상은 J도와 G시의 2개 대학의 임상실습 경험이 있는 간호학과 3, 4년 175명으로 수집된 자료는 SPSS 23.0을 이용하여 기술통계, independent t-test, ANOVA, Pearson's correlation coefficient을 하였고, Process macro 4.0 프로그램을 통해 매개효과를 검증하였다. 간호대학생의 사회심리적 건강은 임상실습 스트레스(r=.472, p=<.001)와 양의 상관관계, 회복탄력성과(r=-.860, p=<.001)는 음의 상관관계로 나타났다. 임상실습 스트레스와 사회심리적 건강의 관계에서 회복탄력성의 매개효과를 나타내었다. 본 연구결과를 바탕으로 간호대학생의 사회심리적 안녕감 수준을 높이기 위해서는 임상실습 스트레스를 낮추고, 회복탄력성을 높이기 위한 체계적인 프로그램의 개발과 적용이 필요하다.

• Clinical Nutrition Research
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• 제11권4호
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• pp.264-276
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• 2022

Hemodialysis (HD) patients can experience appetite alterations that affect meals and nutritional status. Few qualitative studies have assessed the chronic impact of HD on the everyday diet. This study aimed to characterise comprehensively the experiences of HD patients adapting to appetite alteration. Semi-structured, face-to-face interviews were conducted in a unit of a tertiary hospital to understand patient experiences with appetite alteration. An interview guide was used to consider adaptive processes developed after reviewing the literature and based on the researchers' clinical experiences. A single researcher conducted all interviews to maintain consistency in data collection. The interview content was analysed using Nvivo 11 based on grounded theory and constant comparison analysis. As a results, the mean age and HD vintage of 14 participants were 60 and 5.8 years, respectively. We developed a self-care model based on HD patient experiences with appetite alteration based on axial and selective coding. Differences in urea sensitivity, taste alteration, and social support could be explained by timing of transitions, life events, and responses to stress. Self-care processes are adapted through the processes of "self-registration" and "self-reconstruction," starting with "disruption." At the stage of adjustment, 4 self-management types were derived based on pattern of self-care: self-initiator, follower, realist, and pessimist. The results of this study provide unique qualitative insight into the lived experiences of HD patients experiencing appetite alteration and their self-care processes. By recognising dietary challenges, health teams can better support HD patients in the transition from dietary education to self-care.

• The Journal of Advanced Prosthodontics
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• 제7권3호
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• pp.240-248
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• 2015

PURPOSE. To explore whether there is matching relation between the length and the tilting angle of terminal implants in the All-on-Four protocol by studying the effects of different implant configurations on stress distributions of implant, bone, and framework. MATERIALS AND METHODS. Four implants were employed to support a full-arch fixed prosthesis and five three-dimensional finite element models were established with CT images, based on the length (S and L) and distal tilt angle ($0^{\circ}$, $30^{\circ}$ and $45^{\circ}$) of terminal implants for an edentulous mandible, which named: Tilt0-S, Tilt30-S, Tilt30-L, Tilt45-S and Tilt45-L. An oblique 240 N was loaded at second molar. The von Mises Stresses were analyzed. The implants were consecutively named #1 to #4 from the loading point. RESULTS. 1) Tilt0-S had the greatest stress on the implants, with the other groups exhibiting variable reductions; the four implants of Tilt45-L demonstrated the greatest reduction in stress. 2) Tilt0-S had the greatest stress at bone around #1 implant neck, and Tilt45-L exhibited the least stress, which was a 36.3% reduction compared to Tilt0-S. 3) The greatest stress in the framework was found on the cantilevers distal to #1 implant. Tilt45-S exhibited the least stress. CONCLUSION. Matching different length and tilting angle of the terminal implants led to variable stress reductions on implants, bone and the superstructure. By optimizing implant configuration, the reduction of stress on implants and surrounding bone could be maximized. Under the present condition, Tilt45-L was the preferred configuration. Further clinical testings are required.

• 대한간호학회지
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• 제45권6호
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• pp.879-889
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• 2015

Purpose: The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM). Methods: A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses. Results: The goodness-of-fit statistics of the final modified hypothetical model are as follows: ${\chi}^2=586.03$, ${\chi}^2/df=4.19$, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life. Conclusion: The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

• 동의신경정신과학회지
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• 제30권3호
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• pp.251-263
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• 2019

Objectives: The purpose of this study was to review the clinical research trends in the treatment of post traumatic stress disorder (PTSD) in Korean medicine (KM). Methods: We searched MEDLINE, CENTRAL, EMBASE, Google Scholar and five Korean databases through May 2019, for studies on KM to treat PTSD. Clinical research that conducted KM treatment of PTSD patients were included. Two researchers independently conducted study selection and data extraction process. Results: Totally, eight studies were included in this review. Types of traumatic events that patients experienced included physical violence/threatening, traffic accidents, sexual violence and personal tragic events. KM interventions performed included acupuncture, moxibustion, herbal medicine, physical therapy, and KM-based psychotherapy. Treatment duration varied from two days to more than five months. Follow-up began at least one week to three months after the end of treatments. It was reported that the major psychological and/or somatic symptoms of PTSD, such as anxiety, depression, insomnia, and musculoskeletal pain, subjectively improved, as well as other objective outcomes: Impact Event Scale-Revised Korean version (IES-R-K), Beck's Depression Inventory (BDI), State-Trait Anxiety Inventory, Hwabyung Symptoms/characters, Electroencephalography (EEG) change, etc. Statistical studies were conducted in three studies only. Outcomes such as Visual Analogue Scale (VAS), BDI, and IES-R-K showed statistically significant improvement after KM treatments. There was no study reporting adverse events during or after the interventions. Conclusions: According to this review, diverse types of KM treatments have been used among PTSD patients in eight studies. The KM treatments effectively improved psychological and somatic symptoms of PTSD patients. However, the lack of high quality research as well as the lack of standardization of KM treatments for PTSD are limitations. Further methodologically robust clinical trials should be performed, and the standardization of KM treatments for PTSD should be sought.

• Journal of Periodontal and Implant Science
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• 제34권1호
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• pp.35-48
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• 2004

Since the occlusal loading is transmitted to the surrounding bone, the success of an implant treatment is closely related to the distribution of the stress on the implant. The finite element analysis method is often used in order to produce a model for dispersion of stress. Assessment of the success of the implant is usually based on the degree of osseointegration which is a bone and implant surface interface. Implant used in this research was designed through the method of shape optimization after the stress on implant was anaylzed by the finite element analysis method. This study was pertinently assessed by a clinical, histologic, histomorphometric analysis after the shape optimized implant was installed on beagle dog tibia. The results are as follows 1. It clinically showed a good result without mobility and imflammatory reaction. 2. Implant was supported by dense bone and bone remodeling showed on the surrounding area of the implant 3. The average percentage of bone-implant contact was 58.1%.The percentage of bone density was 57.6%. Having above results, shape optimized implant showed the pertinence through clinical and histologic aspects. However, to use the shape optimized implant, the further experiment is required for finding problems, improvement.