• 종양간호연구
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• 제5권1호
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• pp.11-21
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• 2005

The purpose of this study were to develop an web-based education program for Lung cancer patients and to test its effects on patients' self-care knowledge, compliance to medical regimen, nutrition status and pain. The program was developed by the following process: first, Lung cancer patients demand on the web-based program was investigated. and second, the program was developed with the help of various reference books and then validation of experts group. last, educations effects on the patients is evaluated and compared the differences in self-care knowledge, compliance to medical regimen, nutrition status and pain between on experimental group and a control group on before discharge 1day and 3weeks after. SPSS/Win 11.0 program was used for data analysis. It was proven with $x^2$ test and t-test, and Pearson Correlation coefficient, and Chronbach's alpha coefficient were done for the reliability of measuring instruments. 1. The summary of the Program development is as follows. The program is based on patients' questionnaire and reference material and is made for users friendly. Not only Bigger font size and bright colors but also illustrations or pictures were adopted to help enhance patients' understanding. 2. The summary of the study results is as follows. 1) Compared with control group, the web-based educated experimental group showed a statistical significant difference on self-care knowledge, Especially disease, radiation treatment, medication & analgesics, chemotherapy side effect, but there was no significant difference in the field of chemotherapy, in the fields of operation, diet & general knowledge. 2) Compared with control group, the web-based educated experimental group showed a statistical significant difference on compliance to medical regimen, especially in the field of follow up care, everyday life, diet, but there was no significant difference in the field of medication, exercise. 3) Compared with control group, web-based educated experimental group showed no significant difference in nutrition status, but partially significant difference in body weight. 4) Compared with control group, the web-based educated experimental group showed no significant difference in pain level. 5) The significantly positive correalation self-care knowledge with the compliance to medical regimen. 6) Users satisfaction with the web-based education program of the contents quality, the level of recommendation to others, content layout, medical information quality, but interesting got a low mark.

• 디지털융복합연구
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• 제12권10호
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• pp.587-595
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• 2014

본 연구의 목적은 비만흡연자의 복합운동이 당뇨발생예측률 및 신체조성, 혈관탄성에 미치는 영향을 분석하여 비만흡연자의 건강한 삶을 위한 효과적인 운동프로그램을 제시하는데 있다. 본 연구의 취지를 충분히 설명하고 자발적 참여의 동의서를 작성한 D광역시에 소재한 H기업체의 협력업체 T기업에 근무하는 40대 비만흡연 사원 20명이었으며, 과거병력과 현재 특별한 질환이 없고 규칙적인 운동경험이 없는 자들로 구성하였다. 이들은 당뇨발생률예측률 및 신체조성, 혈관탄성 검사를 실시하였으며, 실험 전과 12주간 복합운동 실시 후 평균과 표준편차를 산출하기 위하여 기술통계를 실시하였고 실험 전 후 차이 검증은 Paired t-test를 이용하여 분석하였다. 통계적 유의수준은 p<.05로 설정하여 다음과 같은 결론을 얻었다. 12주간 복합운동프로그램 참여 후 당뇨발생예측률, 체중, 체지방률, 골격근량, 복부지방률 및 혈관탄성 상지(오른손, 왼손), 하지(오른발, 왼발)에서 통계적으로 유의한 수준의 변화를 보였다(p.<05).

• 복식문화연구
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• 제23권4호
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• pp.644-660
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• 2015

The social responsibility of fashion companies has become a crucial factor considering company image and awareness. Businesses have thus increased their CSR activities. However, few studies have shown clear and consistent results regarding the effectiveness of CSR activities. Therefore, this study focuses on the evaluation of the direct effect of CSR on trust and corporate reputation including its moderation by consumer's perceived fit and motivation. A total of 284 completed questionnaires were obtained from adult consumers in the fashion market with promotional leaflets for CSR activities as stimuli. The results were as follows. First, the dimensions for CSR activities were categorized as follows: Social welfare responsibility, environment protection, economic responsibility, social regulation compliance, customer protection, and culture and arts support. Further social regulation compliance, and economic and social welfare responsibilities positively affected corporate trust and reputation. Second, the main effect of perceived CSR activities and fit on corporate trust and reputation was significant, and the interaction effects of the social welfare, environment protection, and culture and arts support of CSR activities and fit were significant. Finally, the interaction effect of perceived CSR activities and motivation on corporate trust and reputation was not significant, but the main effect was significant. Implications of how to manage and enhance the effectiveness of CSR activities are offered.

• 한국의료질향상학회지
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• 제7권1호
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• pp.60-70
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• 2000

Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 춘계학술대회
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• pp.334-337
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• 1997

Von Mises stress and compliance distribution was evaluated using a finite element analysis on the end-to-side anastomosis of an artery with length of $20\sim24mm$, inner diameter of 4mm, thickness of 0.5mm and a PTFE graft with length of 10mm, inner diameter of 2mm, thickness of 0.2mm when the anastomotic angle was taken from $30^{\circ}\sim90^{\circ}$ in every $10^{\circ}$ and the diameter ratio from $0.1\sim1$ in every 0.1. The inner pressure of $1330dyne/mm^2$ was applied inside the 2 conduits. It was found that the compliance whose magnitude is larger on the acute angle anastomotic side than on the acute angle side became larger as the anastomotic angle became smaller and the diameter ratio larger and that the equivalent stress on the acute angle anastomotic side was larger than that on the abtuse angle side and became larger as the anastomotic angle and the diameter ratio became larger.

• 대한간호학회지
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• 제19권1호
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• pp.5-23
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• 1989

This experimental study was undertaken to gauge the possibility of application and extension of a program for hypertension care to be operated by Community Health Practitioners. Four community health posts were selected. Two places were experimental groups and the other two control groups. The study was carried out from April 1987 to March 1988. In this study the hypertensives were screened form a group of adults who were over 20 years old. The rate of prevalence was 10.7% in the experimental group, and 11.1% in the control group. The hypertension care program was composed of three parts : regular care by CHPs, reinforcement of education and family support for the changing of health beliefs. The data for this analysis is based on 109 the hypertensives, with 78 from the experimental group and 31 from the control group. After the program was completed, the results obtained were as follows ; 1) Sick role behavior compliance in the experimental group were significantly higher than the control group. 2) Blood pressures were decreased in both systolic and diastolic in the experimental group. Diastolic pressure was strikingly decreased from those of the control group and showed statistical significance (p＜0.05). 3) In the experimental group, benefits, perceived family support and family support behavior were high, out benefits was significantly higher than those of the control group(p＝0.000). Sensitivity, seriousness and barriers were high in the control group, but not statistically significant. 4) In conclusion, it is revealed that hypertension care program developed in this study has an effect of decreasing blood pressure and promoting sick role behavior compliance.

• 한국융합학회논문지
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• 제9권1호
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• pp.473-483
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• 2018

본 연구목적은 대장내시경 전처치 융합관리프로그램의 효과를 확인하기 위함이다. 비동등성 대조군 시차설계에 따라 대장내시경 검진예정자 75명을 연구대상으로 하였다. 실험군에게는 동영상교육, 걷기운동 및 전화상담모니터링으로 구성한 대장내시경 전처치 융합관리프로그램을 적용하였다. 자료는 구조화된 질문지와 대장내시경 관찰을 통해 수집하였으며 SPSS 21.0 program을 이용하여 분석하였다. 연구결과 실험군의 대장정결제 복용이행도와 검사만족도는 대조군보다 높았고(p=.002; p=.001), 검사난이도와 검사불편감은 유의하게 낮았다(p=.002; p=.001). 대장정결도와 검진소요시간에는 두 집단 간 유의한 차이가 있었으나 식이요법이행도는 차이가 없었다((p<.001; p=.001; p=.108). 따라서 대장내시경 전처치 융합관리프로그램은 대장내시경검사를 위한 효과적인 간호중재방안으로 활용될 수 있으며 향후 임상실무에서 다양한 진단적 검사를 위한 융합중재개발이 요구된다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.257-263
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• 2016

Background: This study purposed to examine how the incidence of the central line-associated bloodstream infection (CLABSI) in a operating room (OR) is affected by bundle application on central line insertion (CLI) practice. Methods: The study design was a pretest-posttest experimental trial. The subjects were 83 patients before the bundle application on CLI and 70 patients after. Results: The compliance(%) of bundle on CLI of among those who observed all of the five items increased from 7.2% before the intervention to 72.9% after. By items, compliance with the maximal barrier precaution was 100% for the use of a mask and cap before and after the intervention, but increased from 73.5% before the intervention to 88.6% after for the hand hygiene, from 73.5% to 88.6% for the use of a sterile gown, and from 9.6% to 75.7% for the use of a sterile large drape covering the whole body. CLABSI did not happen on CLI either before or after the application of the bundle intervention. Conclusion: Bundle application increased compliance with the use of a sterile gown and the use of a sterile large drape. However, its effect in the prevention of CLABSI was not clear probably due to the short period of intervention in a single hospital.

• 대한의용생체공학회:의공학회지
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• 제23권4호
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• pp.309-315
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• 2002

1980년대에 동물과 인체에 이식한 기계식 인공 판막으로부터 핏트(pit)가 발견된 이래 그 원인으로 캐비테이션 현상이 주목받고 있다. 심실 압력 구배(dp/dt), 최대 폐쇄속도, 스퀴즈 유동 등과 같은 다양한 요소가 캐비테이션 발생의 임계값으로 연구되고 있다. 현재에는 기계식 판막의 표면 괴식의 원인으로서는 폐쇄직전에 발생하는 스퀴즈 유동과 수격현상 등이 주목받고 있다. 본 연구에서는 자연 심장에 비교적 가까운 압력 조건하에서 강체 홀더와 유연성을 부가한 홀더를 이용하여 모델 밸브의 디스크의 폐쇄 운동 및 밸브 표면 부위의 압력 변화를 측정하였다 실험 결과 모든 홀더에서 디스크 표면 근처에서 수증기 압력 이하의 압력 저하가 예상되었다. 또한 폐쇄 직전의 속도가 증가할수록 밸브의 표면 괴식도 증가하였다. 이들의 결과로부터 폐쇄 직전의 판막의 속도가 표면 괴식에 큰 영향을 미친다고 생각됐다.

• 대한의용생체공학회:의공학회지
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• 제19권2호
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• pp.183-188
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• 1998

동맥과 PTFE 재료로 된 대체혈관이 혈관폐색이 생긴 부위를 우회하기 위하여 단측문합이 되었을 때 문합각의 변화에 의한 영향을 살펴보기 위하여 두 혈관의 직경비를 0.5로 고정하고 문합각을 30$^{\circ}$에서 90$^{\circ}$까지 $10^{\circ}$간격으로 변화시켜 컴플라이언스와 응력의 분포형태를 살펴보고 또한 직경비의 영향도 살펴보기 위하여 문합각을 45$^{\circ}$로 고정하고 직경비를 0.1에서 1까지 0.1간격으로 변화시켜 컴플라이언스와 응력의 변화를 살펴보았다. 단측문합비에 사용된 모델은 20-24mm, 내경 4mm, 두께 0.5mm의 동맥과 길이 10mm, 내경 2mm, 두께 0.2mm의 PTFE 대체혈관이 사용되었으며 문합각이 작아지거나 직경비가 커질수록 예각 문합부의 컴플라이언스가 점점 더 커진다는 것을 알았다.