• Title/Summary/Keyword: Convergent intervention

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The Validity and Reliability of a Lifestyle Evaluation Tool for Patients with Metabolic Syndrome (대사증후군 대상자의 생활습관 평가 도구 개발을 위한 타당도와 신뢰도 검증)

  • Kang, Se-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.487-497
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    • 2010
  • Purpose: This study examined the validity and reliability to develop a lifestyle evaluation tool for metabolic syndrome patients. Methods: A methodological research design was used. The construct factors and preliminary items were identified by reviewing previous researches and tools related to lifestyle and reviewed by ten experts. It was tested with 195 patients with metabolic syndrome in a university hospital. The data were analyzed with SPSS/WIN 14.0. Results: To test the validity, principal component analyses were used and resulted in the extraction of six components. The convergent validity resulted r= .72 (p<.001) with Health Promotion Lifestyle Profile. The discriminant validity with Center for Epidemiologic Studies Depression Scale resulted r= -.15 (p=.004). The Internal consistency of the tool had an Cronbach's a of .92. The self-report format Lifestyle Evaluation Tool for the patients with metabolic syndrome was developed with 36 items and four-rating scales:'physical activity and weight control' eight items, 'dietary habits' sixteen items, 'drinking and smoking' three items, 'sleep and rest' two items, 'stress' three items, 'drug and health management' four items. Conclusion: This Tool will evaluate health behaviors in patients with metabolic syndrome. Also, it will contribute to the development of nursing intervention to improve the metabolic syndrome patients' lifestyle.

Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case (수술 후 재활 사례에 적용한 임상 판단력 평가도구의 신뢰도 및 타당도)

  • Oh, Hye Kyung
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.145-152
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    • 2015
  • Purpose: The purpose of this study was to evaluate the reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. Methods: Methodological study design was used to evaluate the reliability and validity of the clinical judgement rubric on simulation practice. The participants were 35 students in a college of nursing. Results: There were showed reliability and validity of the clinical judgement rubric on simulation practice with a post-operative rehabilitation case. In terms of internal consistency, the Cronbach's ${\alpha}$ for all columns was .821. Factor analysis showed that planning, intervention and evaluation domains with Eigen values of 69.87% were bound, unlike the original tool where four factors including noticing, interpretation, responding and reflecting domains were bound. Convergent validity was established by the correlation between the total clinical judgement score and critical thinking disposition before and after simulation practice. Discriminative validity was established by the correlation between the total clinical judgement score and simulation effectiveness score. Conclusion: The findings of this study suggested that clinical judgement rubric on simulation practice is reliable. Repeated studies are needed to objectively evaluate the clinical judgement rubric of simulation practice for applying various clinical situations.

Analysis of Convergent Influence of Academic Burnout, Anxiety and Psychosocial Stress on Hopelessness among Some Health College Students Using Structural Equation Model (구조방정식 모형을 이용한 일부 보건계열 대학생의 학업소진, 불안 및 사회심리적 스트레스가 무망감에 미치는 융합적인 영향 분석)

  • Lee, Hyun-Suk;Bae, Sang-Yun
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.165-172
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    • 2019
  • This study attempted to ascertain convergent influence on hopelessness and its association with academic burnout, anxiety, psychosocial stress and hopelessness among health college students. The subjects of this study were 214 health college students in J region, which were randomly selected. The survey period was from October 1, 2018 to October 31, 2018, and the data were collected using a self-administered questionnaire. Hopelessness was positively correlated with academic burnout, anxiety and psychosocial stress. As a result of the analysis of covariance structure, it was found that the higher academic burnout, the higher anxiety and the higher psychosocial stress tend to increase hopelessness. In conclusion, in order to lower the hopelessness of health college students, efforts to reduce academic burnout, anxiety and psychosocial stress are needed. The results of the analysis are expected to be used for educational counseling and guidance intervention to reduce the hopelessness of health college students. Further research is needed to investigate various additional factors related to the hopelessness of health college students.

Therapeutic Intervention to Reduce Spasticity (경련성 감소를 위한 치료적 중재 연구)

  • Lee, Jung-Ho
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.427-436
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    • 2019
  • This study investigated the effect of extracorporeal shock wave therapy on the knee angle, MAS, and TUG of the affected side in patients with hemiplegic strokes. This study selected 20 patients who received rehabilitation treatment at a hospital after having been diagnosed with stroke. The control group (n=10) received the general physiotherapy (proprioceptive neuromuscular facilitation), and the experimental group (n=10) applied the extracorporeal shock wave therapy (ESWT) to the injured limb after PNF treatment. This study used an integrated kinematics analyzer (4D-MT, Relive, Korea) to analyze walking, timed up and go test to evaluate the dynamic balance ability of patients, and MAS to evaluate the spasticity. In the study results, knee angle were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). In the study results, TUG were significantly different in all groups(p<0.05) but there was no significant difference between the groups(p>0.05). Based on the results of this study, I hope that more detailed research will proceed.

A Convergent Study of Mediating Effect of Time Spent on Internet Use and Amount of Alcohol Drinking in the Influence of High School Students' Perceived Stress on Suicidal Thoughts -Based on 2019 Adolescent Health Behavior Survey- (고등학생의 스트레스인지가 자살생각에 미치는 영향과 인터넷 사용시간 및 음주량의 매개효과에 대한 융복합적 연구 -2019년 청소년건강행태조사를 바탕으로-)

  • Nam, EunJu;Sohn, Aeree
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.77-86
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    • 2021
  • This study explored the role of perceived stress in Korean high school students' suicidal thought. In so doing, we also investigated the mediating role of high school students' internet use time and amount of drinking alcohol. For this, 2019 Korean adolescent health behavior survey was used. Complex design multivariage logistic regression analysis revealed that high school students' perceived stresss(OR:5.607, 95%CI:5.077-6.191) and amount of drinking(ranging from OR:1.412, 95%CI:1.159-1.720 to OR:2.325, 95%CI:1.928-2.803) played a significant role in their suicidal thoughts. Internet use time and amount of alcohol consumed were found to play a mediating role. Implications of the results are discussed. Therefore, since internet use mediated suicidal thinking among adolescents, it is necessary to develop a intervention program or message for them.

Quantitative Research Trends for Critical Care Survivors' Health related Quality of Life after Intensive Care Unit Discharge (중환자실 생존 환자의 퇴원 후 건강관련 삶의 질에 관한 국내·외 양적연구 동향)

  • Son, Youn-Jung;Song, Hyo-Suk
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.6 no.12
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    • pp.55-67
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    • 2016
  • Purpose: The aims of this were to analyse the quantitative research trends and describe the factors influencing health related to quality of life (HRQoL) and instruments used to HRQoL after Intensive care units (ICU) discharge. Methods: This study were included 84 published papers regarding HRQoL after ICU discharge from initial data to December 2015. Results: The majority of papers were performed abroad. Only 4 papers with regard to HRQoL of ICU survivors were performed by nurses. 36 studies (42.8%) were used to measure HRQoL ICU survivors using the SF-36. 29 studies (34.5%) were used to measure HRQoL at 3~6 months after ICU discharge. Older age, longer length of stay at ICU, severity of illness, anxiety and depression were main risk factors to lower HRQoL in ICU patients. Conclusions: This study provides a better understanding of quality of life follwing critical illness. Therefore, further stduy is needed to develop patient centered intervention considered patients'health status and recovery phase. Additionally, large prospective multicenter cohort studies should be required.

A Qualitative Case Study on the Child-rearing Experiences of a Couple who was Raised in a Child Care Institution (아동양육시설에서 성장한 부부의 자녀양육 경험에 관한 질적 사례연구)

  • Park, Shinae
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.9
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    • pp.519-527
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    • 2017
  • The purpose of this study is to take a closer look at the child-rearing experiences of a two married individuals who were both raised in a child care institution after they had been separated from their parents. Data was collected from a husband and wife who had grown up together in the same child care institution, and in-depth interviews were conducted on them. The research method was analyzed by a qualitative case study. According to the results, the following main themes were extracted from the experiences of the child-rearing couple : 'A family made to escape loneliness', 'Childbirth that started without preparation and fell into the swamp of child rearing', 'Faced reality, regret, and reflection', and 'Finally regaining strength because of the responsibility to be a parent'. The couple married with vague fantasies and without any preparation to escape from the terrible loneliness. Like the marriage, the couple subsequently did not have a specific plan for childbirth. Later, it proved difficult to raise children who did not receive enough information or education, and the couple became exhausted. After the child entered the day care center, the couple experienced a sense of regret and was forced to reflect as they faced a child who resembled their negative appearance. The couple also reported that they felt deeply responsible for their parents even though they did not grow up with any form of parental care. Based on these findings, this study suggested a social welfare intervention plan which could have helped the married couple grow up in the child care institution.

Meta-analysis of the Effects of Untact Convergence Exercise Programs on Balance, Gait, and Falls Efficacy of Parkinson's Disease Patients (비대면 방식을 융합한 운동 프로그램이 파킨슨 환자의 균형, 보행, 낙상 효능감에 미치는 효과에 관한 메타분석)

  • Roh, Hyo-Lyun;Jang, Se-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.39-50
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    • 2021
  • In this study, a meta-analysis was conducted to find out the effects of convergent "untact" exercise programs on the balance, gait, and falls efficacy of Parkinson's patients. In this study, the PICO were Parkinson's disease, virtual reality program and an e-exercise program intervention, a comparative intervention with the contact interventions applied, and without any interventions applied, outcomes were balance, gait, and fall efficacy. The survey period was between January and February 2021, and five papers were selected and subjected to meta-analysis. Risk of bias, a tool commonly used for randomized control trial studies, was used. Furthermore, RevMan program was used to investigate effect size of untact exercise programs. The result of the meta-analysis showed that the effect size of balance of the untact exercise program group was 1.27 (SMD=1.27; 95% CI 0.72 to 1.83) (Z=4.51, p<0.001), the effect size of fall efficacy was 0.52 (SMD=0.52; 95% CI -0.000 to 1.03) (Z=1.96, p=0.05), and the effect size of gait was -0.40 (SMD=-0.40; 95% CI -1.00 to 0.10)(Z=1.32, p>0.05). A total of 5 literature analysis showed that untact exercise program is more effective in improving balance and falls efficacy than contact exercise program, but no difference in effectiveness was shown on gait.

A study of family function and convergent adaptation hearing protection factor (가족 기능과 융합형 심리적응 보호요인의 관한 연구)

  • Jang, Chun-Ok
    • Journal of the Korea Convergence Society
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    • v.6 no.3
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    • pp.119-125
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    • 2015
  • This study aims to verify the mechanism of mediated effects for protective factor among the relations of risk factor, protective factor and psychology adaptation under risky situation as functionally deficient family, and to identify the protective factors that protects adolescents with high psychology adaptation level. To achieve these goals, descriptive statistic analysis, regression analysis and logistic-regression analysis were conducted using the 5th year data of the Korea Youth Panel Study (Junior high panel) surveyed in 2008 by National Youth Policy Institute. The study results first shows that the psychology adaptation level of adolescents who experienced functionally deficient family varies depending their self-esteem and attachment to school friends. Second, it was found that there are mediated effects in the impacts of functionally deficient family on psychology adaptation. Therefore, in social work field, it is advisable to focus on the process to mitigate the risk factors or to strengthen protective factors rather than focus on the risk factors of adolescents. With this method, the negative perception of adolescents exposed to risk factors can be changed as well as the way of intervention for supporting them.

The Convergent of Phenomenological Methodology of Mothers of Children with Atopic Dermatitis: Focus on the Experience of Family Management Style (아토피 피부염 자녀를 둔 어머니의 현상학적 방법 융합 연구: 가족관리방식 경험을 중심으로)

  • Kim, Chae-Bong;Kim, KyooSang
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.257-271
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    • 2017
  • In this study, phenomenological methodology was used to understand the experience of family management style in mothers who have children with atopic dermatitis. For study methods, in-depth interview was conducted on 9 mothers residing in Seoul and the approach from phenomenological methodology by Colaizzi was used. As a result, 69 significant statements were deduced as well as 21 themes, 10 theme clusters, and 4 categories. These main categories include experiences of accepting atopic dermatitis as a reality, family management style for overcoming atopic dermatitis, reality of facing chronic fatigue, and hope and expectation for the child's health. Our study show that the intervention for improving family management style regarding atopic dermatitis is required including the enhancement of the mothers' quality of life and the recovery of family relationship.