• 한국콘텐츠학회논문지
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• 제21권7호
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• pp.144-156
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• 2021

본 연구에서는 상담 및 심리치료 분야에서 대화형 에이전트의 활용이 증가하는 가운데, 음성 기반 심리상담 에이전트 설계 시 중요하게 고려해야 하는 요인을 탐색하기 위해 실험 연구를 진행하였다. 이를 위해 실제 심리상담 맥락에서 음성 기반 대화형 에이전트를 구현하여, 20~30대 성인 남녀 48명을 대상으로 상담 대화를 진행하였다. 연구 참여자는 4가지 유형의 에이전트 목소리(청년여성, 청년남성, 중년여성, 중년남성) 중 선호하는 목소리를 선택한 후 대화하였으며, 목소리 선택에 대한 이유, 기분 변화, 에이전트의 특성에 대한 지각, 상담 성과 등을 평가하였다. 연구 결과, 사용자 성별에 따른 에이전트의 목소리 유형 선택은 통계적으로 유의하지 않았다. 그러나 목소리 선택 이유로 '편안함'이 가장 많이 언급됨으로써, 심리상담 에이전트에게 요구되는 목소리 특성이 탐색되었다. 다음으로, 사용자는 에이전트와의 대화 후, 기분이 유의미하게 개선되는 것으로 나타남으로써 심리상담 에이전트의 개입 효과를 확인하였다. 마지막으로, 사용자가 심리상담 에이전트에게 지각하는 특성 중, 전문성과 호감이 상담 성과를 긍정적으로 평가하는데 중요한 요소임이 확인되었다. 본 연구 결과를 바탕으로 심리상담 에이전트의 활용 가능성과 추후 연구에 대한 제언을 제시하였다.

• 디지털융복합연구
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• 제19권11호
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• pp.517-523
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• 2021

상담의 성과는 상담자와 연구자 모두에게 중요하다. 지금까지 진행되어온 상담의 성과에 대한 연구의 동향을 분석하는 것은 상담의 성과를 종합적으로 구조화하는데 도움을 준다. 본 연구의 목적은 2011~2021년에 국내 상담분야의 저명 학회지 중 하나인 「상담학연구」에 게재된 상담 성과 관련 연구를 중심으로 연구 동향을 분석하여, 국내 상담성과 연구의 지식 구조를 탐색하고 향후 연구방향을 모색하는 것이다. 텍스트 마이닝 기법 중 중심성분석과 토픽 모델링을 활용하였다. 분석에 활용된 연구는 197개로 노드 추출 과정을 거쳐 최종 339개의 키워드가 분석에 활용되었다. LDA 알고리즘을 활용하여 잠재 토픽을 추출한 결과 '상담 성과의 측정과 평가', '대인관계에 영향을 주는 정서와 매개요인', '진로에 대한 스트레스와 대처'가 주요 토픽으로 나타났다. 상담학 연구에 게재된 상담성과 연구의 동향 분석을 통해 주요 토픽을 밝힌 것은 상담성과 연구를 보다 구조화하는 데 기여하였으며, 이후에도 이러한 주제들에 대한 심층적 연구가 지속되어야 할 필요가 있다.

• Journal of Nutrition and Health
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• 제32권6호
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• pp.681-690
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• 1999

The purpose of this study was to investigate whether nutrition counseling could lead to a beneficial outcomes in patients with cardiovascular disease(CVD). Fifty CVD patients(23 men and 27 women) participated in a dietary counseling program which was based on serum lipid management. Various markers of disease risk including lifestyles, anthropometric indices, eating behaviors, serum lipids, antioxidants, lipid peroxides were measured before and after the program. The program lasted 3-11 months depending on individuals. Waist/hip ratio decreased after nutrition counseling only in women. Smoking and alcohol drinking status did not change significantly after counseling. Food habit score increased significantly in both men and women(p<0.05), and patients consumed mixed cereal rice, fruits, seaweeds, legumes more frequently and snacks less frequently after nutrition counseling (p<0.05). Although intakes of energy, carbohydrate and vitamin B1 were reduced significantly after nutrition counseling, nutrient densities of calcium and iron of diets have increased significantly after nutrition counseling, and those of other micronutrients were not different Serum total cholesterol decreased significantly in men and LDL cholesterol decreased significantly in women. In women lipid peroxide level decreased and $\alpha$-tocopherol level increased significantly, while there was no significantly change in men. We conclude that well-planned nutrition counseling would reduce risks of cardiovascular disease through improving dietary behavior, lipid profile and antioxidant status.

• 대한간호학회지
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• 제45권3호
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• pp.459-468
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• 2015

Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

• 약학회지
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• 제59권6호
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• pp.270-277
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• 2015

There is a lack of evidence on the impact of pharmacist interventions in diabetes care in South Korea. The aim of this study was to investigate the effects of pharmacist counseling on clinical and humanistic outcomes in patients with type 2 diabetes. An uncontrolled before-and-after study was conducted at the outpatient diabetes clinic in a teaching hospital in Gyeongnam, South Korea between January 2 and November 30, 2014. A total of 37 patients were enrolled. During the study periods, the participants and pharmacists met every 2 weeks via follow-up telephone calls in addition to face-to-face meetings upon returning for care visit. At each meeting, a structured patient counseling was performed and the average duration of each meeting was 15~30 minutes. The participants were requested to record daily self-care activities. At the end of this study, patients' satisfaction on pharmacist care was evaluated using the questionnaire developed by us. Compared to baseline, significant reductions (mean${\pm}$standard deviation, p<0.05) in HbA1c were observed at each follow-up period: $-0.32{\pm}0.72%$ from baseline to 3 months; $-0.52{\pm}0.76%$ from baseline to 6 months; $-0.72{\pm}0.76%$ from baseline to 9 months. Over the same follow-up period, the proportions of patients achieving target HbA1c (defined as HbA1c<6.5%) were 3.1%, 10.3%, and 20%, respectively. The proportions of patients who never missed a dose during the same follow-up period were 43.8%, 31.0%, and 20.0%, respectively. The results from the patient satisfaction survey indicated that pharmacist counseling improved patients' knowledge about diabetes and possible drug interactions. Especially, the information on a healthy diet and lifestyle was the most satisfying. To conclude, follow-up telephone calls combined with face-to-face meetings improved clinical and humanistic outcomes in patients with type 2 diabetes mellitus.

• 디지털콘텐츠학회 논문지
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• 제9권3호
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• pp.379-388
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• 2008

본 논문은 사이버진로상담 활성화(C-C-C-A)의 개념을 재정의 하고 경기지역 인문계 고등학교 수준에서 사이버 상담활성화 영향요인들의 효과를 검정하는데 있다. 이 연구에서, 연구자는 독립변인으로서 3개의 요인들이 <사이버진로상담 활성화>를 증진시킬 것이라는 가정을 하고 있다. 본 가설을 논의하기 위해, AMOS 5.0 프로그램을 사용하여, 2007년 12월, 사이버진로상담 경험자 322명의 학생자료를 분석하였다. 3개의 핵심요소가 사이버진로상담 활성화에 미치는 영향요인을 측정하기 위한 문항들의 신뢰도 검사를 위해서는 탐색적 요인분석이, 사이버 진로상담활성화모형 타당도와 적합도 검정을 위해서는 확인적 요인분석이 시행되었다. 그 결과들은 다음과 같다: 첫째, 3개의 요인들(상담기회 확대, 상담서비스 내실화, 상담서비스체제구축)은 사이버 진로상담 활성화를 증가시킨다. 둘째, 확정요인분석결과로 나타난 적합도 지수들(GFI AGFI, CFI, RMSEA)의 양호함은 사이버진로상담 활성화모형의 통계적 유의미성과 적합도를 증명해 주고 있다. 그러므로, 3개의 선택된 요소들은 사이버진로상담 활성화 모형을 구성하는 유의미한 요소들이라고 말할 수 있다.

• 대한한의학방제학회지
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• 제23권1호
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• pp.161-169
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• 2015

Objectives : This study is aimed to report the outcomes of the treatment of a patient with chronic anal fissure during a 8-year period. Methods : Basic patient’s data was analyzed as a CARE guideline. And related psychological state was measured with BAI, STAI-X-II test. Results : The treatment is based on Shanghanlun and the patient reported better outcomes. The main symptoms of the patient were chronic constipation, blood in the stool. The main clinical findings were that the patient’s symptoms got worse during the examination period because of the anxiety of the exam. And loss of appetite and digestive disorders are due to Jue-Yin-Bing(厥陰病) and the clue of bleeding can be found in article 375 in Shanghanlun. The main diagnoses was chronic anal fissure and main interventions were Chijasi-tang according to article 375 in Shanghanlun and counseling on anxiety. As a results bleeding has stopped after taking herbal medicine and constipation has been treated at the same time. After 6 months, the patient performed BAI, STAI-X-II test and scores got lowered indicating decreasing anxiety level. Conclusion : Chijasi-tang with counseling achieved valid positive results to the patient with chronic anal fissure.

• 한국보건간호학회지
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• 제22권1호
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• pp.62-73
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• 2008

Purpose: To examine the outcomes of a smoking cessation clinic at a public health center, in Hwasung city in 2006 and to examine the perceptions of the users regarding the clinic services. Method: 620 smokers who visited the smoking cessation clinic from January, 2006 to November, 2006 were enrolled. An instrument developed by the researcher was used to collect their perceptions. The instrument comprised 24 questions, on a 5-point Likert scale investigating the clinic services in terms of counseling time, environment, readiness of the counselors, counseling information, campaign method, medication use, and follow-up services. The general characteristics of the participants were collected from the database developed by the Ministry of Health & Welfare. The data were analyzed with frequencies, percentage, mean and standard deviation methods. Results: The outcomes of the smoking cessation clinic in Hwasung city in 2006 showed some limitations in terms of low-income group, female smokers, and young adult smokers. Conclusion: Strategies for solving these limitations were necessary to increase the effectiveness of the smoking cessation clinic. Clinic services focused on cognitive-behavioral therapy needed to be developed in accordance with chemotherapy. More effective publicizing campaigns of the clinic services also needed to be developed for more people to know about the clinic. Strategies to increase the accessibility for the people living far from the clinic were also necessary. Assessment of the smokers who did not visit clinic was also recommended in order to determine their intentions, or barriers to visit the clinic.

• 한국생활과학회지
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• 제14권1호
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• pp.47-57
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• 2005

We conducted a content analysis of the researches published for a 7-year period (1997-2003) in the Korean Journal of Play Therapy (Korean Association for Play Therapy) and The Journal of Play Therapy (Korean Association of Psychological Rehabilitation for Children). Specifically, we analyzed a total of 156 articles for research contents, instruments, subjects, statistical analytic methods, and references. The results of the study are as follows: First, the principal areas of research activity and publication were specific theoretical review, personality, and adjustment research. Most outcomes, processes, and outcome researches were conducted in a form of case study. Second, typical samples contained 4 to 6 year old children or elementary schoolers. A lot of them were counseling center clients or normally adapted children. Third, 37% of the articles used ANOVA-related statistical analytic methods, and 35% of them used descriptive statistical analytic methods. Lastly, many articles averagely cited foreign references written 11 years prior to domestic references.

• 중환자간호학회지
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• 제5권2호
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• pp.37-48
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• 2012

Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.