• 제목/요약/키워드: Degree of Association

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암환자를 위한 호스피스 케어에 관한 탐색적 연구 (An Exploratory Study of Hospice Care to Patients with Advanced Cancer)

  • 박혜자
    • 대한간호
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    • 제28권3호
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    • pp.52-67
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    • 1989
  • True nursing care means total nursing care which includes physical, emotional and spiritual care. The modern nursing care has tendency to focus toward physical care and needs attention toward emotional and spiritual care. The total nursing care is mandatory for patients with terminal cancer and for this purpose, hospice care became emerged. Hospice case originated from the place or shelter for the travellers to Jerusalem in medieval stage. However, the meaning of modem hospice care became changed to total nursing care for dying patients. Modern hospice care has been developed in England, and spreaded to U.S.A. and Canada for the patients with terminal cancer. Nowaday, it became a part of nursing care and the concept of hospice care extended to the palliative care of the cancer patients. Recently, it was introduced to Korea and received attention as model of total nursing care. This study was attempted to assess the efficacy of hospice care. The purpose of this study was to prove a difference in terms of physical, emotional a d spiritual aspect between the group who received hospice care and who didn't receive hospice care. The subject for this study were 113 patients with advanced cancer who were hospitalized in the S different hospitals. 67 patients received hospice care in 4 different hospitals, and 46 patients didn't receive hospice care in another 4 different hospitals. The method of this study was the questionaire which was made through the descriptive study. The descriptive study was made by individual contact with 102 patients cf advanced cancer for 9 months period. The measurement tool for questionaire was made by author through the descriptive study, and included the personal religious orientation obtained from chung(originated R. Fleck) and 5 emotional stages before dying from Kubler Ross. The content ol questionaire consisted in 67 items which included 11 for general characteristics, 10 for related condition with cancer, 13 for wishes far physical therapy, 13 for emotional reactions and 20 for personal religious orientation. Data for this study was collected from Aug. 25 to Oct. 6 by author and 4 other nurse's who received education and training by author for the collection of data. The collected data were ana lysed using descriptive statistics, $X^2-test$, t-test and pearson correlation coefficient. Results of the study were as follows: "H.C Group" means the group of patient with cancer who received hospice care. "Non H.C Group" means the group of patient with cancer who did not receive hospice care. 1. There is a difference between H.C Group and Non H.C Group in term of the number of physical symptoms, subjective degree of pain sensation and pain control, subjective beliefs in physical cure, emotional reaction, help of present emotional and spiritual care from other personal, needs of emotional and spiritual care in future, selection of treatment method by patients and personal religious orientation. 2. The comparison of H.C Group and Non H.C Group 1) There is no difference in wishes for physical therapy between two groups(p=.522). Among Non H.C Group, a group, who didn't receive traditional therapy and herb medicine was higher than a group who received these in degree of belief that the traditional therapy and herb medicine can cure their disease, and this result was higher in comparison to H.C Group(p=.025, p=.050). 2) Non H.C Group was higher than H.C Group in degree of emotional reaction(p=.050). H.C Group was higher than Non H.C Group in denial and acceptant stage among 5 different emotional stages before dying described by Kubler Ross, especially among the patient who had disease more than 13 months(p=.0069, p=.0198). 3) Non H.C Group was higher than H. C Group in demanding more emotional and spiritual care to doctor, nurse, family and pastor(p=. 010). 4) Non H.C Group was higher than H.C Group in demanding more emotional and spiritual care to each individual of doctor, nurse and family (p=.0110, p=.0029, P=. 0053). 5) H.C Group was higher th2.n Non H.C Group in degree of intrinsic behavior orientation and intrinsic belief orientation of personal religious orientation(p=.034, p=.026). 6) In H.C Group and Non H.C Group, the degree of emotional demanding of christians was significantly higher than non christians to doctor, nurse, family and pastor(p=. 000, p=.035). 7) In H.C Group there were significant positive correlations as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and: the degree of intrinsic behavior orientation in personal religious orientation(r=. 5512, p=.000). (2) Between the degree of emotional demandings to doctor, nurse. family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.4795, p=.000). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic: belief orientation in personal religious orientation(r=.8986, p=.000). (4) Between the degree of extrinsic religious orientation and the degree of consensus religious orientation in personal religious orientation (r=. 2640, p=.015). In H.C. Group there were significant negative correlations as following; (1) Between the degree of intrinsic behavior orientation and extrinsic religious orientation in personal religious orientation (r=-.4218, p=.000). (2) Between the degree or intrinsic behavior orientation and consensus religious orientation in personal religious orientation(r=-. 4597, p=.000). (3) Between the degree of intrinsic belief orientations and the degree of extrinsic religious orientation in personal religious orientation(r=-.4388, p=.000). (4) Between the degree of intrinsic belief orientation and the degree of consensus religious orientation in personal religious orientation(r=-. 5424, p=.000). 8) In Non H.C Group there were significant positive correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic behavior orientation in personal religious orientation(r= .3566, p=.007). (2) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of intrinsic belief orientation in personal religious orientation(r=.3430, p=.010). (3) Between the degree of intrinsic behavior orientation and the degree of intrinsic belief orientation in personal religious orientation(r=.9723, p=.000). In Non H.C Group there were significant negative correlation as following; (1) Between the degree of emotional demandings to doctor, nurse, family & pastor and the degree of extrinsic religious orientation in personal religious orientation(r= -.2862, p=.027). (2) Between the degree of intrinsic behavior orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5083, p=.000). (3) Between the degree of intrinsic belief orientation and the degree of extrinsic religious orientation in personal religious orientation(r=-. 5013, p=.000). In conclusion above datas suggest that hospice care provide effective total nursing care for the patients with terminal cancer, and hospice care is mandatory in all medical institutions.

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의사결정과 권력구조에 관한 이론적 고찰 (Research on Decision Making and Marital power Structure)

  • 이정우;장병옥
    • 가정과삶의질연구
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    • 제5권2호
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    • pp.177-189
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    • 1987
  • The Purpose of this study is to present basic data for the more reasonable and successful home management through understanding decision-making pattern that is the degree of their participation in the decision-making and their joint decision-making. Also, this study is the preliminary research for more scientific and wider studies on the Decision-Making and Marital Power Structure in Korea. This study make investigation into decision-making and marital power which is published on the Journal of Korean home Economics Association and the Journal of Korean Home Management Association and thesis for a degree form 1960's to 1987. As a result, the higher wife's age, education level are the more their participation, The increase of the wife's participation in the decision-Making can be regarded as the affirmative phenomenon in the decision-making can be regarded as the affirmative phenomenon that their status are raised in home management and joint decision are carried out. In 1970's, not only the generalization of the empirical studies have been increased but also the general theories(resource theory, exchange theory, system theory ) have been developed.

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밀도개념과 밀도개념에 관련된 INRC 군 변환 능력의 형성에 미치는 순환학습의 효과 (The effectiveness of learning cycle approach to the construction of the concept of density and development of transformation ability of INRC group related to the concept of density)

  • 최병순;김충호
    • 한국과학교육학회지
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    • 제12권2호
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    • pp.31-42
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    • 1992
  • The purposes of this study were to find out the degree of formation of the concept of density for the junior high students. The changing pattern of concept in acquiring the concept of density and the degree of development of INRC transformation ability related to the concept of density were also analyzed according to cognitive level and teaching method. The results of this study were as follows. 1) The experimental group were more effective than control group in the formation of the concept of density. 2) Even though students had been taught the concept of density, the various types of preconception were remained and persisted. Especially, the students at concrete level had persisted misconceptions and these misconceptions had been changed to the other misconceptions. 3) In the degree of the formation of the transformation ability of INRC group related to the concept of density in solid phase, the experimental group developed much better on both the abilities of Reciprocal transformation, Correlative transformation and the abilities to manipulate two variables such as volume and mass than control group. 4) The correlation coefficient between GALT score and achivement of the concept of density was 0.67. The correlation coefficient between achivement of the concept of density and the formation the transformation of INRC group related to the concept of density was 0.78.

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비정복성 관절원판 변위환자들에서 악관절세척술의 술후 예측 인자들에 관한 연구 (THE STUDY OF THE PREDICTORS IN ARTHROCENTESIS AND LAVAGE OF TEMPOROMANDIBULAR JOINT DISORDER : RETROSPECTIVE EVALUATION OF ANTERIOR DISC DISPLACEMENT WITHOUT REDUCTION)

  • 김철훈;황희성;신상훈
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권6호
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    • pp.392-396
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    • 2003
  • Purpose : The purpose of this study was to find the predictors for successful arthrocentesis for anterior disc displacement without reduction(ADD without Reduction) of the temporomandibular joint (TMJ). Patients and Methods : Arthrocentesis and lavage was carried out in 25TMJs of 22patients whose MRI findings were all anterior disc displacement without reduction. The effectiveness of the treatment was evaluated in terms of the postoperative range of maximal mouth opening (MMO) and the degree of postoperative pain score. Predectors which was analyzed were age, duration of painful locking, MMO, the degree of pain, perioperative clicking and the amounts of irrigation fluid. Results: 18cases (72%) was included to criteria for success. There were no significant differences in age, duration of locking, MMO and the degree of pain statistically. But In 15cases(83%) of successful cases, amouts of irrigated solution recovered to normal MMO were less than 150ml. And In 8cases (44%) of successful cases, perioperative clicking was appeared. Conclusion : Amounts of irrigated solution recovered to normal MMO and the appeareance of perioperative clkicking may be predictors of the successful results of arthrocenetesis of ADD without reduction of TMJ.

남편의 가정내 역할인지와 역할수행에 관한 연구 (Husband's Role Recognition and Role Performance in Family)

  • 이정우
    • 가정과삶의질연구
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    • 제17권4호
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    • pp.1-14
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    • 1999
  • The purpose of this study was to probe the role recognition and role performance of husbands if family and to find out the variables which influence role recognition and role performance. the sample were selected from 503 husbands with children more than one living in Seoul The major findings were : 1) husbands` role recognition was relatively higher than role performance 2) Influential variables on the husbands` role recognition were the degree of home-orientedness communication-satisfaction and stage of life cycle. 3) Husbands` role performance was affected by communication-satisfaction degree of social support job satisfactions sex-role attitudes flexibility of job and jusbands` role recognition.

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선형절삭시험에 의한 슬림 코니컬커터의 절삭성능 평가(II): Skew Angle 변화에 의한 결과 (Performance estimation of conical picks with slim design by the linear cutting test (II): depending on skew angle variation)

  • 최순욱;장수호;이규필;박영택
    • 한국터널지하공간학회 논문집
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    • 제16권6호
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    • pp.585-597
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    • 2014
  • 본 연구에서는 받음각이 $45^{\circ}$인 경우에 대해 사각이 $0^{\circ}$$6^{\circ}$이고 S/d비가 1.3~12사이인 시험조건에 대해 슬림 코니컬커터를 사용하여 선형절삭시험동안 발생하는 커터작용력을 측정하였다. 각 시험조건에서 커터작용력인 연직력, 절삭력, 구동력을 측정하였고 그 측정결과의 평균값을 사용하여 분석을 실시하였다. 커터관입깊이가 깊어질수록 비에너지가 감소하였고 커터관입깊이에 따른 커터작용력의 변화는 사각이 $6^{\circ}$인 경우가 작게 나타났다. 이와 같은 결과로부터 사각이 $6^{\circ}$인 경우가 $0^{\circ}$인 경우에 비해 장비설계측면에서 효과적인 것으로 판단된다. 또한 $F_c/F_n$은 사각이 $6^{\circ}$일 때가 $0^{\circ}$인 경우에 비해 작게 나타났다. 그러나 사각이 있을 경우 구동력의 증가가 나타날 수 있으므로 이에 대한 고려가 필요하다.

하악 제3대구치의 맹출 양상과 치관주위염과의 상관관계 (CORRELATION OF PERICORONITIS AND ERUPTION STATE OF THE MANDIBULAR THIRD MOLAR)

  • 정정권
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권2호
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    • pp.161-167
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    • 2006
  • Objectives: Pericoronitis was the most common indication for mandibular third molar surgery and there are no universally acceptable predictive criteria for pericoronitis occurrence. This study was designed to analyze the correlation of the pericoronitis and the eruption state of the mandibular third molar using panoramic radiographs statistically. Materials and Methods: 218 patients whose chief complaint was the extraction of the mandibular third molar were examined. The presence and absence of pericoronitis, age, sex, position of extraction site, angulation, impaction degree, position to the anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar were assessed. Then the correlation of pericoronitis and the eruption state of the mandibular third molar were analyzed by Student's t-test and chi-square test. Results: There was no correlation between Pericoronitis and age, sex, position of the mandibular third molar. The angulation(P=0.005), impaction degree(P=0.043), relation with anterior border of mandibular ramus(P=0.003), distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of the mandibular third molar(P<0.05) were correlated with pericoronitis. Conclusions: The occurrence of the pericoronitis can be predicted by the eruption state of the mandibular third molar such as angulation, impaction degree, relation with anterior border of mandibular ramus, distance between distal cementoenamel junction of second molar and mesial cementoenamel junction of third molar.

학점은행제 패션전공 학위과정 학습자의 학습참여동기 (Learning Participatory Motivation of learner in Fashion Major Degree Program in Academic Credit Bank System)

  • 이혜윤;박명자
    • 한국의상디자인학회지
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    • 제17권4호
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    • pp.191-200
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    • 2015
  • The purpose of this study is to analyze the difference of educational institutions and majors on Learning Participatory Motivation of Lifelong Education Organizations of Universities and Job Technical Colleges that are operating academic degrees on bachelor of fashion and associate of industrial arts in Academic Credit Bank System. The significance of this study is to provide basic information for educational institutions to promote efficient operation and devise a strategy for reinforcing educational competitiveness according to individual Learning Participatory Motivation and purpose of learners. In this study, educational institutions were classified into Lifelong Education Organizations of Universities and Job Technical Colleges operating academic degrees in Academic Credit Bank System. Degrees were divided into bachelor of fashion and associate of industrial arts, and majors were divided into fashion design and fashion business for bachelor of fashion and fashion design and fashion business for associate of industrial arts. Looking at Learning Participatory Motivation of learners, factors selected by learners as considerations for registration and selection of currently affiliated educational institution were found to be 'acquisition of degree at a university' and 'acquisition of degree' for Lifelong Education Organizations of Universities and fashion design major, and 'for employment' and 'acquisition of new knowledge and skill' for Job Technical Colleges and fashion business major.

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비전문직 취업모의 역할긴장에 대한 대처행동 및 관련변수 연구 (Role Strain Coping Behaviors and Associated Variables among Non-professional Working Mothers)

  • 조은숙
    • 대한가정학회지
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    • 제36권12호
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    • pp.55-71
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    • 1998
  • The purpose of this study was to identify the characteristics of coping behaviors of non-professional working mothers and find out the individual and situational factors which affect the degree of coping behaviors. For this research, the working mothers in non-professional job with children under age 18 answered the structured questionaire. The findings were as follows. First, the degree of coping behaviors was rather high in multiple role management strategies, strengthening family system and positive thinking, but rather low in housework socialization and role reduction/standard adjustment. Second, the effect of associated variables were different according to the subcategories of coping behaviors. So we conclude that, the coping behaviors of the non-professional working mothers were different from those of professional working mothers in some aspects, althought they have much similarities. The different aspects were 1) The relationship of family income and the degree of housework socialization was more evident. 2) The work-related variables did not affect the coping process significantly because of the conservative sex-role attitued of them. Second, non-professional working mothers should use coping behaviors such as housework socialization, role reduction/standard adjustment more for the more effective management of the role strain. Third, the attitude of occupational and parental role was one of the most important factors in using the role strain coping behaviors. And such an unconscious use of the coping behavior won't be helpful in the feeling of control over environment including role strain and active coping of working mothers.

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