• 재활치료과학
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• 제3권1호
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• pp.57-65
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• 2014

목적 : 본 연구는 뇌졸중 환자를 대상으로 스마트폰 인지 어플리케이션을 이용한 집중력과 기억력 효과를 알아보고자 하였다. 연구방법 : 단일사례연구 방법 중 ABA 설계를 사용하여 기초선 A 5회, 중재기 B 10회, 기초선 A' 5회기로 총 20회기를 총 4주에 걸쳐 적용하였다. 기초선 A와 기초선 A' 기간에는 별도의 중재를 하지 않았고 중재기 B 기간 동안 '기억의 달인(숫자, 도형, 과일 모드)'과 'Matching cute animals'라는 어플리케이션을 통해 중재하였다. 전 회기에 걸쳐 '기억의 달인(랜덤 모드)'과 'Memory free(그림외우기)'어플리케이션을 이용해 기억력과 집중력을 평가하였다. 결과 자료는 그래프와 기술통계량으로 제시하였다. 결과 : 회기 별 실시한 기억력과 집중력 평가 결과, 기초선 A와 기초선 A' 기간보다 중재기 B 기간 동안 집중력과 기억력의 향상을 보였고, 중재 전과 후에 실시한 평가에서도 중재 후의 평가에서 집중력과 기억력의 향상을 보였다. 결론 : 본 연구를 통해 검증된 스마트폰 어플리케이션을 이용한 중재 효과가 임상적 근거를 제공하는데 유용하게 사용되기를 기대하며, 향후 연구에서는 더 많은 표본을 대상으로 장시간에 걸쳐 시행한 연구가 진행될 필요가 있다.

• 대한치과보철학회지
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• 제55권3호
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• pp.258-263
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• 2017

목적: 이번 연구에서, 다양한 상황에서 골소실양을 평가하기 위하여 맞춤형 지대주를 사용한 환자에서 4년간의 후향적 방사선학적인 연구를 시행하였다. 대상 및 방법: 이번 연구의 대상은 CAD/CAM 맞춤형 지대주를 이용한 임플란트 고정성 보철물이다. 2011년 8월 1일부터 2012년 7월 31일 까지 조선대학교 치과병원 보철과에서 제작하여 고정성 보철물로 사용된 CAD/CAM 맞춤형 지대주와 상부 보철물들을 대상으로 하였으며, 고정성 보철물을 제작한 환자에 대하여 방사선학적 평가를 시행하여 보철물 장착 후 3개월, 6개월, 1년, 2년, 3년, 4년 단위로 총 4년 간의 후향적 연구를 시행하였다. 결과:연구 결과, CAD/CAM을 이용한 맞춤형 지대주는 기존 연구 결과에 비해 골소실 양이 적었다. 연결 고정된 그룹과 연결 고정되지 않은 그룹 간에 골소실 양(각각 0.27 mm, 0.5 mm)에 통계적으로 유의한 차이가 없었다. 또한 상악 전치부, 상악 구치부, 하악 전치부, 하악 구치부의 부위별 골소실양(각각 1.37 mm, 0.39 mm, 0.00 mm, 0.30 mm)에 통계적으로 유의한 차이가 있었다. 결론:CAD/CAM을 이용한 맞춤형 지대주는 연결 고정 여부에 따른 골소실 양에서 통계적으로 유의한 차이가 없었으며, 임플란트 식립 부위에 따른 골소실 양에서 통계적으로 유의한 차이가 있었다.

• 대한간호학회지
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• 제30권4호
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• pp.1066-1077
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• 2000

The purpose of this study is to develop self-efficacy promotion program and to test its effects on self-efficacy, self-care, physiologic index of hemodialysis patients after applying this program to them. Preliminary study was carried out to identify the levels and types of self-care, self-efficacy of hemodialysis patients. To develop self-efficacy promoting program, several discussions with nursing professors and nurse specialists on hemodialysis patients were made after in-depth literature review on the area. Through these processes, the self-efficacy promoting program including 20 minutes long videotape and other counciling documents were completed. This videotape consisted of specific self-care techniques for hemodialysis patients including management of fistula, measurement of blood presure and body weight, special diets, medications, exercise and rest, management of physical problems and social adjustment. Two group equivalent pre and post test quasai-experimental research design was used in this study. The total subjects were 34 hemodialysis patients who received hemodialysis three time per week at 1 university hospital. Seventeen experimental group subjects were matched with control group subjects in sex and age. Data were analysed with the SPSS window program. Homogeniety between experimental and control group pretest data was tested by x$^2$ and t-test. There were no significanct differences in general characteristics, illness history, specific self-efficacy and self-care between the two groups. The differences of general self-efficacy of two groups were tested with the Repeated Measure ANCOVA because of significant differences of pretest data of general self efficacy between two groups. The differences of self-efficacy and self-care of two groups were tested with Repeated Measure ANOVA and the differences of physiologic indecies including blood potassium level and blood phosphorus level and interdialytic weight gain were tested by t-test. The results were as follows: 1. There was no significant difference in general self-efficacy between the two groups over four different time, and no interaction by groups and by time. 2. There was significant difference in specific self-efficacy between the two groups over four different time, and interaction by groups and by time. 3. There was significant difference in self-care between the two groups over four different time, and interaction by groups and by time. 4. There were no significant differences of blood potassium level and blood phosphorus level, but there was significant difference of interdialytic weight gain between the two groups. From the results above, it can be concluded that the self-efficacy promotion program for hemodialysis patients was effective to improve degree of specific self-efficacy and self-care and to decrease interdialytic weight gain. Considering results, the followings are recommended: 1) Repeated studies are needed for another hemodialysis patients. 2) This program can be used for improving degree of self-efficacy and self-care of hemodialysis patients by nurse practitioner and nurse educator.

• 대한간호학회지
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• 제30권4호
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• pp.1045-1054
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• 2000

As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

• 여성건강간호학회지
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• 제13권4호
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• pp.245-253
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• 2007

Purpose: The purpose of this study was to measure the effects of a breastfeeding management program for promotion of breastfeeding. Method: The study design was a non-equivalent control group pre-post test. The study subjects were pregnant women receiving a breastfeeding education class in one hospital in Ilsan. The total number of study subjects was 153 pregnant women, namely 75 mothers in the experimental group and 78 in the control group. Data was collected between June and November, 2006. A breastfeeding management program was provided to the experimental group while admitted for delivery, and in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. The rates of breastfeeding were measured in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. Result: There were significant differences in the scores of rate of breastfeeding between the two groups(all cases), which were 93.1 in the experimental group and 85.8 in the control group at week 4; 88.1 vs 71.8 at week 8; 83.4 vs 56.7 at week 12; 71.4 vs 53.9 at week 16; and 65.7 vs 48.4 at week 20 respectively. However, there were not significant differences in the scores of rate of breast-feeding between the two groups, which were 97.7 in the experimental group and 96.0 in the control group in the early postpartum period at week 2, and 59.6 vs 45.3 at week 24. Add to this, the study analyzed only people who had jobs. As a result, the scores of rate of breastfeeding were 94.8 in the experimental group which were significantly higher than 88.5 in the control group at week 4; 93.2 vs 73.3 at week 8; 89.6 vs 57.2 at week 12; and 75.0 vs 46.0 at week 20 respectively. However, there were not significant differences at week 2, week 16 and week 24. Conclusion: The results of this study suggest that a breastfeeding management program during the last trimester of the perinatal period and postpartum period may increase the duration of breastfeeding in postpartum clients who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.

• 한국보건간호학회지
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• 제15권1호
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• pp.96-110
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• 2001

The purpose of this study was to examine the effect of emotional and informational support intervention on role stress and depression of primary family caregivers caring stroke patients and to develop an effective nursing intervention method for them. This study selected the quasi-experiment, based on pre-test and post-test design of non-equivalent control group as a method of study. This study was conducted with 69 primary family caregivers caring stroke patients hospitalized in K and D hospitals in Daegu from August 20 to October 25, 2000. Out of them, 34 were placed in the experimental group, and 35 in the control group. The emotional and informational intervention program was divided into two aspects-emotional support and informational support- and executed three times, using prepared instruments and a guidebook. The intervention program consisted of the 1st intervention for one or one-half hour, the 2nd intervention for 30 minutes in two or three days after the 1st intervention. and the 3rd intervention for 30minutes in another two or three days after the 2nd intervention. Pre-test was carried out just before the 1st intervention, and the post-test was carried out right after the 3rd intervention, in order to collect data. The measuring instrument of role stress used was one that was modified to the role stress instrument of Yang Young-hee(1992) and the stress instrument of Choi Eun-sook (1992). The reliability was Cronbach's $\alpha=.8271$. The measuring instrument of depression used was one that was developed by Beck(1967) and standardized by Han Heung-moo et al(1986). The reliability was Cronbach's $\alpha=.8693$. Data were analyzed with percentage, mean, standard deviation, $x^2-test$, t-test and Paired t-test by using SPSS 9.0 program. The results of this study are summarized as follows: 1. Role stress score of the experimental group was revealed to be significantly lower than that of the control group 2. Depression score of the experimental group was revealed to be significantly lower than that of the control group Accordingly, the emotional and informational support intervention can be a way to reduce role stress and depression of primary family caregivers caring stroke patients.

• 대한소아치과학회지
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• 제45권3호
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• pp.280-289
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• 2018

이 연구는 소아치과 행동조절 영역에서 역할극 수업에 참여한 학생들의 만족도와 성취도를 분석하여 역할극 수업의 효용성을 평가해보고자 하였다. 93명의 학생은 19조로 나누어져 의사, 환자, 해설자, 보호자, 진료 보조자군으로 역할이 무작위적으로 배분되었다. 역할극 후, 역할극 수행점수가 부여되었으며, 학생들은 설문지를 작성하였다. 모든 학생들은 지필고사에 응시하였으며, 강의와 역할극 중 효과적이었던 수업을 선택하도록 하였다. 결과는 Mann-Whitney U test, Independent T-test, Kruskal-Wallis test로 분석되었다. 역할극이 행동조절 영역의 지식습득에 효과적이었다고 평가한 68명(73.1%)의 학생들은 강의 선택군보다 높은 만족도를 보였으나, 역할극 수행점수와 지필고사에서는 차이가 없었다. 환자 관련 시나리오에 참여한 학생들은 보호자 관련 시나리오 학생보다 지필고사 서술형영역과 역할극 수행점수에서 높은 성취도를 보였다. 역할에 따른 차이는 없었다. 역할극에 대한 만족도는 구성 및 참여한 시나리오의 성격에 따라 달라질 수 있지만, 학생들이 흥미를 가지고 적극적으로 참여할 수 있는 효과적인 교육방법으로 활용될 수 있을 것으로 보인다.

• Child Health Nursing Research
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• 제20권3호
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• pp.133-141
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• 2014

목적 또래관계증진훈련 프로그램을 적용하여 청소년 초기 아동의 자존감, 집단따돌림 및 우울에 미치는 중재효과를 확인하고자 한다. 방법 총 8회기를 한 장소에서 일정한 시간에 연구자와 2명의 연구보조원이 함께 프로그램을 실시하였다. 대조군에게 4주간의 간격으로 자존감, 집단따돌림 및 우울 검사 설문지를 이용하여 사전사후자료를 수집한 후 프로그램을 실시하는 날 실험군의 사전검사를 실시하였고, 프로그램을 종결하는 날 실험군의 사후검사를 실시하였다. 그리고 SPSS/WIN 18.0 프로그램을 이용하여 Fisher's exact probability test, $x^2$ test 및 t-test로 분석하였다. 결과 또래관계증진훈련 프로그램에 참여한 후 실험군과 대조군 간에 자존감은 유의한 차이가 없었으나, 집단따돌림과 우울은 유의한 차이가 있어, 본 프로그램이 청소년 초기 아동의 집단따돌림 및 우울을 감소시킴으로써 내적 적응력 및 대인관계를 향상시키는데 효과적인 중재임을 확인할 수 있었다. 결론 또래관계증진훈련 프로그램의 지속적인 중재효과 및 효율적인 재교육시기를 확인하기 위해서 일정한 시간이 지난 후 추후조사를 해볼 필요가 있으며, 학교 및 지역사회 내에서 학생들의 내적 적응력과 대인관계 향상을 위한 중재전략 수립 시 또래관계증진 훈련프로그램을 활용한다면 본 연구의 결과가 유용하게 활용될 수 있을 것이다.

• 셀메드
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• 제4권1호
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• pp.5.1-5.8
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• 2014

Healthcare-associated infection represents a frequent cause of mortality that increases hospital costs. Due to increasing microbial resistance to antibiotics, it is necessary to search for alternative therapies. Consequently, novel alternatives for the control of resistant microorganisms have been studied. Among them, plant antimicrobial protein presents enormous potential, with flowers being a new source of antimicrobial molecules. In this work, the antimicrobial activity of protein-rich fractions from flower tissues from 18 different species was evaluated against several human pathogenic bacteria. The results showed that protein-rich fractions of 12 species were able to control bacterial development. Due its broad inhibition spectrum and high antibacterial activity, the protein-rich fraction of Hibiscus rosa-sinensis was subjected to DEAE-Sepharose chromatography, yielding a retained fraction and a non-retained fraction. The retained fraction inhibits 29.5% of Klebsiella pneumoniae growth, and the non-retained fraction showed 31.5% of growth inhibition against the same bacteria. The protein profile of the chromatography fractions was analyzed by using SDS-PAGE, revealing the presence of two major protein bands in the retained fraction, of 20 and 15 kDa. The results indicate that medicinal plants have the biotechnological potential to increase knowledge about antimicrobial protein structure and action mechanisms, assisting in the rational design of antimicrobial compounds for the development of new antibiotic drugs.

• Journal of Hospice and Palliative Care
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• 제10권1호
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• pp.29-34
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• 2007

목적: 본 연구는 위암과 폐암 말기로 진단받고 동일 병원에 입원하여 호스피스 대상자와 비대상자로 치료를 받다가 사망한 환자 114명을 대상으로 사망시점부터 14일 전까지의 진료비를 분석하여 양 대상을 비교하는데 있다. 방법: 진료비 분석에 대한 후향적 조사연구 설계로서 진료비 분석에 대한 도구는 C 대학 K 병원의 진료비 계산서 영수증을 기초로 하여 작성된 11개 항목에 대한 각각의 진료비 및 총액이었다. 결과: 호스피스 대상자의 진료비가 비 호스피스 대상자에 비해 낮았는데 특히 고단위 영양제, 마약성 진통제, 간호처치료, 방사선 검사, 혈액검사항목에서 통계적으로 유의하게 낮았다. 또한 호스피스 대상자 중에서는 호스피스 전담의의 유무에 따라 진료비의 총액에는 차이가 없었으나 기타 진통제 항목에서 전담의가 있었던 시기가 전담의가 없었던 시기에 비해 진료비용이 유의하게 높았다. 결론: 본 연구결과 동일기간 내 호스피스 대상자의 진료비용이 비 대상자에 비해 약 53%에 지나지 않음을 알 수 있어 범국가적인 차원의 호스피스 제도화 도입이 시급하다고 본다.