• Title/Summary/Keyword: Effectiveness Score

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Effects of Simulation-based Practice Education for Core Skill of Maternity Nursing (분만간호 핵심술기에 대한 시뮬레이션 실습교육의 효과)

  • Song, Young A;Son, Young Ju
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.37-44
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    • 2013
  • Purpose: The purpose of this study is to analyze the effectiveness of maternity nursing education-knowledge, skills and attitude among the third year students who have completed maternity nursing, practice at the college, clinical practice and core skill practicum. Methods: This is the descriptive research to verify the effectiveness of simulation-based practice education for core skill of maternity nursing. Third year nursing students who have completed maternity nursing related theories and practice have been selected as population. Total of 202 surveys have been used for analysis. Data analysis is done by using SPSS/WIN 18.0. Results: Self-confidence of core skill in maternity nursing is experimental group 4.52 and control group 4.37 score (p<.05). Performance competence in childbirth care is experimental group 4.53 and control group 4.35 score (p<.05). The students who have maternity nursing related clinical practice and core skill practicum experience show high core skill evaluation score. Conclusion: Therefore, it is recommended that current maternity nursing core skill curriculum should be reviewed and improved, and the students should be provided variety of simulation techniques to gain essential knowledge and core nursing skills.

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Comparative Effect of Interventions for Fall Prevention in Hospitals: Network Meta-analysis (병원 입원 환자를 위한 낙상예방중재 효과의 비교우위: 네트워크 메타분석)

  • Kang, Hyunwook;Ko, Ji Woon
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.218-229
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    • 2023
  • Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.

Korean Medicine Treatments for Delirium in an Elderly Patient Caused by Sedative-Hypnotics Overdose (진정수면제를 음독한 노인 입원 환자에서 발생한 섬망에 대한 한의복합중재 증례보고)

  • Han-byul Cho;Byung-Soo Koo;Geun-Woo Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.473-485
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    • 2023
  • Objectives: The purpose of this study was to report the effectiveness of the combination of Korean medicine therapy on elderly patients with delirium due to overdose of sedative-hypnotics. Methods: The patient was diagnosed with delirium, which occurred after an overdose of sedative-hypnotics. The patient received Korean Medicine treatment, including herbal medicine, acupuncture, moxibustion and psychotherapy, and other treatments. The evaluation variables to check the effectiveness of the interventions were the Korean Version of the Delirium Rating Scale-Revised-98 (K-DRS-R-98) Mini-Mental State Examination-Korean (MMSE-K) Clinical Dementia Rating (CDR) and Manual Muscle Test (MMT). Results: During the hospitalization period, the K-DRS-R-98 score decreased from 31 to 4, MMSE-K score increased from 18 to 26. CDR score decreased from 2 to 0. MMT in the Right lower extremity was improved. Normal daily activities were possible. Conclusions: Combining Korean Medicine treatments, including herbal medicine, acupuncture, moxibustion, psychotherapy, and other treatments, may help alleviate delirium.

A Study on the Effectiveness of LMS for Improving College Student's Mathematics Performance using a Propensity Score Matching Method

  • Heejoo PARK;Sunyoung BU;Jihoon RYOO
    • Educational Technology International
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    • v.25 no.1
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    • pp.67-92
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    • 2024
  • This study aims to verify the practical effectiveness of learning management system (LMS) by introducing a LMS enhancing digital assessment utilizing automatic item generation in order to strengthen college student's mathematics performance. Teaching assisted with digital assessment in the LMS was applied to college mathematics classes, and the research question is whether or not students in the classes utilizing the LMS perform better than the regular classes. In particular, a calculus course, which is the foundation of important artificial intelligence technology in the future, was utilized in this study. The participants of this study were 248 freshmen in science and engineering who were taking calculus courses at a small to mid-size university. A total of 156 freshmen were selected after applying a propensity score matching method (PSMM), 78 from classes utilizing the LMS and 78 from regular classes without the LMS assisted with the digital assessment. As a result, it was found that there was a statistically significant difference in the math academic growth of students who used the LMS and those who did not. In other words, when LMS was used in calculus, students' academic growth was greater. The results of this study are meaningful in that they observed students' academic growth and confirmed that LMS enables a positive role in students' academic growth. In addition, if digital assessment is strengthened and LMS that enables individualized learning analysis is introduced and implemented in educational institutions, it is expected to play a major role in strengthening students' academic performance.

Effectiveness and Tolerability of Combination Pharmacotherapy With Stimulant and Non-Stimulant in Children With Attention Deficit Hyperactivity Disorder

  • Hyung Nam Park;Na Yeong Kong;Hee-Cheol Kim;Yang Tae Kim;Sung-Won Jung;Hojun Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.1
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    • pp.82-89
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    • 2024
  • Objectives: This study aimed to investigate the effectiveness and safety of combining psychostimulants and nonstimulants for patients under treatment for attention deficit hyperactivity disorder (ADHD). Methods: The study included 96 patients aged 6-12 years who were diagnosed with ADHD, among whom 34 received combination pharmacotherapy, 32 received methylphenidate monotherapy, and 30 received atomoxetine monotherapy. Statistical analysis was conducted to compare treatment and adverse effects among groups and to analyze changes before and after combination pharmacotherapy. The difference between combination pharmacotherapy and monotherapy was investigated. Logistic regression analysis was used to identify the predictors of combination pharmacotherapy. Results: No significant differences were observed between the groups in terms of age or pretreatment scores. The most common adverse effect experienced by 32% of patients in the combination pharmacotherapy group was decreased appetite. Clinical global impression-severity score decreased significantly after combination pharmacotherapy. All three groups showed significant clinical global impression-severity score improvements over time, with no significant differences among them. The predictive factors for combination pharmacotherapy included the Child Behavior Checklist total score internalizing subscale. Conclusion: Combination pharmacotherapy with methylphenidate and atomoxetine is a relatively effective and safe option for patients with ADHD who do not respond to monotherapy.

Autonomy, Teaching Effectiveness, and Clinical Practice Satisfaction for Fundamentals Nursing Clinical Practice in Student Nurses (간호 대학생의 기본간호 임상실습에 관한 자율성, 교수효율성 및 임상실습 만족도)

  • Kim Yeong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.6-14
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    • 2006
  • Purpose: The purpose of this study was to investigate autonomy, teaching effectiveness, and clinical practice satisfaction for fundamentals nursing clinical practice in student nurses. Method: The participants were 244 sophomores, who had done the practice for 8 weeks from June 17 ${\sim}.33$ August 23, 2005. Autonomy the Caring Perspective(ACP) devised by Boughn(1995) was used to measure autonomy, Instrument to Measure Effectiveness of Clinical Instructor(IMECL) by Reeve(1994) for measuring teaching effectiveness, and an instrument by Moon(2002) for measuring satisfaction. Results: After practice, the role model was seen as rich in knowledge and experience(48.77%). Desirable categories for instructor were full-time professors with a practice background and head nurses(31.97%). Average score for autonomy was 3.71(${\pm}.33$), for teaching effectiveness, 3.67(${\pm}.48$) and for satisfaction 3.51(${\pm}.38$). Autonomy scores were high for students satisfied with their major(F=5.23, p=.006), and interested In practice(F=4.38, p=.014). Teaching effectiveness scores were high for students satisfied with practice (F=2.57, p=.038). Clinical practice satisfaction scores were high for students interested in practice(F=5.01, p=.007). Relationships between autonomy and teaching effectiveness (r=.174, p=.006), and between leaching effectiveness and satisfaction showed a positive correlation(r=.632, p=.000). Conclusion: Interest in clinical practice courses in first year affect autonomy, teaching effectiveness and satisfaction.

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A Case Report of Decreased Chronic Coccygodynia from Coccygeal Subluxation after Chuna Manipulation (만성 미골통을 호소하는 미골 후방 아탈구 환자의 추나 치료 치험 1례)

  • Cha, Yun-Yeop;Nam, Tong-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.191-197
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    • 2010
  • Coccygodynia is a common problem that is characterized by pain in the tailbone that radiates to the lower sacral and perineal areas. The purpose of this study is to report the pain decrease after Chuna manipulation on a chronic coccygodynia patient. We diagnosed a patient suffering from chronic coccygodynia as subluxation of Co2 below Co1. And we treated for correcting the subluxation with Chuna manipulation. The effectiveness of the Chuna manipulation was evaluated with visual analogue scale(VAS) score and the angle between Co1 and Co2. It was decreased that both VAS score and angle between Co1 and Co2. The effect was maintained for a period of at least 6 months. We concluded that Chuna manipulation has effectiveness on chronic coccygodynia from coccygeal subluxation.

Improvement of Weakness and Pain of the Right Upper Limb Associated with Herpes Zoster Following Complex Korean Medicine Treatment: A Case Report

  • Hyesoo Jeon;Shin-Hyeok Park;Sohae Cho;Sol Jeong;Nam Geun Cho
    • Journal of Acupuncture Research
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    • v.40 no.2
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    • pp.156-161
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    • 2023
  • Herein, we report the effectiveness of Korean medicine for the treatment of postherpetic upper limb weakness and pain. The patient received a combination of Korean medicine treatment modalities, including electroacupuncture, pharmacopuncture, and herbal medicine. Muscle strength and pain were evaluated using a manual muscle test (MMT) and a Numerical Rating Scale (NRS), respectively. The overall MMT score improved after hospitalization, and elbow extension improved from 3+ at admission to 5 at discharge. The NRS score improved to 2 at discharge. This study suggests the effectiveness of a combination of Korean medicine modalities in treating postherpetic motor nerve paralysis.

Retrospective Study about the Effectiveness of Korean Medicine Treatment on 89 Severe Atopic Dermatitis Patients (중증 아토피피부염 환자 89명의 한의학적 치료 효과에 대한 후향적 연구)

  • Cho, Ah-Ra;Han, Su-Ryun;Park, Gun;Seo, San
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.2
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    • pp.161-179
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    • 2016
  • Objectives : The purpose of this study is to report the effectiveness of a Korean Medicine Treatment on 89 severe atopic dermatitis patients all through 12 months. Methods : The degree of atopic dermatitis was measured in Objective SCORAD Index (OSI) with photos of patients. Then, the OSI score was estimated according to gender, age and intensity. Results : 1. The ratio of male to female was 41.57 : 58.43. The 24.72% of patients were in 0~11 year-old group, 16.85% were in 12~18 year-old group and 58.43% were in the group above 19 years old. 2. The initial OSI score was 64.43 and the final was 37.03 after 12 months. After 3, 6, 9, 12 months, the OSI score was significantly lower than the initial visit. 3. There was no significant difference between male and female patients on age, OSI scores and OSI improvements. 4. The patients who treated acupuncture were significantly older then who not treated. The OSI improvement had no significant difference whether treated with acupuncture or not. 5. There was no significant difference among 3 different age groups on initial OSI scores. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 12 month treatment. 6. The OSI score of 97.75% was decreased after 12 month treatment compared to initial visit. 7. After 12 month treatment, the distribution of severe atopic dermatitis was decreased from 100% to 37.08%. 8. There was no significant difference betweent steroid group and non-steroid group on OSI scores at initial visit and after 12 month treatment. Conclusions : The OSI Score of severe atopic dermatitis patients was decreased on the significant rate with Korean medicine treatment for 12 months.

Effectiveness of web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure (웹 기반 학습 프로그램이 혈압측정에 대한 자기효능감, 지식 및 수행능력에 미치는 효과)

  • Lee, Sook-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.66-73
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    • 2012
  • Purpose: This study was done to identify the effectiveness of a web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure in college nursing students. Method: This study was an experimental research study. Data were collected from April 20 to June 1. 2011. The participants were 68 first year nursing students (experimental group 37, control group 31). The collected data were analyzed with the PASW 18.0 program, using ${\chi}^2$-test, t-test, and Cronbach's ${\alpha}$. Results: The mean score for self efficacy in blood pressure measurement in the experimental group was 61.9 and in the control group 60.7. This result was statistically significant (t=3.301, p=.002). The mean score for knowledge of blood pressure measurement in the experimental group was 11.5 and in the control group 10.8. This result was statistically significant (t=2.910, p=.005). But effectiveness of competence in blood pressure measurement was not significant. Conclusion: The study results show that the web based learning program was effective for self efficacy and knowledge in blood pressure measurement but not for competence indicating.-a need to develop strategies to improve competence in blood presessure measurement for these students.