• 대한간호학회지
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• 제25권1호
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• pp.124-140
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• 1995

Cardiac cathererization has become a routine diagnostic procedure indicated for evaluation of a wide varity of cardiac conditions. Patients are admitted to the coronary care unit after cardiac catheterization. These conscious patients report feeling uncomfortable in the CCU, but no studies have been done on the effects of bed rest, sand bags on the femoral puncture site and restricted mobility for 4 to 12 hours or longer postprocedure. The main objective of this thesis is to provide basic data to nursing on interventions which de-crease the uncomfortableness experienced by patients in the CCU following cardiac catheterization. In this phenomenological study, the various discomforts felt by the patients were collected and classified. The study subjects were a convenience sample of 29 patients who were admitted to the CCU of a general hospital in Inchon following cardiac catheterization. They were conscious, so they were able to communicate without difficulty. The data were collected over an U days period from July 21, to October 14, 1994. The subjects were interviewed using unstructured open questions and the interviews were tape recorded with the patient's permission The data were analyzed using the Van Kaams phenomenological method. Reliability and validity were exammed by two professor of nursing science, one head nurse, one staff nurse and one cardiologist. The results of the study are summarized as follows ; 1. The 129 descriptive statements by the postcardiac catheterization patients of discomfort were organized into 19 themes. 2. The 19 themes were divided into 3 categories ; physical, psychological, and environmental aspects. 3. The problems concerning the physical aspect were the discomfort of restriction of movement, dysuria, medical devices, pain in the puncture site, symptom is related to the procedure of cardiac catheterization, headache and dizziness, leg painand tingling sensation, and chest pain. The problems concerning the psychological aspect were regret resulting from dependency, economic burden, dissatisfaction with medical personnel, dissatisfaction with medical service system, anxiety about the result of the procedure, concern about the prognosis, loneliness, and concern over treatment procedure. The problems concerning the environmental aspect were influence from neighboring patients, noise, and maladaptation to environmental change. The necessity for holistic care which satisfies physical, psychological, and environmental need must be emphasized in order to solve these discomforts.

• 대한인간공학회지
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• 제28권1호
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• pp.9-19
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• 2009

Repetitive movement, inadequate working posture, overuse of force, physical contact with sharp edge, vibration and temperature were well known risk factors of WMSDs (Work-related Musculoskeletal Disorders). Many researchers have investigated the relationship between inadequate working postures and incidences of WMSDs of the upper extremities, whereas relatively few researchers have tried to evaluate workload associated with the lower-body postures. The effects of lower-limb postures including various knee flexion angles on the subjective discomfort, heart rate and EMG of lower-limb muscles were investigated in this study. Thirty graduate students were asked to maintain thirteen different body postures, and heart rate and EMG data of five muscle groups (electro spine, biceps femoris, vastus medialis, gastrocnemius and tibialis anterior) from each posture were collected during fifteen minutes sustaining tasks. All participants were also asked to report their discomfort ratings of body parts. Results showed that high subjective discomfort ratings and heart rates were reported at the postures of knee angles of $60^{\circ}$ and $90^{\circ}$, whereas low discomfort ratings were founded at the postures of chair heights with 20cm, 40cm, and sitting with crossed legged. The change of median frequency for each muscle group during fifteen minutes tasks was investigated for each body posture to evaluate the relationship between muscle fatigue and body posture. It was found that the trends of changes of median frequency were different based on muscle group as well as lower-limb body posture from this study.

• 대한후두음성언어의학회지
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• 제32권3호
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• pp.124-129
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• 2021

Background and Objectives This study compares Vocal Fatigue Index (VFI) scores according to the presence or absence of external laryngeal tension in hyperfunctional voice disorder. And through this, it is to confirm the usefulness of VFI to hypertension of extrinsic laryngeal muscles. Materials and Method The subjects were 61 female diagnosed with hyperfunctional voice disorder (hypertension group 41, non-hypertension group 20). The author palpated extrinsic laryngeal muscles for evaluation of hypertension and classified them as the presence or absence. The voice measurements were jitter, shimmer, Korean-Voice Handicap Index-10 (K-VHI-10), and Korean-Vocal Fatigue Index (K-VFI). The voice compared were according to the diagnosis and presence of hypertension only for patients with hyperfunctional voice disorder. Results As a result of comparing the voice measurement according to the presence or absence of hypertension, there was no significant difference in the acoustic variables, K-VHI-10 and K-VFI-Total, K-VFI-Fatigue. Whereas, K-VFI-Physical (p=0.006) and K-VFI-Rest (p=0.022) were significantly higher in the hypertension group. Conclusion These results indicate that the hypertension group has more physical discomfort and less voice recovery than the group without hypertension. It means that K-VFI can measure the physical discomfort and limitations of voice recovery due to hypertension of the external laryngeal muscle. The VFI can be used as one of the methods to evaluate the hypertension of the external laryngeal muscle in Hyperfunctional voice disorder.

• 대한인간공학회지
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• 제15권2호
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• pp.51-62
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• 1996

This research utilized the psychophysical methodology, where secrw drivers are used, to determine the effects of i) the location and orientation of work objects, and ii) wearing gloves, on ratings of perceived exertion at various body parts. The validity of the psychophysical methodology in determining a preferred work pace was also studied. The subjects drove screws with a screw driver into thick wooden sheet at three vertical and three horizontal locations. They drove serews for 3 minutes at each location and assessed the condition using the psychophysical scale. The results showed that only the vertical location was a significant factor in determining the discomfort ratings. Driving screws at elbow height on the vertical surface and with the lower arm close to the body on the horizontal surface were the work locations with the smallest ratings of perceived discomfort. Wearing gloves had significant effects on reducing the pain of the hand. From the experiment in which a comfortable work pace was identified using 20 minute psychophysical adjustment, it was found that the psychophysical method is sensitive to workers perception of the physical stress when the upper limbs are employed. This was confirmend by the high correlation between the psychophysical results and EMG measurement.

• The Journal of Korean Physical Therapy
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• 제13권2호
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• pp.305-312
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• 2001

The purpose of this study were to identify the characteristics of incontinence in adult women and to identify it's relating factors, physiology, evaluation and treatment related urinary incontinence. Urinary incontinence is a common health problem for adult women. And the symptoms of urinary incontinence are causes of discomfort, shame, loss of self-confidence and result in sufferers to withdraw from social life. But many do not report this problem until they have had the symptoms for a long time. So physical therapy protocol for assessment, treatments, educational programs should be implemented in primary care setting. In conclusion, this study revealed that self·care agency may be a important that it would be necessary to promote quality of life in urinary incontinence women.

• 한국음향학회지
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• 제15권4호
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• pp.12-17
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• 1996

최근 각종 교통소음 공해의 심각성과 주민들의 생활의 질에 대한 요구는 나날이 높아 가는 추세이다. 따라서 소음영향평가 및 소음조절 방안수립에 대한 연구의 필요성이 절실히 요구된다. 본 연구에서는 문헌고찰 및 실측을 통하여 선진 외국의 고속열차에 대한 소음의 물리적 특성을 규명한 후, 국내에서 최초로 건설되는 고속철도 전용역사인 C 종합역사를 대상으로 외부환경 소음도를 평가하였다. 이는 향후 국내 고속철도 개통에 따른 소음영향의 제반 문제점 및 개선방향과 역사 건물 실내외의 소음방지 대책을 수립하는데 주요 기초 자료로 활용될 수 있을 것으로 판단된다.

• 대한산업공학회지
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• 제24권2호
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• pp.167-173
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• 1998

Many workers like welders work in squatting postures with the object on the ground during an entire work shift. It is suspected that such prolonged squatting without any supporting stool would gradually cause musculoskeletal injuries to workers. This study is to examine the physical stress caused by the prolonged squatting and to recommend a safe work/rest schedule for a welding task with squatting posture based on the lab experiments. In this study, 8 healthy student subjects participated in the experiment. They maintained a squatting work posture for 16 minutes with 4 different stool height conditions: no stool; 10cm height; 15cm height; and 20cm height. Every 2 minutes, the discomfort was subjectively assessed with the magnitude estimation method for the whole body, lower back, upper leg and lower leg. Based on discomfort ratings, we found that a 10cm height stool relieved the workload most. Discomfort rating results also indicated that a 20cm height stool showed the highest workload, and the there were no difference in workload between a 15cm height stool and no stool. We recommend to use low height stools and to maintain such working postures no longer than 6 minutes for prolonged squatting tasks.

• 한국보건간호학회지
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• 제28권2호
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• pp.320-332
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• 2014

Purpose: This study was conducted in order to examine premenstrual symptoms (PMS) according to physical activity of high school girls. Method: Data were collected from 323 high school girls using structured questionnaires, Menstrual Distress Questionnaire (MDQ) and International Physical Activity Questionnaire (IPAQ). The data were analyzed using descriptive statistics, t-test, and AVOVA. Results: The mean score of PMS was low (2.200.81). Among the subcategories, negative feeling (2.491.26) was the highest. Physical activity levels were coded as inactive, minimal activity and health enhancing physical activity, among which minimal activity (53.0%) was the highest. Significant differences in PMS were observed according to subjective health condition (F=10.83, p<.001), alcohol intake (t=-1.99, p=.048), caffeine intake (F=3.04, p=.029), dietary habit (F=4.78, p=.009), amount of menstruation (F=4.57, p=.011), discomfort in daily life (F=28.94, p<.001), degree of menstrual pain (F=41.23, p<.001), method of menstrual pain relief (F=4.29, p=.015), and family history (F=11.45, p<.001). Significant difference in PMS was observed according to the physical activity level (F=3.12, p=.046), and health enhancing physical activity (2.540.87) was the highest. Conclusion: These findings suggest that PMS intervention programs would be considered factors related to PMS. Conduct of further studies is recommended for evaluation of the relationship between physical activity and PMS.

• 한국의류학회지
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• 제10권2호
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• pp.29-35
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• 1986

The main purpose of the study was to investigate relationships between subjective evaluation of comfort/discomfort and tactile sensation. It was also attempted to analyse physical properties of fabric, hence to find physical factors which have effects on wearing- comfort. The results were as follows; 1. Polyester fabric B Type ranked the highest on subjective comfort scale of T-shirts. 2. Scratchiness and flexural rigidity among subjective factors were important on overall comfort sensations of the subjects. 3, In winter, subjective factors, suchas Soratchiness, Heaviness & Flexural Rigidity, were significantly correlated with objective factors of Scratchiness, Thickness & Weight, Stiffness, respectively. 4. In summer, subjective factors such as warmth, Heaviness, Clammy & Cling Tension, Flexural Rigidity, were significantly correlated with objective factors of Thermal Insulation, Thickness & Weight, Cling Tension and stiffness, respertively. 5. Scratchiness, Weight, Stiffness & Thermal Insulation among objective factors were important on overall comfort sensation of the subjects.

• 성인간호학회지
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• 제18권4호
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• pp.543-552
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• 2006

Purpose: The purpose of this descriptive study was to investigate the pattern of physical restraints used in ICUs and to identify influencing factors of application and removal of restraints. Method: The subjects of this study were 90 restrained patients out of 215 patients over 6 years old who were admitted to 6 ICUs in SMC during a 2 weeks period. The data was collected through a questionnaire of characteristics, guidelines and nursing care of restraint uses. The data were analyzed by non-parametric statistic with the use of the SAS program. Results: The restraints were applied to 31.4% of subjects. Mean time of physical restraint was $36.76{\pm}55.7$ hours. There were significant difference with mean time and frequency according to duty shift. GCS, restless behavior and discomfort factors, medical devices, and life sustaining devices had significant relation with application of restraints. In addition, the mean time of restraints used were related significantly with GCS, restless behavior, and discomfort factors. Conclusion: The used of restraints were dependent on mainly the nurses' decision. Thus ICU nurses have to develop the guidelines to applying restraints and removal of restraints in regard to patients rights and ethics. Continuous monitoring and evaluation of application of the restraints is essential in professional nursing.