• 의학교육논단
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• 제20권1호
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• pp.15-19
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• 2018

The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinal integrated clerkship.

• 사상체질의학회지
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• 제25권2호
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• pp.98-107
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• 2013

Objectives This study aimed to develop the tailored health care program based on Sasang constitution for Vietnamese and evaluate the effect of them. Methods This research was executed from Sep. $1^{st}$ 2012 to Nov. $30^{th}$ 2012 in Vietnam Hanoi National Hospital of Traditional Medicine. All of 50 vietnamese subjects participated in the tailored health care program for 8 weeks after constitutional diagnosis. During the applicable period of the 8 weeks program, follow-up visits was conducted after 1 week, 4 week, and 8 week from the first visit, and Quality of life, Anxiety, Fatigue and Sleep Quality were measured. Results The tailored Health Care Program was applied to the subjects for eight weeks. The quality of life scores of Physical Functioning (p=0.006), Pain (p=0.003) and Physical Component Score (p=0.009) were significantly increased, and the sleep quality of subjects was improved after the tailored health care program is applied. Conclusions The tailored health care program based on Sasang constitution affected to some items about the quality of life and sleep quality of the subjects. however, this result can not be generalized to all Vietnamese, and various follow-up studies are needed.

• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.532-545
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• 2019

본 연구의 목적은 아동보호전문기관 상담원을 대상으로 이차외상스트레스 예방을 위한 레질리언스 훈련프로그램의 효과를 확인하고자 하는 것이다. 이를 위해 유사실험설계를 활용하여 아동보호전문기관 상담원을 대상으로 실험집단 9명, 비교집단 10명으로 구성하였으며, 프로그램 사전, 사후, 프로그램 종료 3개월 후 추후조사를 통해 프로그램의 효과를 확인하였다. 이차외상스트레스 예방 프로그램은 아동보호전문기관 상담원의 이차외상스트레스와 우울 수준을 감소시키는데 효과가 있는 것으로 나타났으며, 스트레스 대처는 증가시켰지만 통계적 유의성은 없는 것으로 나타났다. 추후조사에서는 이차외상스트레스, 우울, 스트레스 대처의 변화는 통계적으로 유의하지 않았다. 이러한 결과를 통해 이차외상스트레스 예방 프로그램의 효과를 확인하였으며, 또한 효과를 지속시키기 위해서는 지속적인 개입이 필요하다는 것을 알 수 있었다. 연구결과에 기초하여 이차외상스트레스 예방 프로그램의 필요성과 활용방안에 대하여 제언하였다.

• 보건교육건강증진학회지
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• 제30권4호
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• pp.99-110
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• 2013

Objectives: This study aimed to investigate factors related to prostate disease and follow-up procedure on health examination program in Gangwon-do. Methods: The studied population was 16,501 male aged 40 or more, who underwent screening tests for prostatic disease in 2011 health examination program designed for the low income residents in Gangwon-do. The screening tests included prostate specific antigen (PSA), international symptom score (IPSS), and maximal flow rate (Qmax). We conducted chi-square test for trend, two independent samples t-test, and binary logistic regression to find out the relationship between prostate cancer or benign prostatic hyperplasia and risk factors such as age, PSA level, and IPSS. Results: The number of subjects who turned out positive for PSA level (> 3.8ng/ml) was 971 men accounting for 5.9%. The result of post survey on them showed that 511 subjects (52.6%) got the urology check-up: 156 (30.5%) were diagnosed as normal, 286 (56.0%) as benign prostatic hyperplasia, and 69 (13.5%) as prostate cancer. The detection rate for prostate cancer was 8.8% when PSA level was between 3.81 and 9.99g/ml, and was 30.6% when PSA level was more than 10.00ng/ml. The rates of further testing varied depending on the communities from 26.7% to 68.2%, which was mainly affected by the role of local health center. Conclusions: Our findings indicate that enhanced quality control of local health center and empowerment of screening agency would increase the effort of coupled institutions between public and private sectors.

• 한국콘텐츠학회논문지
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• 제12권7호
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• pp.497-509
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• 2012

본 연구에서는 대학 신입생들을 대상으로 인성교육 프로그램을 실시하고 그 효과를 조사하였다. 본 연구에서 실시된 프로그램은 이주희 등(2010)이 대학생을 대상으로 개발한 인성교육 프로그램 지침서를 토대로 진행되었다. 본 프로그램은 대학에서 한 학기 동안 교양강좌로 활용할 수 있도록 13회기로 구성되었으며 매 회기는 강의 50분과 실습 활동 프로그램 100분으로 이루어져있다. 본 인성교육 프로그램의 효과를 검증하기 위해 배부된 설문지 중 쌍(pair)을 이루지 않거나 누락된 것을 제외한 실험집단 19명과 통제집단 20명을 대상으로 심리 사회 성숙 검사 질문지를 사전-사후-추후에 실시하여 비모수 통계검정인 맨-휘트니 검증(Mann-Whitney U test)과 공변량 분석(ANCOVA)을 실시하여 효과를 살펴보았으며, 참여자에게 프로그램 참여 소감문을 작성하도록 하여 프로그램 효과에 대한 부분을 질적으로 분석하였다. 연구결과 사전-사후 검사에서 인성교육 프로그램을 실시한 실험집단은 통제집단에 비해 심리 사회 성숙 전체점수와 하위 요인에서 의미 있는 변화를 보였으며, 사전-추후 검사에서도 실험집단은 통제집단에 비해 심리 사회 성숙 전체와 하위요인에서 의미 있는 변화를 보여 인성교육 프로그램은 일정기간인 10주가 경과하여도 지속적으로 효과가 유지되는 것으로 나타났다. 인성교육 프로그램은 대학생들의 심리 사회 성숙 향상에 도움이 되는 것으로 나타났다.

• 융합정보논문지
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• 제9권10호
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• pp.16-27
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• 2019

본 연구는 간호대학생 대상 시뮬레이션 기반 융합실습교육을 개발하고 그 효과를 파악하기 위하여 시도되었다. 본 연구는 단일군 반복측정 실험설계를 적용하여 수행되었다. G시 소재 대학에 재학중인 총 77명의 간호대학 4학년생에게 시뮬레이션 기반 실습교육 전, 교육 직후 및 교육 2개월 후에 자료를 수집하였고, repeated measure ANOVA 등을 통하여 분석하였다. 분석 결과, 간호술기 지식과 간호술기 수행자신감, 학습 자기효능감 및 임상실습 스트레스는 교육 전 대비 교육 직후와 교육 2개월 후에 유의하게 증진되었으나, 교육 직후와 교육 2개월 후 간에는 유의한 차이가 없었다. 본 연구결과는 시뮬레이션 기반 융합실습교육이 간호대학 4학년생들의 학습 효과를 증가시키고 임상실습 스트레스를 줄이는데 효과적인 전략임을 시사한다. 향후 무작위 대조군 실험연구를 통해 본 교육프로그램의 효과를 확인하는 연구가 필요하다.

• 대한간호학회지
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• 제53권5호
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• pp.500-513
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• 2023

Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.

• The Journal of Korean Physical Therapy
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• 제24권5호
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• pp.313-318
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• 2012

Purpose: This study examined the effects of an exercise program involving the Proprioceptive Neuromuscular Facilitation (PNF) lower-extremity patterns on the Bone Mineral Density (BMD), balance and lower muscular strength in patients with osteoporosis. Methods: The participants were allocated randomly to 2 groups: experimental group and control group. To evaluate the effects of exercise, the subjects were evaluated using the BMD and Time Up & Go Test and One Leg Stance Test for balance, and the Sit To Stand for lower muscular strength. Results: After the 8 week study, the experimental group showed a significant difference in all items compared to the control groups. Conclusion: These results suggest that a PNF exercise program is effective in patients with osteoporosis. Furthermore, an exercise program involving these patterns can be used in a follow-up program for patients with osteoporosis. Overall, more study will be needed to develop and apply more efficient exercise programs for such patients.

• 한국환경교육학회지:환경교육
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• 제22권3호
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• pp.83-96
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• 2009

This article extracted feasible elements for an environmental education program from the 'Intelligent Life', an integrated subject of the 7th elementary school curriculum, and designed a program for second graders in the elementary school and applied it to them in order to examine how the students' environmental altitudes changed. In the controlled class, the instruction followed the lessons specified in the 7th national curriculum faithfully while for the experimental class 1, only the inquiry activity-based environmental education program was applied. Moreover, in experimental class 2, the inquiry activity-based environmental education program was implemented and wrap-up activity was performed as well with the products. To verify the program, questionnaires on the change of environmental altitudes were distributed and analyzed total three times in the pretest, posttest 1(right after the program), and posttest 2(30 days after the program). T-test was carried out with the SPSS 12 program to verify the effect of the applied program. To make up for the quantitative analysis, qualitative analysis was also conducted. The followings show the results gained after the program was implemented. First, This program showed a significant difference(p<.05) in the students' formation of environmental altitudes. Second, it was verified that the inquiry activity-based environmental education class that reorganized the second grade elementary students' 'Intelligent Life' subject had a more positive effect in the cultivation of environmental altitude than the class that followed the present curriculum as it was. It will be necessary to perform follow-up researches on the relativity between curricula for kindergarteners and lower grade elementary school students.

• 한국산업보건학회지
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• 제19권3호
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• pp.297-306
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• 2009

The purposes of this study were to investigate whether the program of health promotion and follow up feedback by periods could improve physical fitness related to work ability of the middle-aged and aged workers. Subjects were composed of two groups; workers aged below forty five and forty five and over who had measured their health-related physical fitness twice for 2 years (2006 & 2007) through the program of health promotion operated by Korea Occupational Safety & Health Agency. Paired t-test was used to evaluate the difference between the first measurement and re-measurement of health-related fitness which was operated after six to twelve months from the first one. We used 0.05 level for statistical significance. The results of this study were as follows. All measurement items including body fat ratio(%), $VO_2max$, grip strength, sit-up, and trunk flexion were significantly improved in both groups. The improvement(%) of $VO_2max$, grip strength of workers of forty five and above was lower than those of workers of below forty five. Servicing the program of health promotion and follow up feedback by periods may help workers' improvement of health-related physical fitness related to work ability.