• 동서간호학연구지
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• 제30권1호
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• pp.51-59
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• 2024

Purpose: The purpose of this study was to determine the effect of preoperative guidance and operating room environment experience using virtual reality on increasing satisfaction with information and reducing anxiety in preoperative patients undergoing general anesthesia and local anesthesia. Methods: A non-equivalent control group quasi-experimental design was employed. The participants were 80 surgical patients from 4 wards (40 experimental group and 40 control group) of the general hospital located in Gyeonggi-do. Data collection was conducted from June to November 2023 after completing the control group survey in January 2023. Data were analyzed using Chi-square, t-test, and Mann-Whitney U test using SPSS 23.0 program. Results: Satisfaction with preoperative information was higher in the experimental group than that of the control group. Additionally, anxiety related to surgery in the experimental group was significantly lower than that of the control group. The preoperative state anxiety score in the experimental group was not significantly lower than that of the control group. Conclusions: These results suggest that providing patient education and information using virtual reality technology can not only alleviate patients' anxiety related to surgery, but also have the potential to be used as an effective intervention to improve positive patient experiences.

• 한국심리학회지 : 문화 및 사회문제
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• 제10권3호
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• pp.83-101
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• 2004

본 연구는 사이버 공간에서 자기 자신과 타인의 실재(實在)에 대한 지각을 높이는 방편으로써 사회적실재감((社會的 實在感)이 사이버 공격행동을 감소시킬 수 있는지 알아보고자 하였다. 이를 위해 온라인 게임 "포트리스2 blue forever"에 실험자가 미리 게임방을 개설하고, 실험사실을 알지 못한 채 입장한 피험자 107명을 대상으로 현장실험을 실시하였다. 피험자는 미리 대기하고 있던 3명의 실험자들과 게임시작 전에 이루어지는 채팅을 통하여 사회적 실재감 수준을 조절한 '통제집단', '실험집단1', '실험집단2' 의 세 집단에 각기 할당되었다. 이후 게임 중 피험자의 언어적 공격행동과 캐릭터를 이용한 공격행동의 빈도를 관찰한 결과, 통제집단의 피험자들은 실험집단의 피험자들보다 유의하게 더 많은 언어적 공격행동과 캐릭터 공격행동을 보였다. 한편, 사회적 실재감의 획득 경로에 따른 차이를 알아보기 위해 실험집단1과 2를 비교한 결과 피험자의 말과 행동에 대한 반응만을 처치한 집단1의 피험자는 자기노출을 추가 처치한 실험집단2의 피험자보다 언어적 공격행동을 유의하게 더 많이 한 반면, 캐릭터 직접 공격행동에서는 두 집단 간 차이를 보이지 않았다. 본 연구는 실명제나 처벌을 강제하지 않고 사이버 공격행동을 줄일 수 있는 가능성을 제시하고, 사회적 실재감과 사이버 공격행동의 관계를 밝혔다는 의의가 있다.

• 한국병원경영학회지
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• 제17권2호
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• pp.21-33
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• 2012

Purpose : This study aims to suggest application of patients DB to hospital marketing by performing market segmentation and selecting target market. Consequently help to establish suited strategy of marketing. Method : 14,072 patients hospitalized in a University Medical Center were recruited into this study. In order to classify the customer groups, cluster analysis was used with RFM(Recency, Frequency, Monetary) model, and 1-way ANOVA verified the differences among groups. And then, sociodemographical status, healthcare utilization and diagnosis(ICD-10) of each group were compared to draw a marketing strategy. Results : Four groups were classified through clustering analysis, and'high use and high profit' and'low use and high profit' groups were selected as a target market. The features of target market were as follows, the female proportion was high; used a private room; hospitalized through the emergency room; had operation; length of stay was long; had many comorbidity and cooperative treatment. There was difference in each feature of target market: as for the'high use and high profit' group, many patients were diagnosed with 'certain infectious and parasitic diseases'; and as for the'low use and high profit'group, the proportion of patients who purchased'industrial accident compensation insurance'and'auto insurance'was relatively high; many patients were diagnosed with'Injury, poisoning and certain other consequences of external causes'. Conclusion : It is needed to establish'positioning' strategy by monitoring and communicating with'high use and high profit' group. And for the case of'low use and high profit' group, it is necessary to make a follow-up management and lead them to have a medical check-up.

• 한국실내디자인학회논문집
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• 제24권3호
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• pp.95-103
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• 2015

Many housing alternatives and design guidelines for the elderly have been suggested along with the rapid increase of old persons. However, most of them focused on the spatial composition and fixtures. They do not address on interior style which affects on interior mood. The interior style is especially important to the elderly who spend most of their time in indoor space, such as housing unit or nursing home. On the base of these backgrounds, the purpose of this study is to examine what interior style of bedroom and living room where the elderly lives are and whether they are significantly different depending on their cognitive ages, or not. The subject were 202 old persons who lived in Busan. Their ages were more than 65 years. They were interviewed by using 3D images of bedroom and living room. Each one consisted of three interior styles; Korean traditional style, Western classical style, and modern style. The results were as followings; The interior style of bedroom and living room which the old persons lived were different depending on the elderly's cognitive ages. The younger the old persons' cognitive ages were, they lived in bedroom or living room of modern style. Also, the older their cognitive ages were, they lived in bedroom or living room of Korean traditional style. These results show that the cognitive age of the old persons affect the characteristics of interior design which they live. Also, it implies that the elderly are not one homogeneous group, but a heterogeneous one.

• 가족자원경영과 정책
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• 제10권2호
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• pp.127-149
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• 2006

The purpose of this study was to survey actual condition of a municipal Healthy family Support Center(HFSC) for establishing. 46 subjects were surveyed with a questionnaire about PR and facilities of Healthy Family Support Center. For this study, not only a survey was collected 46 subjects bust also a spot inspection was executed to 8 municipal Healthy Family Support Centers. This study revealed following results: first, the mass media(TV, news paper), internet home page, pamphlet are effective medium. Management of PR activities in the HFSC is consider as one of the main factor to decide development and survival in social community. Therefore HFSC should search fur various method and system of PR. Secondly, the size and facilities of HFSC should be designed according to the specific characteristics of HFSC equipped with office-room, conference room, lecture hall, general/special counseling room, group classroom. Results from this study might be contributed to operate a municipal Healthy Family Support Center in the near future.

• 기본간호학회지
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• 제7권2호
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• pp.222-238
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• 2000

The purpose of this study was to demonstrate the effect of music therapy as a nursing intervention on changes in recovery of consciousness and vital signs for postoperative patients in the recovery room. The subject for this study were fifty three of postoperative patients who were transferred from the OR to the RR at Kwangju Christian Hospital in Kwangju City. Thirty of them were assigned to the experimental group, and twenty three, to the control group. The age of the subject was between twenty and sixty years of age. The subject had a general anesthesia without any special complications, and they were not completely awake. The data were collected for six months from July 1999 to February 2000. The method used was to compare the condition of the subjects in each group at the beginning and at certain times repeatedly. The features observed were the level of consciousness, the frequency of complaints of pain, and vital signs of the subject before and 15 minutes, 30 minutes, and 60 minutes after hearing their favorite music for 30 minutes. The results are as follows 1. The recovery of consciousness was revealed through significant changes in facial expression, facial color, and grip strength in the experimental group more strongly than in the control group. No significant changes were shown in verbal order. The differences in recovery of consciousness in the pre-post music therapy between the two groups was not significant in verbal order, facial expression, or grip strength. However, significant changes were seen in facial color. 2. There were no significant differences between the two groups in changes in the frequency of pain complaints after music therapy. However, a significant difference was shown in the pre-post music therapy scres. 3. Vital signs did not show a significant difference between the two groups. However, the $SPO_2$ of the experimental group was significantly elevated after 60 minutes. The difference pre-post to the music therapy in the vital signs between two groups was significant only in body temperature. This study showed that the effect of music therapy given to postoperative patients is that it promotes changes in facial expression, facial color, and grip strength helping recovery of consciousness, stabilizing vital signs, elevating levels of $SPO_2$. and reducing complaints of pain. It is recommended that if the patient wants it music therapy be given right after surgery in the recovery room as a nursing intervention.

• Journal of Korean Biological Nursing Science
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• 제25권3호
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• pp.215-227
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• 2023

Purpose: The aim of this study was to develop a mobile app-based musculoskeletal exercise program (AMSEP) for operating room (OR) nurses and evaluate its effects on self-efficacy, the flexibility of the shoulders, lower back, and legs, and musculoskeletal symptoms and fatigue. Methods: The AMSEP was developed based on the information-motivation-behavioral skill model. In total, 48 OR nurses were recruited at a university hospital in Korea and divided into an experimental group (n=24) and a control group (n=24), matched for career experience in the OR. The experimental group participated in the AMSEP, while the control group received a booklet regarding musculoskeletal exercise. Results: The experimental group showed significant increases in self-efficacy (t = -2.77, p = .008) and flexibility of the right shoulder (t = -4.08, p < .001), left shoulder (t = -3.28, p = .002), lower back (t = -3.75, p < .001), and legs (t = -3.96, p < .001) compared to the control group. Musculoskeletal symptoms (t = 2.75, p = .008), and fatigue (Z = -1.98, p = .048) significantly decreased in the experimental group compared to the control group. Conclusion: Our findings indicate that the AMSEP for OR nurses provided information on the prevention of musculoskeletal disorders and methods of exercise, as well as an opportunity for continued exercise performance through self-management. The AMSEP was easily accessible and effective in increasing self-efficacy and flexibility and reducing musculoskeletal symptoms and fatigue.

• 대한치과보철학회지
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• 제35권2호
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• pp.330-343
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• 1997

Extraoral maxillofacial prostheses are essential for restoring facial structures that are lost as a result of congenital missing, injuries from accidents, surgical treatments of head and neck cancer. Recently, silicone is the most useful material for this purpose and is more advantageous than other maxillofacial prosthetic materials. However, there are some problems for long-term usage of silicone prostheses due to tear and color change. These are major contributing environmental factors to those problems that are such as ultraviolet light, cleansing agents, changes in humidity and successive adhesion and removal. The aim of this study is to evaluate the physical properties and color changes of maxillofacial prosthetic silicone material by those environmental factors using A-2186 silicone material (Factor II, USA) and two pigments, cadmium yellow medium and cosmetic red. Aluminium molds were fabricated according to the ASTM No. D412 & D624 specifications and resulted specimens from molds were fabicated and treated as follows. Control group and experimental I group were fabricated with 0.1% wt. pigment mixing in silicone elastomer and II-1 group, II-2 group of experimental II group were fabricated with 0.2%, 0.3% wt. pigment mixing in silicone elastomer, respectively. Control group was kept in darkroom at room temperature, I-1 group was kept under natural sunlight during 1week, I-2 group was soaked in 20% soap water during 1wk. I-3 group was successively adhered and removed 200 times on inner region of arm using Daro adhesive-33. Experimental II groups were kept in darkroom at room temperature. Instron universal testing machine was used to measure the % elongation, tensile strength, tear strength of control, experimental I, II groups and reflectance spectrophotometer(COLOR EYE-3000, Macbeth, USA) was used to measure the color differences between control group and experimental I group. The results were as follows : 1. When compared with control group, natural weathering group and 20% soap-water soaking group had no significant differences in % elongation(p>0.05). 2. 200 times successive adhesion and removal group, 0.2% wt. pigment group and 0.3% wt. pigment group had significant decreases in % elongation(p<0.05). 3. Natural weathering group, 20% soap-water soaking group and 200 times successive adhesion and removal group had no significant differences in tensile strength (p>0.05). 4. 0.2%, 0.3% wt. pigment groups had significant decreases in tensile strength(p<0.05). 5. Values of all experimental groups were decreased in tear strength. and 200 times successive adhesion and removal group had significant decrease in tear strength(p<0.05). 6. Natural weathering group and 20% soap-water soaking group had significant color differences(${\Delta}E$) and it could be detectable to naked eye(p<0.05). 7. Color differences between control group and 200 times adhesion and removal group were not detectable to the naked eye (${\Delta}E<1.0$).

• 종양간호연구
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• 제12권3호
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• pp.230-236
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• 2012

Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.350-356
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• 2020

목적: 본 연구는 수술 후 회복실에 입실한 환자에게 가온요법 간호중재 프로그램이 미치는 효과를 파악하여 간호중재방안 개발 및 기초자료를 제시하고자 시도된 비 동등성 대조군 유사 실험연구이다. 연구방법: 연구의 대상자는 가온요법 프로그램을 적용한 실험군 31명, 대조군 31명을 대상으로 실시하였다. 가온요법은 가온기를 통해 회복실에서 38~43℃ 범위 내 가온하였다. 대상자의 일반적 특성은 실수와 백분율로 파악하였고, 실험군과 대조군의 동질성 검정은 𝑥²-test와 In-dependent t-test로 파악하였다. 실험군과 대조군의 시간에 따른 체온, 통증, 전율의 차이는 repeated measure ANOVA로 파악하였다. 실험군과 대조군의 온도 편안감의 차이는 t-test로 파악하였다. 결과: 첫째, 수술 직후 반복 측정 결과 실험군과 대조군의 체온, 통증, 전율이 유의한 차이를 보였다. 둘째, 온도 편안감은 유의한 차이를 보였다. 결론: 이와 같이 수술 후 가온요법 중재 시 환자에게 긍정적인 효과가 있는 것을 확인할 수 있었다.