• 대한통합의학회지
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• 제10권2호
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• pp.187-202
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• 2022

Purpose : This study is a descriptive research study to establish basic data for stable operation of dementia relief center as a part of national responsibility system for dementia and to establish the role of the professional workforce. Methods : This study is a survey study involving 126 nurses working at 19 dementia relief centers. The collected data were analyzed using the SPSS/WIN 23.0. Results : The importance tasks that nurses think of were Dementia Diagnosis, Counseling, Register and Classification and Dementia Preventive Projects. In addition, tasks that showed high performance were in the order of Dementia Diagnosis, Counseling, Register and Classification, Management of Dementia subjects. As a result, the final items of work areas and contents included 45 subcategories of work content for eight work areas. Conclusion : Through this study, it was possible to investigate the overall work area and content of nurses at the Dementia relief Center. It is necessary to develop a work description suitable for nurses who are medical personnel specializing in dementia safety centers. It is necessary to develop a work description suitable for nurses who are medical personnel specializing in dementia safety centers. In connection with the purpose of establishing the centers for disease control and prevention, it is necessary to operate a systematic and continuous program to manage dementia patients and those with mild cognitive impairment in the community.

• 대한통합의학회지
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• 제10권2호
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• pp.61-72
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• 2022

Purpose : This study aimed to identify the educational effects of the International Development Cooperation and Healthcare course from 2018 to 2020. Methods : Changes in awareness of international development cooperation (understanding international development cooperation as well as government Official Development Assistance [ODA], thoughts on aid, and thoughts on government's aid scale) were analyzed using web-based surveys. The pre-course survey was conducted 1-2 weeks before the semester started, and the post-course survey was conducted 1-2 weeks after the semester ended. All data were analyzed using the SPSS 26.0 program, and statistical significance was set at p< .05. Results : A total of 314 people participated in the survey before taking the course, and 286 people participated in the survey after taking the course. Analysis of the changes in students' awareness of international development cooperation showed that all items (understanding international development cooperation and government ODA, as well as having thoughts on aid and government's aid scale) were improved. Regarding changes in awareness according to general characteristics, thoughts on aid were statistically significant according to all characteristics except for 2018. Regarding government's aid scale, awareness scores increased after taking the course in students who majored in healthcare, fine arts and athletics, broadcasting and media studies, and digital contents. Conclusion : This study showed that changes in awareness of international development cooperation were largest in second-year students. Compared to changes regarding international development cooperation, government ODA, and thoughts on aid, changes regarding thoughts on government's aid scale were minor. In the future, it is necessary to develop class content suitable for the first-year level and to supplement and operate content that can change the way of thinking on government's aid scale.

• 대한통합의학회지
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• 제10권4호
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• pp.153-163
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• 2022

Purpose : The purpose of this study was to investigate the differences between uncertainty of chronic diseases and quality of life with regard to elderly people. Methods : The participants of this study were 350 elderly people, aged over 65 years. The collected data were analyzed using the SPSS Window program and the general characteristics of the participants and sub-domains of quality of life were analyzed by several frequency analyses and descriptive statistics such as mean, standard deviation, skewness, and kurtosis. Further, the differences between the sub-domains of uncertainty and sub-domains of quality of life were analyzed through independent t-test and one-way ANOVA. In order to reach conclusive results, post-test was analyzed by the Scheffe test. In addition, Pearson's correlation analysis was performed to determine the correlation between the target categories. A significance level of 𝛼=.05 was used to verify statistical significance. Results : As a result of examining "uncertainty" with respect to general characteristics, such as older age, low educational background, and chronic diseases, it was observed that the more intense these factors became, the more the level of uncertainty increased. In addition, it was also noted that except "accompanying diseases" in social domain, the participants enjoyed a high level of quality of life. The correlation was noted between domains of complexity and sociality (p<.01), domains of inconsistency and sociality (p<.01), domains of complexity and living environment (p<.01), domains of inconsistency and living environment (p<.01), and total score of uncertainty and total quality of life (p<.01). Conclusion : In this study, differences were found between "uncertainty" and "quality of life" of elderly people; the correlation between the sub-domains based on general traits was found to be negative (-). This suggests that objective evidence can be presented for the prevention of diseases by using mental health programs for the elderly in future.

• 대한통합의학회지
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• 제10권4호
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• pp.93-102
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• 2022

Purpose : The purpose of this study was to analyze the change in thickness of transvers abdominis, internal oblique, and external oblique when virtual reality based ring fit adventure is applied to young adults in order to investigate the effect of ring fit adventure on core stabilization. Methods : 30 subjects participated in the experiment. Subjects were randomly assigned to two groups. 15 subjects performed ring fit adventure core exercise (experimental group) and 15 subjects bridge and dead bug exercise (control group). The ring fit adventure core exercise program consists of 6 types, 1) bow pull, 2) overhead lunge twist, 3) pendulum bend, 4) seated ring raise, 5) plank, 6) warrior III pose. Each exercise was performed for 5 minutes, for a total of 30 minutes. The bridege and dead bug exercise were performed for 15 minutes each for a total of 30 minutes. All interventions were performed 3 times a week for 4 weeks. Thickness of the abdominal muscles was measured with a ultrasound. The paired t-test was used to compare the thickness of the transverse abdominis, internal oblique, and external oblique before and after intervention, and the comparison between groups was analyzed using the independent t-test. Results : As a result, in the experimental group, thickness of transverse abdominis and internal oblique increased significantly (p<.05), but external oblique decreased significantly (p<.05), and in the control group, thickness of transverse abdominis, internal oblique, and external oblique increased significantly (p<.05). There was a significant difference in external oblique in the difference between groups (p<.05). Conclusion : These study results showed that core exercise using ring fit adventure can reduce external oblique and increased selective muscle activity of transverse abdominis and internal oblique of the deep abdominal muscles, so it is meaningful as an effective intervention for core stabilization.

• 대한통합의학회지
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• 제10권4호
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• pp.57-69
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• 2022

Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.

• 대한통합의학회지
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• 제10권4호
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• pp.209-218
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• 2022

Purpose : This study examined how of nursing students affects their academic self-efficacy and communication ability on self-leadership. Methods : The subjects of this study included 269 nursing students enrolled in a college located in City B, South Korea during a period between June and July 2021. The collected data were analyzed using SPSS/WIN 22.0 program to compute frequency, percentage, mean and standard deviation and conduct t-test, ANOVA, Scheffe's test, Pearson Correlation Coefficient, and multiple regression analysis. Results : The nursing students had average academic self-efficacy of 3.10±.42, communication ability of 3.78±.53, and self-leadership of 3.16±.44. Among the self-leadership sub-factors, self-reward was the highest with 3.94±.74 points. The academic self-efficacy of the subjects demonstrated a significant difference according to happiness index (F=8.83, p<.001) and health (F=3.38, p=.035). The communication ability showed a significant difference depending on year of study (F=5.62, p<.001), happiness index (F=5.95, p<.001), and experience of clinical training (t=-3.57, p<.001). The self-leadership demonstrated a significant difference according to year of study (F=4.28, p=.006), satisfaction with major (F=7.37, p<.001), happiness index (F=3.68, p=.013), and experience of clinical training (t=-3.41, p<.001). A positive correlation was observed between the subject's academic self-efficacy and communication ability (r=.40, p<.001), as well as the academic self-efficacy and self-leadership (r=.45, p<.001). The communication ability (𝛽=.36, p<.001) was proven to be the strongest influential factor on the self-leadership, followed by academic self-efficacy (𝛽=.28, p<.001), satisfaction with major (𝛽=.13, p=.011), and experience of clinical training (𝛽=.13, p=.013). Conclusion : This study results imply that repeated studies that investigate the nursing students' academic self-efficacy, communication ability, and self-leadership are required. Furthermore, efforts should be made to develop programs aimed at enhancing nursing students' academic self-efficacy, communication ability, and self-leadership.

• 대한통합의학회지
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• 제10권3호
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• pp.53-62
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• 2022

Purpose : This research is a descriptive study that aimed to identify the levels of health promotion behaviors, fatigue, and depression of nursing students and confirm the effect of health promotion behaviors on fatigue and depression. Methods : Data were collected from September 27 to October 15, 2021 through survey questionnaires on 178 nursing students of 2 universities in G-do who voluntarily agreed to participate. The collected data were analyzed using SPSS 23.0, the general characteristics of nursing students were analyzed by frequency and percentage, and the levels of their health promotion behaviors, fatigue, and depression of nursing students was analyzed by mean and standard deviation. The relationship among the health promotion behaviors, fatigue, and depression was analyzed by Pearson's Correlation Coefficient. Multiple regression analysis was performed for the effects of health promotion behaviors on fatigue and depression of nursing students. Results : The nursing students' health promotion behaviors averaged 2.25±.43 points out of 5, and for each sub-factor, interpersonal relationship was the highest at 2.66±.49 points and physical activity was the lowest at 2.01±.60 points. Fatigue was 4.89±1.02 points out of 7 and depression was 10.52±9.10 points out of 63. A statistically significant correlation was found among health promotion behaviors, fatigue, and depression. Health promotion behaviors that significantly affected fatigue were stress management (𝛽=-.263, p=.004) and physical activity (𝛽=-.208, p=.026), which showed 35 % explanatory power on fatigue. Health promotion behaviors that significantly affected depression were spiritual growth (𝛽=-.342, p=.002), and physical activity (𝛽=-.231, p=.016), which showed 31 % explanatory power for depression. Conclusion : This study is meaningful in that it provided basic data to develop an effective health promotion behavior program to prevent and manage nursing students' fatigue and depression, by identifying and analyzing the sub-factors of health promotion behaviors affecting their fatigue and depression.

• 대한통합의학회지
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• 제11권1호
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• pp.31-41
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• 2023

Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.

• 대한통합의학회지
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• 제11권3호
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• pp.185-194
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• 2023

Purpose : This study aimed to investigate the relationship between the characteristics of hemodialysis patients and the occurrence of sarcopenia through a comprehensive literature review. Methods : A systematic literature search was conducted to identify eligible studies in the Cochrane library, PubMed and Embase. In this review, we included all papers published since the initiative's inception and summarized results as of december 2022. Studies that investigated association between sarcopenia diagnosis and hemodialysis patients (aged≥18 years) were included. Ultimately, 16 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa scale. Results : Fourteen of the sixteen studies (88 %) reported that significant association between sarcopenia diagnosis and hemodialysis patients. However, two studies reported no association between sarcopenia diagnosis and hemodialysis patients. As a factor statistically related to sarcopenia in hemodialysis patients, Mortality (6 studies, 38 %), age (5 studies, 31 %), body composition (4 studies, 25 %), physical activity (2 studies, 13 %), diabetes (2 studies, 13 %), cardiovascular abnormalities (1 studies, 6 %), nutritional status (3 studies, 19 %), and gender (3 studies, 19 %). Conclusion : Our findings highlight the necessity of developing a physical therapy program that accurately reflects the health status of hemodialysis patients. To further investigate the association between the diagnosis of sarcopenia and hemodialysis patients, it is recommended to conduct large-scale longitudinal studies using standardized diagnostic criteria and evaluation methods, as well as analyze potential risk factors. Consequently, this study emphasizes the importance and potential of developing physical therapy programs that effectively address the health consequences associated with hemodialysis. The significance of this research lies in its ability to provide valuable insights and lay the foundation for future studies focused on developing preventive and therapeutic interventions targeting muscle wasting syndrome resulting from hemodialysis.

• 대한통합의학회지
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• 제11권3호
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• pp.195-204
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• 2023

Purpose : This study applied general training (control group) or cranio-cervical flexor training (experimental group) using a pressure biofeedback unit along with general training for 4 weeks to secondary school teachers with moderate to severe neck pain and forward head posture. After that, we tried to compare the effects through differences in neck pain intensity (using numberical rating scale), functional performance (using neck disability index), and cranio-vertebral angle change. Methods : All 50 subjects were randomly assigned to either the "experimental group (n= 25)" or the "control group (n= 25)", and the measurements were evaluated in the same way before the intervention (baseline) and after the intervention (4 weeks). During the intervention period, the subject visited the physiotherapy center and made a reservation three times a week at a fixed time as much as possible, and each training session was thoroughly conducted under the 1:1 guidance of the therapist in charge so that the correct movement and number of times could be performed without compensatory action. Results : As a result of the homogeneity analysis on the general characteristics of the subjects, there were no significant differences between the groups in all variables (p>.05). Compared to the "control group", the "experimental group" showed significant improvement after intervention in all measured variables of neck pain intensity, functional performance, and cranial-vertebral angle (p<.05). Conclusion : For secondary school teachers with forward head accompanied by neck pain, cranio-cervical flexor training using a compression biofeedback unit is an excellent method to show superior pain reduction and functional performance improvement compared to general training alone. In addition, it can be presented as a more effective intervention method that can promote recovery of forward head posture, which is an essential element of the solution.