• Title/Summary/Keyword: Intervention method

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The Scenario Approach Method for Family Nursing Intervention Based on the Movie 'Mabin's Room' (영화 '마빈스룸' 가족간호중재 -시나리오 접근법-)

  • Park, Kyung-Min;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.627-638
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    • 2001
  • Caring is an essential element of nursing. In a family with a patient. a critical situation may happen not only for the patient but also for the members of the family. Therefore, a caring service from the healthcare providers can also be requested for the family members. The movie 'Mabin's Room' deals with family problems. In this study, the assessment, problem, diagnosis and planning for the family nursing situation for family problems were made focusing on the role of characters in the movie 'Mabin's Room'. Regarding family nursing intervention, the framework of the story 'Mabin's Room' was reorganized to solve the problems based on the role of community health nurse. In this scenario approach method, the situation in the movie is used without change but the scenario related to the roles (or communication) of community health nurse for solving the family problems is added. It is a problem solving oriented method by reorganizing the scenario in a movie story situation. The reorganized scenario in this study is just an example of scenario approach method. Community Health Nurses can cultivate their creativity by solving various problems in the community by adopting or modifying this simple scenario in practice.

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Comparison of Skin Stimulation Method and Topical Anesthetic Cream on Pain and Heart Rate Variability during Arteriovenous Fistula Puncture in Hemodialysis Patients (혈액투석 환자의 동정맥루 천자 시 피부자극법과 국소마취크림 도포에 따른 통증과 심박변이도 비교)

  • Kang, Hyo Young;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.207-216
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    • 2019
  • Purpose: The purpose of this was to compare effects of application of the skin stimulation method and topical anesthetic cream on pain, heart rate variability and satisfaction according to nursing intervention methods during arteriovenous fistula puncture in chronic renal failure hemodialysis patients. Methods: This study was a crossover design. Participants were 36 patients with chronic renal failure receiving hemodialysis treatment. Two forms of intervention were applied to participants, and then pain and heart rate variability were measured during the puncture. Results: There were no statistically significant differences according to each treatment in vein pain and artery pain. Also, there were no statistically significant differences according to each treatment in stress index, sympathetic activity (LF), parasympathetic activity (HF) and sympathetic activity/parasympathetic activity (LF/HF ratio). Satisfaction with application of skin stimulation method was statistically higher than that of topical anesthetic cream application. Conclusion: This suggests that application of the skin stimulation method complements disadvantages of topical anesthetic cream application and demonstrates possibility of application as a nursing intervention method which can be conveniently used by nurses in clinical practice.

Physiotherapy Approaches for Chronic Subacromial Impingement Syndrome : Comparison of Effects of Eccentric Training and General Exercise (만성 봉우리 밑 충돌증후군을 위한 물리치료적 접근법 : 편심성 훈련과 일반적 운동의 효과 비교)

  • Choo, Yeon-Ki;Bae, Won-Sik;Kim, In-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.61-72
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    • 2022
  • Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients. Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, "MWM-ET group (n=28)" vs. "MWM-GE group (n=27)" was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way. Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group. Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.

An Evaluative Study on the Quality of Papers on the Effects of the Smoking Prevention Programs in Korea

  • Park, Eunok
    • Korean Journal of Health Education and Promotion
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    • v.20 no.4
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    • pp.67-78
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    • 2003
  • This investigation was performed to summarize a few prominent features of smoking prevention program studies and to evaluate the quality of smoking prevention program studies using the Quality of Study Rating Form (QSRF). 24 school-based smoking prevention programs were subjected to an evaluation of study quality using QSRF. Study quality was 57.29 points out of 100 points on average, so it cannot be said that study quality was good. Most of the studies described the subjects and the intervention contents and intervention time. 50% stated where the intervention occurred specifically, 50% of the studies either discussed a specific theory that justified the use of one or more intervention methods, or they cited literature said to support the chosen intervention method. Only one study assigned subjects randomly to experimental groups or control groups and 50.0% of the studies showed baseline equality. There was no study where subjects were blind to being in the treatment or control group or where subjects were selected randomly by random sampling procedure. 79.2% of the studies had non-treated control groups and 20.8% of the studies had comparison groups with other treatments in the form of either other delivery methods or other contents. Sample sizes were larger than 21 in the experimental group for all studies. 75% of the studies stated face validity of outcome measure or cited from previous literature. 58.3% of the studies tested reliability and 45.8% reported the reliability measure was a figure of .70 or greater. There was no study where those rating outcomes were rated blind, because researchers generally collected data by themselves. Outcome measures were taken only after the intervention was completed and tests of statistical significance were generally referred to statistical method and p value in all studies. All studies met the criteria that follow-up was greater than 75%. The implications for the future studies were discussed.

A Case Report of an Intervention Strategy that Applied an ICF Tool to Improve the Walking Ability of Stroke Patients (뇌졸중 환자의 보행능력 증진을 위한 ICF(International Classification of Functioning, Disability and Health) Tool을 적용한 중재전략의 증례)

  • Bang, Dae-Hyouk;Song, Myung-Soo;Jeong, Wang-Mo;Bong, Soon-Nyung
    • PNF and Movement
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    • v.12 no.2
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    • pp.107-113
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    • 2014
  • Purpose: The objective of this study was to identify functional problems, including walking ability, of patients with strokes using the International Classification of Functioning, Disability, and Health (ICF) and to present a method that could solve functional problems, thereby determining the applicability of the ICF to increase the quality of evaluation and intervention in clinical fields in the future. Methods: Information on stroke patients who were admitted and treated in a hospital was collected. The authors conducted evaluations, interventions, and measurements of the results of the ICF tool in order to improve gait abilities of patients. The subjects were trained using proprioceptive neuromuscular facilitation (PNF) one hour a day and five times a week for four weeks. The result measurement variables were a six-minute gait test, 10 m velocity test, gait instability test, and measurements using the ICF sheet. Results: In the six-minute gait test, gait distance increased by 48 m, from 102 m to 150 m. The gait velocity test result showed an improvement from 0.36m/s to 0.44m/s. The subjects performed a gait instabilitytestwithacupfilledwith50mmwater. In the gait instability test, the amount of water was 38 mm before the intervention; however, it was 50 mm after the intervention. The gait velocity with a cup filled with water improved from 0.25m/s to 0.31m/s. Conclusion: An evaluation and intervention were designed with the ICF tool for stroke patients. Gait abilities improved when the PNF technique was used. The IFC method can be used for evaluation and intervention, and it could help improve gait abilities of stroke patients.

A study on the experience of the victim about spouse who completed domestic violence offender intervention program (배우자의 가해자 교정·치료 프로그램 이수에 대한 피해자의 경험연구)

  • Kang, Jina;Shin, Jiyoung;Lee, Hyunsook;Je, Obok;Cho, Myungsook;Jin, Heekyung
    • Journal of Family Relations
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    • v.23 no.3
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    • pp.31-50
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    • 2018
  • Objectives: The purpose of this study was to focus on the phenomenon of spouses experienced by offenders after completing the offender intervention program. Method: For this purpose, among the offenders who received the decision of counsel (counseling order) accused by domestic violence, who the other spouse selected case without counseling. After the in - depth interviews with the 9 participants, the collected data were analyzed by Colazzi 's phenomenological study method. Results: Major research findings can be summarized as follows. Category 1 was "Experiences about causes of violence", category 2 was "Experiences with forms of violence", category 3 was "What I wanted about my spouse when I called the police", category 4 was "What I wanted for myself when I reported to the police", category 5 was "the situation of the offender after completing the offender intervention program", category 6 was "what I experienced after completing the offender intervention program" and category 7 was "Experiences for Follow-up consultation needs". Conclusions: Based on the results of the research, counseling for perpetrators who are violent actors needed a therapeutic approach not only to strengthen the temporary punishment but also to help the family recovery on a continuous and sustainable level. Therefore, the implications of policy intervention for domestic violence were suggested.

Effect of Vestibular Sensory Stimulation Exercise on Limit of Stability, Dynamic Weight Shift, and Upper and Lower Extremities Reaction Time in Adult Women (안뜰감각 자극운동이 성인여성의 안정성한계, 동적체중이동 및 팔다리 반응시간에 미치는 영향)

  • Kim, Chung-Yoo;Lee, Keon-Cheol;Lee, Yeon-Seop
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.2
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    • pp.203-210
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    • 2022
  • Purpose : The purpose of this study was to investigate the effect of vestibular sensory stimulation exercise on the limit of stability, dynamic weight shift, and upper and lower extremities reaction time in adult women. Methods : This study was conducted with 30 female. All subjects were randomly and equally assigned to an experimental group and a control group of 15 each. Subjects assigned to the experimental group received vestibular sensory stimulation training for 6 weeks. For the intervention, vestibular sensory stimulation exercises were conducted by referring to the Hamid exercise method and the Cawthorne-Cooksey exercise method, and the control group did not receive any intervention. All subjects were tested for limit of stability, dynamic weight shift, and upper and lower extremities reaction time before and after the intervention. Results : The results of this study showed significant differences between groups in reaction time, moving velocity, and directional control in the limit of stability test after intervention. In the dynamic weight shift test after intervention, there was a significant difference between the groups in the slow directional control of left and right. And in the upper and lower extremities reaction time test after intervention, both scores and reaction time showed significant differences between groups. Conclusion : As a result, the three vestibular sensory stimulation exercises applied in this study improved the limit of stability, dynamic weight shift, and upper and lower extremities reaction time.

Physical Therapy Intervention for High School Baseball Players with Internal Impingement Syndrome : Comparison of the effects of eccentric training and concentric training (내부 충돌증후군을 가진 고등학교 야구선수들을 위한 물리치료적 중재법 : 편심성 훈련과 동심성 훈련의 효과 비교)

  • Choo, Yeon-Ki;Kim, Hyeon-Su;Lee, Keon-Cheol
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.219-228
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    • 2022
  • Purpose : The purpose of this study was to suggest a more effective method by comparing the effects of changes in pain intensity, muscle strength, and athletic performance after applying a 6-week eccentric training program (ET-MWM) or concentric training program (CT-MWM) with MWM for high school baseball players with shoulder internal impingement (SII). Methods : A total of 75 participants were randomly assigned to each group and divided into two groups, "ET-MWM group (n=35)" and "CT-MWM group (n=32)" according to the intervention method. Pain intensity, muscle strength (external rotation, internal rotation), and athletic performance were first measured before the intervention, and after the intervention 3 times a week for a total of 6 weeks, both groups were re-measured in the same way. Visual analog scale (VAS) was used for pain intensity, biodex dynamometer for muscle strength (60 °/sec.), and Kerlan-Jobe orthopedic clinic shoulder & elbow score (K-KJOC) for athletic performance. Results : As a result of analyzing the homogeneity of the pre-intervention characteristics and initial measurement variables of the study subjects, there was no significant difference between the two groups in all variable values. Pain intensity (VAS) was significantly reduced in the ET-MWM group than in the CT-MWM group (p<.05). In addition, the maximum muscle strength of external rotation & internal rotation of the shoulder (60 °/sec.) and athletic performance (K-KJOC) were significantly increased in the ET-MWM group than in the CT-MWM group (p<.05). Conclusion : Compared with the CT-MWM training program, the ET-MWM training program reduced shoulder joint pain and further increased the muscle strength required for throwing motion in high school baseball players. As the result showed better athletic performance improvement, the ET-MWM training program can be clinically recommended as a more effective intervention.

The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients (범이론 모형을 적용한 고혈압 환자 약물순응 중재 프로그램 개발 및 적용 효과)

  • Kim, Soon-Ock
    • Research in Community and Public Health Nursing
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    • v.22 no.3
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    • pp.342-354
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    • 2011
  • Purpose: This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference. Methods: A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data. Results: After treatment with this program, the experimental group showed stage of change ($x^2=52.917$, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001). Conclusion: There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.

The Effect of Government Intervention on the Market Failure in firm Training in Korea (기업교육훈련에 대한 정부 개입과 그 효과)

  • Kim, Ahn-Kook
    • Journal of Labour Economics
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    • v.32 no.2
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    • pp.125-150
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    • 2009
  • This article analysed the effect of government intervention on the market failure in firm training in Korean. I used the Employment Insurance DB and the KISLINE DB and joined two data by the firm identification number 2004-2006 year. I estimated the effect of intervention of government by propensity score matching and difference-in-difference method to avoid of participation selection and endogeneity problem. The result is that government intervention on the firm training have made positive effect but it is not significant statistically. We have to investigate the market failure in firm training and to reassess the level of optimal firm training in Korea. After the study, the government intervention on the firm trainig will have to be rearranged.

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