• 제목/요약/키워드: Intervention process evaluation

검색결과 132건 처리시간 0.026초

입원 환아 가족의 대처 (Family coping of family who has a hospitalized child)

  • 탁영란;여지영;박영의
    • Child Health Nursing Research
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    • 제6권2호
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    • pp.240-248
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    • 2000
  • Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

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한국 저널에 게재된 기공관련 대조군 임상연구 현황 분석 (Research Trends on the Clinical Studies of Qigong in the Korean Journal)

  • 한창현;권영규;이상남;박지하;안상우
    • 동의생리병리학회지
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    • 제23권2호
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    • pp.319-324
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    • 2009
  • Qigong is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong -neither itself nor its postulated mechanism of action- are within the paradigm of modern Western medical science, effects on the human body could be possible. This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Since the 1990s, Qigong papers in the Korean Literature is increased. Clinical research studies are among the most control design study. Research subjects are less patient than the general public. The most common treatment disease was hypertension. The depth study for the each Qigong is needed. Specifically, I think it should be a clinical studies and qualitative research methods for evaluation are needed.

Entrepreneurial Financing: Program Review and Policy Perspective

  • Ham, Jin Joo
    • STI Policy Review
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    • 제5권1호
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    • pp.75-97
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    • 2014
  • Entrepreneurial financing, such as publicly initiated venture capital or grant schemes, serves as an important policy instrument that aims to bridge the financing gap facing young, innovative businesses, a gap that is mainly due to higher risk and growing uncertainty, and to strategically promote the creation of new ventures through the revitalization of their venture capital industries. This study examines public venture capital initiatives in Australia, Canada, and Sweden, and discovered that all three countries actively foster their venture capital industry through the formation of funds or the provision of tax incentives. It is notable that the majority of financing initiatives heavily depend on supply-side measures rather than demand-driven policies that focus on stimulating private investment in technological innovations and discoveries. This paper discusses in-depth the policy impact of public financing initiatives and their subsequent side-effects raised in the process such as overlapping in funding structure across the country, lack of monitoring and evaluation for feedback, fragmentation across the government ministries and agencies, and competition with the private sector, which may cause inefficiency as a result of public intervention. Financial constraints may arise for many reasons, partly resulting from the lack of investment readiness of young entrepreneurs. This signals a policy shift towards the creation of market-driven demand away from the traditional supply-push approach, and is a grand challenge to policymakers in entrepreneurial financing. Attention is leaning towards the efficiency and effectiveness of these public-financing initiatives in terms of their policy roles. It is worth noting that policy should focus on generating synergy so available resources can be channeled into the early, risky stage of new ventures, working as facilitator to the achievement of an intended policy goal.

발달장애아동을 위한 상호작용 치료시스템의 디자인 개발 (Design and Development of Interactive Therapy System for Children with Autism)

  • 최민영;이현진;이장한
    • 감성과학
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    • 제13권4호
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    • pp.777-788
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    • 2010
  • 발달장애아동은 사회적 의사소통의 기술을 개발하기 위하여 이른 시기의 진단과 의학적 치료가 매우 중요하다. 하지만 발달장애아동들은 공공 복지기관과 전문 의료시스템의 부족으로 인하여 의학적 치료에 큰 어려움을 가지고 있다. 특히 적은 수의 아동만을 대상으로 해야 되는 일대일 면접치료방법의 특이성으로 인하여 발달장애 아동은 장소, 시간, 비용의 문제에 직면하고 있다. 이러한 문제점을 해결하기 위하여 다양한 상호작용의 기술과 보조기술, 서비스가 개발되고 있으며, 본 논문은 이러한 상호작용 디자인의 가능성을 탐색하고 더 나아가 치료시스템의 구체적 디자인개발을 목표로 한다. 본 연구는 학제간 협업, 빠른 프로보타입 개발, 전문가와 사용자 평가중심의 프로세스, 가상현실 기술, 시나리오 중심의 디자인을 주요 개발 방법론으로 적용하여, 상호작용치료시스템(ITS)의 구체적 사례를 개발하였다. 또한 상호작용치료시스템(ITS)을 치료기관과 협력하여 실제 임상실험에 적용함으로서 이러한 상호작용 다자인의 효용성과 타당성, 활용방안 등을 검증하였다.

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A Model for Community Participation in Breast Cancer Prevention in Iran

  • Ahmadian, Maryam;Samah, Asnarulkhadi Abu
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2419-2423
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    • 2012
  • Context: Genuine community participation does not denote taking part in an action planned by health care professionals in a medical or top-down approach. Further, community participation and health education on breast cancer prevention are not similar to other activities incorporated in primary health care services in Iran. Objective: To propose a model that provides a methodological tool to increase women's participation in the decision making process towards breast cancer prevention. To address this, an evaluation framework was developed that includes a typology of community participation approaches (models) in health, as well as five levels of participation in health programs proposed by Rifkin (1985&1991). Method: This model explains the community participation approaches in breast cancer prevention in Iran. In a 'medical approach', participation occurs in the form of women's adherence to mammography recommendations. As a 'health services approach', women get the benefits of a health project or participate in the available program activities related to breast cancer prevention. The model provides the five levels of participation in health programs along with the 'health services approach' and explains how to implement those levels for women's participation in available breast cancer prevention programs at the local level. Conclusion: It is hoped that a focus on the 'medical approach' (top-down) and the 'health services approach' (top-down) will bring sustainable changes in breast cancer prevention and will consequently produce the 'community development approach' (bottom-up). This could be achieved using a comprehensive approach to breast cancer prevention by combining the individual and community strategies in designing an intervention program for breast cancer prevention.

Clinical Features and Long-Term Outcome in Adult Stroke Patient due to Moyamoya Disease : A Single Subject Study

  • Kwon, Yong Hyun;Kim, Chung Sun
    • The Journal of Korean Physical Therapy
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    • 제25권3호
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    • pp.126-131
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    • 2013
  • This case report described a single case of adult stoke patient due to Moyamoya disease through long-term follow-up observation, which included his demographics, brain images, and change of motor function and functional activities. The subject was the 54-year-old male diagnosed with left hemiparesis from a stroke due to multifocal encephalomalacia in both hemispheres. At the time of the stroke attack, he took brain surgery intervention including external ventricular drain. Physical and occupational therapy for stroke rehabilitation were admitted including muscle strengthening exercises, functional activity/ADL training, neurofacilitative techniques with bobath or proprioceptive neuromuscular facilitation concepts, and compensatory strategy. Patient's MRI showed that right frontal lobe, right peri-ventricular area, left parietal, and left occipital lobes were damaged, and MRA showed that abnormal collateral vessel was richly developed in both hemispheres by occlusion of proximal internal carotid arteries in both sides. His motor strength was improved from poor to good grade in all of upper and lower limb motions, that MBC was improved from stage 1 to stage 5. In FAC and barthel index, at the initial evaluation, he could not perform any functional movement, but his FAC and barthel index were on 3 and 14 points at present, respectively. During long-term follow-up for approximately 4 years, the subject's functional motor ability was improved, as similar with recovery progression of usual stroke patient. We believe that this single case report will provide clinical information and concern regarding Moyamoya disease with physical therapist, in terms of such as epidemiology, pathogenesis, diagnostic procedures, clinical features, recovery process, and prognosis.

다문화가정 방문교육지도사의 직업경험에 관한 근거이론연구 (Study Based on Grounded Theory about Job Experience of Visiting Supervisors for Multicultural Families)

  • 이오복
    • 한국산학기술학회논문지
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    • 제15권10호
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    • pp.6092-6101
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    • 2014
  • 본 연구의 목적은 방문교육지도사들의 직업경험을 이해하고자 하는 것이다. 이 목적을 달성하기 위하여, 방문교육지도사로 활동하고 있는 7명을 대상으로 심층면접을 통해 자료를 수집하고, 근거이론방법을 활용하여 분석하였다. 분석 결과, 방문교육지도사의 직업경험에 관한 124개의 개념, 33개의 하위범주, 13개의 범주를 도출하였다. 이러한 개념과 범주들 간의 관계를 설명하는 중심현상은 '늘 불안한 고용'이었으며, 중심현상의 인과적 조건은 '경제적 목적으로 취업', '계속 바뀌는 정책과 규정'이며, 맥락적 조건은 '평가결과에 대한 불안', '일방적 업무지시 체계', '미약한 처우개선'이다. 중재적 조건은 '일에 대한 높은 만족감', '요긴한 가정 수입원', '다른 대안이 없음'이고, 작용/상호작용 전략은 '재계약을 위한 노력', '불만 보다 수용의 자세'이며, 결과는 '취업 유지를 희망함', '권리를 위한 행동 고민'으로 나타났다. 결론에서는 본 연구의 결과를 토대로 방문교육지도사의 처우개선을 위한 실천적 제언을 제시하였다.

자활직업훈련 사업의 임금 효과 분석 - Propensity Score Matching 방법으로 - (An analysis of the income impact of Self-Sufficiency training Program - by using Propensity Score Matching -)

  • 안서연
    • 사회복지연구
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    • 제37호
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    • pp.171-197
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    • 2008
  • 본 연구는 국민기초생활보장법 하의 조건부 수급자가 자활직업훈련 프로그램의 참여로 인해 임금이 향상되었는지에 관해 실증적으로 분석 하였다. 분석 자료로는 한국노동연구원에서의 자활사업 참여자를 대상으로 한 '자활대상자 직업훈련 실태'조사와 한국보건사회연구원에서 실시하는 2004년 '자활패널'조사 자료를 결합하여 '자활직업훈련 실태'조사의 응답자를 실험그룹으로'자활패널'을 비교그룹으로 구성하여 분석하였으며, 기존 연구의 통계적 취약점을 극복하기 위해 Propensity Score Matching 방법을 이용하여 자활직업훈련의 임금효과를 분석하였다. 분석 결과 자활직업훈련 참가자들이 그와 비슷한 특성을 가진 비교그룹에 비해서 약 12만원 정도 소득이 낮음을 확인함으로써, 이러한 부정적인 효과가 나타난 원인과 의미에 대해서 논의하였다.

대학생 집단에서 사회적 지지와 대사증후군 예방 건강 행동 간의 상관관계: 지각된 스트레스의 매개효과 (The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress)

  • 박수연;조수아;이유진;최성철;추진아
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.404-414
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    • 2021
  • Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

뇌졸중 환자의 우울 및 사회인지 능력에 대한 인지자극순환프로그램의 효과 (The Effects of Cognitive Stimulation Circulative Program on the Depression and Social Cognitive Ability of Stroke Patients)

  • 도지혜;김은주
    • 디지털융복합연구
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    • 제17권6호
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    • pp.439-446
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    • 2019
  • 이 연구의 목적은 뇌졸중 후 발생가능한 정서적, 사회인지 문제의 중재를 위해 작업 치료에 기초한 인지자극순환프로그램(CSCP ; Cognitive Stimulation Circulative Program)의 효과를 확인하는 것이다. 이 연구에는 12명의 뇌졸중 환자가 참여하였고 CSCP는 인지과정을 촉진시키는 방법으로 조직화되었으며 총 16회기의 순환 프로그램으로 실시되었다. 프로그램의 효과를 알아보기 위하여 우울증 척도와 관계 변화 척도, 삶의 질 평가 도구를 사용하였다. 연구결과 피험자의 우울증 척도와 역할의 물리적 및 사회적 인지 기능 능력을 평가하기 위해 사용된 관계 변화 척도는 통계적으로 유의미한 변화가 있었다(p<.05). 또한, 삶의 질 영역 중에서 신체적 역할, 사회적 기능의 항목에서 의미있는 향상이 있었다. CSCP가 뇌졸중 환자의 우울을 감소시키고 사회인지 기능을 향상시켜 삶의 질을 향상시키는 효율적인 중재 프로그램으로 사용 가능함을 입증하였다.