• 제목/요약/키워드: Intervention research

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국내 암환자 피로에 적용한 중재효과의 메타분석: 1990-2010 (A Meta-analysis of Intervention Studies on Cancer-related Fatigue in Korea: 1990-2010)

  • 오복자;정지아
    • 임상간호연구
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    • 제17권2호
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    • pp.163-175
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    • 2011
  • Purpose: This study was to analyze the characteristics and effect size of intervention studies applied to cancer-related fatigue in Korea. Methods: For meta-analysis, a total of 963 studies were retrieved from search engines. And 19 studies with a total of 721 participants published from 1990 to 2010 were selected upon their satisfaction with the inclusion criteria. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data was analyzed by the RevMan 5.0 program of Cochrane library. Results: Intervention studies included 4 studies on foot-reflexo-massage (21.1%), comprehensive program (21.1%), and exercise (21.1%), respectively, 3 for hand-reflexo-massage (15.8%), and 4 for others. The effect size of the intervention studies shown higher effect size in order of exercise (d=-1.80), and foot & hand-reflexo-massage (d=-0.55). Conclusion: This study suggest that exercise can reduce the intensity of cancer-related fatigue, even though the number of intervention studies and randomized controlled trials were very few. There is limited evidence that reflexo-massage is effective in reducing cancer-related fatigue.

치과내원 환자의 치과공포 감소를 위한 중재법 적용 (Intervention for Reducing Dental Fear and Anxiety of Dental Patients)

  • 신선정;신보미;고부일;배수명
    • 치위생과학회지
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    • 제15권3호
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    • pp.369-376
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    • 2015
  • 본 연구는 서울시 일개 치과의원에 내원한 환자를 대상으로 치과공포 수준을 측정하고, 치과공포 수준 감소를 위한 중재법에 대해 환자가 요구하는 방법을 적용한 후 치과공포 중재법의 효과를 측정하였다. 개입한 치과공포 중재법에 대해서는 전체적으로 '도움이 된다(3.57점)'는 의견이었고, 항목별로는 '어떤 진료인지 미리 설명해 준다(4.38점)', '진료 중에 환자가 손을 들면 언제든 치료를 잠시 멈추어 준다(4.35점)', '진료 중 통증이 발생할 것 같으면 미리 말해준다(4.24점)', '의료진이 부드럽고 웃는 표정을 한다(4.06점)' 순으로 도움이 된다고 하였다. 치과공포 중재법 적용 전과 후의 전체적인 만족도는 각각 4.37점과 4.35점으로 높은 수준이었으나, 적용 후 미미하게 감소하였으며 이는 치과치료 항목과 밀접한 연관이 있을 것으로 사료된다. 치과공포 수준을 감소하기 위해서는 환자의 치과공포 수준 뿐 아니라 치과공포 중재를 위한 요구도를 파악하여 이에 맞는 개입방법을 적용하여 주는 것이 효과적이며, 이에 대한 치과의료 인력에 대한 교육과 매뉴얼 개발이 필요하리라 생각된다.

국내 지적장애 아동·청소년 대상 음악중재연구 분석 (An Analysis of Music Intervention Studies for Children and Adolescents With Intellectual Disability in Korea)

  • 이승은
    • 인간행동과 음악연구
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    • 제16권1호
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    • pp.1-24
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    • 2019
  • 본 연구의 목적은 국내 지적장애 아동 청소년 대상 음악중재연구의 전반적 특성, 중재내용의 특징, 제시된 음악중재 실행방법의 기술수준과 논거의 적절성을 파악하여 음악중재의 전문성을 알아보고자 함이며, 이를 위해 연구자의 학문적 배경 및 목표영역에 따른 비교를 통해 연구 간 차이를 알아보았다. 따라서 연구자는 분석기준에 부합하는 KCI 등재(후보)학술지 게재논문 20편을 선정 후 분석하였고, 그 결과 실행된 중재내용의 특징이 연구자의 학문적 배경 및 목표영역별로 상이한 것을 확인할 수 있었다. 한편, 음악중재 실행방법의 기술수준과 논거의 적절성을 분석한 결과에서는 음악치료이론 및 선행연구를 바탕으로 적절한 논거를 제시한 연구가 2편에 불과하였고, 중재전문성에 따라 목표와 중재논거의 연결성 및 접근법에 차이가 있음을 확인하였다. 이는 음악치료 전공 여부에 따라 중재논거의 기술수준과 구체성에 차이가 있어 추후 중재연구 결과 해석 시 중재전문성에 대한 고려가 중요함을 보여준다. 본 연구는 연구자의 학문적 배경 및 목표영역에 따라 나타난 특징을 분석하여 전반적인 접근법 및 제시논거의 차이와 관련한 기초자료를 제공하였다는 데 의의가 있으며, 앞으로의 중재연구에서 음악치료 논거의 구성 및 기술의 구체성에 대한 중요성을 시사한다.

기능적인 저항훈련이 운동이상형 뇌성마비 아동의 대동작과 균형능력에 미치는 영향 : 단일사례설계 (Effects of Functional Resistance Training on Gross Motor and Balance Abilities in Children with Dyskinetic Cerebral Palsy : Single Case Design)

  • 권해연
    • 대한통합의학회지
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    • 제4권3호
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    • pp.109-119
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    • 2016
  • Purpose : The purpose of this research is to find clinical effects of functional resistance training using weighted vest on gross motor and balance abilities of children with dyskinetic cerebral palsy. Methods : This study selects 3 subjects for 8~12 years old who were diagnosed with children with dyskinetic cerebral palsy. The Design is ABA design of single-subject research design. Baseline(A) and TypeII Baseline(A : 12weeks) phases were received with NDT treatment, Intervention(B : 12weeks) phase provided with 40 minute functional resistance training using weighted vest in a session twice a week. In order to analyze the measure results of gross motor function and performance, balance abilities in children dyskinetic cerebral palsy during baseline, intervention and typeII baseline phase. Result : A statistically significant differences in the total GMFM including walking/running/jumping during baseline, intervention, typeII baseline, but no significant differences in the lying/rolling, sitting, crawling/kneeling and standing. A statistically significant differences in the total GMPM including dissociated movement, coordination, weight shift, stability during baseline, intervention, typeII baseline, but no significant differences in the body alignment domains. A statistically significant differences in the length and surface area ellipse of center of pressure during baseline, intervention, typeII baseline. Conclusion : The intervention method to facilitate multi-joint and closed kinematic chain movement equipped weighted vest applied functional resistance training on children with dyskinetic cerebral palsy effectively improve on gross motor function and performance, balance abilities.

The Effect of Therapeutic Intervention Using Motivation on Chronic Stroke Patients' Balance

  • Kim, Yeon Ju;Choi, Yoo Rim;Choi, Wan Suk;Kim, Bo Kyung;Oh, Hyun Ju;Kim, Hong Rae;Hwang, Byeong Jun
    • 국제물리치료학회지
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    • 제5권1호
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    • pp.683-690
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    • 2014
  • This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divided them randomly into a motivation training group(n=20) and a control group(n=18). To the control group was applied neurological physiotherapy 5 times a week, and 30 minutes each time, and to the motivation training group was applied neurological physiotherapy and then, additionally, a Nintendo Wii-Fit program 3 times a week, and 30 minutes each time. Before and after the experiment, the subjects' dynamic balance was measured with functional reach test(FRT), timed up & go test(TUG), and 10m gait test, and their static balance was measured with the Romberger Test. When dynamic balance ability was compared between before and after the experiment and between the motivation training group and the control group, significant difference was observed in the results of FRT, TUG, and 10m walking test between before and after the intervention(p<.05). As to static balance, in addition, body balance movement distance was not significantly different. Therapeutic intervention using dynamic motivation was found to be more effective than the control group in improving dynamic balance.

The Effects of Auditory Biofeedback Training and Kicking Training on Walking Speeds in Patients with Hemiplegia

  • Jun, Hyun Ju;Lee, Jin Su;Kim, Ki Jong
    • 국제물리치료학회지
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    • 제5권1호
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    • pp.675-682
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    • 2014
  • The objective of this study was to examine the effects of auditory biofeedback training and kicking training on walking times in patients with hemiplegia to determine if the effects of such training would be maintained even after stopping the intervention. Thirty hemiplegia patients were selected and randomly assigned to a control group of 10 patients to receive general exercise treatment; an auditory biofeedback training group of 10 patients to receive auditory biofeedback training, along with general exercise; and a kicking training group to receive kicking training, along with general exercise. All the patients received their respective training 12 times in total, three times per week for four weeks. In addition, all those in the control and experimental groups received the same general exercise treatment 12 times in total, three times per week for four weeks, and underwent follow-up tests thereafter. The patients' 10m walking times were measured using a stopwatch. The significance was analyzed using repeated-ANOVAs. In cases where there were interactions between measuring times and groups, in each group were examined using repeated-ANOVAs. In cases where there were differences, post-hoc tests were conducted using repeated of contrast test. The 10m walking times of the control and experimental groups were significant differences in 10m walking times were shown between measurement times(p<.05), and significant differences in the interactions between measuring times and groups were shown between the groups(p <.05). However, no significant differences in 10m walking times were shown between the groups(p>.05). The auditory biofeedback training group showed significant decreases in walking times four weeks after the beginning of the intervention(p<.05) and significant increases eight weeks after the beginning of the intervention(p<.05). The kicking training group showed significant decreases in walking time four weeks after the beginning of the intervention(p<.05) and maintained the walking times without showing any significant differences eight weeks after the beginning of the intervention(p>.05). The walking speeds of only the kicking training group were maintained until eight weeks after the beginning of the intervention.

조기개입 프로그램에 참여한 문제음주자의 경험 (Experiences of Problem drinkers Participation in Early Intervention Program for Moderate Alcohol Drinking)

  • 강경화
    • 대한보건연구
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    • 제44권4호
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    • pp.1-13
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    • 2018
  • 연구목적: 이 연구는 문제음주자 관점에서 조기개입 프로그램의 효과를 조명함으로써 탐색적 이해를 보여주는데 있다. 연구방법: 이 연구는 질적 기술 연구 설계가 사용되었다. 프로그램에 참여한 13명의 문제음주자와 개별 면담을 통해 연구자료를 수집하였으며, 질적 내용 분석으로 분석하였다. 연구결과: 조기개입 프로그램에 참여한 문제음주자는 알코올 정보, 알코올의 효과에 대한 기대, 자기효능감과 행동 변화 측면에서 4개의 주제 및 9개의 하위주제가 도출되었다. 이들은 직장 내에서 운영된 조기개입 프로그램에 참여하였기 때문에 개인별로 동기 수준에 차이가 있었으나, 프로그램의 필요성은 대체로 수용하였다. 프로그램 진행자를 신뢰하는 참여자일수록 음주행동 변화를 긍정적으로 생각하였다. 결론: 조기개입 프로그램에 참여한 문제음주자는 충분한 정보를 습득함으로써 음주 폐해에 대한 인식과 변화 동기의 증진 및 행위기술인 자기효능감의 획득을 통하여 문제음주 행동 변화에 유용한 접근임을 보여주었다. 이러한 결과는 직장 등 다양한 일차건강관리 현장에서 알코올중독 예방을 위한 조기개입을 적용하기 위한 기초자료로 활용될 수 있을 것이다.

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

  • 강진아;신지영;이현숙;제오복;조명숙;진희경
    • 한국가족관계학회지
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    • 제23권3호
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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.

Oligomerized polyphenols in lychee fruit extract supplements may improve high-intensity exercise performance in male athletes: a pilot study

  • Kawamura, Aki;Hashimoto, Shun;Suzuki, Miho;Ueno, Hiromasa;Sugita, Masaaki
    • 운동영양학회지
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    • 제25권3호
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    • pp.8-15
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    • 2021
  • [Purpose] Excessive reactive oxygen species (ROS) induced by prolonged high-intensity exercise can cause structural and functional damage. Antioxidant polyphenol supplementation, which reduces ROS levels, may improve high-intensity exercise performance. We evaluated the effect of lychee fruit extract, which contains high levels of low-molecular-weight oligomerized polyphenols, on high-intensity exercise performance. [Methods] Ten male athletes were included in an open-label trial that consisted of control and intervention phases, with a 7-day washout period between phases. The participants were administered oligomerized lychee fruit extract for seven days, whereas no intervention was given in the control phase. High-intensity intermittent exercise and the Wingate test were performed. The power output, blood lactate levels, reactive oxygen metabolite levels, biological antioxidant potential, heart rate, and rate of perceived exertion were measured. [Results] The average power output was significantly higher in the intervention phase than in the control phase (P < 0.01), while the change in blood lactate levels was significantly lower in the intervention phase than in the control phase (P < 0.05). The average heart rate was significantly higher in the intervention phase than in the control phase (P < 0.05), without changing the rate of perceived exertion. Although there was no difference in reactive oxygen metabolite levels between the phase, the change in biological antioxidant potential was larger in the intervention phase than in the control phase (P = 0.06). The Wingate test showed no significant differences between the phase. [Conclusion] Short-term loading with oligomerized lychee fruit extract may increase performance during high-intensity intermittent exercise by improving metabolism.

The Effect of Scalp Acupuncture and rTMS on Neuromotor Function in Photothrombotic Stroke Rat Model

  • Jong-Seong Park;Eun-Jong Kim;Min-Keun Song;Jung-Kook Kim;Ganbold Selenge;Sam-Gyu Lee
    • 대한의생명과학회지
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    • 제29권4호
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    • pp.263-273
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    • 2023
  • This study aimed to investigate effect of scalp acupuncture (SA) and repetitive transcranial magnetic stimulation (rTMS) intervention on neuromotor function in photothrombotic cerebral infarction (PCI) rat model. Sixty male SD rats were used. PCI was induced on M1 cortex of right frontal lobe. SA was performed at the Qianding (GV21), Xuanli (GB6) acupoints of ipsilesional M1. Low-frequency rTMS was delivered to contralesional M1. All rats were randomly divided into 4 groups: group A, normal (n, 15); group B, PCI without any stimulation intervention (n, 15); group C, PCI with SA (n, 15); group D, PCI with rTMS (n, 15). Rota-rod test and Ladder rung walking test (LWT) were done weekly for 8 weeks after PCI. SA or rTMS was started from post-PCI 4th day as protocol for 8 weeks. H/E stain and IHC were done. Western blot and qRT-PCR study were performed for MAP2 and BDNF from ipsilesional M1 peri-infarction tissue. Brain MRI study was conducted to quantify the volume of cerebral infarction. As a result, left forelimb and hindlimb function significantly improved more in group C and D than control group, with expressed more BDNF and MAP2. And brain MRI showed focal infarction of right M1 after PCI, and infarction volume progressively decreased in group C and D than group B from post-PCI 5th to 8th week. SA or rTMS was more effective than no intervention group on neuromotor function of PCI rat model. The functional recovery was associated with stimulation intervention-related neurogenesis.