• Title/Summary/Keyword: Intervention research

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입원환자의 변비 중재를 위한 프로그램의 개발 (Development of a Constipation Intervention Program for Inpatients)

  • 최자윤;장금성;김현오
    • 성인간호학회지
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    • 제15권4호
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    • pp.596-606
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    • 2003
  • Purpose: The purposes of this study were to develope and evaluate a constipation intervention program for inpatients. Method: To develope this program, Six phases were processed including the organization of team, the analysis of medical chart, the development of tentative constipation intervention program, the test of content validity, the test of clinical validity and the determination of final constipation intervention program. To evaluate the clinical validity of this program, 10 subjects who were in the C University Hospital were selected from March, 2001 to October, 2001. Result: The clinical validity was supplied by the pilot test, showing the potential effect of the program. Based on the validity results the final algorithm and the form of nursing record for this program which consist of the 3-step assessments and the intervention protocol were presented in this study. Conclusion: The advantage of this program is being able to assess and manage constipation simultaneously and is especially effective to patients who are at risk for developing constipation during their admission. Further study needs are also necessary to evaluate the effect of this program on the self-symptom of constipation.

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한국 기업의 교육훈련 결정요인 - 시장실패와 정부 개입을 중심으로 - (The Determinants of Corporate Training in Korea - Market Failure and State Intervention -)

  • 김안국
    • 노동경제논집
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    • 제31권1호
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    • pp.105-133
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    • 2008
  • 본고는 우리나라 기업교육훈련의 요인을 시장실패와 정부개업의 초점에서 살펴보았다. "인적자본기업패널조사" 1차 자료를 분석한 결과, 숙련의 일반성이 높지만 기업교육훈련의 시장실패는 비교적 크지 않았고 제조업에 국한된 현상으로 나타났다. 기업교육훈련에 대한 정부의 개입 역시 제조업에서는 효과가 있었지만, 비금융서비스업에서는 효과가 유의하지 않았다. 이상의 분석 결과는 기업교육훈련의 시장실패를 규정하는 것이 비금융서비스업에서는 어려우며, 이에 모든 업종에 동일하게 적용되는 정부의 기업교육훈련 개입에 대한 검토가 요청됨을 시사한다.

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Health Blief Model-based intervention to improve nutritional behavior among elderly women

  • Iranagh, Jamileh Amirzadeh;Rahman, Hejar Abdul;Motalebi, Seyedeh Ameneh
    • Nutrition Research and Practice
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    • 제10권3호
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    • pp.352-358
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    • 2016
  • BACKGROUND/OBJECTIVES: Nutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women. SUBJECTS/METHODS: Cluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-week nutrition education program consisting of two (2) sessions per week. There was also a follow-up for another three (3) months. Smart PLS 3.5 and SPSS 19 were used for structural equation modeling, determination of model fitness, and hypotheses testing. RESULTS: The findings indicate that intervention had a significant effect on knowledge improvement as well as the behavior of elderly women. The model explained 5 to 70% of the variance in nutritional behavior. In addition, nutritional behavior was positively affected by the HBM constructs comprised of perceived susceptibility, self-efficacy, perceived benefits, and barriers after the intervention program. CONCLUSION: The results of this study show that HBM-based educational intervention has a significant effect in improving nutritional knowledge and behavior among elderly women.

영화기반 간호중재 프로그램이 뇌졸중 환자의 재활동기와 우울에 미치는 효과 (The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients)

  • 권혜경;이숙자
    • 대한간호학회지
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    • 제47권3호
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    • pp.345-356
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    • 2017
  • Purpose: The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. Methods: The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. Results: After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001. Conclusion: The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.

스노젤렌 중재연구 논문분석 (The Analysis of Intervention Studies for Snoezelen)

  • 박영례;오두남;김금순;김진아;위휘
    • 재활간호학회지
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    • 제14권2호
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    • pp.95-102
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    • 2011
  • Purpose: The purpose of this study was to analyze intervention studies related to Snoezelen (multisensory environment). Methods: Studies related to Snoezelen (multisensory environment) published between 1995 and 2010 in both Korean and International journals were systematically reviewed, and analyzed following guidelines. Based on inclusion criteria, 23 studies including 5 Korean and 18 International articles were selected. Results: Most studies were conducted in various area of research such as medicine, nursing, and occupational therapy. There was no publication related to Snoezelen (multisensory environment) in Korean nursing journals. In terms of target population, more than 65 % of the study subjects were patients with dementia, mental retardation, and learning disability. Intervention was implemented mostly in less than 30 minutes, once a week for 2 to 4 weeks. The effects on behavior, physical, and psychological contexts were assessed as outcome indicators. There was more 'positive' than 'no effect' in self-stimulatory behaviors, problem behaviors, heart rate, pain, mood state, and anxiety, whereas more 'no effect' than 'positive' in blood pressure, respiration, enjoyment, and relaxation. Conclusion: Future studies are needed to develop the protocol and outcome indicators for effective use of this new intervention in Korea.

시.청각적 피드백을 이용한 언어중재가 북한이탈주민의 자연스러운 발화에 미치는 효과 (The effects of Speech Intervention for Speech Naturalness of North Korean Refugees Using Visual and Auditory Feedback)

  • 김태희;김수진
    • 말소리와 음성과학
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    • 제2권4호
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    • pp.213-221
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    • 2010
  • The number of North Korean refugees entering South Korea is continuously increasing. North Korean speakers show significant differences in vowel and consonant phonetics, length of vowels, and the rhythm and intonation of sentences. The object of this research was to examine the effectiveness of a speech intervention program for North Korean refugees using visual feedback through acoustical analysis for intonation. The subjects were three adults with no speech disabilities who had been in South Korea for less than five years. They had not received any prior treatment for inflection change. The program was set in a discourse situation and used Praat to evaluate intonation and provide visual feedback as demonstrating proper intonation changes through pitch contour. The results after intervention are as follows. First, intonation was significantly improved according to a 5-point subjective evaluation scale. Second, the pitch contour was similar to the contour of standard South Korean pronunciation. The subjects were very satisfied with this initial treatment and showed a high level of motivation. In subsequent study, the development of intervention and the comparison of interventions will be needed as well.

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강직성 척추염 환자의 신체기능에 대한 운동치료의 효과: 체계적 고찰과 메타분석 (Effectiveness of Exercise Therapy on Physical Function in Patients With Ankylosing Spondylitis: Systemic Review and Meta-Analysis)

  • 심재훈
    • 한국전문물리치료학회지
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    • 제16권3호
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    • pp.50-59
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    • 2009
  • The aim of the study was to evaluate the effectiveness of exercise therapy on physical function of patients with anklyosing spondylitis (AS) through the systemic review and meta-analysis. The 54 studies were identified from computerized search of published researches on PubMed, Embase, CINAHL, PEDro, KISS, KERIS database until February, 2008 and review of reference lists. The main search terms were the combination "ankylosing spondylitis", "exercise", "spondyloarthropathy and exercise", "ankylosing spondylitis and physical therapy". The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention, method of intervention, intervention period and the point of outcome measured. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The result was as follows: The 10 trials were eligible for inclusion criteria, then the systematic review and meta-analysis was assessed on effectiveness of exercise therapy. The meta-analysis of 10 studies based on the random effect model showed that the exercise therapy was beneficial in treating the diseases (effect size .55; 95% confidence interval -.3.75~.61). The findings suggest that the exercise therapy would be appropriate to manage the physical function of AS with evidence based on Meta-analysis. Therefore, the exercise therapy supervised by physical therapist should be recognized as the essential approach to manage the AS and necessarily recommended to improve physical function.

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비알코올성 지방간질환에 대한 이해와 비약물적 중재 및 측정지표에 대한 문헌분석 (The Analysis of Non-pharmacological Intervention Study for Nonalcoholic Fatty Liver Disease: Intervention Types and Measurement Parameters)

  • 김나현
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.43-53
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    • 2013
  • Purpose: This study was intended to analyze the types and measurement parameters of non-pharmacological interventional studies for nonalcoholic fatty liver disease (NAFLD). Methods: NAFLD related literatures were systematically reviewed. The existing literatures were searched electronically using the data base of PubMed, a Medline data base of the National Library of Medicine with the key words of nonalcoholic fatty liver disease, NAFLD, nonalcoholic steatohepatitis, and NASH. The criteria for inclusion in this review were 1) non-pharmacological intervention, 2) human, 3) English. Finally, 20 articles were included in the review. Results: The major findings of this study were as follows: 1) the types of non-pharmacological intervention were exercise (35%), caloric restriction (30%), and lifestyle modification with combination both of exercise and caloric restriction (35%), 2) Almost all studies adopted various measurement parameters derived from pathophysiological mechanism-based biomarkers such as anthropometric indices, biochemical parameters, body fat mass, and liver biopsy results. Conclusion: Non-pharmacological interventions have been reported to be effective to improve NAFLD status, and many objective biomarkers confirmed supported these findings. Therefore, the development of nursing interventions for NAFLD subjects is needed and the consideration of using mechanism-based biomarkers is suggested to verify nursing outcomes objectively.

Mental Exercises for Cognitive Function: Clinical Evidence

  • Kawashima, Ryuta
    • Journal of Preventive Medicine and Public Health
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    • 제46권sup1호
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    • pp.22-27
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    • 2013
  • The purpose of this study was to examine the beneficial effects of a new cognitive intervention program designed for the care and prevention of dementia, namely Learning Therapy. The training program used systematized basic problems in arithmetic and Japanese language as training tasks. In study 1, 16 individuals in the experimental group and 16 in the control group were recruited from a nursing home. In both groups, all individuals were clinically diagnosed with senile dementia of the Alzheimer type. In study 2, we performed a single-blind, randomized controlled trial in our cognitive intervention program of 124 community-dwelling seniors. In both studies, the daily training program using reading and arithmetic tasks was carried out approximately 5 days a week, for 15 to 20 minutes a day in the intervention groups. Neuropsychological measures were determined simultaneously in the groups both prior to and after six months of the intervention. The results of our investigations indicate that our cognitive intervention using reading and arithmetic problems demonstrated a transfer effect and they provide convincing evidence that cognitive training maintains and improves the cognitive functions of dementia patients and healthy seniors.

학령기 과체중, 비만 아동 중재에 관한 통합적 문헌고찰 (An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children)

  • 조주현;장상윤;금다정;임지희;김정은
    • Perspectives in Nursing Science
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    • 제16권2호
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    • pp.75-83
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    • 2019
  • Purpose: This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review. Methods: We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria. Results: Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy. Conclusion: Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.