• 제목/요약/키워드: Intervention research

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실천지침 이행률에 따른 대사증후군 중재 효과 비교: 직장인 남성 대사증후군을 대상으로 (Comparison of health outcomes according to intervention compliance in male Korean workers with metabolic syndrome)

  • 남경희;강지연;이연주;성숙희;장윤균;이지영;박일근;최태인
    • Journal of Nutrition and Health
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    • 제46권2호
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    • pp.156-165
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    • 2013
  • This study examined how achievement of session goals contributes to outcomes of subjects after participation in a 12-week lifestyle intervention program in men with metabolic syndrome (MetS). Thirty office workers with MetS, aged $47.2{\pm}6.6$ years, participated in this study, from March to July, 2011. The intervention program included face-to-face counseling five times during the 12-week period. Counselors and subjects designed session goals for each round. The average of the goal achievement rate was calculated based on compliance for each round. The subjects were divided into three groups according to their tertiles of achievement rate: Low-compliance group (LC, < 59%), medium-compliance group (MC, 59-70%), and high-compliance group (HC, > 70%). Anthropometry, biochemical index, and nutrient intake were examined at baseline and at the end of the 12-week intervention program. After the intervention, diastolic blood pressure (DBP) showed a significant decrease in the LC group, and waist circumference (WC) showed a significant decrease in the MC group. Systolic blood pressure (SBP), DBP, and low-density lipoprotein cholesterol (LDL) showed a significant decrease in the HI group. Changes in SBP and DBP were significantly lower in the HC group than in the MC group (p < 0.05, p < 0.01). Changes in LDL were significantly lower in the HC group than in the MC group (p < 0.05). Results for intake of total energy, protein, fat, and sodium, as well as rates of carbohydrate and fat intake, showed a significant decrease in all participants (p < 0.05). The change in fiber was significantly higher in the HC group than in the MC group (p < 0.05). The change of fruit serving size showed a significant increase in the HC group (p < 0.01). The number of risk factors for MetS showed a significant decrease in the LC and HC groups (p < 0.05), however, no significant mean differences were observed among the three groups. In conclusion, participation in this intervention program resulted in positive effects on risk factors for MetS, nutrient intake, and dietary habits, especially in the High-compliance group.

불편감을 가진 암환자와의 간호대화 분석 (A Conversational Analysis about Patient's Discomfort between a Patient with Cancer and a Nurse)

  • 이화진
    • 대한간호학회지
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    • 제37권1호
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    • pp.145-155
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    • 2007
  • Purpose: The purpose of this study was to describe and to analyze real communication about a patient's discomfort between a patient with cancer and a nurse. Method: A dialogue analysis method was utilized. Fifteen patients and 4 nurses who participated in this research gave permission to be videotaped. The data was collected from January, 3 to February 28, 2006. Results: The communication process consisted of 4 functional stages: 'introduction stage', 'assessment stage', 'intervention stage' and 'final stage'. After trying to analyze pattern reconstruction in the 'assessment stage' and 'intervention stage', sequential patterns were identified. In the assessment stage, if the nurse lead the communication, the sequential pattern was 'assessment question-answer' and if the patient lead the communication, it was 'complaint-response'. In the intervention stage, the sequential pattern was 'nursing intervention-acceptance'. Conclusion: This research suggests conversation patterns between patients with cancer and nurses. Therefore, this study will provide insight for nurses in cancer units by better understanding communication behaviors.

청소년 자살 중재연구 동향 (Trends in Research on Adolescent Suicide Interventions)

  • 조헌하;강정미;김원순
    • Child Health Nursing Research
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    • 제24권4호
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    • pp.393-406
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    • 2018
  • Purpose: This study was designed to analyze recent trends in adolescent suicide intervention research in Korea and to suggest future research directions in this area. Methods: Studies Thirty-four studies selected from http://www.riss4u.net over the for last 20 years were analyzed by field and design of the study, study participants, and the outcome variables used in intervention studies. Results: Nineteen (55.9%) of the 34 studies were conducted in the fields of welfare (9), psychology (5) and nursing science (5). Ordinary adolescents were the most frequently studied participants. A nonequivalent control group pretest-posttest design was used in twenty one (61.7%) of the 34 studies. The most frequently measured outcome variables were depression, suicidal ideation and self-esteem. Conclusion: These results suggest that research on adolescent suicide intervention programs is expanding with a focus on ordinary adolescents as and subjects. In order to prevent suicide, research on family, teachers, and friends, who all are important parts of a teenager's support system, is needed. It is also necessary to develop a post-management intervention program to prevent recurrence in high-risk teenagers who have attempted suicide.

유방암 환자의 스트레스 대응 능력 증진을 위한 심리사회적 중재 재발 및 효과: 예비연구 (Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors : A Pilot Study)

  • 김조자;허혜경;강덕희;김보환
    • 대한간호학회지
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    • 제34권6호
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    • pp.1069-1080
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    • 2004
  • Purpose: The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies. Methods: One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks. Results: There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress. Conclusions: Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.

당뇨환자를 위한 운동행위 변화단계별 중재프로그램 개발 - Transtheoretical Model을 중심으로 - (Development of a Exercise Intervention Program Based on Stage of Exercise Using the Transtheoretical Model in Patients with Type 2 Diabetes Mellitus)

  • 김춘자
    • 기본간호학회지
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    • 제9권1호
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    • pp.123-132
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    • 2002
  • Purpose: The purpose of this study was to develop an exercise intervention program based on stage of exercise using the Transtheoretical Model (TTM) for patients with type 2 diabetes mellitus (DM). Method : A methodological research design was used to develop the exercise intervention program based on stage of exercise using TTM. Result: The exercise intervention program consisted of theoretical background and goals of program, assessment tool for stage of change, and an exercise intervention program based on stage of exercise. Details for the exercise and a glossary are included, Conclusion : The exercise intervention based stage of exercise can apply for DM patients who are in any stages properly.

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맞춤형 착석장치를 통한 생체역학적 중재가 뇌성마비 아동의 마우스 클릭 동작에 미치는 영향 (Effect of Biomechanical Intervention based on Custom Seating System on Activities of Mouse Click for Children with Cerebral Palsy)

  • 정동훈
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.57-65
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    • 2012
  • Purpose: This study was to investigate the effect of biomechanical intervention, based on the custom seating system on the activities of a mouse click for children with cerebral palsy. Methods: Thirteen children with cerebral palsy participated in this study. We compared reaction time and frequency for proper mouse click in the subject's typical position, in addition to an intervention position. The intervention position conformed to the principle and practice of research on promoting the upper-extremity movement and postural control. The intervention position was achieved through an external postural support, which was based on the custom seating system. Results: Reaction time and frequency for proper mouse click were moderately improved in the intervention position, compared with that of the typical position. There was a statistically significant difference between the typical position and that of the intervention position (p<0.05). Conclusion: Results provide evidence of the positive effects of functional seating on the activities of a mouse click for children with cerebral palsy.

Improving the Workplace Experience of Caregiver-Employees: A Time-Series Analysis of a Workplace Intervention

  • Ding, Regina;Dardas, Anastassios;Wang, Li;Williams, Allison
    • Safety and Health at Work
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    • 제12권3호
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    • pp.296-303
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    • 2021
  • Background: Rapid population aging in developed countries has resulted in the working-age population increasingly being tasked with the provision of informal care. Methods: An educational intervention was delivered to 21 carer-employees employed at a Canadian University. Work role function, job security, schedule control, work-family conflict, familywork conflict, and supervisor and coworker support were measured as part of an aggregated workplace experience score. This score was used to measure changes pre/post intervention and at a follow-up period approximately 12 months post intervention. Three random intercept models were created via linear mixed modeling to illustrate changes in participants' workplace experience across time. Results: All three models reported statistically significant random and fixed effects intercepts, with a positive coefficient of change. Conclusion: This suggests that the intervention demonstrated an improvement of the workplace experience score for participants over time, with the association particularly strong immediately after intervention.

Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study

  • Khatun, Fahima;Lee, Tae Wha;Lee, Hye Jung;Park, Jeongok;Song, Ju Eun;Kim, Sue
    • 여성건강간호학회지
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    • 제27권3호
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    • pp.196-208
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    • 2021
  • Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

국내 리듬 중재 연구의 중재 구성 및 논거에 대한 고찰 (Review of Studies Using a Rhythm Task Intervention and the Rationale for its Formulation)

  • 정현주;임정현;황수연
    • 인간행동과 음악연구
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    • 제15권1호
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    • pp.95-118
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    • 2018
  • 최근 근거중심의 연구와 실제가 강조되면서 중재 연구들이 보다 엄격한 논거를 토대로 수행되고 있다. 이에 본 연구에서는 국내 리듬 과제를 사용한 중재 연구의 특성과 치료 목표별 리듬 과제를 고찰한 후 중재 구성 및 논거를 분석하였다. 선정 기준에 부합한 총 41편의 논문을 대상으로 7개의 중재 항목 및 논거 제시 수준을 분석하였다. 분석 결과 중재제공자 전문성과 중재 구성틀, 중재 기간, 중재 형태, 중재 절차, 활동 및 음악에 대한 논거 제시 수준이 전반적으로 낮았다. 총 7개 중재 관련 항목 중 4개 이상 항목에 논거를 제시한 연구는 10편이었으며 이들을 대상으로 논거에 대한 추가 분석을 수행하였다. 10편 모두 중재제공자, 중재 구성틀, 활동 논거 및 음악 논거를 제시하였으나 중재 유형(개별 또는 집단)과 구성된 중재 기간에 대한 논거는 동일한 수준으로 제시되지 않았다. 또한 리듬 중재 유형에 따른 논거 수준을 살펴본 결과, 기존의 프로토콜을 활용한 4편의 연구는 활동 논거와 음악 논거가 명료하게 제시된 반면 연구자가 구성한 중재를 활용한 6편의 연구는 음악 논거보다는 활동 논거를 중점적으로 제시하였다. 본 연구 결과는 음악치료가 근거 중심의 학문으로 발전하기 위해서는 연구자들이 중재 항목의 타당성과 중재 구성에 대한 논거를 더욱 충실히 제시할 필요가 있음을 보여준다.

Intervention Analysis with Application to Oil Shock and WPI of Korea

  • Park, Chi-Kyung;Park, Sung-Joo
    • 한국경영과학회지
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    • 제7권1호
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    • pp.17-29
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    • 1982
  • This paper is concerned with the application of the intervention analysis to the wholesale Trice index of Korea. There were four big shocks on the WPI during the last two decades, which were caused by the series of oil price hikes and changes in the foreign exchange rate. Intervention analysis of these multiple shocks revealed the nature and causalities of each shocks to the general price level of Korea.

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