• 제목/요약/키워드: Intervention study

검색결과 10,543건 처리시간 0.042초

The Effect of Early Intervention and Rehabilitation in the Expression of Aquaporin-4; and Ultrastructure Changes on Rat's Offspring's Damaged Brain Caused by Intrauterine Infection

  • Kumar, Rajesh;Li, Xiaojie;Kong, Xiangying
    • Journal of Korean Neurosurgical Society
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    • 제58권1호
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    • pp.14-21
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    • 2015
  • Objective : To study the effect of early intervention and rehabilitation in the expression of aquaporin-4 and ultrastructure changes on cerebral palsy pups model induced by intrauterine infection. Methods : 20 pregnant Wistar rats were consecutively injected with lipopolysaccharide intraperitoneally. 60 Pups born from lipopolysaccharide group were randomly divided into intervention group (n=30) and non-intervention group (n=30); intervention group further divided into early intervention and rehabilitation group (n=10), acupuncture group (n=10) and consolidate group (n=10). Another 5 pregnant rats were injected with normal saline intraperitoneally; 30 pups born from the normal saline group were taken as control group. The intervention group received early intervention, rehabilitation and acupuncture treatment. The motor functions of all pups were assessed via suspension test and modified BBB locomotor score. Aquaporin-4 expression in brain tissue was studied through immunohistochemical and western-blot analysis. Ultrastructure changes in damaged brain and control group were studied electron-microscopically. Results : The scores of suspension test and modified BBB locomotor test were significantly higher in the control group than the intervention and non intervention group (p<0.01); higher in the intervention group than the non-intervention group (p<0.01). The expression of Aquaporin-4 was lower in intervention and non intervention group than in the control group (p<0.01); also lower in non-intervention group than the intervention group (p<0.01). Marked changes were observed in ultrastructure of cortex and hippocampus CAI in brain damaged group. Conclusion : Early intervention and rehabilitation training can improve the motor function in offspring with brain injury and reduce the expression of aquaporin-4 in damaged brain.

네트웍 프로그램이 항정신병약물 및 항우울제를 복용하는 환자의 체중과 식이습관에 미치는 영향 (Effects of a Network Program for Preventing Obesity of Patients Taking Antipsychotics or Antidepressants)

  • 김소야자;성경미;황영신;김숙자
    • 대한간호학회지
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    • 제35권3호
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    • pp.526-534
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    • 2005
  • Purpose: This study was designed to investigate the effects of a network program to prevent obesity and improve dietary habits for patients taking antipsychotics or antidepressants. Method: Thirty-seven patients in two hospitals were assigned to a control group (21 patients) or an intervention group ( 16 patients). The intervention group was evaluated to analyze the effect of the network program for six weeks after the program. Result: There was a difference in the rate of increased body weight between the control group and the intervention group. Notably, the body weight of both groups before the intervention was significantly increased. However, after the intervention the body weight of the intervention group rarely increased, whereas, the body weight of the control group was significantly increased as expected. There was an observed difference in diet between the control group and the intervention group. After the intervention, caloric intake per day of the intervention group decreased. Also, the duration of the meal of the intervention group after the intervention was longer than before. Conclusion: The network program for preventing obesity and improving dietary habits of patients taking antipsychotics or antidepressants was effective. The study shows that a network program can be an important part of a nursing intervention in clinical practice.

Effect of an Educational Intervention on Knowledge of Human Papillomavirus Vaccination among Pre-University Students in Malaysia

  • Kwang, Ng Beng;Mahayudin, Tasneem;Yien, Hii Ling;Abdul Karim, Abdul Kadir;Teik, Chew Kah;Shan, Lim Pei
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.267-274
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    • 2016
  • Background: Cervical cancer is the fourth most common cancer among women worldwide. Studies evaluating the effect of health education on knowledge and perception of cervical cancer have generated conflicting results. Thus, this study aimed to evaluate the effect of educational intervention towards knowledge of HPV vacccination for cervical cancer prevention among pre-university students in Malaysia. Materials and Methods: This was an experimental before and after study performed between October 2014 and March 2015. Five hundred and eighty students were randomly assigned into intervention and control groups. All were required to complete both pre-intervention and post-intervention questionnaires. Those in the intervention group were given an information leaflet to read before answering the post-intervention questionnaire. Results: Almost half (48.3%) of the students had poor knowledge, with a score less than 5, and only 51 (8.8%) exhibited good knowledge, with a score of 11 and above. After educational intervention, the number of students with poor knowledge was reduced to 177 (29.3%) and the number of students who exhibited good knowledge increased to 148 (25.5%). Students from the intervention group demonstrated significant higher total scores in knowledge regarding 'HPV infection and cervical cancer' (p=0.000) and 'HPV vaccination and cervical cancer prevention' (p=0.000) during post-intervention as compared to the control group. Conclusions: Knowledge on HPV infection and vaccination is low among pre-university students. Educational intervention in the form of information leaflets appears effective in creating awareness and improving knowledge.

중재 매핑을 활용한 국내 건강관련 중재연구의 주제범위 고찰 (A Scoping Review of Health-Related Intervention Studies Using Intervention Mapping in South Korea)

  • 박지영;조정현;임미해;황가희
    • 한국보건간호학회지
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    • 제35권3호
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    • pp.448-468
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    • 2021
  • Objectives: This study aimed to understand the trends and issues of health-related intervention research using Intervention Mapping over the last ten years in South Korea. Intervention Mapping is a representative planning protocol to develop theory-and-evidence-based health promotion programs. Methods: The scoping review method was undertaken, and a total of 20 studies were analyzed using Intervention Mapping six steps. Results: The Korean health-related intervention studies using Intervention Mapping showed low methodological quality. In step 1, only 7 out of 20 studies organized a planning group consisting of various stakeholders. In step 2, about half of the studies did not present a matrix, which is the core essential component of Intervention Mapping. In step 5, only 1 out of 20 studies presented program adopters and maintainers. In step 6, most studies described effect evaluation relatively, but only one study mentioned process evaluation. Conclusions: In order to develop sustainable and cost-effective programs, systematic planning using Intervention Mapping is required from the research planning stage. In addition, a concrete and realistic plan needs to be established for the development of programs and adoption, dissemination and maintenance of programs.

Adoption and Implementation of Tobacco Control Policies in Schools in India: Results of the Bihar School Teachers Study

  • Mathur, N;Pednekar, MS;Sorensen, GS;Nagler, EM;Stoddard, AM;Lando, HA;Aghi, MB;Sinha, DN;Gupta, PC
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2821-2826
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    • 2016
  • Implementation of no tobacco policies in schools is associated with lower tobacco use among teachers and students. In this study we assessed the extent that a school-based intervention for teachers resulted in adoption and implementation of tobacco control policies. From a random sample of government schools ($8^{th}-10^{th}$), 72 were randomized into intervention and control conditions. Intervention included health education programs for teachers and support for tobacco control policy implementation. Adoption and implementation of policies were assessed at baseline and immediately after intervention. All 36 intervention and one control school adopted a tobacco-control policy. Higher enforcement of tobacco-control policy was at post intervention (OR=3.26; CI: 2.35, 4.54) compared to baseline in intervention schools. Some 64% of intervention and 28% control schools showed "improvement" in policy implementation. Adoption and implementation of no tobacco policies was positively impacted by intervention. This study provides support for scaling up of school-based tobacco control interventions to promote school tobacco control policies.

The Effect of an Educational Intervention on Health Literacy and the Adoption of Nutritional Preventive Behaviors Related to Osteoporosis Among Iranian Health Volunteers

  • Dehghankar, Leila;Panahi, Rahman;Hasannia, Elham;Hemmati, Fatemeh;Siboni, Fatemeh Samiei
    • Journal of Preventive Medicine and Public Health
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    • 제54권6호
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    • pp.404-411
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    • 2021
  • Objectives: Given the increase in osteoporosis among health volunteers and the effect of health literacy on the adoption of nutritional preventive behaviors, this study aimed to determine the effects of an educational intervention on health literacy and the adoption of nutritional preventive behaviors related to osteoporosis among health volunteers. Methods: This was a quasi-experimental, interventional study of health volunteers conducted in 2020. In this study, 140 subjects (70 in both intervention and control groups) were selected using the random multi-stage sampling method. An educational intervention was conducted using the Telegram application, and educational messages were sent to the health volunteers in the intervention group across 6 sessions. Data were collected via a demographic questionnaire, the Health Literacy for Iranian Adults survey, and a nutritional performance questionnaire, which were completed before and 3 months after the intervention. The data were collected and analyzed using SPSS version 23. Results: Before the intervention, there were no significant differences in the mean scores for health literacy variables and the adoption of nutritional preventive behaviors between the intervention and control groups (p>0.05). After the intervention, there was a significant change in the mean scores for health literacy and the adoption of preventive behaviors in the intervention group (p<0.05) as opposed to the control group. Conclusions: Interventions aimed at increasing health literacy are effective for promoting the adoption of preventive and healthy nutritional behaviors related to osteoporosis.

불안장애 대상자에게 적용한 비약물적 중재효과 메타분석 (Meta-Analysis of the Effects of Nonpharmacological Interventions for Anxiety Disorder)

  • 김현실;김은주
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7273-7284
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    • 2015
  • 본 연구는 메타분석을 통해 불안장애에 적용된 비약물적 중재요법의 효과크기를 알아보고 대상자 중재에 근거기반한 객관적 자료를 제공하기 위해 수행되었다. 이를 위해 국내 주요 DB를 이용하여 불안장애에 대하여 비약물적 중재를 제공한 2,690편의 논문 중 불안과 우울을 종속변수로 하여, 선정기준에 적합한 최종 23편의 논문을 대상으로 분석을 실시하였다. 검색어는 '불안장애(anxiety disorder)', 중재(treatment or intervention)'를 이용하여 2015년 5월까지 출판된 논문을 검색하였다. 분석은 랜덤 효과모형을 이용하였으며, 불안과 우울의 효과크기를 각각 산출하였다. 본 연구에서 비약물적 중재의 불안에 대한 효과크기는 Hedges's g=1.693, 우울에 대한 효과크기는 Hedge's g=1.571로 큰 효과크기를 보였다. 본 연구는 국내에서 시행되고 있는 불안장애에 적용한 비약물적 중재효과에 대한 연구결과를 체계적으로 종합하고, 그 효과크기를 객관적으로 제시하여 간호중재에 적용할 수 있는 근거를 마련하였다는데 그 의의가 있다.

노인 암환자의 건강정보 이해능력을 반영한 항암화학요법 자기관리 프로그램 개발 및 평가 (The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy)

  • 김윤선;태영숙;정귀임
    • 대한간호학회지
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    • 제49권4호
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    • pp.472-485
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    • 2019
  • Purpose: This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants' health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0. Results: Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group. Conclusion: The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

사상체질 식이중재연구 현황분석 : Participant, Intervention, Comparison, Outcome (PICO)를 중심으로 (Analysis on Intervention Studies of Sasang Constitutional Diet : Participant, Intervention, Comparison, and Outcome (PICO))

  • 김지환
    • 사상체질의학회지
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    • 제33권1호
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    • pp.90-101
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    • 2021
  • Objectives The purpose of this study was to evaluate intervention studies on Sasang Constitutional diet (SCD) through the checks of Participant, Intervention, Comparison, and Outcome (PICO) Methods Randomized controlled trial (RCT) and non-randomized study for intervention (NRSI) about SCD were searched in 4 Korean core databases and other sources, and then PICO was checked. Results 1. Total 10 studies were conducted with 1 RCT and 9 NRSIs. 2. Participants were people with no specific disease, or patients with essential hypertension, hyperlipidemia, obesity, or stroke with diabetes or hyperlipidemia. Most studies were conducted on groups of various Sasang Constitutional types except Taeyangin. 3. Two studies provided participants with meals and exercise. Three studies, instead of providing meals directly, taught participants how to eat SCD on their own. 4. NRSIs have tested the effectiveness of various outcome measures without the presentation of primary outcome, and then concluded that all outcomes were ineffective or some are effective. 5. There was no mention of adverse events. In most studies, a single doctor of Korean medicine diagnosed Sasang Constitution the QSCC II questionnaire. The intervention period ranged from three weeks to three months, and recent studies have conducted interventions for 12 weeks. Conclusions Intervention studies about SCD which were conducted so far have shown problems on the study design of PICO items. The study design and implementation that carefully consider how to maintain similarity between groups, minimize the risk of bias, set primary outcome measure, and control the diet are required.

심뇌혈관질환 예방을 위한 생활습관 개선 프로그램에 관한 문헌분석 연구 (The Literature Review on Life style Intervention Program for the Prevention of Cardiovascular Disease)

  • 양혜경
    • 문화기술의 융합
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    • 제8권1호
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    • pp.157-166
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    • 2022
  • 본 연구는 심뇌혈관질환 예방을 위한 생활습관 중재 프로그램의 특성을 파악하기 위하여 프로그램 중재 연구논문을 분석한 문헌분석 연구이다. 연구대상 논문은 Pubmed 등 전자 데이터베이스를 통해 "심뇌혈관질환", "중재" 등의 검색어를 적용하여 최종 18편의 논문이 선정되었다. 대상 문헌에서의 프로그램 참여 대상자 선정기준은 주로 신체생리학적 기준이 이용되었고, 신체활동과 식습관 생활습관 영역을 중재한 프로그램이 많았다. 중재유형은 교육이 가장 많이 이용되었고, 여러 중재를 병합하여 적용하는 연구가 많은 것으로 나타났다. 중재기간은 평균 22주 이상의 장기개입이 많았고, 중재효과를 측정하는 효과지표는 신체생리학적 지표가 가장 많이 활용되었다. 본 연구를 통해 여러 생활습관의 상호관련성을 고려한 중재 프로그램의 개발과 건강한 생활습관을 유지하기 위한 환경 및 사회적 지원이 필요함을 제언한다.