• 대한음성학회지:말소리
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• 제65호
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• pp.37-49
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• 2008

The purposes of this experiment were to compare and analyze some voice parameters of the hearing impaired male adults and to suggest a basic data on the speech intervention for the hearing impaired. Voice analysis of four sustained vowels(/a/, /i/, /${\partial}$/, /u/, fundamental Sequency(F0), jitter percent, shimmer percent, and Noise to Harmonic Ratio(NHR) was conducted for the deaf young male adults using a sign laguage(N=5, aged 16-20) and the normal hearing young male adults(N=10, aged 18-20) by using MDVP(Multi-Dimensional Voice Program) in CSL. F0, jitter, and shimmer in the deaf group were significantly higher than those in the normal hearing group. The average of F0 was 151 Hz, which was lower than the results of the previous studies, and there were no significant differences among the sustained vowels. In both groups, the values of the voice parameters were stable on the /a/ or /${\partial}$/, those closed to the standard scores.

• 음성과학
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• 제14권4호
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• pp.213-220
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• 2007

This study investigates the voice quality including F0, jitter, shimmer, and NHR for the children with cochlear implant (CI group) and those with normal hearing (NH group). The CI group was further classified two sub-groups depending upon the time of surgery (i.e. under four years vs. over four years). Three corner vowels (e.g. /a/, /i/, /u/) with extended vocalization were used and analyzed with Multi-Dimensional Voice Program (Kay Elemetrics, Model 4300). The statistics were made in two independent sample t-test with SPSS 11.5. The results can be summarized as follows: (1) The children with cochlear implanted before 4 years of age had very similar data with the NH group except for the vowel /a/. (2) The children with cochlear implanted after 4 years of age, however, indicated significant differences in Fo (/a/, /i/, /u/), Jitter (/e/), shimmer (/a/, /i/, /u/) and NHR(/a/) in all three vowels. It is concluded that the early CI surgery and the early intervention would be very important to maintain better voice quality.

• 한국학교보건학회지
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• 제22권1호
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• pp.145-153
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• 2009

International Safe School(ISS) model has focused as a public health approach to develop safety intervention to address injury problems in school setting. It needs school members involvement in partnership with community resources to address the needs for school based injury prevention and safety promotion. The characteristics and principles of ISS model discussed in this paper emphasizes participation, capacity and partnership building, evidence based process, and so on. A 7 criteria is introduced as ISS implementation strategy. Multilevel and multi-facet approaches are valuable on ISS as well as process evaluation. For the application of ISS model in Korea, finding evidence, building public health partnership between school and other public or private resources in community are necessary conditions for succesful ISS for health promotion in school setting.

• 지역사회간호학회지
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• 제29권4호
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• pp.414-428
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• 2018

Purpose: The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region. Methods: This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM). Results: The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors. Conclusion: Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

• 한국간호교육학회지
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• 제25권1호
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• pp.58-68
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• 2019

Purpose: The purpose of this study was to develop a program to improve the cultural competence of nursing students related to North Korean defectors and to investigate the effectiveness of the program. Methods: There were 36 nursing students in the experimental group and 30 in the control group, who were recruited from a university in I-city, Korea. A Chi-square, t-test, and ANOVA with the SPSS/Win 21.0 program were used to analyze the data. Results: After the intervention, the experimental group showed a statistically significant increase in the total score for multicultural awareness toward North Korean defectors over the control group (t=0.85, p=.026). Scores for cognitive area (t=0.89; p=.037), ritual area (t=-0.10, p=.915), and action area (t=1.18, p=.031) increased, but the conscious area score was not statistically significant. The experimental group showed a statistically significant increase in the total score for multi-cultural efficacy for North Korean refugees (t=0.36, p=.030). Scores for cognitive area (t=0.63; p=.029), working area (t=0.05, p=.955), and emotional area (t=0.79 and p=030) increased, but the working area score was not statistically significant. Conclusion: It was found that the program to promote multicultural efficacy related to North Korean defectors applied in this study was effective in enhancing multicultural awareness and efficacy of nursing students.

• 동의신경정신과학회지
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• 제27권4호
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• pp.261-274
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• 2016

Objectives: To determine the general characteristics of clinical studies about Hwabyung and assess their limitations and alternatives. Methods: Clinical studies that examined the effects of traditional Korean medicine intervention on Hwabyung were included in this study. A systematic search of English, Chinese, Japanese, and Korean databases was performed. The characteristics of included articles were described and those articles were assessed by Risk of Bias (RoB) tool or Risk of Bias for Nonrandomized Studies (RoBANS) tool. Results: Sixteen articles were selected from 1,826 articles. Most clinical studies about Hwabyung were published in Korea. The number of conducted trials was insufficient. The prevailing study design was randomized controlled trial. Traditional Korean medicine intervention used in the trials were acupuncture, herbal medicine, counselling, meditation, emotional freedom technique (EFT), music therapy, art therapy, and multi intervention program. Herbal medicine study used placebo as control while non-pharmacological intervention study mostly used no treatment as control. Most of the trials were supported by the government. Therefore, financial conflict of interest might not exist for results. We judged that some studies had a high risk of bias. In general, most of the studies with a high risk of bias were non-pharmacological intervention studies, and the risk of bias was mainly due to lack of blinding. Conclusions: More clinical studies of Hwabyung are needed. There are some issues about a suitable comparison and effective blinding strategy for non-pharmacological study. Improving methodological quality is required.

• 대한간호학회지
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• 제54권1호
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• pp.73-92
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• 2024

Purpose: This study developed and tested a hypothetical model of health promotion behavior on migrant workers based on the Health Promotion Model and the Health Literacy Skills Framework. Methods: Data were collected from 298 migrant workers in 9 regions across the country from December 2020 to March 2021. The exogenous variables were e-health literacy, occupational stress, acculturation, and social support. The endogenous variables were perceived benefits of action, self-efficacy, and health promotion behavior. Data were analyzed using SPSS/WIN 25.0, AMOS 20.0, and R-4.0.3 program. Results: The model fit was appropriate. Social support had the most significant direct impact on the health promotion behavior of migrant workers. Perceived benefits of action and self-efficacy played a mediating role in the relationship among e-health literacy, social support, and health promotion behavior. Based on multi-group analysis, the migrant worker group with less than 5 years of residency had a more statistically significant effect on the relationship between perceived benefits of action and health promotion behavior than those with over 5 years. Conclusion: Providing social support as a critical administrative strategy to enhance the health promotion behavior of migrant workers is necessary. Furthermore, when developing an intervention program utilizing the internal mechanism between social support and health promotion behavior, a self-efficacy-enhancing strategy is considered to be more effective. Additionally, educating migrant workers with short-term residence of less than 5 years about the benefits of health behaviors is essential.

• 대한지역사회작업치료학회지
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• 제5권2호
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• pp.11-21
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• 2015

목적 : 본 연구는 복합 중재프로그램이 치매노인의 작업수행능력, 인지, 균형, 삶의 질, 시간 사용에 미치는 효과를 확인하고자 하였다. 연구방법 : 치매노인 15명을 대상으로 12주 동안 총 5단계로 복합 중재프로그램을 진행하였다. 프로그램 적용 전과 후 작업수행능력(COPM), 인지(MMSE-DS), 균형(BBS), 우울(GDS-K), 일상생활활동(MBI), 삶의 질(GQOL-D), 시간 사용(OQ)을 평가하였으며, 10주간의 중재 프로그램을 실시하였다. 결과 : 복합 중재프로그램 적용 후 치매노인의 작업수행능력의 만족도, 균형능력, 삶의 질, 시간 사용 형태 중 이동 영역에서 통계적으로 유의한 차이를 확인할 수 있었다. 결론 : 복합 중재프로그램은 치매노인의 작업수행 만족도와 삶의 질 및 균형 능력 향상에 효과적이었다. 또한 시간 사용 형태 중 이동에 소요되는 시간 사용량의 증가를 확인할 수 있어 치매노인의 삶의 다양한 측면에서 그 효과를 확인할 수 있었다.

• 인간행동과 음악연구
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• 제7권2호
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• pp.1-22
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• 2010

본 연구는 심리 정서적 지원 프로그램의 일환으로 집단 피아노 연주 활동 프로그램이 국제결혼 이주여성들의 자기효능감에 어떠한 영향을 미치는 지 알아보는 데에 목적을 두었다. 이를 위해 서울에 소재한 N 다문화 지원 기관에서 국제결혼 이주여성 5명을 대상으로 10주간 주 1회 10회기의 집단 피아노 연주 활동 프로그램을 실시하였다. 본 연구의 연구 방법에는 양적 연구 방법과 질적 연구 방법이 함께 사용된 혼합적 연구 방법 설계가 사용되었다. 연구 결과, 대상자들의 자기효능감 척도 검사 평균 점수는 비모수 검증 결과 유의도 수준 .05에서 통계적으로 유의미함을 나타냈으며, 질적 내용 분석에서도 세션 초기보다 세션 후기에 대상자들의 자기효능감이 언어적 행동적 측면에서 긍정적으로 변화하였음을 보여주었다. 따라서 이상의 연구 결과는 국제결혼 이주여성들의 자기효능감을 증진시키는 데에 집단 피아노 연주 활동 프로그램이 효과적인 중재도구로서 가능성이 있음을 보고하고 있다.

• 대한간호학회지
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• 제36권7호
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• pp.1183-1192
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• 2006

Purpose: The purpose of this survey was to investigate clinical nurses' understanding of delirium and their educational need of delirious patient care. Method: A survey questionnaire regarding nurses' general perception and understanding of delirium, experience with delirious patients and educational need was developed and conducted with 179 clinical nurses in a university hospital in Seoul. Data was analyzed using descriptive statistics. Results: Nurses thought that delirium was one of the most important nursing problems and they considered it to be more treatable than to be preventable. However, the majority of nurses were ilot confident in caring for delirious patients. Nurses reported that delirium happened most often after surgery, and that possible contributing factors could be changes in physical environment and anxiety/stress, as well as medication and long-term isolation. Thirteen nursing interventions were identified but half of the nurses utilized only one or two of the thirteen. The most frequently used intervention was reorienting the patient followed by medication and emotional support, presenting family, and close observation. 99.5% of nurses addressed the importance of professional education on delirium care, especially in the area of intervention and management. Conclusion: The results support the strong need for development of a multi-component educational program on delirium care.