• 제목/요약/키워드: PM(Program Management)

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농촌노인의 보완대체요법 사용에 따른 건강증진행위 비교 (Comparison of Health Promoting Behavior in Rural Elderly by Complementary Alternative Medicine Utilization)

  • 이명숙
    • 성인간호학회지
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    • 제19권1호
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    • pp.98-108
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    • 2007
  • Purpose: To compare the health promoting behavior in rural elderly people by complementary alternative medicine(CAM) utilization. Methods: The data were collected from March 06th to May 26th, 2006. The participants were 207 rural elderly persons in Korea. Data were collected using structured questionnaires and analyzed with the SAS win 8.0 program. Results: The rate of using CAM was 60.9%. Non-religious, perceived poor health and high concerns about health group used it more. The most common type was oriental medicine(35.7%), the most common motive was body protection(21.2%) and major source of information was other patients(35.9%). Almost all the subjects(90%) were satisfied with using CAM. The average score for the health promoting behavior was $2.67{\pm}.32$(range 1.65-3.71). The average scores for each subscale were, personal communication 2.98, self-actualization 2.79, nutrition 2.78, health responsibility 2.58, exercise 2.40, stress management 2.38. Significant differences in health promoting behavior were found according to CAM utilization: personal communication, self actualization. Conclusion: There were differences health promoting behavior between the elderly CAM utilization: Systemic guidelines of CAM use are needed.

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Safety and Management of Toxicity Related to Aflibercept in Combination with Fluorouracil, Leucovorin and Irinotecan in Malaysian Patients with Metastatic Colorectal Cancer

  • Yusof, Mastura Md;Abdullah, Nik MA;Sharial, MSN Mohd;Zaatar, Adel
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.973-978
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    • 2016
  • Background: Between October 2012 and February 2015, 25 patients with metastatic colorectal cancer (mCRC) (mean age, $57.0{\pm}12.1years$) were granted access to aflibercept via the Aflibercept Named Patient Program at four centers. Materials and Methods: Here we reported the initial experience of aflibercept / FOLFIRI in combination. We evaluated treatment-related adverse events (AEs), progression-free survival (PFS) and overall survival (OS). Results: The majority of the patients experienced gastrointestinal toxicity (grade 1-2), with diarrhea (52%), mucositis (52%), and nausea/vomiting (20%) being largely observed. Neutropenia (16%) and febrile neutropenia (8%) were common grade 3-4 hematological events. Aflibercept-related toxicity was managed as per practice guidelines. No grade 5 event was reported. Median PFS was 6.12 months (95% CI, 4.80-7.20) and OS was 12 months (95% CI, 9.80-14.18). The partial response (PR), stable disease (SD), and progressive disease (PD) rates were 25% (95% CI: 23.4-27.0), 37.5% (95% CI: 31.6-43.3), and 37.5% (95% CI: 22.5-52.5), respectively. Conclusions: Aflibercept/FOLFIRI can be administered safely in a second line setting to Malaysian patients with mCRC, as the AEs experienced were generally reversible and manageable. The safety and efficacy outcomes were consistent with those observed in Western populations.

중년남성 근로자의 수면의 질에 영향을 미치는 요인 (Factors Influencing Sleep Quality among Middle-aged Male Workers)

  • 이에리쟈;이금재
    • 한국직업건강간호학회지
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    • 제23권4호
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    • pp.235-244
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    • 2014
  • Purpose: The purpose of this study was to identify quality of sleep and its influencing factor among middle-aged male workers. Methods: The subjects of this study were 411 middle-aged male workers living in Seoul and Gyeonggi-do. The data were based from self-reported using structured questionnaires asking about low urinary tract symptoms, circadian rhythm, quality of life and sleep quality including general characteristics. The data were collected from September 11 to October 31, 2013 and analyzed by t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical regression. Results: Mean score of the sleep quality was $5.03{\pm}2.57$ (range: 0~21) and reported as bad sleep quality in 55.7%. Low urinary tract symptoms (${\beta}$=.30, p<.001), circadian rhythm (${\beta}$=-.17, p<.001), quality of life (${\beta}$=-.14, p<.001) were shown as significant association of sleep quality. Conclusion: Strategies to improve sleep quality in middle-aged male workers are necessary and nursing intervention should be developed to improve education program for prevention and management of low urinary tract symptoms. It is also necessary to legalize the institutional devices to upgrade work environment and to place regulations on overtime at work places in order for these workers to obtain sufficient sleep time for recovery of biological rhythms and improving sleep quality.

일 개 대학 치위생과 학생들의 노인관련 경험이 노인에 대한 태도에 미치는 영향 (Influence of elderly-related experience on attitude toward elderly in dental hygiene students)

  • 전보혜;최영숙
    • 한국치위생학회지
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    • 제15권6호
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    • pp.1019-1026
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    • 2015
  • Objectives: The purpose of the study is to investigate the influence of elderly-related experience on attitude toward elderly in dental hygiene students. Methods: A self-reported questionnaire was completed by 213 dental hygiene students in Suwon from November 21 to 30, 2012. The questionnaire consisted of general characteristics of the subjects, elderly-related experience, knowledge on elderly, and attitude toward elderly by Likert 7 points scale. The instrument for knowledge on elderly was adapted from facts on aging quiz-I by Palmore and modified by Kim et al. Data were analyzed by t test, one way ANOVA, and multiple regression analysis using SPSS 21.0 program. Results: The attitude toward the elderly was $2.79{\pm}0.42$. The elderly-related experience had a positive influence on the attitude toward elderly(p=0.019) according to the level of experiencing the elderly(r=0.161, p<0.05). The influence of elderly-related experience on attitude toward the elderly showed that an experiencing variable is key factor in predicted variable of the attitude toward the elderly(${\beta}$=0.177 p=0.015). Conclusions: Elderly-related experience had an effect on positive attitude toward the elderly people in the dental hygiene students. It is necessary to develop and implement the education program for the exact knowledge and attitude toward the elderly.

학교 신체 검사에서 발견된 단독 단백뇨에 대한 연구 (Analysis of Isolated Proteinuria on School Urinary Mass Screening)

  • 김철민;한혜원;이병선;박영서
    • Childhood Kidney Diseases
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    • 제6권1호
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    • pp.61-67
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    • 2002
  • 목 적 : 학교 신체검사에서 우연히 발견된 단독 단백뇨를 가진 학생들의 정밀검사와 추적 관찰 결과를 분석하여 단독 단백뇨의 원인을 규명하고 향후 치료와 추적관찰에 도움을 주고자 하였다. 대상 및 방법 : 1990년 1월부터 2001년 7월까지 학교 신체검사에서 발견된 단백뇨를 주소로 서울 아산병원 소아과 외래를 방문한 학생 중 단독 단백뇨로 진단받은 초, 중, 고등학생 114명을 대상으로 하여 후향적으로 의무기록을 검토하였다. 곁 과 : 114명의 대상 학생들의 단백뇨 정량에서 일시적 단백뇨가 36례($32\%$), 기립성 단백뇨가 74례($65\%$), 지속성 단백뇨가 4례($3\%$)였다. 기립성 단백뇨군에서는 주간 단백뇨 $319.2{\pm}189.1\;mg/dL$, 야간 단백뇨 $56.5{\pm}56.1\;mg/dL$였고, 지속성 단백뇨에서는 주간단백뇨 $1140.0{\pm}540.5\;mg/dL$, 야간 단백뇨 $289.0{\pm}58\;mg/dL$였다. 모든 대상 학생들에게서 혈청 크레아티닌, 혈청 알부민, 혈청 보체 수치가 정상 범위였다. 추적 관찰결과 기립성 단백뇨군 74례 중 44례가 6개월에 추적 관찰 되었다. 이중 14례는 단백뇨가 소실되어 더 이상 추적 관찰하지 않았고, 28례는 기립성 단백뇨 소견이 지속되었다. 이중 13례가 18개월에 추적 되었으며 12례는 계속 기립성 단백뇨로 분류되었고 1례가 지속성 단백뇨 소견을 보였으나, 30개월 추적에서는 다시 기립성 단백뇨 소견을 보였다. 6개월 추적에서 2례에서 지속성 단백뇨의 소견을 보였고, 이중 1례는 30개월 까지 단백뇨가 지속되어 신 조직검사를 시행하였으나 곁과는 정상이었다. 지속성 단백뇨를 보인 4례 중 2례가 30개월에 추적 관찰되었고, 1례는 기립성 단백뇨 소견을 보였으나 1례는 지속성 단백뇨 소견을 보여 신장 조직 검사를 시행하였고, 조직 검사 결과 국소 분절성 사구체 신염(focal segmental glomerulosclerosis)으로 진단되었다. 결 론 : 학교 신체검사에서 발견된 단독 단백뇨의 대부분은 일시적인 단백뇨이거나 기립성 단백뇨이기 때문에 초기 검진시 과다한 검사는 불필요하며 정량적인 단백뇨 검사의 정기적인 추적관찰이 필요할 것으로 생각된다.

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Meal skipping habits and nutritional status among Ghanaian students living in Korea

  • Dzatse, Monica E.;Kim, Eun-kyung;Kim, Hyesook;Kim, Hyejin;Vijayakumar, Aswathy;Chang, Namsoo
    • Journal of Nutrition and Health
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    • 제50권4호
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    • pp.376-382
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    • 2017
  • Purpose: The consistent rise in the number of foreign students in Korea demands an accurate and detailed investigation into their dietary practices and nutritional status. For these international students, assimilation into new cultures can be stressful. The influence this process may have on dietary behaviors as well as overall health cannot be overlooked. Methods: The researchers in this study sought to investigate the nutritional status and dietary practices of Ghanaian students studying in Korea. A total of 81 Ghanaian male students with an average age of $29.4{\pm}4.0years$ were sampled between May and June 2016. Investigations were carried out on the general characteristics of the participants, their daily food and nutrient intakes using a 24-h dietary recall method, meal skipping practices, and the nutritional quality of their diets based on their meal skipping habits. Results: The study revealed that the daily nutrient intake of subjects did not fully meet the daily recommended nutrient intake (RNI) established by Ghanaian Ministry of Health and the World Health Organization (WHO) and Food and Agriculture Organization (FAO), particularly for energy, calcium, iron, zinc, and vitamin B2 requirements. The Nutrient Adequacy Ratio (NAR) for calcium was very low, posing a deficiency risk to the participants. Meal skipping practices among participants changed significantly after arriving in Korea. The study also compared the diet quality indicators (Nutrient Adequacy Ratio and Mean Adequacy Ratio) of those who skipped meals ${\geq}7times/week$ with those who skipped meals < 7 times/week. Participants who skipped meals ${\geq}7times/week$ were shown to have lower dietary intakes of vitamins B1 and B2 than those who skipped meals < 7 times/week. Conclusion: Ultimately, the study found that meal skipping among Ghanaian students was common, and their daily nutrient intakes did not meet the set dietary standards. Those who skipped meals ${\geq}7times/week$ had lower dietary intakes of vitamins B1 and B2 than those who skipped meals < 7 times/week. Based on our study findings, we recommend that nutrition education should be organized for the Ghanaian student community in Korea using our results as a template to draw up a nutrition program that is culturally appropriate.

임부의 자아존중감, 신체상 및 태아애착행위에 미치는 영향요인 (Self-Esteem, Body Image and Factors Influencing on Maternal Fetal Attachment Behavior of Pregnant Women)

  • 황란희
    • 디지털융복합연구
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    • 제16권9호
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    • pp.197-206
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    • 2018
  • 본 연구의 목적은 임부의 자아존중감, 신체상 및 태아애착행위 정도를 측정하고 그 관계를 규명하며, 태아애착행위의 영향요인을 파악하여 산전교육프로그램 개발을 위한 기초 자료를 제공하는데 있다. 본 연구는 188명의 임부를 대상으로 하여, 자료분석은 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis를 이용하였다. 대상자의 자아존중감은 평균 $30.85{\pm}4.71$점으로, 종교 유무, 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 신체상은 평균 $79.26{\pm}11.32$점으로, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 평균 $74.09{\pm}11.62$점으로, 종교 유무, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 자아존중감, 신체상과 유의한 수준의 정적 상관관계가 있는 것으로 나타났으며, 자아존중감은 신체상과는 유의한 수준의 정적 상관관계가 있는 것으로 나타났다. 태아애착행위에 영향을 주는 요인은 신체상, 종교, 계획된 임신이었다. 독립변수들의 상대적인 영향력은 신체상, 종교, 계획된 임신 순이었다. 본 연구결과는 임부의 태아애착증진을 위한 산전교육에 유용한 자료로 활용될 수 있을 것이며, 향후 임부의 태아애착행위증진을 위한 표준화된 간호중재프로그램 개발이 필요하다.

일지역 갱년기 여성의 요실금 실태와 삶의 질 (The Relationship between Urinary Incontinence and Quality of Life in Climacteric Women)

  • 송애리
    • 한국간호교육학회지
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    • 제9권1호
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    • pp.51-63
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    • 2003
  • The purpose of this study was to identify the prevalence of urinary incontinence of community residing climacteric women, and to identify the relationship between urinary incontinence and quality of life. The subjects of this study were 156 women(45 to 59 years old). Data was collected from Sep. 1 to Dec. 1 2002 by an interview or self-reporting by a structured questionnaire. The questionnaire was composed of items of general characteristics, urinary characteristics, and conditions of urinary incontinence, using the modified Henderickson's stress incontinence scale(1981), and the quality of life scale developed by RO, You Ja(1988). The data was analyzed by the SPSS/WIN program using descriptive statistics, Pearson correlation coefficients, t-test and AVOVA. The results of the study were as follows : 1. The prevalence of urinary incontinence was 76.3%. Of the incontinent women, 42.0% had experienced urinary incontinence for a period of one to three years. Frequency of urinary incontinence was once or twice per day for 42.9% of the urinary incontinent women. Most of the participation with urinary incontinence(91.6%) had mild leakage of urine. In the whole urinary incontinent women, 70.6% had never treated or managed their urinary incontinence. Most of the subjects(79.8%) were mildly incontinent, and the prevalence of moderate and severe urinary incontinence was 20.2%. The mean scores among the items of urinary incontinence, in descending order, were increase of abdominal pressure($1.45{\pm}1.05$), coughing($1.16{\pm}0.93$), and sneezing($1.03{\pm}0.92$). 2. The average score in the level in the quality of life variables was 3.12. The urinary incontinence and quality of life were correlated negatively(r=-0.103, p<0.001). 3. There were statistically significant differences in the score of climacteric woman's self reported quality of life according to : amount of urinary incontinence(F=12.68, P=0.001), duration of urinary incontinence(F=6.97, P=0.009), number of urinary incontinence(F=4.77, P=0.03), existence of urinary incontinence(t=148, P=0.05). In conclusion, this study was a preliminary study to provide nursing practice guidelines for climacteric woman with urinary incontinence. Nurses working with climacteric woman should develop and provide adequate care for the incontinent climacteric subjects. In future research, it is recommended to identify comprehensive factors related to urinary incontinence, including the effective management of urinary incontinence.

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고혈압환자에서 치료상태에 따른 영양소 및 나트륨 섭취 양상 (Nutrients and Salt Consumption of Hypertension Patients According to Treatment Status)

  • 임정은;조미란;인창식;서병관;고형균;조여원
    • Journal of Nutrition and Health
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    • 제38권9호
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    • pp.706-716
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    • 2005
  • High blood pressure is an important determinant of the incidence of coronary heart disease, stroke, congestive heart failure, renal failure, and peripheral vascular disease. Recommendations for control of high blood pressure emphasize lifestyle modification, including weight control, reduced sodium intake, increased physical activity. Subjects who were normotensive (n=19, $47.2\pm9.0$ y, BP l16/81 mmHg) ,treatment hypertensive (n=33, $54.2\pm6.9$ y, BP 132/85 mmHg) and non-treatment hypertensive (n=14, $50.1\pm11.0$ y, 149/94 mmHg) recruited. Anthropometric assessment (height weight waist circumference, hip circumference, fat$\%$, fat mass, and lean body mass) and dietary assessments (using 3-days food records, daily nutrient intakes were inuysed by CAN PRO 2.0 were carried out. Blood and 24-hour urine were collected). Test of recognition for salt taste threshold were performed. In non-treatment hypertensive male subjects, weight, $\%$IBW, BMI, and waist circumference were significantly higher than those of normotensive and treatment hypertensive subjects (p<0.05) .Food habits were not significantly different among the three groups. Intakes of vitamin A, vitamin B,, and vitamin B, were significantly higher in normotensive group (p<0.05). Intakes of sodium and salt taste recognition threshold were the highest in normotensive group and the lowest in treatment hypertensive group (p<0.05). Blood levels of lipids and minerals were not significantly different among the three groups. Urinary calcium level of normotensive group were significantly higher than that of treatment hypertensive and non-treatment hypertensive groups (p<0.05). These results indicate that continuous management of hypertension by drug and non-drug treatment affects salt taste recognition threshold and reduced the consumption of sodium. However, dietary sodium intake exceed recommended sodium intake to prevent and treat hypertension. It is necessary to develop the lifestyle modification program that may have beneficial effects on hypertension treatment.

환자안전사고 정보매체가 간호대학생의 환자안전에 대한 지식, 인식, 수행자신감에 미치는 영향 (Influences of Information Media of Patient Safety Incident on Nursing Students' Knowledge, Perception, and Confidence in Performance toward Patient Safety)

  • 천의영;유장학;김해진
    • 한국산학기술학회논문지
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    • 제19권12호
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    • pp.374-382
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    • 2018
  • 본 연구는 간호대학생을 대상으로 정보매체를 통한 환자안전사고 노출 정도와 학생들의 환자안전관련 지식, 인식, 수행자신감의 관계를 알아보기 위해 시행되었다. 연구의 대상자는 일개 여대의 간호학과에 재학 중인 대학생으로 서면동의서를 작성한 학생 348명 중 불충분한 설문지를 제외하고 337부를 자료 분석에 활용하였다. 자료수집은 2018년 6월 4일에서 12일까지 이루어졌으며 수집된 자료는 SPSS 21.0프로그램을 활용하여 기술 통계, t-test, one-way ANOVA, Pearson's correlation coefficient 방법으로 분석되었다. 연구결과 대상자의 환자안전에 대한 지식은 평균 6.43점, 인식은 평균 41.02점, 수행자신감은 평균 39.61점이었으며 TV와 인터넷 매체를 통해 환자안전사고에 노출된 정도는 각 1.25점과 1.35점으로 나타났다. 환자안전 지식은 연령, 학년, 환자안전 교육 경험에 따라 통계적으로 유의한 차이를 보였으며, 환자안전 인식은 전공만족도에 따라, 환자안전 수행자신감은 학년, 환자안전 교육 경험, 전공만족도에 따라 통계적으로 유의한 차이를 보였다. TV를 통한 환자안전사고 정보매체의 노출 정도는 지식(r=.32, p<.000), 수행자신감(r=.21, p<.000)과, 인터넷을 통한 정보매체의 노출 정도는 지식(r=.34, p<.000), 인식(r=.12, p=.028), 수행자신감(r=.24, p<.000)과 유의한 순상관관계를 보였다. 본 연구 결과를 바탕으로 임상실습 전부터 학생들에게 환자안전에 대한 체계적인 교육을 제공할 뿐 아니라 정보매체를 통해 전달되는 환자안전사고와 같은 이슈에 비판적 사고를 가지고 접근할 수 있는 환자안전 교육프로그램을 개발, 적용하고 그 효과를 평가하는 추후 연구를 제언하는 바이다.