• 한국학교보건학회지
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• 제12권2호
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• pp.305-319
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• 1999

The objective of this study were to evaluate the relation between post-examination management states of dental caries in elementary school students and a mother's dental health beliefs. We systematically chose 10 elementary school in urban and rural areas of Chungnam Province and determined the first class students of 5 and 6 grade in each school as study subjects. Among 837 participants, 669 students were diagnosed with dental caries after a 1998 periodic dental health examination was answered completely and analysed. The contents of the questionnaire for students were general characteristics, dental health behaviors, notification factors, treatment factors. Their mothers were surveyed by another questionnaire. The contents of the questionnaire for mothers were also general characteristics, dental health behaviors, and dental health beliefs. The result of this study were as follows 1. The prevalence of dental caries was 65.0% and there was no significant difference between urban and rural areas. 2. Meanwhile, 63.8% of students in urban areas knew the examination result through a doctor's explanation, 52.4% of students in rural areas learned through a school notification letter, 82.9% of all the students let their parents know of their dental caries. 3. Among the dental caries group, 36.3% of the students were treated as for treatment, most students in urban areas visited a dental clinic, but those in rural areas visited the dental dept of a public health center as for the treatment time, 35.9% of the students were treated immediately after the examination. 4. 44.9% of those treated answered that they felt they needed treatment; 67.2% of those not treated answered that they considered the treatment as a bother and unnecessary due to no pain. 5. Overall, the scores in the dental health beliefs in mothers were low. Especially among the 5 items of susceptibility and seriousness, the scored were very low but the benefit was high. Logistic regression analysis showed that the treatment of a child's dental caries was significantly associated with low scores of benefit in those untreated and high scores among those treated. Considering these results, health education to stimalate a mother's susceptibility and seriousness in health beliefs and for students to learn the need for treatment, including a more detailed post exam management system at the school level should be considered for a higher treatment rate.

• 한국전문물리치료학회지
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• 제22권1호
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• pp.37-48
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• 2015

This study aimed to investigate the effect of the abdominal drawing-in maneuver (ADIM) and abdominal expansion maneuver (AEM) on trunk stabilization, as well as trunk muscle activities and differences in quadruple visual analogue scale, Korean Oswestry Disability Index, and Fear Avoidance Beliefs Questionnaire scores, in patients with chronic low back pain and lumbar spine instability. To increase intra-abdominal pressure during the trunk stabilization exercise, the technique of pushing the abdomen out using diaphragmatic abdominal breathing suggested by Pavel Koral was used, which we termed the AEM. Fifty patients who tested positive on more than three of the five lumbar spine instability tests were separated from 138 patients with chronic low back pain of these patients, 16 were placed in the control group (trunk stabilization exercise), 17 were placed in the ADIM group (trunk stabilization exercise with ADIM), and 17 were placed in the AEM group (trunk stabilization exercise with AEM). Each group participated in the study for 30 minutes three times weekly for 4 weeks. Surface electromyography was used to measure the trunk muscle activities during the kneeling forward and supine bridging positions, and one-way repeated analysis of variance was used to determine the statistical significance of the trunk muscle activities in the rectus abdominis, internal oblique (IO), erector spinae, and multifidus (MF) muscles. The ADIM and AEM groups showed relatively larger improvements in psychosocial and functional disability level than control group. There were significant changes among the three groups, those from the measured values of the AEM group was significantly higher than the other two groups in changes in IO and MF trunk muscle activities (p<.05). This finding demonstrates that trunk stabilization exercises with AEM is more effective than ADIM for increasing trunk deep muscle activity of chronic low back pain patients with lumbar spine instability.

• 대한물리의학회지
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• 제11권4호
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• pp.115-125
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• 2016

PURPOSE: This study aimed to compare the effects of lumbar stabilization exercise with those of the neurodynamic technique on low back pain in patients with lumbar instability. METHODS: The subjects included those with more than three tests with positive results for lumbar instability and those with a positive sign during the neurodynamic test, all of whom had low back pain. For the lumbar stabilization exercise group (n=15), lumbar stabilization exercise was performed using a sling system, while the neurodynamic technique group (n=15) performed the neurodynamic technique. The intervention was performed 5 days a week for 4 weeks. All measurement of each subject were measure at pre-intervention and post-intervention (after 4 weeks). SPSS/PC ver. 18.0 program was used to compile results. RESULTS: There was no significant difference in general characteristics of subjects between both groups (p>.05). Assessed items included the visual analog scale score (VAS), Korean version of the Oswestry Disability Index (KODI), lumbar instability test positive response counter (LIC) and Fear-Avoidance Beliefs Questionnaire score (FABQ), and a significant reduction was observed post-intervention compared to pre-intervention values in both groups (p<.01). Other assessed items such as trunk flexibility and lumbar extensor endurance and lumbar flexor endurance were significantly increased post-intervention in both groups compared to pre-intervention values (p<.01). There was no significant difference in all parameters between both groups (p>.05). CONCLUSION: Our results indicate that the neurodynamic technique may be useful for improving low back pain in patients with lumbar instability.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.1-10
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• 2020

Background: Thoracic spine self-mobilization exercise is commonly used to manage patients with neck pain. However, no previous studies have investigated the effects of thoracic spine self-mobilization exercise alone in patients with chronic neck pain. Objects: The purpose of this study was to investigate the effects of thoracic self-mobilization using a tool on cervical range of motion (ROM), disability level, upper body posture, pain and fear-avoidance beliefs questionnaire (FABQ) in patients with chronic neck pain. Methods: The subjects were 49 patients (21 males, 28 females) with chronic neck pain. The subjects were randomly divided into an experimental group (EG, n = 23) and control group (CG, n = 26). For the EG, thoracic self-mobilization was applied. We placed a tool (made with 2 tennis balls) under 3 different vertebral levels (T1-4, T5-8, T9-12) of the thoracic spine and the subjects performed crunches, which included thoracic flexion and extension in supine position. Five times × 3 sets for each levels, twice a week, for 4 weeks. Cervical pain, disability, upper body posture, FABQ results, and ROM were evaluated at baseline, after 4 weeks of intervention, and at 8 weeks of follow-up. Assessments included the quadruple visual analogue scale (QVAS); Northwick Park neck pain questionnaire (NPQ); craniovertebral angles (CVA), forward shoulder angle (FSA) and kyphosis angle (KA) measurements for upper body posture; FABQ and cervical ROM testing. Results: The EG showed a statistically significant improvement after intervention in the QVAS (-51.16%); NPQ (-53.46%); flexion (20.95%), extension (25.32%), left rotation (14.04%), and right rotation (25.32%) in the ROM of the cervical joint; KA (-7.14%); CVA (9.82%); and FSA (-4.12%). Conclusion: These results suggest that, for patients with chronic neck pain, thoracic self-mobilization exercise using a tool (tennis balls) is effective to improve neck pain, disability level, the ROM, and upper body posture.

• Physical Therapy Rehabilitation Science
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• 제9권3호
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• pp.140-148
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• 2020

Objective: The purpose of this study was to examine the effectiveness of pelvic displacement when self-hamstring muscle stretches were applied to persons with low back pain. Design: Three-group pretest-posttest design. Methods: Forty persons with low back pain participated in this study. Pelvic tilt angle, hamstring flexibility, Quadruple Visual Analogue Scale (QVAS), Fear Avoidance Beliefs Questionnaire (FABQ), Korea version of the Oswestry Disability Index (KODI) and pelvic mobility were measured at pre-post. All participants were divided into either the pevic anterior tilt group (PAT group, n=12), pelvic midrange group (PMR group, n=18), or the pelvic posterior tilt group (PPT group, n=10). Self-stretching was performed using the pilates ring three times a week for a total of four weeks and the post-test was conducted and compared with the pre-test. Results: Hamstring flexibility, QVAS, KODI scores were significantly different compared to before the intervention (p<0.05). The changes in hamstring flexibility of the three groups were significantly different (p<0.05). Changes in KODI and FABQ results of the three groups were not significant. The pelvic posterior tilt range were significantly different in the PMR and PPT groups (p<0.05). The pelvic anterior tilt ranges showed significant differences after stretching in the PPT group (p<0.05). Conclusions: A large amount of change of hamstring flexibility, pelvic mobility of anterior and posterior tilt test in the PPT group was observed. Furthermore, therapists should consider pelvic displacement of the participant when applying intervention, which may, accordingly, have different effectiveness.

• 한국콘텐츠학회논문지
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• 제14권9호
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• pp.350-361
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• 2014

본 연구에서는 15세에서 17세의 청소년들을 대상으로 치과치료에 대한 공포감의 일반적인 경향과 관련변인들에 따라 공포감이 어떻게 차이가 나며, 이들 변인들이 치과치료에 대한 공포감에 영향을 미치는 정도와 인과관계를 밝히고자 하였다. DFS, DBS 및 GFS를 포함한 설문도구와 청소년의 특성에 관한 문항들로 구성된 설문지를 이용하였고, SPSS를 이용하여 단변량 분석을 시행한 후 LISREL 8.12를 사용하여 공변량 구조모형을 분석하였다. DFS (0.957), DBS (0.916) 및 GFS (0.910)의 Cronbach 신뢰도 계수가 모두 0.9이상으로 높게 나타났고, 자신의 치아상태가 건강하지 않다고 생각할수록, 최근 구강 내 동통을 경험했을 경우, 치과치료 시 동통을 강하게 느꼈을 경우, 그리고 치료 시 동통을 자주 경험했을 경우와 치과약속을 어긴적이 있을 경우에 그렇지 않은 경우보다 치과치료에 대한 공포감의 수준이 통계적으로 유의하게 높아지는 추세로 나타났다. 구조방정식 모형의 적합도는 양호하게 나타났으며, 치과치료시 동통정도와 동통 횟수, 치과약속을 어긴 횟수, 치과의사에 대한 불신감 그리고 일반적인 공포감이 치과치료와 관련된 공포감에 정(+)의 직접효과가 있었다.

• 한국건축시공학회지
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• 제23권6호
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• pp.875-885
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• 2023

This research delves into the evolving interplay between occupational diseases, work-related illnesses, and accidents in the construction industry, focusing on the past twenty years. One significant discovery is the 19-fold escalation in reported occupational diseases, prompting an examination of their root causes and connections to workplace environments. Frequently encountered work-related ailments include physically strenuous tasks, low back pain, and cerebrovascular issues, highlighting the need for robust prevention and management approaches. Predominantly, noise-induced hearing loss and pneumoconiosis are the most common occupational diseases. The study unveils notable correlations between specific work-related illnesses and accidents, indicating the necessity for bespoke safety measures. Additionally, a pronounced association between work-related illnesses and occupational diseases offers insights into underlying risk factors. Remarkably, the findings propose a bidirectional link between occupational diseases and accidents, challenging traditional beliefs about causality. These insights are pivotal for enhancing safety protocols, focusing on preventive measures, and foreseeing occupational diseases that may arise following accidents in the construction industry.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3463-3471
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• 2015

Background: The principal aim of health service providers in the field of breast cancer is to detect and treat lesions at an appropriate time. Therefore, identification of barriers to screening can be very helpful. The present study aimed to systematically review the qualitative studies for extracting and reporting the barriers of screening for breast cancer from the womans perspective. Materials and Methods: In this systematic review; Pubmed, Google Scholar, Ovid Scopus, Cochrane Library, Iranmedex, and SID were searched using the keywords: screening barriers, cancer, qualitative studies, breast and their Persian equivalents, and the needed data were extracted and analyzed using an extraction table. To assess the quality of the studies, the Critical Appraisal Skills Programme (CASP) tool was used. Results: From 2,134 related articles that were found, 21 articles were eventually included in the study. The most important barriers from the point of view of 1,084 women were lack of knowledge, access barriers (financial, geographical, cultural), fear (of results and pain), performance of service providers, women's beliefs, procrastination of screening, embarrassment, long wait for getting an appointment, language problems, and previous negative experiences. Articles' assessment score was 68.9. Conclusions: Increasing women's knowledge, reducing the costs of screening services, cultural promotion for screening, presenting less painful methods, changing beliefs of health service providers, provision of privacy for giving service, decreasing the waiting time, and providing high quality services in a respectful manner can be effective ways to increase breast cancer screening.

• Journal of Hospice and Palliative Care
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• 제6권1호
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• pp.22-33
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• 2003

목적 : 본 연구는 국내 암성통증관리지침이 제시된 후 환자들의 통증관리에 대한 만족도, 만족 및 불만족 요인, 통증관리전략을 규명하여 앞으로의 통증관리에 있어 의료인이 지향해야할 세부적인 방향을 제시하기 위함이다. 방법 : 2002년 7월부터 11월까지 서울소재 2개 대학병원 혈액종양내과에 입원 또는 외래치료중인 암환자 59명을 대상으로 하였으며, 미국통증학회의 Patient Outcome Questionnaire(APS-POQ) 및 여러 선행연구를 참고로 연구자들이 구성한 설문지 및 의무기록 열람을 통해 자료를 수집하여 분석한 조사연구이다. 결과 : 1) 대상자의 특성 : 연구대상자의 24시간 동안 가장 심했을 때 통증 평균은 6.74점($0{\sim}10$점 범위), 24시간 평균 통증의 평균은 3.80점이었으며, 통증조절이 이루어진 후 느낀 통증의 정도는 평균 2.93점이었다. 일상 생활에 지장을 주는 정도 합계 평균은 $25.03{\pm}12.82$점($0{\sim}50$점 범위)으로 중등도의 지장을 느끼고 있었으며, 통증에 대한 환자의 염려 항목 중 3점 이상($0{\sim}5$점 범위)인 항목은 질병악화, 중독, 그리고 내성에 대한 항목이었다. 2) 암성통증관리현황 : 진통제를 적절히 복용하고 있는 대상자는 66.1%(39명)이었다. 대상자의 33.9%만 통증조절을 위해 약물이외의 간호중재방법을 사용한 적이 있었고, 의료진으로부터 통증관리에 대한 교육을 받아본 대상자도 35.6%로 나타났다. 3) 통증관리에 대한 환자의 만족도 및 그 이유 : 통증관리에 대한 평균 만족 정도는 $4.19{\pm}1.14$ ($1{\sim}6$점 범위)이었으며, 72.9%(43명)의 대상자가 만족한다고 응답했다. 불만족 하는 이유는 '통증조절 후에도 통증이 감소되지 않았다' '통증을 호소했을 때 빨리 혹은 시기적절하게 대처해주지 않았다', '환자가 통증을 호소할 때, 무관심하며 형식적으로 대했다', '약물 투여방법, 작용시간, 부작용 등 통증 관리에 대한 정보제공이 없었다' 이었으며, 만족하는 이유는 '통증조절 후 통증이 감소했다', '통증을 호소할 때 의료진이 관심을 가져주었다', '의사나 간호사가 신속하게 통증조절을 해주었다' '의사를 신뢰하기 때문' 이었다. 4) 암성통증관리의 만족 또는 불만족에 영향을 미치는 요인 : 만족 집단과 불만족 집단의 통증정도 및 일상생활에 지장을 미치는 정도에 있어서 두 그룹간 통계적으로 유의한 차이가 없었다. 통증관리에 대한 환자의 염려 항목 중 '훌륭한 환자는 통증을 호소하지 않는 자이다'에 있어서 만족 집단의 평균점수가 불만족 집단의 평균점수보다 통계적으로 매우 유의하게 높았다. 결론 : 선행연구들에 비해 암환자의 통증관리에 대한 만족도는 증가하였으나 아직도 30%정도의 대상자는 만족하지 못하는 것으로 나타났다. 암환자의 통증 관리에 대한 만족도 향상을 위해 통증관련 약물, 통증 완화를 위한 간호중재방법 및 환자들의 통증과 관련된 잘못된 지식을 개선하는 내용이 포함된 환자교육이 절실히 요구된다.

• 한국치위생학회지
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• 제7권4호
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• pp.535-551
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• 2007

Objectives: This study was conducted to know dental service and fear after research on reliability on dentists and satisfaction on dental hygienists. Methods: This study was conducted by the 325 persons who had the experience of visiting dental medical institution. Statistical analysis was conducted using the SPSS 12.0 with T-test, ANOVA and correlation. The obtained results were as follows: Results: 1. Internal consistency of Dental Beliefs Survey(DBS) and dental hygienists satisfaction questionnaire factors were 0.758~0.908(Cronbach' alpha). And the Cronbach' alpha's coefficients of the all subscales were more than 0.6. So high reliability and validity were identified. 2. As result of analysing fear from general feature, the men feel more fear than women and more fear was felt in the case of having worse teeth status. Fear was higher in case of visiting to dental clinic than in case of visiting dental clinic for precaution. And that was statistically related. 3. Dental fear was higher in the case of having the past pain experience, insufficient anesthesia experience, experience of seeing other persons pain and this was statistically related(P<0.01)(P<0.05). 4. Average of reliability on dentists was 37.9, person who has high reliability was 81.8%, person who has low reliability was 18.2%, average of satisfaction on dental hygienists was 31.5%(Satisfaction on dental hygienists was 51.1% and dissatisfaction on dental hygienists was 48.9%). 5. Higher dentists reliability and satisfaction on dental hygienists has lower fear considering general feature and dental clinic use behavior but person who has the dental clinic to go regularly has higher dentists reliability and satisfaction on dental hygienists where, however, fear was not low. 6. As result of analyzing correlation between dental service and dental clinic use behavior, satisfaction on dental hygienists was negatively related to reliability on dentists and fear. And, reliability on dentists was positively related to fear, pain experience in dental clinic, incomplete anesthesia experience, near person pain experience(experience on seeing person in pain), which were statistically related(p<0.01). Conclusions: In relation to general features and reliability on dentists and satisfaction on dental hygienists caused by dental clinic use behavior, dental fear was decreased when reliability and satisfaction are higher. Group with low dental fear had higher reliability on dentists and satisfaction on dental hygienists than group with high dental fear but only reliability on dentists was statistically related(p<0.05).