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농어촌 지역의 대상자 중심 통합방문형 간호서비스 모형 개발 (The Development of Client-centered and Integrated Home Nursing Care Model in Rural Areas)

  • 양숙자;한영란;함옥경;이건아;김서현;하재영
    • 한국보건간호학회지
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    • 제35권1호
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    • pp.5-18
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    • 2021
  • Purpose: This study aimed to develop a client-centered integrated home nursing care model for rural areas by analyzing public health nursing, hospital-based home care services, and long-term nursing care in Korea. Methods: The literature review performed included data from the National Assembly Library, DBpia, RISS, and KISS, Google Scholar, the Ministry of Government Legislation, Statistics Korea, and the Ministry of Health and Welfare. Results: The client-centered and integrated home nursing care model in a rural area was opened as the Home Nursing Care Center in a public health center operating directly or on consignment. This model provides both a hospital-based home care services as well as long-term care, in accordance with the health status of the client and difficulty of nursing services. Moreover, the nurse who worked in a sub-organization (Centers for Supporting Healthy Living, Public Health Units, and etc.) of the public health center as care coordinator and case manager facilitates to connect home nursing care services and social welfare services. Conclusions: Our data indicates that the client-centered integrated home nursing care model in rural areas effectively combines professional services, regional accessibility, and social welfare services.

국내 운동 관련 메타분석 논문의 질 평가 (Review of Meta-analysis Research on Exercise in South Korea)

  • 송영신;강문희;김선애;신인수
    • 대한간호학회지
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    • 제44권5호
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    • pp.459-470
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    • 2014
  • Purpose: The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes. Methods: Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and ${\chi}^2$-test. Results: The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention. Conclusion: This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.

Metformin Association with Lower Prostate Cancer Recurrence in Type 2 Diabetes: a Systematic Review and Meta-analysis

  • Hwang, In Cheol;Park, Sang Min;Shin, Doosup;Ahn, Hong Yup;Rieken, Malte;Shariat, Shahrokh F.
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.595-600
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    • 2015
  • Background: Accumulating evidence suggests that metformin possesses anticarcinogenic properties, and its use is associated with favorable outcomes in several cancers. However, it remains unclear whether metformin influences prognosis in prostate cancer (PCa) with concurrent type 2 diabetes (T2D). Materials and Methods: We searched PubMed, EMBASE, and the Cochrane Library from database inception to April 16, 2014 without language restrictions to identify studies investigating the effect of metformin treatment on outcomes of PCa with concurrent T2D. We conducted a meta-analysis to quantify the risk of recurrence, progression, cancer-specific mortality, and all-cause mortality. Summary relative risks (RRs) with corresponding 95% confidence intervals (CIs) were calculated. Publication bias was assessed by Begg's rank correlation test. Results: A total of eight studies fulfilled the eligibility criteria. We found that diabetic PCa patients who did not use metformin were at increased risk of cancer recurrence (RR, 1.20; 95%CI, 1.00-1.44), compared with those who used metformin. A similar trend was observed for other outcomes, but their relationships did not reach statistical significance. Funnel plot asymmetry was not observed among studies reporting recurrence (p=0.086). Conclusions: Our results suggest that metformin may improve outcomes in PCa patients with concurrent T2D. Well-designed large studies and collaborative basic research are warranted.

옥살리플라틴 유도 말초신경독성 측정도구의 고찰 (Properties of the Measures to Assess Oxaliplatin-induced Peripheral Neuropathy: A Literature Review)

  • 추상희;이윤주;이영주
    • 대한간호학회지
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    • 제45권6호
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    • pp.783-801
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    • 2015
  • Purpose: The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool. Methods: A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability. Results: Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI. Conclusion: To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.

$\ll$대한침구학회지$\gg$ 개선에 대한 전략적 방향 (Strategic Directions for the Improvement of Journal of Korean Acupuncture and Moxibustion Society)

  • 송호섭
    • Journal of Acupuncture Research
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    • 제27권4호
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    • pp.147-178
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    • 2010
  • Objectives : This study was to propose the improved instruction for authors and research ethic regulations by the comparative analysis of those of the domestic journals, for the purpose of enhancing the citation rate of Journal of Korean Acupuncture and Moxibustion Society. Methods : Narrative review method was used for comparatively analyzing instruction for authors of 34 domestic journals, especially focused on how to write a reference. Thereafter, in order to elucidate the drawbacks of current instruction for authors and research ethic regulations of the acupuncture and moxibustion society, the well prepared instructions and research ethic regulations was selected from them, which were compared with the present instructions for authors and research ethic regulations of the acupuncture and moxibustion society. Results : As a result of the comparative analysis of instruction for authors in the 34 domestic journals, style for references was based largely on that of National Library of Medicine and vancouver at the same time. The number of reference was limited according to types of writings. for example, the original article and case report was frequently limited to 40 and 20 references respectively. Authors were mostly listed up to six. If there are more, the first three or six authors were listed with 'et al'. it was generally recommended that using abstracts as references should be avoided and References to papers accepted but not yet published should be designated as 'in press' or 'forthcoming', and that the names of journals should be set in italics and abbreviated according to the List of Journals Indexed for Medline (formerly Index Medicus) published by the National Library of Medicine or koreanmed or WHO-IST, etc. In addition, citation of electrical literature, English writing of reference and obligational citation of more than two articles in the journals were encouraged. In consequence of comparison between well prepared instructions and research ethic regulations of the selected journals and those of current instructions for authors and research ethic regulations of the acupuncture and moxibustion society, the followings were needed to be added or revised. 1. Requirements for case reports were not mentioned. 2. Reporting Guidelines for Specific Study Designs were not included. 3. Previous Orthography of herbal prescription should be revised. 4. Orthography of authors and guidelines for writing article constituents such as title, abstract, introduction, method, statistics, results, discussions were not presented. 5. How to write a reference was so simplified. 6. Definition of Research Ethical Misconduct was omitted and establishment, management and members of committee for research ehtics were not mentioned, 7. Information, reception and investigative procedures of Research Ethical Misconduct was not specified. Conclusions : For the development of Journal of Korean Acupuncture and Moxibustion Society, apporopriate revision of the instruction for author and research ethic regulations should be made based upon the above findings. English writing of reference were believed to be one of the alternatives enhancing citation rate.

아로마테라피의 통증 감소 효과에 관한 국내 실험논문 분석 (Analysis of Experimental Researches in Korea on the Effects of Aromatherapy to Relieve Pain)

  • 박정숙;박정언;장순양;곽혜원;한정안
    • Journal of Hospice and Palliative Care
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    • 제14권1호
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    • pp.8-19
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    • 2011
  • 목적: 아로마테라피가 통증에 미치는 효과에 관한 국내 실험논문을 분석하여 연구동향을 파악하고 향후 통증감소를 위한 아로마테라피 중재 개발의 기초자료를 제공하고자 한다. 방법: 2009년 12월 말까지 국내에서 출판된 논문 중 '아로마, 아로마테라피, 향요법, 향기요법, 향기치료, 아로마요법과 통증, pain, 두통, 견갑통, 견통, 회음부 불편감, 통각, 분만진통, 상지통증, 생리통, 월경통, 동통, 분만동통, 월경곤란증' 등의 키워드를 사용하여 한국교육 학술정보원, 국회도서관, KISS, KoreaMed, 국가과학기술 정보센터(NDSL) 등의 사이트에서 검색된 논문 중 사람을 대상으로 한 실험연구 44편을 최종 분석 대상으로 하였다. 수집된 자료는 분석기준에 따라 정리하여, 빈도 및 백분율로 자료를 분석하였다. 결과: 본 연구에서 분석된 논문에서는 3~4종류의 오일을 블랜딩한 경우가 가장 많았고 라벤더, 로만카모마일, 로즈마리, 클라리세이지 등의 오일을 가장 많이 사용하였다. 적용방법으로는 마사지 22편(50.0%), 흡입, 마사지와 흡입을 병행한 연구가 각 6편(13.6%)이었다. 사용된 측정도구는 VAS, 설문지, GRS, 관찰 등과 같은 주관적인 측정도구가 85.7%를 차지하였다. 효과 분석 결과, 두통과 관절통 경감에는 아로마테라피가 효과적인 것으로 나타났으나, 월경통, 분만통, 회음부 불편감 및 월경통의 경우 효과가 "있음"과 "없음"이 비슷한 빈도로 분석되었다. 결론: 아로마테라피는 통증 감소에 효과적이었으나 통증 종류와 적용방법에 따라 차이가 있었다. 추후 연구에서는 아로마테라피의 통증완화 효과에 대한 근거를 확립하기 위해 이중맹검 순수실험연구를 시행할 필요가 있고, 생리적 측정변수를 종속변수로 사용하여 통증감소 중재방법에 대한 과학적 근거를 마련할 필요가 있겠다. 아울러 통증 종류에 따라 오일 블랜딩, 적용방법, 적용시간 및 측정도구를 표준화하여 적용함으로써 아로마테라피의 정확한 효과 분석이 이루어져야 할 것이다.