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Physical Discomforts and Sexual Life Pattern of Women with Hysterectomy (자궁절제술 후 신체적 불편감과 성생활 양상)

  • Ahn, Young-Lan;Park, Young-Sook
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.218-233
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    • 2000
  • The purposes of this study were to investigate the physical discomforts and sexual life pattern and to identify the relation between the physical discomforts and the satisfaction of sexual life in women with hysterectomy. The subject were 301 women who lived with their spouses from 3 months to 2 years after hysterectomy in S. University Hospital. The data were collected using a self-reported questionnaire by mail, which composed of 25 items of physical discomforts, restarting time and frequency of sexual intercourse, and 10 items of sexual satisfaction, The results were as follows: 1) The mean score of physical discomforts was 13.22 and range of score was 0-45. 1.7% of 301 women had no physical discomforts and 12.0% of them complained of severe physical discomforts such as fatigue, lumbago and pain of extremities. 2) The women with hysterectomy complained of fatigue(76.1%), lumbago(68.8%), pain of extremities(63.5%), weight gain(55.5%), vaginal dryness(50.8%) and symptom of estrogen deficiency such as perspiration (47.5%), flush(41.2%) and palpitation (38.5%). As unusual symptom, numbness of thigh (20.3%) and acne(16.3%) were identified. 3) There was no significant difference between the degree of physical discomforts and the laps of time after hysterectomy. But the score of physical discomforts was lower in women with vaginal hysterectomy than in women with abdominal hysterectomy. 4) The mean score of sexual satisfaction was 33.11 and range of score was 10-50. There was no significant difference between the degree of sexual satisfaction and the lapse of time after hysterectomy. 83.8% of women had not change of sexual life satisfaction after hysterectomy. The women restarted sexual intercourse in average 2.57 months after hysterectomy. 5) There was a negative correlation between the physical discomforts and the sexual satisfaction. In conclusion, nurses should make the discharge educational program of the physical discomforts and the sexual pattern for women with hysterectomy in hospital.

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Ergonomic Workload Evaluation and Musculo-skeletal Symptomatic Features of Street Cleaners (거리환경미화원의 근골격계 증상의 특징 및 인간공학적 평가)

  • Lee, Hyang-Ki;Myong, Jun-Pyo;Jeong, Eun-Hee;Jeong, Hye-Sun;Koo, Jung-Wan
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.4
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    • pp.147-152
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    • 2007
  • The aim of this study was to evaluate the musculo-skeletal symptomatic features of municipal sanitation workers and to compare differences of the musculo-skeletal symptoms by work types. We conducted descriptive cross-sectional survey concerning the musculo-skeletal symptomatic features of 315 street cleaners in Seoul and GyeongGi Province, Korea, during 2 weeks of September 2006. Questionnaires were consisted of general characteristics, occupational characteristics and musculo-skeletal symptoms. And we observed their works and evaluated their movement and posture by REBA. For work types, tools and subjective physical work loading, there were statistical difference whether or not NIOSH symptom positive on upper limb. Musculo-skeletal symptoms on upper limb were claimed from 43.2% of street cleaners, more than in 32.4% of cleaners. Musculo-skeletal symptoms on upper limb were reported higher in the group who felt their subjective physical work loading severe than in the otherwise group. The REBA results were over 'high risk stage' in street cleaners. Street cleaners had more repetitive motions than solid waste collectors on upper limbs. Works according to the criteria of musculoskeletal burdened work by the Ministry of Labor results were over 'high risk stage' of No. 2 and No. 4 in street cleaners. We found that street cleaners complained musculo-skeletal symptoms on upper limb more than solid waste collectors. This study suggests that it is necessary for street cleaners to carry out the prevention program of musculo-skeletal diseases. For street cleaner, the measure plans such as job rotation, automatic street sweepers, reducing work hours are helpful in preventing musculoskeletal symptoms on the upper limb.

The Effects of Narrative Therapy Group Counseling Program Using Role-Playing Game Format on Happiness and Negative Emotions in Children (롤플레잉게임 형식을 활용한 이야기치료 집단상담 프로그램이 아동의 행복감과 부정적 정서에 미치는 영향)

  • Kim, Bo-Kyung;Bae, Sung-Hoon;Chung, Eun-Jung;Hwang, Soon-Taeg
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.271-284
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    • 2018
  • The purpose of this study was to examine the effects of the narrative therapy group counseling program using RPG(Role Playing Game) format on happiness and negative emotions in children. The subjects of this study were 30 elementary school students who were referred to emotional and behavioral problems in a mental health center or elementary school in Seoul. They were allocated into an experimental group and a control group containing 15 students. Experimental group received a 60-minutes-session per week for 8 weeks. As a result, negative emotions of the experimental group statistically and significantly decreased compared with the control group, as well as the happiness. Results after 20 days showed that was maintained. In conclusion, the narrative therapy group counseling program using RPG (Role Playing Game) format in this study was found to be effective in reducing negative emotions and increasing happiness.

The Relationship between Selected Personal Demographic Variables and the Four Dimension of Death Anxiety - difference between elderly group and non-elderly group - (죽음불안도에 영향을 미치는 요인들에 관한 탐색적 연구 - 죽음불안도 4가지 영역에 따른 노년층과 비노년층의 차이를 중심으로 -)

  • Suh, Hye-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.24 no.1
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    • pp.109-125
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    • 2007
  • How an elderly people meets death is the matter of how he has lived his life. It is very important for an elderly people at the last step of his life to re-light up life and to meet death with dignity. The purpose of this study is to investigate where fear or anxiety of death come from among the four dimensins of death anxiety and to compare the differenced between the elderly group and non-elderly group, For this research, the 473 of the subjects from 20 to 80 years old attending social welfare center and community areas in Seoul have been questionned. The summary for the study mentioned the following: First, the overall scores of death anxiety, in the non-aged group, gender and religiosity are important factors affecting the decrease of death anxiety, On the other hand, in the aged group, self-respect, death readiness and number of friends are significant factors. Secondly, for death anxiety of self, age and spouse are significant relationships among non-aged group and gender, death readiness and number of friends for aged-group. In the dying of self, the following each three significant variables: gender, self-respect and spouse among non-aged group and gender, self-respect and number of friends among aged group. In death anxiety of others, age, view on next world and spouse are best predictor for non-aged group. Finally, family-relationship, self-respect and spouse are significant factors for aged group. In dying of others, only one factors are influenced for non-aged group, on the other hand, gender, self-respect and death readiness are important factors for aged group. There remains the need for more detailed examination into the nature of this relationship and the extent to which core components strongly affecting the above subscales.

A study on the measuring health literacy in patients with diabetes in Korea (당뇨병 환자의 건강정보이해능력 측정을 위한 기초 연구)

  • Kang, Soo Jin;Sim, Kang Hee;Chang, Soo Jung;Lee, Mi Sook
    • Korean Journal of Health Education and Promotion
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    • v.33 no.5
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    • pp.47-57
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    • 2016
  • Objectives: To develop and evaluate the applicability of a health literacy instrument in patients with diabetes by measuring their ability to understand diabetes-related words. Methods: Diabetes-related words were extracted from the Korean Diabetes Association's website and literature reviews. In the first phase, three nursing researchers evaluated 2,661 diabetes-related words based on graded lexical vocabularies and what patients need to know about self-care, and the narrowed them to 255 words. In the second phase, a content validity assessment was conducted by an expert panel. In the third phase, the remaining 25 words were administered to 200 conscientious with type 2 patients aged 40 years old and using a Gallup survey from March 3 to 17, 2016 in Seoul, Korea. Descriptive analysis and Rasch analysis were performed to test psychometric properties. Results: The mean score was 21.47 with a range of 0 to 25. The Cronbach's ${\alpha}$ was .92. The health literacy instrument using diabetes-related words had a ceiling effect response. Conclusions: Diabetes-related words are useful and reliable items for testing the health literacy of diabetes patients. Future study is needed to develop and validate health literacy measures for diabetic patients.

Music Therapy Students' Experience as a Supervisee in Peer Supervision (음악치료 전공생의 동료 수퍼비전에서 수퍼바이지로서의 경험)

  • Lee, Yeon Mee;Suh, Eun Sil
    • Journal of Music and Human Behavior
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    • v.11 no.2
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    • pp.41-57
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    • 2014
  • The purpose of this study was to analyze music therapy students' experience of peer supervision as supervisee. A total of 17 participants in a university in Seoul, participated two times in structured dyadic peer supervision with a different student. In-depth, semi-structured interviews with the students were conducted and content analysis was used for analyzing the data. The results showed that peer supervision was recognized as an important technique as students experienced an accepting and supportive emotional climate that increased their motivation in terms of their professional growth. However, the students also experienced anxiety and dissatisfaction when they could not get a definitive answer from their peer or their peer could not solve their problem. The structure of peer supervision could help the participants by facilitating the process, providing directions, and promoting interaction between peer. This study is significant that it provides actual content in music therapy students' experiences as a supervisee, and enables students to apply peer supervision to their professional growth.

Effects of Rehabilitation Program on Functional Recovery in Stroke Patients (재활운동 프로그램이 뇌졸중 환자의 기능상태 회복에 미치는 효과)

  • 서연옥
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.665-678
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    • 1999
  • Stroke is a major cause of death and long-term disability. Because muscle weakness is one of the most prominent consequences of stroke, it was considered important to determine whether exercise in order to improve muscle strength and range of motion could have an effect in limiting the learned disuse of the affected side. The purpose of the study was to identify the effects of an 8 week rehabilitation program on physical and cognitive ability in stroke patients. A total of 18 patients who were admitted to the oriental medicine unit of a K medical center in Seoul were recruited : ten for the experimental group and eight for the control group. The rehabilitation program consisted of three level's of active and passive exercises for prevention of muscle contracture and at range of motion. Muscle strength, flexibility of the upper and lower extremity, perceived balance, functional independence, depression, and quality of life for the two groups were compared at the pretest and 4 and 8 weeks after the rehabilitation program. The results are as follows : 1) When measuring muscle strengths of shoulder abduction and elbow flexion, hip flexion and knee extensor, ankle dorsi-flexor and muscle strength of knee flexor. Muscle strength of knee flexor for the experimental group was significantly higher than the comparison group at the 4 weeks. 2) Muscle strength and flexibility of the ankle dorsi -flexor for the experimental group was significantly better than for the control group at 8 weeks. 3) Functional independence, perceived balance, and Tinetti balance for the experimental group as measured at 4 and 8 weeks were better than for the control group. Also, there were changes over time in physical balance and functional ability, but there was no significant differences between the groups. 4) The experimental group showed a higher quality of life and lower depression than the control group at 8 weeks. 5) Muscle strength and flexibility of ankle dorsi -flexor were significantly changed over time and an interaction between group and time. The findings suggested that the rehabilitation program would improve the physical and psychological status of the stroke patients. Thus, the gains in actual or perceived ability to perform physical activities was marked.

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A Qualitative Study on Flipped Learning Experience in Major Subjects of Nursing Students (간호대학생의 전공교과목 플립러닝 수업에 대한 경험: 질적연구)

  • Yoo, Hana;Yun, Yeon Seo;Kim, Ock-boon
    • Journal of Practical Engineering Education
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    • v.12 no.1
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    • pp.11-21
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    • 2020
  • This study is a phenomenological study that aimed to understand the meaning of nursing students' experience of class using flipped learning method. The participants are 8 senior nursing students. The data collected by individual in-depth interviews and analyzed by Colaizzi's method. As a result of this study, 35 key themes and 11 clusters of themes were derived. The 11 thematic categories are classified in pre-education, in-classroom, and post-education. At the pre-education, the theme clusters are 'lack of information', 'psychological burden', 'different teaching methods', 'improvement of self-directed learning ability', and 'different learner's achievement'. At the in-class, the theme clusters are 'efficient teaching direction' and 'confidence improvement'. At the post-education stage, the theme clusters are 'positive influence on class', 'strengthening self-pay', 'not preferred', and 'lecture preference'. Therefore, a more diversified and in-depth repetitive study is suggested in order to apply the flipped learning method to the nursing major.

A Case Study on the Imitation Ability of Young Children with Developmental Disabilities through Rhythmic Play Activity (그룹리듬연주활동에 따른 발달지체유아의 모방능력에 관한 사례연구)

  • Lee, A Ryeon
    • Journal of Music and Human Behavior
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    • v.6 no.2
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    • pp.25-41
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    • 2009
  • The purpose of this case study is to examine how group rhythmic playing can help enhance imitation skills for 3 children with developmental disabilities aged between 30-50 months. The program was composed of social musical play, the therapist's imitating the way young children played musical instruments, and the young children's imitating the way the therapist played musical instruments. Every session was videotaped, and the researcher and two music therapists checked the videotaped sessions to ensure the reliability of findings. The case study demonstrated the following results. First, the three young children who participated in the playing of rhythmic musical instruments showed an increase in imitation behaviors. Second, the infants exhibited the greatest change from 1 beat imitation according to the degree of difficulty of group rhythm musical instrument demonstrated. Third, the most radical change in the infants' ability to imitate appeared in Sessions 3-7 where the therapist imitated the operation and a performance of the infant. In conclusion, the activity of playing rhythmic musical instruments in a group generated improvement in the imitation ability of young children with developmental disabilities.

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The implement status of dental hygiene curriculum in Korea and the comparison with the US ADA standard (국내 치위생학 교과목 운영실태 및 미국 치위생학교육 인정평가 기준과의 비교연구)

  • Kim, Sook-Hyang;Kim, Min-Kang;Oh, Sang-Hwan;Mann, Nancy K.
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.229-247
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    • 2009
  • The purpose of this study is to provide the improvement basis for Dental Hygiene education program by analyzing the current implement status of Dental Hygiene curriculum in Korea and comparing the status with the US ADA standard. The researcher analyzed the Dental Hygiene syllabus limiting "Dental prophxis", "Comprehensive dental hygiene" subjects only from 31 universities which offer 3 years program. The main interest was to figure the implementing status of the curriculum and to compare the actual teaching content with the CODA 2-17 standard. The results show that there are a number of problems in implementing the Dental Hygiene courses among different universities. First, there is a significant inconsistence among schools in terms of course title, total credit, hours, the ratio for theory and practice, etc. In addition, there is a big gap between the actual content of Dental Hygiene courses and the essential/required content of CODA 2-17 standard. For instance, most of the Dental Hygiene programs in Korea cover the overall assessment stage content and some of implementation stage content. However, very few programs deal with the planning and evaluation stage content. To improve these problematic circumstance a number of suggestions were made. Developing the standardized curriculum for the Dental Hygiene program might be one of the major solutions. Next, the regular accreditation and/or assessment system for the Dental Hygiene program should be developed. This research can provide the basis for the need to assess and improve the Dental Hygiene curriculum.

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