• 사상체질의학회지
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• 제33권3호
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• pp.95-126
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• 2021

Objectives The purpose of this study was to develop diagnostic tools for Sasang Constitutional patterns based on the middle classification of the Sasang Constitutional patterns. Methods Diagnosis and assessment indicators of Soeumin, Soyangin, Taeeumin, and Taeyangin patterns were extracted based on the 『Clinical Practice Guideline for Sasang Constitutional Medicine Symptomatology』 and 『Donguisusebowon』. An online survey was conducted on the 'importance of diagnosis and assessment indicators' by the Sasang Constitutional Medicine expert group. Results Based on the expert consultation results, the importance weight for each diagnosis and assessment indicators symptom was calculated, and the importance was ranked to develop diagnostic tools for Soeumin, Soyangin, Taeeumin, and Taeyangin patterns. Diagnostic tool consisted of 58 questions for Soeumin patterns, 68 questions for Soyangin patterns, 81 questions for Taeeumin patterns, and 42 questions for Taeyangin patterns. The final total score was calculated by reflecting each response score and the weight of each question. Conclusions The developed 'Diagnostic Tools for Sasang Constitutional patterns' can be used to make an effective and objective diagnosis in the clinical site. In the future, if the reliability and validity of these diagnostic tools are tested through clinical study, it will be possible to improve clinical applicability and contribute to standardization of diagnosis.

• 한국치위생학회지
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• 제15권2호
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• pp.287-293
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• 2015

Objectives: The purpose of this study was to investigate the influence of achievement motivation and self concept on clinical practice satisfaction in the dental hygiene students. Methods: A self-reported questionnaire was filled out by 206 dental hygiene students in Jeonnam from December to October, 2013. The questionnaire consisted of 6questions of general characteristics, 6 questions of achievement motivation, 18 questions of self concept, and 23 questions of clinical practice satisfaction. Cronbach's alpha was 0.881, 0.889, and 0.935 in achievement motivation, self concept, and clinical practice satisfaction, respectively. The data were analyzed by t-test, one way ANOVA, Pearson correlation coefficient and multiple regression analysis. Results: Clinical practice satisfaction showed a significant difference by grade(p<0.05), personality(p<0.05) and satisfaction of major(p<0.01). Clinical practice satisfaction had a positive correlation with achievement motivation(r=0.508, p<0.01) and self concept(r=0.324, p<0.01). Multiple logistic regression analysis revealed that clinical practice satisfaction was related with achievement motivation(p<0.05) and self concept(p<0.01). Conclusions: The clinical practice satisfaction depends on achievement motivation and self concept. It is necessary to develop the program to improve satisfaction level of clinical practice by achievement motivation and self concept.

• 대한지역사회작업치료학회지
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• 제8권1호
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• pp.1-10
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• 2018

목적 : 본 연구의 목적은 노인의 지역사회 이동성을 측정하는 평가도구인 한국어판 생활공간 평가(Korean Version of the Life Space Assessment; K-LSA)의 임상적 유용성 및 사용성을 검증하는 것이다. 연구방법 : 작업치료사와 물리치료사 60명을 대상으로 K-LSA의 임상적 유용성 및 사용성 검증에 관한 설문조사를 실시하였다. 설문지는 임상적 유용성에 관한 객관식 문항 및 사용성에 관한 객관식과 주관식 문항을 포함하였다. 객관식 자료 분석은 빈도 분석 및 기술 통계로 처리하였고, 사용성에 대한 주관식 문항은 항목별로 공통적인 요소를 모아 분류하여 분석하였다. 결과 : K-LSA의 임상적 유용성에 긍정적 표현인 '보통(3점)'과 '그렇다(4점)'와 '매우 그렇다'로 응답한 비율이 95~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 또한 K-LSA의 사용성에 대한 질문에 긍정적 표현인 '보통'과 '쉽다'와 '매우 쉽다'로만 응답한 비율은 88.3~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 추가적으로 사용성에 대한 개방형 질문에서 생활공간 범위 3과 4에서 기준의 모호함이 언급되었다. 결론 : K-LSA는 국내 보건의료 분야에서 지역사회 이동성을 측정하는 평가도구로 임상적으로 유용하며, 사용이 용이한 도구이다. 따라서 치료사들이 노인의 사회 참여를 증진시키고, 지역사회 이동을 위한 중재 목표를 세우고, 교육하는데 기초자료로 LSA를 활용할 수 있을 것이다.

• 대한한방내과학회지
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• 제40권3호
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• pp.390-408
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• 2019

Objectives: Several pattern diagnosis questionnaires have been developed to objectify the process of pattern diagnosis in Korean medicine. In this context, this study aimed to develop a food retention questionnaire for functional dyspepsia (FRQ-FD) by modifying the previously developed food retention questionnaire (FRQ) and to verify its reliability and validity. Furthermore, this study aimed to identify the optimal cut-off value of the FRQ-FD for standardization and use in clinical situations. Methods: To develop the FRQ-FD, we extracted the major symptoms of food retention pattern for functional dyspepsia from Chinese/Korean medicine textbooks and requested an importance survey from experts using the Delphi method. The first draft of the FRQ-FD was composed of 25 questions comprising 8 questions from the textbooks and the Delphi method and 17 questions from the FRQ already developed in 2013. To analyze its reliability, validity, and optimal cut-off value, 60 subjects were enrolled in this study from June 25 to August 13, 2018. Thirty patients were diagnosed as both functional dyspepsia and food retention pattern, and 30 healthy participants were not. All participants were requested to fill up the FRQ-FD, Stomach Qi Deficiency Questionnaire (SQDQ), Scale for Stomach Qi Deficiency pattern (SSQD), visual analog scale (VAS) for dyspepsia, Nepean Dyspepsia Index-Korean version (NDI-K), and functional dyspepsia-related quality of life (FD-QoL). Results: No statistically significant differences were found in sex distribution, age, and body mass index between the patient group and the control group. As five questions affected the reliability negatively and three questions affected the clinical validity negatively, we decided to exclude the eight questions upon further investigation. The Cronbach's ${\alpha}$ coefficient of the revised FRQ-FD (17 items) was 0.899, and its clinical validity was verified. Construct validity was analyzed by factor analysis and produced five factors. Statistically significant positive correlations were found between the revised FRQ-FD and the other dyspepsia scales, namely, SQDQ, SSQD, VAS, NDI-K, and FD-QoL. VAS and NDI-K especially had strong positive correlations with FRQ-FD. Conclusions: The FRQ-FD developed in this study can provide fundamental reliability and validity for a pattern diagnosis questionnaire. FRQ-FD can help to diagnose food retention pattern in functional dyspepsia patients. Further studies are required to inspect several statistical factors.

• 대한한방소아과학회지
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• 제34권4호
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• pp.1-10
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• 2020

Objectives The purpose of this study is to evaluate the satisfaction and utility of a clinical training in Pediatrics of Korean Medicine after conducting participatory practices in clinical training. Methods A survey was conducted with 46 students who completed a clinical training in 2019. After completing Problem Based Learning (PBL), Objective Structured Clinical Examination (OSCE) and Clinical Performance Examination (CPX), they filled out the questionnaire composed of 15 questions. In addition, it was required to rank the preferences for clinical training items and describe what was good about, things that need to be improved or corrected, and other areas to be implemented as a part of the clinical training. Results 1. Mean of the total satisfaction score was 4.26. Mean satisfaction score of the educational method was 4.25, and mean score of the utility of educational effectiveness was 4.27. 2. Among the questions that evaluate satisfaction of the education program, 'I agree with OSCE as a part of the clinical training for juniors.' showed the highest score. Among the questions that evaluate utility of educational effectiveness, 'It will be helpful to treat patients as a Korean Medicine doctor in the future' showed the highest score. On the other hand, 'I actively participated in the clinical training' showed the lowest score. Conclusions A clinical training in Pediatrics of Korean Medicine can be highly valued from the viewpoint of the satisfaction and its utility.

• 의학교육논단
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• 제21권2호
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• pp.100-111
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• 2019

There are several dimensions of academic burnout experienced by medical and health science college students. The purpose of this study was to examine the effects of academic relationships on academic burnout. Data was collected from 476 Eulji University students using an online survey over 4 days in April of 2018. Of the 264 respondents, 111 studied medicine (42.0%), 105 studied nursing (39.8%), and 48 studied clinical pathology (18.1%). The questionnaire was composed of the following sections: demographics (four questions), general life characteristics (seven questions), academic enthusiasm (eight questions), academic relationships (15 questions), and academic burnout sub-dimensions (partially revised Maslach Burnout Inventory-Student Survey Scale) (11 questions). T-tests and one-way analysis of variance were performed to illustrate the differences among the three departments. The effects of academic relationships and academic enthusiasm on academic burnout were analyzed using linear regression. Comparing the three departments, academic burnout was not found to be statistically significant (p=0.296). However, medical students' academic enthusiasm was significantly lower (p<0.001) and academic relationships were significantly higher (p<0.001) than nursing and clinical pathology students. The difference in academic burnout among the three departments was not significant. However, medical students have stronger academic relationships, while nursing and clinical pathology students were more focused on academics. Relationships and academic enthusiasm contribute to reducing academic burnout. Therefore, strategies need to be developed to deal with academic burnout considering relationship factors.

• 한국간호교육학회지
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• 제23권4호
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• pp.463-473
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• 2017

Purpose: The purposes of study was to evaluate the effect of debriefing using reflection questions and writing on the critical thinking disposition, self-efficacy, and clinical judgement ability in simulation of post-operative care of abdominal surgery. Methods: The research method was a nonequivalent control group no-synchronized design. The study period was from August 22 to 30, 2016. The subjects were comprised of 34 people in the experimental group and 36 in the control group. In a simulation session for post-operative care of abdominal surgery, the treatment of the experimental group was to debrief for 30 minutes using Lasater's reflection questions and writing. For the control group, a typical debriefing was conducted in the same environment. Results: Critical thinking disposition, self-efficacy, and clinical judgement were significantly higher in the experimental group than the control group. Conclusion: To enhance the critical thinking disposition, self-efficacy, and clinical judgement of nursing students in simulation, it is recommended to debrief using reflection questions and writing.

• 한방재활의학과학회지
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• 제33권4호
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• pp.203-213
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• 2023

Objectives This study aimed to develop a Korean medicine (KM) clinical practice guideline for myofascial pain syndrome (MPS) via the collaboration of clinical and methodological experts. Methods The study will include an initial survey to establish a common understanding of MPS. To develop the clinical guideline, a multidisciplinary development group was formed. The group will finalize the clinical questions based on a preliminary draft. The GRADE methodology is going to be applied to determine the level of evidence and grading of the recommendations. Finally, approval from the relevant medical societies will be obtained. Results A protocol for developing a KM clinical guideline for MPS was presented. Before finalizing the clinical key questions, a literature search was conducted according to the protocol, and a draft of 19 clinical key questions was established. Conclusions An evidence-based KM clinical guideline for MPS is expected to contribute to the management of MPS. This may also serve as a reference for the development of other KM clinical practice guidelines in the future.

• 임상간호연구
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• 제22권3호
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• pp.352-358
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• 2016

Purpose: This study was a methodological research implemented to establish basic data for controlling the job rotation stress of nurses and effectively managing human resources by reflecting the Nurse Job Rotation Stress Scale (NJRS) developed by Huang and others into the domestic nursing environment and verifying the use of measurement tools. Methods: The study selected nurses working at four hospitals, with over 300 beds, in Seoul, Gyeongi-do, and Busan, as its research subjects and verified the content validity, construct validity, concurrent validity, and internal consistency reliability of the measurement tool. Results: The results ultimately formed eight questions from three sub-factors (3 emotional response questions, 2 daily life questions, and 3 communication questions). In terms of reliability, emotional response issued a Cronbach's of .78, daily life issued a Cronbach's of .75, and communication issued a Cronbach's of .86. Conclusion: This study is expected to be used as basic data for achieving effective human resource management by calculating the stress of clinical nurses resulting from job rotation, but the researcher believes that the measurement tools must be expanded by confirming additional job rotation stress questions which reflect the organizational culture of Korea.

• 한국산학기술학회논문지
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• 제19권9호
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• pp.234-242
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• 2018

본 연구는 간호대학생의 임상실습 적응에 미치는 영향요인을 파악하여 된 서술적 조사연구이다. 2018년 4월 26일부터 2018년 5월 4일까지 간호대학생 180명에게 전환충격(17문항), 사회적지지(24문항), 임상 실습준비도(2문항), 임상실습 적응(14문항)으로 구성된 자가 보고식 설문지를 이용해 자료를 수집하였고, 수집된 자료는 IBM SPSS Win 18.0을 이용해 빈도와 백분율, t-test, one way ANOVA, Pearson correlation coefficient, 단계적 다중회귀분석을 시행하여 분석하였다. 임상실습적응은 전환충격(r=-.55)과는 음의 상관관계를 보였고, 사회적 지지의 친구영역(r=.24), 부모영역(r=.32), 교수영역(r=.38), 임상실습 준비(r=.35)와는 양의 상관관계를 보였다. 전환충격이 작아질수록(B=-.409), 임상실습 준비도(B=.766)와 교수의 지지(B=.228), 부모의 지지(B=.163)이 커질수록 임상실습 적응이 커지는 것으로 나타났다. 전환충격, 임상실습 준비도, 교수의 지지 순으로 임상실습 적응에 영향을 주는 것으로 나타나 임상실습 적응을 높이기 위해서는 개인의 실습 준비나 교수의 지지뿐만 아니라 간호대학생의 전환충격을 줄일 수 있는 방안을 마련할 필요가 있겠다.