• Title/Summary/Keyword: intervention of state

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Cognitive Decline and Quality of Life among Patients with Breast Cancer undergoing Chemotherapy: The Mediating Effect of Health Promotion Behavior (항암화학요법을 받는 유방암 환자의 인지기능감퇴와 삶의 질에 관한 연구: 건강증진행위의 매개효과)

  • Lee, Jung Ran;Oh, Pok Ja
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.202-212
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    • 2016
  • Purpose: The purpose of this study was to assess the relationship between cognitive function impairment and quality of life (QoL) among patients with breast cancer. Specifically, the intention was to verify the mediating effects for promoting behaviors leading to better health and QoL. Methods: A purposive sample of 152 patients undergoing chemotherapy was recruited. A cross-sectional survey design was used. Data were collected using four instruments: Everyday Cognition Scale, Korean Mini-Mental State Examination, Functional Assessment of Cancer Therapy-Breast Cancer Version 4, and Health Promoting Lifestyle Profile. Results: The mean score for subjective cognitive decline was 65.84; the health promotion behavior was 95.89, and 83.34 for QoL. Health promotion behavior was directly affected by cognitive decline ($R^2=6.0%$) as was QoL ($R^2=43%$). Subjective cognitive decline (${\beta}=-.57$ p<.001) and health promotion behavior (${\beta}=.37$, p<.001) were seen as predicting factors in QoL and explained 56% ($R^2=56%$). Health promotion behavior had a partial mediating effect in the relationship between self-reported cognitive decline and QoL (Sobel test: Z=-3.37, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline and promoting health promotion behavior are highly recommended to improve QoL in cancer patients.

Effects of Surgery Information Service on One-Day Surgery Patients' Anxiety and Satisfaction with Nursing Care (간호정보 제공이 당일수술 환자의 불안과 간호만족도에 미치는 효과)

  • Lim, Yean-Ho;Suh, In-Sun;Chung, Seung-Hee
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.1-10
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    • 2010
  • Purpose: The purpose of this study was to determine the effects of surgery information service on one-day surgery patients' anxiety and satisfaction with nursing care. Methods: The study used the nonequivalent control group time difference design. Sampling and measurement of the control group participants (n=30) was completed first. Later, participants in the experimental group (n=30) were sampled, intervened, and measured. The experimental group participants received the surgery information services twice: before and after the surgery, 20~30 minutes for each of the sessions. The anxiety was measured with the State-Trait Anxiety Inventory developed by Spielberger (1975), and modified by Kim & Shin (1978). The patient satisfaction with nursing care was measured with the Patient Satisfaction with Nursing Care Scale developed by La Monica and colleagues (1986), and modified by Shin (1999). The data was collected between February 1 and May 30, 2006. Results: The results were as follows: 1) The level of anxiety in the experimental group was not significantly different from that in the control group. 2) The level of patient satisfaction with nursing care in the experimental group was significantly higher than in the control group (t=-4.53, p=.00). Conclusion: These findings suggested that the one-day vocal cord surgery information service could be a useful nursing intervention to improve patient satisfaction with nursing care, but not for controlling the anxiety of one-day surgery patients.

Effects of Aromatherapy in blending oil of Basil, Lavender, Rosemary, and Rose on Headache, Anxiety and Serum Cortisol level in the Middle-Aged Women (베질 등을 이용한 복합 향기요법이 중년 여성의 두통, 불안 및 혈중 코티졸에 미치는 효과: 베질(ocimum basilicum), 라벤더(lavandula angustifolia), 로즈마리(rosmarinus officinalis) 및 로즈(rosa damascena, rosa centifolia)를 복합사용)

  • Cha, Jung-Hee;Kim, Myung-Ja;Kim, Hee-Seung;Kim, Yeong-In
    • Journal of Korean Biological Nursing Science
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    • v.12 no.3
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    • pp.133-139
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    • 2010
  • Purpose: The purpose of this study was to evaluate the effectiveness of aromatherapy on headache, anxiety, and serum cortisol level in middle-aged women with recurrent headaches. Methods: Nineteen patients in the intervention group and 21 in the control group participated in the exercise. They were randomly selected volunteers whose average headache score over 6 months with above 4 points on the visual analogue scale (VAS). The experimental group received aromatherapy for 5 days; inhalation (3 times per day) and an application on the neck and both shoulders (one time per day). Prior and post treatment scores in headache, anxiety, and measurement of serum cortisol in experimental group were measured. Then, these were compared with the control group. The headache score was measured by VAS; anxiety score was measured by State Trait Anxiety Inventory; serum cortisol was measured by Radio-Immune-Assay method. Results: Decrease in headache, anxiety, and serum cortisol level in the experimental group was greater than those in the control group. Conclusion: It confirmed aromatherapy is effective in reducing headache, anxiety, and serum cortisol level.

Home ICTs environment for distance learning contexts: A longitudinal comparison of household smart devices (원격수업 시대, 가정의 ICTs 환경 적합성: 가구 및 가구원 수별 스마트기기 보유 단기 종단적 비교)

  • Chin, Meejung;Bae, Hanjin;Kwon, Soonbum
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.11-22
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    • 2021
  • The COVID-19 pandemic has led to distance learning in primary and secondary school. Little has been known whether home ICTs environment is appropriate for the distance learning. This paper aims to assess the current state of ICTs environment at home for the distance learning of children. Using 2012 and 2019 Korean Media Panel Survey, we investigated the number of smart devices owned by households and found differences in ownership by household characteristics. The results showed that the majority of household owned more than one smart devices per child. However, the difference in the proportion of households with less than one device per child varied depending on whether smartphone was included in smart devices. These results imply that public intervention is needed to prevent educational inequality caused by the home ICTs environment for the distance learning.

Neoliberal Energy Policy and the Limits to 'Green Growth' (신자유주의적 에너지정책과 '녹색성장'의 한계)

  • Choi, Byung-Doo
    • Journal of the Korean Geographical Society
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    • v.45 no.1
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    • pp.26-48
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    • 2010
  • The current government tries to pursue a series of energy plans and strategies which have been recently established under the banner of 'green growth'. Although there have been several critical comments on the energy policy, the structural background under which the energy policy has been established and implemented has not yet been scrutinized. This paper understands the current government's strategy for 'green growth' and energy policy as a process of neoliberalization. In particular, the energy policy is characterized as industrialization, marketization, technologization, and financialization of energy, which bring about a lot of detailed issues. This kind of 'green growth' strategy is far from the model of sustainable development, and rather seems to be well interpreted in terms of what Harvey calls 'accumulation by dispossession'. As the government's strategy for 'green growth' and energy policy denies the roll of citizens and civil society which would mediate and arbitrate the contradiction between environment preservation and economic growth, and conflicts between market mechanism and state intervention, so alternatives to the 'green growth' strategy should be orientated to a citizen-participating and civil society-led energy policy.

The Effect of Chuna Manual Therapy for Shoulder Pain in Hemiplegic Patients after Stroke: A Systematic Review and Meta-Analysis (뇌졸중 편마비 환자의 견관절 통증에 대한 추나요법의 효과: 체계적 문헌고찰 및 메타분석)

  • Oh, Eun-Mi;Lee, Eun-Jung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.3
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    • pp.89-101
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    • 2020
  • Objectives The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke. Methods For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen. Results Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (壓力型) was used in 11 studies, followed by osteopathy method (整骨型) and wave motion method (波動型) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only. Conclusion As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future.

Factors Influencing Hazardous Drinking of Women who Experienced Intimate Partner Violence (아내폭력 피해여성의 위험 음주 실태와 영향요인에 관한 연구)

  • Kim, Jae-Yop;Lee, Ji-Hyeon;Song, Hyang-Ju;Han, Saem
    • Korean Journal of Social Welfare
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    • v.62 no.4
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    • pp.275-296
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    • 2010
  • This study analyzed the state of battered women who drink at a dangerously high level and the factors that influence their hazardous drinking in order to promote their safety and their healthy adjustments. The researchers utilized the data from "Analysis of the Effectiveness of Intimate Partner Violence Offenders Correction and Treatment Program" funded by Ministry of Gender Equality, and thereby, sampled 124 battered women for interview over phone. The results of applying the WHO's standard for hazardous drinking based on frequency and quantity calculations showed that 15.7% of survey participants were classified as hazardous drinkers, either currently experiencing or having the risk of experiencing problems related to drinking. The result of carrying out a logistic regression analysis to identify the factors that influence hazardous drinking showed that household income and self-blame were factors that exerted statistically significant influence. Based on these results, clinical and practical intervention plans for helping battered women who drink hazardously were discussed.

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Historical Origins of Taiwan's Status-Differentiated Social Insurance Scheme (대만의 분절된 사회보험 체계의 역사적 기원: 노동보험과 공무원보험을 중심으로)

  • Wang, Hye Suk
    • Korean Journal of Social Welfare Studies
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    • v.45 no.3
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    • pp.151-178
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    • 2014
  • Highly Differentiated and segmented social insurance scheme in Taiwan shows its salient dimension of stratification, which has been considered as a general feature of conservative welfare regime. However, compared to Western conservative welfare states, Taiwan's social insurance scheme shows a distinct feature. First, Taiwan's social insurance scheme has offered a full coverage for various benefits. Secondly, Labor Insurance and Government employees' Insurance reveal distinct features of stratification. Labor Insurance has developed a universalistic system based on status equality and cross-class solidarity of working classes while Government employees' Insurance includes a myriad of occupational- and status-based programs. This article aims to articulate the historical origin of Taiwan's unique social insurance scheme and explains it as an unintended result of state's political intervention and various interests of each insured groups, especially, politically, economically, and ethnically conflicting identities of government employees and working classes.

Characteristics and Strategic Implications of China's Naval Strategy during the Xi Jinping Era (시진핑(習近平) 시기 중국의 해군전략 특징 및 전략적 함의)

  • Ahn, Seul-Ki
    • Maritime Security
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    • v.1 no.1
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    • pp.61-92
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    • 2020
  • This paper attempts to examine the changes in China's naval strategy and to analyze the goal, range, and method of each strategy during the Xi Jinping's era. Since the founding of New China, the People's Liberation of Army Navy(PLAN) has made four changes in the naval strategy. Under Xi Jinping's administration, China's naval strategy is far seas operation combined with near seas active defense. Now, China's naval strateg y is shifting from a defensive to an aggressive one, increasing the proportion of offensive weapon systems and the number of state-of-the-art warships, and the scope of the naval strategy has been specified in the second island chain including the Indian Ocean. With the changes of naval strategy, the PLAN will set a new strategic goal to secure maritime dominance and implement an assertive strategy to actively respond to the intervention and intrusion of external forces. Moreover, the PLAN will also improve its sea-based deterrence force and the maneuver force to block other countries in the long-distance maritime conflict zones. The operation method of China's future naval strateg y will gradually shift from 'interdiction' to 'rapid-response.'

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The Analysis of Nursing Research in Korea in relation to the Evaluation of Quality of Nursing (간호의 질 평가에 관한 국내 간호연구 분석)

  • Kim, Nam-Young;Jang, Keum-Seong;Ryu, Se-Ang;Kim, Yun-Min
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.337-352
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    • 2003
  • Purpose: The purpose of this study is to analyse research trends related to the evaluation of quality of nursing, thereby obtaining basic data relating to the identification of current situation of instrument development of quality of nursing, and of future research orientation and to the development of performance index of nursing organization. Method: The data were collected from June to December, 2002 through the review of total of 32 research papers which had evaluated quality of nursing among published papers in Korea from 1976 to August 2002. The analysis was done in terms of research period, the periodicals in which research papers were published, domains and the approaches of evaluation of nursing quality. The content analysis of lowest-level items amounting was performed using NIC developed by McCloskey & Bulecheck(1998) and consequential indices of quality of nursing developed by Chi(1995). Results: Twenty-three of 32 papers(71.8%) turned out to be published after 1995, indicating surging interest in the evaluation of quality of nursing from the mid 1990s. Also, ten of 12 research papers dealing with subjects' diseases were published after 1995. In content analysis of lowest-level items of the process-oriented evaluation of quality of nursing, the highest nursing intervention was patient education about procedure and treatment; followed in descending order by patient education about disease process, strengthening of communication, managing environment, infection control, admission care, defecation and urination care. In content analysis of lowest-level items of the outcome-oriented evaluation of quality of nursing, items of physical and psychological state, of patient and family satisfaction, of knowledge and home care, of change of patients' state, of addressing nursing issues, and of patient recovery were the outcome indicators in more than 60 percent research papers. Conclusion: The findings provided the foundation for their effective use in nursing practice with comparing and presenting various core evaluation items representing process and outcome domains.

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