• Title/Summary/Keyword: intervention of state

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A Randomized Controlled Trial To Motivate Worksite Fecal Occult Blood Testing (암위험사정이 직장인의 혈변검사에 미친 영향에 관한 실험연구)

  • 이정렬
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.300-306
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    • 1990
  • Colorectal cancer is second only to lung cancer as a cause of death due to cancer in the united States. Studies have shown that fecal occult blood(FOB) tests are effective in detecting colorectal cancer in its early stages. To motivate worksite FOB testing, a randomized controlled trial was conducted. Employees 40 years or older from three federal agencies in Washington State were randomized to a control group(n=139) which received a letter stating the availability of the FOB test at the worksite clinic or to an intervention group(n=139) which received the letter about facts on colorectal cancer and a Colorectal Cancer Risk Appraisal. The Colorectal Cancer Risk Appraisal included a feedback on an individual's risk of developing colorectal cancer compared to his / her peers in terms of ‘normal’, ‘moderate’, or ‘high’ risk status. After 3 months, a follow-up questionnaire was sent to all participants to measure the effectiveness of the intervention. In the analysis of the three major outcomes, two possible confounding factors(dietary fat and family history of colorectal cancer) were controlled by logistic regression. Based on a review of the worksite clinic records, the Intervention group had 4.3% higher compliance rate with the FOB test during the follow-up period compared to the control group(p=.10). The largest effect of the intervention was on the employees' intention to get a FOB test within the next year(62.6% in the intervention group vs. 36.2% in the control group, OR=3.18, p<.001). In the final Multivariate logistic model, the employees who were more likely to intend to get a FOB test within the next year were in the intervention group ; were at ‘moderate’ or ‘high’ risk of colorectal cancer ; knew more about the availability of the FOB test at the worksite clinic ; and had a FOB test during the last three years.

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Effects of a Single Session of Brain Yoga on Brain-Derived Neurotrophic Factor and Cognitive Short-Term Memory in Men Aged 20-29 Years

  • Yang, Hyun-Seong;Kim, Hyun-Jun;Lee, Hwa-Gyeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.91-103
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    • 2021
  • Purpose : This study aimed to evaluate the effects of a cognitive enhancement brain yoga program on short-term memory and serum brain-derived neurotrophic factor (BDNF) levels according to the cognitive state in men aged 20-29 years. Methods : Thirty healthy volunteers aged 20-29 years were divided into four groups: brain yoga group, yoga group, combined exercise group, and control group. Seven people were assigned randomly per group. A single-session intervention was conducted over 50 min and consisted of three parts: warm-up, main exercise (brain yoga, yoga, combined exercise, or non-exercise), and cool-down. Serum BDNF levels were measured using enzyme-linked immunosorbent assay, and short-term memory was evaluated using the forward number span test before and after the intervention. Results : BDNF levels significantly increased within the brain yoga group after the intervention (from 28874.37±5185.57 to 34074.80±7321.12, p=.003), whereas there were no significant differences pre-and post-intervention in the other groups. The inter-group comparison showed a significant interaction between the brain yoga group and the combined exercise group (p=.036) but no significant interaction between any of the other groups. Forward number span scores were significantly increased in the brain yoga group (from 9.43±9.83 to 23±7.92, p=.012) and theyoga group after the intervention (from 13.43±9.41 to 24.14±8.45, p=.011), whereas there were no significant changes after the intervention in any other groups. Conclusion : Our findings showed that a single-session, 50-minute brain yoga exercise improved short-term memory and increased serum BDNF levels in healthy men aged 20-29 years and that yoga improved only short-term memory in healthy men of this age group.

Uncertainty and Anxiety in Families of Hospitalized Children (입원 아동 가족의 불확실성과 불안)

  • Koo Hyun-Young
    • Child Health Nursing Research
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    • v.8 no.1
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    • pp.67-76
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    • 2002
  • The purpose of this study was to investigate the level of uncertainty and anxiety in families of hospitalized children. Data were collected through self-report questionnaires which were constructed to include parent's perception of uncertainty and state anxiety. The subjects consisted of 126 families of hospitalized children in one university-affiliated hospital in Daegu. The data were analyzed by the SPSS program. The results were as follows; 1. The mean score of uncertainty was 64.70 (Range=31-95). The mean scores of subsets of the uncertainty were followed as: lack of clarity (2.59), unpredictability (2.46), lack of information (2.22) and ambiguity (2.14). 2. The mean score of state anxiety was 47.93 (Range=20-67). 3.The level of uncertainty was positively correlated to the level of state anxiety. 4. The level of anxiety was different depending on their religion and monthly income. The above findings indicated that the level of uncertainty and the state anxiety in families of hospitalized children were positively correlated. Therefore, nursing intervention for reducing uncertainty and anxiety and improving coping method should be provided for families of hospitalized children.

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The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

  • Nop T. Ratanasiripong;Steven Cahill;Christine Crane;Paul Ratanasiripong
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.154-163
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    • 2023
  • Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

Effects of the Relaxing Music Appreciation on Mood State and Autonomic Nervous System in Hospitalized Mental Illnesses (이완음악감상이 입원한 정신질환자의 기분상태 및 자율신경계에 미치는 영향)

  • Seon-Sik, Kim;Kyeong-Yoon, Choi;Mi-Suk, Choi
    • Advanced Industrial SCIence
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    • v.1 no.2
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    • pp.9-16
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    • 2022
  • This study was a randomized before-and-after design of 17 subjects in the experimental group and 17 subjects in the control group to investigate the effects of listening to relaxing music on the mood state and autonomic nervous system, that is, heart rate of hospitalized patients with mental illness. The collected data were analyzed with SPSS V15.0. There was a statistically significant difference between the two groups in mood state and autonomic nervous system, that is heart rate and the effect of listening to relaxation music was objectively verified(<.05). among the subdomains of mood states, tension(<.00), depression (<.00), vitality (<.03), fatigue () <.01), excluding anger (>.39) and confusion (>.33) showed a significant difference, proving that it is an effective intervention method applied to hospitalized mentally ill patients. In the future, we would like to suggest long-term intervention research and development and application, and research on the effect of mood change and heart rate using individual preferred music.

A Study on Perceived Entrapment, Anger and Depression in Adolescent Women (청소녀의 지각된 속박감, 분노 및 우울의 관계)

  • Cheon, Suk-Hee
    • Women's Health Nursing
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    • v.14 no.4
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    • pp.239-247
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    • 2008
  • Purpose: The study was designed to examine the relationship of perceived entrapment to anger and depression in adolescent women. Method: Seven hundred sixty-five adolescent women were recruited from two high schools located in Seoul, Korea for a descriptive study. The instruments used were The Entrapment Scale for perceived entrapment, Spielberger's state trait anger expression inventory-Korean version for state anger and trait anger, and The Center for Epidemiology Studies Depression Scale(CES-D) for depression. Results: The score of perceived entrapment significantly correlated with state anger, trait anger and depression. The significant predictors of depression in adolescent women were perceived entrapment, state anger and trait anger explaining 47.6% of the variance in depression. Conclusion: This study showed that perceived entrapment is an important predictor for depression. Therefore, in order to reduce depression in adolescent women, it is necessary to design an intervention program that helps with coping and reduces perceived entrapment.

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The Study on Autonomous State Estimator for Smart Grid (스마트그리드를 위한 자율형 상태관측기 연구)

  • Park, Jong-Chan;Lee, Se-In
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.60 no.1
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    • pp.32-36
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    • 2011
  • In this study, authors have proposed the autonomous state estimation which has been composed with IEC61850, GPS time synchronization and objective model design concept. The proposed method is able to supervise/correct measurement and communication error from SCADA. The major advantages of the proposed autonomous state estimation are that it is possible to evaluate integrity of data measured and transferred from SCADA, to reduce human intervention and to expense national-size applications such as EMS (Energy Management System), WAMS (Wide Area Monitoring System) or WAPS (Wide Area Protection System). This study addresses the issues related to the operation of the smart grid and proposes a new automated approach to achieve this goal. Through applying the proposed system to IEEE 14-bus test electric system, we prove the possibility of the proposed idea.

The Effects of Meridian Massage on the Behavioral State and Weight in Infants (경락마사지가 신생아의 행동상태와 체중에 미치는 효과)

  • Cho Kyoul-Ja;Ji Eun-Sun;Kim Young-Ran
    • Child Health Nursing Research
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    • v.9 no.4
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    • pp.384-391
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    • 2003
  • Purpose: This study was implemented to develop new nursing intervention, Meridian Massage, and to investigate its effect on weight, behavioral state in infants. Method: This study has been conducted on the non equivalent control group pretest-posttest design in quasi experimental basis and newly born infants from Postpartum Management Center were selected in two groups of 35 infants. Data has been collected from February 1st to October 30th of 2002. The experimental group(20) took Meridian massage for 15 minutes daily twice during 6 days and control group took Field massage as same time. Weight has been determined 10:00 hours everyday morning and behavior status has been determined before and after 5 minutes beth by Anderson et al.(1990) tools. Data was analyzed by SPSS 11.0 Program using t-test, χ2-test and repeated measures ANOVA. Result: The results were as follow. In the aspect of behavioral status, Meridian massage group(55.8%) showed increase「positive」state than Field massage group(42.6%). And there was statistical significance(p=.002). Meridian massage group showed higher in the average weight than Field massage group(F=6.753, p=.014), and there was significant term between the two groups(F=10.129, p=.000). But there was no interaction group and term. Conclusion: The Meridian Massage in this study showed more positive aspect in weight gain and positive behavior status than Field Massage. This study has informed that meridian massage is an effective nursing intervention in improving Infant development.

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Effects of a Video-based Education Program for Cerebral Angiography on Patients' Outcomes: A Randomized Controlled Trial (뇌혈관 조영술에 대한 동영상 교육 프로그램이 환자결과에 미치는 효과: 무작위대조군 전후 실험 설계)

  • Sung-Hyun Tark;Jee-In Hwang
    • Quality Improvement in Health Care
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    • v.30 no.1
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    • pp.76-87
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    • 2024
  • Purpose: We investigated the effects of a video-based education program for cerebral angiography on patients' state anxiety, uncertainty, nursing care satisfaction, and complications. Methods: The randomized experimental study included patients who underwent cerebral angiography at a university hospital in Bucheon, Gyeonggi-do between January 2023 and August 2023. Patients were assigned to the experimental group (n=50) and the control group (n=48). The program included video- and pamphlet-based education. The intervention included video-based education provided to the experimental group and conventional pamphlet-based education provided to the control group. Data were obtained pre-, post-, and 2-7 days post-intervention. Data were analyzed using the x2-test and the repeated measures analysis of variance test with the SPSS software, version 28.0. Results: The experimental group showed lower levels of state anxiety (x2=4.316, p=.038) and uncertainty (x2=3.974, p=.046) than the control group. However, we observed no significant intergroup differences in satisfaction with nursing care and complication rates. Conclusion: The results suggest that a video-based education program for cerebral angiography can effectively reduce state anxiety and uncertainty in patients undergoing cerebral angiography. Video-aided educational interventions can improve the quality of nursing care with regard to reducing state anxiety and uncertainty in patients who undergo cerebral angiography.

Effect of a Four-Week Exercise Training on Knee Indices, Pain Perception, Wellness and Cardiorespiratory Endurance in Patients with Knee Osteoarthritis: A Randomized Control Trial

  • Ojo, Israel Arogundade;Adeyemi, Wale Johnson
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.3
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    • pp.13-20
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    • 2024
  • PURPOSE: To determine the effect of four weeks of exercise training on knee circumference and range of motion (ROM), pain perception, wellness, and VO2max in patients at Osun State University Teaching Hospital, Osogbo, Nigeria. METHODS: Forty subjects who met the inclusion criteria were randomized into control and experimental groups. patients were subjected to four weeks of flexibility and strengthening exercise, which included squatting exercise, ROM exercise, both groups were given some cardiovascular exercise. VO2max), Wellness score and circumference. RESULTS: Compared to the baseline values (week 1), there was increase in the knee ROM, and decrease in the pain perception in both groups after four weeks. However, the improvements seen in the experimental group, were significantly better relative to the control group after four weeks of intervention. owever, knee ROM and wellness scores of the experimental group, and the VO2max of both significantly increase, but significantly decrease in the knee circumference and pain perception of both groups following 4 weeks of exercise was recorded. CONCLUSION: he exercise modality in the study promote cardiovascular endurance, knee joint integrity, reduce pain perception in subjects. xercise intervention s beneficia to both groups since both reduction in the pain felt and also in knee swelling.