• 대한간호학회지
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• 제25권2호
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• pp.316-329
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• 1995

The purpose of this study was to exame the effectiveness of the hand massage as an independent nursing intervention for the cancer patients undergoing radiation therapy. The data were collected with quasiexperimental research design from 40 subjects-20 for experimental group and 20 for control group-of the radiation oncology department of one university hospital in Seoul from January 10th to March 29th, 1994. Subjects agreed to participate in this study and ranged in age from 18 to 82 years with mean age of 52.63. They had insight of their disease and had undergone radiotherapy at least twice. The hand massage developed by Mariah Snyder (1993) based on the Swedish Massage was administered to the experimental group prior to having radiation therapy at the waiting place of radiotherapy room. Hand massage was given to each hand of patient for five minutes once a day. Measurement of the patient's blood pressure, pulse rate, state anxiety and mood were done before and after the administration of hand massage for 5 days. The data were analyzed with paired t-test, t-test an4 the results were summarized as follows ; 1. After administration of the hand massage, the diastolic blood pressure of experimental group was decreased significantly, while the systolic blood pressure and the pulse rate were decreased, but not significantaly. 2. In the experimental group, the level of anxiety was significantaly lower than control group. The mean scores of the difference of the anxiety level after having hand massage was 8.60 in the experimental group and 0.75 in the control group. 3. The difference of the mood scores before and after the massage in the experimental group was decreased significantly. The mean mood score was decreased 4.80 in the experimental group as compared with 2.02 in the control group. 4. The patients after having the hand massage expressed subjectively their feeling of relaxation, well - being and being enjoyable, the significant decreased of physical symptoms and anxiety. The findings summarized that the use of the hand massage for the cancer patient undergoing radiation therapy Produced significant changes in the level of anxiety and relaxation. Therefore it is recommended to use the hand massage as an intervention for the patients.

• 원예과학기술지
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• 제16권3호
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• pp.377-380
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• 1998

실내에 관엽식물을 배치하였을 때 실내 온도나 습도에 미치는 영향을 조사하기 위해서 물리적 환경이 유사한 두 공간을 설정하여 식물체의 유무, 배치방법, 화분의 wrap seal 유무에 따른 환경변화를 조사하였다. 계절에 따른 효과도 비교하기 위해 동일한 실험을 여름과 겨울철 2회에 걸쳐 행하였다. 실내에서의 이용도가 높고, 광합성과 증산작용이 다른 관엽식물에 비해 활발한 Pachira aquatica를 사용한 실험 결과에 따르면 식물체의 배치여부는 실내의 온도환경에 거의 영향을 미치지 못하였다. 그러나 습도환경에는 방에 따라 약간의 차이가 있으나 평균적으로 실험에 이용된 실내공간의 2.4%에 해당하는 용적의 식물체 배치로 3~5%의 습도조절이 가능했으며, 이러한 효과는 계절에 상관없이 동일하게 나타났다. 또한 여름에는 창측 일렬배치와 점재배치간의 습도상승 효과의 차이가 나타나지 않았으나, 겨울에는 일렬배치가 점재배치에 비해 습도상승의 효과가 큰 것으로 나타났다.

• Journal of Korean Biological Nursing Science
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• 제11권2호
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• pp.105-113
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• 2009

Purpose: The aim of this study was to examine the effect of listening to music on the level of anxiety, sedation, and vital signs of patients undergoing surgery with spinal anesthesia. Methods: A convenience sample of 70 adult patients, ASA physical status I-II, scheduled for elective urologic or orthopedic surgery with spinal anesthesia, was included in this study. They were assigned to either an experimental group (n=35), listening to music during surgery, or a control group (n=35), not listening to music. Their anxiety was measured with the Spielberg's Trait and State Anxiety Inventory (STAI-KYZ). Sedation level was monitored with the Bispectral Index, and the vital signs at beginning, 10, 20, 30, and 45 min after operation. Results: The music group reported significantly lower state anxiety level during surgery as compared with the control group (t=3.91, p<.001). Repeated measures of ANOVA indicated a significant by group interaction on BIS index scores of sedation (F=4.23, p=.006). Among the vital signs, only heart rate was a significant by group interaction (F=5.529, p=.004). Conclusion: These findings indicate that listening to music during surgery with spinal anesthesia is a useful and effective nursing intervention to reduce anxiety and to maintain proper sedation.

• 대한한방소아과학회지
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• 제26권2호
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• pp.25-34
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• 2012

Objectives The purpose of this study was to find out the relationship between developmental disabilities and oriental medicine using diagnostic procedure based on the symptoms of weak children. Methods The questionnaire administrated to 42 developmental disability children in ${\bigcirc}{\bigcirc}$ Hospital's physical therapy room, and 90 general children in day care center. Results 1. The mean value of every organ's weak score was higher in developmental disability children group than that of general children group. 2. Regardless of developmental disabilities, the biggest portion among all children was lung weak children. 3. The percentage of the weak children was 38.1% in developmental disability group and 20% in general children group. 4. Heart, spleen, kidney weak children were significantly more in developmental disability group than in general children group. Conclusions Developmental disability children's weak symptom scores were higher than general children. Also, developmental disability children were more prone to weaker heart, spleen, kidney than general children.

• 대한간호학회지
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• 제22권1호
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• pp.49-67
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• 1992

Most hospitalized children will experience physical pain as well as psychological distress. Preschool children's pain perception related to painful procedures can increase due to elevated anxiety and fear because they do not have understanding logical of their disease and hospitalization. In particular, they are distressed about needle - related procedures which are feared because they are seen to be a cause of bodily damage. This descriptive study attempted to identify pain perception levels in preschool children and their mothers. A self-reporting measurement and behavioral observation were used to collect the data. A total of 25 hospitalized preschool children and their mothers were investigated and data were collected about 60 painful procedures. Data collection was carried out by the researcher and two trained investigators from November first to December tenth. Three insruments were used to collect the data : Faces Pain Rating Scale(FPRS) developed by Beyer was used to measure the degree of preschool children's pain perception about painful procedures. The Visual Analogue Scale(VAS) devised by Huskisson was used to assess the degree of mothers' pain perception about their children's painful procedures. A Pain Behavioral Checklist based on the Procedure Behavior Check List by LeBaron and Zelter and modified by the researcher was used to observe behaviors of preschool children, their mothers, and nurses when the painful procedures took place. The data were analyzed by an SPSS program, and were tested using real numbers, percentages, Pearson correlation coefficient, t-test, and ANOVA. The results of this study are as follows : 1. Of all the painful procedures, the mean score for the FPRS for the preschool children's pain perception was 4.02 points, and the mean score for the VAS of mothers' pain perception was 10.92 points. 2. A Positive correlation which was statistically significant was found between the pain perception of preschool children and their mothers (r＝.53, p＜.01). that is, the higher the children's pain perception was, the higher their mothers' pain perception was. 3. The characteristics of the painful procedures related with children's pain perception as follows : The type of painful procedure was found to be statistically significant (F＝23.44, p＜.01), Among the three procedures Ⅳ starting was found to be perceived as the most painful procedures to the children. The greater the number of times that the procedure had been done, the higher the pain perception was (F＝4.44, p＜.01), and the longer the duration of the procedure, the higher the pain perception wa(r＝.30, p＜.05). Pain perception in the treatment room was higher than in the children's room(t＝6.30, ＜.01), pain perception in the mother's presence was the higher than when the mother was not present (t＝2.91, p＜.01). 4. The characteristics of the painful procedures related with the mothers' pain perception as follows : The type of painful procedure was found to be statistically significant(F＝6.01, p＜.01). Among the three procedures Ⅳ sampling was found to be perceived as the most painful procedures to the mothers. The greater the number of times that the procedure had been done, the higher the pain perception was (F＝5.95, p＜.01), and the longer the duration of the procedure, the higher the pain perception was (r＝.31, p＜.05). Pain perception in the treatment room was higher than in the children's room (t＝3.51, p＜.01), but pain perception in the mother's presence showed statistically significant no difference. 5. Of all of the 19 children's behaviors during the painful procedures, the most frequent behaviors observed Were as follows in order of frequency “crying”, “screamirig”, “facial grimacing”, “physical resistance”, Of all of the nine methers' behaviors, the most frequent by observed in “console children”, “hold children”, “applaud children”, Of all of the 11 nurses' behaviors during the painful procedures, the mast frequent in order were “smiling”, “physical restraint”, “console children”, “praise children”. 6. A positive correlation between children's and mothers' pain perception and children's behaviors was found to be statistically significant (r＝.65, p＜.01, r＝67, p＜.01). Also the relationship between children's and mothers' pain percertion, and mothers' behavior was found to be statistically significant (r＝.57, p＜. 01, 4＝.60, p＜.01). The relationship between children's pain perception and nurses' behaviors was also found to be statistically significant (r＝.46, p＜.01), but there was difference between mothers' pain perception and nurses' behaviors.

• 지역사회간호학회지
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• 제7권2호
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• pp.183-202
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• 1996

This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.

• The Journal of Korean Physical Therapy
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• 제8권1호
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• pp.21-32
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• 1996

비닐하우스 재배농민들의 건강문제와 비닐하우스 내의 환경 상태를 파악하고, 그 해결방안을 모색하기 위하여 1995년 8월 10일부터 9월 10일까지 1개월 동안 김천시 인근의 5개지역에서 농사를 짓는 성인 남녀 가운데 무작위로 추출된, 비닐하우스 재배농민 209명과 일반농민 161명을 대상으로 직접 면담조사를 실시하여 분석한 결과는 다음과 같다. 1. 비닐하우스 농민의 농사경력 평균 17.29, 15.08년이 일반농민의 31.24, 25.58년에 비해 짧았으며(P<0.05), 노동시간은 거의 비슷하였다. 월간 노동일수를 보면 비닐하우스 재배농민 남녀 각각의 평균이 28일, 27.52일로 일반농민 평균 26.57일, 25.95일에 비해 더 많았다. 2. 비닐하우스 재배농민의 농부증 신체 증상 호소율은 요통, 어깨결림, 수족감각 둔화, 어지러움 등으로 나타났으며, 일반 농민들 사이에 뚜렷한 차이가 없었다. 3. 지난 1년동안 농약살포 회수는 비닐하우스 재배농민이 평균 23.79회로서 일반농민의 8.36회 보다 약 3배 많았으며(P<0.05), 농약중독 경험율도 비닐하우스 재배농민이 $9.09\%$로 일반 농민 $1.24\%$보다 높게 나타났다(P<0.01). 4. 비닐하우스 내부 및 외부의 온도, 습도 그리고 불쾌지수를 보면 비닐하우스 내부 온도는 평균 $34.6{\pm}5.05^{\circ}C$로서 외부의 $22.9{\pm}4.3^{\circ}C$에 비해 $11.7^{\circ}C$이상 차이가 있었으며, 습도의 경우 비닐하우스 내부가 $65.9\%$로서 외부의 $76.5\%$보다 $10.6\%$ point 낮게 나타났다. 불쾌지수는 비닐하우스 내부 평균이 $83{\pm}4.61$, 외부 평균이 $70.64{\pm}5.61$로서 내부가 높게 나타났다. 5. 지난 1년간 농부중의 신체증상을 치료한 의료기관을 보면 비닐하우스 재배농민은 물리치료 $43.06\%$, 약국 $24.40\%$, 병원 $18.66\%$, 한의원 $5.74\%$ 순으로 나타났으며, 일반농민은 약국 $34.16\%$, 물리치료 $27.33\%$, 병원 $18.63\%$, 민간요법 $11.18\%$순으로 나타났다(P<0.01).

• 대한감각통합치료학회지
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• 제9권1호
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• pp.11-20
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• 2011

목적 : 본 연구에서는 자기-평가 방법을 이용하여 Ayres의 감각통합중재 중심 원리를 바탕으로 한 치료사의 치료적 수행 정도를 알아보고자 하였다. 연구방법 : 연구기간은 2010년 5월부터 6월까지이었고, 연구대상은 감각통합중재를 하고 있는 치료사 66명이었다. 자기 기입식 설문지를 이용하여 Ayres의 감각통합중재 중심원리에 따라 치료를 수행하는 정도를 자기-평가하도록 하였다. 설문지는 감각의 기회제공, 적절한 도전의 과제 제공, 활동을 선택할 기회 제공 등 Ayres의 감각통합중재 중심 원리에 대한 10가지 항목으로 구성하였다. 총 66부의 수거된 설문지는 기술통계를 이용하여 분석하였고, T 값을 통해 퍼센타일을 알아보았다. 결과 : 모든 치료사들은 Ayres의 감각통합중재 중심 원리의 10가지를 모두 고려하여 치료하는 것으로 나타났다. 10가지 Ayres의 감각통합중재 중심 원리 중 자기 조직화 가이드 중심 원리를 제외하고 90%이상에서 종종, 자주, 항상 고려하여 치료하고 있었다. 감각의 기회제공, 적절한 과제제공, 활동 선택 기회제공, 아동의 성공을 최대화, 신체적 안전성 보장, 치료적 존중의 감정 조성은 T 값 50점 이상을 나타냈다. 자기 조직화 가이드, 적절한 각성 유지, 놀이 환경의 조성, 아동이 치료실 정리에 참여는 T 값 50점 이하를 나타냈다. 결론 : 지속적인 Ayres의 감각통합중재 중심 원리에 따른 치료사의 자기 수행에 대한 평가를 통해 치료의 질을 점검하고 높이는 것이 필요하다.

• 문화기술의 융합
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• 제7권2호
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• pp.297-302
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• 2021

본 연구는 뇌졸중 후 노인의 우울정도를 확인하고, 수면의 질과 우울의 관련성을 파악하기 위해 시행되었다. 연구대상자는 뇌졸중 후 물리치료실을 내원하는 60세 이상의 노인 110명이며, 설문조사는 2020년 8월부터 11월까지 시행하였다. 자료분석은 기술적 통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis를 이용하였다. 연구결과 참여대상자의 77.3%(85명)이 우울한 것으로 나타났으며, 일반적 특성에 따른 우울은 뇌졸중 마비측에 따라 차이를 보였다. 대상자의 우울에 영향을 미치는 요인은 수면의 질이었으며, 설명력은 27.8%로 뇌졸중 후 노인의 수면의 질은 우울에 주요한 영향요인임이 확인되었다. 따라서 뇌졸중 후 노인의 우울을 감소시키기 위해 수면의 질을 개선하기 위한 방안들이 마련되어야 할 것으로 생각된다.

• 대한간호학회지
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• 제30권6호
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• pp.1467-1478
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• 2000

The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.