• 기본간호학회지
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• 제8권3호
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• pp.314-323
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• 2001

Purpose : Complementary and alternative therapies(CAT) are defined as those treatments and healthcare practices not taught widely in medical schools, not generally used in hospitals, and not usually reimbursed by health care insurance. Recently, CAT have become increasingly popular with health care consumers and health care professionals. This study investigated nurses' perceptions and experiences with CAT. Method: 124 nurses who were working in university hospitals in Seoul and Inchon were randomly selected as participants for this study. They answered open and closed questionnaires on their Perceptions and experiences with CAT. Results: Most of the subjects recognized the existence of CAT (86.3%), and expected a treatment effect from CAT when it is combined with conventional therapy (84.7%). Nurses accepted CAT positively as complement for conventional therapy and useful modalities of psychological support when its effects have been proven scientifically. Forty nurses (32.3%) had learned CAT including soojichim, aroma therapy, relaxation, meditation, music therapy, massage, and acupressure. Eight nurses (6.5%) used CAT with patients including soojichim, hand massage, relaxation, and music therapy. Conclusion: In spite of the nurses' positive perceptions of CAT, the nurses' professional experiences were quite limited. Nurses need authorized training programs and continuing education opportunities in CAT. This would increase their ability to use CAT. But to improve scientific knowledge more evidence based research is.

• 중환자간호학회지
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• 제7권2호
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• pp.34-44
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• 2014

Purpose: The purpose of this study was to determine the factors related to airway failure during endotracheal intubation among patients with and without predicted airway difficulty. Methods: Medical records were examined retrospectively. 329 patients who were admitted to the general ward and underwent endotracheal intubation were included. The incidence of airway failure in the two groups was investigated. Results: The group predicted to have airway difficulty consisted of 79 patients (24.0%) and the group without airway difficulty, 250 (76.0%). The number of cases of airway failure was 50 (15.2%). The factors that were associated with airway failure in the group with predicted airway difficulty were the jaw relaxation score, Cormack-Lehane score, and the device of the first endotracheal intubation attempt. The factors that were associated with the airway failure in the group predicted not to have airway difficulty were the induction agent, jaw relaxation score, Cormack-Lehane score, level of training of the personnel with the first endotracheal intubation success, and the device of the first endotracheal intubation attempt. Conclusion: The prediction of airway difficulty during endotracheal intubation was not effective; however, it was meaningful from the perspective of patient safety.

• 디지털융복합연구
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• 제14권9호
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• pp.479-484
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• 2016

본 연구는 상기생, 진피, 국화 및 맥문동 혼헙물이 혈관건강을 증진 시킬 수 있는 건강차를 개발하는데 기초 자료를 확보하고자 한다. 이에 따라 상기생, 진피, 국화 및 맥문동의 혼합 조성물이 농도별로 수축혈관에 미치는 영향과 농도에 따른 조성물이 세포생존율에 미치는 영향을 통해 안정성을 검증하였다. 조성물의 농도가 높을수록 혈관의 이완효과가 큰 것으로 나타났으며, 본 조성물이 혈관의 수축 이완에 영향을 미칠 수 있음을 확인하였다. 또한 세포생존율이 대조군보다 높게 나타나 정상 간과 신장 세포의 성장에 유익한 경향을 보임을 알 수 있었다. 본 연구의 결과는 향후 한약자원을 활용한 차별화된 건강차 개발의 기초자료이며, 개발된 차로 혈관 수축률 억제 기전연구가 이루어진다면 동양의 한약자원을 활용한 현대화된 분석법을 통해 융복합적 방법으로 건강차 개발에 기초자료로 제공하고자 한다.

• 대한예방한의학회지
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• 제20권3호
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• pp.83-91
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• 2016

Objectives : The Levator Ani Muscles Training(LAMT) is one of the well known very effective prevention and treatment method of some specific diseases in the anal organs, digestion system, urinary organs and genital organs, which means LAMT could be considered as an independent exercise. Methods : Chinese databases were searched and found one good source named CNKI(China National Knowledge Infrastructure) where there were downloaded 154 articles, out of which were finally selected 82 used for the introduction of the historical background, health-effectiveness, working mechanism, training methods, etc. Results : LAMT as an independent exercise, is considered very effective for the prevention of diseases in the anal organs, e.g. hemorrhoids, anal fissure, rectal prolapse; urinary organs, e.g. urinary incontinence, frequent micturition; digestion system, e.g. visceroptosis, diarrhea, chronic enteritis; genital organs, e.g. prostatitis, impotence, premature ejaculation, feminine vaginal relaxation, sexual indifference, etc. It is also told LAMT is effective for coronary heart disease, hyperyension and varicose veins of lower extremity to a certain degree. LAMT is also very similar to the Kegel exercise in couple of aspects. They are equally effective for the urinary incontinence and impotence. Conclusions : LAMT as an independent exercise has developed and become more and more health-effective, especially through the combination with the Qigong exercise, and thus many training methods have been introduced. There are not many scientific research and development with very limited accomplishments even in China. It is strongly required to strengthen the research and development activities so that LAMT will become one of the very effective natural healing soonest possible.

• 동의신경정신과학회지
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• 제17권3호
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• pp.97-106
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• 2006

Oriental Medicine Based Psychotherapy is consisted of 8 sessions which are available for various kinds of patients(mood disorders, somatoform disorders, anxiety disorders, Hwabyung, adjustment disorders etc.). Through 8 sessions, patients were educated on the relationship of mind and body which is the basic concept of oriental medicine and also received several training such as Progressive Muscle Relaxation, Autogenic Training, Breathing Training, Meditation, Qi-training. After these several training they get to think of their problems and inner conflict with people and get some insight about themselves and others, it can help handling their problems. This case report is about the patient with lots of somatic complains through the whole body, who got better after treatment by oriental medicine based psychotherapy added on herbal medicine and acupuncture.

• 대한정형도수물리치료학회지
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• 제8권2호
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• pp.57-71
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• 2002

Cervical pain is a rapid increase that is owing to a flexion-extension whiplash injury, unappropriated posture, chronical repetition injury from abdominal position of head and neck, excessive repeating work, chronical deficiency of excercise. Because of that is bring about muscle unbalance, tightness of cervical extensor muscle, weakness of cervical deep flexor muscles, instability of cervical region and reduction of proprioceptive sensor. Recent the role of muscle is more emphasized for preservation of sine stabilization. And cognition of integrated muscular system, importance for the operation and relation is increased to maintain stability of the motor system and pertinent function. Therefore we are going to introduce the sling exercise and stabilization exercise method for advanced efficient of cervical and upper limb and for the muscle strengthening to importance cervical stabilization through neurological program as control the reaction of cervical stabilization. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensory-motor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovascular exercise, group exercise, personal exercise at home Sensory-motor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercise on an unstable surface, there by achieving optimum stimulation of the sensory-motor apparatus.

• Physical Therapy Rehabilitation Science
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• 제5권3호
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• pp.113-119
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• 2016

Objective: The effect of abdominal expansion maneuver (AEM) and abdominal draw-in maneuver (ADIM) on postural control in an unsupported position in stroke patients. Design: Randomized controlled trial. Methods: A total of 36 persons with hemiplegic stroke participated in this study. The subjects were randomly divided into an AEM experimental group (n=12), an experimental ADIM group (n=12), and a control group (n=12). We collected the general characteristics of all subjects and the pre-test results before the intervention and after 4 weeks of the intervention. The trunk stabilization training of the ADIM and AEM group were performed 15 minutes a day, 3 times a week for 4 weeks, and general physical therapy was performed 2 times a day, 30 minutes per session, 5 times a week for all three groups. The control group received joint mobilizations, muscle strengthening, endurance strengthening, and gait exercises along with treatment of the central nervous system, such as neuro-developmental treatment, mat, and gait training. The AEM is an inspiratory phase of tidal breathing expanding the lateral lower ribcage in a lateral direction with minimal superior movements of the chest. Then the lower abdomen expands and the navel moves in an anterior-caudal direction. The ADIM is a repeated contraction and relaxation of the anal sphincter during inspiration. The navel pulls the lower abdomen to the direction of the spine without the movement of the trunk and pelvis. Results: Before and after the interventions, medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area 95% was a statistically significant change in all three groups (p<0.05). The post-hoc test showed a significant improvement in medial-lateral axis movement distance, anterior-posterior axis movement distance, sway mean velocity, and sway area in the AEM group compared with the control group, and in the ADIM group compared with the control group (p<0.05). Conclusions: In conclusion, both AEM training and ADIM training are necessary interventions to maintain the independent sitting position according to the characteristics of the patient.

• 간호행정학회지
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• 제8권1호
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• pp.31-44
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• 2002

The main purpose of this study was to identify the effect of stress management program on the perceived stress, stress response, ways of coping of nurses.The data were collected from September 22 to December 21, 1997. The subjects were 45 emergency nurses of three university hospital located in seoul ; 25 assigned for the experimental group and 20 for the control group.The stress management program was composed of cognitive training, behavioral training and progressive muscle relaxation. The subjects of the experimental group carried out the 15-minute progressive muscle relaxation according to recorded-tape once a day for 6 weeks. The cognitive and the behavioral training were conducted by the investigator for 5～8 subjects at a time for 9 series, at an interval of 4～5days.The instruments used in the study was the perceived stress scale developed by Levenstein et al.(1993), Symptoms of stress Inventory(1991), and ways of coping scale developed by Lazarus & Folkman(1984).The data were analyzed by SAS program, using descriptive statistics, χ2-test, t-test, paired t-test.The results were as follows :1.　The perceived stress of experimental group was lower than that of the control group. However, no significant difference between the two groups was revealed.2.　The stress response of experimental group was reduced after stress management program and the stress response of control group was reduced after stress management program. but no significant difference between the two groups was revealed.3.　The problem oriented coping of the experimental group was higher than that of the control group, however no significant difference between the two groups was revealed.4.　The emotional oriented coping of the experimental group was lower than that of the control group, however no significant difference between the two groups was revealed.

• 대한불안의학회지
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• 제12권2호
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• pp.79-85
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• 2016

Sexually abused victims suffer not only physical damage, but they may also experience an array of additional problems ranging from acute fear, depressed mood, anxiety, shame, or insomnia to long-term psychiatric disorders. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is known to have excellent therapeutic effects for trauma victims including victims of sexual violence. CBT treatment includes stress immunity training, relaxation training, and acceptance and commitment therapy. In foreign countries TF-CBT is carried out online in order to increase the therapeutic accessibility for the victim and improve the quality of the interview for the therapists. As a result, those victims who have difficulties in requesting external help, who live in remote areas, or who have limited time may now have access to the service and benefit from the online education programs. A website providing an online based TF-CBT program was initiated in Korea also. Through the website, victims and their guardians may obtain therapeutic information without the need for face-to-face meetings with therapists. Our goal is to create a system with this website which will provide therapeutic assistance to sexual violence victims and improve the quality of the counseling provided by the therapist.

• 동의신경정신과학회지
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• 제13권2호
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• pp.11-19
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• 2002

Objectives : This study aimed investigation of mutual relation to a psychosomatic disorder and Sasang Constitutinal Medicine. Results : 1. A view of the body and mind, Sasang Constitutinal Medicine is similar to Mind-Body Medicine that a thought of the mind is the central idea. But a viewpoint of the mind to Sasang Constitutinal Medicine is based on Confucianism idea 2. The Nature and Emotion(性情)-a symbol of Happiness, Anger, Sorrow joy(喜怒哀樂) show a characteristic of man relate to an attack of a disease also take a disease itself. But Mind-Body Medicine recognize an attack of a disease caused only by the mind. 3. Sasang Constitutinal Medicine emphasize the care of health by respective The Nature and Emotion(性情) to the treatment and prevention of disease and drug therapy is an assistant. This is similar to an important meaning at psycho therapy-suggestive therapy, autogenic training, relaxation training etc in Mind-Body Medicine. Conclusions : Therefore, Sasang Constitutinal Medicine's clinical use in aspect of psychiatry, must to study human nature regard to korean traditional thought-Confucianism idea