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The Effect of Progressive Muscle Relaxation using Biofeedback on Stress Response and Natural Killer Cell in first Clinical Practice of Nursing Students (바이오휘드백을 이용한 점진적 근육이완훈련이 스트레스반응과 면역반응에 미치는 효과)

  • Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.109-121
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    • 2000
  • Increasingly nursing science is embracing the concepts and methodology derived from psycho-neuroimmunology. It has been previously shown that stress increases and immune function declines in students undergoing examinations. To date, however, no many studies have been reported on stress levels, immune function and interventions in Korean students undergoing their first clinical nursing rotation. It was proposed that nursing students during their first clinical rotation experience increase in stress because of the novelty of the situation and their lack of clinical knowledge. It was also hypothesized that biofeedback and progressive relaxation, methods of self-regulation of involuntary autonomic nervous system responses, would reduce the stress response. The purpose of this study is to test the effectiveness of progressive muscle laxation using biofeedback The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress (SOS) and the values of ephinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were thirty nursing students divided into two groups: experimental group was progressive muscle relaxation group using biofeedback and control group. This study was conducted for 8 weeks of clinical practice. Biofeedback training was done by software developed by J&J company (1-410 form for progressive muscle training). Progressive muscle relaxation training according to Jacobson's Theory was done by messaged word from biofeedback. The data was analyzed using Chronbach' ${\alpha}$ and t-test of the SPSS program and the significance level of statistics was 5%. The results of the study were : 1) The progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress(t=-4.248, p<.001) under clinical practice stress conditions. 2) The progressive muscle relaxation training using biofeedback was not effective for the values of epinephrine(t=-1.294, p=.206). 3) The progressive muscle relaxation training using biofeedback was effective for the reduction of systolic blood pressure (t=-2.757, p=.01). 4) The progressive muscle relaxation training using biofeedback was effective for the reduction of diastolic blood pressure (p=-2.032, 0=.05). 5) The progressive muscle relaxation training using biofeedback was not effective for the reduction of pulse rate(t=-15, p=.988). 6) The progressive muscle relaxation training using biofeedback was effective for the maintenance of natural killer cells (t=2.381, p=02). The first clinical rotation for student nurses is a stressful experience as seen by the rise in the SOS in the control group. Biofeedback using progressive muscle relaxation were effective in preventing the rise of symptoms of stress and the blood pressure means when comparing the pre to post clinical experience, The mean natural killer cell count was depressed in the control group but not significantly different in the experimental groups, It is proposed here that stress via the hypothalamic - pituitary - adrenal axis suppressed the NK cell count whereas the relaxation methods prevented the rise in stress and the resulting immune depression. We recommend relaxation techniques using biofeedback as a health promotion technique to reduce psychological stress. In summary. the progressive muscle relaxation training using biofeedback was effective for the reduction of symptoms of stress under clinical practice stress conditions.

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Study on the Obese Students' Stress and Coping Method in Middle and High Schools (비만 중.고등학생의 스트레스와 대처방법에 관한 연구)

  • Kim, Yi-Soon
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.732-745
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    • 2001
  • This study attempted to identify obese students' stress and coping method in middle and high schools. The data were collected from the total of 600 obese students from middle and high schools in Pusan. The author used a convenience sampling method. The data collection was done from March 2 to April 30. 2001. The analysis of the data was done with SPSS Win(10.0) for descriptive statistics. t-test. and ANOVA. The instrument used for the obese students' stress and coping method was a questionnaire developed by Kim. Yi-Soon and Kim. Young-Hae(200l). The tool was composed of 65 items (33stress items: 32coping method items) with the five-point Likert scale. The results were as follow: 1. The average score of stress was 2.49 (SD = .86) points in the male students. and 2.83(SD= .86) points in the female students. The subcategories were: (outward appearance), (boyfriend/girlfriend), (occurrence of an outbreak of a disease), (relationship within the family), (an obese appearance), (difficulty in exercise). The highest degree of stress came from 'an obese appearance' for the male students (mean=2.64. SD=0.87) and (mean=2.64. SD=0.87) for the female students. 2. The subcategories of the coping method were: (be concerned about other matters), (recreation activities), (self-violence), (relaxation), (hobby activities), (avoid a situation), (communication), (music), (negative behavior), (positive thinking). The highest degree of coping method were (recreation activities) in the male students (mean=3.07. SD=0.86) and (music) in the female students (mean=3.47. SD=1.01). 3. The results comparing stress with demographic variables were significant for gender (t=7.010. p=0.000). grades at school (F=2.918. p=0.02l), degree of obesity (F=5.205. p=0.006). grades (F=2.550. p=0.027). standard of living(F=8.277. p=0.000). the state of health (F=2.882, p=0.022), relationship with the father (F=4.790, p=0.001), relationship with the mother (F=6.080, p=0.000), and the educational level of the father (F=3.192, p=0.013). 4. The results comparing the coping method with demographic variables were significant for gender (t=4.597. p=0.000). These findings contribute to the understanding of the degree of stress and the type of coping methods of obese students in middle and high schools. Therefore, the result of this study aids in an effective nursing intervention to improve the mental health program for the obese.

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The Dementia Knowledge, Attitude and Preventive behaviors of Hemodialysis patients (혈액투석 환자의 치매에 대한 지식, 태도 및 예방행위)

  • Seo, Eun-Koung;Lee, Mi-Ra
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.795-804
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    • 2018
  • The purpose of this study was to identify the dementia knowledge, attitudes and preventive behaviors of hemodialysis patients. The participants were 128 hemodialysis patients at the Artificial Kidney Center in G hospital of P city. Data were collected by self-report questionnaires from September 22 to October 10, 2017. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and Hierarchical regression analysis with SPSS/WIN 23.0. Dementia knowledge was significantly different by education level (F=4.58, p<.01). The attitude toward dementia was different by age (F=3.08, p<.05) and education level (F=6.64, p<.01). The preventive behaviors were different by gender (t=-2.30, p<.05). Dementia knowledge was positively correlated with attitude toward to dementia (r=.189, p<.05) and attitude toward dementia was positively correlated with preventive behaviors (r=.280, p<.01). The influencing factor for preventive behaviors was attitude toward dementia (${\beta}=.319$, p<.01). Therefore, in order to promote dementia preventive behaviors in hemodialysis patients, an education program should be developed to improve dementia knowledge and positive attitude toward dementia.

Vehicle Detection and Ship Stability Calculation using Image Processing Technique (영상처리기법을 활용한 차량 검출 및 선박복원성 계산)

  • Kim, Deug-Bong;Heo, Jun-Hyeog;Kim, Ga-Lam;Seo, Chang-Beom;Lee, Woo-Jun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.7
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    • pp.1044-1050
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    • 2021
  • After the occurrence of several passenger ship accidents in Korea, various systems are being developed for passenger ship safety management. A total of 162 passenger ships operate along the coast of Korea, of which 105 (65 %) are car-ferries with open vehicle decks. The car-ferry has a navigation pattern that passes through 2 to 4 islands. Safety inspections at the departure point(home port) are carried out by the crew, the operation supervisor of the operation management office, and the maritime safety supervisor. In some cases, self-inspections are carried out for safety inspections at layovers. As with any system, there are institutional and practical limitations. To this end, this study was conducted to suggest a method of detecting a vehicle using image processing and linking it to the calculations for ship stability. For vehicle detection, a method using a difference image and one using machine learning were used. However, a limitation was observed in these methods that the vehicle could not be identified due to strong background lighting from the pier and the ship in the cases where the camera was backlit such as during sunset or at night. It appears necessary to secure sufficient image data and upgrade the program for stable image processing.

A Study on the Implementation of a Community-based LIS Capstone Course: Developing the 21st Century Skills of Preservice Librarians through Human Library Projects (지역사회협력 기반 문헌정보학 캡스톤 교과목 개발과 운영에 관한 연구 - 휴먼라이브러리 프로젝트 수행을 통한 21세기 학습 기술 강화를 중심으로 -)

  • Jisue Lee
    • Journal of the Korean Society for Library and Information Science
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    • v.57 no.2
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    • pp.379-408
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    • 2023
  • This case study reports on the redevelopment of a course, Local Culture Information Theory offered by the Department of Library and Information Science at C University, into a capstone design course using a project-based learning approach. In collaboration with a local community youth organization, the redesigned course provided an opportunity for LIS students to develop and implement a digital literacy program that enabled high school students to use a variety of digital multimedia technologies to complete a project of digital Human Library featuring video, audio, and digital are such as webtoons. Through semi-structured interviews with 5 students and 3 staff from partner organizations, this study reports on course development process, the establishment of local partnerships, project outcome, as well as suggestions for improvements. In addition, a qualitative analysis of the participating students' interview responses using the Framework for 21st Century Learning (P21) found they developed and improved 11 skills across three core areas: life and career skills including self-direction, project management, collaboration with diverse teams, flexibility, responsibility, leadership; learning and innovation skills including communication and collaboration, problem-solving, creativity, and critical thinking; and information, media, and technology skills through media creation. Lessons learned and recommendations from this case study may be useful for other LIS programs and faculty interested in implementing project-based learning or developing capstone design courses.

Predictors of Community Health Practitioners' Practice Regarding Urinary Incontinence (보건진료원들의 요실금 관련 간호행위에 영향을 미치는 요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • 한국노년학
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    • v.25 no.2
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    • pp.53-71
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    • 2005
  • Objectives: The purposes of this study were to investigate CHPs' knowledge, attitude, and practice regarding UI, and to identify predictors of their UI related practice. Methods: A descriptive-correlational study using self-administered questionnaire was conducted. A total of 330 members of the local Korean Association of CHPs were included in this study. A mailed survey was conducted to collect data. Findings: Of CHPs surveyed, 170(51.5%) returned completed questionnaire. Educational preparation of CHPs regarding UI was limited. The mean correct score of knowledge scale was 68.96%. Overall, CHPs exhibited positive attitudes toward UI. CHPs in this study were not actively participate UI related practice. Contrary to expectation, knowledge was not significantly related to CHPs' practice regarding UI. In the final analysis, CHPs' practice regarding UI was predicted by attitude toward the care of UI clients and educational needs for UI and these two variables explained 9% of variance of UI related practice. Conclusion: The results of this study suggest the importance of attitude and educational needs in shaping UI related practice among CHPs. To facilitate UI related practice among CHPs, efforts for attitudinal change related to UI among CHPs are needed. Moreover, continuing educational program for UI management should be developed, applied and evaluated.

A Study on the Archetypes of Historical Edification of Daesoonjinrihoe (대순진리회 교화의 역사적 전형(典型)에 관한 연구)

  • Back, Kyung-un
    • Journal of the Daesoon Academy of Sciences
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    • v.22
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    • pp.471-507
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    • 2014
  • Edification in Daesoonjinrihoe is not only a phenomenon that occurs following the differences of religious experience or spiritual development among the community members, which enables the members to share teaching and learning experiences with one another, but also an issue determined as one of the major activities of the religious order and a plan for achieving the purpose of the religious order-Podeokchenha(Wordly Propagation), Gujechansaeng (Salvation of all mankind) and Jisangcheonguk Geonseol(Building of earthly paradise). The purpose of this article is to clarify its concept and provide an example of edification, through considering the historical model for edification to help the cultivators with their work of edification. The archetype of edification of Daesoonjinrihoe was formed and gradually developed in phases by Sangje, Kang Jeungsan, the Supreme God(姜甑山, 1871-1909), Doju, Jo Jeongsan(趙鼎山, 1895-1958) and Dojeon, Park Wudang(朴牛堂, 1917-1995), by the three of whom the Religious Authority was succeeded. Sangje descended to the human world and preached to people to live by the rule of Haewon Sangsaeng(Resolution of grievances for the mutual beneficences of all life) and set an example of abolishing the old customs, living in mutual beneficences and having respect for human being. Doju, in revering the last will of Sangje, established the religious order by setting its creed, rituals and activities, which formed most contents of the archetype of edification. Dojeon set up a religious faith system by firmly establishing the Religious Authority and performed the True Law in accordance with Sangje's program of heaven to educate the cultivators to achieve the goal of self-cultivation following the last will of Doju. Through this, a perfect method to reach the state of Dotong(The Truly Unified State of Dao) is fulfilled. In this way, the archetype of edification was formed in the process of succession of Religious Authority. In conclusion, edification in Daesoonjinrihoe contributes to a 'systematic conveyance and understanding' through the historical archetype of edification, and it can be described as a concept that becomes a model to put into practice the 'True Law' of teachings given by two Sangjes for Dotong. Therefore, edification of Daesoonjinrihoe is drawing attention of its development as an important activity that realizes the ultimate value of the religious order because it solves the problems of immorality(absence of Dao), disorder and disregard of human value generated from the other side of this material civilization, with the truth of Haewon Sangsaeng, and has a function of rebuilding and leading the individuals and the society to the Truly Unified State of Dao through performing of the True Law.

Impact of the COVID-19 Pandemic on Nursing Students' Adjustment to College Life : Focus on empathic ability, perceived stress, and resilience (코로나19 팬데믹이 간호대학생의 대학생활적응에 미치는 영향 : 공감능력, 지각된 스트레스, 회복탄력성을 중심으로)

  • Yooun-Sook Choi;Mi-Young Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.1
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    • pp.97-108
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    • 2024
  • Purpose : In this study, we aimed to determine the impact of the COVID-19 pandemic on nursing students' adjustment to college life by focusing on their empathic ability, perceived stress, and resilience. Methods : We applied a descriptive survey research design, which included a self-report questionnaire. The participants comprised 307 nursing students in B city. The data were analyzed by calculating the percentages, means, standard deviations, t-tests, ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical regression using SPSS 23.0. Results : The participants' empathic ability score was 3.30±.42, perceived stress score 1.85±.49, resilience score 3.44±.64, and adjustment to college life score 3.25±.52. Adjustment to college life was positively correlated with resilience (r=.43, p<.001) but negatively correlated with perceived stress (r=.27, p<.001). Factors affecting adjustment to college life include, among general characteristics in Model 1, in descending order, major satisfaction-satisfied (β=.54, p<.001), interpersonal conflict: never (β=.26, p=.018), health status: healthy (β=.25, p=.002), character: positive (β=.21, p=.006), character: optimistic (β=.19, p=.015), parents' economic power: high (β=.15, p=.047), and gender: male (β=.11, p=.016). Model 1 was statistically significant (F=11.67, p<.001), and the explanatory power was 41 %. In Model 2, empathic ability, perceived stress, and resilience were added as independent variables. When including the dependent variables, the factors that most influenced adjustment to college life were perceived stress (β=-.37, p<.001), major satisfaction-satisfied (β=.36, p<.001), health status-healthy (β=.25, p<.001), gender-male (β=.10, p=.015), and resilience (β=.10, p=.029). Model 2 was statistically significant (F=17.65, p<.001), and the explanatory power was 56 %. Conclusion : We found that gender, major satisfaction, health status, perceived stress, and resilience affected adjustment to college life among nursing students who had experienced the COVID-19 pandemic. To increase their ability to adjust to college life, a gender-specific intervention program should be developed that can improve the students' health status, major satisfaction and resilience, and reduce their perceived stress.

The Impact of Nursing Students' Empathy, Communication Competence, and Personality on College Adaptation (간호대학생의 공감능력, 의사소통능력 및 인성이 대학적응에 미치는 영향)

  • Seon-Hwa Ban;Se-Hyun Hwang;Koung-Oh Chang
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.557-567
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    • 2024
  • This study was a descriptived research study to determine the impact of empathy, communication competence, and personality on college adaptation among nursing students attending a university in City Y. The research method was a self-administered survey targeting 200 nursing students at a university in Y City, and data were collected from April 29, 2024 to May 27, 2024. The research statistical method used was the SPSS/WIN 25.0 statistical program, and was analyzed using t-test, one-way analysis of variance, Pearson correlation, and multiple regression analysis. In the correlation between each variable, college adaptation is related to empathy(r=.522, p<.001), communication competence(r=.557, p<.001), and personality(r=.561, p<.001). And as a result of regression analysis, as a factor affecting the subjects' college adaptation, second-year students(β=-.148, p=.013) had a higher level of college adaptation than first-year students(β=-.297, p<.001). Additionally, the level of college adaptation was high in the order of empathy(β=.295, p<.001), personality(β=.230, p<.001), and communication competence(β=.157, p=.050), and the explanatory power was 47.6%(Adj R2=.476, p<.001). Therefore, in order for nursing students to adapt to college, various psychological and emotional supports must be provided at the school and department level, and various customized programs that can improve empathy, communication competence, and personality should be developed and applied by considering the characteristics of nursing students by grade.

Analysis of Safety Education Contents of 『Field of home life』 in Technology·Home Economics Textbook developed by the revised curriculum in 2009 (2009 개정 기술·가정 교과서 『가정생활영역』의 안전교육 내용 분석)

  • Kim, Nam Eun
    • Journal of Korean Home Economics Education Association
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    • v.29 no.2
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    • pp.23-39
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    • 2017
  • The Purpose of this study is to present the basic data for selecting and improving the safety education contents which help practically middle school students through analysis of contents of safety education in 'field of home life' of 2009 revised middle school textbooks. The subjects of analysis are 12 types of middle school textbooks: in total 24 books written by 12 publishers in terms of the revised curriculum in 2009. The analysis criteria is developed by the researcher referring to preceding studies regarding safety education based on the seventh safety education standard presented by the Ministry of Education (2015). With such analysis criteria, all words related to the contents of the safety education of analysis criteria were extracted from each textbook, such as words directly mentioned as 'safety', words mean as 'psychological safety' and 'happy life', words related to 'attention', 'note', 'stability' etc. Under the analytic frame of safety education contents according to a home economics textbook, content analysis method was used for producing the frequency and percent of those words. The textbook analysis shows that the number of pages regarding safety education is 336.3 pages, as 9.8% in total 3,412 pages of 12 types of technology and home economics textbooks. As following the analysis of each textbook volume of the proportion in the contents related to safety education, 224.9 pages are on the first volume and 111.9 pages are on the second volume. As grades increase from year one to year three, the proportion of safety education in home economics textbooks is decreased. The highest number of safety education contents unit is 'Self-management of youth' which includes three parts of safety education. In the case of a unit for emphasizing practice, experience and practical exercise such as 'Life of youth' and 'Practice of eco-living', safety education content in the area of 'life safety' are mostly contained. Safety accidents related to the most student experienced, Household accidents (1.4%) and experiment or practice accidents (0.3%) are presented in a low figure. The contents of universal housing and school violence are duplicated on first and second volume of text. The most presented safety education content in the 12 types of textbooks are proper sexual attitude, dietary problems, family conflict and food choice. The least common contents are dangerous drugs, family welfare, internet addiction and industrial accident compensation insurance. As this study is to analyze 12 textbooks developed in 2009 revision curriculum, it is necessary to compare it with the textbook written by the revised curriculum in 2015 and to clarify the contents system of safety education and to avoid duplication of contents. In addition, it is necessary to develop and distribute a safety education program that can support textbooks.