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The Evaluation of Custom Foot Orthotics for Injury Prevention of Joggers (달리기 동호인들의 상해예방을 위한 맞춤형 발 보장구의 평가연구)

  • Kim, Ro-Bin
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.19-30
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    • 2006
  • The purpose of this study was to examine the effect of foot orthotics on the overall comfort and muscle activity during running. The subjects were 10 members from the joggers' club which consisted of 2 women and 8 men. These individuals ran on the treadmill by 4.0m/s speed with and without the custom foot orthotics. The data concerning the overall comfort was collected by a questionairre that examined the overall comfort, heel cushioning, forefoot cushioning, medio-lateral control, arch height, heel cup fit, shoe heel width, forefoot width, and shoe length The MegaWin ver. 2.1(Mega Electronics lid, Ma. Finland) was used to gain electromyography signals of the muscle activity; Tibialis anterior, medial gastronemius, lateral gastronemius, vastus lateralis, vastus medialis, biceps femoris, and rectus femoris were measured. The results of the study were as follows. 1. During running the overall comfort was higher for the foot arthotic condition than the nonorthotic condition. Among the inquiries the overall comfort showed the biggest difference comparing the two conditions. and the shoe heel width showed the highest score for contort. 2 The muscle activity of the biceps femoris, and vastus lateralis in the stance period decreased. due to the foot orthotics. The muscle activity of the vastus medialis in the swing period also decreased and the muscle activity tibialis anterior in the stance and swing stance decreased as well During running, orthotics showed positive result in foot comfort. The foot comfort related to decreased stress, muscle activity, and foot arch strain. Overall comfort and the adequate decrease of muscle activity were associated with injury prevention and the best method to prevent injury semms to be the maintenance of foot comfort.

Drinking Behavior and Health Promoting Lifestyle between Korean and Japanese Female Nursing Students (한·일 여자 간호대학생의 음주행위와 건강증진 생활양식)

  • Lee, Suk Jeong
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.236-245
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    • 2012
  • This study aimed to compare the drinking behavior and health promoting lifestyle between Korean (n=304) and Japanese (n=244) female nursing students. The average score of health promoting lifestyle was statistically significant different after controlling covariables between the two countries. Spiritual growth of Korean was higher, while nutritional habits, interpersonal relationship and stress management of Japanese were higher. The frequency and amount of drinking, and the number of heavy drinkers of Korean were more than that of Japanese. The probability to be heavy drinkers in Korea was higher in interpersonal relationship and lower in spiritual growth, however the probability to be heavy drinkers in Japan was higher in health responsibility. Health educators need to provide nursing college students health education to improve healthy lifestyle including drinking behaviors.

The Development of a Simple Evaluation Questionnaire for Screening the Overweight-type Dietary Pattern in 30 to 49 Year Old Adults (한국 장년 성인의 과체중 예방을 위한 식생활 간이평가표 개발)

  • 박영숙;한재라;이정원;조한석;구재옥;김정희;윤진숙
    • Korean Journal of Community Nutrition
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    • v.7 no.4
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    • pp.495-505
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    • 2002
  • A study was performed to develop as a screening tool the Simple Evaluation Questionnaire for Screening the Over-weight-type Dietary Pattern in 30 to 49 Year Old Adults. We used the data from the 30 to 49 year old subjects who participated in the three surveys - the health behavior survey, the dietary habit survey and the food intake survey - as the National Health and Nutrition Survey 1998. The 3,598 adults were classified into to two body fatness groups of normal (including underweight) and overweight (including obese) on the basis of their relative body weight (RBW) When comparing variables between the two groups, significant differences were found in gender, education, job, employment status, perceived health status, sadness / depression state, stress level, age, number of diseases, age when overweightedness started, maximum body weight, sleep length, drinking pattern (yes/no) , amount of alcoholic drinks, frequency of intoxication or drunkeness, amount of alcoholic drinks when drunk, intensity of exercise, frequency of exercise, exercise duration, skipped meals, small meals and drug supplements. In terms of food intake, there were significant differences in the daily food intake in terms of breakfast, dinner, daily kimchi and dairy products. In terms of mealtimes, we found differences in the amount of cooked rice at breakfast, kimchi at lunch, soup / kuk at dinner, fresh vegetables for snacks, fried foods for snacks between breakfast and lunch, and fruits /juices for snacks between lunch and dinner. After developing questions with indicators and analyzing the indicators by logistic regression analysis three times, we chose 10 questions for a simple evaluation of dietary patterns for the overweight-type category in order to give one point each. Among them we selected two questions to add one additional point and one question to add two additional points. The average scores of the overweight and normal groups, as shown by the developed questionnaire, were $5.97 \pm 2.36 \pm 7.36 \pm 2.21$, respectively. A score of seven points was selected as the cut-off point. We examined the sensitivity, specificity and positive predictive value of the questionnaire to the results of 67%, 59% and 62%, respectively.

Effectiveness of Nursing Interviews on Initial Contacts with In- patients (입원시 정보수집을 위한 간호면담 방법의 효과에 대한 연구)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.88-98
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    • 1977
  • This study was designed to identify a more effective method of nursing interview in gathering informations by comparing the two, the structured and unstructured methods. May through October, 1976, 40patients on psychiatric wards of Korea University Hospital and National Mental Hospital, Seoul, were sampled and interviewed on their admission/within one week of admission. Both methods were used simultaneously by different interviewers ; 48 hour interval were kept between the two approaches of interview. Contents of informations gathered were grouped according to the criteria developed by the researcher, frequency, percentile score and the means were scored, and the two methods were compared; the amount of information gathered, number of questions used, time spent and the general response towards the methodologies. Results of the study are summarized as follows ; 1. 1. 5 times as many informations were gathered through the structured interview. (1366 ; 849) 2. 68.32% of informations gathered through the unstructured interview and 42.46% of the structured interview revealed to be overlapping; through structured interview, more unique informations (57.54%) were gathered. 3. The average of 33.25 minutes were consumed for the structured interview while 95, 50 minutes for the unstructured. Much higher time consumption is revealed in the unstructured. 4. Majority of patients showed positive response towards both approaches of interview (90% each), however, interviewers responded to experience of certain degree of tension (stress) in the unstructured method (35%) 5. The average of 0.88 question were used to gather one information in the structured while 1.87questions for the unstructctured were used. 6. The average of 0.97 minutes were consumed to gather one information in the structured while 4.50minutes for the unstructured. 7. The average of 1.11 minutes were consumed for one question for the structured while 2.41 minutes for the unstructured. The results of the study revealed that the structured interview were more effective in gathering informations; a larger quantity of informations were gathered in shorter time. Recommendations for further in investigations are as follows ; 1. Comparative analysis of informations gathered through the two methods by experienced professional nurse- interviewers is recommended. 2. Comparative analysis of the quality of informations is recommended. 3. Comparative analysis of the interviewing process (interactions) in relation to the characteristics of patients'health problems is recommended.

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Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer (유방암생존자의 외상 후 성장에 영향을 미치는 요인)

  • Park, Jin-Hee;Jung, Yong-Sik;Jung, Youngmi
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.454-462
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    • 2016
  • Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.

Industrial Fatigue and Low Back Pain of the Nurses in General Hospital (종합병원 간호사들의 피로자각증상과 요통)

  • Kim, Soon Lae;Cho, Tong Ran
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.2
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    • pp.162-168
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    • 1999
  • To investigate industrial fatigue and low back pain, the questionaire survey for subjective symptoms of fatigue and low back pain was carried out 305 nurses in general hospital in Korea. Nurses participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionaires. The subjective sysptoms of fatigue comprised three groups of 10 items each, representing dullness and sleepiness(level of cerebral activation), difficulty in concentration(level of motivation) and bodily projection of fatigue. The resultant data were processed for $x^2$-test, t-test to confirm the associations. The results were as follows: 1. 28 items of fatigue subjective symptoms exept two item, 'feel thirsty and 'feel ill', were directly associated with low back pain. 2. The percentage of fatigue complaint were significantly higher in LBP group than control. 3. Of the 30 items of fatigue subjective symptoms, the highest percentage was accounted for 'legs feel heavy', 'eye strain', 'feel stiffness in the neck or the shoulders' followed by 'feel like lying', 'whole body feels tired', 'feel a pain in the low back', 'feel drowsy' and in the order of sequence. 4. The average weighted score for the first group of fatigue items(dullness and sleepiness) was the largest among three groups and was followed by the second group(difficulty in concentration) and the third group (bodily projection of fatigue) in the order of sequence, suggesting the heavier mental and shift work stress of the female workers.

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A Study on the Spatial Organization Methods of O.P.D & the Construction of Healing Environment on O.P.D Waiting Area in Children's Hospital in Seoul Metropolis (서울시 어린이 전문병원 외래진료부의 공간구성방식과 대기공간의 치유환경 구축방안에 관한 연구)

  • Kim, Keun-Hyung;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.3
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    • pp.37-48
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    • 2010
  • This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.

Determinant of Health Promoting Lifestyle of Nursing Students (간호대학생의 건강증진 생활양식 결정요인에 관한 연구)

  • Sung, Mi-Hae
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.317-330
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    • 2001
  • This study was undertaken in order to examine the relationship of control, perceived health status, self efficacy, social support, and demographic characteristics to health promoting lifestyle of nursing students, and to determine factors affecting health promoting lifestyle of nursing students. The subjects were 270 students of a single university in Busan. The instruments used for this study was a survey of general characteristics, health promoting lifestyle (47 items), control(8 items), perceived health status(6 items), self-efficacy(17 items), and social support(18 items). Data analysis was done by use of mean, percentage, t-test, ANOVA, Pearson Correlation coefficients and stepwise regression with a SPSS PC+ program. The results of this study are as follows : 1) The average item score for the health promoting lifestyle was less than 2.43. In the sub-categories, the highest degree of performance was interpersonal relationships (2.94) and the lowest degree was health responsibility(1.93). 2) Students who were older and higher scores in health responsibility and interpersonal support subscale. Students who had higher grade had higher scores in health support subscale. Students who had experienced disease had higher scores in health responsibility subscale. Students who had experienced exercise had higher scores in health responsibility, exercise and nutrition subscale. 3) Significant correlation between control and self-efficacy, self-efficacy and social support was found. 4) Significant correlations was found between most of the subscales and total health promoting lifestyle. 5) Social support revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle. Control revealed significant correlations with total health promoting lifestyle and self actualization and health responsibility. Perceived health status revealed significant correlations only with the exercise and nutrition subscale. Self-efficacy revealed significant correlation with the total health promoting lifestyle and all subscales of health promoting lifestyle except exercise and nutrition, stress management subscale. 6) Social support was the highest factor predicting health promoting lifestyles of nursing students(31%). Social support, excercise self-efficacy and control accounted for 35% in health promoting lifestyle of nursing students.

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Development and Analysis of the Effects of Caregiver Training Program on Aggressive Behavior m Elders with Cognitive Impairment

  • Oh Heeyaung;Hur Myung-Haeng;Eom Miran
    • Journal of Korean Academy of Nursing
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    • v.35 no.4
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    • pp.745-753
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    • 2005
  • Purpose. The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff's aggressive behavior management skills. Methods. One-group, time series, quasi-experimental design with a pre-test and two post- tests was used. Data were collected from cognitively impaired home residents (N = 32) and nursing staff (N = 36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA. Results. Incidence of aggressive behavior was high with a mean score of 3.09 (SD = 3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F = 2.925, p = .066). Nursing staff's aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.00l). Conclusion. Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff's aggressive behavior management skills.

The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self- Efficacy, Health Behavior, and Quality of Life

  • Song, Kyung Ja
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.510-518
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    • 2003
  • Background. Ischemic heart disease results from athesclerotic changes of the coronary artery. These changes are aggravated by hypercholesterolemia, smoking, obesity, lack of exercise, coronary-prone personality, and stress. Because these risk factors affect not only the prevalence of the ischemic heart disease but also recurrence of the disease, cardiac rehabilitation programs were introduced to help patients with ischemic heart disease reduce risk factors. Diverse cardiac rehabilitation programs are needed to motivate participation in cardiac rehabilitation and to enhance patients' quality of life. Objectives. To examine the effect of a self-efficacy promoting cardiac rehabiltation program on self-efficacy, health behavior and quality of life of patients with ischemic heart disease. Methods. Data were collected from 45 hospitalized ischemic heart disease patients. Medical records were reviewed to obtain demographic and clinical characteristics. Data regarding self-efficacy, health behavior, and quality of life were obtained from interviews using structured questionnaires. The nonequivalent control group non-synchronized design was used to conduct this study. One session of conventional group education was given to patients in the control group while they were in the hospital. Patients in the experimental group participated in a newly developed cardiac rehabilitation program. It focused on strengthening self-efficacy with four self-efficacy sources-performance accomplishment, vicarious experiences, verbal persuasion and physical status using two individualized in-hospital education sessions and four weekly telephone counseling follow-up calls after discharge. Results. Four weeks after discharge, the increment of total self-efficacy score was significantly higher in the experimental group than in the control group (p<.0l). There was also a significant difference in the total quality of life scores increments between the two groups (p<.0l). However, no significant changes were noted in the increments of total health behavior scores between the two groups. Conclusion. A cardiac rehabilitation program focusing on promoting self-efficacy was effective in improving self-efficacy, and quality of life of patients with ischemic heart disease.