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Integrative Review of Guidelines Related Symptom Management and Physical Activity for Developing of Self-Care Management Program for Cancer Survivors (암생존자의 자가관리 프로그램 개발을 위한 증상관리 및 신체적 활동 관련 가이드라인의 통합적 고찰)

  • Song, Chi Eun
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.586-600
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    • 2018
  • The purpose of this study attempted to collect basic data for development of an integrated self-management program for cancer survivors who completed cancer treatment. Self-management programs are divided into symptom management and physical activity management. Symptom management includes fatigue, sleep disturbance, pain, depression and anxiety. PubMed, CINAHL and EMBASE were used for searching guidelines. Based on the guideline quality evaluation, the final 8 guidelines were analyzed. The structured table was used to extract the screening subjects, timing, contents, subjects for comprehensive assessment and contents, and summarized contents related to the physical activity and exercise in non-pharmacological approach. As a result, after the completion of cancer treatment, all cancer survivors should be screened regularly using reliable and validated tools. In the case of fatigue, physical activity was recommended as the primary intervention, but it was recommended for other symptoms as adjuvant therapy. Therefore, Cancer survivors should be encouraged to be active in their physical activity, and maintain the moderate intensity physical activity as long as they have no complication related to the cancer treatment. Motivation strategies for physical activity need to be developed and applied.

Level of Obstructive Sleep Apnea of Patients with Ischemic Cardio-cerebrovascular Disease and Affecting Factors (허혈성 심뇌혈관질환자에서 폐쇄성 수면무호흡증 정도 및 영향요인)

  • Kim, Sun Hwa;Hwang, Seon Young
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.114-127
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    • 2018
  • This study aimed to investigate the levels of Obstructive Sleep Apnea (OSA), health behavior and sleep quality and to examine the predictors of OSA in patients with ischemic cardio-cerebrovascular disease. 141 patients who were admitted to the vascular unit were recruited and surveyed using structured questionnaires. Saturation of Peripheral Oxygen (SpO2) was measured at three time points using a pulse oximeter. Data were analyzed using SPSS/WIN 20.0. The mean age of the subjects was $64.4{\pm}11.1$ years and 61% was men. The 21.3%(n=30) of the subjects were classified as high-risk for OSA by the cut point and 71.6%(n=101) had low sleep quality. OSA high-risk group showed significant difference in SpO2 in the middle of sleep (p=.006) and at the end of sleep (p=.004) compared to the low-risk group. Multiple logistic regression analysis showed that perceived frequent snoring, smoking, obesity, lack of exercise among health behavior were found as predicting factors on OSA. OSA or persistent snoring should be recognized as a cardiovascular risk factor in the cardiovascular nursing practice. In addition to early treatment of OSA, education and counseling should be provided to patients and their family for prevention of secondary recurrence.

Comparison of Alexithymia among Patients with Psychosomatic Disorders, Anxiety Disorders and Depressive Disorders (정신신체장애, 불안장애 및 우울장애 환자들 간의 Alexithymia의 비교)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.59-68
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    • 1994
  • A comparison was made regarding the degree of alexithymia among patients with psychosomatic disorders, anxiety disorders and depressive disorders. The author examined the degree of alexithymia in three groups : 100 psychosomatic patients(including 47 patients with tension headache), 52 outpatients with anxiety disorden, and 50 outpatients with depressive disorders. Alexithymia was assessed by Alexithymia provoked Response Questionnaires(APRQ) developed as a semi-structured interview form. No significant difference was found in the degree of alexithymia among Patients with Psychosomatic disorders, anxiety disorders, and depressive disorders. On the other hand, patients with tension headache were significantly more alexithymic than patients with anxiety disorders and depressive disorders, respectively. However, there was no significant difference in degree of alexithymia between patients with anxiety disorders and those with depressive disorders. Multiple regression analysis revealed that demographic variables such as set age, education level, and marital status did not make a significant influence on alexithymia scores. These results suggest a greater degree of alexithymia in patients with a specific group of psychosomiatic disorders such as tension headache than in patients with emotional disorders, unlike the previous report that in general, psychosomatic patients are alexithymic. Thus, it is necessary to develop special forms of interview which can induce and encourage expression of emotion as a therapeutic strategy for patients with tension headache.

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Localization of Text-development on Regional Learning in Social Studies (사회과 지역학습 교재개발의 지역적 적합화 연구 -경남 산청과 충남 서산의 지역학습을 사례로-)

  • Son, Il;Jeon, Jong-Han
    • Journal of the Korean association of regional geographers
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    • v.10 no.2
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    • pp.466-478
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    • 2004
  • Regional learning in social studies has an important educational meaning in that it is a tabloid edition of social studies and it also satisfies the regionalization of national curriculum. Social studies in Korea have mainly been led by the social study curriculum of elementary school. But the local textbook which was currently used in elementary school is structured in a negative meaning of regionalization rather than positive one. It is suggested in this study that the regional learning of social studies in middle school should be pursued by the co-work of teachers and students. For this purpose, the theoretical and practical processes to develop the local textbook are compared between two distinctive localities such as Sancheong and Seosan. At first, the relative ratio among the six strands is decided to develop several themes for regional learning, considering the landscape, region-related discourses and ecological environments in each region. Secondly, several themes are extracted to organize the contents of local textbook in each region. Lastly, examples of content-organization are suggested in each region. The processes above are just an example of content-organization, not a fixed one. The process, themes extracted, and the content-organization for each region may be changed according to the school location, local situation, and the quality of classroom.

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A Qualitative Review of the Difficulties and Success Strategies of Workplace Health Management (사업장 보건관리의 어려움과 성공전략에 대한 질적 고찰)

  • Jung, Myung-Hee;Choi, Eun-Hi;Jung, Hye-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.925-935
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    • 2020
  • This study aims to provide guidelines for the activities of workplace health managers by identifying their excellent health promotion activities and motivations. For this, consent for the study was obtained from 21 workplace health managers who had worked at the same company for more than five years, and a semi-structured questionnaire was sent via email to collect and qualitatively analyze the data. As a result, 17 categories and three topics were drawn. The derived topics included a sense of reward and accomplishment as workplace health managers, difficulties encountered as workplace health managers, and how to solve the difficulties. The survey respondents answered that they feel a sense of reward and accomplishment when workers open their mind, change their daily life, express gratitude, and pioneer new fields. On the other hand, they feel difficulties with unpredictable health, changes in the organizational culture, secrecy of disease, and people who think their job is easy. As a way of overcoming such difficulties, the research subjects said that it is necessary to read the minds of workers, let them know by themselves, use existing programs, have the most difficult people on their side, and spread their achievements. The results of this study revealed that it is required for workplace health managers to develop professional skills and emphasize the importance of health management to the policy-makers and employees of their workplace by continuously reporting health management performance. In addition, they need to actively benchmark the success strategies of exemplary workplace health managers.

A Study on the Ego-Integrity Phenomenon of the Elderly (노인의 자아통합현상에 관한 연구)

  • Lee, Hyun-Ju
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.794-806
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    • 2020
  • This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.

Effects of Communication Skill on Interpersonal Satisfaction and Subjective Happiness among College Students (대학생의 의사소통 기술이 대인관계 만족도 및 주관적 행복감에 미치는 영향)

  • Park, Mijeong;Oh, Doonam
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.423-434
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    • 2017
  • This study is a descriptive survey research to investigate the effect of communication skills of college students on interpersonal satisfaction and subjective happiness. Data were collected using structured questionnaires from 222 students attending two universities located in C and S cities between June 1 and June 10, 2016, and were analyzed using t-test, One-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and hierarchical multiple regression, etc. The results of the study are as follows. The communication skills of the subjects were found to be 2.13 out of 1~5 points, and it was found that there was a significant difference according to grade, perceived home economy level, and leisure activities. Second, communication skills showed a positive correlation with interpersonal satisfaction and subjective happiness. Third, in relation to interpersonal satisfaction, the explanatory power of sex, grade, academic achievement, perceived family economic level and leisure activity was 26.7%, and communication skills further explained 18.4% of interpersonal satisfaction. Fourth, in relation to subjective happiness, the explanatory power of subjective gender, academic achievement, perceived family economic level and leisure activity was 33.0%, and communication skills further explained only 0.3% of subjective happiness. The results of this study suggest that communication-related education can be used as a major intervention strategy in the development of programs to improve interpersonal satisfaction and happiness of college students.

A Study on Effect of the Children Culture Art Education Program Activity in Local Child Care Center -Focusing on Traditional dance program- (지역아동센터의 문화예술교육프로그램에 대한 효과 연구 -전통춤 프로그램 중심으로-)

  • Bae, Na-Rae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.115-123
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    • 2017
  • This study examined traditional dance programs in cultural and arts education in local children's centers. We aimed to contribute to the voluntary and active participation of children in cultural and arts education through differentiated cultural and arts educational programs. Interviews were conducted from March 2016- June, 2016 at A Regional Children's Center in Chungnam. Once a week, a 50-minute were held 16 Session as "learning traditional joyful dance". After completing the program, 25 children who participated in the program were asked about the good points and disappointments regarding the program. The interviews used open, structured questions that have been primarily used in phenomenological research. The list of questions was prepared in advance according to the research purpose. The results of the study are as follows: The evaluation of the first program was generally positive. By experiencing activities through cultural and arts education through traditional dance programs for children, children learned to be polite. It also changed positively in conversation. Children who showed negative attitudes toward traditional dance programs gradually participated in activities. Second, I examined the evaluation of lecturers who teach traditional dance. The children's response to the program was positive, with sincere and responsible lecture preparation and progress. The instructor prepared the class in advance, welcomed the children and ran the class in good faith. Instructors who taught traditional dances were proficient in dance, majored in dance and teaching children. The learning effect was high by the instruction of the good dance movement. Rich in lecture experience, he is proficient in dealing with children in class. Material was delivered according to the child's dance level.

Job Satisfaction, Job Stress, Burnout, and Turnover Intention of Comprehensive Nursing Care Service Ward Nurses and General Ward Nurses (간호·간병통합서비스병동 간호사와 일반병동 간호사의 직무만족, 직무스트레스, 직무소진 및 이직의도)

  • Kim, Bong-Hee;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.459-469
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    • 2018
  • This study was carried out to analyze and compare job satisfaction, job stress, burnout, and turnover intention of comprehensive nursing care service ward nurses and general ward nurses. The participants were 181 nurses from six hospitals providing comprehensive nursing care service in G metropolitan city. The data were collected using structured questionnaires in May 16-June 30, 2017. The data were analyzed with SPSS program, which was used for t-test, one-way ANOVA, and Pearson's correlation. As a result, there were no significant differences in the variables between comprehensive nursing care service ward nurses and general ward nurses. However, comprehensive nursing care service ward nurses had higher job satisfaction, lower job stress, lower burnout, and lower turnover intention than general ward nurses. There was a significant relationship between job stress (r=.39, p=<.001), burnout (r=.43, p=<.001), job satisfaction (r=-.66, p=<.001), and turnover intention. Comprehensive nursing care service ward nurses were more positive about their nursing work than general ward nurses. The findings of this study can be used as basic data for effective nursing resource management in a comprehensive nursing care service ward.

An Analysis on Success Factors and Importance of Six Sigma Innovation in Small and Medium Venture Companies (중소·벤처기업의 6시그마 혁신 성공요인 및 중요도 분석)

  • Lee, Seolbin;Park, Jugyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.527-536
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    • 2018
  • This study examined the success factors of six sigma innovation in small- and medium-sized venture companies. The findings are summarized as follows. The importance of 20 items in a total of 4 factors showed that corporate vision was number one in the manager's support, followed by program composition, passionate support, high performance guarantee, and quality activity continuity. This suggests that all members can operate the program by the structured system with a sense of united goal under the company-offered vision as a community when the goal, idea or vision of six sigma activities are shared to members of the entire organization. In addition, high success can be achieved when supported by company-wide enthusiasm and high compensation for sharers' innovative efforts of six sigma at the same time. Small- and medium-sized venture companies should develop brisk six sigma activities of advanced precision parts in such an environment that the technology competition is becoming increasingly fierce. The six sigma movement should be developed as a niche strategy for small organizations with united vision sharing by company-wide operational commitment and high self-esteem for the organizational characteristics of small- and medium-sized venture companies run by key minority organizations and members.