• 제목/요약/키워드: tailored intervention

검색결과 156건 처리시간 0.029초

조기진통 임부의 원인지각에 대한 주관성 (Subjectivity of Causal Perception on Preterm Labor)

  • 신혜숙
    • 한국간호교육학회지
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    • 제14권2호
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    • pp.224-231
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    • 2008
  • Purpose: The purpose of this study was to analyze the types of the causal perception of preterm labor. Method: The research design was a Q-Methodological Approach. Thirty four selected Q-statements from 32 participants were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. Result: Three types of causal perception for research subjects were identified. Type I is negligence of causality; Type II is recognition of causality by preceding factors. Type III is recognition of causality by psychological stress. Conclusion: This study found that there are differences in perceiving causes of preterm labor. Therefore, it is necessary to develop a tailored nursing intervention depending on these types.

호스피스.완화의료에서의 사별 돌봄 (Bereavement Care in Hospice and Palliative Care)

  • 김창곤
    • Journal of Hospice and Palliative Care
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    • 제10권3호
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    • pp.120-127
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    • 2007
  • Bereavement is the state of loss resulting from death. Grief is the emotional response associated with loss, intense and acute sorrow resulting from loss. Complicated grief represent a pathological outcome involving social, physical, emotional, cognitive, spiritual morbidity. The common psychiatric disorders associated complicated grief or abnormal grief responses include clinical depression, anxiety disorders, alcohol abuse or other substance abuse, and dependence, psychotic disorders, and post-traumatic stress disorder (PTSD). Grief tasks involve a series of stage or phases following an important loss that gradually permit adjustment and recovery. Three phases of grief involve phase 1 (walking the edges), phase 2 (entering the depths), and phase 3 (reconnecting the world). For intervention to be effective they need to be individually tailored to abnormal grief reaction or unresolved grief reaction. Clear understandings of complicated grief, abnormal responses, factors increasing risk after bereavement will often enable us to prevent psychiatric disorders in bereaved patients.

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사상체질의학을 적용한 국내 간호연구 동향 분석 (Trends in Nursing Research using Sasang Constitutional Theory)

  • 김윤영;권지혜;이시우;유종향
    • 동서간호학연구지
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    • 제18권1호
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    • pp.40-46
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    • 2012
  • Purpose: This research aimed to acquire the trends of Korean nursing research on Sasang constitutional theory. Methods: Total of 25 research articles selected from 17 nursing journals published in Korea since 1990. Data were analyzed by descriptive statistics. Results: Experimental studies preferred to non-experimental research design. The subjects were mostly adult or geriatric population. Most frequently used intervention was diet based on Sasang constitutional theory, and health-related factors were most frequently used as variables. Conclusion: The Sasang constitutional theory considers personal differences important, so it may be suitable for individually tailored nursing care. Therefore, continuous nursing studies using interventions based on Sasang constitutional theory are needed to establish it as one of evidence-based nursing interventions.

'포스트 게놈' 시대에서 간호학의 과제 (Nursing Genetics in 'Postgenome' Era)

  • 최스미
    • Journal of Korean Biological Nursing Science
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    • 제7권1호
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    • pp.5-14
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    • 2005
  • Since the Human Genome Project(HGP) has begun in the mid 1980s, the sequencing of the human genome has been finally completed in 2001. The knowledge developed from the HGP has revolutionized how health care professionals think about patient care, mandating a new paradigm of patient care in totally inconceivable ways from the past. For instance, the patients at risk for disease can be identified early enough for intervention; the medicine can be tailored for individual patients based on their own genetic information ; the gene therapy could be a common procedure in the near future. The advancement in genetics, therefore, requires the shift of paradigm not only in nursing education, practice, but also in nursing research. It is attempted, in this article to introduce briefly the basic knowledge of genetics, the pharmacogenomics, and the overview of national genetic research initiated and organized by the Center for Functional Analysis of Human Genome in Korea. The current state of nursing genetic knowledge and its implications on nursing education, practice, and research has examined. Furthermore, the visions and the opportunities for nursing science and practice to participate in this genetic revolution were also explored.

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노인의 신체활동이 혈중지질에 미치는 영향 (The effect of a physical activity on blood cholesterol in older adults)

  • 김현숙;엄기매;임인혁
    • 대한물리치료과학회지
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    • 제13권3호
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    • pp.7-14
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    • 2006
  • Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of a physical activity on blood cholesterol in older adults with an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. A six-month comparison-group trial was conducted with 14 older adults(experimental group = 8, control group = 6) in community senior center. Changes in self-reported physical activity and blood cholesterol were evaluated using paired t-test. The intervention group increased estimated caloric expenditure by 858 calories/week in physical activities of any intensity (p=.050), total cholesterol(p=0.049), high density lipoprotein cholesterol(p=0.045). Control group changes were also negligible. The program led to meaningful physical activity increase. Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

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The Impact of Knowledge Management on Organizational Performance by Considering Structure and Culture in Vietnam

  • HUYNH, Quang Linh
    • The Journal of Asian Finance, Economics and Business
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    • 제9권10호
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    • pp.97-104
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    • 2022
  • The purpose of the existing work is to inspect the impact of knowledge management on organizational performance. Business experts now appreciate how important knowledge management is for organizational performance. Earlier studies have investigated the research model with causal linkages, however, only a few of them have considered sample-selecting bias problems when analyzing the model of knowledge management on organizational performance. The number of 312 executives related to knowledge management from 312 enterprises that have been approved with quality management systems offered suitable responses for analyses. The data was employed to investigate the effect of knowledge management on organizational performance, considering sample-selecting bias. The empirical outcomes indicate that sample-selecting bias exists in the causal impact of knowledge management on organizational performance. The empirical findings are helpful to scholars of knowledge management as well as business executives by giving an insight into the casual effect of knowledge management on organizational performance with the intervention of sample-selecting bias. The acceptance of knowledge management should be tailored to improve competitive advantages that will lead to better organizational performance.

Perception of precocious puberty among school-aged children in South Korea with the experience of treatment for precocious puberty: a Q methodological approach

  • Sun Jung Park;Hye Ri Nam;Eun Ju Choi
    • Child Health Nursing Research
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    • 제29권3호
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    • pp.195-206
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    • 2023
  • Purpose: This study aimed to investigate the perceptions of precocious puberty and elucidate the distinct characteristics of each type of perception related to precocious puberty among school-aged children who had undergone treatment for the condition. Methods: This study applied the Q methodology to identify and classify the perceptions of precocious puberty among school-aged children who had undergone treatment for the condition. The analysis involved 34 questions from the Q sample and data from 35 individuals in the P sample, using the PC-QUANL Program for analysis. Results: The perceptions of precocious puberty among school-aged children who had undergone precocious puberty treatment were classified into the following four types: "shyness - passive self-management," "resentment - suppression," "anxiety - fear," and "adaptation - acceptance." Conclusion: This study investigated the experiences and perceptions of children who have undergone treatment for precocious puberty. Through the identification of four types of perceptions, we can see that there is a need to develop an intervention program for nursing that is tailored to the specific type of precocious puberty.

무인비행체 경로계획 기술 동향 (Survey on Developing Path Planning for Unmanned Aerial Vehicles)

  • 권용선;차지훈
    • 전자통신동향분석
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    • 제39권4호
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    • pp.10-20
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    • 2024
  • Recent advancements in autonomous flight technologies for Unmanned Aerial Vehicles (UAVs) have greatly expanded their applicability for various tasks, including delivery, agriculture, and rescue. This article presents a comprehensive survey of path planning techniques in autonomous navigation and exploration that are tailored for UAVs. The robotics literature has studied path and motion planning, from basic obstacle avoidance to sophisticated algorithms capable of dynamic decision-making in challenging environments. In this article, we introduce popular path and motion planning approaches such as grid-based, sampling-based, and optimization-based planners. We further describe the contributions from the state-of-the-art in exploration planning for UAVs, which have been derived from these well-studied planners. Recent research, including the method we are developing, has improved performance in terms of efficiency and scalability for exploration tasks in challenging environments without human intervention. On the basis of these research and development trends, this article discusses future directions in UAV path planning technologies, illustrating the potential for UAVs to perform complex tasks with increased autonomy and efficiency.

Urological Evaluation of Tethered Cord Syndrome

  • Park, Kwanjin
    • Journal of Korean Neurosurgical Society
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    • 제63권3호
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    • pp.358-365
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    • 2020
  • To describe how to perform urological evaluation in children with tethered cord syndrome (TCS). Although a common manifestation of TCS is the development of neurogenic bladder in developing children, neurosurgeons often face difficulty in detecting urological problems in patients with TCS. From a urological perspective, diagnosis of TCS in developing children is further complicated due to the differentiation between neurogenic bladder dysfunctions and transient bladder dysfunctions owing to developmental problems. Due to the paucity of evidence regarding evaluation prior to and after untethering, I have shown the purpose and tools for evaluation in my own practice. This may be tailored to the types of neurogenic bladder, developmental status, and risks for deterioration. While the urodynamic study (UDS) is the gold standard test for understanding bladder function, it is not a panacea in revealing the nature of bladder dysfunction. In addition, clinicians should consider the influence of developmental processes on bladder function. Before untethering, UDS should reveal synergic urethral movement, which indicates an intact sacral reflex and lack of TCS. Postoperatively, the measurement of post-void residual urine volume is a key factor for the evaluation of spontaneous voiders. In case of elevation, fecal impaction, which is common in spinal dysraphism, should be addressed. In patients with clean intermittent catheterization, the frequency-volume chart should be monitored to assess the storage function of the bladder. Toilet training is an important sign of maturation, and its achievement should be monitored. Signs of bladder deterioration should be acknowledged, and follow-up schedule should be tailored to prevent upper urinary tract damage and also to determine an adequate timing for intervention. Neurosurgeons should be aware of urological problems related to TCS as well as urologists. Cooperation and regular discussion between the two disciplines could enhance the quality of patient care. Accumulation of experience will improve follow-up strategies.

맞춤형 암성통증관리 개별교육 및 코칭의 효과 (Effects of a Tailored Education and Coaching Program to Enhance Care of Cancer-related Pain)

  • 김혜진;김영미;김희진
    • 근관절건강학회지
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    • 제27권1호
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    • pp.12-21
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    • 2020
  • Purpose: The study was to develop a tailored education and coaching program (TECP) for cancer patients, and to identify the effects of TECP on pain severity, daily living impairment, barriers on pain management, self-efficacy, and pain management satisfaction. Methods: A randomized controlled trial was used. Patients referred to an oncology nurse specialist from oncologists for pain management were randomly assigned to TECP (25) or usual education program (UEP, 22). The intervention was offered by educating the method of taking opioid medication, managing opioid-induced side effects, reducing pain misconceptions and enhancing self-efficacy for communicating with a medical team on cancer pain severity, and pain-related impairment. Patients completed questionnaires before the education program and on the next visit 3~4 weeks later. Data were analyzed by SPSS 19.0 program using percentage, frequency, mean, standard deviation, x2 test and independent t-test. Results: At all levels, pain severity improved significantly in the experimental group-worst pain (8.16 to 3.80, p<.001), average pain (6.16 to 2.52 p=.008), and least pain (3.32 to 0.96, p=.038)-but not in the control group. Pain management satisfaction also showed significant differences (t=2.93, p=.005) between experimental (4.70±0.49) and control (4.17±0.73) groups. Interference with daily living, barriers to managing cancer pain, and self-efficacy for managing pain improved in both groups but there were no significant differences. Conclusion: The findings suggest that TECP should be considered for outpatients who need cancer pain management.