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대한통합의학회지 update

Journal of Korean Society of Integrative Medicine

  • : 대한통합의학회
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수록정보
수록범위 : 1권1호(2013)~7권3호(2019) |수록논문 수 : 322
대한통합의학회지
7권3호(2019년 09월) 수록논문
최근 권호 논문
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1동작관찰훈련이 만성 뇌졸중 환자의 앉은 자세에서 균형과 몸통조절능력에 미치는 영향

저자 : 황준현 ( Hwang Junhyun ) , 이양진 ( Lee Yangjin ) , 주민철 ( Joo Mincheol ) , 김성렬 ( Kim Seongryeol )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 1-9 (9 pages)

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Purpose : To find out how action observation training for chronic stroke patients affects their balance and body control abilities in the posture seated in the rehabilitation of stroke.
Methods : This study was conducted on 30 subjects who were diagnosed with stroke. The group conducted motion observation training through video clips, while the control group only conducted physical training, and the general physical therapy was performed equally by both counties. The static balance was measured using Biorescue and the dynamic balance was measured using Modified Functional Reach Test (MFRT), Postural Assessment Scale for Stroke, and Trunk Impairment Scale.
Results : Static balance showed statistically significant difference in foot pressure (p< .05) as a result of comparison between pre and post exercise training. Dynamic balance was statistically significant (p >.05) as a result of comparing pre and post differences using modified functional reach test. The trunk control ability was statistically significant (p>.001). Comparison between the results of before and after motion observation training showed a statistically significant difference.
Conclusion: This study confirmed that exercise training in sitting position was effective for static, dynamic balance ability and trunk control ability of hemiplegic patients due to stroke. These results suggest that the use of motion monitoring in stroke patients may have a positive impact on the diversity and function of rehabilitation.

KCI등재

2도구적 일상생활 프로그램이 회복기 뇌졸중 환자의 자기효능감, 재활 동기, 사회적 지지에 미치는 영향

저자 : 최민경 ( Choi Minkyung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 11-19 (9 pages)

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Purpose : The purpose of this study is to examine the effect of instrumental-activity of daily living program on a patient with subacute stroke in the view of self-efficiency, motivation for rehabilitation, social support.
Methods : Eight stroke patients who attended instrumental-activity of daily living program at P hospital in Busan Metropolitan City from march 2018 to January 2019 were recruited. Instrumental-activity of daily living program was offered to 8 stroke patients 1 session (at least 1 hours) a day, 5 times a week, for 4~5 weeks. The instrumental-activity of daily living program was based on occupational therapy practice framework (OTPF) and international classification of functioning, disability and health (ICF). We evaluated self-efficacy, rehabilitation motivation, social support before and after intervention. Self-efficacy was evaluated using the general self-efficacy scale. The collected data was processed using SPSS 20.0 and were analyzed using descriptive statistics, Wilcoxon signed rank test, Pearson's correlation coefficient.
Results : There were statistically significant differences in self-efficiency, rehabilitation motivation, social support between before and after instrumental-activity of daily living program (p<.05). Examining the correlation between the self-efficiency, rehabilitation motivation and social support of the stroke patient, there was a correlation between the self-efficiency and social support (p<.05).
Conclusion : This study showed that the instrumental-activity of daily living program have positive effects on self-efficacy, rehabilitation motivation, social support. When considering the instrumental-activity of daily living program with improved self-efficacy, rehabilitation motivation, social support of the participants, we suggest that further studies will be needed to examine more extensive instrumental-activity of daily living and rehabilitation to the society with a larger sample size.

KCI등재

3사회 인구학적 변인에 따른 여성의 웰빙 인식과 미용관리 성향

저자 : 김현승 ( Kim Hyunseung ) , 조성현 ( Cho Sunghyoun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 21-32 (12 pages)

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Purpose : The purpose of this study was to analyze perceptions of well-being and characteristics of beauty care tendencies among women, in order to provide basic data for the establishment of a well-being and beauty management direction.
Methods : The domains examined for perceptions of well-being included spirit-oriented, material-oriented, self-oriented, and appearance-oriented values. The domains examined for beauty care tendencies consisted of appearance interest, social factors, and beauty care behavior. A survey of 320 women was conducted. In the analysis of the data, t-test and analysis of variance were used to examine the relationship between perceptions of well-being and beauty care tendencies based on sociodemographic variables. A multiple regression analysis was used to analyze the factors affecting beauty care tendencies.
Results : The analysis of the perceptions of well-being among the participants indicated that they tended to be more aware of the mental aspects of well-being and seldom recognized well-being as having material aspects. Therefore, they recognized the concept of well-being as something mentally oriented. The analysis of the factors affecting beauty care tendencies indicated that the participants were most greatly influenced by spirit-oriented values, and the more appearance-oriented values were emphasized, the more focus there was on beauty care.
Conclusion : This study found that well-being is a luxury, and traditional beauty care involving care of the mind and body can be effectively utilized if the beauty care is based on the recognition of mentally oriented well-being.

KCI등재

4경두개 직류전류자극과 전산화 인지재활 프로그램이 뇌졸중 환자의 인지기능 및 우울감에 미치는 영향

저자 : 안태규 ( An Taegyu ) , 권혁철 ( Kwon Hyukchul )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 33-40 (8 pages)

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Purpose : The purpose of this randomized controlled trial study was to examine the effect of transcranial direct current stimulation (tDCS) on cognitive function and depression in stroke patients.
Methods : Thirty stroke patients were randomly divided into an experimental group (n = 15) and a control group (n = 15). The experimental group received tDCS while performing computerized cognitive rehabilitation programs, and the control group was provided with sham tDCS while operating the same programs. The 30-minute intervention was implemented five times per week for six weeks. To assess cognitive function before and after the intervention, the Neurobehavioral Cognitive Status Examination was conducted; the Beck Depression Inventory BDI was employed to assess depression.
Results : The experimental group showed statistically significant increases in cognitive function and decreases in depression (p < .05 ). Comparing the amount of variation between the groups after arbitration also showed significant differences in cognitive function and depression between the two groups (p > .05).
Conclusion : The application of tDCS and computerized cognitive rehabilitation programs for stroke patients may positively affect their cognitive function and depression. Therefore, tDCS used with computerized cognitive rehabilitation programs is positively applicable to the enhancement of cognitive function in stroke patients and reduction of depression.

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5대학생의 SNS 과시행동에 영향을 미치는 요인

저자 : 차혜경 ( Cha Hyegyeong )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 41-50 (10 pages)

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Purpose : The goal of this descriptive research study was to identify the relationship between t relative deprivation, absolute deprivation, self-esteem, self-efficacy, and social support of university students and their show-off behavior on social network services (SNSs), as well as to identify the influencing factors.
Methods : The research tools consisted of 8 items for general characteristics, a measure of deprivation (9 items for relative deprivation and 8 items for absolute deprivation), 15 items for show-off behavior on SNSs, 10 items for self-esteem, 25 items for social support, and 20 items for self-efficacy. Data analysis was performed using the SPSS 22.0 program for the descriptive statistics, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression.
Results : The results showed relative deprivation (B=.102, t=4.060, p<.001) was the most important factor in show-off behavior on SNSs for university students. Furthermore, social support (B=-.178, t=-3.099, p=.002), absolute deprivation (B=-.175, t=-4.284, p<.001), and self-esteem (B=-.212, t=-2.490, p=.014) accounted for 21.5% of the explanatory power (F=14.215, p<.001).
Conclusion : The study findings revealed that relative deprivation is the most important factor in the show-off behavior of university students on SNSs. Social support, absolute deprivation, and self-esteem were also identified as factors that affect their show-off behavior on such services. This study aims to contribute to the effective program progress by providing basic data for the development of the show-off behavior on SNSs intervention and prevention programs to reduce the side effects of various the show-off behaviors on SNSs of university students.

KCI등재

6The Effect of Comprehensive Art Therapy on Physical Performance and Activities of Daily Living in Children with Cerebral Palsy

저자 : Baek Suejung , Lee Myeungsu , Yang Chungyong , Yang Jisu , Kang Eunyeong , Chong Bokhee

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 51-59 (9 pages)

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Purpose : To evaluate the effect of comprehensive art therapy on physical function and activities of daily living in children with cerebral palsy (CP).
Methods : Ten ambulant children with diplegic (n=8) or hemiplegic (n=2) CP participated in this study. All were randomly assigned to either the art therapy group (n=5) or the control group (n=5). Both groups received physical therapy based on neurodevelopmental techniques for 20 minutes a day, 1 day a week, for a period of 12 weeks. Children in the art therapy group received additional comprehensive art therapy for 70 minutes once a week for 3 months. Tests for various measurements―Motricity Index (MI) for strength, Trunk Control Test (TCT) for trunk ability, Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System (GMFCS) for gross motor function, Denver Developmental Screening Test-II (DDST-II) for developmental milestones, Functional Independence Measure of Children (WeeFIM) for abilities to complete daily activities, Leg and Hand Ability Test (LHAT) for limb function―were performed before and after treatments.
Results : The upper extremity and whole extremity strengths of MI, self-care and total scores of WeeFIM, and leg and arm functions of LHAT improved significantly only for individuals in the art therapy group after the art therapy (p<.05). The value of MI after treatment was at the upper extremity and whole extremity strengths the leg function of LHAT was also significantly improved compared to the control group (p<.05).
Conclusion : This study revealed that comprehensive art therapy along with physiotherapy was effective in increasing upper extremity strength and leg ability in children with CP. This suggests that comprehensive art therapy may be a useful adjunctive therapy for children with CP.

KCI등재

750대 만성허리통증 환자들을 대상으로 다리들기와 다리내리기 운동이 배 근육의 활성도, 허리통증, 그리고 유연성에 미치는 영향

저자 : 배원식 ( Bae Wonsik ) , 이건철 ( Lee Keoncheol ) , 박한규 ( Park Hankyu )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 61-69 (9 pages)

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Purpose : The purpose of this study was to investigate the effects of Straight leg lifts (SLL) and double leg lowering (DLL) exercise on abdominal muscle activity, visual analog scale (VAS), and flexibility in patients with chronic low back pain (LBP).
Methods : A total of 30 LBP patients were divided into two groups: those with SLL exercise group 15 (male=8, female=7) and those with DLL exercise group 15 (male=7, female=8). Before the intervention, the abdominal muscle activity, VAS, and flexibility were measured. After 4 weeks of intervention, the above variables were measured in the same way. The SLL exercise bends the leg 45 ˚ in the supine position, and the DLL exercise was performed as opposed to SLL. At this time, the pressure biofeedback unit (PBU) was placed behind the lumbar to reduce the instability of the pelvis and muscles. The subjects were instructed to use the PBU to maintain the target pressure determined (40 ㎜Hg) during the exercise.
Results : The external oblique (EO), internal oblique (IO), and transverse abdominis (TrA) were significantly different in the SLL and DLL group, and EO, IO, and TrA activity improved more significantly increased in the DLL than SLL group (p<.05). The results on the VAS and flexibility were significantly different both group (p< .05). However, there was no significant difference between the groups (p >.05).
Conclusion : SLL and DLL exercises in patients with LBP were able to confirm the increased activity of the abdominal muscles, decreased pain, and increased flexibility of the waist. In addition, DLL exercise is more effective in patients with LBP in terms of muscle activity.

KCI등재

8뇌성마비 아동의 수중 중재가 관절가동범위와 대동작기능 및 균형에 미치는 효과 : 메타분석

저자 : 최기복 ( Choi Kibok ) , 조성현 ( Cho Sunghyoun )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 71-83 (13 pages)

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Purpose: This meta-analysis aimed to analyze to the effects of aquatic exercise programs in children with cerebral palsy and identify directions for future research.
Methods: A systematic search based on the PRISMA guidelines was undertaken for studies conducted between 2006 and 2018 on aquatic exercise programs in children with cerebral palsy. A total of 10 studies were selected according to the inclusion criteria. The methodological quality was assessed using the Risk of Bias Tool for Randomized Controlled Trials (RoB) and Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). A meta-analysis software (CMA 3.0) was used to calculate the mean effect size, effect size by intervention (Halliwick and Watsu Aquatic methods), and effect size by outcome.
Results: The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion, followed by the gross motor function measure, the Pediatric Berg Balance Scale, and the Modified Ashworth Scale. Meta-regression analysis showed effect size increased when sample size, number of sessions, and length of sessions increased.
Conclusion: The results show that aquatic exercise programs have a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that recommends the appropriate intervention and the identifies the direction of future studies on aquatic exercise programs.

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9치과에서의 마스크 및 손의 미생물 오염정도 비교

저자 : 표은지 ( Pyo Eunji ) , 이경희 ( Lee Kyunghee )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 85-94 (10 pages)

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Purpose: The purpose of this study was to observe the degree of mask contamination in dental hygienist for general and oral bacteria and to identify areas of mask contamination after treatment.
Methods: Masks were collected with every fifty dental hygienists who currently working in the department of preventive dentistry, prosthodontics, and orthodontics in Busan. The mask bacteria were collected in specific upper and side parts of the mask. Hand germs were collected using sterile cotton swabs, and then placed in a sterile conical tube. These were transferred to the laboratory. Hand germs and mask bacteria were incubated with nutrient broth (NB) and brain heart infusion broth (BHI) for 24 hrs and each cultured with NB and BHI plate at 37 ℃ for 48 hrs. Collected data were analyzed using the SPSS Window 20.
Results: The number of bacteria was observed in the order of the department of preventive dentistry (10.1×105CFU/ml), prosthodontics (14.7×105CFU/ml), and orthodontics (23.3×105CFU/ml) in the hand. In general bacteria, the difference of contamination was seen by the parts of the mask, but there was no significant difference. However, the oral bacteria were observed highly contaminated upper part of the mask in preventive dentistry. The mask contamination according to the medical departments was observed. Especially, the contamination of mask in preventive dentistry was significantly higher than other departments in oral bacteria.
Conclusion: This study suggested that correct mask replacement and recognition of contamination areas can contribute to the prevention of infectious disease. and it would be necessary to increase hand hygiene performance to prevent cross-infection with masks. Also, this study may give an idea for making guidelines for mask management and supporting to establish clear criteria for the education program of personal protective equipment.

KCI등재

10작업치료(학)과 임상실습 학생들의 감염관리 인식 및 실태조사

저자 : 원정희 ( Won Junghee ) , 장문영 ( Chang Moonyoung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 7권 3호 발행 연도 : 2019 페이지 : pp. 95-107 (13 pages)

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Objective : The aim of this study was to investigate the infection management awareness and infection prevention management status of students who participated in occupational therapy and clinical practice.
Methods : The study was carried out from June 27th to August 4th, 2017, to survey the awareness and practice of infection control in 11 practice institutes among 193 students who had experience in 8 universities.
Results : A total of 93.3 % of the respondents said that they needed education about infectious diseases, but 53.3 % of them did not receive infection prevention education at school or in clinical trial institutes. Hygienic practices for infection prevention and infection control practices related to handwashing were high, but the use of protective equipment was poor in the observation of swallowing disorder treatment. It is also important to educate students who have been trained in infection control. However, infection prevention training at universities and training centers is insufficient suggesting the importance of future infection education.
Conclusion : Infection control education to prevent infection is necessary not only for clinicians but also for students participating in on-the-job training. Effective efforts are also needed in universities and clinical practice institutes so that infectious disease prevention education can be implemented. This study provides basic data for infection control education in universities and practice educational institute that perform clinical training and occupational therapy.

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