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대한통합의학회> 대한통합의학회지> 간호대학생의 건강증진행위가 피로 및 우울에 미치는 영향

KCI등재

간호대학생의 건강증진행위가 피로 및 우울에 미치는 영향

The Effect of Health Promotion Behavior on the Fatigue and Depression of Nursing Students

이경임 ( Keyoung-im Lee ) , 노지영 ( Ji-yeong No )
  • : 대한통합의학회
  • : 대한통합의학회지 10권3호
  • : 연속간행물
  • : 2022년 08월
  • : 53-62(10pages)
대한통합의학회지

DOI


목차

Ⅰ. 서 론
Ⅱ. 연구방법
Ⅲ. 결 과
Ⅳ. 고 찰
Ⅴ. 결 론
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Purpose : This research is a descriptive study that aimed to identify the levels of health promotion behaviors, fatigue, and depression of nursing students and confirm the effect of health promotion behaviors on fatigue and depression.
Methods : Data were collected from September 27 to October 15, 2021 through survey questionnaires on 178 nursing students of 2 universities in G-do who voluntarily agreed to participate. The collected data were analyzed using SPSS 23.0, the general characteristics of nursing students were analyzed by frequency and percentage, and the levels of their health promotion behaviors, fatigue, and depression of nursing students was analyzed by mean and standard deviation. The relationship among the health promotion behaviors, fatigue, and depression was analyzed by Pearson's Correlation Coefficient. Multiple regression analysis was performed for the effects of health promotion behaviors on fatigue and depression of nursing students.
Results : The nursing students' health promotion behaviors averaged 2.25±.43 points out of 5, and for each sub-factor, interpersonal relationship was the highest at 2.66±.49 points and physical activity was the lowest at 2.01±.60 points. Fatigue was 4.89±1.02 points out of 7 and depression was 10.52±9.10 points out of 63. A statistically significant correlation was found among health promotion behaviors, fatigue, and depression. Health promotion behaviors that significantly affected fatigue were stress management (β=-.263, p=.004) and physical activity (β=-.208, p=.026), which showed 35 % explanatory power on fatigue. Health promotion behaviors that significantly affected depression were spiritual growth (β=-.342, p=.002), and physical activity (β=-.231, p=.016), which showed 31 % explanatory power for depression.
Conclusion : This study is meaningful in that it provided basic data to develop an effective health promotion behavior program to prevent and manage nursing students' fatigue and depression, by identifying and analyzing the sub-factors of health promotion behaviors affecting their fatigue and depression.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 기타(의약학)
  • : KCI등재
  • :
  • : 계간
  • : 1975-7654
  • :
  • : 학술지
  • : 연속간행물
  • : 2013-2022
  • : 614


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1무릎스쿼트 운동과 스쿼트 운동 자세에 따른 뇌졸중 환자의 균형 비교 연구

저자 : 고관혁 ( Gwan-hyeok Go ) , 김병조 ( Byeong-jo Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 1-9 (9 pages)

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Purpose : The purpose of this research is to propose a more efficient exercising method by measuring and comparing the movement of center of pressure (COP) while hemiplegic stroke patients perform kneeling squat exercise and squat exercise.
Methods : 17 hemiplegic stroke patients were instructed to perform kneeling squat exercises and squat exercises, and the research was designed as a cross-over study. For data collection, a pressure distribution measurement platform (PDM) was used to measure the movement area, length, speed, and distance from the center of the X-axis of center of pressure. The data was then analyzed through a paired t-test.
Results : Kneeling squat exercises have been found to have a significantly smaller center of pressure movement area compared to that of squat exercise(p<.001), and the center of pressure movement length of kneeing squat exercise has also been found to be relatively shorter (p<.001). Moreover, kneeling squat exercises have been found to have a significantly slower center of pressure movement speed than squat exercise (p<.001), and kneeing squat exercise center of pressure movement distance from the center of the X-axis has been found to be significantly small (p<.001).
Conclusion : Kneeling squat exercises have significantly decreased amounts of center of pressure movement area, distance, and speed compared to squat exercises. Also, the center of pressure movement distance from the center of the X-axis was relatively closer. This result seems to derive from patients performing their motions with wide base surfaces while being refrained from using unstable ankle joints during kneeing squat exercise. Therefore, it can be concluded that kneeing squat exercises show relatively balanced center of pressure movements between the paralyzed and non-paralyzed sides because kneeling squats show smaller shakes in the center of pressure.

KCI등재

2작업치료사의 직업윤리가 직무스트레스와 소진에 미치는 영향

저자 : 김지훈 ( Ji-hoon Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 11-21 (11 pages)

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Purpose : The purpose of this study is to identify the degree of occupational therapist's professional ethics and to examine the correlation between professional ethics, job stress, and burnout. It also investigates the effects of the occupational therapist's professional ethics on job stress, and burn out, so that we can find a way to reduce them in occupational therapists.
Methods : We conducted surveys from June 1 to July 5, 2022. The general characteristics were examined using a frequency analysis. Professional ethics, job stress, and burn out were examined using descriptive statistics. The correlation among them was analyzed with the Pearson correlation coefficient. To find out what factors affect job stress and burn out, we also conducted a multiple regression analysis.
Results : First, professional ethics was averaged at 3.57±.34. Second, a significant negative correlation in professional ethics was found between job stress and burn out (p<.01). As a result of the correlation between occupational ethics sub-factors and job stress and burnout, factors excluding nonleisure and self-reliance showed a statistically significant correlation (p<.01, p<.05). Third, professional ethics sub-factor was affected job stress and burn out (p<.01, p<.05). The sub-factors affecting job stress were hard work (β=.-461, p<.01), delay of gratification (β=.-267, p<.01), and relation with coworker (β=.-245, p<.01) and morality (β =.-165, p<.05); and those influencing burnout were delay of gratification (β=-.240, p<.01), relation with coworker (β=-.223, p<.01), centrality of work (β=-.189, p<.01) and hard work (β=-.184, p<.05).
Conclusion : The results of this study confirmed the importance of professional ethics affecting job stress and burn out. Through follow-up research, it will be necessary to develop and apply programs to improve professional ethic of occupational therapists in the future.

KCI등재

3다이나믹 테이핑을 적용한 복합 운동프로그램이 긴장성 두통과 전방머리자세를 동반한 만성 목 통증 환자에게 미치는 효과

저자 : 박삼호 ( Sam-ho Park ) , 정승화 ( Seung-hwa Jung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 23-34 (12 pages)

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Purpose : This study examined the effects of pain, neck dysfunction, psychosocial level, headache impact test (HIT), postural alignment, and trapezius muscle tone of the complex exercise program using dynamic taping in patients with tension headache and chronic neck pain with forward head posture.
Methods : The design of this is a randomized controlled trial (RCT). Thirty-four patients with chronic neck pain were screened using a randomized assignment program and assigned to experimental group (n=17) and control group (n=17). Both groups underwent a complex exercise program. In addition, the experimental group dynamic taping was applied to the upper trapezius muscle. All interventions were applied three times per week for four weeks. The visual analogue scale (VAS), the neck disability index (NDI), short form-12 health survey questionnaire (SF-12), Headache impact test-6 (HIT-6), Craniovertebral angle (CVA), Cranial rotation angle (CRA), upper trapezius muscle tone were compared to evaluate the effect on intervention.
Results : Both groups showed significant differences before and after the intervention in VAS, NDI, SF-12, HIT-6, and CVA, CRA (p<.05). In addition, significant differences in NDI and upper trapezius muscle tone were observed between the experimental group and control group (p<.05).
Conclusion : A complex exercise program using dynamic taping for patients with tension headache and chronic neck pain with forward head posture are effective method with clinical significance in improving the function and reducing upper trapezius muscle tone.

KCI등재

465세 이상 노인들의 순환기계 질환 의사 진단 여부에 따른 주관적 구강건강과 구강관리 행태

저자 : 박충무 ( Chung-mu Park ) , 윤현서 ( Hyun-seo Yoon )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 35-47 (13 pages)

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Purpose : As the number of patients with systemic diseases is increasing in the old, the relevance of oral health is gaining particular research interest. To provide fundamental resources for dental services, this study examined the relationship between doctors' diagnoses of circulatory diseases and patients' awareness of oral health and oral care behaviors.
Methods : SPSS 26.0 was used to assess various variables, including doctor's diagnosis of circulatory diseases, gender, age, household income quintile, participation in economic activity, marital status, subjective level of oral health awareness, mastication discomfort, speaking and chewing discomfort, dental inspection, use of oral care goods, teeth brushing during the previous day, and untreated oral conditions.
Results : The circulatory diseases suffered by the subjects were as follows: 56 % high blood pressure, 36 % dyslipidemia, 6 % stroke, and 8 % myocardial infarction or angina. A higher age meant a higher diagnosis rate of high blood pressure (p<.001) and stroke (p<.001). Those with dyslipidemia showed a higher rate of receiving oral inspection (p=.040), and an untreated oral condition was more frequently observed among those not diagnosed with the disease (p=.035). The subjects who were not diagnosed with stroke showed a higher rate of oral inspection (p<.001), while those who had a prior experience of stroke suffered a higher rate of mastication discomfort (p=.020). People who had high blood pressure showed a lower rate of using oral care goods (p<.001), and those diagnosed with stroke showed a lower rate of brushing teeth the previous day.
Conclusion : This study found a correlation between the diagnosis of circulatory diseases and the awareness of oral health and oral care behavior. Consequently, oral health education should be included in mental health-related education, and customized training to teach teeth brushing and the use of oral care goods should be provided to patients with circulatory diseases during dentist visits.

KCI등재

5전공 선택동기, COVID-19 불안, 직업가치관이 취업준비행동에 미치는 영향: 보건계열 대학생을 중심으로

저자 : 김은정 ( Eun-jung Kim ) , 박사라 ( Sa-ra Park ) , 임성범 ( Seong-beom Lim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 49-56 (8 pages)

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Purpose : The purpose of this study was to examine the effects of the motivation for choosing a major, COVID-19 anxiety, and work values on the employment preparation behavior of health college students and to provide evidence for developing programs for employment preparation behavior in the future.
Methods : Employing a random sampling method, a survey was conducted from April 22 to June 3, 2022, using an electronically-disseminated questionnaire with college students majoring in medical technician, health administration, and nursing from D and K colleges located in Daegu. A total of 402 students who fully understood and agreed to the purpose of the study participated. The SPSS statistical program was used to analyze the collected data, which were verified using correlation and regression analyses.
Results : The results of the study are: First, employment preparation behavior was positively correlated to major selection motivation, COVID-19 anxiety, and work values. Second, significant relationships were found between employment preparation behavior and motivation behind choosing a major, work values, and COVID-19 anxiety, in that order. The higher the major selection motivation, work values, and COVID-19 anxiety were, the better the employment preparation behavior was.
Conclusion : The study's results indicate that it would be meaningful to provide health college students who were highly motivated to select their major and who possess sound work values with well-prepared job training programs. Various activities organized by the school for improving the students' self-satisfaction and self-efficacy, which can strengthen their long-term work values, could also be provided. In addition, due to the continuing COVID-19 pandemic, college students may feel anxious about new infectious diseases that might occur in the future. Therefore, considering the contemporary situation, a helpful educational program will be invaluable to fit the pupils for life's battle after they finish their education.

KCI등재

6슬링을 이용한 중간볼기근 강화훈련이 만성 발목 불안정성을 가진 20대 성인의 발목 불안정성, 균형, 근력에 미치는 영향

저자 : 정종효 ( Jong-hyo Jeong ) , 김호 ( Ho Kim ) , 신원섭 ( Won-seob Shin )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 57-69 (13 pages)

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Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability.
Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured.
Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size.
Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.

KCI등재

7집단미술치료가 치매 노인에게 미치는 영향에 대한 체계적 고찰

저자 : 김도연 ( Do-yoen Kim ) , 이혜미 ( Hye-mi Lee ) , 배지우 ( Ji-woo Bae ) , 정남해 ( Nam-hae Jung )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 71-81 (11 pages)

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Purpose : This study aimed to present evidence by analyzing the characteristics and effectiveness of group art therapy interventions through an examination of domestic studies on group art therapy for older people with dementia.
Methods : The database used DBpia, Riss, and Google Scholar, and the research period was from 2016 to November 2021. For the selected studies, the level of evidence was analyzed, bias evaluation was performed, and patient, intervention, comparison, and outcome were analyzed. For the evaluation of bias, the risk of bias assessment tool for non-randomized study (RoBANS) and Cochrane's risk of bias (RoB) were used.
Results : As for the level of evidence of the included studies, level Ⅰ consisted of five studies, and levels Ⅱ and Ⅲ each had one article. As a result of the bias evaluation of five studies through RoB, a “low risk of bias” was found for incomplete result data, selective result reporting, and others, except for four unclear evaluation areas. The “low risk of bias” ratio was 0~25 % in the evaluation of bias in two studies through RoBANS. For the evaluation tool, cognitive evaluation tool was used the most while mini-mental state examination-Korea was used the most frequently. For the intervention method, the most frequently used was group art therapy that employed recall in three studies, while collage, Korean painting, use of paper media, and procedural memory were used in each of the other studies. Each intervention was found to be significantly effective overall.
Conclusion : This study provided clinical evidence by systematically reporting research on group art therapy for older people with dementia. In the future, it is necessary to check the effect of group art therapy on various areas other than cognition for older people with dementia. Moreover, the study should be conducted with the risk of bias sufficiently taken into consideration.

KCI등재

8노인의 인지기능, 손의 기민성 및 인지과제를 결합한 이중과제 수행과의 상관성 연구

저자 : 곽호성 ( Ho-soung Kwak )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 83-91 (9 pages)

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Purpose: The goal of this study was to investigate changes in dual-task performance according to age and difficulty of cognitive tasks for the in community-dwelling elderly populations, as well as to examine their changes in hand dexterity according to age and cognitive function.
Methods: A total of 135 people aged 65 years old and over participated in the study. To evaluate each participant's dual-task performance, each participant completed a dual task. To assess their cognitive function, the Korean Mini-Mental State Examination (MMSE-K) and the Korean version of Montreal Cognitive Assessment (MoCA-K) were the tools used. Participants were divided into three groups based on their age: 65-69 years, 70-79 years, and 80-89 years.
Results: The findings showed that age groups and the difficulty of the cognitive task significantly affected the amount of time required for dual-task performance (p<.001). Additionally, the dual-task correct response rate (CRR) decreased significantly with age groups and the difficulty of the cognitive task (p<.001). The amount of time required for finger dexterity performance increased significantly with age groups (mean score±standard deviation [SD]; 19.46±2.26 in subjects aged 65-69 years; 21.92±2.61 in subjects aged 70-79 years; and 23.82±2.92 in subjects aged 80-89 years; p<.001). Moreover, as a result of the correlation between hand dexterity and cognitive function, MoCA-K was -0.563 and MMSE-K was -.412, showing a statistically significant correlation (p<.001).
Conclusions: Age and the difficulty of the cognitive task affect the community-dwelling elderly populations in terms of dual-task performance and dual-task CRR. In addition, aging and general cognition have an impact on hand dexterity. Based on the results of this study, it is anticipated that the results will serve as a reference for domestic clinical trials that confirm cognitive decline in the elderly using dual task and hand dexterity evaluation.

KCI등재

9가상현실 기반의 링 피트 어드벤처 코어 운동이 배가로근, 배속빗근, 배바깥빗근의 두께에 미치는 영향

저자 : 윤삼원 ( Sam-won Yoon ) , 윤성영 ( Sung-young Yoon ) , 박한규 ( Han-kyu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 93-102 (10 pages)

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Purpose : The purpose of this study was to analyze the change in thickness of transvers abdominis, internal oblique, and external oblique when virtual reality based ring fit adventure is applied to young adults in order to investigate the effect of ring fit adventure on core stabilization.
Methods : 30 subjects participated in the experiment. Subjects were randomly assigned to two groups. 15 subjects performed ring fit adventure core exercise (experimental group) and 15 subjects bridge and dead bug exercise (control group). The ring fit adventure core exercise program consists of 6 types, 1) bow pull, 2) overhead lunge twist, 3) pendulum bend, 4) seated ring raise, 5) plank, 6) warrior III pose. Each exercise was performed for 5 minutes, for a total of 30 minutes. The bridege and dead bug exercise were performed for 15 minutes each for a total of 30 minutes. All interventions were performed 3 times a week for 4 weeks. Thickness of the abdominal muscles was measured with a ultrasound. The paired t-test was used to compare the thickness of the transverse abdominis, internal oblique, and external oblique before and after intervention, and the comparison between groups was analyzed using the independent t-test.
Results : As a result, in the experimental group, thickness of transverse abdominis and internal oblique increased significantly (p<.05), but external oblique decreased significantly (p<.05), and in the control group, thickness of transverse abdominis, internal oblique, and external oblique increased significantly (p<.05). There was a significant difference in external oblique in the difference between groups (p<.05).
Conclusion : These study results showed that core exercise using ring fit adventure can reduce external oblique and increased selective muscle activity of transverse abdominis and internal oblique of the deep abdominal muscles, so it is meaningful as an effective intervention for core stabilization.

KCI등재

10에센셜 오일 18종의 S. mutans, P. gingivalis, L. gasseri에 대한 항균능 분석

저자 : 윤현서 ( Hyun-seo Yoon ) , 박충무 ( Chung-mu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 4호 발행 연도 : 2022 페이지 : pp. 103-111 (9 pages)

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Purpose : In recent years, essential oils have been produced using natural extracts for various uses. Their functionality is currently being tested not only for cosmetics and perfumes but also for other categories of products. Therefore, this study verified their antibacterial effects on S. mutans, P. gingivalis, and L. gasseri which are the representative strains that cause oral diseases.
Methods : Eighteen types of natural essential oils were made at a concentration of 50 % (v/v) using Tween 20, and their antibacterial effects were verified by applying S. mutans, P. gingivalis, and L. gasseri. The antibacterial effects were measured with the disc diffusion method. All the experiments were repeated three times, and the mean value of three measurement values for each variable was used for data analysis. A one-way analysis of variance was conducted using these mean values.
Results : Of the eighteen types of essential oils tested, sixteen types showed antibacterial effects on S. mutans, and sixteen and fifteen types exhibited antibacterial effects on P. gingivalis and L. gasseri respectively. The types of essential oils with high-level antibacterial activities were geranium, may chang, and bergamot for S. mutans, lemongrass, bergamot, and eucalyptus for P. gingivalis, and lemongrass, machan, and geranium for L. gasseri in order of antibacterial effect. This result was statistically significant (p<.001). In addition, in the case of mandarin oil, it was found that there was no antibacterial activity in all three strains.
Conclusion : This study proved the antibacterial activities of essential oils, which are used for various purposes in daily life, against dental caries and periodontal diseases. The study results will likely be applied to different prevention programs for oral health and broadly used to develop products such as oral care items and dentifrices.

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KCI등재

1간호대학생의 간호전문직관에 영향을 미치는 요인

저자 : 박주영 ( Ju-young Park ) , 김선영 ( Sun-young Kim ) , 정영은 ( Young-eun Jung ) , 정은 ( Eun Jeong ) , 최은다 ( Eun-da Choi ) , 하지연 ( Ji-yeon Ha )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 1-11 (11 pages)

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Purpose : In order to respond to the needs of society, it is necessary for nursing students to develop into their professional roles and form a higher degree of positive nursing professionalism. This study investigated clinical practice stress, clinical practice satisfaction, academic major satisfaction, and self-esteem among nursing students, and identified factors influencing their nursing professionalism.
Methods : The participants of this study were 200 nursing students who used the internet and e-mail, and who understood the purpose and methods of this study. Data were collected from June 21 to July 27, 2021. Data analysis, including the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression, was performed using SPSS version 26.0.
Results : The mean score was 3.52±.47 for nursing professionalism, 2.99±.56 for clinical practice stress, 3.35±.44 for clinical practice satisfaction, 3.75±.55 for academic major satisfaction, and 3.49±.78 for self-esteem. There were no significant differences in nursing professionalism according to general characteristics. Nursing professionalism was positively correlated with clinical practice satisfaction (r=.36, p<.001), academic major satisfaction (r=.57, p<.001), and self-esteem (r=.41, p<.001), but negatively correlated with clinical practice stress (r=-.41, p<.001). Factors influencing nursing professionalism included academic major satisfaction (β=.39, p<.001) and clinical practice stress (β=-.16, p=.021). These variables explained 36 % of variance in nursing professionalism (F=29.43, p<.001).
Conclusion : These findings indicate that academic major satisfaction and clinical practice stress could be considered in effective nursing educational interventions to improve nursing professionalism in nursing students. Therefore, multidimensional efforts are needed to establish educational programs for nursing students aiming to enhance their nursing professionalism. In addition, these findings will be helpful for establishing various emotional control programs for the management of clinical practice stress among nursing students.

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Purpose : The purpose of this study was to investigate the effects of combined cervical stabilization exercise (CSE) and stretching exercise (SE) on office workers with forward head posture (FHP).
Methods : A total of 32 office workers with forward head posture were randomly assigned to experimental (n=16) and control (n=16) groups. The experimental group underwent combined CSE and SE, and the control group underwent cervical self-myofascial release and SE. Both groups performed exercises for 40 min per day, thrice per week for a total of 6 weeks. Craniovertebral angle (CVA), respiration, disability, and joint range of motion (ROM) before and 6 weeks after intervention were measured and compared.
Results : There was no significant between-group difference in the general characteristics (p>.05). The intra-group comparison showed significant differences in the visual analog scale (VAS) and neck disability index (NDI) of both groups post-intervention (p<.05). CVA and forced expiratory volume in 1 seconds (FEV1) were significantly improved post-intervention in the experimental group only (p<.05). In the experimental group, all ROM variables were significantly improved post-intervention. In contrast, in the control group, all ROM variables improved significantly post-intervention, except for extension (p<.05). The inter-group comparison showed significant differences in NDI, left lateral flexion, right lateral flexion, and left rotation between the two groups (p<.05).
Conclusion : The combination of CSE and SE, which stabilizes the cervical spine, had positive effects on cranial rotation angle, respiration, disability, and joint ROM in office workers with forward head posture. Therefore, the combination of the two exercises may be an effective option to reduce symptoms and prevent postural problems in office workers with FHP.

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3며느리배꼽추출물을 함유하는 페이스 크림의 보습 및 건조함 감소 효과

저자 : 김성윤 ( Seong-Yun Kim ) , 윤현서 ( Hyun-seo Yoon ) , 현숙경 ( Sook-kyung Hyun ) , 박충무 ( Chung-mu Park )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 27-36 (10 pages)

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Purpose : This study was aimed to analyze the effects of cosmetics containing Persicaria perfoliata water extract (PPWE) on the skin moisturizing and improvement of skin condition in clinical trials.
Methods : Clinical trial was conducted for five weeks after IRB approval at Dong-Eui University. Out of a total of 64 people, 15 people each were assigned to four groups as follows; control group A, B, C and the experimental group A that using cosmetic containing PPWE. Skin condition was measured two times, before and after clinical trial, by a professional skin analyzer, SDM (skin diagnosis system). Moisture and oil value of participants was analyzed twice, each morning and evening, using a portable device on their cheeks. In addition, the survey was investigated subjective satisfaction on change in skin condition and the satisfaction on the use of cosmetics.
Result : The experimental group exhibited subjectively significant changes before and after clinical trials on skin its dryness (p=.039), blush (p=.017), and redness (p<.001). In addition, subjective evaluation was also the highest satisfaction in aspects of number of application (p=.003), amount of application (p=.002), moisture maintenance, and skin scratching frequency. The satisfaction on the use of cosmetics was the highest in the intention to repurchase (p=.045), recommendation willingness to others (p=.020), and intention to use various products (p=.001). Skin moisture of the clinical trial participants using the SDM, moisture level and elasticity of the experimental group increased by 12.94 and 10.28. Moisture level, which was measured by a portable device, was the most potently increased in the experimental group.
Conclusion : Consequently, PPWE containg cosmetics exhibited the effects of moisturization and attenuated skin dryness in clinical trials, which might be utilized as a fundamental data to develop numerous lines of cosmetics.

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4비특이적 만성 허리통증 환자에 대한 전기자극의 효과 : 국내 데이터베이스의 메타분석

저자 : 이정우 ( Jeong-woo Lee ) , 조성현 ( Sung-hyoun Cho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 37-52 (16 pages)

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Purpose : The purpose of this meta-analysis was to evaluate the effects of electrical stimulation on patients with non-specific low back pain.
Methods : Domestic databases were gathered from studies that conducted clinical trials associated with electrical stimulation and its impact on pain of non-specific low back patients. A total of 681 studies were identified, with 12 studies satisfying the inclusion data. The studies consisted of patient, intervention, comparison, outcome, and study design (PICO-SD). The search outcomes were items associated with low back pain. Cochrane risk of bias 2 (RoB 2) was used to evaluate the quality of 12 randomized controlled trials. Effect sizes (Hedges's g) in this study were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Egger's regression and 'trim-and-fill' tests were carried out to analyze the publication bias. Cumulative meta-analysis and sensitivity analysis were conducted to analyze the effect according to the sample size and the consistency of the effect size.
Results : The following factors had a large overall effect size (Hedges's g=1.28, 95 % CI=.20~2.36) involving electrical stimulation on non-specific low back pain. The subgroup analysis all showed a statistical difference in the types of study design, electrical stimulation, and assessment tool. No statistically significant difference was found in the meta-regression analysis. Publican bias was found in the data.
Conclusion : The findings in this study indicate that electrical stimulation interventions have a positive effect on patients with non-specific low back pain. However, due to the low quality of studies and publication bias, the results of our study should be interpreted cautiously.

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5간호대학생의 건강증진행위가 피로 및 우울에 미치는 영향

저자 : 이경임 ( Keyoung-im Lee ) , 노지영 ( Ji-yeong No )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 53-62 (10 pages)

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Purpose : This research is a descriptive study that aimed to identify the levels of health promotion behaviors, fatigue, and depression of nursing students and confirm the effect of health promotion behaviors on fatigue and depression.
Methods : Data were collected from September 27 to October 15, 2021 through survey questionnaires on 178 nursing students of 2 universities in G-do who voluntarily agreed to participate. The collected data were analyzed using SPSS 23.0, the general characteristics of nursing students were analyzed by frequency and percentage, and the levels of their health promotion behaviors, fatigue, and depression of nursing students was analyzed by mean and standard deviation. The relationship among the health promotion behaviors, fatigue, and depression was analyzed by Pearson's Correlation Coefficient. Multiple regression analysis was performed for the effects of health promotion behaviors on fatigue and depression of nursing students.
Results : The nursing students' health promotion behaviors averaged 2.25±.43 points out of 5, and for each sub-factor, interpersonal relationship was the highest at 2.66±.49 points and physical activity was the lowest at 2.01±.60 points. Fatigue was 4.89±1.02 points out of 7 and depression was 10.52±9.10 points out of 63. A statistically significant correlation was found among health promotion behaviors, fatigue, and depression. Health promotion behaviors that significantly affected fatigue were stress management (β=-.263, p=.004) and physical activity (β=-.208, p=.026), which showed 35 % explanatory power on fatigue. Health promotion behaviors that significantly affected depression were spiritual growth (β=-.342, p=.002), and physical activity (β=-.231, p=.016), which showed 31 % explanatory power for depression.
Conclusion : This study is meaningful in that it provided basic data to develop an effective health promotion behavior program to prevent and manage nursing students' fatigue and depression, by identifying and analyzing the sub-factors of health promotion behaviors affecting their fatigue and depression.

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6Acute Effects of Dynamic Stretching and Self-Mobilization of the Ankle Joint on Dorsiflexion Range of Motion, Muscle Strength, and Balance in Healthy Adults

저자 : Kyoung-han Kim , Yun-seo Choi , Jeongwoo Jeon , Jihoen Hong , Jaeho Yu , Jinseop Kim , Seong-gil Kim , Dongyeop Lee

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 63-72 (10 pages)

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Purpose : Several studies have investigated the effects of dynamic stretching (DS) and self-mobilization (SM), however, studies comparing the two interventions are rare. Therefore, the purpose of this study was to compare the effects of DS and SM on ankle strength, dorsiflexion range of motion (DFROM), and balance to determine which is superior.
Methods : Thirty-two healthy young adults participated in this study. Participants were randomly assigned to two groups (SM and DS). DS was performed for the purpose of stretching the medial gastrocnemius muscle. For the SM group, ankle joint SM was performed in three ways. For all participants, the following measurements were performed as pre- and post-tests: isometric strength of dorsiflexor and plantar flexor, weight-bearing lunge test (WBLT) to evaluate DFROM, Tetrax system to evaluate static balance, and y balance test (YBT) to evaluate dynamic balance. Differences before and after the intervention within each group were compared using paired t-test. Also, the variable's variation was compared between groups using an independent t-test.
Results : Significant differences were found in ankle dorsiflexor strength, WBLT, YBT, weight distribution index (WDI) (pillow and opened eyes; PO), and stability index (ST) (normal and closed eyes; NC) before and after intervention in the SM group (p<.05). In the DS group, significant differences were found in ankle dorsiflexor and plantar flexor strength, WBLT, YBT anterior, WDI (normal and opened eyes; NO, PO), and ST (NO, NC, PO, pillow and closed eyes) before and after the intervention (p<.05). Ankle plantar flexor strength and WDI (PO) were significantly different between groups.
Conclusion : Based on the results of this study, DS or SM can be considered as a possibility for selective use according to variables for improving ankle joint function (DFROM, muscle strength, balance).

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7림프부종의 물리치료적 접근과 관리 : 전문가 견해

저자 : 이화경 ( Hwa-gyeong Lee ) , 김성열 ( Seong-yeol Kim ) , 최경욱 ( Kyoung-wook Choi )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 73-84 (12 pages)

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Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care.
Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema.
Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient.
Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

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8저항성 운동이 여성 노인의 신체조성, 체력, 혈중지질 및 인슐린에 미치는 영향

저자 : 김원경 ( Won-gyeong Kim ) , 김현준 ( Hyun-jun Kim )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 85-94 (10 pages)

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Purpose : This study aimed to investigate the effects of 12 weeks of resistance exercise on body composition, physical strength, blood lipids, and insulin.
Methods : The study was conducted on 24 elderly women divided into two groups: 12 subjects in an exercise group and 12 subjects in a control group. Resistance exercise was performed for 50 minutes a day, three times a week, for the duration of 12 weeks, and body composition, physical strength, blood lipids, and insulin were measured before and after the subjects completed the program. For the statistical analysis, the mean and standard deviation (M±SD) of each variable were calculated using SPSS version 20, and a paired t-test and two-way repeated ANOVA were conducted to test for the differences before and after the resistance exercise. All significant levels were set to α=.05 as a result of the experiment.
Results : Changes in body composition after the 12-week resistance exercise program did not show any significant difference based on the comparison between the groups, but when noting the values for body fat percentage and body in the control group before and after, a significant difference was shown in fat mass (p<.05). As for changes in physical fitness, significant differences appeared in flexibility, muscle strength, and stenotic force (p<.01) when the groups were compared. Regarding pre- and post-values within each group concerning flexibility within the exercise group, significant differences were shown in gender (p<.001), muscle strength (p<.05), (p<.01), muscle earth strength, equilibrium (p<.01), stenosis force, and cardiopulmonary earth force (p<.001). Also, comparisons between populations in changes in blood lipids the values before and after in each group, significant differences in glucose (p<.05) and insulin (p<.05) were shown in the exercise group. When comparing the values before and after in each population, a significant difference was shown in the control group (p<.05).
Conclusion : When all the results were integrated, the 12-week resistance exercise program was found to enhance physical strength (flexibility, muscle strength, and coordination) and improve the blood sugar levels of elderly women. In particular, resistance exercise is believed to lower the prevalence of obesity, type 2 diabetes mellitus, and metabolic diseases by having a positive effect on insulin. Further studies are suggested to verify the effect on body composition and blood lipids by setting up a variety of exercise treatment methods (including subjects, exercise periods, exercise plans, and exercise intensity focuses).

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9자폐스펙트럼장애 아동의 수면 장애에 대한 국외 작업치료 중재의 체계적 고찰 : 2011년부터 2021년까지

저자 : 최지은 ( Ji-eun Choi ) , 안선정 ( Sun-joung An )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 95-105 (11 pages)

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Purpose : This study aims to systematically review the methods of occupational therapy intervention in children with autism spectrum disorders having sleep disorders and evaluate the improvements with intervention effects, based on experimental studies of children with sleep disorders.
Methods : Studies published overseas from January 2011 to June 2021 were searched from a total of two databases. Science Direct and OTseeker. The five selected studies were analyzed by dividing them into age, number, intervention period, intervention type, intervention effect, evaluation tool, research design type, and evidence level.
Results : The total number of subjects was 182, 95 subjects in ther experimental group, and 87 in the control group. The interventions included weighted blankets, swimming, and sleep education for parents. Ther interventions were found to increase total sleep time, improve mood when waking up, reduce sleep anxiety, reduce sleep time, reduce the number of waking up of during sleep, and reduce sleep resistance behavior.
Conclusion : Many people have sleep disorders, with or without disabilities, and the number is gradually increasing. Consequently, research on occupational therapy intervention in children with autism spectrum disorder are actively conducted in foreign countries, and these interventions have a positive effect. Based on the results of this study, it can be concluded that such occupational therapy intervention studies are necessary for children with autism spectrum disorder with sleep disorders in Korea. In addition, further research on the quality of life of parents of children with autism spectrum disorders due to sleep disorders and their methods are required.

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10한국 물리치료사 국가 면허시험 합격 여부의 예측요인 탐색

저자 : 김소현 ( So-hyun Kim ) , 조성현 ( Sung-hyoun Cho )

발행기관 : 대한통합의학회 간행물 : 대한통합의학회지 10권 3호 발행 연도 : 2022 페이지 : pp. 107-117 (11 pages)

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Purpose : The purpose of this study was to establish a model of the predictive factors for success or failure of examinees undertaking the Korean physical therapist licensing examination (KPTLE). Additionally, we assessed the pass/fail cut-off point.
Methods : We analyzed the results of 10,881 examinees who undertook the KPTLE, using data provided by the Korea Health Personnel Licensing Examination Institute. The target variable was the test result (pass or fail), and the input variables were: sex, age, test subject, and total score. Frequency analysis, chi-square test, descriptive statistics, independent t-test, correlation analysis, binary logistic regression, and receiver operating characteristic (ROC) curve analyses were performed on the data.
Results : Sex and age were not significant predictors of attaining a pass (p>.05). The test subjects with the highest probability of passing were, in order, medical regulation (MR) (Odds ratio (OR)=2.91, p<.001), foundations of physical therapy (FPT) (OR=2.86, p<.001), diagnosis and evaluation for physical therapy (DEPT) (OR=2.74, p<.001), physical therapy intervention (PTI) (OR=2.66, p<.001), and practical examination (PE) (OR=1.24, p<.001). The cut-off points for each subject were: FPT, 32.50; DEPT, 29.50; PTI, 44.50; MR, 14.50; and PE, 50.50. The total score (TS) was 164.50. The sensitivity, specificity, and the classification accuracy of the prediction model was 99 %, 98 %, and 99 %, respectively, indicating high accuracy. Area under the curve (AUC) values for each subject were: FPT, .958; DEPT, .968; PTI, .984; MR, .885; PE, .962; and TS, .998, indicating a high degree of fit.
Conclusion : In our study, the predictive factors for passing KPTLE were identified, and the optimal cut-off point was calculated for each subject. Logistic regression was adequate to explain the predictive model. These results will provide universities and examinees with useful information for predicting their success or failure in the KPTLE.

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Clinical Nutrition Research
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연구보고서
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연구보고서
2017권 9호

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Journal of Naturopathy(한국자연치유학회지)
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25권 3호

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Journal of Yeungnam Medical Science
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대한물리의학회지
17권 3호

경희의학
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10권 3호

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연세의사학
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