출산전후 여성의 구강건강관리필요성에 대한 인식도가 구강건강에 미치는 영향

이경희 대구가톨릭대학교 보건의료과학대학원 2012 국내석사

The purpose of this study is to clarify and evaluate the influence of awareness of dental treatment, oral health conditions or oral health management during pregnancy or childbirth on oral health in Korean Women improving expectant mothers’ behaviors of oral health management. Periodontal disease is a very serious dental disease for both men and women. However, women might suffer from the disease easier and more seriously when not treated on time during or after childbirth losing their teeth due to pregnancy and childbirth. The study distributed the total 150 questionnaires to women of childbearing age in Gyeongsan, Daegu and Gyeongbuk from April 1, G1 to May 3G, G1 and made them draw up them directly. According to the study, many women have awareness of the necessity of oral health management and incorrect ideas and an aversion to having dental treatment during pregnancy with lack of appropriate dental health education. When they neglected the oral health care, the influence remained even after the childbirth. As a result, it is necessary that pregnant women and nursing mothers should receive proper oral health education suggesting a significant relationship between childbirth and oral health and the childbirth as a risk indicator for tooth loss in Korean women. Nevertheless, an additional systematic study to determine the precise relationship should also be done.

스톤테라피가 여성의 스트레스 완화에 미치는 효과

박미경 대구가톨릭대학교 보건의료과학대학원 2014 국내석사

This study was conducted in order to find out the effects of Stone Therapy on relieving women's stress. The purpose of this study is to provide basic data for expanding the range of beauty utilization of Stone Therapy which reduces the physical imbalance caused by mental and physical stress as well as fatigue and help maintain health and beauty, by examining the effects of Stone Therapy that uses stones containing natural energy on women. The study results are as the following. First of all, as a result of comparing the physical stress points the test subject after taking Stone Therapy, all questionnaires showed statistically significant relief, in which more signs of relief were shown in categories such as 'heart pounding', 'drop in energy and feeling that health is getting worse', and 'signs of indigestion'. Also, it was shown to have greater relieving effects on physical stress than mental stress. Secondly, after Stone Therapy, among the categories related to mental stress, stress was shown to be more relieved in questionnaires such as 'can't concentrate on work because of being too sensitive' and 'losing confidence in oneself', and all of the other questionnaires showed statistically significant reliefs which indicated that Stone Therapy helps relieving mental stress as well. Thirdly, all 5 questionnaires showed high points in satisfaction after Stone Therapy treatment, and it was surveyed that most test subjects have intentions of spend time on Stone Therapy. Therefore, this study derived that result that Stone Therapy can be presented as a method for preventing and improving mental and physical stress of women.

일반 피부 관리 서비스가 여성 노인의 삶의 질에 미치는 영향에 대한 연구

신수정 대구가톨릭대학교 의료보건과학대학원 2018 국내석사

On the basis of the preceding researches reporting that it’s possible for elderly women to change the quality of their life through a positive life change on the strength of beauty treatment activity, this study surveyed the influence of general skin management behavior on elderly women’s positive health behavior and the quality of their life, not conforming to taking care of one’s features simply for appearance management. To this end, this study inquired into the above matter targeting the 70 elderly women living at Dong-gu area, Daegu Metropolitan City as research subjects from July 1 until Aug. 30, 2017. Also, this study set the 20 elderly women, who wished to receive skin care service, as the experimental group, and the remaining 50 persons as the control group. This study conducted 10-time skin care services for, and did a survey of the experimental group of 20 persons, and just did a survey of the control group of 50 persons. As a result, it was found that the research subjects’ sociodemographic characteristics had an influence on the elderly women’s economic condition, which also had an influence on their health behavior, and even skin health behavior. In addition, the health-behavioral characteristics of the research subjects were found to have an influence on their mood state, and even sleep behavior, causing an influence on skin health behavior as well. The research results showed that there was no significant difference in the change of the elderly women’s skin condition, but there was a significant difference in the change of their mood state such as sleeping, self-aware skin health condition, etc. through the 10-time skin care services for the research subjects. This study hopes that realistic social welfare support could be put into practice by making an approach to general skin management as the form of welfare benefits so that it can have an influence on elderly women’s positive health behavior and become an important element in the change of the quality of their life.

병. 의원 간호조무사 실무에 관한 실태 조사 연구

유현정 대구가톨릭대학교 보건의료과학대학원 2014 국내석사

Due to recent development of health and medical treatment and increasing interests in the quality of life, demands of high-quality medical services are increasing. In order for various high-quality services to be implemented, high-quality nursing work force must be efficiently supplied and utilized. However, the reality is that in hospitals and clinics with serious nursing manpower shortage, nurse assistants carry out nursing activities as an alternative nursing work force. This study was conducted to grasp the areas of nursing services and multi-frequency tasks that nurse assistants are carrying out as an alternative work force for the nursing man power shortage, and to provide basic data for efficient utilization of nursing man power and qualitatively enhancement of nursing services in the future. As for test subjects, among the nurse assistants working at hospitals, sanatoriums, and private clinics in Daegu Metropolitan City, 210 were randomly selected and responded to a survey composed of 9 questionaries on general characteristics and 65 on 13 nursing areas, which makes a total of 74 questionaries, and of which 191 were used for analysis. The test was conducted from August 19th to September 30th, 2013. The collected data was analyzed using the SPSS WIN 18.0 program. As for analysis method, the frequency and percentage were calculated in order to figure out the general characteristics. Also, in order to examine the working level of nurse assistants, the average and standard deviation were found, and in order to find out the job performance level in accordance with the general characteristics of nurse assistants, a t-test and One-way ANOVA were conducted. A summary of the results of this study is as the following. First of all, looking at the nursing performance degree in accordance with the general characteristics of the test subjects, older nurse assistants, married nurse assistants, sanatorium nurse assistants, ward working nurse assistants, and nurse assistants where the nurse assistants' rate is 40~70% showed higher performance degree than other nurse assistants. Secondly, as for the nursing average performance degree of the test subjects, the highest was specimen and wastes management, followed by 'checking consumables and supplies', 'intramuscular injection', 'sterilization supplies exchange', 'preparing medicine (oral, injection, etc)', 'checking blood sugar', 'measuring vital signs', and 'simple dressing', in order. Thirdly, examining the performance degree of subordinate areas in nursing showed 'bed, exchanging anulus, and managing supplies' to be the highest, followed by 'medicine administration', 'helping sleep and rest', 'measuring and examining', and 'nursing exercise', in order. Fourthly, as for the lowest order of performance degree during subordinate areas of nursing of the test subjects, the average of 'dialysis' was the lowest, followed by 'nursing personal hygiene', 'adapting to cold/heat', 'nursing breathing', and 'nursing nutrition', in order. Looking at the above results of this study, it can be known that currently, nurse assistants are carrying out various nursing duties in many areas at hospitals and clinics. Especially, in sanatoriums, that has their legal status protected, all areas of nursing are being carried out and it was known that the performance frequency was high as well. However, according to other studies, currently, nurse assistants perceive that the contents of the curriculum and practical contents they learned during the training course they took did not help much in actual working situations. This indicates that the nursing services being carried out by nurse assistants in hospitals and clinics lack professionalism, and that there are concerns for the degrade in service quality and effects on patient safety. In order to enhance working capabilities and improve the qualitative level of the nurse assistants man power as well as the qualitative improvement of nursing services in the future, it is thought that extending the education period and strengthening the education of nurse assistants are necessary. Nurse assistants deal with the health and safety of patients and so thorough supervision is required during the training process, and in order to catch up with the rapidly changing environment of health and medical treatment, it needs to be developed into a professionalized education. Also, even after completing the training process, the qualitative level management should be fulfilled through continuous supplementary education, and like the nurse license reentrance, basic systems should be improved actively such as the reentrance of nurse assistants license as well.

디지털의료영상에서 Body Index값을 통한 영상분석

김재우 대구가톨릭대학교 의료보건과학대학원 2019 국내석사

The purpose of this study is to assist in image analysis by measuring Body I ndex values according to kVp and mA, as well as selecting appropriate conditions for filming in chest digital X-ray images. The X-ray generator used a radiation generator, which is the model name FDR D-EVO Suite of FujiFilm. A systemic phantoms made up of human tissue equivalents are used as PBU-60(Kyoto, Japan). We used the thorax section separately as a simulation patient. For video analysis, Microsoft's Visual studio 2017 MFC(Microsoft Foundation Class) program used. The actual patient is photographed, and the distance between the X-ray tube and the detector is set to 180 cm, and the patient is positioned in front of the line examination table. The chest phantom was positioned and the upper left side of the detector was attached with a 3 mm thick acrylic plate. The automatic exposure control (AEC) is not used and is increased from 70 kVp to 10 kVp. Up to 120 kVp, the tube current is 12.5 mA, 16 mA, 20 mA, 25 mA, 32 mA, 40 mA, 50 mA, 63 mA, under a total of eight conditions, and Fixed at 0.1s. The experimental images obtained the DICOM files directly from software within FujiFilm's medical equipment. Through an algorithm pre-written on Microsoft's Visual studio 2017 MFC with acquired images, the Pixel value of the image area attached with a 3 mm thick acrylic plate, Bone Pixel measured at the base point, Pixel measured at the base point, and Pixel value of 0 at the part where the acrylic plate was attached. Through the linear-slope equation, there were four measuring regions along the two reference points, measuring Body Index values in the Aortic arch, Costo-Phrenic angle, Carina, and Lung Apex, where anatomical structures can be easily identified in chest X-ray images. Experiments in this paper show that there are some error values in the areas set as ROI, but the body index values measured according to kVp and mA do not deviate significantly from the mean values, so the range of errors is not significant in the chest general x-ray image. It is also thought that it may be applied to the use of automatic exposure control in use. As with CT images, normal X-ray images also show the brightness of images according to the radiological permeability of the human body, but if body index values are measured in X-ray thoracic images, it is believed that the normal thorax images alone will increase the certainty of diagnosis through image analysis.

뇌졸중 후 편마비 환자의 트레드밀 보행훈련에서 속도의 차이가 보행과 균형에 미치는 영향

이종명 대구가톨릭대학교 보건의료과학대학원 2014 국내석사

The purpose of this study was to investigate the effects of ambulation and balance according to different velocity in treadmill ambulation training. Eighteen stroke patients, excluded seven patients who discharged of twenty five, participated and divided three groups; 5 comfortable velocity, 6 slow velocity, and 7 maximum velocity. The gait velocity was marked; 1. comfortable velocity which subjective notion 2. Slow velocity was a half of comfortable velocity, 3. Maximum velocity was maximum speed without stopping exercise minimum 5 minutes. Subjects performed 5 times a week of 4 weeks, 15~30 minutes each session, evaluated the ambulation and balance each session, and compared the pretraining and post training. To find the symmetry of gait, symmetric index was use. The results showed that there was significant difference symmetric index at the single support and swing phase in slow velocity and maximum velocity training(p<0.05). Therefore, The slow velocity training was effective to enhance the weight bearing in affected side and should be expected to use improving the symmetric ambulation in stroke patients with treadmill training.

만성 편마비 환자의 지팡이 보행이 비마비측 지의 어깨위팔리듬과 상지 기능에 미치는 영향

김후재 대구가톨릭대학교 보건의료과학대학원 2014 국내석사

The purpose of this study was to investigate the effect of cane gait on the SHR (scapulohumeral rhythm) and uper limb function of the unaffected side of patients with chronic hemiplegia. Twenty-two subjects with hemiplegia, 45 to 65 years of age, participated in this study. Subjects were divided in to 2 group; 1) Cane used group (the subject group) and 2) Non-cane using group (the control group), in according to usage of a cane during gait. Plain X-ray of both shoulders were taken in 4 position: neutral position, abducted position in 90 and 150 degrees, and fully elevated position. Arm angle, scapula angle, and glenohumeral angle were measured in all the X-ray positions, (excluding the neutral position) The mean values of SHRs from neutral to the 90 degree were 1:1.67 and 1:1.85, in the unaffected shoulders of the subject group and control group, respectively. The mean values of SHRs from 90 to the 150 degrees were 1:1.71 and 1:1.97, in the unaffected shoulders of the subject group and control group, respectively. The results showed that there was statistically significant difference between the SHR of the unaffected side between the two groups(p<0.05). In addition, upper limb function of the unaffected side of chronic hemiplegic patients showed significant decrease in the subject group(p<0.05). The results show that patients with chronic hemiplegia, using cane during gait showed significant decrease in SHR and uper limb function of the unaffected side, compared to the patients not depending on cane during gait. Attention should be paid not only on the shoulder of the affected side but also the unaffected side of patients with hemiplegia using cane during gait, with continued evaluation and treatment session that is in accordance to the state of the patient.

뇌졸중 환자의 체중부하율과 균형 및 기능적 보행과의 연관성

황정화 대구가톨릭대학교 보건의료과학 대학원 2014 국내석사

The purpose of this study is to provide the basic data of manual therapic approch through to study correlation with the weight bearing ratio, functional balance and functional gait on patients with stroke. 39 patients with stroke are participated in this study. We use the TUG test to measure balance and the FAC test to measure functional gait. We consider that score over 20sec are high balance function, and score 20sec and under are low balance function on the TUG score and that score 0〜2 are lower balance function, and score 3〜5 are high balance function on the FAC score. At first, we measure the weight bearing in the quiet standing posture and the weight bearing in the quiet standing posture after performing standing-task. The weight bearing ratio in the affect side about the balance in the quiet standing posture and the balance in the quiet standing posture after performing standing-task is taken to calculate the weight bearing ratio in the non affected side on that in the affected side. The scale to assess balance, TUG, is significantly correlated with the weight bearing ratio in the affect side on the quiet standing posture balance(p〈0.01), the scale to assess functional gait, FAC, is significantly correlated with the quiet standing posture balance and the post tasked quiet standing posture balance(p〈0.01). Therefore, to measure the balance in the quiet standing posture after performing standing-task is considered meaningful scale to measure not only balance function of patients with stroke, but also gait function, and it would be used the new scale to measure the functional gait.

간병인의 윤리의식과 윤리의식과 환자 프라이버시 보호행동에 관한 연구

강진숙 대구가톨릭대학교 보건의료과학대학원 2012 국내석사

Purpose: The purpose of this study was to investigate correlations and predictive variables between ethical awareness and protecting patient privacy among caregivers Methods: A survey was taken with 86 caregivers and 64 patients. Data were analyzed by using SPSS Win. Ver. 17.0 program, frequency analysis, t-test, one-way ANOVA, Pearson correlation and multiple regression Results: The degree of protecting patient privacy by caregivers was higher than the level of protecting patient privacy perceived by patients. The more educated caregivers were, the more ethical awareness they had and the higher level of protecting patient privacy they showed. The more ethical aware caregivers the higher level of protecting patient privacy they showed. The data from protecting patient privacy showed the predicted variables of ethical awareness and educational background have 25% explanatory power in caregivers Conclusion: Based on these findings, the study proposed that nurses should develop a step-by-step program to help caregivers increase their ethical awareness and an intervention program to influence protecting patient privacy. In future, it is also needed to conduct research on predictor variables affecting protecting patient privacy repeatedly in caregivers Key words: Patients, Caregivers, Ethics, Privacy.

뇌성마비 아동을 대상으로 한 한글화된 체간 조절 평가 척도의 신뢰도 분석

허주영 대구가톨릭대학교 보건의료과학대학원 2014 국내석사

The purpose of this study is translate Trunk Control Measurement scale (TCMS) to the Korean version and analyze intra-rater, inter-rater reliability. With agreement of Lieve Heyrman, an original editor of the TCMS, it was translated the English version into korean (K-TCMS). This was backward translation into English by a Korean-American physical therapist. 15 spastic cerebral palsy who agreed to be evaluated were randomly assigned to four Therapists who have clinical experience of over 10 years. When children has performed TCMS, it was recorded with video data for intra-rater and inter-rater reliability. Four physical therapists viewed video data of the children and scored each child’s performance on the TCMS on 7 separate days. The intra-rater and inter-rater reliability were analyzed for four testers with intraclass correlation coefficient(ICC). The ICC for intra-rater reliability of static sitting balance item was 0.97-0.99, dynamic sitting balance item was 0.97-0.99 and dynamic reaching item was 0.94-1.00(P<0.05). The ICC for inter-rater reliability was 0.89-1.00. The Korean version of TCMS is reliable and suitable instrument for assessing trunk control with cerebral palsy in Korea.