• Title/Summary/Keyword: 건강 관련 삶

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Synergistic Effect of Forest Environment and Therapeutic Program for the Treatment of Depression (산림활동이 우울증 환자들의 호전에 미치는 영향: 산림치유 프로그램 집단과 병원 프로그램 집단, 산림욕 집단, 대조군 비교 연구)

  • Woo, Jong-Min;Park, Sang Mi;Lim, Seong Kyeon;Kim, Won
    • Journal of Korean Society of Forest Science
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    • v.101 no.4
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    • pp.677-685
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    • 2012
  • This study was conducted to evaluate the effect of forest environment and therapeutic program to the patients with major depressive disorder in antidepressant medication. The first group participated the four sessions of therapeutic program in the forest environment ("forest therapy"), the second group did in the program in a hospital environment, the third group did merely walking in the forest ("forest bath"), and the last group was controls. All the participants was diagnosed with major depressive disorder and had been taking antidepressant medication longer than 3 months. Depressive symptoms were measured by the Hamilton Rating Scales for Depression(HRSD), Montgomery-Asberg Depressin Rating Scales(MADRS), Beck Depression Inventory(BDI), and general health perception was measured by Short Form Health Survey Questionnaire(SF-36). Heart rate variability(HRV) were also examined to observe the physiological parameters before and after the program. In the results, HRSD score of forest program group was significantly lower than controls after the program. MADRS score of forest therapy group and hospital program group was also significantly lower than controls after 4 sessions of the program. The remission rate defined as below 7 points in HRSD was higher in the forest therapy group, hospital program group, forest bath group, and controls in order. These results reveals that the therapeutic program performed in forest environment may improve unremitted depressive symptoms of patients with major depressive disorder. Although not significant, the forest therapy program showed better outcome than hosptial program and forest bath.

A Study on Characteristics of Medical Expenses and the Hospitalization Period of Hospitalized Patients Using Diem Payment System at Convalescent Hospitals (요양병원 일당정액제 입원환자의 입원일수 및 진료비 특성에 관한 연구)

  • Roh, Ock-Hee;Lee, Chong Hyung;Park, Arma;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.407-414
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    • 2016
  • This study was conducted to provide basic data to evaluate the appropriateness of convalescent hospitalization treatment by investigating the number of hospitalization days and the total treatment expenses of a total of 44,037 monthly billing statements requested from the Health Insurance Review and Assessment Service. Evaluated data consisted of medical care expenses of patients of the diem payment system hospitalized at convalescent hospitals in Daejeon, Chungnam, Chungbuk and Sejong from January through December of 2014. According to the analysis result of the general characteristics of the study objects and the canonical correlation analysis of the top 15 main diagnosis names, 7 canonical functions have been deducted. Among them, six canonical functions were shown to be statistically significant (p<0.001), and canonical function 1 had a chi-squared value of 5955.49 and 98 degrees of freedom at p<0.001 level. Overall, the results indicated that if health and welfare service in the regional society is magnified, social hospitalization can be reduced.

Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors (한국인 유방암 경험자의 유방암 진단 후 식사변화: 신체활동, 신체측정치, 그리고 건강관련 삶의 질과의 연관성)

  • Song, Sihan;Youn, Hyun Jo;Jung, So-Youn;Lee, Eunsook;Kim, Zisun;Cho, Jihyoung;Yoo, Young Bum;Moon, Hyeong-Gon;Noh, Dong-Young;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.21 no.6
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    • pp.533-544
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    • 2016
  • Objectives: We aimed to examine levels of physical activity, anthropometric features, and health-related quality of life (HRQoL) among Korean breast cancer survivors who reported changes in their diet after diagnosis. Methods: A total of 380 women who had been diagnosed with stage I to III breast cancer and had breast cancer surgery at least six months before the interview were included. Participants provided information on dietary change after diagnosis, post-diagnostic diet, physical activity, anthropometric measures, and HRQoL through face-to-face interview. We assessed HRQoL levels of breast cancer survivors using a validated Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and Breast Cancer Module (BR23). We used the logistic regression and generalized linear models to identify the associations of dietary changes in relation with physical activity, anthropometry, and HRQoL. Results: The majority of participants (72.6%) reported that they have changed their diet to a healthier diet after diagnosis. Breast cancer survivors who reported to have change to a healthy diet had higher intakes of vegetables and fruits and lower intakes of red and processed meats, and refined grains than those who did not. Also, survivors with a healthy change in their diet were more likely to engage in physical activity (top vs. bottom tertile: odds ratio [OR], 1.85; 95% confidence interval [95% CI], 1.02-3.36) and have lower body mass index (BMI) (OR, 0.90; 95% CI, 0.82-0.98 for one $kg/m^2$ increment in BMI) compared to those who did not. We found that a healthy change in diet was associated with higher scores of physical functioning (p=0.02) and lower scores of constipation (p=0.04) and diarrhea (p=0.006) compared to those who did not. Conclusions: Healthy changes in diet after breast cancer diagnosis may be associated with lower levels of BMI, and higher levels of physical activity and HRQoL.

Evaluation of Health-related Quality of Life by Sasang Constitutional Medicine and Lifestyle of Blue-collar Workers (일부(一部) 생산직(生産職) 근로자(勤勞者) 사상체질(四象體質)과 생활습관(生活習慣)에 따른 건강관련(健康關聯) 삶의 질(質) 평가(評價))

  • Kim, Tae-Eun;Lee, Ki-Nam;Chong, Myong-Soo
    • Journal of Society of Preventive Korean Medicine
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    • v.13 no.1
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    • pp.117-130
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    • 2009
  • This study was attempted to suggest fundamental data to take health care plan in terms of oriental medicine by evaluating the health-related quality of life according to the Sasang constitutional medicine (SCM) of factory workers. General characteristics, living habits, and health-related quality of life were investigated through self-administration questionnaire in the course of oriental health examination for 1,870 male workers at a manufacturing company located in the Jeollabuk-do region, and the Sasang constitution of each worker was identified and analyzed through questionnaires and oriental doctor's medical examination. For Sasang constitutional medicine, So-eum person(少陰人) was found to be the most, and then So-yang preson(少陽人), Tai-eum preson(太陰人), and Tai-yang preson(太陽人) in order; for lifestyle, smokers were most found in So-yang person workers, non-smokers in Tai-yang person workers, drinkers in Tai-yang person workers, and non-drinkers in So-eum person workers. For the general health score by the Sasang constitutions, Tai-yang person workers were found to be 42.73 in general health area, Tai-eum preson workers 41.69, So-yang person workers 40.87, and So-eum person workers 40.42; in the vitality area, Tai-eum person workers were found to be 45.14, So-yang person workers 44.16, So-eum person workers 43.02, and Tai-yang person workers 41.34. Specially, it was found that regular exercise improved physical health factors, drinking adversely affected mental health factors, and the mental health factors of Tai-eum person workers who have regularly exercised showed the highest values, while those of Tai-yang person workers who have not exercised showed the lowest values. There was difference in lifestyle by Sasang constitutions, and accordingly, the quality of life might be different Therefore it is deemed that health care plan is required to be taken by Sasang constitutions and lifestyle for health promotion and care of blue-collar workers in the future.

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Measuring Health Related Quality of Life of General Adult Population in One Metropolitan City using EQ-5D (EQ-5D를 이용한 일개 광역시 성인의 건강관련 삶의 질 측정)

  • Jo, Min-Woo;Lee, Sang-Il;Kil, Seol-Ryoung;Lee, Ji Ho;Kang, Wee-Chang;Sohn, Hae-Sook;Yoo, Cheol-In
    • Health Policy and Management
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    • v.18 no.3
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    • pp.18-40
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    • 2008
  • Measurements of health related quality of life can be used to compare patients with specific conditions to average individuals in the general population in a similar age and gender group. However there are few data available regarding health related quality of life for the general population of Korea. Therefore, this study was conducted to examine the validity of the Korean version of EQ-5D and to measure the health related quality of life of the general adult population in a metropolitan city. The survey was cross-sectional and employed a stratified and multistage sampling design through 100 examination sites in 5 districts of UIsan. A total of 12,644 individuals from 4,112 households participated in the survey. Of these, we analyzed data from 8,068 adults who were over 19 years old and completed the EQ-5D. To examine the validity of the questionnaire, the differences in 5 dimensions and the $EQ-5D_{index}$ were analyzed with regard to demographic and socioeconomic factors such as sex, age, income, and education. In addition, visual analogue scales (VAS) were used to evaluate the overall health related quality of life issues of the respondents. The level of health related quality of life of the general adult population was then compared with the results from the third Korean National Health and Nutrition Examination Survey and other countries. There were a small number of people with problems related tomobility, self-care, and usual activity. In addition, many people complained ofpain/discomfort and anxiety/depression. The complaint rate in each dimension, VAS, and $EQ-5D_{index}$ indicated relatively better states for males, the younger group, the higher income group, and the higher education group. In addition, the level of health related quality of life of the general population of Ulsan was relatively higher than that of Koreans nationwide as well as the populations of other countries. EQ-SD provided a valid measure of the health-related quality of life of the general adult population. In addition, the results of a survey of Ulsan revealed that the quality of life of its population is better than that of the overall population of Korea and of the populations of other countries.

The Association between the Adherence to Dietary Guidelines for Breast Cancer Survivors and Health-related Quality of Life among Korean Breast Cancer Survivors (한국 유방암 경험자들의 유방암 식사지침 수행 정도와 건강관련 삶의 질의 연관성)

  • Song, Sihan;Youn, Jiyoung;Park, Myungsook;Hwang, Eunkyung;Moon, Hyeong-Gon;Noh, Dong-Young;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.20 no.2
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    • pp.129-140
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    • 2015
  • Objectives: We examined the association between the adherence to dietary guidelines for breast cancer survivors and health-related quality of life in a cross-sectional study of Korean breast cancer survivors. Methods: A total of 157 women aged 21 to 79 years who had been diagnosed with stage I to III breast cancers according to the American Joint Committee on Cancer (AJCC) and had breast cancer surgery at least 6 months before the baseline were included. We used a Korean version of the Core 30 (C30) and Breast cancer 23 (BR23) module of the European Organization for Research and Treatment Cancer Quality of Life Questionnaire (EORTC-QLQ), both of which have been validated for Koreans. Participants were asked about their adherence to dietary guidelines for breast cancer survivors, suggested by the Korean breast cancer society, using a 5-point Likert scale. We summed dietary guideline adherence scores for each participant and calculated the least squares means of health-related quality of life according to dietary guideline adherence scores using the generalized linear model. Results: Breast cancer survivors who had higher adherence to dietary guidelines for breast cancer survivors had lower constipation scores than those with lower adherence (p for trend=0.01). When we stratified by the stage at diagnosis, this association was limited to those who had been diagnosed with stage II or III breast cancers. Also, sexual functioning scores increased significantly with increasing adherence scores of dietary guidelines among those with stage II or III breast cancers (p for trend < 0.001). However, among those who had been diagnosed with stage I, higher scores of dietary guidelines were associated with higher scores of pain (p for trend=0.03) and breast symptoms (p for trend=0.05). Conclusions: Our study suggested that the health-related quality of life levels of breast cancer survivors are associated with the adherence to dietary guidelines and may differ by the stage of the breast cancer.

Case Study on Functional Bike Design for Elderly and Disabled (고령자.장애인을 위한 기능성 자전거디자인 사례연구)

  • Hong, Jung-Pyo;Hyoung, Sung-Eun;Jin, Hye-Ryeon;Seo, Seung-Hyun;Lee, Se-Hee;Yu, Mi;Kwon, Tae-Kyu
    • Science of Emotion and Sensibility
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    • v.14 no.1
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    • pp.17-26
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    • 2011
  • Health care service's added value and sustainability has been formed, through the product developing about sports equipment and special equipment for disabled in order to improve the life quality, with the increasing population of elderly and the attention about health care. This research's design and 3 testing sections has been done according to design process for design development of functional bike. 1st test is done through researching from 4 aspects: structure, aesthetic, function and using. In the 2nd testing, 10 universal design items were used to evaluate 10 modeling samples, and sample F which has high evaluation overall was chosen. In 3rd test, evaluation was done from the user service scene about the mock-up with 1/4 scale size. PPP (product performance program) which is constructed with 60 evaluation items about functional bike's service was tested, and these items were fixed through discussing with experts. Through the result we knew the aesthetic elements had relationship with proportion, unity and typicality. In 10 items (55 survey items), the scores of items with physical exposure's minimization, simple and intuitively usage showed high, on the contrary, the other items' scores was very low, such as information delivery's consideration and thought, failure preventing. The evaluation will be done once more by health care experts, designers and elderly together if the physical model could be made for getting accurate measurement about above test result in the future.

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Research on the Recreational Activity of Family with Gifted Children (영재가족의 여가 활동에 관한 연구)

  • Han, Ki-Soon;Tae, Jin-Mi;Yang, Tae-Yeon
    • Journal of Gifted/Talented Education
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    • v.20 no.1
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    • pp.175-203
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    • 2010
  • Among many factors that affect the development of the talent of gifted children, the family factor that first finds and cultivates the talent of gifted children is quite important. The researches on the family of gifted children are mostly concentrated on physical environment out of the home environment, neglecting psychological environment. Although the recreational activity of family with gifted children considerably contributes to the emotional, intellectual and social development of gifted children themselves and to the improvement of life quality of the family members, the recreation of family with gifted children has not yet been studied. Thus, the objective of this research is to present basic materials for seeking the direction to educate parents and to support family with gifted children in order to encourage synergy effect in emotional and social growth of family with gifted children by surveying the property of recreation of family with gifted children. The result of result is as follows. First, the type of family with gifted children tends to be remarkably biased to 'family-oriented activity' and 'elf-development activity.' Second, verifying the significant level of motive for recreational activity of family with gifted children at the variables such as number of family members, parents' age, parents' education level, parents' occupation, etc, it was concluded that they were not statistically significant. The result of this research suggests that education and support for efficient recreation of family with gifted children is necessary to achieve healthy talent of gifted children.

Analysis of Environmental Correlates with Walking among Older Urban Adults (도시 노인들의 걷기활동 참여에 영향을 주는 물리적 환경요인 분석)

  • Lee, Hyung-Sook;Ahn, Joon-Suk;Chun, Seung-Hoon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.2
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    • pp.65-72
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    • 2011
  • Since walking and physical activity are critical for older adults to maintain their health, it is important to provide neighborhood environments which encourage their walking in daily life. The purposes of the present study were to investigate walking activity patterns of older people in an urban setting and to identify environmental correlates with walking of older adults. This study examined spatial and temporal patterns of physical activities, environmental barriers and motivations, satisfaction levels and demands on the physical environment. In-depth interviews with older adults over age sixty residing in Seoul metropolitan areas revealed that most respondents have a positive perception on walking in daily life, and many of them walk regularly for their health. A primary purpose of walking for older adults was exercise for health rather than transportation. The study result demonstrated that parks and trails were the most preferred places for walking by older adults, and there is an association between frequency of walking participation and access or convenience to parks, traffic safety, and street lights. Most respondents were concerned about traffic safety when they walk in their neighborhoods due to traffic speeds and unsafe streets. Lack of separate sidewalks or benches, stairs and slopes were barriers to older adults' walking habits. This data suggests that the promotion of walking behavior among older adults, some level of public health action, and community support are needed to ensure safe physical environments within communities.

Design and Implementation of Service Model for Tailored Residential Space based on 3D Cadastral Information (3차원 지적정보 기반 맞춤형 주거 공간정보 서비스 모델 개발)

  • Bae, Sang Keun;Shin, Yun Ho;Lee, Seong Gyu;Joo, Yong Jin
    • Spatial Information Research
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    • v.23 no.2
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    • pp.49-57
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    • 2015
  • Recently, Through the linkage and opening, the fusion of the spatial information, it is necessary for productive ecosystem to provide a variety of information and to increase the civil use. Depending on the economic growth, demand for quality of life and well-being has been on the increase. Spatial information service contents for the public convenience has emerged to solve the problem such as health, safety, welfare and discomfort of daily life This study aims to implement search services for a tailored residence space through the three-dimensional data modeling on cadastral information. To achieve this goal, we established the requirements for deriving a registered object by investigating recent trend with respect to existing cadastral data model and defined property and relationship. Focusing on Songpa-gu, Jamsil station in Seoul, we implemented search services for a tailored residence space for three-dimensional right analysis in conjunction with residential and commercial complex building. As a result, we derived a way to supply 3D cadastre information through open platforms (VWorld) and to represent efficiently, which is able to improve the quality of spatial information service contents for the public convenience as well as to widen utilization of information.