• Title/Summary/Keyword: 복합 중재프로그램

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Obesity as associated factors for Insulin, Fasting blood sugar, and Hemoglobin A1c in Korean adults (한국 성인의 비만이 인슐린, 공복혈당 및 당화혈색소에 미치는 영향)

  • Park, Jaewon;Lee, Heashoon
    • Journal of Digital Convergence
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    • v.17 no.10
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    • pp.349-357
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    • 2019
  • The purpose of this study was to investigate the effects of body mass index(BMI) on insulin. fasting blood sugar(FBS), and hemoglobin A1c(HbA1c). This study analyzed the data of 2015, The Sixth KNHANES, and it was included to 4554 subject over 20 years old. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression analysis(SPSS 25.0). The major findings, BMI was positively correlated with insulin(r=0.397, p<0.001), FBS(r=0.241, p<0.001), and HbA1c(r=0.237, p<0.001). Factors affecting insulin are overweight(${\beta}=.130$, t=8.193, p<0.001), obesity(${\beta}=.390$, t=24.390, p<0.001) and age. the explanatory power is 13.1% (F=53.584, p<0.001). Factors affecting FBS were overweight(${\beta}=.072$, t=4.478, p<0.001), obesity(${\beta}=.186$, t= 11.485, p<0.001), age, the explanatory power was 10.6% (F=42.351, p<0.001). Factors affecting HbA1c were overweight(${\beta}=.059$, t=3.712, p<0.001), obesity(${\beta}=.190$, t=11.895, p<0.001) age and sex, the explanatory power is 14.1% (F=58.134, p<0.001). Based on this study result, diabetes mellitus prevention and management programs should include interventions related to obesity.

Factors Influencing on Self Rated Health of Young and Elderly Community E-cigarette Smokers: The Community Health Survey 2019 (청·장년층 전자담배흡연자의 주관적 건강상태에 영향을 미치는 요인: 2019년 지역사회건강조사 자료 활용)

  • Son, Gee-Yeon;Park, Ju Ah;Nam, Mi-Ra
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.331-341
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    • 2021
  • This descriptive study was conducted to examine self rated health and factors influencing self rated health among e-cigarette smoking young and elderly community residents. The data were from the community health survey 2019 and the subjectis were 2,607 participants aged 19-50 years. Data analysis was conducted by descriptive statistics, χ2 test, univariate multinominal logistic regression using SPSS 26.0 program and SPSS complex samples statistics. As a result of the study, 90.2% of the young and old e-cigarette smokers had a good subjective health condition and 9.8% had a poor subjective health condition. The factors affecting the subjective health status of e-cigarette smokers are gender(p=.006), age(p=.036), income level(p=.044) in Model I, and physical activity (p=.033) and stress (p<.001) in Model II. As a strategy to improve the subjective health status and quit smoking of e-cigarette smokers in the young and old, nursing intervention strategies are needed to increase physical activity and reduce stress.

Influencing Factors of Depression in Adults according to the Cause of Stress (성인의 스트레스 원인별 우울에 영향을 미치는 요인)

  • Kwon, Myoungjin;Song, Youngshin;Kim, Sun Ae
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.453-465
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    • 2021
  • This study was attempted to identify factors affecting depression by stress causes. Data from the 2018 Korea National Health and Nutrition Examination Survey were used, total subjects was 2,939. Data were analyzed by complex sample frequency, percentage, x2-test and regression by SPSS 25.0. As a result, in the economic problem group, gender, occupation, health-related quality of life, weight change, smoking, subjective health status and subjective body image were significant influencing factors for depression, and explanatory power was 28.7% (F = 8.23, p < .001). In the parent, child, and spouse problem group, age, health-related quality of life, weight change, and subjective health status were significant, explanatory power was 33.1% (F = 6.92, p <.001). In the self and family health problem group, gender, health-related quality of life, weight change, smoking, and subjective health status were significant, explanatory power was 29.6% (F = 5.74, p < .001). Through the results, the influencing factors that appear differently according to each stress cause can be used as basic data to establish an individualized intervention strategy.

Effect of General obesity and Abdominal obesity on Hemoglobin in Korean Adult (한국성인의 비만과 복부비만이 헤모글로빈에 미치는 영향)

  • Lee, Hea Shoon
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.323-330
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    • 2019
  • The purpose of this study was to investigate the effect of body mass index(BMI) and waist circumference(WC) on hemoglobin(Hb) in Korean Adult. This study analyzed the data of 2015, The Sixth KNHANES. Data were analyzed using descriptive statistics, t-test, ANOVA and Scheffe's test, Pearson correlation coefficient and multivariate logistic regression analysis(SPSS 25.0). The major findings, The subject's Hb In BMI, obese was the highest(F=97.862, p<0.001). The Hb In WC, $WC{\geq}90cm$ was higher for male(t=4.909, p<0.001), and $WC{\geq}85cm$ was higher for female(t=5.088, p<0.001). Hb has a significant positive correlated with BMI(r=0.188, p<0.001), WC(r=0.298, p<0.001). In male, Hyperhemoglobinemia was 2.30 times(p<0.001) higher in obese and 1.81 times(p<0.001) higher in $WC{\geq}90cm$. In female, Hyperhemoglobinemia was 1.99 times(p=0.002) higher in overweight, 5.66 times(p<0.001) higher in obese, and 4.27 times(p<0.001) higher in $WC{\geq}85cm$. In conclusion, adult obesity prevention and management programs should include exercises, diets, and education, and exercise interventions specifically for eliminating abdominal obesity.

Influencing factors of Quality of Life according to Subjective Body Image of adult women (성인여성의 주관적 체형인식에 따른 삶의 질 영향요인)

  • Kwon, Myoungjin;Kim, Sun Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.297-305
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    • 2019
  • This study was conducted to compare the factors affecting quality of life according to the perception of subjective body image in adult women as a secondary study of the 7th 1st year Korean National Health and Nutrition Examination Survey data. The subjects were 3,392 adult women and their general characteristics, physical factors and psychological factors were analyzed. Data were analyzed using the IBM SPSS 25.0 program after generating weighted composite sample plans and the significance level was set at 0.05. Factors influencing the quality of life of subjects who perceived their subjective body image as thin were education level, birth experience, depression, and subjective health and their explanatory power was 43.1%. Factors influencing the quality of life for those who perceived their bodies as moderate were education level, depression, and subjective health, and their explanatory power was 26.5%. Factors that affected quality of life for those who perceive their bodies as obese were age, weight change for one year, weight control for one year, presence of high blood pressure, BMI, and subjective health, and their explanatory power was 40.9%. The results of this study indicate it is necessary consider the factors influencing each subjective perception to improve individual quality of life.

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home (한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰)

  • Kim, Eun Jeong;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.267-277
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    • 2019
  • The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

The Relations between metabolic syndrome, physical activity, and dietary patterns in Korean adults (한국 성인의 대사증후군과 신체활동, 식이 형태의 관계)

  • Bang, So-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.662-672
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    • 2019
  • This study involved a secondary analysis of 2016 Korean National Health and Nutrition Examination Survey data to identify the relations between metabolic syndrome, physical activity, and dietary patterns in Korean adults. The ${\chi}^2$-test, t-test, and logistic regression analysis of complex samples were conducted on the data of 3,352 subjects aged 19 to 64 years with metabolic syndrome. The prevalences of metabolic syndrome among men and women were 29.7% and 16.7%, respectively. In men, the high physical activity group showed a 0.8-fold increase in the likelihood of metabolic syndrome (OR=0.8, p=.038), and higher fat intake increased the risk of metabolic syndrome 0.98-fold (OR=0.98, p=.007). In women, the high physical activity group showed a 0.7-fold increase in the likelihood of metabolic syndrome (OR=0.71, p=.034), higher carbohydrate intake increased the risk of metabolic syndrome by 1.03-fold (OR=1.03, p<.001), and that higher protein and fat intakes reduced the risk by 0.96-fold (OR=0.96, p=.009) and 0.95-fold (OR=0.95, p<.001), respectively. The study shows that to meet the challenge presented by the increasing prevalence of metabolic syndrome, efforts are needed to screen for adults at risk of the metabolic syndrome by regular physical examination and to develop and provide intervention programs that involve regular high intensity physical activity and controlled carbohydrate, protein, and fat intakes.

Multiple Mediating Effects of Depression, Academic Helplessness, and Smartphone Addiction Tendency in The Relationship between Self-esteem and Grit of Adolescents (청소년의 자아존중감이 그릿에 미치는 영향에서 우울, 학업 무기력, 스마트폰 중독 경향성의 다중매개효과)

  • Kim, Do-Hee;Kim, Hyeok-jin
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.443-451
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    • 2021
  • The purpose of this study is to investigate the mediating effects of depression, academic helplessness, and smartphone addiction tendency in the relationship between self-esteem and grit of adolescents. Data from the 2018 (first-year) Korean Children and Youth Panel Survey were used in this study. The subjects of this study were 1,375 male and 1,166 female students in seventh grade school. The multiple mediation model analysis was conducted using the SPSS and PROCESS macro program. The results of this study are as follows. First, there was a positive correlation between self-esteem and grit, while self-esteem and grit had negative correlations with depression, academic helplessness, smartphone addiction. Second, it was found that the relationship between self-esteem and grit was mediated by depression, academic helplessness, and smartphone addiction tendency, respectively, and furthermore, it was found that all pathways mediated sequentially were also significant. These results suggest that education and intervention considering self-esteem, depression, academic helplessness, and smartphone addiction to be useful as a way to help adolescents develop interest in specific goals and continue their efforts in these days when smartphone use is common.

Factors Influencing the Retention Intention of Nurses in General Hospital Nurses (종합병원 간호사의 재직의도에 영향을 미치는 요인)

  • Kim, Yu-Mi;Seo, Minjeong
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.377-387
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    • 2020
  • The purpose of this study is a descriptive research study to identify the emotional labor, ethical climate, job satisfaction, and retention intention of nurses in general hospitals, and to identify the relationship between variables and factors influencing the retention intention. The study subjects were 198 nurses working in four general hospitals, and data were collected from September 18 to September 30, 2019 using a structured questionnaire. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS WIN 25.0. As a result of the study, there was a positive correlation between ethical climate(r=.345, p<.001) and job satisfaction(r=.388, p<.001), but emotional labor (r=-.153, p=.031) showed negative correlation. Factors influencing the retention intention of general hospital nurses are job satisfaction(β=.27, p=.001), age(β=.27, p<001), ethical climate(β=.16, p=044), and the explanatory power of the variable was 24.2%. In order to increase the retention intention of general hospital nurses, it is necessary to increase job satisfaction and create a sound ethical climate, and to develop an intervention program that can increase the retention intention by age.

The immediate effect of electrical muscle stimulation on rectus femoris thickness during resisted knee extension exercise (전기근육자극을 적용한 무릎 폄 저항운동 시 넙다리곧은근의 두께 변화에 미치는 즉각적 효과)

  • Kim, Kang-hoon
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.27-32
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    • 2021
  • The purpose of this study was to compare the immediate effect of EMS (electrical muscle stimulation) on rectus femoris thickness during resisted knee extension exercise in healthy adults. This experiment was conducted on 20 healthy adults as pretest-posttest nonequivalent one group design. The subject's 1RM of both knee extension was measured indirectly using an elastic band, and the knee extension resistance exercise using an elastic band was applied to high intensity (80% of 1RM) on the right leg and low intensity (50% of 1RM with EMS) on the left leg, which were applied with 5 sets. Muscle measurements were performed on the rectus femoris (1/2 site, 1/4 site) using ultrasonography before and after exercise. There was a statistically significant difference on the thickness of the rectus femoris in low intensity exercise of the elastic band applied with EMS between pre-test and post-test (p<.05). The results of this study showed that elastic band low intensity exercise combined with EMS had an immediate effective in increasing the thickness of rectus femoris. Based on this result, it is also necessary to verify the effectiveness of intervention methods incorporating low-intensity resistance exercises applying EMS to elderly who cannot exercise high-intensity resistance training in the future, and to develop exercise programs for various body parts.