• Title/Summary/Keyword: 성인간호

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Development and Assessment of a Non-face-to-face Obesity-Management Program During the Pandemic (팬데믹 시기 비대면 비만관리 프로그램의 개발 및 평가)

  • Park, Eun Jin;Hwang, Tae-Yoon;Lee, Jung Jeung;Kim, Keonyeop
    • Journal of agricultural medicine and community health
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    • v.47 no.3
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    • pp.166-180
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    • 2022
  • Objective: This study evaluated the effects of a non-face-to-face obesity management program, implemented during the pandemic. Methods: The non-face-to-face obesity management program used the Intervention mapping protocol (IMP). The program was put into effect over the course of eight weeks, from September 14 to November 13, 2020 in 48 overweight and obese adults, who applied to participate through the Daegu Citizen Health Support Center. Results: IMP was first a needs assessment was conducted; second, goal setting for behavior change was established; third, evidence-based selection of arbitration method and performance strategy was performed; fourth, program design and validation; fifth, the program was run; and sixth, the results were evaluated. The average weight after participation in the program was reduced by 1.2kg, average WC decreased by 3cm, and average BMI decreased by 0.8kg/m2 (p<0.05). The results of the health behavior survey showed a positive improvement in lifestyle factors, including average daily intake calories, fruit intake, and time spent in walking exercise before and after participation in the program. A statistically significant difference was seen (p<0.05). The satisfaction level for program process evaluation was high, at 4.57±0.63 point. Conclusion: The non-face-to-face obesity management program was useful for obesity management for adults in communities, as it enables individual counseling by experts and active participation through self-body measurement and recording without restriction by time and place. However, the program had some restrictions on participation that may relate to the age of the subject, such as skill and comfort in using a mobile app.

Epidermal Condition of Women By Health Promotion Behavior (성인여성의 건강증진 행위에 따른 안면 피부 상태)

  • Lee, Jeong-Ran;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.2 no.2
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    • pp.20-37
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    • 2000
  • The purpose of this study was to investigate the relationships between the differentials in life styles and their effect on the epidermal facial tissue in order to provide a basis for health professionals so that they might better be able to maintain and promote healthy skin care and further delay the premature ageing of the epidermal facial tissue. The subjects consisted of 145 females of various ages who visited skin care room in cerming health promoting behaviors(Park In sook's Profile) and questions on their behavioral practices pertaining to personal skin care were used. The investigation also ess of the four parts of the epidermal facial tissue studied. All data collected wee entered into the SAS program and analyzed for frequency, percentages, the utilized Pusan. The study dates ranged from May 1, 1998 to May 30, 1998. The methods used for this investigation were a questionnaire survey consisting of general objective questions. The questions con a "skin analyzer" to measured levels of moisturizing hydrated, facial oils, and roughnmean, t-test, ANOVA, and Pearson Correlation Coefficients. The results of this study were as follows ; 1. Epidermal facial oil was at its highest levels in the chin area with additional decreasing levels in the forehead and nose regions. The least regions were those of the cheeks. The highest levels of hydration on the other hand started with the forehead followed by the area of the chin, the cheeks and the lowest level of epidermal facial hydration was in the region of the nose. 2. The average score of the performance in the health promoting behaviors variable was 139.51. The variables with the highest degree of the performance were rest and sleeping(35.71). The lowest degree was hiegenic life(23.44). 3. The relationship health promoting behaviors and epidermal condition was not correlated with oil, hydration and roughness of the skin surface. 4. Skin care behavioral characteristics related to epidermal condition were washing style and temperature of washing water. 5. General characteristics related to epidermal condition were occupation, education level, acne and melasma. In conclusion, this study showed that several factors were significant in the behavior of skin care. Clear knowledge of both internal and external factors which affect the epidermal condition will help women to pursue active and appropriate practices in their health behaviors and skin care.

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Health Literacy of Elementary School Students (초등학생의 건강정보문해력)

  • Ahn, Eun Jung;Kwon, In Soo
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.322-331
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    • 2014
  • Purpose: The purpose of this study was to identify health literacy levels of elementary school students. Methods: Participants were 331 fifth and sixth graders in nine elementary schools located in Gyeongsangnam-do. Instruments were 42 health-related words derived from fifth-grade textbook 'Health in Daily Life' for linguistic health literacy, modified Korean Health Literacy Assessment Tool (KHLAT) for numeracy section of functional health literacy, items from a snack box and newspaper article for reading comprehension section of functional health literacy. Data were collected from July 15 to August 15, 2013. Results: The mean score for linguistic health literacy was $24.02{\pm}7.16$ of 42 (57.2% were correct answers). The mean score for functional health literacy was $9.27{\pm}2.30$ of 12 (77.3% were correct answers). There were significant differences in health literacy by grade and academic performance. Conclusion: This study results show that both linguistic and functional health literacy among elementary school students were not high enough to use health-related information and make appropriate health-related decisions. Therefore, it is important to develop strategies aimed at increasing health literacy levels, especially focused on underperforming students. It is also necessary that studies be done on the factors affecting the health literacy of elementary-school students.

Selection of Lactobacillus Species Inhibiting Enteropathogenic Bacteria and Potential Use as Probiotics (장내세균의 발육억제 효과로 정한 Lactobacillus 균주 선정과 Probiotic으로서의 이용가능성)

  • Lim, You-Jin;Na, Hee-Sam;Kang, Mi-Sun;Oh, Jong-Suk;Cho, Bok-Hee;Lee, Hyun-Chul
    • Journal of Korean Biological Nursing Science
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    • v.9 no.1
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    • pp.33-48
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    • 2007
  • 목적 : 본 연구에서는 한국인 소아의 침 및 성인의 질부로부터 분리한 1367개의 유산 생성 균주 중 4가지의 장내 병원성 세균;Methicillin-resistant Staphylococcus aureus(MRSA), Listeria monocytogenes, Salmonella typhimurium, Escherichia coli O157에 대해 발육억제 효과를 나타내는 유산 균주를 분리하고 분리된 균주의 Probiotic으로서의 가능성을 조사하고자 하였다. 방법 : 네 가지 병원성 세균을 대상으로 agar spot test와 Catalse test를 시행하여 1367개 균주 중 최종적인 실험대상 균주를 선정하였다. 최종 선정된 유산균과 네 가지 병원성 세균을 혼합 배양하여 병원성 세균증식 억제 효과를 보았다. 또한 최종균주의 probiotic으로서의 가능성을 확인하기 위해 균을 동정하고 내산성 등 몇 가지 특성을 관찰하였다. 결과 : Agar spot test 결과 전체의 15.7%에 해당하는 215 균주가 MRSA에 대해 억제 효과를 나타내었으며 215 균주 중 9.8%에 해당하는 21 균주가 L. monocytogenes에도 동시에 억제효과를 나타냈다. 이들 균주 중 가장 탁월한 효과를 보인 Lb 1250을 실험 대상 균주로 선정하였다. Lb(Lactobacillus) 1250과 상술한 병원성 세균을 각각 혼합 배양하면 Lb 1250 존재 하에서 MRSA의 증식은 $10^4$배 억제되었으며, L. monocytogenes는 $10^3$배의 억제 효과를 보였다. 그러나 S. typhimurium, E. coli O157에 대해서는 아주 미약한 효과를 나타냈다. Lb 1250의 몇 가지 특성을 조사한 결과 Lactobacillus delbrueckii subsp. delbrueckii로 동정되었으며, 이는 $H_{2}O_2$를 잘 생산해 내는 균주이었다. 또한 이 균주는 우유에서 curd를 약하게 생성하며 이 curd의 향은 달콤하고 최종 pH가 4.6까지 감소하였으며, pH 2와 같은 강산의 조건하에서 배양한 결과 2시간 후에도 상당한 생존도를 유지하였다. 결론 : 이상의 결과에서 Lb 1250은 병원성 세균의 성장을 억제함을 관찰하였고, probiotic으로서의 이용가능성을 확인하였다.

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Convergent Factors Related to Depression of Wage Workers in Korea: Focusing on Gender Differences (한국 임금근로자의 우울과 관련된 융복합적 요인: 성별 차이를 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.4
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    • pp.1029-1044
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    • 2021
  • This research was conducted to investigate the prevalence of depression and convergent factors related to depression in male and female wage workers. Using data from the 2014 and 2016 Korea National Health and Nutrition Examination Survey, 3,763 adults (1,888 males, 1,875 females) between the ages of 19 and under 65 were analyzed. Depression was measured by the Patient Health Questionnaire-9 (PHQ-9), and the depression (PHQ-9≥10) of all workers was 4.1% (3.2% for men, 5.0% for women). Multiple logistic regression analysis was performed to evaluate the depressive factors of male and female wage workers. In male workers, work-related characteristics such as employment type and working hours per week were found to be significantly related to depression even after adjusting for socio-demographic characteristics, health-related characteristics, and life style characteristics. However, in female workers, work-related characteristics did not expose a significant relationship, showing a difference from male workers. Therefore it is necessary to develop and implement workplace counselling or mental health promotion programs that take into account the gender characteristics of depression risk factors. Also, as health-related characteristics (diagnosis of depression, suicide plan, perceived stress level, unmet medical services, self-rated health status) were found to be related to depression for both male and female workers, continuous management of these factors is required.

Mediating Effect of Attitude toward Advertisement on the Relationship between COVID-19 Involvement and Behavioral Intention of Social Distancing in Loss versus Gain Advertising Context (손실과 이득 메시지 프레이밍 광고상황에서 COVID-19에 대한 관여와 사회적 거리두기 실천의도와의 관계에 영향을 미치는 광고태도의 매개효과)

  • Choi, Ja In;Choi, Ja Yun
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.467-477
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    • 2021
  • Purposes of this study were to identify the relationship among involvement in COVID-19 (IiC), attitude toward advertisement (AtA), and behavioral Intention to social distancing (BItSD), and to investigate the mediating effect of AtA in a loss versus gain advertising context. The participants were 379 adults who have been consecutively living in Korea since January 2020. The participants were randomly assigned to one of two advertisements using an online survey system. We found that IiC affects BItSD since Korean adults recognize the risks and seriousness of COVID-19 infection or transmission through IiC. Induced positive attitudes or emotions through involvement in the COVID-19 preventive behaviors including social distancing and vaccination are helpful to increase the BItSD. Thus, health care and information providers should give an accurate message, which induces a positive attitude, to recognize that our world is a risk of the COVID-19.

Multidisciplinary Intestinal Rehabilitation for Short Bowel Syndrome in Adults: Results in a Korean Intestinal Rehabilitation Team (성인 단장증후군 환자의 다학제 장 재활: 국내 단일 기관 다학제 장재활 클리닉의 경험)

  • Yoon, Sojeong;Lee, Sanghoon;Park, Hyo Jung;Kim, Hyun-Jung;Yoon, Jihye;Min, Ja-Kyung;Seo, Jeong-Meen
    • Journal of Clinical Nutrition
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    • v.10 no.2
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    • pp.45-50
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    • 2018
  • Purpose: Intense multidisciplinary team effort is required for the intestinal rehabilitation of patients afflicted with the short bowel syndrome (SBS). These include enteral and parenteral nutrition (PN) support, monitoring of complications related to treatment, and considering further medical or surgical options for intestinal adaptation. Methods: In the Intestinal Rehabilitation Team (IRT) at the Samsung Medical Center, we have experienced 20 cases of adult SBS requiring multidisciplinary intestinal rehabilitation. This study is a retrospective review of the collected medical records. Results: Of the 20 subjects treated, 12 patients were male and 8 patients were female. At the time of referral to the IRT, the mean age was 51.5 years, and the mean body weight was 50.1 kg, which was 90% of the usual body weight. The diseases or operative managements preceding massive bowel resection were malignancy in 11 cases, cardiac surgery in 2 cases, trauma in 2 cases and one case, each of tuberculosis, corrosive esophagitis, atrial fibrillation, simultaneous pancreas and kidney transplantation, and perforated appendicitis. Of these, there were 14 survivals and 6 mortalities. The fatalities were attributed to progression of disease, intestinal failure-associated liver disease, and sepsis (unrelated to intestinal failure) (2 cases each). Among the 14 surviving patients, 8 patients have been weaned off PN, whereas 6 are still dependent on PN (mean PN dependence 36%). Conclusion: This paper reports the results of multidisciplinary intestinal rehabilitation of adult short bowel patients treated at the Samsung Medical Center. Further studies are required to improve survival and enteral tolerance of these patients.

Alleviating Effects of Euphorbiae humifusae L. Extract on the Neurotoxicity Induced by Lead (납의 신경독성에 대한 지금초 추출물의 독성경감 효과)

  • Lee, Sang-Hee;Seo, Young-Mi
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.501-510
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    • 2018
  • This study examined the neurotoxicity induced by lead acetate (LA) on cultured C6 glioma cells and the protective effects of Euphorbiae humifusae L. (EH) extract against LA-induced cytotoxicity. In this study, LA exhibited neurotoxicity in a dose-dependent manner compared to the control, and was determined to be highly-toxic according to the toxic criteria. The $XTT_{50}$ value of LA was calculated at a concentration of $38.6{\mu}M$ after C6 glioma cells were incubated for 72 hours in the media containing $30{\sim}50{\mu}M$ of LA, respectively. In addition, LA-induced neurotoxicity was suggested to correlate with the level of oxidative stress because vitamin E, an antioxidant, increased the cell viability damaged by LA-induced cytotoxicity. The EH extract effectively prevented cell injury from LA-induced cytotoxicity via its antioxidative effects, such as inhibitory ability of lipid peroxidation, superoxide dismutase-like activity and 1,1-diphenyl-2-picrylhydrazyl-radical scavenging activity. These antioxidative effects may result in components, such as polyphenol or flavonoids including gallic acid or quercetin. In conclusion, natural resources, such as EH extracts, may be a useful putative agent for the treatment of diseases associated with oxidative stress, such as lead neurotoxicity.

Trend Analysis of Medical Care Utilization among People with Autistic Spectrum Disorder Using National Health Insurance Data (자폐성장애인의 의료이용 경향분석 및 시사점 : 국민건강보험자료를 이용한 융복합적 접근)

  • Yun, Jieun;Kim, Hyun Joo
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.411-418
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    • 2018
  • The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.

Correlation between the components of dying with dignity and quality of life (웰다잉의 구성요소와 삶의 질 간의 상관관계)

  • Lim, HyoNam;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.137-144
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    • 2019
  • The purpose of this study is to investigate the relationship between the perception of dying with dignity and the quality of life based on the opinions of the Korean populations. The participants were selected using a stratified proportional allocation method and 1,000 adults aged between 19 and 74 years from 17 municipalities and provinces in Korea. The questionnaire consisted of 2 demographic items; 26 items on the quality of life scale; and 57 items on the perception of dying with dignity. The statistical methods used included frequency analyses, independent sample t-tests, and correlation analyses. The results showed that the quality of life was highest for the social life quality item, and that the participants who had experienced a death in the family were more likely to have statistically lower quality of life in physical, psychological, environmental, and social areas. In terms of the participants' perception on dying with dignity, the score for death preparation was the highest; specifically, the score for psychological/economic burden reduction was the highest. The quality of life of the participants showed a positive correlation in all aspects of the perception of dying with dignity: physical symptoms and control, death preparation, death environment, family and social relations, hospital treatment, psychological dignity, and spirituality. Other studies conducted with middle-aged populations showed that their quality of life was higher when they perceived the acceptance of death is important and were willing to participate in death preparation education. Therefore, in order to improve the quality of life and have a positive influence on the participants, educational programs on death preparation and dying with dignity considering all the areas of the perception of dying with dignity should be provided.