• 한국노년학
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• 제25권2호
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• pp.95-108
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• 2005

본 연구의 목적은 건강검진에 참여한 노인들의 생리적 건강상태와 건강증진생활양식 정도를 확인하고 건강증진생활양식에 영향을 미치는 특성을 파악하여 향후 노인대상 건강검진 사업과 노인의 건강증진을 도모할 수 있는 중재프로그램 개발의 기초 자료로 활용하고자 함이다. 자료수집은 서울 소재 일 지하철역에서 임의표출된 60세 이상의 노인 209명을 대상으로 혈압과 혈당 측정 및 구조화된 설문지를 이용하여 이루어졌다. 연구대상 노인들은 평균 67세로 스스로 건강하다고 지각하는 경우가 39.2%이며, 71.3%가 평소에 운동을 하고 있었고, 71.8%가 평소 자신의 혈압을 알고 있었다. 노인의 44.0%가 고혈압이나 저혈압 등 혈압이상 위험 군에 속하였고, 혈당은 126mg/dl 이상인 노인이 44.5%, 200mg/dl 이상인 노인이 3.8%이었다. 노인의 건강증진생활양식 수행정도는 4점 만점에 2.75 점이었고, 6개의 하부영역 중 대인관계 영역이 3.01 점으로 가장 높았고, 영양, 스트레스 관리, 영적 성장, 신체 활동, 건강책임 영역의 순으로 낮았다. 건강증진생활양식은 운동과 평소 자신의 혈압에 대한 지식여부에 따라 차이가 있었고, 건강증진생활양식 하부영역별 차이는 다음과 같았다. 신체활동 영역은 노인의 성별, 운동, 월수입, 혈압이상; 영양 영역은 평소 자신의 혈압에 대한 지식과 혈당체크 경험; 건강책임 영역은 평소 자신의 혈압에 대한 지식, 혈당 이상; 대인관계 영역은 성별, 종교, 혈당체크경험; 영적성장 영역은 지각된 건강상태, 월수입; 그리고 스트레스관리 영역은 성별, 흡연 여부에 따라 통계적으로 유의한 차이가 있었다. 노인의 건강증진을 위해서는 본 연구에서 밝혀진 특성을 고려한 차별화된 건강증진 프로그램의 개발과 확산이 필요하다고 본다.

• 한국콘텐츠학회논문지
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• 제18권2호
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• pp.158-168
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• 2018

본 연구는 가정폭력 피해여성을 대상으로, 춤을 통한 치유적 신체표현 프로그램을 적용하여, 이들의 외상후 성장에 미치는 효과를 검증하였다. 본 연구의 대상은 서울지역의 가정폭력 피해여성을 위한 쉼터(7개 시설)에 거주하는 가정폭력 피해여성으로서, 실험집단 23명, 통제집단 23명으로 구성하였다. 실험집단에게 적용한 춤 치유 신체표현 프로그램은 총 18회기로 구성하였고, 주 3회, 6주에 걸쳐 진행되며, 각 회기는 90분 동안 실시하도록 하였다. 본 연구의 춤 치유 신체표현 프로그램은 신체표현과 동작 경험을 중심으로 한 춤을 기반으로 삼되, 내면의 표출을 위한 즉흥적 비형식적이고 창조적인 표현에 초점을 두고 있다. 이에 다수의 춤 치유 및 무용치료 선행연구들의 활동과 원리를 참조하고, 가정폭력과 외상 관련 심리 상담 선행연구에서의 상담기법 및 상호작용, 치유적 원리의 특성을 회기 구조 단계마다 적용하였다. 연구 결과, 춤 치유 신체표현 프로그램은 실험집단의 외상 후 성장 전체 및 하위차원인 대인관계깊이, 자기지각, 가능성발견, 영적관심 차원에 향상 효과가 있는 것으로 나타났으며, 실험집단과 통제집단의 사후점수 및 향상정도에서 유의한 차이가 나타났다. 결국 본 연구는 춤의 근원적이고 치유적인 속성을 이해하고, 사회적 차원에서 가정폭력 피해여성과 같이 심리적 고통을 경험하는 대상들에게 스스로 회복할 수 있는 기회를 제공하는 선순환적 치유방식 및 춤의 활용성에 관한 기초자료를 제공하였다는데 의의가 있다.

• 동아시아식생활학회지
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• 제25권3호
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• pp.432-439
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• 2015

This study was conducted to assess joint effect of body mass index (BMI) and physical activity with risk of hypertension in middle-aged Koreans. The effects of BMI and physical activity on risk of hypertension were studied using data set of 10,020 subjects aged 40~69 years in a Korean Genome and Epidemiology Study (KoGES). About 31.8% of men and 30.2% of women had hypertension. Higher BMI was associated with increased risk of hypertension in men and women. However, diverse association of physical activity with hypertension was only detected in women. Inactive women with a BMI${\geq}25$ were more likely to have hypertension than active women with a BMI<23 (ORs=3.96, 95% CI; 2.77~5.67). The present study indicates that regular physical activity and weight control can reduce risk of hypertension in Korean middle-aged women.

• 한국보건간호학회지
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• 제30권2호
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• pp.311-325
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• 2016

Purpose: This study was conducted to examine the individual and community level factors associated with physical activity and to identify its relative effects using a multilevel analysis among Korean adults in certain counties. Methods: A cross-sectional data of 39,547 adults (age range of 19~64 years) living in 82 counties from the 2013 Korean Community Health Survey (KCHS) was analyzed. Individual and social correlates from KCHS and physical environmental data from the Korean Statistical Information Service were collected. A multilevel logistic regression was performed using Stata 10.0 IC. Results: Multilevel analyses showed that the effect of social and physical environmental on engaging in moderate or vigorous physical activity (MVPA) was significant in comparison to the influence of individual correlates. The individual factors that were associated with participating in MVPA included gender, marital status, education, job, and household income. In the community level, social environmental factors associated with engagement in MVPA were higher satisfaction with healthcare service (OR=3.410, 95% CI=1.109~11.269), a high level of social support (OR=5.920, 95% CI=1.459~22.657) and social network (OR=1.025, 95% CI= 1.017~1.032). Conclusion: To promote moderate or vigorous physical activity in Korean adults in some counties, social environmental factors should be considered along with individual correlates.

• 보건교육건강증진학회지
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• 제27권3호
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• pp.33-47
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• 2010

Objectives: The purpose of this study was to identify personal and social environmental factors associated with physical activity and sedentary behavior among elementary school students. Methods: Cross-sectional self-reported data were collected from a conveniently clustering sample population of 1538 grade 5 to 6 students attending 19 elementary schools in Seoul metropolitan city and Gyeonggi province. Data were statistically analyzed using Chi-square test and multiple logistic regression analysis. Results: In multiple logistic regression analyses, significant factors that were associated with schoolchildren's physical activity were gender, father's job, social support for physical activity, friend support, participation in school physical education class. Father's education level, mother's job, family functioning and urban residents were significantly associated with TV viewing and gender, age, BMI(obesity), mother's job, family functioning and urban residents were significantly associated with playing computer games among elementary schoolchildren. These results showed that physical activity among elementary school students was most associated with social environmental factors and sedentary behavior among school students was most associated with personal and family environment factors. Conclusion: Health care providers should develop interventions to improve these family and social environmental factors to increase physical activity levels and to decrease sedentary behavior among elementary schoolchildren.

• 동서간호학연구지
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• 제21권1호
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• pp.43-51
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• 2015

Purpose: This study was to identify factors to regular exercise among patients with osteoarthritis prior to total knee replacement. Methods: For this cross-sectional descriptive study, the data were collected using questionnaires from 136 patients scheduled for total knee replacement from July 2014 to December. This study aimed to analyse regular exercise status, intensity of physical activity, and factors affecting regular exercise. Results: Twenty two percent of patients expecting for total knee replacement are performing regular exercise and the intensity of it was very low. The use of walking aids, 6-minute walk test, self efficacy for exercise and pain, and quality of life (mental) were significantly associated with regular exercise before surgery. Factors affecting regular exercise were self efficacy for exercise (OR=1.059, CI=1.037-1.091) and 6 minutes walking distance (OR=1.007, CI=1.001-1.014). Conclusion: The results suggest that pre-surgery programs for physical activity and self efficacy were necessary for patients expecting total knee replacement. Regular exercise program could be beneficial for better outcomes after total knee replacement.

• 근관절건강학회지
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• 제27권2호
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• pp.199-209
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• 2020

Purpose: This study examined the prevalence of depressive symptoms and psycho-behavioral factors affecting depressive symptoms in patients with osteoarthritis. Methods: This cross-sectional study enrolled a convenience sample of 157 patients with osteoarthritis in a university hospital between March and December 2018. Depressive symptoms, osteoarthritis function, therapeutic self-efficacy, and health-related quality of life (QoL) were measured using structured questionnaires. Logistic regression analysis was used to investigate factors affecting depressive symptoms. Results: The mean age of participants was 73.3 years with 76.4% of them being women. The prevalence of depressive symptoms was 38.5%. Patients with depressive symptoms were more likely to be currently smoking and had an occupation and worse flexibility function associated with osteoarthritis. Whereas they were less likely to engage in regular physical activity and had a low level of therapeutic self-efficacy and perceived health-related QoL. Conclusion: Therapeutic self-efficacy to regular physical activity, including flexibility function may be primary factors influencing depressive symptoms in patients with osteoarthritis. With the management of osteoarthritis, psycho-behavioral factors should be considered in developing interventions to prevent depressive symptoms in patients with osteoarthritis.

• 성인간호학회지
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• 제18권3호
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• pp.426-435
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• 2006

Purpose: The purpose of this study was to explore the predictors of cardiovascular risk factors among type 2 diabetic patients. Method: Data were collected from November, 2003 to June, 2004 using a physiological index and questionnaires. Patients(N=159) aged 40 and above were conveniently recruited from health care centers in B city. Data were analyzed with descriptive statistics, Pearson correlation and stepwise multiple regression using SPSS WIN 10.0 program. Results: The cardiovascular risk factors were negatively related with female gender, household monthly income, educational experience about diabetes, physical activity, self-care, self-efficacy and problem oriented coping, while positively related with the duration of diabetes, diabetic family history and depression. Self-care, diabetic family history, female gender, monthly household income, self-efficacy, affective-oriented coping and physical activity predicted 41.5% of the variance in cardiovascular risk factors of diabetic patients. Conclusion: According to the findings of this study, we concluded that cardiovascular risk factors of type 2 diabetic patients are related to the modifiable and non-modifiable variables. Self-care, self-efficacy, affective oriented coping, and physical activity were identified as modifiable variables. Intervention programs to increase those variables are warranted to reduce cardiovascular risk factors among type 2 diabetic patients.

• 대한치위생과학회지
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• 제4권1호
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• pp.79-87
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• 2021

Background: The purpose of the present study was to confirm the degree of physical activity and oral health behaviors of adolescents, and to investigate the relationship between them. Methods: The present study utilized data from the 15th (2019) Korea Youth Risk Behavior Web-Based Survey data, which included a total of 57,303 adolescents for analysis. Statistical analysis was performed using PASW Statistics 21.0. The significance level for significance was set at 0.05. Results: The rate of toothbrushing before sleeping was 1.152 times higher in the group that performed muscle strengthening exercises more than 3 times a week than in the group that did not (p < 0.001). The rate of use of oral hygiene products was 1.246 times higher in the group that performed physical activity for 60 min or more every day than in the group that did not, and 1.207 times higher in the group that performed muscle strength exercise at least 3 times a week than in the group that did not (p < 0.001). Conclusions: Adolescents who engaged in physical activities had a high rate of practice for some oral health behaviors. These results suggested that the group with positive health behaviors has a higher rate of oral health behavior practice, showing that health behaviors are highly interrelated.

• Child Health Nursing Research
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• 제20권2호
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• pp.67-74
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• 2014

목적 본 연구는 인터넷을 사용하는 저소득층 초등학교 고학년 아동이 스스로 인식하는 자아존중감, 우울, 삶의 만족도를 파악하고 인터넷 중독에 영향을 미치는 주요 예측요인을 파악하여 인터넷중독을 예방프로그램을 개발에 도움이 되는 기초자료를 제공하고자 시도되었다. 방법 2013년 3월부터 5월까지 T광역시 영구임대 아파트에 거주하는 초등학교 고학년을 대상으로 부모의 협조를 구한 뒤 학생들에게 연구의 목적과 취지를 설명하고 동의를 구한 후 구조화된 설문지에 대한 내용과 기재요령을 설명하여 수집하였다. 이중 내용이 완전히 기입되지 않은 7부를 제외한 201부를 분석대상으로 하였다. 결과 아동의 78.6%가 $23.81{\pm}7.06$점으로 일반사용자로 분류되었고 14.4%가 $28.66{\pm}7.96$점으로 잠재적 위험 사용자로 나타났으며 7.0%가 $43.43{\pm}8.22$점으로 고위험 사용자로 분류되었다. 인터넷 중독 정도는 가족과의 대화(r=.438, p <.001), 인터넷 사용시간(r=.680, p <.001), 우울(r=.396, p <.001)과 유의한 정상관관계가 있는 것으로 나타났다. 학년(r=-.032, p =.045)과 삶의 만족도(r=-.200, p =.002)는 인터넷 중독 정도와 유의한 역상관관계를 나타내었다. 대상자의 인터넷 중독에 영향을 주는 요인은 가족과의 대화(${\beta}=0.39$, p <.001), 우울(${\beta}=0.30$, p <.001)인 것으로 나타났다. 이들 변인 인터넷 중독점수의 29.2%를 설명하고 있었다(F=21.61, p <.001). 결론 본 연구결과를 바탕으로 저소득층 초등학교 고학년 아동들의 올바른 인터넷 문화형성을 위해 도움이 되는 중재를 계획할 때 가족 간의 원만하고 풍부한 의사소통을 경험하고 이를 바탕으로 다양한 활동의 유익성과 즐거움을 인식하게 하여 과다한 인터넷 사용시간을 줄여나가고 저소득층에 대한 사회적 배려와 지원을 바탕으로 다양한 신체활동과 정신활동 및 운동에 대한 참여기회를 확대하고 저소득층이라는 환경의 부정적인 측면을 최소화하여 아동의 우울을 줄이고 삶의 만족도를 높일 수 있도록 간호학적 전략이 포함되어야 할 것이다.