• Therapeutic Science for Rehabilitation
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• v.8 no.1
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• pp.7-25
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• 2019

Objective: The purpose of this study was to perform a systematic literature review focusing on international studies to identify various factors affecting the quality of life(QOL) of dementia patients admitted to long-term care facilities. Methods: From January 2000 to July 2018, the articles published in foreign journals were searched through CINAHL and MEDLINE databases. The main search terms were'dementia or Alzheimer's'. 'quality of life', 'long-term care', 'care home', 'nursing home', 'care institution', 'residential care', 'small- scale setting'. The first 1706 articles were searched, but 10 studies were selected using the selection and exclusion criteria. Results: Analysis of ten cross-sectional studies showed that factors such as physical functioning status, ability to perform activities of daily living, and cognition showed a positive correlation with QOL. Depression and anxiety, severity of dementia, and neuropsychiatric symptoms were found to be negatively correlated with QOL. In addition, two longitudinal studies have confirmed that factors affecting QOL are affected by individual functional status and social environmental factors rather than the size and form of care facilities. Conclusion: This study summarized 10 papers and analyzed them through a systematic review of literature. We found that factors such as individual characteristics and social environment determine QOL of patients with dementia. In this study, various intervention methods to improve QOL of patients with dementia should be developed and used in long-term care facilities by identifying the factors affecting QOL of dementia patients and using them.

• 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.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.3
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• pp.50-65
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• 2018

Objective : The purpose of this study is to analyze researches about sex education for children and adolescents with developmental disabilities in order to provide a basic data and a direction about sex education. Methods : For the systemic review, domestic and international research articles published from August 2008 to September 2018 were searched using the electronic databases PubMed, EBSCO host (CINAHL Plus with full text), Medline (ProQuest), RISS, and KISS. Keyword used for the search was 'Disability Disorder OR Autism (AND) AND (Effect OR Effectiveness)' for international papers and 'Disability AND Sex Education' for domestic papers. Total 15 articles were collected and analyzed in terms of participant, duration, type, contents, and teaching methods with PICO format. Results : In terms of level of evidence, majority was Level III evidence(60%). Most common contents of sex education were 'physical and growth' and 'relational skills'. Special education and occupational therapy were the field that sex education is provided most frequently. Effects of sex education identified were 'sex knowledge', 'sex attitudes', and 'inappropriate sexual behavior'. Conclusion : This study intend aimed to identify content, trends, and effects of sex education for children and adolescents with developmental disabilities in order to provide a basic data for clinical trial of sex education in occupational therapy practice. This study recommend further researches on the effects of sex education on occupational participation, occupational therapists' awareness of sexual activity of clients, and development of related measurement such as sexual development scale.

• Journal of the Korean Society of Radiology
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• v.13 no.4
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• pp.629-635
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• 2019

In term of the factors affecting psychosocial adjustment of breast cancer patients, their quality of life after surgical operation, radiation, and chemotherapy were systematically meta-analyzed. As a result, their qualities of life of the patients that had radiation therapy was the lowest right after the therapy, and gradually increased after the end of the therapy. However, after six months, their quality of life failed to reach the same level before the therapy. They had depression and side effects the most right after the therapy, and somewhat reduced them after the end of the therapy. In case of surgical operation, the more they were educated, the more they had psychosocial adjustment, and the more they had a medical examination and took out an insurance policy, the more they had psychosocial adjustment. In case of chemotherapy, their cognitive function is influenced so that they have impairments in memory, learning, and thinking stages. Since subjective cognitive impairment has a relationship with depression, it is necessary to monitor depression of chemotherapy patients. Given the results of this systematic meta-analysis, when three types of therapies (surgical operation, radiation therapy, and chemotherapy) are applied to patients with breast cancer, it is necessary to recognize their psychosocial adjustment, depression, anxiety, and quality of life in the nursing and radiation therapy fields and thereby to introduce an intervention program for a holistic approach.

• Journal of Hospice and Palliative Care
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• v.22 no.1
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• pp.30-38
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• 2019

Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.

• Journal of the Korea Convergence Society
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• v.10 no.8
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• pp.83-95
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• 2019

The purpose of this study was to comprehensively investigate predictive factors influencing on geriatric depression of the elderly by applying the Andersen's Behavioral Model of Health Service Use,. The research data was focused on the final analysis of 3,585 elderly population aged 65 or older among 21,724 participants in the 6th (2013-2015) Korea National Health and Nutrition Examination Survey. Hierarchical logistic regression analysis was conducted to multivariate analysis method of the variables for possible depression by the Andersen's Behavioral Model of Health Service Use. As a result of hierarchical regression analysis, there was a negative correlation of 0.49 times(0.31-0.78) for males. In addition, there was a positive correlation of pain 1.56 times(1.05-2.31), stress 0.55 times(1.10-2.19), walking exercise 1.44 times(1.03-2.00) and outpatient use 1.48 times(1.10-1.98). Therefore, differentiated support according to the gender of the community residents is necessary, and stress intervention or additional support for exercise is required.

• Journal of the Korean Applied Science and Technology
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• v.36 no.3
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• pp.975-984
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• 2019

The purpose of this study was to investigate the good death awareness, spiritual well-being, and elderly nursing performance of geriatric hospital nursing providers, and the factors affecting the elderly nursing performance. The subjects were collected from 176 nursing providers in 5 Geriatric hospitals located in D, S, and C provinces. Collected data were analyzed by means, standard deviation, t-test, ANOVA, pearson correlation, and multiple regression analysis using spss 22.0. The result showed that good death awareness was 3.15 out of 4 points, spiritual well-being was 4.11 out of 6 points, and 4.15 out of 5 points for elderly nursing performance. There was a positive correlation between the elderly care performance and good death awareness (r=.19, p=.011) and spiritual well-being (r=.23, p=.002). The factors affecting the performance of elderly nursing were good death perception(${\beta}=.18$, p=.015) and spiritual well-being(${\beta}=.18$, p=.013). Based on the results of this study, it is necessary to develop an intervention program that considers good death and spiritual well-being in order to improve the elderly nursing care performance of geriatric hospital Nursing providers.

• Journal of the Korea Convergence Society
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• v.10 no.9
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• pp.63-68
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• 2019

The purpose of this study was to investigate the effect of hyper-extended knee and asymmetric standing posture on knee joint position and lower extremity muscle activity. Thirty-three voluntary participants participated and included sixty legs in the study. The sixty legs were divided into two groups: hyper-extended knee and normal group. The muscle activity and knee extension angle were measured. In the asymmetric standing posture, the knee joint extension angle and the muscle activity of the gastrocnemius were statistically significant between the normal group and the hyper-extended knee group. Based on the results, we confirmed that the asymmetric standing posture increases the hyper-extended knee. Therefore, it will contribute to the establishment of therapeutic guide for the subjects with hyper-extended knee to maintain the symmetrical standing posture, and future studies need to be conducted including the effects of the hip joint and ankle joints.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.614-626
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• 2018

This study was conducted to review the literature and examine the factors related to problem behaviors among students of multicultural families in Korea. A systematic review of the literature was conducted using domestic documents retrieved through July 4, 2018 based on online searches of domestic databases (the Research Information Sharing Service, Korean Studies Information Service System and the National Diet Library). A total of 2,084 studies were searched, and 21 studies were used for analysis. The factors related to problem behaviors were related to individual factors (gender, school record, self-esteem, etc.), family factors (family type, parent support, mothers' enculturation stress, etc.) and environmental factors (friend support, teacher support, social support). The variables measured the problem behaviors among students of multicultural families were school life adjustment (10), psychological, social adjustment or maladjustment (4), and emotional problem behavior (3). Overall, the results indicate that social and policy efforts are needed to improve individual, family, and environmental factors based on more specific and consistent theoretical definitions related to problem behaviors among students of multicultural families in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.393-403
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• 2018

This study was conducted to evaluate the effects of a Motivation Enhancement for Smoking Cessation Program on middle school students' knowledge regarding smoking, self-efficacy, and daily amount of smoking. The study used a nonequivalent control group pre-post-test design and included 47 students who smoke from two middle schools located in city U as subjects. Subjects were separated into two groups, an experimental group with 23 students and a control group with 24 students. Data were collected from February 19, 2018 to May 11, 2018 and analyzed using the IBM SRSS/win 24.0 program to conduct a t-test, ${\chi}^2$-test, Fisher's exact test, and a paired t-test. After subjects went through the Motivation Enhancement for Smoking Cessation Program, their knowledge regarding smoking (t= 3.38, p=0.002), self-efficacy (t= -3.37, p=0.002), and their daily amount of smoking (t=3.38, p=0.002) showed significant changes. The results indicate that the Motivation Enhancement for Smoking Cessation Program is effective at increasing subjects' knowledge regarding smoking and self- efficacy while decreasing their daily amount of smoking. Therefore, to induce cessation of adolescent smoking, Motivation Enhancement for Smoking Cessation Programs tailored to each student should be held.