• 디지털융복합연구
• /
• 제20권4호
• /
• pp.759-768
• /
• 2022

본 연구의 목적은 코로나 19 장기화로 지역사회주민 만성질환 예방 관리를 위해 온라인 기반 만성질환관리 비대면 프로그램을 적용하여 그 효과를 확인하기 위한 단일군 전후 설계 유사실험 연구이다. 본 연구의 프로그램은 간호, 영양, 운동 프로그램으로 12주간 실시하였다. 대상자는 보건소 만성질환 관리센터를 이용하는 성인 남녀 69명으로 2021년 5월 3일부터 8월 6일까지 프로그램 적용 전후 수축기압, 이완기압, 공복 혈당, BMI와 우울, 삶의 질의 설문 도구를 사용하여 조사하였다. 자료 분석은 SPSS 20.0을 이용하여 분석하였다. 연구 결과, 수축기압, 이완기압, 공복혈당이 유의하게 감소하였으며, 삶의 질에서도 유의하게 나타났다. 우울은 유의하지 않았으나 경중 우울이 감소하였다. 따라서 위드 코로나 시대에 지속적인 만성 질환 관리를 위해 다양한 비대면 프로그램 프로그램을 개발하여 적용 관리한다면 심뇌혈관질환으로 이행을 방지하고 만성질환 예방 및 건강 유지 증진에 기여할 것이라 사료된다.

• 대한지역사회영양학회지
• /
• 제28권4호
• /
• pp.302-316
• /
• 2023

Objectives: The study aim was to identify changes in the nutritional status of older adults during the COVID-19 pandemic according to household income and demographic characteristics. Methods: Study participants were 2,408 adults aged 65 and over who participated in the 2019-2020 Korea National Health and Nutrition Examination Survey (KNHANES). To examine changes in nutrient intake levels resulting from COVID-19, data of 2019 and of 2020 were compared. Study participants were divided into three groups based on household income level to compare these changes. The changes were compared according to household income level, age group, and household type. Results: Percentages of recommended intakes for energy, protein, and most micronutrients were the lowest for the low-income group of both males and females in 2020. The Mean Adequacy Ratio (MAR) score was the lowest for the low-income group in both years. When comparing nutrient density for 2019 and 2020 by income group, the male low-income group experienced a decrease in nutrient densities of vitamin A, thiamine, calcium, and iron. For the same group, a decreased percentage for energy intake from protein was noted. Fruit intake was lowest in the low-income group for both males and females. Low-income males had the lowest intake levels for meat, fish, eggs, and legumes in both 2019 and 2020 and the lowest milk and milk product intake levels in 2020. Older adults living alone or single older adults with children had lower MAR scores than those living with a spouse. Older adults living alone experienced decreases in energy and thiamine and iron intake levels in 2020 compared to their intake levels in 2019. Conclusions: Because of the COVID-19 pandemic, nutrition intake levels worsened for older adult males in the low-income group and older adults living alone. This finding shows the need for a more systematic nutritional support strategy for the vulnerable older adults population in national disaster situations.

• 한국의류산업학회지
• /
• 제22권6호
• /
• pp.826-833
• /
• 2020

When it is necessary to wear masks for long periods, such as during the current COVID-19 pandemic, the essential function of masks to prevent contamination (or transmission to others) as well as comfortableness are important. For this study, we used three-dimensional (3D) facial measurements of adult women to compile basic face shape data for designing comfortable and effective masks. This study analyzed the 3D facial data of 127 subjects in their 20s to 30s of the 6th Size Korea. Factor analysis of the survey data produced seven factors that formed the composition of adult female faces. These factors combined to produce three facial types: square (long face and a large lower middle face), oval (smallest central and lower body in the middle), and triangle (short face with a small central and lower large nose). These types reflect that the facial types of adult women show the differences in the nose angle, nose length, bitragion-subnasal arc, bitragion-menton arc. Therefore, properly fitting masks for fine dust particle filtration require 3D customization of a mask's breathing apparatus to fit differently shaped central and lower face parts that interfere with mask fit.

• Clinical and Experimental Pediatrics
• /
• 제64권12호
• /
• pp.652-660
• /
• 2021

Background: Viral load and shedding duration are highly associated with the transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. However, limited studies have reported on viral load or shedding in children and adolescents infected with sudden acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Purpose: This study aimed to investigate the natural course of viral load in asymptomatic or mild pediatric cases. Methods: Thirty-one children (<18 years) with confirmed SARS-CoV-2 infection were hospitalized and enrolled in this study. Viral loads were evaluated in nasopharyngeal swab samples using real-time reverse transcription polymerase chain reaction (E, RdRp, N genes). cycle threshold (Ct) values were measured when patients met the clinical criteria to be released from quarantine. Results: The mean age of the patients was 9.8 years, 18 (58%) had mild disease, and 13 (42%) were asymptomatic. Most children were infected by adult family members, most commonly by their mothers. The most common symptoms were fever and sputum (26%), followed by cough and runny nose. Nine patients (29%) had a high or intermediate viral load (Ct value≤30) when they had no clinical symptoms. Viral load showed no difference between symptomatic and asymptomatic patients. Viral rebounds were found in 15 cases (48%), which contributed to prolonged viral detection. The mean duration of viral detection was 25.6 days. Viral loads were significantly lower in patients with viral rebounds than in those with no rebound (E, P=0.003; RdRp, P=0.01; N, P=0.02). Conclusion: Our study showed that many pediatric patients with coronavirus disease 2019 (COVID-19) experienced viral rebound and showed viral detection for more than 3 weeks. Further studies are needed to investigate the relationship between viral rebound and infectiousness in COVID-19.

• Clinical and Experimental Vaccine Research
• /
• 제12권3호
• /
• pp.209-215
• /
• 2023

Purpose: The delay in acceptance or refusal to get vaccinated despite the availability of services is called vaccine hesitancy. The Global Polio Eradication Initiative in Pakistan faced consistent barriers preventing the eradication of the disease in the country. Similarly with the advent of the coronavirus disease 2019 (COVID-19) pandemic mass vaccination drives were initiated to a vaccine hesitant population. The aim of this study is to explore the prevalence and reasons for COVID-19 vaccine hesitancy in the Pakistani population. Materials and Methods: Cross-sectional study conducted during July to September 2021 using a snowball sampling technique targeting the adult population of Pakistan. The modified version of the vaccine hesitancy questionnaire related to the Strategic Advisory Group of Experts on Immunization Vaccine Hesitancy matrix was distributed online. Results: Out of 973 participants, 52.4% were immediately willing to take the vaccine and constituted the acceptance group whereas the remaining 47.6% who were still not sure formed the hesitant group. Support from leaders was found to be statistically significant for the difference between the hesitant and acceptance groups (p-value=0.027). Hesitant people were concerned about the effectiveness of the vaccine (60.9%) and potential side effects (57.9%) as it was not sufficiently tested prior to launch (44.7%). Age and education were significant factors affecting the acceptance of vaccination. The most trusted source of information regarding vaccination was health care workers (43.8%). Conclusion: A moderately high prevalence of vaccine hesitancy was reported in Pakistan. To overcome it, policymakers need to address the reasons for it. Leaders, celebrities, and healthcare workers can play an instrumental role in dispelling conspiracy theories regarding vaccines and making the vaccination drive a success.

• International Journal of Internet, Broadcasting and Communication
• /
• 제15권4호
• /
• pp.9-20
• /
• 2023

In the aftermath of the COVID-19 pandemic, the importance of collective efforts in promoting health preventive behaviors is accentuated, bringing sociopolitical factors into focus. To fully capture psychological drivers of health preventive behaviors in risk situations, anchored on the Model of Risk Information Seeking and Processing (RISP; Griffin, Dunwoody, and Neuwirth 1999), in retrospect of the recent COVID-19 pandemic, we explored whether and how individuals' vaccination behaviors are predicted by RISP-related variables (information insufficiency, affective responses, perceived information gathering capacity, subjective norms) and one's political identity. Findings from a survey of 705 adult participants in the U.S. showed that the effects of one's risk information insufficiency on his or her information seeking and affective response regarding the pandemic, which is also related to their risk susceptibility perceptions. More importantly, the impact of political identity on one's perceived risk susceptibility, and its association with vaccination behaviors are also identified. The findings of this study provide valuable insights for the development of effective health communication strategies for preventive health behaviors.

• 인간행동과 음악연구
• /
• 제18권1호
• /
• pp.1-27
• /
• 2021

본 연구의 목적은 비대면 음악프로그램 참여에 대한 학령기 발달장애 아동의 주양육자의 인식을 알아보는 것이다. 본 연구의 참여자는 비대면 수업이나 치료 프로그램에 참여한 적이 있는 만 6-18세의 발달장애 아동의 주양육자이다. 총 83명의 대상자가 온라인 혹은 오프라인으로 실시된 설문조사에 참여하였고, 회수된 응답지 중 응답이 불충분한 16부를 제외하고 총 67부의 응답을 분석하였다. 분석 결과, 비대면 학교 수업이 지속적으로 진행됨에 따라 발달장애 아동의 가정에 비대면 프로그램 참여를 위한 환경이 어느 정도 준비되어 있는 반면, 주양육자들은 프로그램 참여 시 아동을 도울 수 있는 인력의 필요성을 보고하였다. 비대면 음악프로그램에 어떻게 참여해왔는지 그 현황도 확인하였는데, 주양육자들은 참여 아동들이 비대면 음악프로그램 참여 시 긍정적인 반응을 보이는 것으로 인식하고 있음을 알 수 있었다. 비대면 일반교과수업과 비대면 음악프로그램에 대한 인식을 비교하였을 때, 비대면 음악프로그램에 참여하는 경우 아동의 주의 유지와 프로그램 참여도에 대해 보다 긍정적으로 인식하는 것으로 나타났다. 또한 비대면 음악프로그램을 경험한 그룹은 그렇지 않은 그룹보다 향후 비대면 음악치료 참여에 대해 긍정적으로 인식하고 있는 것으로 나타났다. 본 연구의 결과를 통하여 향후 비대면 음악치료 프로그램 개발을 위한 기초자료를 제시하였다는 점에서 의의가 있다.

• 한국산학기술학회논문지
• /
• 제22권4호
• /
• pp.195-205
• /
• 2021

코로나19가 대유행이 되면서 국내 대부분의 간호학과에서는 기존의 실습방법이 아닌 온라인 비대면 실습을 시행하였다. 본 연구는 온라인 비대면 성인간호학실습 과정에서 경험하는 내용을 이해하고자 참여자들이 작성한 성찰일지를 분석한 질적연구이다. 연구 참여자는 일개대학 간호학과 졸업학년인 4학년 재학생 중 본 연구의 목적을 이해하고 참여에 동의한 45명이다. 온라인 비대면 성인간호학실습은 2학점 90시간으로, 1일 9시간씩 총 10일 운영되었다. 본 온라인 성인간호학실습은 컴퓨터 기반 시뮬레이션실습, 컴퓨터 기반 간호술기실습, 동영상 및 교육자료 제작, 실시간 온라인 퀴즈와 온라인 강의영상시청, 토론 등으로 구성되었다. 성찰일지를 분석한 결과, 6개의 범주, 13개의 주제모음, 33개의 주제가 도출되었다. 6개의 범주로는 '다양한 상황경험', '새로운 학습의 경험', '임상실습에 대한 성취감', '교수자와의 관계형성', '비대면 실습에 대한 양가감정', '예비간호사에 대한 두려움'으로 진술되었다. 본 연구는 포스트 코로나 시대를 준비하는 교육현장에서 성인간호학실습이 임상실습기관이 아닌 비대면 실습으로 진행하여 다양한 교육방법으로 운영하고 분석하였다는 데에 의의가 있다. 본 연구는 비대면 성인간호학 실습개발 및 운영의 중요한 기초자료가 될 것을 기대한다.

• 산업과 과학
• /
• 제2권1호
• /
• pp.39-44
• /
• 2023

본 연구의 목적은 코로나 팬데믹 시기 대학의 온라인 수업과 비대면 혼합수업의 성과와 만족도를 비교하기 위함이다. 연구는 일 대학 간호학과에서 성인간호학 강의를 수강하는 4학년 학생을 대상으로 하였으며 전면 비대면 수업에 참여한 113명과 비대면 혼합수업에 참여한 134명의 학습 성과와 수업 만족도를 비교하였다. 연구결과 비대면 혼합수업의 성과와 만족도가 전면 비대면 수업보다 통계적으로 유의하게 높았다. 코로나 팬데믹 시기를 지나오면서 대학 구성원은 수업의 질을 결정하는 요인은 대면이냐 비대면이냐 형식의 문제라기보다는 가르치는 사람의 성의와 배우는 사람의 열의가 더욱 중요함을 모두 경험했다. 따라서 교육과 학습에 대한 성의와 열의를 기본으로 하여 앞으로의 교육환경 변화에 대비한 새로운 교육방법 개발 운영, 이에 따른 효과연구는 계속되어야 할 것으로 생각된다.

• Korean Journal of Radiology
• /
• 제25권5호
• /
• pp.481-492
• /
• 2024

Objective: To evaluate the clinical and imaging characteristics of SARS-CoV-2 breakthrough infection in hospitalized immunocompromised patients in comparison with immunocompetent patients. Materials and Methods: This retrospective study analyzed consecutive adult patients hospitalized for COVID-19 who received at least one dose of the SARS-CoV-2 vaccine at two academic medical centers between June 2021 and December 2022. Immunocompromised patients (with active solid organ cancer, active hematologic cancer, active immune-mediated inflammatory disease, status post solid organ transplantation, or acquired immune deficiency syndrome) were compared with immunocompetent patients. Multivariable logistic regression analysis was performed to evaluate the effect of immune status on severe clinical outcomes (in-hospital death, mechanical ventilation, or intensive care unit admission), severe radiologic pneumonia (≥ 25% of lung involvement), and typical CT pneumonia. Results: Of 2218 patients (mean age, 69.5 ± 16.1 years), 274 (12.4%), and 1944 (87.6%) were immunocompromised an immunocompetent, respectively. Patients with active solid organ cancer and patients status post solid organ transplantation had significantly higher risks for severe clinical outcomes (adjusted odds ratio = 1.58 [95% confidence interval {CI}, 1.01-2.47], P = 0.042; and 3.12 [95% CI, 1.47-6.60], P = 0.003, respectively). Patient status post solid organ transplantation and patients with active hematologic cancer were associated with increased risks for severe pneumonia based on chest radiographs (2.96 [95% CI, 1.54-5.67], P = 0.001; and 2.87 [95% CI, 1.50-5.49], P = 0.001, respectively) and for typical CT pneumonia (9.03 [95% CI, 2.49-32.66], P < 0.001; and 4.18 [95% CI, 1.70-10.25], P = 0.002, respectively). Conclusion: Immunocompromised patients with COVID-19 breakthrough infection showed an increased risk of severe clinical outcome, severe pneumonia based on chest radiographs, and typical CT pneumonia. In particular, patients status post solid organ transplantation was specifically found to be associated with a higher risk of all three outcomes than hospitalized immunocompetent patients.