• 대한간호학회지
• /
• 제29권6호
• /
• pp.1403-1418
• /
• 1999

Nursing is a discipline that helps to understand human being, to mitigate pains in life by promoting and recovering health, and to study the basic principles in sustaining and preserving life. To understand man and thus to nurse, it is essential to take the way of life of the specific person, his/her ideas, and natural environment into consideration. This means, the temperament, geography, environment and society peculiar to Korea have formed its own culture distinguished from those of other people. Thoughts and philosophy develop as a products of the specific culture and society. Therefore, accurate understanding of the concepts of nursing in the traditional thoughts and philosophy is indispensible to define Korean nursing. Modern Korean nursing at first rooted in the westernized nursing and western nursing intervention has been applied ever since its introduction in the late 19th century under the paradigm of western natural science. However, Koreans in the past made use of alternative therapy which put its emphasis on the organic and holistic view of life as well as a means for traditional medicine and nursing. This alternative therapy has been largely ignored since the introduction of western medical science, and was considered something used only by the aged or the uneducated. Moreover, Health concerned practices and customary traditional therapy have been discarded in the clinical medicine as "unscientific" or "unsystematic". As described above, it is true that Korean nursing has developed in the quantitative aspect only adhering to western nursing intervention. Now it is the time to stop to hold ourself and to look back our past. To find and develop the originality of Korean nursing to cope with the globalization, it is necessary to rediscover nursing (alternative) therapy in Korean culture ignored so far. For this purpose, this study examines the oriental philosophy to explore alternative nursing theory now under development. Also it aims to present ways to apply alternative therapy to nursing education, research and clinical practices and ultimately to show the desirable direction of the nursing to go in the future. Yangsaeng theory of Taoism and Yin-yang, Oh-hang(five elements) and khi theory in Dongeuibogam which gave enormous influences on Korean medical culture and treatment together with Sahsang(four temperaments) emphasized in Dongeuisusebowon will be examined as conceptual framework. Concepts of nursing are categorized into views on each the universe, the human being and nursing. Views on human being is classified into subcategories of body, life, health, and disease. Also it emphasizes the necessity of including alternative therapy in nursing intervention. Views on the universe is classified into yin-yang, khi, and temperament. Nursing will be available anywhere and easily accessible with this new nursing intervention. Trying to give a new thoughts to all those traditional concepts and alternative therapy, this article suggests the necessity of developing original Korean nursing theory and nursing intervention.

• 대한지역사회영양학회지
• /
• 제3권1호
• /
• pp.76-93
• /
• 1998

Three hundred sixty-two(male 131, female 231) elderly aged over 65 in Chungb- uk area were interviewed to determine the disease states and drug usage patterns. The prebalence of disease was 78% and women reported more chronic diseases(83%) than men(71%). Elderly who live with spouse and have an occupation have a lower rate of disease. Average number of diseases of the elderly was $1.8\pm{1.1}$, and women$(2.1\pm{1.3)}$ have significantly higher average number of diseases than that of men$(1.4\pm{0.7)}$. Also the elderly in urban areas$(2.1\pm{1.4)}$ have significantly higher number of diseases than that of the elderly in rural areas$(1.6\pm{0.9)}$. Arthritis, hypertension, cardiovascular and gastric diseases were the most frequently listed chronic diseases in order for both men and women. Anemia and fracture of bone were relatively higher in women than in men. Particularly, the arthritis of the urban elderly have a rate of 1.5 times higher than that of the rural elderly. Fifty-two percent of the elderly were currently using drugs ; among drug users 71.2% used prescription drugs and 20.5% used nonprescription drugs. The average number taken per person was 2.1$\pm$1.4 and there was no sex or age difference. However, the elderly in rural areas $(2.7\pm{1.7)}$ consumed a significantly higher number of drugs than those in urban areas$(1.7\pm{0.7)}$. The average number of prescripti- on drugs taken was 2.0$\pm$1.4 while the average of nonprescription drugs taken was $(1.3\pm{0.6)}$. Analgesics and antihypertensive drugs were most commonly used. Vitamin and analgesics were the most frequently used self-prescribed drugs. It was noted that potential adverse drug interaction by concominant drug consumption for arthritis and antihypensive drug, abuse of digestants and antiacid without treatment of the underlying disease, and misuse of quick-acting bowel medications were problematic for the elderly. In addition drugs used for the elderly have some adverse effect on the digestive system. The types and composition of drugs used by the elderly were identified and presented. Medication compliance was poor and 13.5% reported adverse reactions such as edema, heartburn, nausea, and difficulty with eating. Seventeen percent of the elderly obtained drugs arranged by those other than medical staff. Also, even among those elderly who obtained drugs prescribed by a doctor, 69.1% of subjects had not receive instruction about potential adverse reactions. These results suggest that nutritional problems related to drug usage might exist and so dietitians, either individually or as members of health teams, need to have a better understanding of drug-nutrient interaction and closer supervision, and drug information/education service should therefore be provided to prevent or minimize adverse drug reaction in elderly users of medication.

• 토지주택연구
• /
• 제5권4호
• /
• pp.235-246
• /
• 2014

본 연구는 수도권의 1기 신도시가 건설된 이후 지난 20여 년간 신도시 내의 주거 및 인구특성의 변화를 분석하였다. 이를 위해 1995년부터 2010년까지 통계청의 인구주택총조사 자료를 이용하였다. 첫째, 신도시 건설당시의 계획목표와 현재를 비교분석한 결과, 인구목표는 평촌을 제외하고 2.1~28.6% 정도 초과하고 있는데 비해 세대수는 14.3~73.8% 증가하여 인구대비 세대수 증가가 더 많았다. 주택유형별로는 단독주택의 경우 면적대비 87.9%, 세대수 대비 130.3%로서 세대수 증가율이 더 컸으며, 이는 다가구 다세대주택에 의한 것으로 보인다. 또한 공동주택은 계획면적 대비 95.6%, 세대수 대비 113.4%로서 대체로 목표에 근접하였다. 2010년 신도시 총인구는 1,248천명으로 이는 1990년부터 2010년까지 서울시 인구 감소량 818천명의 152.6%, 경기도 인구 증가량 5,224천명의 23.9%에 해당하는 규모로서, 이는 간접적이나마 1기 신도시 건설이 서울 인구의 수도권 분산에 영향을 미친 것으로 보인다. 둘째, 5년 단위로 신도시의 인구 및 가구특성의 변화를 살펴본 결과, 인구는 도시가 완성된 이후 2005년을 정점으로 다소 감소 경향을 보였으며, 장년층 및 노령인구가 증가하였고, 여성인구가 다소 많은 대졸이상의 고학력 도시이며, 가구원수가 지속적으로 감소하였는데 특히, 1세대 가구의 증가와 1인 가구의 증가가 두드러졌다. 또한 총주택의 83~99%를 아파트가 차지하고 있으며, 대부분 건축년수가 20년이 경과되었다. 거주지역 외에 주택을 소유한 가구가 증가하였는데 이는 전국 및 수도권에 비해서 높은 수준이다. 전세가구 비율은 분당 및 평촌을 제외하고는 다소 감소하였고, 월세가구 비율은 신도시 모두 큰 폭으로 증가하여 '전세감소-월세증가'라는 임차주택시장의 변화를 반영하고 있었다.

• 보건교육건강증진학회지
• /
• 제8권2호
• /
• pp.34-51
• /
• 1991

In the research and analysis for survey practice on stability on the nutrition intake relities to an affect influence factor for variable reason to discovers dweller in cities area which is in order to prevent an unfortunately influence that thus obviously restricted by nutrition intake would be restoration. And then attempted to avhivement of stability fulfil to correct nutrition intake needed under the establish for effectiveness measured to provide the primary required resources be considerations must accomplish certain survey of goals. Therefore subject of criticism for survey was conducted during January 4 1990 to January 24 1990 through 20 days adapted place were Seoul, Taegu and Pohang cities dweller 1206 person be conducted under the expert survey personnel by directly the survey was conducted with the questional form has atapted for its survey conclusion of result be summarixed as bellow. 1) The subject of criticism for survey was ferformed to personnel adapted age group 40 to 49 were 24.9%, Age group 50 to 59 were 18.4% shows most adult group has significant higher value rate appearenced. In consideration the education level were evaluated the college grauated ; 48.8% and High School graduated: 30.1% shows that more educated level has significant higher rate value were appearenced. 2) On the subject of criticism to evaluation for adapted personnel by native place such as larger citypeople ; 29.6%, Farming and fishing village people were 28.4%, although the classfication of job analysis for estimation appearence rate were ; students 27.4%, Sales and service field personnel rate ; 15.1% and expert technique field personnel were ; 90% comprehensively appearenced. Although consideration for ecnomics situation review to the middle level shows of rate ; 61.7% and lower level was appearenced rate ; 23.9% of each others. 3) The people of resident in cities were appearenced nutrition intake has more than 2 weeks continuousely practiced by experiance rate shows ; 72% thus intake has experianced rate were 74.6% and female was 68.5% affact is comprehensively male has more many higher rate valued. In the classfication by age group 60 year old has 100% they have experiaced of nutrition intake and age group 50 to be appearenced its rate ; 76.4 % and age group 40 were 75.5% Thus result of survey for comparative rate shows in generally say more aged group has intake significant higher than younger age of group. Nevertheless, age group 10 years old be experienced of nutrition of intake rate ; 63.2% and age group 20 shows 73.9% was comparative more significant higher than age group 30 years old level adolescents.

• 치위생과학회지
• /
• 제16권2호
• /
• pp.165-175
• /
• 2016

이번 연구는 2008년도 대전시 건강증진사업단이 의뢰하여 한국갤럽조사연구소에서 각 구별 인구분포에 맞게 표본을 추출한 대전 시민 20세 이상 성인 1,013명의 건강실천행위 전화설문조사를 바탕으로 대전 시민의 인구사회학적 특성, 일반건강행위 실천, 칫솔질 횟수의 관계를 분석하였다. 그 결과 흡연은 성별, 연령대, 직업, 비만도에 따른 차이가 있고, 음주는 성별, 연령대, 수입, 직업, 비만도에 따른 차이가 있었다. 또한 신체활동은 성별, 직업에 따른 차이가 있었으며, 칫솔질 빈도는 성별, 연령대, 수입, 직업, 비만도에 따른 차이가 있었다. 로지스틱 회귀분석 결과 1일 2회 이상 칫솔질할 교차비는 남자에 비해 여자가 1.88, 20대에 비해 65세 이상이 0.51, 월수입 200만 원 미만에 비해 200만 원대가 1.58, 규칙적인 운동을 하지 않는 군을 기준으로 운동을 하는 군이 1.60이었다. 점심 후 칫솔질할 교차비는 남자에 비해 여자가 1.76, 20대에 비해 65세 이상이 0.38, 자영업자에 비해 화이트칼라가 3.12, 학생이 2.19, 무직이 1.88, 고강도 신체활동을 안하는 군을 기준으로 하는 군이 1.37, 규칙적인 운동을 안하는 군을 기준으로 하는 군이 1.45이었다. 그러므로, 대상자의 일반적 특성은 구강보건행위와 관계가 있으며 흡연, 음주, 규칙적 운동을 제외한 신체활동 등의 일반건강행위는 구강보건행위는 관계가 없다고 생각되었다. 따라서, 보건소 구강보건사업을 다른 보건사업과는 독립적으로 실행할 수 있으며, 다른 사업과의 통합사업보다는 대상자 특성에 맞는 적절한 구강보건사업이 대전 시민의 구강건강증진에 더욱 효과적일 것이라고 제안한다.

• 대한지역사회영양학회지
• /
• 제7권4호
• /
• pp.484-494
• /
• 2002

This study was conducted to validate the semi-quantitative food frequency questionnaire that was developed to assess the intakes of fatty acids, as well as energy, carbohydrates, fat, protein, minerals and vitamins in Korean adults. The validity of the semi-quantitative food frequency questionnaire was tested on 78 subjects (31 men,47 women) aged 34 to 66 years. The semi-quantitative food frequency questionnaire included 93 food items and was validated on two 3-day dietary records. The mean intakes and the Spearman Correlation Coefficients between the semi-quantitative food frequency questionnaire and the two 3-day dietary records were analyzed for each nutrient and food group level. The mean nutrient intakes obtained from the semi-quantitative food frequency questionnaire were estimated to be greater than those of the two 3-day dietary records. The Spearman Correlation Coefficients between the energy-adjusted nutrient intakes from the semi-quantitative food frequency questionnaire and the two 3-day dietary records ranged from 0.24 for polyunsaturated fatty acids to 0.55 for fat in men and from 0.29 for polyunsaturated fatty acids to 0.55 for saturated fatty acids in women, respectively. The Spearman Correlation Coefficients for food intake ranged from 0.11 for teas and beverages to 0.58 for grains and their products in men,-0.04 for potatoes and starches to 0.73 for milk and dairy products in women. Foods consumed regularly had lower intra-person variation and tended to have higher observed correlation coefficients. These results indicate that the semi-quantitative food frequency questionnaire is a useful tool for estimating nutrient intakes, particularly of total fat and saturated fatty acid intakes.

• 치위생과학회지
• /
• 제18권4호
• /
• pp.201-209
• /
• 2018

본 연구는 치위생학 분야에서 노인 관련 연구에 대한 동향을 파악함으로써 연구의 질적 향상과 함께 향후 노인 관련 연구에 대한 방향을 제시하기 위하여 치위생학 분야에서 노인과 관련된 주제로 발표된 학술논문을 검색하고 분석함으로써 다음과 같은 결론을 얻었다. 1999년부터 2017년까지 총 191편의 노인 관련 논문이 치위생학 분야에서 발표되었다. 대부분의 연구가 한국치위생학회지와 치위생과학회지에서 발표되었으며, 횡단연구가 144편으로 가장 많았으며 실험연구는 15편에 그쳤다. 연구대상자는 노인이 152편으로 가장 많았고 돌봄제공자에 대한 연구는 14편이었다. 연구자수는 2인이 65편으로 가장 많았고, 가장 많이 사용된 분석방법은 기술통계, t 검정, 분산분석, 회귀분석 순이었다. 가장 많이 나온 키워드는 구강과 노인, 건강 등이었으며 구강건강행동과학에 대한 주제가 87편, 임상치위생에 대한 주제가 43편이었다. 타당도를 보고한 연구는 42편, 신뢰도를 보고한 연구는 79편이었으며 연구비 수혜를 받은 연구는 30편으로 나타났다. 본 연구의 조사결과에 의하면 실험연구의 비율이 적은 것으로 나타났으며 타당도와 신뢰도를 보고한 연구논문의 편수가 매우 미비한 것으로 나타났다. 또한 같은 의미의 키워드가 매우 다양한 단어로 기재되어 있는 것으로 나타났다. 따라서 실험연구의 수행을 높이기 위한 노력이 필요하며 타당도와 신뢰도가 검증된 도구의 사용과 측정 후 논문에서 이에 대한 보고가 이루어져야 할 것으로 생각된다.

• 한국식생활문화학회지
• /
• 제29권2호
• /
• pp.151-162
• /
• 2014

This study conducted a survey to analyze awareness, preferences, and the current state of consuming environmentally friendly organic food while eating-out in 435 adults aged 20 and above in Daegu, Korea. Most subjects (95%) showed awareness of environmentally friendly organic food, and 88.5% of subjects answered environmentally friendly organic food is 'needed'. The percentage of eating out for families was 58.9%, and 49.0% of subjects said they eat out one to three times per month on average. In addition, subjects preferred a price range between 10,000 and 20,000 won per person when eating out, and they mostly favored Korean restaurants when ordering environmentally friendly organic food. Analysis of awareness of environmentally friendly organic food showed that among 'health' factors, 'environmental' factors, 'social' factors, and 'dietary essential' factors, 'health' factors showed the highest percentage for awareness. A survey on preferred foods by gender showed that both genders preferred vegetables the most. The results show that subjects in their 20s and 30s favored vegetables and fruits while subjects in their 40s preferred vegetables and grain animal products. Analysis of preferred types of environmentally friendly organic foods showed that men preferred polished rice while women preferred brown rice. Subjects in their 20s and 30s preferred strawberries, whereas those in their 40s preferred cherry tomatoes and those in their 50s and above favored tomatoes (p<0.001). Among root and tuber crops (63.4%), sweet potato was the most preferred. Among fruits, subjects preferred apples while among special crops, they most preferred oyster mushrooms; both genders preferred Korean beef. The most preferred livestock product of subjects in their 20s was pork, whereas subjects in their 30s preferred Korean beef. Subjects in their 40s preferred Korean beef and pork in the same proportions, whereas subjects in their 50s and above favored eggs the most.

• Journal of Preventive Medicine and Public Health
• /
• 제22권3호
• /
• pp.406-422
• /
• 1989

This study is aimed at developing a nutritional task of a community' as a public health activities of Su-Dong Myun, Demonstration Project area of Ewha Womans University. The content of this study is the points of nutritional diagnosis for the residents nutritional evaluation, the analysis of the related factors and the educational material with Nutrition Education-Index. Two hundreds housewives were examined during the period of Jan. 20 to Jan. 30 in 1989. 1. In terms of the housewives' age, those aged 30 to 39 were 32.5% which was the highest and educational level, graduation of primary school was 31.5% which was the highest. The housewives who had no job were 60.0% and those who participated in community activities were 56.5%. 2. In terms of the points of nutritional diagnosis, 50 to 74 points were 51.5% which was the highest and total average was $65.1{\pm}15.0$. 3. As for the points of nutritional knowledge, the average was 54.9 points, attitude was 77.4 points and eating practice was 70.8points. 4. The number of clinical symptoms of nutritional deficiency was 16.1 ones per person. 5. As for the relation which nutritional knowledge, attitude, eating practice exert on one another, nutritional knowledge has negative correlation with eating practice(-0.04) and attitude has some correlation with eating practice(0.17). 6. The variable having to do with the points of nutritional diagnosis showed the highest correlation coefficient(0.55) as the points of nutritional knowledge. 7 As for the variable having to do with the number of the symptoms of nutritional deficiency, the higher points of knowledge(-0.05) is, the higher the totai averse points of nutritional diagnisis(-0.09) is, negative correlation was appeared. 8. The result in which the variant having to do with the number of clinical symptoms of nutritional deficiency was analyzed by multiple regression analysis showed that the lack of time for preparing meals in non agricultural households made the greatest contribution (9% explained) and the households having vegetable garden made the second greatest contribution(3% explained).

• Journal of Preventive Medicine and Public Health
• /
• 제39권2호
• /
• pp.123-129
• /
• 2006

Objectives : The incidence of colorectal cancer increased greatly among the elderly in Korea, but the relationship between smoking and colon cancer remains controversial. Few studies have targeted Asian elderly people. We analyzed the smoking status, the amount smoked, and the smoking duration as risk factors of colorectal cancer to determine their association and causality. Methods: The cohort members (n=14, 103) consisted of 4,694 males and 9,409 females, and they were derived from the Korea Elderly Phamacepidemilogic Cohort (KEPEC), which was a population-based dynamic cohort. They were aged 65 years or more and they lived in Busan Metropolitan City between from 1993-1998; they were beneficiaries of the Korean Medical Insurance Corporation (KMIC). The baseline information was surveyed by a self-administered mailed questionnaire; after 8.7 person-years of mean follow up period, 100 cases of colorectal cancer occurred. The adjusted relative ratio (aRR) of smoking status, the smoking amount and the smoking duration were calculated from the Cox's proportional hazard model with the never-smokers as a reference group and the Cox model controlled for age, gender, precancerous lesions of CRC, medication history of NSAIDs & antibiotics, the alcohol drinking status and BMI. Results : Compared with the never smokers, the aRRs were 2.03 (95% CI=1.02-4.03) and 1.36 (95% CI=0.80-2.32) for the ex-smokers and current smokers, respectively. Statistical significant trends were not observed for the dose-relationship among the elderly, either for the mean daily amount smoked (p for trend=0.28) or for the total amount (p for trend=0.15). Still, the aRRs were 1.51 (95% CI=0.97-2.34) for the elderly who smoked less than 40 years and 2.35 (95% CI=1.16-4.74) for the elderly who had 40 years or more of smoking (p for trend=0.06). Smokers who started smoking before the age 20 had an increased aRR of 2.15 (95% CI=1.17-3.93) compared to the never smokers. Conclusions : After controlling for age, gender, precancerous lesion of CRC, medication history of NSAIDs & antibiotics, the alcohol drinking status and BMI, smoking increases the risk of colorectal cancer among elderly people. The age when starting smoking is also important.