• 디지털융복합연구
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• 제16권10호
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• pp.485-496
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• 2018

본 연구는 대학 신입생이 느끼는 심리적 진로장벽 해소를 위한 집단프로그램을 구성하여 적용하고, 심리적 진로장벽, 진로결정 자기효능감과 자기결정성에 미치는 효과를 검증하고자 하였다. 이를 위해 처치집단에 8명, 비교집단에 9명을 할당하여 처치집단에는 7회기에 해당하는 심리적 진로장벽 해소 집단프로그램을 실시하고 비교집단에는 아무런 처치를 하지 않았다. 프로그램의 효과를 알아보기 위해 처치집단과 비교집단 각각 사전검사와 사후검사로 심리적 진로장벽, 진로결정 자기효능감, 자기결정성검사를 실시한 후 사전 사후 차이 검증을 실시하였다. 그 결과, 첫째, 심리적 진로장벽점수는 비교집단에 비해 처치집단의 점수가 유의하게 낮아진 것으로 나타났다. 둘째, 진로결정 자기효능감점수는 비교집단에 비해 처치집단의 점수가 유의하게 향상된 것으로 나타났다. 셋째, 자기결정성점수는 비교집단에 비해 처치집단의 점수가 유의하게 향상된 것으로 나타났다. 즉, 본 집단프로그램은 대학 신입생의 심리적 진로장벽 인식을 낮추고 진로결정 자기효능감과 자기결정성을 향상시키는 데 효과가 있었다. 본 연구결과의 활용과 향후 연구에 대해 논의하였다.

• 한국심리학회지:학교
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• 제16권1호
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• pp.39-63
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• 2019

본 연구는 담임교사가 인식한 학교상담자와의 자문 관계에서의 장애요인을 탐색적으로 파악하고자 하는 목적으로 이루어졌다. 이를 위해 서울, 경기, 인천, 충청, 대구 등에 근무하는 담임교사 16명을 대상으로 자료를 수집하여 개념도 연구방법을 통해 분석하였다. 1차로 수집된 일대일 면담 자료에 대한 질적분석을 통해 담임교사의 관점에서 학교상담자에게 자문을 받을 때의 장애요인을 설명하는 진술문을 도출하였다. 2차 자료 수집 과정에서는 일대일 면담 또는 우편의 방식으로 진술문에 대한 유사성 분류 및 중요도 평정이 이루어졌다. 2차로 수집된 자료에 대해 다차원분석과 군집분석을 실시하여 개념도를 작성하였다. 연구 결과는 다음과 같다. 담임교사가 인식한 학교상담자와의 자문 관계에서의 장애요인은 최종 51개의 진술문으로 정리되었다. 진술문에 대한 차원분석은 2개의 차원으로 '학교상담 특성 - 학교상담자 특성' 차원과 '심리적 장애 - 물리적 장애' 차원으로 명명되었다. 51개의 진술문에 대해 군집분석을 실시한 결과, 5개의 군집으로 분석되었다. 담임교사가 인식할 때 학교상담자와의 자문 관계에서의 장애요인 군집은 '담임교사로서의 책임감이 상담자와의 소통을 방해함', '학교상담자에게 받는 자문의 필요성에 대한 인식 부족', '학교상담자에 대한 신뢰 부족', '학교상담자 역할에 대한 인식 및 관련 경험 부족', 그리고 '학교상담 환경으로 인한 학교상담자의 업무 과다'로 정리되었다. 5개의 군집에서 중요도 평정 결과가 가장 높게 나타난 군집은 '학교상담자에 대한 신뢰 부족'으로 나타났다.

• Journal of Community Nutrition
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• 제3권1호
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• pp.21-29
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• 2001

This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.

• 한국임상약학회지
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• 제31권4호
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• pp.311-323
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• 2021

Objective: The disabled are in a blind spot for obtaining information on drugs, and the pharmacies' counseling on drug use is centered on non-disabled people. Few studies have investigated the current statuses of drug use by type of disability. The purpose of this study is to understand the drug use by type of disability and by life cycle of visually impaired and hearing impaired in Korea. Methods: The study participants consisted of 16 people with visually impairments, 12 people with hearing impairments. One in-depth interview was conducted per participant, and each interview was recorded and documented. Results: Common barriers against safe medication and medical service uses across disability types are 'lack of consideration and service for the disabled, limited access to medical facilities due to disability, limited access to information regarding medication use, psychological anxiety about drug use and side effects, and inconvenience regarding COVID-19 epidemic. The specific factors were 'difficulties in identifying proper medicines and following prescribed dosages' in the case of visually impaired, and 'problems with sign language interpretation system' for the hearing impaired. Conclusion: Disabled people are hindered from using medicines properly due to various factors. Based on the content derived from this study, it is necessary to eliminate the inhibition factors and devise specific measures for the safety of each type of disorder such as developing a method for medication counseling considering disabilities and establishing communication support systems.

• Asian Pacific Journal of Cancer Prevention
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• 제15권2호
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• pp.589-594
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• 2014

Few studies have examined reasons why those with low socioeconomic status do not adequately receive cancer screening. We therefore conducted a qualitative study to assess the barriers to cancer screening in people with low socioeconomic status, and to examine the reasons why Medical Aid Program (MAP) recipients do not participate in the National Cancer Screening Program (NCSP). A focus group methodology was used. Participants included MAP recipients (men aged 45-79 years, women aged 35-79 years) who had been invited to cancer screening at least twice based on the NCSP protocol, but had not been screened for any cancer from 2009-2012. We recruited participants living in the cities of Goyang and Paju. A total of 23 MAP recipients participated in four focus group discussions, including 12 men and 11 women. In this qualitative study, we identified six barriers to screening: lack of trust in the NCSP and cancer screening units; fear of being diagnosed with cancer; discomfort or pain from the screening procedure; lack of time, lack of knowledge about cancer screening or lack of awareness of the existence of the NCSP; physical disability or underlying disease; and logistic barriers. Interventions such as individualized counseling, letters and reminders, or other individually-targeted strategies, especially for those with lower socioeconomic status are required to increase participation and reduce disparities in cancer screening.

• 대한영양사협회학술지
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• 제5권1호
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• pp.64-73
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• 1999

Carbohydrate(CHO) counting is a meal planning approach used with diabetic patients that focuses on carbohydrate as the primary nutrient affecting post-prandial glycemic response. However, it has not been used in meal management of diabetic patients in Korea. CHO counting can be used by clients with type 1 and 2 diabetes. The purpose of the study was to determine the barriers to utilize the CHO counting when three levels of CHO counting were educated to type 2 diabetic patients who started continuous subcutaneous insulin infusion (CSⅡ) therapy by nutrition lectures and counseling. And the CHO-to-insulin ratios were determined for the individual patients who followed the carbohydrate counting as a meal management, and the factors to influence the CHO-to-insulin ratios were selected through the stepwise regression analysis. Twenty- four subjects were received three lectures, and one or two nutritional counseling for a month. The average age of the subjects was 50.7 years, and the duration of diabetes was 9.4 years. Their body mass index (BMI) was 21.5 kg/$m^2$. The difficulties of using CHO counting were 1) confusing the CHO exchange system to diabetic food exchange system, 2) lack of basic nutrition and not distinguishing nutrients such as CHO, fat and calorie, and 3) lack of motivation to make effort to count and record the amount of carbohydrates eaten. Nutritional counseling replenished the nutrition education and made patients practice CHO counting. Average CHO-to-insulin ratios at breakfast, lunch and dinner were 4.1$\pm$3.3, 2.9$\pm$2.6 and 2.9$\pm$3.0units/23g of CHO, respectively. CHO-to-insulin ratios were influenced by gender, age, BMI, post-prandial blood glucose levels and post-prandial c-peptide levels. The effective education and nutritional counseling of CHO counting can make CHO counting applicable to type 2 diabetic patients as meal management for improving glycemic control with less hypoglycemic episode.

• 한국간호교육학회지
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• 제30권2호
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• pp.160-169
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• 2024

Purpose: This study aimed to identify the career decision profiles for nursing students and analyze their career barriers, preparation behaviors, decision-making self efficacy, and adaptability according to the career decision profiles. Methods: This cross-sectional study used content analysis. A total of 219 nursing students enrolled in two private Korean universities participated in this study. The data were collected in person and via email between December 8 and 31, 2020. Results: The decidedness and comfort results were statistically significant. Four clusters were identified: undecided-uncomfortable, decided-uncomfortable, decided-comfortable, and undecided-comfortable. Most participants were found to be decided-uncomfortable, followed by decided-comfortable, undecided-uncomfortable, and undecided-comfortable. The self efficacy scores were higher for the decision-comfortable profile than for the undecided-uncomfortable and decided-uncomfortable profiles. The mean adaptability scores were higher for the decision-comfortable profile than for the undecided-comfortable profile. Career barriers were negatively correlated with preparation behavior, decision-making self efficacy, and adaptability, while preparative behaviors were positively correlated with decision-making self efficacy and adaptability. Decision-making self efficacy was positively correlated with adaptability. The mean career barriers, preparation behaviors, decision-making self efficacy, and adaptability scores differed significantly across profiles. The mean career barrier score was higher for the undecided-uncomfortable than for the decided-comfortable profile; preparation behaviors exhibited no significant differences. Conclusion: Tailored career coaching and counseling programs based on personal characteristics and areas of interest are needed for freshmen and senior nursing students to reduce career barriers and to improve preparation behaviors, decision-making self efficacy, and adaptability.

• Journal of Preventive Medicine and Public Health
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• 제46권sup1호
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• pp.50-54
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• 2013

Out-of-home mobility is necessary for accessing commodities, making use of neighborhood facilities, and participation in meaningful social, cultural, and physical activities. Mobility also promotes healthy aging as it relates to the basic human need of physical movement. Mobility is typically assessed either with standardized performance-based tests or with self-reports of perceived difficulty in carrying out specific mobility tasks. Mobility declines with increasing age, and the most complex and demanding tasks are affected first. Sometimes people cope with declining functional capacity by making changes in their way or frequency of doing these tasks, thus avoiding facing manifest difficulties. From the physiological point of view, walking is an integrated result of the functioning of the musculoskeletal, cardio-respiratory, sensory and neural systems. Studies have shown that interventions aiming to increase muscle strength will also improve mobility. Physical activity counseling, an educational intervention aiming to increase physical activity, may also prevent mobility decline among older people. Sensory deficits, such as poor vision and hearing may increase the risk of mobility decline. Consequently, rehabilitation of sensory functions may prevent falls and decline in mobility. To promote mobility, it is not enough to target only individuals because environmental barriers to mobility may also accelerate mobility decline among older people. Communities need to promote the accessibility of physical environments while also trying to minimize negative or stereotypic attitudes toward the physical activity of older people.

• International journal of advanced smart convergence
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• 제12권3호
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• pp.163-167
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• 2023

The restaurant industry is an industry with low entry barriers, and furthermore, it is an indispensable industry in life. However, for the restaurant industry, it is necessary to start a business considering many factors. In particular, the comparative group for each restaurant industry is different, and the commercial area analysis should be analyzed differently. Moreover, counseling for restaurant start-ups is still sticking to how to start a restaurant by meeting with each franchise supervisor or counselor. Therefore, a restaurant start-up chatbot is needed for prospective restaurant founders, and a food tech chatbot is needed to collect basic data. Therefore, in this study, factors for restaurant start-ups were divided into youth, preliminary start-ups, menus, taste, and food. In the case of restaurant start-ups with low entry barriers, it was confirmed as the most preferred start-up by young people. However, indiscriminate restaurant start-ups not only increase the closing rate but also have a significant impact on household debt, so accurate consulting should be used to lower the closing rate and increase the success rate. Furthermore, theories and measures for food technologies such as chatbots should be further developed to obtain accurate information on franchise start-ups.

• 대한간호학회지
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• 제45권5호
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• pp.742-751
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• 2015

Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.