• 제목/요약/키워드: Behavioral modification

검색결과 96건 처리시간 0.028초

한국 청소년의 고혈압과 관련된 식사 및 생활양식요인 분석 -2005년 국민건강.영양조사 자료에 근거하여- (Dietary and Lifestyle Factors Associated with Hypertension in Korean Adolescents -Based on 2005 Korean National Health and Nutrition Examination Survey-)

  • 김길례;손숙미;김혜경
    • 대한지역사회영양학회지
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    • 제16권4호
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    • pp.439-453
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    • 2011
  • This study was performed to determine dietary and lifestyle factors associated with hypertension in Korean adolescents. Study subjects were 12~19 years (n = 521) adolescents who participated in the 2005 Korean National Health and Nutrition Examination Survey (KNHANES III). Subjects were divided into the hypertensive group (HG, n = 102) and normotensive group (NG, n = 419) by '2007 Korean children and adolescents growth standard' and the relationships between blood pressure and physical measurement, nutrients intakes, eating behaviors and health related factors were analyzed. HG showed significantly higher levels in weight, waist circumference and BMI than NG. The amount of nutrient intakes was not different between NG and HG. Index of nutritional quality (INQ) for phosphate was higher in HG compared with NG. In both male and female HG, INQ for iron was higher but INQ for vitamin B1 was lower than NG. HG revealed higher consumption frequencies of snack, yoghurt, and ice cream compared with NG. In eating and behavioral factors, 'dinner with family', 'eat proper amount', 'keep Korean traditional diet', alcohol drinking, and mean alcohol intake were significantly different between the two groups. By logistic regression method, risk factors for hypertension revealed in this study were gender (male), age (15~19 years), BMI (${\geq}\;85$ percentile), and not keeping Korean traditional diet. These results suggest that education program for hypertension prevention in adolescents should include eating habits improvement and lifestyle modification as well as weight control.

대사증후군과 뇌심혈관질환 발병위험도 평가와의 연관성: 일개 사업장 남성 근로자를 대상으로 (The Relationship between Metabolic Syndrome and Korean Cardiocerebrovascular Risk Assessment: for Male Researchers in a Workplace)

  • 윤종완;이경진;이상윤;오장균
    • Journal of Preventive Medicine and Public Health
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    • 제40권5호
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    • pp.397-403
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    • 2007
  • Objectives: The prevalence of metabolic syndrome has recently increased, Payments from the Korea Labor Welfare Corporation for compensation for mortality in workers caused by cardiovascular and cerebrovascular diseases have also increased in Korea in recent years. The association of metabolic syndrome and cardiocerebrovascular disease has been investigated by several researchers in recent studies, This study was conducted in an attempt to characterize the relationship between metabolic syndrome and Korean cardiocerebrovascular disease risk assessment, and to provide basic data to group health practices for the prevention of cardiocerebrovascular disease. Methods: Health examinations were previously conducted for 1526 male researchers at a private laboratory. The prevalence by age and the odds ratio of metabolic syndrome scores into the "cardiocerebrovascular risk group" (sum of low, intermediate, and high risk groups) of the Korean cardiocerebrovascular disease risk assessment were assessed, in an effort to elucidate the associations between metabolic syndrome and cardiocere brovascular disease risk assessment. Results: The prevalence of metabolic syndrome and inclusion in the cardiocerebrovascular risk group was 11,7% and 22.1% respectively. The severity of metabolic syndrome and cardiocerebrovascular risk assessment showed that individuals in their 40's and 50's were at higher risk than those in their 30's (p<0,001). The age-adjusted odds ratio of metabolic syndrome to cardiocere brovascular risk group inclusion was 5.6. Conclusions: An active prevention program for cardiocerebrovascular disease needs to begin in the 40's, as the prevalence of metabolic syndrome and the risk group of cardiocerebrovascular risk assessment peak in the 40's age group. The odds ratio between metabolic syndrome and the cardiocerebrovascular risk group was high, which indicates that metabolic syndrome scores should be utilized as guidelines during the consultation and behavioral modification program for the workplace prevention of cardiocerebrovascular diseases in group health practices.

병원기반 금연중재가 뇌경색 환자의 퇴원 후 12개월 지속 금연율에 미치는 효과 (The effect of a hospital-based smoking cessation intervention on the continuous abstinence rate from smoking over 12 months in patients with cerebral infarction)

  • 이영훈;오경재;한미희;김규진;박현영;김희숙;이건세
    • 보건교육건강증진학회지
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    • 제33권3호
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    • pp.61-70
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    • 2016
  • Objectives: The aim of this study was to investigate the effectiveness of a hospital-based smoking cessation intervention for increasing continuous abstinence rate from smoking in patients with cerebral infarction. Methods: One-hundred and two smokers with cerebral infarction who decided to quit smoking were enrolled in the smoking cessation intervention from December 2012 to February 2015. The smokers underwent six consecutive times of individual intervention with nurse specialist on smoking cessation including education on behavioral modification, counseling for withdrawal symptoms, and anti-smoking advice over a 12-month period. Results: Among the total participants, the continuous abstinence rate from smoking changed from 79.4% at 1 month to 60.8% at 12 months after discharge. The continuous abstinence rate from smoking after 12 months was 88.5% in participants who completed the entire program (6 times), while 51.3% in participants who did not complete the entire program (${\leq}5$ times) (P=0.001). After adjustment for general and smoking-related characteristics, complete implementation of hospital-based smoking cessation intervention was significantly associated with continuous abstinence from smoking after 12 months (odds ratio: 5.93; 95% confidence interval: 1.45-24.22). Conclusions: The hospital-based smoking cessation intervention might be effective for smoking cessation in patients with cerebral infarction, especially when the intervention was implemented thoroughly.

휨지배 철근콘크리트 부재의 에너지소산성능 평가 방법 (Simplifed Method for Estimating Energy-Dissipation Capacity of Flexure-Dominant RC Members)

  • 엄태성;박흥근
    • 콘크리트학회논문집
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    • 제14권4호
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    • pp.566-577
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    • 2002
  • 비선형 정적해석법과 같은 발전된 지진 해석 및 설계방법은 강도, 연성도, 에너지 소산량으로 대표되는 철근콘크리트 부재의 주기거동을 정확하게 예측하는 것이 필요하게 되었다. 그러나 현재, 에너지 소산량의 평가는 정확하지 못한 경험식을 사용하거나 실무적으로 사용하기 어려운 실험이나 정교한 수치해석에 의존하고 있다. 본 연구에서는 주기하중을 받는 휨지배 철근콘크리트 부재의 주기거동특성을 연구하기 위하여 비선형 유한요소해석을 수행하였다. 또한 압축력, 철근비, 배근형태 등이 주기거동에 미치는 영향에 대하여 연구하였다. 이러한 연구를 토대로 주기거동에 의한 에너지 소산량을 산정할 수 있는 약산법을 개발하였으며, 실험 및 수치해석 결과와의 비교를 통해 검증하였다. 본 연구에서 제안한 방법은 현재사용되고 있는 경험식보다 더 정확하게 철관콘크리트 부재의 에너지 소산능력을 평가할 수 있으며, 실무에 쉽게 적용할 수 있다.

관상동맥질환자의 삶의 질에 영향을 미치는 요소 (Factors explaining Quality of Life in Individuals with Coronary Artery Disease)

  • 박인숙;송라윤;안숙희;소희영;김현리;주경옥
    • 대한간호학회지
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    • 제38권6호
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    • pp.866-873
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    • 2008
  • Purpose: The study was done to compare quality of life by gender, and to identify factors which explain quality of life in individuals with coronary artery disease. Methods: For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data. Results: Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted $R^2$) of variance in quality of life. Conclusion: As the factors explaining quality of me in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.

기능성 유지자원으로서의 들깨(Perilla frutescens var. frutescens)의 이용과 가치 (Uses and Values of Perilla (Perilla frutescens var. frutescens) as a Functional Oil Source)

  • 최용순
    • 한국자원식물학회지
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    • 제28권1호
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    • pp.135-144
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    • 2015
  • The Korean daily intake of vegetable oils has increased about 2.5-fold from 17 g/day to 46 g/day for the last several decades. Perilla (Perilla frutescens var. frutescens) has been cultivated in Korea for a long time as a dietary oil seed which has the highest content of ${\alpha}$-linolenic acid, accounting for nearly 60%. It is known that the main role of ALA is as a precursor to the longer-chain ${\omega}-3$, eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA), the metabolic products of ${\alpha}$-linolenic acid (ALA, ${\omega}-3$). Dietary ${\omega}-3$ fatty acids reduce inflammation and the risk of chronic diseases such as heart disease, cancer, and arthritis, but they also may act as functional components for cognitive and behavioral function. Thus, ${\alpha}$-linolenic acid is one of the essential nutrients in modern dietary patterns in which much linoleic acid is consumed. Nevertheless, perilla oil, rich in ${\alpha}$-linolenic acid, can be easily oxidized, giving rise to controversies with respect to shelf life, the deterioration of the product's commercial value, and further related toxicity. Recent research using genetic modifications has tried to develop new plant oil seeds that balance the ratio of ${\omega}-6/{\omega}-3$ fatty acids. Such trials could be a strategy for improving an easily oxidizable property of perilla oil due to high ${\alpha}$-linolenic acid. Alternatively, appropriate application of antioxidant to the oil can be considerable.

지역사회 만성정신질환자의 건강위험행위 영향요인 (Factors Influencing Health Risk Behaviors of the Chronic Mental Illness in the Community)

  • 강문희
    • 디지털융복합연구
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    • 제11권1호
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    • pp.381-388
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    • 2013
  • 본 연구는 지역사회 만성정신질환자를 대상으로 건강위험행위와 스트레스생활사건, 정신증상, 병식, 우울간의 관계 및 건강위험행위에 영향을 미치는 요인을 파악하여 효율적인 만성정신질환자의 건강증진프로그램 개발을 위한 기초자료를 마련하고자 시도되었다. 연구의 대상은 D시와 C도에 위치한 정신보건센터와 사회복귀시설을 이용하고 있는 성인 만성정신질환자 255명이며 자료수집기간은 2011년 8월 1일에서 9월 20일까지였다. 수집된 자료는 실수, 백분율, t-test, ANOVA, Pearson 상관계수, 다중회귀분석을 이용하여 분석하였다. 연구결과 성별, 진단명, 스트레스 생활사건, 병식, 우울이 통계적으로 유의한 영향요인으로 나타났으며, 이들 전체 요인들은 만성정신질환자의 건강위험행위를 24% 설명하였다. 따라서 지역사회 만성정신질환자의 성별과 진단을 반영하여 병식교육과 스트레스 및 우울관리를 통해 건강위험행위를 효율적으로 관리할 수 있는 건강증진프로그램이 개발되어야 할 것이다.

노년기의 올바른 영양관리를 위한 영양교육자료 개발 (Development of Nutrition Education Materials for Healthy Aging)

  • 안윤;김경아;강현주;김경원
    • 대한지역사회영양학회지
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    • 제11권6호
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    • pp.740-749
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    • 2006
  • The objective of this study was to develop nutrition education materials for older adults, 'nutritional management for healthy aging'. A booklet and four leaflets were developed based on lesson plans. Topics of the lesson plans included eating habit assessment. Korean food guide pyramid, meal planning, eating sensibly and weight management. The titles of the leaflets were 'Eating right for healthy aging', 'Eat calcium-rich foods', 'Enjoy fruits & vegetables' and 'Weight management'. Illustrations and icons appropriate to the texts were designed using illustrator 9.0 and Photoshop 6.0. Booklet (letter size, 5 chapters, 44 pages) and leaflets (B4 size, 6 sections) focused on modifying undesirable eating habits, providing practical tips for desirable behaviors, and behavioral modification such as recording in a food diary, goal setting and increasing self-efficacy. The drafts were pilot-tested by interviews with older adults(n=10), and minor changes were made. The characteristics of revised materials are as follows; i) materials focused on providing desirable eating behaviors for healthy aging, ii) messages were simple and specific, iii) large fonts(13 pt) were used and materials included interesting pictures and illustrations, iv) materials provided tips for balanced diets and recipes fur older adults, v) materials included sections for participation of learners including assessment of nutritional risk factors and obesity, meal planning and games. The revised materials are self-explanatory and can be used by older adults and in nutrition education for older adults.

DACUM 기법을 활용한 유치원 특수학급 교사의 직무분석 (Job Analysis of Early Childhood Special Education Teachers Using DACUM Technique)

  • 김경민
    • 한국콘텐츠학회논문지
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    • 제22권2호
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    • pp.305-316
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    • 2022
  • 본 연구는 DACUM 기법을 사용하여 유치원 특수학급에 근무하는 유아특수교사의 직무를 분석하고자 하였다. 이를 위해 유치원 특수학급 교육경력이 풍부한 6명의 유아특수교사로 DACUM 위원회를 구성하고 총 6회기의 DACUM 워크샵을 거쳐 직무정의, 직무기술서, 직무명세서를 도출하였다. 그 결과 유치원 특수학급 교사의 직무명세서는 9개의 책무와 53개의 과업으로 구성되었고 직무 기술서는 80개의 지식, 98개의 기술, 22개의 태도로 구성되었다. 유치원 특수학급에 근무하는 유아특수교사는 가정연계지도, 건강과 안전관리, 초등학교 전이지도, 놀이주제에 따른 환경구성, 실내외 놀이 활동지도가 초·중등 특수교사와 차별화된 과업이었다. 지식의 경우는 장애인 등에 대한 특수교육법과 행동수정에 대한 지식이 우선순위를 차지하였고, 기술은 관찰과 기록, 부모면담 및 부모교육기술이, 태도는 전문가와 행정가로서의 태도가 우선순위를 차지하였다. 이러한 직무분석의 결과는 대학에서 직무역량이 높은 유아특수교사를 양성하기 위한 교육과정을 구성하는데 도움을 줄 수 있을 것이다.

비만 아동에 대한 설문지의 분석과 재구성 (Revision of a Questionnaire to Assess Health Behaviors in Obese Children)

  • 박소은;염혜원;서정완;이혜진;박혜숙
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제7권2호
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    • pp.215-227
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    • 2004
  • 목적: 소아 비만은 급속하게 증가하고 있다. 소아 비만의 치료는 행동 수정을 하는 것이 중심이 되므로 생활 습관과 식습관을 파악하는 것이 중요하다. 본 저자들은 비만을 효율적으로 관리하기 위해 기존에 사용해오던 설문지를 보완하고자 하였다. 방법: 이대 목동병원 비만클리닉에 방문한 94명의 소아를 대상으로 기존에 개발되어 사용되고 있는 소아용과 부모용 설문지를 작성하게 하였다. 문항별 무응답률, 부모용과 소아용 설문지의 공통 항목에 대한 일치율(%)을 살펴보았다. 문항 분석을 통하여 추가 및 삭제할 부분을 검토하였다. 결과: 문항별 응답율은 매우 높았다. 부모용과 소아용 설문지의 공통 항목에 대하여 62.8~91.5%까지의 비교적 중등도 이상의 일치율을 보였다. 학교급식의 음식 선호도는 평상시 음식습관으로 파악할 수 있으며, 취사선택 할 수 없는 항목으로 판단하여 삭제하였다. 좌식생활 시간을 파악하기 위하여 TV 시청 시간외 컴퓨터나 비디오 게임 시간 항목, 간식의 종류로 인스턴트나 패스트푸드 외에 섬취한 음료의 종류와 양을 기록하는 항목, 어머니의 직장 항목을 추가하였다. 또한 부모와 아동의 답변이 일치하므로 일반적인 생활 습관은 부모가, 집 밖에서의 음식과 운동에 관한 항목은 비만 아동이 기록하도록 설문지를 재구성하였다. 결론: 비만 아동과 부모의 설문지를 분석한 결과 일치도가 높으므로 비슷한 항목을 중복되지 않게 재구성하였다. 비만아동의 습관파악을 위하여 생활습관은 부모가, 집밖에서의 음식섭취와 운동 습관은 아동이 직접 기록하도록 비만 설문지를 재구성하였다.

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