• 대한간호학회지
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• 제30권2호
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• pp.293-306
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• 2000

Providing care to the dementia elderly with behavioral problem is a major issue in nursing homes today. This study was aimed to explore the nursing staffs′ response to aggressive dementia patients, and the effect that the aggressive behavior had on Nsgstaff. The interviews used a semi-structured questionnaire are were carried out from May to July, 1999. The subjects were 23 nursing personnel working in the nursing homes for dementia elderly. The result are as follows; 1. The types of aggressive behavior cited by the subjects was "physical", "linguistic", and "sexual". 2. The factors that caused the behavior were "symptoms of disease", "under- conditioning", "context of nursing care", "unsatisfied need", "relationship to other patients", "change of outer environment", and "invasion of one′s own privacy". 3. The response of the subjects were "unhappiness", "stress", "anger", "exaggeration", "anxiety", and "fear". 4. The management strategies listed by nursing personnel used to alleviate aggressive behavior were "ignorance" "patience" "leaving the area" "soothing sounds" "verbal punishment" "restriction and isolation" and "various management skill appliance" "adaptation". 5. The effect that aggressive behavior and were "disturbance of relationship to elderly" "decline in the amount and quality of nursing care" "interruption of task performance" "job exhaustion" "desire to leave the job" "physical impact" "stress on the cognition of others" "anxiety about health and one own future" "interference to family life′. The findings of this study will be useful in understanding the difficulties of nursing personnel when confronting the aggressive behavior of dementia partients. It also is useful as basic data in preparing efficient intervention program for these difficulties.

• 한국산학기술학회논문지
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• 제18권5호
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• pp.647-656
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• 2017

본 연구의 목적은 간경변증 환자의 자가간호 행동 관련 요인, 특히 질병지식과 가족지지와의 관련성에 대해 조사하기 위함이었다. 연구대상자는 2015년 6월부터 8월까지 2개월 동안 U 광역시 1개 종합병원 내과 외래를 이용하는 120 명의 간경변증 환자를 대상으로 조사하였다. 자료는 SPSS (Version 21) 통계 프로그램을 사용하여 분석하였다. 그 결과, 대상자의 간경변증에 대한 질병 지식 점수는 18점 만점에 평균 $12.64{\pm}2.16$점이었고, 가족 지지는 32점 만점에 평균 $23.28{\pm}5.68$, 자가간호 행동은 60점 만점에 평균 $35.66{\pm}8.67$점이었다. 즉, 대상자들은 질병에 관한 지식과 가족지지 정도는 보통수준이었으나 자가간호 행동은 낮았다. 또한 간경변증 환자의 자가간호 행동은 질병지식 (r=.675, p<.001)과 가족지지(r=.804, p<.001)와 긍정적 상관관계가 있었다, 자가간호 행동의 가장 좋은 예측요인으로는 가족지지, 질병 지식, 음주회수, 친지 중 간경변증이 있는 경우, 대상자의 교육 수준이었으며, 이들 요인들이 자가간호 행동을 69.7% 설명하였다. 결론적으로 간경변증 환자의 자가간호 행동을 향상시키기 위해서는 대상자의 교육수준, 질병지식 수준과 가족지지 수준을 고려하여 계획하여야 할 것이다.

• 대한지역사회영양학회지
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• 제19권1호
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• pp.1-11
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• 2014

The objectives of this study were to assess food behavior and nutritional status of preschool children by using the Nutrition Quotient (NQ) for children and children's growth index. The subjects for this study were 424, 5-year old children, who enrolled in child-care centers (n = 219) and kindergartens (n = 205) in Nowon-gu, Seoul. The NQ was examined by NQ questionnaire which consisted of 19 food behavior checklist items. Their items were grouped into 5 categories: balance, diversity, moderation, regularity, and practice. Children's anthropometric measurements were performed by using InBody J05. All data were statistically analyzed by SAS 9.3 and significant difference was evaluated by Student's t-test and ${\chi}^2$-test. The rates of overweight and obesity for subjects were 11.1% and 3.3%, respectively. Total NQ score of the subjects was 65.1, which was within medium grade. The NQ score of kindergartens (66.1) was higher than that of child-care center (64.2), showing significant difference by institution type. In addition, the NQ score of obesity was significantly lower than that of normal weight subjects. The scores of balance (p < 0.05) and regularity factor (p < 0.001) were higher in kindergarten compared to child-care center. Particularly, the frequency of consumption of white milk and Ramyeon was higher (p < 0.001) and lower (p < 0.05) respectively in kindergarten compared to child-care center. Frequencies of meal regularity (P < 0.01) and breakfast eating (p < 0.001) were also higher in kindergarten compared to child-care center. These results indicate that kindergarten's children had better eating habits than those of child-care center. Overall analysis of items for food behavior checklists implies that children in Nowon-gu are short of vegetables consumption. Therefore, children and their parents need proper nutrition education and counseling to correct their eating habits and to improve their nutritional status.

• 보건행정학회지
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• 제22권4호
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• pp.497-521
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• 2012

Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

• 보건교육건강증진학회지
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• 제29권2호
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• pp.1-12
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• 2012

Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

• 지역사회간호학회지
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• 제28권2호
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• pp.216-225
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• 2017

Purpose: The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes. Methods: The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical regression analysis. Results: The study results showed that self-care behavior (${\beta}=-.34$, p<.001), empowerment (${\beta}=-.34$, p<.001), and social support (${\beta}=-.20$, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%. Conclusion: Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

• 한국산학기술학회논문지
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• 제11권7호
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• pp.2459-2467
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• 2010

본 논문은 공공의료보건기관에서 근무하는 방문건강인력의 구강보건에 대한 전문성 제고의 목적에서 구강건강 지식 및 실천에 대해 조사하였다. 연구 결과는 다음과 같다. 첫째, 구강건강지식은 치주질환 67%, 치아우식증 68%, 일반치과지식은 68.4%이상의 정답률을 보였다. 둘째, 구강건강실천은 예방목적의 치과방문에서 50%이상, 치료를 위해서 60.1%가 치과방문을 하는 것으로 조사되었다. 치석제거는 46.6%가 정기적으로 받는 것으로 나타났고, 치과치료이용을 89.6%가 종합병원·치과(병)의원을 이용하는 것으로 조사되었다. 칫솔질의 경우 3회 이상은 89.5%, 구강위생용품으로는 치실을 58%로 가장 많이 사용하였으며, 칫솔질 방법으로 회전법을 시행하는 대상자는 46%로 조사되었다. 셋째, 일반적 특성에 따른 구강건강지식은 연령(F=5.25, p<0.01), 보건의료직 경력(F=3.94, p<0.01)에 따라, 구강건강실천은 방문보건경력에 따라 유의한 관련성을 보였다(F=3.20, p<0.05).

• 대한간호학회지
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• 제26권2호
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• pp.345-358
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• 1996

All human health behavior is deeply rooted one's beliefs or value system usually encompassed within the culture in which they live. The Taegyo, based on Oriental folk medicine, is defined as the behavior and self care of pregnant women administered for herself and her fetus(unborn child). Taegyo is believed to be desirable, effective, and healthy behavior by most of Korean pregnant women. It is essential in our contemporary culture, to ascertain what the components of Taegyo are and to integrate them into current, western nursing care, particularly in the area of prenatal care. 910 Korean women were the subjects of this study, who were in a gestation period of pregnancy between 10 weeks to three months postpartum. The subjects were selected by clustered smpling from 10 representative cities in Korea. Data was collected from February 10 to March 30 1995 by a constructed Questionnaire which consisted of 95 items. The questionnaire was developed through three steps such as content analysis, calculation of content validity index, and pretest. Data was analyzed by descriptive statistics and rotated matrix factor analysis with pc-SAS. The mean age of the subjects was 28.9 years : 36.5％ of them were employed and the mean income per month was about 2000 dollars. The component of Taegyo was clustered into five factors such as fetus psychological stability(equity), fetus personality development, maternal-fetal interaction, fetus intellectual development and physical health promotion. The variance of each factor were 23.7％, 8.3％, 4. 7％, 4.1％, and 3.3％ respectively in that order. The Eigen value of each factor was 13.03, 4.57, 2.60, 2.23, and l.83 respectively. It was found that the Taegyo is an unique and holistic self care behavior of Korean pregnant women. Therefore it has been concluded that this study has broadened the understandability of the implications the Taegyo. It is suggested that further studies on the effects of the Taegyo are needed to provide a scientific basis for professional maternity nursing.

• 한국치위생학회지
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• 제18권2호
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• pp.191-204
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• 2018

Objectives: The purpose of this study is to contribute to providing more effective basic data for adults 'oral health management in their future. Methods: The study investigated factors that influence oral health care and oral health behavior depending on the heterosexual status for about one month from Aug. of 2017 on 20 unmarried adults living in Seoul and Gyeonggi-do. Statistical analysis of the collected data was performed using the SPSS WIN 21.0 statistical program. Results: The factors affecting the oral health behavior were high (p<0.001) while oral hygiene products (p<0.05) and interdental toothbrush (p<0.05) were found to have a positive effect on oral health behavior. However, it was found that the times of brushing were less than three (p<0.05) and the time for brushing was two minutes (p<0.05), which negatively affects oral health behavior. The concern of oral health was high (p<0.001), whiledental hygiene products (p<0.05), interdental toothbrush (p<0.05) and mouth saliva (p<0.05) were found to have positive effects on oral health care. Conclusions:Based on the results above, it was found that the concern and the behavior of oral health increased depending on the heterosexual status. The reason for this is that the motivation for oral care is more likely to be induced to make oneself attractive by making a resignation. Therefore, in order to promote oral health care and oral health activities, it is necessary to precede the motivation.

• 한국학교보건학회지
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• 제19권2호
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• pp.49-57
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• 2006

Purpose：The purpose of this study is to analyze the relationship between mothers' oral health knowledge level and oral health behavior and their children,s oral health behavior. Methods：The subjects in this study were 980 mothers and their children of fourth grade, fifth grade and sixth grade in an elementary school in Daegu city, Korea. The data were collected by a structured questionnaire from 26 June to 30 June, 2006. Collected data were analyzed into frequency, One-Way ANOVA, T-test, and correlation analysis using SPSS 10.0 program. Results：First, the mothers, oral health knowledge was significantly associated with their children,s perception of benefit, seriousness and barrier. Second, the mothers, oral health behavior was significantly associated with their children,s frequency of toothbrushing and visiting at dental care facility. Third, the mothers, toothbrushing frequency was significantly associated with their children,s toothbrushing frequency. Fourth, the mother's visiting at dental care facility were significantly associated with their children's visiting at dental care facility. Conclusion：The mothers, oral health knowledge was significantly associated with oral health belief of their children and the mothers, oral health behavior was significantly associated with oral health behavior of their children. Consequently it was necessary to encourage mothers and their children to take part in oral health education programs and oral health projects.