• 제목/요약/키워드: Care behavior

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Overview of Noncommunicable Diseases in Korean Children and Adolescents: Focus on Obesity and Its Effect on Metabolic Syndrome

  • Lee, Hye Ah;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
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    • 제46권4호
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    • pp.173-182
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    • 2013
  • Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

특급호텔 근로자의 건강의식과 식습관에 관한 연구 - 서울경기지역을 중심으로 - (Study on Health Consciousness and Eating Habits of Workers at Deluxe Hotels in Seoul and Gyonggi-do regions)

  • 김재중;이은정;이경란
    • 한국식생활문화학회지
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    • 제31권6호
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    • pp.587-596
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    • 2016
  • The purpose of this study was to determine health consciousness and eating habits of workers at Deluxe hotels in Seoul and Gyonggi-do. To determine health levels, this study focused on quality of sleep, current state of health, smoking, drinking, regular exercise, dietary behavior patterns, dietary habits, and food intake patterns. Out of 228 subjects, 145 (63.6%) were males and 83 (36.4%) were females. Majority of workers (86.9%) graduated from university. A majority (57.0%) worked more than 10 years. Average health condition was 'little tired', whereas 18.4% of subjects were 'always tired'. Male percentages for smoking and drinking were higher than those for females. A total of 44.3% of workers ate twice a day. Regular physical activity was high, but regular exercise rate was slightly low. Male average eating speed was faster than that of females and had lower scores for desirable eating habits. Shift workers ate night meals more than non- shift workers. This study shows that workers at Deluxe hotels need to take better care of their health.

Prediction of ultimate load capacity of concrete-filled steel tube columns using multivariate adaptive regression splines (MARS)

  • Avci-Karatas, Cigdem
    • Steel and Composite Structures
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    • 제33권4호
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    • pp.583-594
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    • 2019
  • In the areas highly exposed to earthquakes, concrete-filled steel tube columns (CFSTCs) are known to provide superior structural aspects such as (i) high strength for good seismic performance (ii) high ductility (iii) enhanced energy absorption (iv) confining pressure to concrete, (v) high section modulus, etc. Numerous studies were reported on behavior of CFSTCs under axial compression loadings. This paper presents an analytical model to predict ultimate load capacity of CFSTCs with circular sections under axial load by using multivariate adaptive regression splines (MARS). MARS is a nonlinear and non-parametric regression methodology. After careful study of literature, 150 comprehensive experimental data presented in the previous studies were examined to prepare a data set and the dependent variables such as geometrical and mechanical properties of circular CFST system have been identified. Basically, MARS model establishes a relation between predictors and dependent variables. Separate regression lines can be formed through the concept of divide and conquers strategy. About 70% of the consolidated data has been used for development of model and the rest of the data has been used for validation of the model. Proper care has been taken such that the input data consists of all ranges of variables. From the studies, it is noted that the predicted ultimate axial load capacity of CFSTCs is found to match with the corresponding experimental observations of literature.

Experimental assessment of the effect of frozen fringe thickness on frost heave

  • Jin, Hyun Woo;Lee, Jangguen;Ryu, Byun Hyun;Shin, Yunsup;Jang, Young-Eun
    • Geomechanics and Engineering
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    • 제19권2호
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    • pp.193-199
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    • 2019
  • A frozen fringe plays a key role in frost heave development in soils. Previous studies have focused on the physical and mechanical properties of the frozen fringe, such as overall hydraulic conductivity, water content and pore pressure. It has been proposed that the thickness of the frozen fringe controls frost heave behavior, but this effect has not been thoroughly evaluated. This study used a temperature-controllable cell to investigate the impact of frozen fringe thickness on the characteristics of frost heave. A series of laboratory tests was performed with various temperature boundary conditions and specimen heights, revealing that: (1) the amount and rate of development of frost heave are dependent on the frozen fringe thickness; (2) the thicker the frozen fringe, the thinner the resulting ice lens; and (3) care must be taken when using the frost heave ratio to characterize frost heave and evaluate frost susceptibility because the frost heave ratio is not a normalized factor but a specimen height-dependent factor.

만성질환자의 건강동기 개념분석 (Concept Analysis of Health Motivation in Patients with Chronic Disease)

  • 정미정;이한나
    • 한국콘텐츠학회논문지
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    • 제21권7호
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    • pp.575-586
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    • 2021
  • 본 연구의 목적은 만성질환자의 건강행동에 대한 건강동기 개념의 속성을 파악하여, 만성질환자를 위한 근거기반 간호에 기여하고자 함이다. Walker와 Avant의 개념분석 단계에 따라 만성질환자의 건강과 관련된 동기에 대해 연구한 14편의 학술지 및 학위논문을 선정하고, 추가적 문헌고찰을 통해 개념을 분석하였다. 만성질환자의 건강동기 속성으로 다음의 3가지가 도출되었다. 첫째, 건강행동을 위한 심리적 욕구, 둘째, 개인적 특성을 고려한 다차원적인 상태, 셋째, 변화 가능하고 행동변화를 유발하는 정서적 힘이다. 본 연구에서 분석한 선행요인, 속성, 결과를 고려하여 건강동기를 증진하는 간호중재 프로그램 적용을 통해 근거에 기반한 체계적 만성질환자 관리를 할 수 있을 것으로 기대된다.

임부의 성기능 영향요인 (Factors Affecting the Sexual Function of Pregnant Women)

  • 오은정;김문정
    • 여성건강간호학회지
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    • 제25권1호
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    • pp.73-85
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    • 2019
  • Purpose: To determine whether maternal attitude toward sex during pregnancy and health-related quality of life could influence sexual function of pregnant women. Methods: In this study, 138 second and third trimester pregnant women completed self-report questionnaires during their visits to women's hospitals or community health centers to assess their general characteristics, attitude toward sex during pregnancy (PIES-M), health-related quality of life (EQ-5D), and sexual function (FSFI-6K). Multiple regression analysis was performed to test the research model with SPSS version 23. Results: Pregnant women who had discontinued their sexual life after recognizing their pregnancy accounted for 27.5% of women questioned. The average sexual function score of pregnant women was higher in the second trimester than the third trimester. Attitude toward sex during pregnancy (${\beta}=-.38$, p<.001), maintaining sexual life (${\beta}=.20$, p=.028), health-related quality of life (${\beta}=.18$, p=.030), and adverse symptoms during sex (${\beta}=.18$, p=.042) were determinants of sexual function during pregnancy. Conclusion: Nurses in antenatal care units need to help pregnant women maintain a positive attitude toward sexual activity during pregnancy and manage their health-related quality of life to maintain their sexual life during pregnancy.

학령 전이기 유아의 학교준비도 예측요인: 만 1세 영아기 애착안정성과 의도적 통제를 중심으로 (Predictors of Preschooler Readiness for Elementary School: Focusing on Attachment and Effortful Control at Age 1)

  • 문영경;장혜주
    • 한국보육지원학회지
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    • 제15권3호
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    • pp.157-174
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    • 2019
  • Objective: The purpose of this study was two-fold: first to explore the effects of mother-child attachment and effortful control at age 1 on preschoolers' school readiness at age 6, and second, to determine the mediating effect of a child's effortful control on the relationship between mother-child attachment at age 1 in relation to school readiness at age 6. Methods: Participants in this study were 205 five-year-old toddlers(106 boys, 99 girls) recruited for the Korea Child Panel Study. Mother-child attachment was assessed using the Attachment Q-sort(Waters, 1989). Preschooler's effortful control was measured by the Early Childhood Behavior Questionnaire: ECBQ(Putnam, Gartstein & Rothbart, 2006). Preschooler's school readness was measured by the School Readiness Scale Murphey & Burns, 2002). Data were analyzed using descriptive statistics, correlations, and the structural equation modeling analysis. Results: First, mother-child attachment at age 1 effected school readiness at age 6. Effortful control at age 1 effected school readiness at age 6. Second, effortful control at age 1 mediated the effect of mother-child attachment at age 1 in relation to school readiness at age 6. Conclusion/Implications: Mother-child attachment at age 1 affects school readiness at age 6, and toddlers' effortful control at age 1 mediates the relationship between mother-child attachment in relation to school readiness at age 6.

콘크리트믹서트럭운전자의 건강문제에 영향을 미치는 요인 (Factors affecting the Health Problems of Concrete Mixer Truck Driver)

  • 김민지;최은숙
    • 한국직업건강간호학회지
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    • 제28권1호
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    • pp.44-52
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    • 2019
  • Purpose: This study aimed to identify the level of health problems and the factors that affect health problems for concrete mixer truck divers. Methods: The questionnaires were administered to 111 drivers in 6 Remicon workplaces located in D city and 7 Remicon workplaces located in K city from September 10 to 28, 2018. A total of 111 questionnaires were collected and 106 were used, excluding 5 incomplete ones. Data were analyzed with frequency, percentage, $x^2$ test, multiple logistic regression analysis by SPSS/WIN 23.0. Results: The factors affecting subjective health were eating habits, sleeping hours and drinking conditions. The factors that affected chronic diseases were age, eating habits, sleep hours, and drinking conditions. The factors influencing musculoskeletal complaints were work experience, eating habits, and sleep hours. Conclusion: The major influencing factors of health problems were eating habits, sleeping hours. This study suggests that it is necessary to run a systematic health care program for the desirable health behaviors in the communities and industrial fields.

부·모의 가족상호작용과 양육효능감, 유아의 내재화 및 외현화 문제행동 간의 구조적 관계 (The Structural Relationship between Parents' Family Interaction, Parenting Efficacy, and Internalizing and Externalizing Problem Behaviors of Their Children)

  • 박성혜;김은향
    • 한국보육지원학회지
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    • 제15권2호
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    • pp.59-76
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    • 2019
  • Objective: The purpose of this study was to analyze the structural relationship and influence of parents' family interaction, parenting efficacy, and child internalizing and externalizing problem behaviors. Methods: 1,418 children and their parents, and survey data from a panel study on Korean children (2014), were used to analyze the structural equation model. Results: First, the mother's family interaction had direct influence on their parenting efficacy, as well as their child's internalization and externalization. Second, the father's family interaction had a direct influence only on the internal problem behaviors of the child, and child external problem behaviors were influenced through the father's parenting efficacy. Third, parenting efficacy mediated the effects of family interaction on the problem behavior of children. Especially, the father's family interaction was found to affect child variables through the mother's parenting efficacy. Finally, the internalizing problem behaviors of the child mediated the effects of the parents' family interaction and parenting efficacy on child externalizing problem behaviors. Conclusion/Implications: The results of this study are significant in that the factors of father, mother, and child are interrelated, and that parent interaction has varying influence on the problems of their children.

알레르기비염 환자를 위한 플립러닝을 적용한 건강 교육프로그램 개발 및 효과 (Development and Effects of Health Education Program using Flipped Learning for Allergic Rhinitis Patients)

  • 이영실;은영
    • 한국간호교육학회지
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    • 제25권2호
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    • pp.173-185
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    • 2019
  • Purpose: This study was conducted to develop and test effects of flipped learning on a health education program for allergic rhinitis patients. Methods: The study was a nonequivalent control group pretest-posttest design, with 38 participants (experimental group: 19, control group: 19). The education program for allergic rhinitis patients with flipped learning developed for this study was conducted in pre-class, in-class, and post-class stages for a total of 12 weeks. For the in-class stage, a TREAT model suitable for patient education program was developed. Data were analyzed with an independent t-test and repeated measures ANOVA. Results: The experimental group showed significant improvement in knowledge (F=15.029, p<.001), self-efficacy (F=6.814, p<.001) and self-care behavior (F=41.761, p<.001). In addition, subjective symptoms (F=61.453, p<.001) and quality of life (F=52.413, p<.001) improved. Conclusion: The results of this study show that flipped learning in an education program is an effective method for those in their twenties persistent moderate-severe allergic rhinitis. Therefore, the education program for allergic rhinitis developed by this study is actively recommended for nurses or health managers at universities to educate subjects in their twenties with allergic rhinitis.