• 한국산학기술학회논문지
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• 제18권10호
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• pp.642-651
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• 2017

본 연구는 수발 경험에 따른 수발자의 건강상태 변화를 살펴보고, 수발 경험이 수발자의 건강에 미치는 영향에 대해 사회적 관계망과 만족도가 매개변수로서 어떻게 작용하는지를 검증하는데 목적이 있다. 소기의 목적을 달성하기 위해 고령화연구패널자료를 활용하여 구조방정식모형을 활용하여 분석을 시도하였다. 분석 결과 수발 이후 남녀 모두 우울감이 증가하고 주관적 건강상태나 낮아졌다. 사회적 관계망과 만족도 변화 양상에는 성별에 따른 차이가 있는 것으로 나타났다. 여성의 경우 수발이 주관적 건강상태와 우울감에 영향을 미쳤으며, 매개효과는 발견되지 않았다. 남성의 경우 수발 경험이 우울감에 미치는 총 효과는 1.087(p<.05), 간접효과는 0.546(p<.05)이었으며, 직접효과는 유의미하지 않은 것으로 나타났다. 남성의 수발 경험은 기능적 가족망의 감소(0.42, p<.01)를 완전매개로 주관적 건강상태에 영향을 미쳤다. 이러한 연구 결과를 통해 수발 이후 수발자들의 건강 취약성이 확인되었다. 또한, 수발자의 건강과 이를 매개하는 요인을 탐색하는 데 있어 성별에 따라 그 양상이 따르게 나타나는 것으로 나타났다. 특히 남녀 모두 기능적 가족망이 유의미하게 감소하였음에도 남성에게서만 기능적 가족망의 매개효과가 확인되어 남성의 기능적 가족망 강화의 필요성을 제기하였다.

• 한국치위생학회지
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• 제14권6호
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• pp.903-913
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• 2014

Objectives: The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers in a long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and results of daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, and dinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructed the language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the records through a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporated into various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times of discussion made the common meanings through a master's degree student and a dental hygiene professor. Results: The caregivers identified lack of understanding and ability to recognize the functional physical and mental changes in the elderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous in taking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it to the guardians. They found that there was no social supporting network for oral health of the elderly residents. Conclusions: Caregivers had insufficient understanding of the functional physical and mental changes in the elderly residents, and they had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.

• 가정과삶의질연구
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• 제17권1호
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• pp.103-120
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• 1999

The purpose of this study was to investigate the characteristics and caregiving behavior in families who awarded on filial piety. Using the qualitative method 137 families and social supports to them were analyzed,. The major findings can be summarized as follows (1) Most of caregivers were daughter-in -law over 40 years in 3-generation or 2-generation family. Elderly can be characterized as oldest-old dependent long-term care for more than 10 years. (2) These families showed very high family solidarity with strong collectivity. (3) Their economic emotional and service cares were family-centered with helps from their extended family. These families were supported emotional helps rather than instrumental helps from social network. It was concluded that to help family elder care social support program for the frail elder caregiving families should be complemented in their children support program family life enrichment program for the inter-generational relationship medical care program other social network program and religion program etc. And more concrete and qualified study for the adaptation of filial piety families should be followed.

• 한국직업건강간호학회지
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• 제24권2호
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• pp.76-85
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• 2015

Purpose: The purpose of this study was to identify knowledge structure of the Korean Journal of Occupational Health Nursing from 1991 to 2014. Methods: 400 articles between 1991 and 2014 were collected. 1,369 keywords as noun phrases were extracted from articles and standardized for analysis. Co-occurrence matrix was generated via a cosine similarity measure, then the network was analyzed and visualized using PFNet. Also NodeXL was applied to visualize intellectual interchanges among keywords. Results: According to the results of the content analysis and the cluster analysis of author keywords from the Korean Journal of Occupational Health Nursing articles, 7 most important research topics of the journal were 'Workers & Work-related Health Problem', 'Recognition & Preventive Health Behaviors', 'Health Promotion & Quality of Life', 'Occupational Health Nursing & Management', 'Clinical Nursing Environment', 'Caregivers and Social Support', and 'Job Satisfaction, Stress & Performance'. Newly emerging topics for 4-year period units were observed as research trends. Conclusion: Through this study, the knowledge structure of the Korean Journal of Occupational Health Nursing was identified. The network analysis of this study will be useful for identifying the knowledge structure as well as finding general view and current research trends. Furthermore, The results of this study could be utilized to seek the research direction in the Korean Journal of Occupational Health Nursing.

• International Journal of Computer Science & Network Security
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• 제21권8호
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• pp.79-86
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• 2021

Alzheimer's is a chronic progressive disease which exhibits varied symptoms and behavioural traits from person to person. The deterioration in cognitive abilities is more noticeable through their Activities and Instrumental Activities of Daily Living rather than biological markers. This information discussed in social media communities was collected and features were extracted by using the proposed fuzzy logic based algorithm to address the uncertainties and imprecision in the data reported. The data thus obtained is used to train machine learning models in order to predict the longevity of the patients. Models built on features extracted using the proposed algorithm performs better than models trained on full set of features. Important findings are discussed and Support Vector Regressor with RBF kernel is identified as the best performing model in predicting the longevity of Alzheimer's patients. The results would prove to be of high value for healthcare practitioners and palliative care providers to design interventions that can alleviate the trauma faced by patients and caregivers due to chronic diseases.

• International journal of advanced smart convergence
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• 제7권3호
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• pp.140-145
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• 2018

This study is based on the National Pension Research Institute's 2013 Korean Retirement and Income Study(KReIS) 5 Data for Parents and Children Care over 50 years old and analyzed the satisfaction level of life according to the characteristics of 226 people in society. The results showed that women were more satisfied with their lives than men, and when the age was lower, when they had spouses, and when they had independent economic power. As for the grandchildren caring provider, the higher the education levels, the higher the satisfaction with life. And across all areas, the grandchildren care provider showed greater satisfaction with life than the parents care provider. These results show that the burden of the parents' carers is as great as that. Suggestions based on these results are as follows. First, It is necessary to develop a health care program that can be easily accessed by family carers. Second, Direct economic support is needed, with the primary focus being on family carers. Third, services targeting parents care providers are needed. It is also necessary to form a network that can share the difficulties of parental care.

• 대한지역사회영양학회지
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• 제25권3호
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• pp.189-203
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• 2020

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

• 한국항행학회논문지
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• 제22권5호
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• pp.472-477
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• 2018

본 논문에서는 지능형 IoT (internet of things) 미러 시스템을 통해 사용자의 우울증 예방을 위한 인터랙티브 콘텐츠 서비스를 구현한다. 인터랙티브 콘텐츠 서비스를 위해 IoT 미러 장치는 뇌파 헤드셋 디바이스로부터 집중도 및 명상도 데이터를 측정하고, 웹캠을 통해 다층 퍼셉트론 알고리즘으로 분류된 "슬픔", "분노", "혐오감", "중립", "행복" 및 "놀람"과 같은 표정 데이터를 측정한 후, oneM2M 표준을 준용한 IoT 서버로 전송한다. IoT 서버에 수집된 데이터는 제안한 병합 레이블링 과정을 거쳐 세 가지의 우울 단계(RED, YELLOW, GREEN)를 분류하는 기계학습 모델을 생성한다. 실험을 통해 k-최근접 이웃 모델로 우울 단계를 분류한 결과 약 93%의 정확도를 얻을 수 있었고, 분류된 우울 단계에 따라 가족, 친구 및 사회복지사에게 소셜 네트워크 서비스 에이전트를 통해 알림 메시지를 전송하여 사용자와 보호자 간의 인터랙티브 콘텐츠 서비스를 구현하였다.

• 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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• 제15권4호
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• pp.244-254
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• 2009

본 논문은 독거노인들의 움직임을 감지하여 주기적 활동 패턴을 원격으로 모니터링 하는 시스템에 대해 기술한다. 제안하는 모니터링 시스템은 1차 시스템[2] 개발 과정에서 도출된 모니터링 시스템에 대한 요구 기능을 보다 편리하고 안정적으로 제공하도록 설계, 구현되었다. 개발된 시스템은 개별 노인 주택에 설치되는 댁내 센싱 시스템과 중앙 서버 시스템으로 구성된다. 댁내 센싱 시스템은 초전도 적외선(PIR) 센서를 장착한 무선 센싱 노드들로 구성된 무선 센서 네트워크 형태로 구현되었고, 각 센서가 감지한 노인들의 움직임은 홈 게이트웨이를 거쳐 중앙 데이터베이스 서버로 저장된다. 서버 시스템은 데이터베이스 서버와 웹 서버로 구성되어 있으며, 이를 통해 웹 기반 모니터링 시스템이 구현되었다. 시스템은 저장된 움직임 데이터를 가공하여 독거노인들의 수발제공자(가족, 친구 및 사회복지 사 등)들에게 각 노인들의 외출 여부와 주기적 활동 패턴 정보를 제공한다. 보완 개선된 2차 시스템은 신뢰도 성능 개선과 함께 1차 시스템에서 구현되지 못했던 '자동 진단 기능', '외출 감지 기능' 및 향상된 웹 기반 사용자 인터페이스를 제공한다. 개발된 시스템의 성능 평가는 1차와 2차 시스템 각자 춘천 권역에 거주하는 9명/15명의 노인들의 실제 주택에 시스템을 설치하고, 약 3/4개월의 연속 운영 실험을 통해 수행하였다. 실험 결과는 제안된 모니터링 시스템이 독거노인 관련 복지 서비스의 효율성을 높일 수 있다는 가능성을 보여주었다.