• Journal of Preventive Medicine and Public Health
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• 제47권4호
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• pp.236-243
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• 2014

Objectives: Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants' compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

• 보건행정학회지
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• 제13권1호
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• pp.1-22
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• 2003

The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

• 한국보건간호학회지
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• 제35권2호
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• pp.211-223
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• 2021

Purpose: The purpose of this study was to understand the reconstruction experience of mothers who had recently experienced a late-school age daughter's menarche by utilizing a hermeneutic phenomenological research methodology based on Parse's human becoming theory. Data were collected using purposive and snowball sampling methods to recruit the mothers of elementary fifth- and sixth-grade girls recently experiencing menarche. The data were analyzed using Parse's research methodology. As a result, the mothers' experiences appeared as "the process of reconstructing the menarche-related values created by themselves by facing the child's menarche experiences and related responses along with the change of era." The key concepts of there construction experiences of the mothers were "experiencing an ambivalent feeling of pity and pride," "celebrating her instead of expressing concerns," "giving a traditional lesson of protecting oneself to a new generation," and "feeling empathy as a woman and also alienation due to the generational gap." These findings reveal the important roles and competencies of community and school nurses in terms of achieving a healthy and positive reconstruction experience for mothers and their daughters. Also, it is necessary to develop educational programs for mothers who are about to encounter their daughters' menarche.

• 대한지역사회작업치료학회지
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• 제2권2호
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• pp.1-13
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• 2012

목적 : 본 연구는 지역사회 장애학생의 게임세계에 대한 경험을 통해 또래상호작용을 탐구하여 그들이 겪는 여가활동의 경험에 대한 보다 풍부한 이해를 하고자 하였다. 연구방법 : 본 연구를 위해 2명의 지역사회 장애학생을 대상으로 그들의 게임세계에 대한 경험과 또래상호작용을 탐구하기 위해 Giorgi의 현상학적 연구방법을 사용하였다. 자료수집방법은 심층면담으로 연구 참여자의 상황과 맥락에 대한 이해를 돕기 위해 3회 이상 면담횟수를 설정하였고, 가급적 새로운 자료가 나오지 않을 때까지 자료를 수집하였다. 분석과정은 Giorgi가 제시한 과학적 현상학에서 따라야 하는 4가지 구체적 단계들을 통해 전체적 인식을 바탕으로 의미단위를 구분하였고, 이를 바탕으로 구성요소를 도출하였다. 결과 : 지역사회 장애학생은 신체적 제한과 소외감으로 집에서 대부분 시간을 보내고 있었다. 시간적이며 공간적인 접근성의 제한은 편중된 여가활동의 원인이 되었다. 장애학생은 컴퓨터를 이용한 게임에 재미를 느끼며 소외감을 극복하고 있었지만 게임으로 인한 신체적 고통도 느끼고 있었다. 게임을 통한 또래와의 상호작용은 나타나지 않았고, 대화는 주로 가족과 이루어졌다. 장애학생은 재미에 이끌려 무분별적으로 게임을 하고 있어, 시간 사용에 대한 올바른 사고가 필요하였다. 결론 : 지역사회 장애학생은 신체적이고 심리적인 제한점들로 인해 게임을 접하게 되었고, 몰입을 통한 재미로 즐거움을 느끼고 있었다. 지역사회 장애학생은 게임의 시간 사용에 대한 올바른 교육과 사고가 필요하며, 무분별한 게임 이용과 같은 문제점에 대한 대안이 필요할 것으로 생각된다.

• 한국학교ㆍ지역보건교육학회지
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• 제3권
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• pp.15-33
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• 2002

Researchers' common findings is that there are positive or negative effect of alcohol expectancy on drinking behavior. Therefore we would effectively prevent troublesome drinking of the youth and university students by inquiring and controlling critical factors affecting alcohol expectancy. The purposes of this thesis are, first, to empirically test factors affecting the alcohol expectancy level of elementary schoolchild(potential drinker).; second, to suggest the necessity for development of pre-alcohol prevention programs. On the basis of previous research, eighteen factors included in four categories(general characters, environmental characters, alcohol knowledge, drinking experience) affecting alcohol expectancy level were found out. 623 subjects used in this study were drawn from 8 elementary schools in Daegu, Korea. The empirical results suggested that the alcohol expectancy level of elementary schoolchildren was negative in general. And it was proved that 9 factors were significantly correlated with alcohol expectancy level. To put it concretely(see Fig.), (1) It was proved that schoolchildren with bad environment(live in oneself, displeased drinking feeling) rather than good environment(live with parents, nice drinking feeling) for drinking had more negative alcohol expectancy. (2) Korean traditional culture that partakes of sacrificial food and drink have an influence on the first drinking of most elementary schoolchildren. And it was proved that schoolchildren with this drinking experience rather than any other motives had less negative alcohol expectancy. (3) It was proved that schoolchildren adapting themselves rather than being difficult in school life had more negative alcohol expectancy. And the more knowledge about alcohol or drinking schoolchildren had, the more they had negative alcohol expectancy (4) It was proved that schoolchildren having drinking experience or drinking at present rather than having no drinking experience or not-drinking at present had less negative alcohol expectancy. (5) It was proved that schoolchildren having strong drinking intention rather than having weak or no drinking intention in the future had more positive alcohol expectancy. Based on previous results, guideline for development of pre-alcohol prevention programs can be represented: discriminated programs development on educatee, drinking education programs development increasing the power of self-control about alcohol and drinking, social education or continuing education programs development on drinking, open preschool education to substantially prevent drinking or alcoholism etc. The findings, however, should be interpreted with caution, because this study has several limitations in measurement and sampling as follows. First, selection bias because of limited selection of sampling. It is because the subjects are drawn from only 8 elementary schools in Daegu. Second, less refined measurement ; Therefore, it is necessary to develop more detailed measures on alcohol knowledge, alcohol expectancy level especially. Further researches should be suggested and encouraged with more refined methodologies.

• 한국보건간호학회지
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• 제12권2호
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• pp.236-251
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• 1998

This study aimed at comprehending the meaning of sexual life for aged people, their strength of sexual desire and causes of change in their sexual life. It was another purpose to understand the extent of aged people's acknowledging the necessity of sexual consultation. This study adopted descriptive method using open-ended questionaires. The data for study was collected from 26 people over 65 years who reside in communities. It was gathered from April to June of 1998 through interview. The interviewee includes 16 males, 9 females and their average age was 73.3. 19 people among them have spouses. The conclusion of this study can be summarized as follows. 1) Attitude to sexual life: The meaning of sexual life for aged people is categorized as 'sense of duty', 'feeling of intimacy', 'basic desire', 'decrease of meaning' and 'meaningless'. 2) Sexual desire: Sexual desire of aged people is categorized as 'extinction', 'decrease', 'continuation' and 'restraint'. Restraint of sexual desire is due to social convention or the difficulty in fulfilling desire. 3) Causes of troubles in sexual life Causes which lead to troubles in sexual life of aged people can be categorized as 'physical', 'psychological' and 'social'. 'Physical' elements include 'incompetence of erection', 'decrease in duration of erection', 'increase in time needed to re-erection', 'declining of physical strength', 'decrease in vagina secretion' and 'worsening of health'. Among 'psychological' elements 'decrease of self-confidence', 'diminished concern of female aged people' are. 'Social elements' are 'absence of sexual parter', 'circumstances of living' and 'recognition of neighbor'. 4) Response to change of sexual life The reaction of aged people to change of sexual activities is classified as 'positive' and 'negative'. 5) Attitude to the consultation of sexual life of aged people The attitude to the consultation of sexual life in old age is classified as 'negative', 'doubtful' and 'positive'. This study explored the meaning which aged people in community attach to sexual life, the extent of their sexual desire, the causes of troubles in their sexual life, their emotional response to changes in sexual life, their recognition of necessity in sexual consultation. Considering the frequency of the statement, most of aged people who were interviewed thought much of sexual life and put emphasis on it. Those who said that sexual life has decreased meaning or is not important to them are few, Though aged people still maintain sexual desire, most of them have some trouble in sexual life. These trouble changes the sexual life, and results in negative feeling such as depression, renunciation and difficulty in relations. So they acknowledged that sexual consultation is necessary to them.

• 대한지역사회영양학회지
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• 제14권5호
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• pp.531-544
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• 2009

This study was conducted to survey multiple factors of aversion to vegetables and preferences for vegetable-related recipes in school meal services among elementary school children in order to help develop various menus and recipes for school meal services. Questionnaire survey was carried out with the study subjects, who were 401 children in 6th grade attending elementary schools in Chonnam and Kwangju metropolitan regions. Results from the survey can be summarized as follows: 65.1% of respondents answered they try to eat vegetables and other namul side dishes served in school meal service for health. As for the frequency of taking vegetables and namul side dishes out of daily meals, 47.4% of respondents chose 'once or twice'. The reasons for aversion to vegetables in boys were taste and cooking method, while girls were taste and feeling between teeth. In boys there were no differences between regions of Kwangju and Chonnam but the tendency of aversion to vegetables was significantly high in girls. As for the aspects of vegetable aversion of subjects, 46.9% of respondents took up 'black & purple' in the unfavorable color of vegetables. 49.1% in 'bitterness' and 39.2% in 'greasiness' were in terms of the aversive taste of vegetables. The aversive vegetable recipes were 58.6% in 'raw & seasoned' and the unfavorable feeling of vegetables were 53.1% in 'squashiness'. There were differences between regions of Kwangju and Chonnam with boys in color and cooking method in girls. Results from the survey on their preferences for vegetable recipes showed that leafy vegetables like crown daisy (raw/slightly seasoned) and pak choi (broth/pot stew) fell to the most aversive category, while bean sprouts (broth/pot stew) were chosen as the most favorable one. Among root vegetables bell-flowers were found to belong to the least preferred recipe, while potatoes were proven to be most preferable in terms of recipes. As for fruit vegetables and other vegetables, all respondents didn't like 'fatsia shoots' vegetable and it's cooking method and they preferred 'green pumpkins (broth/pot stew)'. In respect of mushrooms, enoki mushroom (broth/pot stew) was found most preferred and had high tendency of preferences in boys and girls in Kwangju compared with Chonnam region. The study results indicated that respondents did not show big differences in factors influencing them to be averse to vegetables and their preferences for vegetable recipes depending on regions. In order to have high preference and intake in children's diets, it needs to study in reform of menu about using namul or vegetables mixed with meats and fruits that children preferred or applying roasted and fried other less than namul.

• 지역사회간호학회지
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• 제11권2호
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• pp.399-410
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• 2000

In this, analyzing the type of subjectivity in which people would have about home visit nursing services originating from public health care centers. I tried to research more effective ways to improve home visit nursing care services. and later. for the development of home visit nursing care. to supply basic data. The method for this study was the Q-method. created by William Stephenson. and was adequate for the study of subjectivity. For this study. through the deep interview. literature inquiry, and the discussion course. 206 Q-statement sentences were abstracted. and based on them, after Q-sample-selection. I then collected the Q-categorized-result from 32 subjects from Mar. 10. 2000 to Mar. 25. 2000. Through the statistic a analysis of PC-Qunal program. the subjectivity species were categorized and analyzed. The study results show that there are 3 sorts of recognition types. and they are analyzed in the following; The first type: the positively receiving type shows that they feel thankful and a trusting feeling about home visit nursing. The second type: the negatively mistrusting type shows that they had doubtful attitudes about the specialty of home visit nursing: they wanted medicine or nutrition remedies rather than health education and concerning the their own health care, they prefered the hospitals or clinics. The third type: the conditional receiving type shows that even though they had a positive receiving attitude about home visit nursing wanting to consult with the home visit nurses about the difficult problem which could not easily be settled, hoping that the home visit nurses could visit them more often, in their actual lives. they strongly indicated their attitudes concerning money as more important than home visits. The subjects in these 3 types commonly had a good feeling about the kindness of the home visit nurses: the first and third types also had a positive recognition about home visit nursing; however. in aspects of the evaluation and receiving attitudes, they showed a big difference. When all the above results are integrated. in the case of the first type the home visit nursing service, which satisfied the demand for health care of the medically weak people. should be continuously supplied. Additionally in case of the second type (negatively mistrust). continuous education and support should be supplied with enough interest to lead their concerns about their own health care as well as lead medical spending in a productive and effective direction in order to change their impressions. Through this study. I learned that the recognition of the objectives of home visit nursing services can be categorized in to 3 types and could be analyzed. Thus I wish that this study helps to present basic data which contributes to the development of the home visit nursing field.

• 문화기술의 융합
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• 제9권1호
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• pp.19-26
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• 2023

본 연구에서는 소셜 미디어 빅데이터 감성분석 방법을 통해 'MZ세대'에 대한 대중 감성을 살펴보았다. 분석을 위해 소비자 계정 SNS 텍스트를 살펴보고 내용상 외부 감성과 MZ세대 본인들의 감성을 분류하여 긍정 및 부정 감성 요인들을 제시하였다. 이에 따른 결론은 'MZ세대' 관련하여 호감과 흥미의 긍정정서가 72.1%로, 부정적인 감성비율 27.9 % 보다 높았다. 긍정감성에서 기성세대들은 'MZ세대의 개성과 당당함에 대한 호감', '새로운 가치관을 가진 MZ세대에 대한 흥미'를 보였다. 이에 비해 MZ세대들은 '자신들의 당당함, 발랄함 및 개성 세대라는 점'과 '소소한 성장주의'에 대한 호감을 갖고 있다. MZ세대 외부의 부정감성은 'MZ세대의 결혼기피, 취업난, 빚투자 및 퇴사 트랜드에 대해 걱정', '꼰대 취급하는 MZ 세대 미움', 'MZ세대와 대화하기 힘듦'으로 나타났다. 한편, MZ세대 본인들이 느끼는 부정감성은 '일반화에 대한 거부감', '세대 및 젠더 갈등과 기성세대보다 심한 경쟁에 대한 거부감', '풍요로운 시대의 상대적 실패감', '예고된 기후재앙 속에서 살아야하는 슬픔'으로 나타났다. 따라서 기성세대는 MZ세대를 일반화하여 바라볼 것이 아니라 개인으로 보아야 하며, 세대간 이해와 공감으로 갈등을 완화해야한다. 세대 갈등, 젠더 갈등 및 환경문제 해결을 위한 공동체적인 고민의 필요성도 있다.

• 한국학교ㆍ지역보건교육학회지
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• 제13권3호
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• pp.1-12
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• 2012

Objectives: This study was attempted to understand the relation between MBTI personality types and stress, resilience, school Adaptation of nursing students. Methods: The subjects were 177 freshmen of Nursing College who agreed on participating in this research. Data was collected from April, 2nd, 2012 to April, 5th. The data was analyzed by operating t-test and Pearson correlation coefficient with PASW 18.0. Results: It was appeared that ESFJ type was the highest MBTI type among the objects of this study, and ISTJ, ESFP were ranked to next to it. Among the four indexes of MBTI, it was appeared that E(Extroversion), S(Sensing), F(Feeling), and J(Judging) were higher. According to personality types, it showed that I type students perceived stress higher than E type, and E type students adapted themselves to school lives better than I type, and the degree of resilience was higher. Also, the higher the degree of stress they had, the lower school Adaptation and the degree of resilience they got. While, as the school Adaptation got higher, the degree of resilience grew higher. Conclusions: It is needed to help the freshmen of Nursing College to adapt to school efficiently, by testing their MBTI personality types, and then to help I type students to overcome their stress and adapt to school better. Also, it is considered to develop and operate the programs which can improve the resilience, since the results of this study have indicated that the students showing the higher scores of resilience were acclimating to school well.