• 동서간호학연구지
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• 제14권2호
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• pp.67-73
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• 2008

Purpose: The purpose of this study was to examine the effect of Kynesio-taping therapy (KTT) on chronic joint pain among community-dwelling older adults. Methods: A pre-experimental design was used. KTT was employed on 23 consenting community older adults visiting a community center. KTT was applied on the painful joint for 3-4 days. Pain was evaluated using the visual analogue scale. Results: Frequent locations of pain were waist (43.8%), knee (28.1%), shoulder (12.4%), and head (9.4%). Time of severe pain during the day was mid-day (47.8%), early morning (21.7%), and evening (13.0%). Pain relief management included hospital visitation (65.2%), medication (17.4%), and application of a poultice (13.0%). Pain scores were significantly decreased after KTT compared to pretest scores acquired prior to taping (p<.001). Conclusions: KTT is a cost-effective, easy-to-use, and effective form of pain relief in older adults with chronic joint pain. Clinical practitioners can consider KTT as a complementary method of chronic pain control in older adults.

• 보건교육건강증진학회지
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• 제30권2호
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• pp.23-39
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• 2013

Objectives: This study was conducted to investigate practical experiences of telemedicine of community health practitioners(CHPs). Methods: Qualitative data were collected by in-depth interviews from 10 CHPs who have experiences in managing telemedicine system. All interviews were recorded and transcribed according to qualitative conventional content analysis processes. Results: As a result, 32 themes were deduced and 11 theme clusters and 3 categories were formed and each coding categories were derived directly from the text data. 11 theme clusters derived from the 32 meaningful themes were as follows: Human resources, equipments and systems, computer program (Input resources), human resource management, patient registration and management, medication, laboratory test (Progress), benefits in telemedicine system managing, difficulties in telemedicine system managing, complains in telemedicine system managing, client responses to telemedicine system (Outcome evaluation). 3 categories derived 11 theme clusters were 'input', 'progress', and 'outcome evaluation'. Conclusions: This study has contributed to the understanding of operation of telemedicine by CHPs in community health posts. For more systematic and comprehensive management, further study should be conducted to reflect experience and positions of public health center physicians, collaborative hospital physician and patients.

• 지역사회간호학회지
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• 제22권4호
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• pp.409-419
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• 2011

Purpose: The purpose of this study was to examine the effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home. Methods: This research used the non-equivalent control group pretest-posttest design. The participants were 45 elders residing at home: 23 in the experimental group and 22 in the control group. The experimental group received 30-minute foot reflexology 8 times for 2 weeks. The results were analyzed using ${\chi}^2$ test, t-test with the SPSS/WIN 12.0 program. Results: The results showed that foot reflexology was significantly effective in improving the quality of sleep, reducing depression, and raising the temperature of both feet. However, the temperature of both palms was not statistically significantly different between the two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in improving the quality of sleep, reducing depression, and raising the temperature of both feet. Therefore, it is recommended to use foot reflexology as a complementary nursing intervention for elderly women at home in community.

• 한국보건간호학회지
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• 제24권2호
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• pp.302-310
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• 2010

Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

• 가정∙방문간호학회지
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• 제29권2호
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• pp.194-203
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• 2022

Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.

• 대한물리의학회지
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• 제18권3호
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• pp.11-19
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• 2023

PURPOSE: This study evaluated the incidence of sarcopenic obesity (SO) and examined the specific risk factors in a community-dwelling middle-aged population of women. METHODS: The present study involved analyzing data from a cross-sectional study that included 1,693 community-dwelling women aged between 40 and 49 years. Various risk factors were investigated, including age, height, weight, body mass index, waist circumference, skeletal muscle mass index, smoking and drinking behaviors, systolic and diastolic blood pressure, fasting glucose levels, as well as triglyceride and cholesterol levels. To ensure the accuracy and validity of the results, a complex sampling technique was employed for data analysis. Each sample weight was calculated through a three-step process by estimating base weight, adjusting it for non-response, and modulating it for post-stratification. RESULTS: The incidence of SO was 4.26% (95% CI: 3.20-5.67%). The clinical risk factors for SO were age, height, weight, body mass index, waist circumference, skeletal muscle mass index, systolic blood pressure, diastolic blood pressure, and levels of fasting glucose, triglycerides, and total cholesterol (p < .05). CONCLUSION: This study explores the prevalence and risk factors of SO among community-dwelling women. It adds to the existing literature on SO and identifies potential risk factors in middle-aged women.

• 한국농촌간호학회지
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• 제19권1호
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• pp.44-54
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• 2024

Purpose: This study identifies the factors influencing unplanned readmissions among participants of the medical aid community care pilot program. Methods: This descriptive study analyzed data from 1,013 participants in a medical aid community care pilot program. Data were analyzed using multiple logistic regression analysis. Results: The presence of mental illness, injury-related conditions, long-term care grades, and activities of daily living scores are key factors influencing the likelihood of readmission. In particular, the presence of a mental disorder or an injury-related condition increased the probability of readmission, whereas individuals with long-term care grades 1~2 showed a decreased likelihood of readmission. Conclusion: This study emphasizes the importance of enhancing the management of mental and injury-related conditions, effective utilization of long-term care services, and improvement of ADL scores to reduce readmission. These findings offer crucial insights for enhancing the efficiency of home medical care benefit programs and sustainable expansion of services.

• Tuberculosis and Respiratory Diseases
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• 제61권4호
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• pp.347-355
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• 2006

배 경: 지속적인 노력에도 지역사회폐렴에 의한 사망률은 증가하고 있으며 서구에서는 이에 대한 적절한 접근 및 예후 평가를 위해 예후 인자들을 확인하려 하였고 종합적인 접근을 위해 Pneumonia Severity Index(PSI) 등의 지표를 개발하였다. 하지만 국내에서는 단순 지표들만을 이용한 연구에 그치고 있어 PSI를 이용하여 폐렴으로 입원한 환자의 예후에 종합적인 접근을 할 수 있는지 확인하고자 하였다. 방 법: 2002년 1월부터 2005년 1월까지 지역사회폐렴으로 입원한 179명의 환자들을 대상으로 생존군/사망군 그리고 일반병실 입원환자/중환자실 입원 환자 사이를 비교하였으며, 각 군에 대해 Pneumonia Severity Index를 분석하였다. 결 과: 사망군과 생존군 사이에는 평균 수축기 혈압, 평균 이완기 혈압, 평균 맥박수, 평균 호흡수, 평균 체온, albumin, LDH, total cholesterol, HDL, PT, aPTT, hemoglobin, blood urea nitrogen(BUN)에서 유의한 차이가 있었다. (p<0.05) 일반병실과 중환자실 입원환자 사이에는 평균 맥박수, pH, $pCO_2$, $pO_2$, $SaO_2$, 혈청 총 단백질, 알부민, 혈청 총 칼슘, LDH, 총 콜레스테롤, HDL, PT, aPTT, hemoglobin, blood urea nitrogen(BUN)에서 유의한 차이가 있었다. (p<0.05) Pneumonia Severity Index의 경우 class I에서 사망률이 가장 낮고 class가 증가할수록 사망률이 증가하였으며 class V에서 사망률이 가장 높았다. 결 론: 다양한 지표들을 이용하여 지역사회폐렴으로 입원한 환자들을 평가할 수 있으나, Pneumonia Severity Index(PSI)를 이용하여 종합적인 접근을 할 수 있으며 이를 국내 환자에게 유용하게 이용할 수 있을 것으로 본다.

• 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.

• Tuberculosis and Respiratory Diseases
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• 제70권6호
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• pp.490-497
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• 2011

Background: It is difficult but important to differentiate between bacterial and viral infections, especially for respiratory infections. Hence, there is an ongoing need for sensitive and specific markers of bacterial infections. We investigated novel biomarkers for discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infections. Methods: This was a prospective, observational study of patients with community acquired bacterial pneumonia, 2009 H1N1 Influenza A infection, and healthy controls. Serum samples were obtained on the initial visit to the hospital and stored at $-80^{\circ}C$. We evaluated CRP (C-reactive protein), PCT (procalcitonin), LBP (lipopolysaccharide-binding protein) and copeptin. These analytes were all evaluated retrospectively except CRP. Receiver operating characteristic curve (ROC) analyses were performed on the resulting data. Results: Enrolled patients included 27 with community acquired bacterial pneumonia, 20 with 2009 H1N1 Influenza A infection, and 26 who were healthy controls. In an ROC analysis for discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infection, areas under the curve (AUCs) were 0.799 for CRP (95% Confidence interval [CI], 0.664~0.934), 0.753 for PCT (95% CI, 0.613~0.892) and 0.684 for LBP (95% CI, 0.531~0.837). Copeptin was not different among the three groups. Conclusion: These findings suggest that serum CRP, PCT and LBP can assist physicians in discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infection.