• 한국임상보건과학회지
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• 제12권1호
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• pp.1668-1677
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• 2024

Objective: This study investigated the awareness of occupational therapy in the community in occupational therapy majors through a survey. This purpose is to investigate the awareness of occupational therapy in the community among occupational therapy majors and establish a theoretical foundation. Methods: The research subjects were surveyed among occupational therapy majors at M University living in Gyeongsangnam-do, and analyzed 141 questionnaires from September 2023 to December 2023. Results: The results of this study that education and awareness improvement are needed to increase awareness of occupational therapy in the community, and it was found that continuing education and case sharing are effective. Activation of home rehabilitation and continuous health management. This institutional development can induce employment activity through community rehabilitation, and activate programs in connection with adult day care centers. For the development of community occupational therapy, participation in education and development of customized treatment are necessary, and patient It should be developed to help with movement and movement, and it has been shown that it can also affect the quality of life of patients. In addition, cutting-edge technologies such as artificial intelligence are expected to be applied to remote support, telemedicine, etc., and are applied to dementia, cognitive patients, and central nervous system patients. In order to institutionalize occupational therapy in the community, it is helpful in daily life, nursing, and management. It was said that this would be helpful for community participation. Conclusion: This study investigated the awareness of occupational therapy in the community among occupational therapy majors. Education and awareness improvement are needed to increase awareness of occupational therapy in the community. Education to improve the professionalism of occupational therapists, strengthening connectivity with other majors, and local organizations. It is believed that collaboration with the local community and institutional supplementation tailored to the needs of the local community were necessary.

• Journal of Nutrition and Health
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• 제57권2호
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• pp.228-243
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• 2024

Purpose: This study aimed to identify the distinctions in dietary and health-related behaviors among Indonesian women who marry Koreans or into multicultural families (MF) and those who marry Indonesians living in Korea (IK) and in Indonesia (II). Methods: The study was performed with 192 subjects using an online questionnaire regarding food choice, dietary and health behavior, and nutrition quotient (NQ). The analysis used Pearson's chi-squared test, the Fisher's exact test, multinomial logistic regression, and the general linear model. Results: The MF group consumed Korean food more than once a day and Indonesian food 1-2 times monthly (p < 0.001). The main challenge for the IK and II groups in consuming Korean food was the presence of pork and the different food flavors (p < 0.001). The MF group tended to have normal body mass index, consumed more vitamin and mineral supplements (p = 0.014), and exercised regularly ≥150 min/week compared to the IK and II groups (p < 0.001). However, the MF group had the highest rate of skipping breakfast (p = 0.040). When evaluating the NQ of the participants, the MF group consumed more vegetables (p = 0.026), mixed grains (p = 0.031), and spicy and salt soups (p = 0.006). The II group consumed more fish (p = 0.005), beans (p = 0.009), and nuts (p = 0.003). The IK group checked the nutrition labels the most (p = 0.005), while their consumption of vegetables, fish, beans, and nuts was lowest. The MF group had a higher balance score, which resulted in a substantially more nutritious food intake compared to the other two groups (p = 0.037). Conclusion: The MF group consumed more vegetables and mixed grains, adequate fish, beans, and nuts, and engaged in longer daily physical activity. However, the IK group had a relatively low-quality diet and nutritional intake status compared to the other two groups, and this needs to be improved in the future.

• 가정∙방문간호학회지
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• 제31권1호
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• pp.44-55
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• 2024

Purpose: This is a retrospective secondary data analysis study based on real-world data to analyze the level of nursing care needs of patients in a comprehensive nursing care service ward, and identify factors influencing nursing needs. Methods: Study participants included patients admitted to two comprehensive nursing care service wards at a tertiary general hospital located in Gyeonggi-do, Korea. After obtaining permission from the health and medical information team of the target hospital, data were collected from their electronic medical records. Nursing care needs were measured using seven items on nursing activity and four items on daily living activities developed by the National Health Insurance Service (NHIS). The collected data were analyzed using the SPSS version 29.0 with frequency and percentage, mean and standard deviation, minimum and maximum values, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression. Results: The level of nursing care needs of patients in comprehensive nursing care service wards was found to be higher for patients with pressure sores (β=.33), older patients (β=.26), patients who underwent procedures (β=.15), patients with present guardians (β=.15), and patients with more comorbidities (β=.10). The total explanatory power was 51.0%. Conclusion: It is necessary to accurately identify patients' nursing care needs and provide nursing care according to priority by considering the characteristics of patients in comprehensive nursing care service wards.

• Clinics in Shoulder and Elbow
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• 제15권2호
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• pp.99-108
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• 2012

목적: 크기가 4 cm 이상의 회전근 개 전 층 파열에 대해서 UU-Tension Band suture 봉합 법을 이용한 관절경하 봉합술에 대한 추시 결과와 유효성을 보고하고자 한다. 방법: 2006년 1월부터 20011년 10월까지 큰 크기의 회전근 개 전 층 파열로 UU-Tension Band suture 봉합법을 이용하여 적어도 대결절의 내연까지 봉합이 가능하여 관절경하 봉합술을 시행하였던 71예의 환자를 1군으로, 단순 봉합법을 시행하였던 20예를 2군으로 하여 비교하였으며, 술 전과 7개월, 1년, 최종 추시 VAS of pain, ASES 점수의 ADL (Activity of Daily Living), UCLA 점수를 측정하였다. 통계적인 검정은 양군간에 student t-test와 수술 전후에 paired t-test로 비교하였다. 평균 연령은 63.2 (52~80)세 였고 평균 추시 기간은 38.4 (13~62)개월 이었다. 결과: 동통에 대한 VAS 점수에서 1군의 경우 술 전 평균 8.1에서 술 후 최종 추시 1.6로 감소하였고 (p<0.05), 2군의 경우 술 전 평균 7.6에서 술 후 최종 추시 1.8로 감소하였다 (p<0.05). 두 군 간의 임상적으로 의미 있는 차이는 없었다 (p>0.05). 평균 ADL은 1군의 경우 술 전 평균 12.5에서 술 후 최종 추시 평균 29.0으로 증가하였고 (p<0.05), 2군의 경우 평균 11.3에서 27.5으로 증가하였으며 (p<0.05), 두 군 간에 임상적으로 의미 있는 차이가 없었다 (p>0.05). UCLA 점수는 1군의 경우 술 전 평균 12.9에서 술 후 최종 추시 28.7으로 증가하였으며 (p<0.05), 2군의 경우 술 전 평균 13.8에서 술 후 최종 추시 30.1으로 증가하였으며 (p<0.05), 두 군 간에 임상적으로 의미 있는 차이가 없었다 (p>0.05). 술 후 평균 27.5주째에 촬영한 MRI (20예)와 초음파 (51예)를 이용한 재 파열의 비교에서 1군에서 28%, 2군에서는 20예중 11예에서 재 파열이 있어서 두 군간에 임상적으로 의미 있는 차이가 있었다 (p<0.05). 결론: 크기가 4 cm 이상의 회전근 개 전 층 파열에서 UU-Tension Band suture 봉합법을 이용한 관절경하 봉합술은 단순 봉합법을 이용한 봉합술과 비교하여 임상적으로 차이가 없으나 재 파열에서 의미 있는 차이가 있었다.

• 한국가정과교육학회지
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• 제30권3호
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• pp.67-90
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• 2018

이 연구는 중학교 기술·가정 교과의 주생활 영역 '주거와 거주환경' 단원의 이웃과 더불어 살아가는 주생활을 위한 실천적 문제 중심 가정과 교수·학습 과정안을 개발하여 적용하는데 목적을 두고 있다. 개발은 ADDIE단계에 따라 2009 개정 교육과정과 2015 개정 교육과정, 2009 개정 교육과정에 의한 교과서의 주생활 단원을 분석하고 이웃과 더불어 살아가는 주생활과 실천적 문제 중심 수업 관련 문헌을 고찰하여 총괄 학습목표와 성취기준, 실천적 문제와 3차시분의 학습주제(더불어 살아가는 주생활의 중요성, 이웃공동체 활동과 지역사회 공동체, 이웃과 더불어 살아가는 주생활가치관)를 선정하였다. 차시별로 실천적 문제 중심 수업 방법을 적용한 교수·학습 과정안과 학습자료(학습 활동지 7개와 읽기 자료 3개, 과제지 1개, 교사용 자료 3개, PPT자료 3세트, 동영상 6개), 설문지를 개발하여, 2017년 9월 한 달 간 서울시 구로구 소재 C중학교 1학년 전체 8학급 남녀학생 204명을 대상으로 연구자가 직접 수업에 적용하고, 185명의 학생 평가 결과를 분석하였다. 학생들은 대부분 평소 이웃들에게 관심을 가지고 교류를 이어가고 있었으나 적극적으로 활동을 찾아보려는 노력은 하지 않는 것으로 나타났다. 수업 전반에 관한 평가에서 수업 활동과 수업 자료들이 수업 내용을 이해하는 데 도움이 되었다고 답했으며 수업의 내용이 자신들의 삶과 동네에 도움이 되는 것이라 응답하였고 다른 학교에서도 이러한 내용의 수업이 이루어지기를 바랐다. 각 차시별 수업 내용은 더불어 살아가는 것의 중요성에 대해 알고 이웃공동체 활동과 지역사회 공동체에 대해 탐색하며 이웃과 더불어 살아가는 주생활가치관을 함양하는 것으로 평소 이웃과의 관계에서 자신의 행동을 되돌아보고 자신의 행동이 나와 가족, 이웃과 사회에 미치는 영향을 고려할 수 있도록 하였다고 평가하였다. 특히 이웃들이 주생활 속에서 겪는 어려움에 대해 관심을 가지고 적극적으로 이를 해결하기 위해 서로 도우며 이웃공동체 활동에 참여하고 이웃과 더불어 살아가는 주생활 실천의식을 가지고 이웃과 더불어 살아가는 주생활가치관을 함양하는데 도움이 된 것으로 평가하였다. 이러한 결과를 바탕으로 이 실천적 문제 중심 교수·학습 과정안은 총괄 학습목표와 실천적 문제, 각 차시별 학습 주제와 2009 개정 교육과정 및 2015 개정 교육과정의 주생활 영역 성취기준을 달성하는데 적절하며 2015 개정 교육과정의 관계형성능력을 함양하는 데 활용될 것으로 기대한다.

• 대한간호학회지
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• 제27권4호
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• pp.807-819
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• 1997

The purpose of the study was to identify the effects of a 12-week low-intensity exercise program on muscle strength, flexibility, balance, and cognitive characteristics related to the performance of activity of daily living(ADL). A total of 16 patients who were admitted to the medical unit of a general hospital in ChoongChung province were recruited, eight for the exercise group and eight for the comparison group. Four levels of low-intensity exercise from 'ROM on bed' to 'exercise while walking' were then applied to the exercise group according to their physical condition. During hospitalization, patients in the exercise group performed each level of the prescribed exercise with the researchers until they felt comfortable doing it independently. The researchers also visited the patients' homes after discharge to make sure they could perform the exercise with Theraband in their living environment. The exercise group was contacted by phone once a week to assess the frequency and intensity in which they performed the exercise as well as their physical condition. The subjects in the comparison group participated in measurements for the study without performing the exercise and were contacted by phone after discharge, in a matched time frame with the exercise group, to assess physical condition. Muscle strength, flexibility, balance, cognitive characteristics, and performance of ADL for the two groups were compared at the pretest and the posttest after the low-intensity exercise program by utilizing SPSSWIN and the results are as follows : 1) At the postest, measurements of muscle strengths showed that the strength of the dorsal flexor in the exercise group was significantly higher than in the comparison group. 2) Objective balance for the exercise group was significantly better than for the comparison group as measured by 'standing on one foot' and Tinetti gait and balance control. 3) The exercise group showed significantly higher task self-efficacy than the comparison group. 4) Perceived exertion for ADL for the exercise group was significantly lower than for the comparison group. 5) Improvement of performance of ADL without assistance was significantly higher for the exercise group than the comparison group. The findings suggest that a low-intensity exercise program would be useful for the elderly who show decline in their physical functioning due to hospitalization by partly improving physical strength, task self-efficacy, and performance of ADL. Directions for further research on issues of motivating people to exercise as well as of standardizing various types of exercise were discussed.

• 지역사회간호학회지
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• 제9권2호
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• pp.396-409
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• 1998

The purpose of this study is to inquire into the degree of health promotion activity of university students, and to confirm the general factors of health promotion behavior in order to offer basic data for a nursing strategy to improve health promotion behavior. For this research, data was collected from university men and women through questionnaires from February 18 to March 20 in 1998. The author develop a measuring instrument on the basis of related reviews of health promoting behavior in the prevention of chronic disease, as well as accounting for demographic factors, biological factors, and circumstanctial factors. The content validity of the instrument was authenticated by two professors of the science of nursing,. and the reliability was confirmed by a 'cronbach' ${\alpha}'$ after moditying the content through a pre-test on 30 students. 475 persons were analyzed in terms of an average, percentage, t-test, ANOVA by 'SPSS-PC'. The analyzed data was the following. 1. The acting degree of health promoting behavior was 3.26 point out of 6. Among the sub-levels of health promoting behavior, the order of importance was the following. self-actualization (4.62), interpersonal(4.60), stress management (4.0l), nutrition(3.68), responsibility(3.1l), liquid and cigaretles ues(2.85), and exercise (2.33). 2. The differences in health promoting behavior according to subject's general character were the following. Age(F=6.012, p=.003), major (F=7.243, P=.000), sex(t=7.60, P=.000), religion(F=2.454, p=.045), living status(F= 2.849, p=.024), health concern of parents(F= 7.596, P=.000), taking health programs(F= 2.710, p =.007), case history of the family( t = -1.980, p=.048). Health promoting behavior is affected by a higher age, majoring in the social sciences, having religion, male, living in the relatives' home, having to take health programs and a higher health concern of the parents. Suggestions: 1. The degree of health promoting behavior appears low in this study. It is crucial, therefore, to develop a health program to improve health promoting behavior and to study how to center the daily health life of students.

• 재활치료과학
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• 제7권2호
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• pp.51-61
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• 2018

목적 : 본 연구의 목적은 호주에서 개발된 수행기반의 관찰평가도구인 Melbourne Low-Vision ADL Index(MLVAI)를 한국 문화에 적합하게 구성하여 신뢰도와 타당도를 검증하는 것이었다. 연구방법 : 연구대상자는 지역사회에 거주하고 있는 만 20세 이상의 저시력인 26명, 정안인 42명으로 총 68명이었다. 한국판 MLVAI는 번역 검증 및 도구 구성에 대한 전문가 검증을 통해 완성하였다. 한국판 MLVAI의 타당도는 내용타당도, 판별타당도, 수렴타당도 검증을 통해 수립하였고, 신뢰도는 항목에 대한 내적일치도, 검사-재검사 신뢰도, 검사자간 신뢰도를 분석하였다. 결과 : 내용타당도 수립을 위해 저시력 관련 분야의 전문가들이 시행한 문항적합도 검증에서는 .78이상으로 타당성이 수립되었다. 판별타당도 검증은 저시력 집단의 평균점수가 통계적으로 낮았다(p<.05). 수렴타당도는 Low Vision Quality of Life Questionnaire(LVQOL)을 이용하여 한국판 MLVAL 총점과의 상관계수 .751을 산출하였고 통계적으로 유의하였다(p<.05). 전체 항목에 대한 Cronbach's ${\alpha}$값은 .983으로 높았으며 검사-재검사 신뢰도는 .976(p<.05), 검사자간 신뢰도는 급간 내 상관계수(ICC2,1) .91로 모두 양호하였다(p<.05). 결론 : 본 연구 결과 국내 실정에 맞게 수정한 한국판 MLVAI는 신뢰도와 타당도를 모두 갖춘 일상생활 평가도구로 작업치료 중재 시 저시력인의 일상생활활동의 평가를 위해 유용하게 사용될 수 있을 것이다.

• 보건교육건강증진학회지
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• 제17권2호
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• pp.183-205
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• 2000

This research was designed to compare the health condition and the quality of life of the elderly inpatients with those of the normal elderly people. The subjects of study were 482 elderly inpatients and 304 normal elderly people. The research was conducted in July and August using the instrument WHOQOL. The results of the research are as follows: For the level of health, it was recognized that male was healthier than female, having higher the education, living in the city rather than in the rural, keeping the normal life than being in the hospital. There were little difference in the past medical histories of the elderly inpatients and the normal elderly people. As to the diseases currently under the treatment, there were some difference between the elderly inpatients and the normal elderly people but the tendency was similar in the kinds and the frequencies. As to the recognition for the quality of life between the elderly inpatients and the normal elderly people based on the records reflected on each of the domains of WHOQOL, the normal elderly people more positively recognized in the overall quality of life and the following domains: physical, psychological, level of independence, and spirituality/religion/personal beliefs. The normal elderly people more positively recognized especially in the level of independence domain (mobility, activities of daily living, dependence on medication or treatments, working capacity). In the social relationships domain only the sexual activity was significant and the normal elderly people more positively recognized. The elderly inpatients showed the correlation of over 0.5 in the overall quality of life and the following domains: environment, social relationships, physical, psychological, level of independence. It was over 0.6 in the physical domain and the domains of psychological and level of independence. and the psychological domains of level of independence and social relationships. For the points of overall quality of life, it had no correlation with hospitalization but the health condition, residential district, occupation, and taste exerted a significant effect. As a result of separate analyses of the elderly inpatients and the normal elderly people, the health condition and the age only were the common variable which would exercise a significant effect. Besides, the primary factors which would exercise the quality of life were the occupation and taste for the elderly inpatients, and the residential district and source of income for the normal elderly people. In conclusion, it is first and foremost important to improve the standard of health for the overall quality of life for the elderly people, regardless of hospitalization. Therefore, a plan must be urgently drawn up for revitalization of the health promoting projects for the elderly people and the public health projects for the elderly people, and the investment must be increased for settlement of health problems of the elderly people.

• 융합정보논문지
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• 제10권8호
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• pp.194-202
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• 2020

이 연구는 광역 지자체별 노인의 통합돌봄 요구수준을 파악하고, 비교하여 향후 광역 지자체 수준에서 노인대상 지역사회 통합돌봄의 필요성에 대한 객관적인 근거를 제시하고자 시도되었다. 한국보건사회연구원의 '2017년 노인 실태조사'에 참여한 17개 광역 지자체 노인 10,299명의 설문자료를 이용한 이차자료 분석연구이며, 분석은 SAS 프로그램을 이용하였다. 의료 요구, 일상생활 수행지원 요구, 사회적 활동 지원요구의 지역간 차이는 최저 지역에 비해 최고지역에서 각각 2,4배, 6.0배, 2.0배 높게 나타났다. 이에 따라 의료요구군, 복지요구군, 통합돌봄 요구군의 크기도 지역별로 매우 다양하였다. 이 연구의 결과를 통해 통합돌봄 요구는 광역 지자체별로 차이가 있음이 확인되었다. 따라서 통합돌봄 서비스를 전국적 수준에서 효율적으로 제공하기 위해서는 광역 지자체별 대상자 요구수준을 정확히 파악하고 이에 따라 돌봄 서비스 내에서 우선 순위 선정과 활용 가능한 자원 파악 및 적절한 배분이 뒤따라야 할 것이다.