• 한국산학기술학회논문지
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• 제16권2호
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• pp.1240-1252
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• 2015

본 연구는 요양시설 치매노인을 대상으로 식사행동장애 실태와 영향요인을 규명하기 위한 서술적 조사연구이다. 연구대상은 일 지역 3개 요양시설에 거주하는 치매노인 158명이었으며, 연구기간은 2014년 8월18일부터 9월12일까지였으며, 식사행동장애, 신체기능(K-ADL) 및 인지기능(MMSE-K)을 측정하였다. 수집된 자료는 t-test, ANOVA, 상관관계, 회귀분석으로 검정하였다. 식사행동장애 정도는 전체 평균이 $0.62{\pm}0.43$점(0-2점 범위)이었고, 식사 중 주의 깊은 감독이 필요하다가 가장 빈도가 높은 식사행동장애였다. 회귀분석결과 신체기능(${\beta}=.312$), 인지기능(${\beta}=-.172$) 순으로 식사행동장애에 영향을 미쳤고, 이들 변수의 설명력은 20.0%였다. 이러한 연구결과는 요양시설 치매노인의 식사행동장애를 돕기 위한 식사행동단계별 대처전략 개발, 시설 돌봄 제공자의 교육프로그램 개발 연구의 필요성을 제시한다.

• 대한간호학회지
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• 제48권2호
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• pp.167-181
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• 2018

Purpose: We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities. Methods: A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0. Results: Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index. Conclusion: The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

• 여성건강간호학회지
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• 제4권3호
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• pp.416-428
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• 1998

In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.

• Clinical and Experimental Pediatrics
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• 제60권12호
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• pp.379-384
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• 2017

Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

• 한국보건간호학회지
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• 제37권2호
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• pp.261-274
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• 2023

Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.

• 대한소아치과학회지
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• 제23권3호
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• pp.729-735
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• 1996

Cleft lip and palate is the most common malformation in the craniofacial region. The patients with cleft lip and palate have functional problem such as, speech, feeding and respiratory as well as esthetic problem. So, treatment should be done by multidiciplinary team approach. The role of pediatric dentist in the team is advicement for feeding method, guidance of normal growth, caries control and preventive orthodontics. In cleft lip and palate patients, maxillary arch after cheiloplasty is usually collapsed by excessive tension of the scar. This collapse increase the difficulty of later orthodontic treatment. Therefore, the maxillary arch segments should be moved and retaind to normal position as soon as cheiloplasty is done to reduce the need and difficulty of orthodontic treatment. This concept is called by the early orthopedic treatment in cleft lip and palate. Also, this orthopedic appliance works as feeding applince to normal feeding and weight gain We reported two cases of early orthopedic treatment with favorable result in complete bilateral cleft lip and palate patients after cheiloplasty. Patients showed normal weight and their maxillary arch widths were increased.

• 제어로봇시스템학회논문지
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• 제9권1호
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• pp.57-62
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• 2003

It is difficult to determine the feeding rate of coagulant in the water treatment plant, due to nonlinearity, multivariables and slow response characteristics etc. To deal with this difficulty, the genetic-fuzzy system genetic-equation system and the neural network system were used in determining the feeding rate of the coagulant. Fuzzy system and neural network system are excellently robust in multivariables and nonlinear problems. but fuzzy system is difficult to construct the fuzzy parameter such as the rule table and the membership function. Therefore we made the genetic-fuzzy system by the fusion of genetic algorithms and fuzzy system, and also made the feeding rate equation by genetic algorithms. To train fuzzy system, equation parameter and neural network system, the actual operation data of the water treatment plant was used. We determined optimized feeding rates of coagulant by the fuzzy system, the equation and the neural network and also compared them with the feeding rates of the actual operation data.

• 제어로봇시스템학회논문지
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• 제3권6호
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• pp.652-658
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• 1997

Coagulant feeding control is very important in the water treatment process. Coagulant feeding is related to the raw water quality such as turbidity, alkalinity, water temperature, pH and so on. However, since the process of chemical reaction has not been clarified so far, coagulant dosing rate has been decided by jar-test. In order to overcome the difficulty mentioned above, Fuzzy Neural Network to fuse fuzzy logic and neural network was proposed, and the scheme was applied to the automatic determination of coagulant dosing rate. This algorithm can automatically identify the if-then rules, tune the membership functions by utilizing expert's experimental data. The proposed scheme is evaluated by computer simulation and interfaced with coagulant feeder operated by magnetic flowmeter, control valve and PLC. It is shown that coagulant feeding according to real time sensing of water quality is very effective.

• Nutrition Research and Practice
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• 제9권4호
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• pp.393-399
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• 2015

BACKGROUND/OBJECTIVES: Thin children may have insufficient intake of energy and nutrients, resulting in reduced immune function and growth. This study aimed to identify the effects of multiple herb formula SEC-22 supplementation on growth, dietary changes, and picky eating behaviors in thin children. SUBJECTS/METHODS: A double-blind, randomized clinical trial was conducted on 79 children aged 2-5 years with poor appetites, BMI percentile < 25, and without any illness. Subjects were given either SEC-22 (n = 35) or placebo (n = 44) for 2 months and followed for an additional 2 months. Three-day dietary records, questionnaires on picky eating behaviors, and anthropometric measures were collected. RESULTS: Energy, carbohydrate intake, and feeding difficulty improved in both groups during the intervention period. However, changes were maintained only in the SEC-22 group after 2 months of follow-up post-supplementation. 'Frequency of trying to feed' was improved in the SEC-22 group compared to the placebo group after the first month of follow-up (P < 0.05). Intakes of potassium and thiamine were improved in the SEC-22 group compared to the placebo group after the first month of intervention (P < 0.05). 'Frequency of food reward', eating amount, and intakes of carbohydrate, potassium, and vitamin C showed significant improvement compared to the placebo group after the second month of follow-up (P < 0.05). CONCLUSIONS: These results suggest that SEC-22 supplementation can improve parental feeding difficulty resulting from insufficient eating amount or picky eating as well as increase nutrient intake in thin children. Although these improvements were observable at least 2 months after supplementation, effects beyond this time frame need to be confirmed.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.426-436
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• 2017

본 연구는 시설 치매노인을 대상으로 영양불량 상태에 영향을 미치는 요인을 분석하고자 실시하였다. 연구대상은 충남 소재 요양시설 3곳에 거주하는 치매노인 140명으로 자료 수집은 2016년 5월 30일~9월 30일까지 하였고 자료는 설문지를 이용하여 실시하였다. 수집된 자료는 t-test, ANOVA, 상관관계, 회귀분석으로 검정하였다. 대상자의 영양불량 상태는 고 위험군 (84명, 60.0%)이 많았으며, 성별, 장기요양등급, 신체기능, 식사행동 장애 및 인지기능과 관련을 보이는 것으로 나타났다. 다중 회귀 분석결과 영양불량 상태에 유의한 영향변수는 신체기능(${\beta}=0.379$, p=.000) 식사행동 장애(${\beta}=0.264$, p=.001), 인지기능(${\beta}=-0.187$, p=.014)으로서 이들 변수는 영양불량 상태에 대해 35.9%의 설명력을 보였다. 본 연구결과는 시설 치매노인의 영양불량 상태 개선을 위한 프로그램 개발에 기초자료로 활용될 것으로 기대된다.