• 한국의류학회지
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• 제45권5호
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• pp.788-803
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• 2021

This study aims to obtain basic data to develop clothes for dementia patients by classifying types of dementia patients. Data was collected from those dementia patients who entered a nursing home. This study analyzed a total of 221 sheets. Furthermore, descriptive statistics, cross-tabulation, and K-means clustering were performed for statistical processing using Minitab 14. As a result, dementia patients were classified into four types: inactive-dependent, active-problematic behavior, activity-autonomy, and inactive-offensive. Inactive-dependent type was a group with the most severe disability in cognitive and daily activity functions; however, they lacked behavioral and psychological symptoms and problematic behavior with clothes. Active-problematic behavior type showed the most behavioral and psychological problems and problematic behavior with clothes. Activity-autonomy type was a group without any problematic behaviors. Moreover, the inactive-offensive type had very good cognitive function toward humans. The study imply that it is necessary to provide clothes with proper functions based on the types of patients rather than providing them uniform clothes because clinical and clothes behaviors differ significantly depending on the types of dementia patients.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.327-339
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• 2015

본 연구는 공동생활가정에서 생활하고 있는 청소년의 우울감이 이들의 학교 적응유연성에 미치는 영향과 이에 대한 자아존중감의 매개효과를 검증하고자 하였다. 이를 위하여 2013년 8월 19일부터 9월 13일까지 전국 64개소의 공동생활가정에서 보호되고 있는 청소년을 대상으로 우편 설문조사를 실시하였는데, 총 172명이 응답하였다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 공동생활가정 청소년의 우울감은 학교 적응유연성에 영향을 미치는 것으로 나타났다. 둘째, 이들의 우울감은 자아존중감에도 영향을 미쳤다. 셋째, 학교 적응유연성에 대한 우울감의 영향을 자아존중감이 완전매개하는 것으로 나타났다. 이러한 연구결과를 토대로 공동생활가정 청소년의 학교 적응유연성을 증진하기 위한 정책적 실천적 함의를 제시하였다.

• Clinics in Shoulder and Elbow
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• 제25권2호
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• pp.121-128
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• 2022

Background: To determine the reasons and factors that contribute to the cancellations of shoulder surgeries at a tertiary referral center and to analyze the characteristics of these patients. Methods: Patients scheduled for shoulder surgery from June 2017 to July 2019 were allocated to a surgery group (n=224) or a cancellation group (n=96). These groups were compared with respect to patient characteristics, types of surgery, distance from patient's home to the hospital, traveling time to the hospital, and waiting period before surgery. Reasons for cancellation and responses were acquired using a telephone interview and were subsequently analyzed. Results: The cancellation group was older, had a less frequent history of trauma, and had a lower proportion of patients undergoing arthroscopic rotator cuff repair than the surgery group (p=0.009, p=0.014, and p=0.017, respectively). In addition, mean distance from the patients' homes to the hospital and preoperative waiting time were both longer in the cancellation group (p=0.001 and p<0.01, respectively). The most common reason given for cancellation was another medical condition (28.1%). Conclusions: Older age, need for arthroscopic rotator cuff repair surgery, longer distance from the patient's home to the hospital, and longer waiting period significantly increased the chance of cancellation. The main reason for canceling surgery was a concurrent medical condition. Therefore, identification of other medical conditions in advance is an important consideration when surgeons recommend shoulder surgery to patients. Surgeons should also consider patient's age, type of surgery, distance from the hospital, and waiting time when assessing the possibility of surgery cancellation.

• 인간식물환경학회지
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• 제22권6호
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• pp.611-619
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• 2019

This study was conducted to investigate changes in the mental functions of the elderly in nursing facilities affected by a horticultural therapy program based on validation therapy. To meet the purpose, we conducted a horticultural therapy program based on validation therapy with 58 elderly participants (average age 79.12±6.84, men and women) once a week, 50 minutes per session, in a total of 10 sessions. Participants were divided into the control and experimental group with convenience sampling. The program was carried out from March 15 to November 22, 2018. Vibraimage 8 pro(ELSYS, 2014) is a recent, psychologically based, emotional-recognition visual imaging technology that measures pixels microvibration in terms of digital frequency and amplitude parameters. To examine the effects of the horticultural therapy program based on validation therapy, Vibraimage was used to assess aggression, stress, tension, suspect, balance, charm, energy, self-regulation, inhibition, neuroticism and positive, negative, physiological domains of mental functions before and after program. As a result, the mean score of the positive domain in the control group significantly decreased from 63.89±5.09 to 60.74±5.48, but it decreased without statistical significance in the experimental group from 63.98±5.45 to 61.39±6.02. The mean score of neuroticism in the experimental group significantly decreased from 31.64±10.94 to 22.87±13.79. Moreover, the mean score of the physiological domain in the experimental group also significantly decreased from 25.08±6.27 to 19.42±8.80. Accordingly, horticultural therapy program based on validation therapy can be utilized as a program to promote mental health, especially maintaining positive mental health function of the eldery, helping those who live in long-term care facilities enjoy a happier life more happier.

• 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.

• Journal of Preventive Medicine and Public Health
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• 제19권1호
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• pp.31-44
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• 1986

연자들은 동하계의 실내의 공기오염의 주인자 가운데 하나인 $NO_2$에 대하여 주택의 종류(아파트, 독립주택)와 취사용 주연료의 종류(연탄, 가스)별로 부산지역의 110개 주택을 대상으로 주택 옥내 (부엌, 거실, 침실)와 옥외의 농도를 각각 산정하여 현재의 $NO_2$ 오염정도를 파악함은 물론 실내 $NO_2$농도와 부엌환기, 가족수, 흡연등과의 관련성 및 $NO_2$의 영향(천식)에 관한 기본적 연구를 실시함으로써 $NO_2$에 의한 인체장해 예방을 위한 자료로 제시하고자 본 연구를 실시하였다. 조사기간은 1984년 10월부터 1985년 9월까지 1년간이었으며, $NO_2$측정은 Palmes method에 의하였으며 그 결과는 다음과 같다. 1) 동계 도시 주택의 옥내외 $NO_2$의 평균농도는 부엌 0.029($0.010{\sim}0.085$)ppm, 거실 0.022$(0.005{\sim}0.056)$ppm, 침실 0.017$(0.005{\sim}0.055)$ppm 및 옥외0.021$(0.007{\sim}0.055)$ppm등이었고, 하계에는 부엌 0.022$(0.005{\sim}0.063)$ppm, 거실 0.018$(0.005{\sim}0.056)$ppm, 침실 0.016$(0.004{\sim}0.057)ppm$ 및 옥외 0.016$(0.004{\sim}0.038)$ppm등으로 동하계 공히 부엌내 농도가 최고이었으며 하계보다 동계에 비교적 높은 농도를 나타내었다. 2) 주택과 취사용 주연료의 종류별 도시 주택 옥내외 $NO_2$ 평균농도는 동계의 경우 연탄을 주로 사용하는 아파트군에서 그리고 하계에는 가스를 사용하는 아파트군에서 각각 최고이었다. 3) 주택의 종류별 도시 주택의 옥내외 $NO_2$의 평균 농도는 동하계 공히 독립주택군에 비하여 아파트군에서 비교적 높았다. 4) 취사용 주연료의 종류별 도시 주택 옥내외 $NO_2$의 평균농도는 동계에는 연탄을 주로 사용하는 경우, 그리고 하계에는 가스를 주로 사용하는 경우에서 각각 비교적 높았다. 5) 부엌 환기 여부, 가족수, 부모의 흡연여부 및 소아 천식병력 유무에 따른 도시 주택 실내 $NO_2$의 평균 농도는 각 속성에 따라 다소의 차이를 보였으나 대부분 통계적으로는 유의하지 않았다.

• 대한간호학회지
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• 제35권6호
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• pp.1153-1162
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• 2005

Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

• 한국콘텐츠학회논문지
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• 제16권1호
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• pp.655-665
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• 2016

본 연구는 장애인그룹홈 종사자 148명을 대상으로 종사자의 업무환경이 직무만족에 어떠한 영향을 미치는지 분석한 것이다. 연구결과, 종사자들은 직장의 업무환경의 6개 하위영역 중 도전과 역할모호성에 대해서는 3.08점과 3.61점으로 보통 이상의 수준에서 인식을 하고 있었으나, 편안함, 금전적 보상, 역할갈등, 업무량에 대해서는 평균 1.80점에서 2.73점 사이로 보통 이하의 수준으로 상대적 취약성을 보였다. 다중회귀분석 결과 도전과 역할모호성이 유의미한 영향을 미치는 것으로 나타났다. 이러한 결과는 업무환경에서는 사회재활교사의 업무기준을 명시하고 다양한 방법으로 그룹홈 지원체계를 강화하여 종사자들의 자기개발과 도전의 기회를 높이고, 문제해결을 위해 필요한 지원이나 지지를 높여나가야 함을 제언하였다.

• 한국생활과학회지
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• 제2권1호
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• pp.45-51
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• 1993

The purpose of this study is to provide some information for the proper education on clothing wearing habits so that the education may be performed in the direction of social needs according to the social change and in the direction of the needs and interest of the high school girl students in their adolescence by being conscious of the influence of clothing on the high school girl students. I have used questionaire as an instrument of measurement. The length of the time of survey is from February 11, 1991 to February 28. The subjects are 544 first grade girl students of general high schools in Cheong-Ju, Choong-Ju, and Je-Cheon. The analysis of the data includes frequency, percentage, average person's Correlation Program, t-test, ANOVA, Scheffe's test. The conclusion of this study is as follows: The first, it is shown that (l)students's interest in the design and fashion of clothing is significantly related to the socio-anthropological and socio-psychological factors such and the education level of their fathers, the education level of their mothers, monthly income of their homes, the clothing habits of their home economics teachers, the subjects which they are interested in, their average scholoary achievements, their religious background, and whether they have boy friends or not, etd. (2)students' interest in purchasing of clothing is significantly related to the socio-anthropological and socio-psychological factors such as the education level of their fathers, the education level of their mothers, monthly income of their homes, the clothing habits of their home economics teachers, the subjects which they are interested in, their average scholoary achievements, and whether they have boy friends or not, etc. (3)students' interest in the social-psyclological aspect is significantly related to the socio-anthropological and socio-psychological factors such as their living area, the clothing habits of their home economics teachers, etc. (4)students' interest in the clothing construction is significantly related to only the clothing habits of their home economics teachersl. (5)students' interest in the clothing management is significantly related to the socio-anthropological and socio-psychological factors such as the education level of their parents, the age of their mothers, their religious background, and their sisters. The second, as for the interest of the high school girl students in clothing, it has been shown that those who wear school uniforms tend to have more interest than those who wear free-choice clothes in such areas as shopping, the construction, and management. As for the other two areas, that is, disign and fashion, and the interest in socio-psychological dependence there has been little meaningful difference between the two groups, while the uniform group has shown more interest than the other group. The third, the interest of hish school students in clothing is considered to be most seriously influenced by their socio-psychological dependence out of five areas of interest. It has been shown that the proportion of the content dealing with clothing wearing life in the high school home economics texbooks in relatively small, especially in such areas as socio-psychological dependence, shopping, management, and design and fashion except in construcion.

• 한국노년학
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• 제32권3호
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• pp.689-701
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• 2012

본 연구의 목적은 노인의 식사 후 혈압과 맥박수의 변화 양상이 체위에 따라 차이가 있는지를 확인하고자 하는 것이었다. 복지재단의 양로원과 요양원에 거주하는 노인 141명으로부터 서면동의를 받은 뒤, 5명의 훈련된 조사원이 식사 전 2회, 식사 직후, 그리고 식사 후 15분 간격으로 90분까지 총 9회 혈압과 맥박을 측정하였다. 노인의 선호에 따라 식사 후 좌위를 취한 노인은 식당에서 측정이 이루어졌고, 앙와위를 취한 노인은 방에서 측정하였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 빈도와 백분율, 평균, 표준편차, Chi-square 검정, t 검정, 반복측정 분산분석, 반복측정 공분산분석을 이용하여 분석하였으며, 연구결과는 다음과 같다. ${\bullet}$식후저혈압 발생률은 앙와위를 취한 노인군이 좌위를 취한 노인군보다 높았다. ${\bullet}$식후 좌위를 취한 노인군과 앙와위를 취한 노인군 간에 시간경과에 따른 수축기혈압과 맥박의 변화 양상은 차이가 없었다. ${\bullet}$식전 수축기혈압을 통제한 상태에서 식사 후 수축기혈압의 변화양상은 좌위군과 앙와위군 간에 유의한 차이가 없었다. 노인에서 식후 혈압하강 발생은 식사 후 체위에 따른 차이가 없는 것으로 나타났다. 따라서 식후에 앙와위를 취한 노인에서도 식후 두 시간 이내에는 식후저혈압이 발생하고 있다는 점에 유의하여 세심하게 혈압을 모니터링하여야 한다.