• 보건의료생명과학 논문지
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• 제9권1호
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• pp.27-39
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• 2021

본 연구는 COVID-19로 인하여 수강방식의 변화를 맞은 간호대학생들의 온라인 강의 경험에 대한 학습정서를 일기를 통해 깊이 있게 탐색하고자 하고자 수행하였다. 목적적 표집법에 따라 4년제 간호 대학생 20명을 대상으로 2020년 11월부터 12월 동안 일기를 온라인으로 수집하였다. 수집된 자료는 전통적 내용분석 방법으로 분석하였다. 연구결과는 4개의 주제모음과 17개의 하위주제로 나타났다. 도출된 주제 모음으로는 '온라인 강의에 대한 혼란으로 인한 불안감', '나 자신을 탓하게 됨', '안정된 수업환경 조성이 어려움으로 인한 좌절감', '발전적 인간관계 형성이 없음으로 인한 무력감.'으로 나타났다.

• 보건교육건강증진학회지
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• 제31권4호
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• pp.37-49
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• 2014

Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.

• 지역사회간호학회지
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• 제14권2호
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• pp.200-210
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• 2003

Purpose: This quasi-experimental study was performed to investigate the effects of a health promotion program(HPP) on self-efficacy, healthy lifestyle and blood lipid profile in employees with hyperlipidemia. Methods: The subjects were forty-three employees who were diagnosed as having hyperlipidemia during routine health examination at two worksites in Seoul in 2001. Of the forty-three subjects, thirty were allocated to the experimental group and the remaining thirteen were allocated to the control group. Data were collected from September 24, 2001 to March 16, 2002. The HPP was applied to the experimental group for 11 weeks and included health education, diet counseling, watching videos, conference, and so on. The health education included information about exercise, smoking cessation, and abstinence from drinking alcohol and seven sessions of hyperlipidemia education. The experimental group was requested to keep a daily health promotion lifestyle diary. This diary was analyzed by a dietician and subjects were instructed based on the results. As for data analyses, wilcoxon signed rank test and wilcoxon rank sum test and x2-test were carried out using SAS program. Results: 1. Self-efficacy scores of the experimental group were significantly more increased than those of the control group (experimental: 5.86 10.80, control: -4.04 11.91, p=0.018). 2. Healthy lifestyle scores of the experimental group were significantly more increased than those of the control group (experimental: 0.19 0.26, control: -0.05 0.29, p=0.024). 3. Blood total cholesterol values of the experimental group were significantly more decreased than those of the control group (experimental: -13.07 30.10mg/dl, control: 10.00 26.57mg/dl, p=0.033). 4. Blood triglyceride values of the experimental group were significantly more decreased than those of the control group (experimental: -29.17 192.40mg/dl, control: 63.31 107.53mg/dl, p=0.050). Conclusion: These findings indicate that the HHP could be effective in improving self-efficacy, healthy lifestyle and blood HDL cholesterol and decreasing blood total cholesterol in employees with hyperlipidemia. Therefore, the HHP could be suggested as an effective nursing intervention for employees in the worksite by ultimately preventing cerebral and cardiac vessel complications related to hyperlipidemia.

• 대한예방한의학회지
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• 제26권1호
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• pp.1-10
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• 2022

Objectives : The aim of this study was to introduce the development process of Korean medicine health promotion program for short stature children that is suitable for applied at public health center. Methods : The draft of health promotion program was developed through literature search of previous similar programs and advice of several experts. A small conference targeted public health Korean medicine doctors was also held to introduce the developed program and discuss for improvements. Results : The details of 12-week of Korean medicine health promotion program for children growth are as follows: 4-week of taking herbal medicines (Yukmijihwang-tang or Yukgunja-tang), contactless counseling with Korean medicine doctor, self-care home kit consisting of Sogeonjung-tang tea leaf, Sogeonjung-tang with Cervi Parvum Cornu extract, ear acupressure stick, finger chuna manual, growth diary, and jump rope. Conclusions : This health promotion program can help to increase the height of children and self-esteem of children with short stature as well as decrease the stress of parents.

• 한국환경보건학회지
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• 제27권1호
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• pp.20-26
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• 2001

personal nitrogen dioxide(NO$_2$) exposures for 31 professional drivers were measured using passive sampler and time activity diary in Asan and Chunan area, and were estimated using time-weighted average model. Mean concentrations of driver’s indoor and outdoor were 24.7$\pm$10.7 ppb and 23.3$\pm$8.3 ppb, respectively with indoor/outdoor of 1.1. Mean personal NO$_2$ exposure was 30.3$\pm$9.7 ppb. Personal NO$_2$ exposures were strongly correlated with indoor car NO$_2$ levels ($R^2$=0.80) rather than residential indoor NO$_2$ level ($R^2$=0.55). and outdoor NO$_2$ level ($R^2$=0.50). The driver’s NO$_2$ exposure using LP-gas with 24.4$\pm$8.0 ppb were statistically different from those using diesel with 36.3$\pm$14.1 ppb(p<0.01). The effect of driver’s smoking for personal NO$_2$ exposure was not found. It was considered that the main NO$_2$in driver is transportation. Since drivers mostly spent their times in indoor and inside car, time-weighted average model could be used to estimated personal NO$_2$ exposure using time activity diary, Though we did not measure all microenvironments, the estimated personal NO$_2$ exposures with 26.9$\pm$10.2 ppb were statistically correlated with measured personal NO $_2$ exposures30.3$\pm$9.7 ppb ($R^2$=0.89). The mean and standard deviation of personal NO$_2$ exposure using Mote-Carlo simulation were 26.6$\pm$7.2 ppb.

• 한국건강관리협회지
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• 제3권1호
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• pp.24-34
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• 2005

Background: A reasonable weight reduction is to reduce fat-body mass while preserving free-fat mass. Recently, many people in Korea have been trying reckless diet therapy for weight reduction by low calory and protein diets, which gave rise to many side effects consequently. For reasonable weight reduction, this study was undertaken to investigate the influential diet factors that change body composition during short-term low calory diet. Methods: 26 healthy obese women aged 23-27 years whose BMI was greater than 24volunteered for the 6 week diet therapy from January to April in 2003. All subjects were instructed to eat approximately 1200kca1/day and write dietary diary. In the beginning of the study, the 3rd week and the 6th week, subjects' body weight and fat body weight were measured by BlA. In the 6th week, the analysis of dietary diary was conducted. Results : There was significant positive correlation between protein intake per ideal bodyweight in the first 3 weeks and free fat mass increase in the later 3 weeks (P<0.05). At the same time, fat intake in the first 3 weeks had positive correlation with free fat mass in the second 3 weeks, too(P<0.05). But, we could not find any significant values that had effect on free fat mass increase in multiple regression analysis. Conclusion: The protein intake in the first 3 weeks helps preserve fat free mass in the later 3 weeks, and has positive effects.

• 대한융합한의학회지
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• 제3권1호
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• pp.29-38
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• 2022

Objectives : The purpose of this study is to investigate the effect of Sa-am acupuncture and Moxibustion on urgency by Overactive bladder in a 79-year-old female patient who has undergone Tension-free Vaginal Tape (TVT) operation. Methods : Patient was treated with Sa-am acupuncture on four acupoints including 太淵(LU9), 太白(SP3), 魚際(LU10) and 少府(HT8) and Moxibustion on two acupoints including 水道(ST28) and 中極(CV12). Patient's symptom was assessed Overactive Bladder Symptom Score(OABSS), Bladder diary and King's Health Questionnaire (KHQ). The treatment was executed once everyday from June, 13th to June, 22th of 2017. Patient was observed from June, 11th to June, 22th. Results : After ten sessions of Sa-am acupuncture and Moxibustion, patient's urinary symptoms were evaluated by OABSS, Bladder diary, and KHQ. After the treatment, total OABSS score decreased from 9 to 5. The frequency of Urgency decreased from 4 to 1. The Urgency grade decreased 4~5 to 1. The mean number of pad changing decreased 3.5 to 1. The score of Role Limitations, Physical Limitations, Social Limitations, Emotions in KHQ decreased. Conclusions : The results suggest that Sa-am acupuncture and Moxibustion can be a valuable option in treating urgency by OAB.

• 한국산업보건학회지
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• 제27권4호
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• pp.313-323
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• 2017

Objectives: This study aimed to assess exposure to black carbon(BC) among forklift operators and to identify environmental and occupational factors influencing their BC exposure. Methods: We studied a total of 23 forklift operators from six workplaces manufacturing paper boxes. A daily BC exposure assessment was conducted during working hours from January to April 2017. A micro-aethalometer was used to monitor daily BC exposure, and information on work activities was also obtained through a time-activity diary(TAD) and interviews. BC exposure records were classified into four categories influencing BC exposure level: working environment, workplace, forklift operation, and job characteristics. Analysis of variance(ANOVA) was used to compare average BC exposure levels among the four categories and the relationships between potential factors and BC exposure were analyzed using a multiple linear regression model. Results: The operators' daily exposure was $12.9{\mu}g/m^3$(N=9,148, $GM=7.5{\mu}g/m^3$) with a range: $0.001-811.4{\mu}g/m^3$. The operators were exposed to significantly higher levels when they operate a forklift in a room ${\leq}20,000m^3$($AM=12.3{\mu}g/m^3$), in indoor workplaces($AM=16.3{\mu}g/m^3$), when they operate a forklift manufactured before 2006 ($AM=13.2{\mu}g/m^3$), a forklift with a loading limit of four-tons($AM=27.1{\mu}g/m^3$), with a roll and bale type clamp($AM=17.1{\mu}g/m^3$), and with no particulate filter($AM=15.7{\mu}g/m^3$). Conclusions: Occupational factors including temperature, smoking, season, daytime, room volume($m^3$), location of operating, and manufacturing era and model of forklift influenced the BC exposure of forklift operators. The results of this study can be used to minimize the BC exposure of forklift operators.

• Journal of Nutrition and Health
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• 제52권1호
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• pp.36-46
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• 2019

본 연구는 만 65세 이상의 노인 49명을 대상으로 가속도계와 신체활동일기를 함께 사용하여 신체활동량과 좌식행동패턴을 성별에 따라 비교하고 WHO 신체활동지침의 실천율을 평가하였다. 1. CPM과 METs는 성별에 따른 유의한 차이가 없었으나 PAEE는 남자가 여자보다 유의하게 높았다. 활동 강도별 1일 평균 소요시간을 살펴보면, 본 연구대상자들은 좌식행동에 소요되는 시간 (남녀 각각 60.6%, 57.6%)이 가장 많았으며 좌식행동 및 중 고강도 활동의 소요시간에서는 남녀간의 유의한 차이를 보이지 않았으나 저강도 활동의 소요시간은 여자가 $364.2{\pm}74.5$분으로 남자 ($313.7{\pm}70.8$분)보다 유의하게 많았다. 2. 남녀 모두 수면시간을 제외한 좌식행동 (2 ~ 5단계) 중 2단계의 '휴식, 담화 및 TV보기' 활동으로 가장 많은 시간 (남자 26.9%, 여자 22.0%)을 보내고 있었으며, 남자가 $388.0{\pm}134.3$분으로 여자 ($316.1{\pm}65.2$분)보다 유의하게 많았다. 저강도 활동에 포함되는 활동 중에서는 7단계의 '미용 및 옷 갈아입기' 활동과 9단계의 '음식 준비 및 정리하기' 활동의 소요시간에서 여자가 남자보다 유의하게 많았다. 중 고강도 활동에서는 15단계의 '체조, 탁구 및 자전거타기' 활동의 소요시간에서 남자가 여자보다 유의하게 많게 나타났다. 3. 좌식행동패턴을 성별에 따라 비교한 결과, 좌식행동을 30분과 40분 이상 지속한 횟수에서 남자가 각각 $3.10{\pm}1.34$회, $1.78{\pm}1.09$회로 여자 ($2.34{\pm}1.22$회, $1.32{\pm}1.07$회)보다 유의하게 많았으나 시간당 좌식행동의 지속을 끊어주는 횟수는 남자 ($5.74{\pm}0.89$회)가 여자 ($6.44{\pm}0.71$회) 보다 유의하게 적었다. 좌식행동을 30분 이상 지속한 횟수 및 시간 당 좌식행동을 끊어주는 횟수는 2단계의 '휴식, 담화 및 TV보기' 활동의 소요시간과 유의한 상관관계를 보였으며 주로 저강도 활동을 통해서 좌식행동의 지속이 끊어지는 것으로 나타났다. 4. 일주일 동안 중 고강도 활동을 각각 2분과 5분 이상 지속한 시간에서는 남자가 $319.8{\pm}255.2$분과 $247.3{\pm}228.2$분으로 여자 ($193.3{\pm}130.6$분, $137.2{\pm}101.9$분)보다 유의하게 많은 것으로 나타났다. 또한 본 연구대상자의 경우 중 고강도 활동의 짧은 지속시간 (10분 미만)으로 인하여 WHO 신체활동지침의 실천율이 22.4% (남자 30.8%, 여자 13.0%)으로 매우 낮았다. 본 연구 결과를 통하여 노인의 경우 장시간 지속되는 좌식행동 패턴을 줄이기 위하여 노력해야함을 알 수 있었다. 이를 위하여 무엇보다도 앉아서 TV를 시청하는 시간을 줄이는 것이 중요함이 지적되었다. 앞으로 노인의 만성질환 예방을 위하여, 노인의 신체활동량 및 좌식행동 패턴과 건강 관련 지표와의 관련성 분석 평가 연구가 필요하다. 특별히 본 연구에서 노인만을 위한 별도의 신체활동지침 마련의 필요성이 제시된 바, 노인에게 적합한 신체활동의 적정 강도 및 적정 유지 시간 등이 반영된 새로운 지침이 개발되어야 할 것이다.