• 농촌의학ㆍ지역보건
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• 제34권1호
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• pp.113-123
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• 2009

이 연구는 농촌지역에 거주하는 노인 160명을 대상으로 하여 최종 참여한 148명(중재군 70명, 대조군 78명)에게 수행하였다. 중재군에는 에너지 및 부족영양소의 급원 식품을 1주 분량으로 주 1회씩 3개월 동안 제공하고 동시에 영양교육을 6회 실시하였고, 대조군에 대해서는 식품제공을 적용하지 않은 상태에서 영양교육만 같은 내용으로 6회 실시하여 두 군을 비교 연구하여 얻은 결론은 다음과 같다. 1. 영양중재결과 영양지식의 유의한 차이는 없으나 중재군에서 우울증 척도의 점수가 유의하게 감소하였고, 식습관의 변화, 자신감과 신념척도의 점수가 유의하게 증가하였다. 2. 영양중재로 인한 혈액학적 변화로는 transferrin이 유의하게 증가하였다. 3. 중재군에서 에너지 필요추정량 대비 에너지섭취비율이 71.0%에서 87.4%로 증가하였고, 비타민A와 나이아신을 제외한 대부분의 영양소가 유의하게 증가하였다. 이상의 결과로 볼 때 단기간의 개입기간에도 지역사회노인이 실제로 섭취하는 음식의 구성은 식품제공을 겸한 영양중재사업을 통해 개선될 수 있으며, 개개인의 식습관, 우울증, 자신감 등의 개선을 기할 수 있어 영양개선에만 그치지 않고 다른 영역에 대한 파급효과를 기대할 수 있다. 또한, 노인영양개선사업은 단순히 교육만으로 효과를 충분히 거두기 어려우며 영양공급을 전제로 할 때 소기의 목적을 달성할 수 있다고 결론지을 수 있다.

• 치위생과학회지
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• 제15권1호
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• pp.67-76
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• 2015

본 연구는 수도권 일부지역의 성인을 대상으로 치과 의료이용에 미치는 영향을 분석하기 위해 수행하였다. 앤더슨 모형을 기반으로 하는 구조화된 설문지를 이용하여 2013년 5월 7일부터 6월 20일까지 실시하였으며 SPSS 통계 Package version 20.0을 사용하여 다음과 같은 연구결과를 얻었다. 대상자의 51.7%는 여성이며, 남성은 48.3%이다. 연령은 만 18세 이상 29세 미만 31.2%, 30대 31.1%, 40대 24.5%, 50세 이상 64세까지는 13%이다. 지난 1년간 치과 의료이용을 한 응답은 57.5%이다. 치과 의료이용에 영향을 미치는 특성으로 연령(p<0.001), 지역(p=0.005), 흡연유무(p<0.001), 구강보조용품사용(p<0.001), 건강신념 중 유익성(p=0.004), 자기효능감(p<0.001), 장애성(p=0.028)으로 유의미하게 나타났다. 치과 의료이용여부를 위계적 방법으로 분석한 결과 모델 1, 2에서는 구강보조용품 사용중 치실, 전동칫솔, 치간칫솔 사용이 유의하였으며, 모델3에서는 구강보조용품중 치실, 전동칫솔, 치간칫솔과 더불어 건강신념 중 자기효능감과 장애성이 유의한 결과로 나타났다. 따라서 소인성 요인의 구강보조용품 사용과 필요 요인의 건강신념 자기효능감과 장애성이 치과의료에 영향을 미치므로, 이에 따른 구강 보건교육의 중요성을 강조하며, 치과 의료 이용의 접근성을 높일 수 있는 방안을 고려해야 할 것이다.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.5-24
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• 2001

The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

• 치위생과학회지
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• 제13권4호
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• pp.449-460
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• 2013

본 연구는 23명 대학생을 대상으로 1차 강의식 교육과 2차 소그룹별 실습 교육의 구강보건교육을 실시한 후 올바른 칫솔질, 치실질 실천 및 식습관 중 영양성분표 확인 등의 구강건강행동별로 변화단계와 동기요소의 변화 양상을 파악하고, 면접조사를 통해 동기요소에 영향을 미친 요인을 심층적으로 확인하여 구강건강행동의 변화 과정을 분석하여 다음과 같은 결과를 얻었다. 1) 1, 2차 교육 후 1개월 내 행동을 시작하려는 준비단계의 응답비율이 소폭 증가하였다. 구강건강행동별 동기요소는 1차 교육에 비해 2차 교육 후 올바른 칫솔질에 대해 귀찮다고 느끼는 장애 인식에서 '귀찮음'에서 '귀찮지 않음'으로 긍정적으로 변화한 비율이 39.1%로 가장 높았고, 치실질 실천과 영양성분표 확인에서는 자기 효능감 인식에서 '자신 없음'에서 '할 수 있음'으로 긍정적으로 변화한 비율이 각각 50.0%, 30.4%로 높게 나타났다. 2) 올바른 칫솔질 실천에 대한 필요성 또는 유익성을 인식하였을 때 칫솔질 실천에 대해 귀찮아하는 장애 인식이 낮았다. 치실질 실천의 경우, 평소에 치아 사이를 관리하는 것에 대한 필요성을 느꼈거나, 지인으로부터 치실 사용을 권고받은 경험이 있거나 지인의 직접 사용하는 것을 보았을 때 치실질을 할 수 있겠다고 인식하는 자기효능감이 높았고, 식습관 중 영양성분표 확인에 대해 귀찮아하는 장애 인식이 낮고, 필요성과 유익성을 명확히 인식할 때 간식 구매 시 영양성분표를 확인하겠다고 하는 자기효능감 인식이 높았다. 3) 교육 대상자의 구강건강인식 및 행동변화에 영향을 미친 교육의 특성으로는 실험, 실습을 통해 결과를 직접, 바로 확인할 수 있는 참여위주의 교육이었고, 이해하기 쉬운 그림, 사진자료를 활용하였기 때문인 것으로 나타났다. 이에 따라 실습, 참여위주의 교육을 통해 구강건강행동을 실천할 수 있다는 자기효능감은 높이고 행동에 대한 어려움 인식은 낮추며, 자신의 상태를 관찰해 봄으로써 구강질환에 대한 취약성을 인식하고, 그림과 사진 자료를 이용하여 쉽게 이해함에 따라 구강건강행동의 유익성을 명확히 인식함으로써 긍정적인 행동변화를 유도하는 효과적인 교육이 이루어질 수 있겠다. 추후 변화단계별 다양한 동기요소를 이끌어낼 수 있는 구체적인 전략이 개발되어 실제적인 행동변화를 유도할 수 있는 구강보건교육이 이루어져하며, 다양한 건강행동모형에 근거하여 구강건강행동 변화를 유도하는 경로와 관련 요인을 검증하고, 관련 요인에 개입할 수 있는 전략을 개발하는 연구가 이루어져야 할 필요가 있겠다.

• 동서간호학연구지
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• 제26권2호
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• pp.118-129
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• 2020

Purpose: The purpose of this study was to analyze the topic trend of domestic simulation nursing education research using text network analysis(TNA). Methods: This study was conducted in four steps. TNA was performed using the NetMiner (version 4.4.1) program. Firstly, 245 articles from 4 databases (RISS, KCI, KISS, DBpia) published from 2008 to 2018, were collected. Secondly, keyword-forms were unified and representative words were selected. Thirdly, co-occurrence matrices of keywords with a frequency of 2 or higher were generated. Finally, social network-related measures-indices of degree centrality and betweenness centrality-were obtained. The topic trend over time was visualized as a sociogram and presented. Results: 178 author keywords were extracted. Keywords with high degree centrality were "Nursing student", "Clinical competency", "Knowledge", "Critical thinking", "Communication", and "Problem-solving ability." Keywords with high betweenness centrality were "CPR", "Knowledge", "Attitude", "Self-efficacy", "Performance ability", and "Nurse." Over time, the topic trends on simulation nursing education have diversified. For example, topics such as "Neonatal nursing", "Obstetric nursing", "Pediatric nursing", "Blood transfusion", "Community visit nursing", and "Core basic nursing skill" appeared. The core-topics that emerged only recently (2017-2018) were "High-fidelity", "Heart arrest", "Clinical judgment", "Reflection", "Core basic nursing skill." Conclusion: Although simulation nursing education research has been increasing, it is necessary to continue studies on integrated simulation learning designs based on various nursing settings. Additionally, in simulation nursing education, research is required not only on learner-centered educational outcomes, but also factors that influence educational outcomes from the perspective of the instructors.

• Journal of Korean Biological Nursing Science
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• 제22권4호
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• pp.232-248
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• 2020

Purpose: The purpose of this study was to develop and apply a motivation-strengthening obesity management program for obese subjects with visual impairment and evaluate its effects. Methods: The program development and evaluation periods were from March to August 2018. The study design was an experimental study of non-equality, control repeat design. 25 subjects in the experimental group participated in the 12-week obesity management program and the 26 people in the control group did not. Results: The motivation-strengthening obesity management program included stretching exercises for 30 minutes in the morning five times a week. In addition, counseling, education, and group discussions were continued once a week for motivational strengthening. Special custom exercises for blind patients were also completed once a week simultaneously. Both of these activities were continued for 50 minutes a week for a total of 12 weeks. Measurements were recorded periodically to identify the sustained effects of the program. The obese subjects with visual impairment improved their knowledge of obesity, perceived disability, self-efficacy of exercise, and quality of life related to obesity through the motivational obesity management program. Waist circumference, systolic blood pressure, diastolic blood pressure, and fasting blood sugar were also improved in obese subjects. Conclusion: The study findings indicate that this program could be an active intervention for the control of weight gain in participants with visual impairment. Therefore, the motivation-strengthening program based on the ADDIE (Analysis, Design, Development, Implementation& Evaluation) model could be an effective strategy for better health outcomes of obese subjects with visual impairment.

• 한국지역사회생활과학회지
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• 제25권4호
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• pp.533-548
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• 2014

The Ministry for Agriculture, Food and Rural Affairs developed a program called "Core Action Massages for Green Dietary Life" to reduce greenhouse gas emissions and energy consumption and improve health. This study examines the degree of perceptions and practices with respect to these massages by considering a sample of 245 homemakers in Ulsan, Korea. The questionnaire consisted of questions about perceptions and practices of Core Action Massage and its three parts of detailed massages: , , . The data were analyzed with cross tabulation analysis, Tukey analysis after ANOVA. The score of agreement to Core Action Massage was 4.57(range 1-5). The score of perception about showed significant differences in age(p<0.01) and income(p<0.05). The score of perception about and showed significant differences in age(p<0.05). The score of practicing showed significant differences in age(0.001), education(0.01), housing style(p<0.01), and region(0.01). The score of practicing showed significant differences in age(p<0.001), education(0.05), and region(0.05). The frequency of practices for was low. As to the results of the study, education on green dietary life must be provided to homemakers, especially young homemakers. Opportunities to experience of farming to appreciate others' efforts to obtain food should also be provided.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4875-4883
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• 2016

Background and objective: Breast cancer-related lymphoedema (BCRL) is a disabling complication with long term impact on quality on life after breast cancer treatment. Its management remains a major challenge for patients and health care professionals; the goal of this overview was to summarize effects of different treatment strategies for patients with BCRL. Methods: A thorough search was undertaken to allow a systematic review or meta-analysis of treatments for BCRL. Two investigators independently selected studies and abstracted the data. Results: Combined physical therapy (CPT) with different combinations of surgery, oral pharmaceuticals, low-level laser therapy, weight reduction, mesenchymal stem cell therapy, kinesio tex taping, and acupuncture might be effective in reducing lymphoedema, but exercise demonstrated no obvious benefit. The results of direct comparisons showed CPT might be more effective than standard physiotherapy (ST). Manual lymphatic drainage (MLD) may not offer additional benefits to ST for swelling reduction, but could facilitate compression bandaging. MLD seemed to have similar effects with self-administered simple lymphatic drainage (SLD) or using an intermittent pneumatic compression pump (IPC). IPC might also not be associated with additional effectiveness for CPT. Efficacy of stem cell therapy vs. compression sleeve or CPT, as well as the effects of daflon and coumarin could not be established. Conclusion: Although many treatments for BCRL might reduce lymphoedema volume, their effects were not well established. The quality of many of the original studies in the included reviews was not optimal, so that in future randomized control trials are a high priority.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5793-5800
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• 2015

Background: Outcome-expectation beliefs and knowledge may ultimately influence behavior for cancer prevention. The aims of this study were to measure changes in knowledge and beliefs about cancer prevention before and after viewing a television advertisement and identify the factors affecting receptivity to its messages. Materials and Methods: A one-group pretest-posttest design was used in this study of 1,000 individuals aged 20 to 65 years who were recruited online in November 2014. The outcome variables included cancer prevention beliefs based on the Health Belief Model (five items) and knowledge about risk factors for cancer (seven items). Results: Perceived susceptibility, perceived benefits, and self-efficacy increased significantly and their perceived severity and perceived barriers decreased significantly, after participants viewed the television advertisement. Correct responses to questions about risk factors also increased significantly, except for smoking. The main factors affecting changes in the outcome variables were age, interest in cancer prevention, social network, satisfaction with the ad, and pretest scores. Conclusions: Television advertisements with positive frameworks can be an efficient channel of improving beliefs and knowledge about cancer prevention in a short period. The continuous development of intervention materials that consider the demographics, needs, and satisfaction of the target group will be necessary for future studies.

• Nutrition Research and Practice
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• 제11권2호
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• pp.130-138
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• 2017

BACKGROUND/OBJECTIVES: Low consumption of fruit and vegetable is frequently viewed as an important contributor to obesity risk. With increasing childhood obesity and relatively low fruit and vegetable consumption among Thai children, there is a need to identify the determinants of the intake to promote fruit and vegetable consumption effectively. SUBJECTS/METHODS: This cross-sectional study was conducted at two conveniently selected primary schools in Nakhon Pathom. A total of 609 students (grade 4-6) completed questionnaires on personal and environmental factors. Adequate fruit and vegetable intakes were defined as a minimum of three servings of fruit or vegetable daily, and adequate total intake as at least 6 serves of fruit and vegetable daily. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression. RESULTS: The proportion of children with a sufficient fruit and/or vegetable intakes was low. Covariates of child's personal and environmental factors showed significant associations with sufficient intakes of fruit and/or vegetable (P < 0.05). Logistic regression analyses showed that the following factors were positively related to sufficient intake of vegetable; lower grade, a positive attitude toward vegetable, and fruit availability at home; and that greater maternal education, a positive child's attitude toward vegetable, and fruit availability at home were significantly associated with sufficient consumption of fruits and total fruit and vegetable intake. CONCLUSIONS: The present study showed that personal factors like attitude toward vegetables and socio-environmental factors, such as, greater availability of fruits were significantly associated with sufficient fruit and vegetable consumption. The importance of environmental and personal factors to successful nutrition highlights the importance of involving parents and schools.