• 한국인터넷방송통신학회논문지
• /
• 제18권4호
• /
• pp.19-26
• /
• 2018

최근 몇 년 동안, 인구 평균 연령의 급격히 증가하면서 다른 연령대의 사람들과 비교할 때 고령자가 더 많아지고 있다. 그 결과 산업계와 학계 모두 노인에게 건강하고 안전한 생활 방식을 제공하기 위한 여러 가지 해결 방법개발에 집중하고 있다. 전천후 생활보조 접근법은 혁신적인 기술과 서비스를 개발함으로써 노인들의 삶의 질을 향상시키고 건강 상태를 모니터링 하는 방법이다. 전천후 생활보조 기술은 또한 노인을 위한 더 많은 안전을 제공하고 응급대응 메커니즘, 추락 탐지 솔루션 및 비디오 감시 시스템을 제공할 수 있다. 불행히도 전천후 생활보조 데이터의 민감한 특성으로 인해, 전천후 생활보조 시스템은 무결성, 기밀성, 가용성, 익명 성 등과 같은 보안 요구 사항을 충족해야한다. 본 논문에서는 전천후 생활보조 시스템을 위한 적응형 인증 프로토콜을 제안한다. 제안된 인증 프로토콜은 전천후 생활보조 시스템에 필수적인 몇 가지 중요한 보안 요구 사항을 지원할 뿐만 아니라 다양한 유형의 공격으로부터 안전하다. 또한 보안 분석 결과를 통해 제안된 인증 프로토콜이 기존 프로토콜보다 더 효율적이고 안전하다는 것을 보여준다.

• 지역사회간호학회지
• /
• 제7권1호
• /
• pp.154-169
• /
• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• 한국산림과학회지
• /
• 제108권4호
• /
• pp.645-654
• /
• 2019

본 연구는 연령별 맞춤형 산림교육의 활성화를 위한 기초연구로서 우리나라 성인의 연령별 산림교육 이용현황 및 요구도를 분석하였다. 전국의 일반 성인 1,542명을 대상으로 설문을 실시한 결과, 우리나라 국민들의 산림교육 인지도와 이용경험에는 연령에 따른 차이가 존재하는 것으로 나타났다. 구체적으로 산림교육 인지도와 이용경험, 향후 산림교육 이용의향 및 산림교육이 전인적 성장에 기여하는 정도에 대한 인식에서 상대적으로 높은 연령대가 더 긍정적인 응답을 보였다. 또한, 산림교육 유경험자의 동반자 유형과 참여 동기에서 연령대별 특징이 나타났다. 산림교육 참여 동기는 '산림경관을 즐기기 위해', '새로운 것을 경험해보기 위해', '기분전환을 위해'라는 응답이 모든 연령대에서 공통적으로 높았으나, 30대는 다양한 배움에 대한 욕구, 50대 이상은 건강에 대한 욕구를 가지고 있는 것으로 나타났다. 40대는 모든 연령대 중 자녀를 포함한 가족과 산림교육에 참여하는 비율이 가장 많았다. 산림교육프로그램 운영기간과 진행시간에 대해서는 연령대가 높을수록 장기간을 선호하였고, 산림교육 선택에 있어 모든 연령층이 공통적으로 가장 중요하게 고려하는 것은 '접근성'인 것으로 드러났다. 향후 본 연구를 통해 연령별 산림교육 이용현황과 요구도의 차이를 고려한 맞춤형 산림교육프로그램 개발과 보급이 활성화될 수 있기를 기대한다.

• 동아시아식생활학회지
• /
• 제17권1호
• /
• pp.27-42
• /
• 2007

The purpose of this study is to investigate the importance of well-being related to lifestyle choices such as food habits, food choices, life pattern, etc. The survey was conducted among college students using a questionnaire and a 5-point Likert score in Seoul City and Kyunggido Province during September 2005. The responses of 968 college students were analyzed by the SPSS program. The results were as follows. Most of the subjects were female(76.2%), and lived with their parents (85.6%). The average score of 'food habits', 'choosing food materials', 'purchasing' and 'life pattern' were $2.71{\pm}1.22,\;2.86{\pm}1.28,\;2.41{\pm}1.21,\;and\;2.97{\pm}1.31$ respectively in males and $3.01{\pm}1.20,\;3.00{\pm}1.32,\;2.55{\pm}1.20,and\;2.68{\pm}1.40$ in females, respectively. In regard to 'food habits', the scores were significantly affected by gender(p<0.001), smoking(p<0.05), alcohol consumption(p<0.05), exercise(p<0.001), weight satisfaction(p<0.001), method of weight control(p<0.001), use of nutritional supplement(p<0.05), attempts at weight control(p<0.001), regularity of breakfast(p<0.001), level of interest in well-being(p<0.001), and whether the individual tried a well-being item(p<0.001). In regarding to 'choosing food materials' the scores were significantly affected by gender(p<0.001), smoking(p<0.05), exercise(p<0.001), weight satisfaction(p<0.05), method of weight control(p<0.05), use of nutritional supplement(p<0.05), attempts at weight control(p<0.001), regularity of breakfast(p<0.001), level of interest in well-being(p<0.001) ), and whether the individual tried a well-being item(p<0.001). Out of the factors affecting 'purchasing', the association with BMI was remarkable. Students who were overweight, obese or underweight showed higher average scores than students of normal weight. The primary concerns and trial of well-being of college students were food and exercise. Therefore, the purchase of well-being goods is related to their weight control in college students. In regard to 'life pattern' the scores were significantly affected by exercise(p<0.01), use of computer(p<0.001), BMI(p<0.001), weight control(p<0.001), use of nutritional supplement(p<0.05), regularity of breakfast(p<0.001), level of interest in wellbeing(p<0.001), whether the individual tried a well-being item(p<0.001), and having taken lecture on well-being(p<0.05). Therefore nutrition education is needed for healthy eating habits of college students and it is necessary to develop a series of lectures to teach them about diet and exercise programs.

• 약학회지
• /
• 제59권6호
• /
• pp.270-277
• /
• 2015

There is a lack of evidence on the impact of pharmacist interventions in diabetes care in South Korea. The aim of this study was to investigate the effects of pharmacist counseling on clinical and humanistic outcomes in patients with type 2 diabetes. An uncontrolled before-and-after study was conducted at the outpatient diabetes clinic in a teaching hospital in Gyeongnam, South Korea between January 2 and November 30, 2014. A total of 37 patients were enrolled. During the study periods, the participants and pharmacists met every 2 weeks via follow-up telephone calls in addition to face-to-face meetings upon returning for care visit. At each meeting, a structured patient counseling was performed and the average duration of each meeting was 15~30 minutes. The participants were requested to record daily self-care activities. At the end of this study, patients' satisfaction on pharmacist care was evaluated using the questionnaire developed by us. Compared to baseline, significant reductions (mean${\pm}$standard deviation, p<0.05) in HbA1c were observed at each follow-up period: $-0.32{\pm}0.72%$ from baseline to 3 months; $-0.52{\pm}0.76%$ from baseline to 6 months; $-0.72{\pm}0.76%$ from baseline to 9 months. Over the same follow-up period, the proportions of patients achieving target HbA1c (defined as HbA1c<6.5%) were 3.1%, 10.3%, and 20%, respectively. The proportions of patients who never missed a dose during the same follow-up period were 43.8%, 31.0%, and 20.0%, respectively. The results from the patient satisfaction survey indicated that pharmacist counseling improved patients' knowledge about diabetes and possible drug interactions. Especially, the information on a healthy diet and lifestyle was the most satisfying. To conclude, follow-up telephone calls combined with face-to-face meetings improved clinical and humanistic outcomes in patients with type 2 diabetes mellitus.

• 디지털융복합연구
• /
• 제15권2호
• /
• pp.493-501
• /
• 2017

본 연구는 서울 및 경기도에 거주하는 40~50대 중년기 여성 230명을 대상으로 건강상태, 생활습관, 심리적 상태에 따른 노화인식을 조사하여 중년기에 급격하게 진행되는 노화를 예방하고 신체적, 정신적으로 건강한 노후를 맞이할 수 있는 미용적 대안을 제시하고자 하였다. 자료수집은 2015년 7월 25일부터 2015년 9월1일까지 진행하였으며, 빈도분석, 독립표본 t-test, ANOVA 및 Duncan test로 분석하였다. 연령이 높을수록 폐경비율이 높았고, 음주, 운동량, 수면시간이 줄어든 반면 스트레스와 심리적 압박감은 더 큰 것으로 나타났다. 폐경여부에 따라 안면노화의 상태는 유의미한 차이를 보였고(${\chi}^2=39.692^{***}$, p<.001), 여가(취미)활동의 여부에 따라서도 차이를 나타냈다(${\chi}^2=22.470^{***}$, p<.01). 또, 노화의 진행정도, 노화에 대한 불안감, 개선을 위한 노력 등의 항목에서 연령이 높을수록, 폐경에 가까울수록 부정적인 인식을 보여 50세 전후의 노화와 폐경은 매우 자연스러운 현상이지만 제2의 사춘기와도 같은 이 시기를 겪는 40~50대 중년기 여성들을 위한 미용적 대안이 마련된다면 성공적 노후를 맞이하는데 도움이 될 것으로 생각된다.

• 한방비만학회지
• /
• 제5권1호
• /
• pp.1-8
• /
• 2005

Objectives: Although electro-acupuncture is being utilized to reduce weight in Korea, its usefulness in obesity management has not been fully evaluated yet. The objective of this study is to evaluate the effect of Electro-acupuncture on thigh circumference. Methods: 12 healthy volunteers participated in this study. We measured the circumference of both thighs, and treated the thicker one with transcutaneous electro-acupuncture at 8 acupoints, 10 times in total. The electrical parameters were : 1st step frequency set was at 15Hz and the treatment proceeded for 50 minutes, 2nd step at 50Hz for 10 minutes and at 3rd step the acupunctures were removed and electrodes were attached on the lower limb at 166Hz for 15 minutes. In order to evaluate the effect of the treatment, total body weight, percentage of body fat and thigh circumference were measured 4 times. Before the treatment, after 5th and 10th treatment and 1 month after completion of the whole treating procedure. Statistical significance(P<0.05) was determined using the Wilcoxon signed rank test. We did not control diet, exercise and lifestyle of the volunteers. Results: No significant change was shown in body weight after 10 times of treatment. Yet the thigh circumference of effect group significantly decreased after 5th treatment and 10th treatment. The circumference of control group that was not treated by electro-acupuncture significantly decreased too. At first, difference between the two thighs in circumference was obvious, but no difference was left after 10 times of treatments on the thicker thigh. Percentage of body fat was significantly decreased. 1 month after having completed the treatment, there was no significant difference of body weight, thigh circumferences and percentage of body fat. Conclusion: These results suggest that electro-acupuncture effectively regulates regional fat, body fat percentage and body shape.

• 대한지역사회영양학회지
• /
• 제13권4호
• /
• pp.489-498
• /
• 2008

This study was carried out to identify bone mineral density(BMD), body composition, lifestyle and dietary habits of young women by physical measurement and questionnaires. The study subjects, 190 young women living in Seoul, were divided into three age groups: $20{\sim}24$ years(93), $25{\sim}29$ years(44) and $30{\sim}39$ years(53). There was no significant difference in mean body muscle mass, protein, mineral, body fat and BMI among the three age groups. The rate of low weight(18%) in 20 years group was higher that of the 30 years(11.3%). The mean BMD and T-score were $0.44g/cm^2$ and -0.66. BMD and T-score of the forearm bone were significantly higher in the $30{\sim}39$ years group. But BMD and T-score of calcanues were not significantly different among the three age groups. The rate of normal, osteopenia and osteoporosis subjects by BMD were 60.5%, 38.4%, 1.1%, respectively. The rate of osteopenia in $20{\sim}24$ years group was significantly higher than the other age groups. The rate of meal irregularity was significantly higher in $20{\sim}24$ years group. The rate of women who walk and are exposed to sunlight more than 1hr per day were significantly higher in $20{\sim}24$ years group than the others. However, the score of food behaviors is significantly higher(bad) in $20{\sim}24$ years group than the others. The relationship between BMD and frequency of food intake showed significant differences in beans, broom, seaweed and rice wine. In conclusion, the risk rate of BMD was very high, 40% of the subjects, and the risk rate of BMD was higher in 20 years group than 30 years group, and the rate of low weight in 20 years group was higher than in 30 years group. The food habits and behaviors were not healthy enough. Therefore, nutrition education is needed for bone health.

• 한국산학기술학회논문지
• /
• 제14권1호
• /
• pp.265-274
• /
• 2013

본 연구의 목적은 아동 청소년의 비만실태에 따른 식생활습관의 관련 요인을 알아보고자 하였다. 본 연구는 보건복지가족부에서 시행한 용역연구과제중 '2009 한국 아동 청소년 온라인게임 및 가족여가활동실태조사' 연구결과 데이터를 활용하였다. 연구활용 대상자는 초등학생 2,778명, 중학생 3,385명, 고등학생 3,299명 총 9,462명을 대상으로 하였다. 연구대상자의 BMI에 따라 그룹화 하였다. 저녁식사 후 간식 섭취는 18.5>BMI 그룹은 그렇지 않다고 38.8%, 18.5${\leq}$BMI<23.0 그룹은 그렇지 않다고 41.1%, 23.5${\leq}$BMI<25.0 그룹은 그렇지 않다고 40.1%, $25{\leq}BMI$ 그룹은 그렇지 않다고 37.4%로 가장 높은 응답을 하였다(p=0.001). 매일 규칙적인 운동을 하는지 조사한 결과 BMI 지수가 높은 그룹 일수록 운동을 하지 않는 것으로 나타났다. 체육시간 등과 같은 시간에 적극성을 조사한 결과 BMI 지수가 낮은 그룹 일수록 적극적으로 운동하는 것으로 나타났다. 주위사람과의 식사 속도 역시 BMI 지수가 높은 그룹일수록 식사속도가 빠른 것으로 나타났다. 아동 청소년 시기에 올바른 교육을 실천할 수 있도록 해 준다면 보다 건강하고 윤택한 삶을 영유할 수 있을 것이다. 아동 청소년기의 올바른 인식과 생활습관을 갖추도록 해주어 보다 건강하고 행복한 삶을 살도록 해 주어야 할 것이다. 이를 위해서는 아동 청소년은 물론 부모를 대상으로 교육할 필요성이 있다.

• Journal of Nutrition and Health
• /
• 제38권7호
• /
• pp.521-532
• /
• 2005

The prevalence of atopic dermatitis (AD) continues to rise in industrialized countries related to Western lifestyle, including dietary habits, especially imbalance of intake of dietary fatty acids. The purpose of this study was to evaluate the dietary fatty acids and the assess the blood fatty acid composition and immune parameters in AD patients. AD (n = 50) patients and gender ${\cdot}$ age matched healthy controls (HC) were studied in case-control clinical trail. Current fatty acids intake status was determined by 3-day food record method. Blood sample were collected from 30 subjects in each group and blood fatty acid composition and immune parameters were analysed. AD patients consumed less PUFA and their n-6/n-3 PUFA ratio was higher than that of HC. Both the ratios of PUFA and MUFA were positively correlated with SCORAD in AD patients (p < 0.05). In the AD patients, there were abnormalities in the fatty acid composition of the RBC and WBC, SFA being significantly high and most n-3 PUFA being significantly low. Moreover, both the ratios of EPA and DHA in WBC were negatively correlated with dietary n-6/n-3 PUFA ratio in AD patients (p < 0.05). Serum total IgE and IL-4 levels of AD patients increased significantly compared with the levels of HC (p < 0.01). Ratios of monocyte and eosinophil in WBC of AD patients increased significantly compared with the levels of HC including total WBC count (p < 0.01), and ratios of Iymphocyte and basophil in WBC of AD patients decreased significantly compared with the levels of HC (p < 0.05). Moreover, the ratios of eosinophil in WBC were positively correlated with dietary P/M ratio (p < 0.05), and the ratios of monocyte in WBC were positively correlated with n-6/n-3 PUFA ratio (p < 0.05) in AD patients. This results indicated that AD patients had significantly high intake of dietary n-6/n-3 PUFA compared with HC. Imbalance of intake of dietary fatty acids affected fatty acid compositions in the RBC and WBC, and these lead to immune imbalance and grow worse of AD.