• 한국농촌간호학회지
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• 제17권1호
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• pp.23-33
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• 2022

Purpose: This study was conducted to identify the effects of an integrated health improvement program for the elderly based on primary health care posts during the COVID-19 pandemic. Methods: A single group pretest-posttest design (n=16) was employed to evaluate an integrated health improvement program that took place twice a week for 11 weeks. The program was conducted in a small group of no more than 10 people in compliance with the guidelines to prevent COVID-19 infection. The program consisted of various contents such as making letters using blocks, health education, and talking about one's memories. The data were analyzed using the Wilcoxon signed rank test. Results: Following the program, social support (Z=-3.50, p<.001) and quality of life of the elderly (Z=-3.74, p<.001) were significantly improved among depression, social support and quality of life. Conclusion: The integrated health improvement program based on primary health care posts, considered in this study, was useful to improve the social support and quality of life of the elderly in the community, and needs to be applied to a larger number of elderly people throughout the community.

• PNF and Movement
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• 제11권2호
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• pp.77-85
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• 2013

Purpose : The purpose of this study is to investigate the effects school business hospital-based integrated health education on learning transfer factor and level. Methods : This study conducted a questionnaire survey of 60 students at D college using metastatic diagnostic tool who took the integrated health education curriculum, statistical analysis utilized the SPSS 17.0 for window version. Results : On comparison of the details 5 clauses, 29 questions using LTSI, this study found that the integrated health education based on the school business hospital is effective for learning transfer. Conclusion : What the integrated health education based on clinic practice system at D college to overcome the limitations of health and medical line is effective for learning transfer and it will be useful to cultivate professional.

• 지역사회간호학회지
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• 제14권2호
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• pp.287-298
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• 2003

The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.185-194
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• 2023

Purpose: This study aimed to prepare basic data for the development of a nursing intervention program to improve nursing performance by identifying the factors affecting nursing performance in an integrated nursing care service ward. Methods: Participants were 166 nurses who had worked for more than six months in the integrated nursing care service wards of three general hospitals located in B city. Data were collected from July 15 to August 30, 2022 using structured questionnaires and analyzed by T-test, ANOVA, Scheffé test, Pearson's correlation coefficients and multiple linear regression using the IBM SPSS/WIN 25.0 statistical program. Results: Factors affecting the nursing performance of participants were age (β=.58, p<.001), positive psychological capital (β=.41, p<.001), and social support (β=.28, p<.001). The total explanatory power of these variables for nursing performance was 55.8%. Conclusion: The results of this study suggest the need for programs that improve psychological capital and social support while considering nurse's age to enhance their performance in nursing integrated service wards.

• Nano
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• 제13권11호
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• pp.1850126.1-1850126.10
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• 2018

Flexible strain sensors, as the core member of the family of smart electronic devices, along with reasonable sensing range and sensitivity plus low cost, have rose a huge consumer market and also immense interests in fundamental studies and technological applications, especially in the field of biomimetic robots movement detection and human health condition monitoring. In this paper, we propose a new flexible strain sensor based on thick CVD graphene film and its low-cost fabrication strategy by using the commercial adhesive tape as flexible substrate. The tensile tests in a strain range of ~30% were implemented, and a gage factor of 30 was achieved under high strain condition. The optical microscopic observation with different strains showed the evolution of cracks in graphene film. Together with commonly used platelet overlap theory and percolation network theory for sensor resistance modeling, we established an overlap destructive resistance model to analyze the sensing mechanism of our devices, which fitted the experimental data very well. The finding of difference of fitting parameters in small and large strain ranges revealed the multiple stage feature of graphene crack evolution. The resistance fallback phenomenon due to the viscoelasticity of flexible substrate was analyzed. Our flexible strain sensor with low cost and simple fabrication process exhibits great potential for commercial applications.

• 한국농촌간호학회지
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• 제11권2호
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• pp.17-28
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• 2016

Purpose: This study aimed to determine the effects of a 'Customized Integrated Health Care Program' for male living alone in a single region and assist health promotion of the participants. Methods: This study was one-group pretest-posttest design. Eleven participants in the 'Happy Cooking Class for Male Living Alone' who made 100% of attendance from February 18 to September 8, 2016 were analyzed. Nonparametric paired T-test was performed to determine the differences in Blood pressure(BP), Blood sugar(BS), Cholesterol, Hemoglobin(Hb), Dementia screening test, Depression screening test of the participants in the Customized Integrated Health Care Program. Results: After applying the 'Customized Integrated Health Care Program', Hb level(z=-2.724, p=.006) and Dementia screening test(z=-1.974, p=.048) increased statistically significantly. Conclusion: As the elderly living alone increase in number, it seems that social support networks and health care programs contribute to health promotion of the participants and positively affect the rest of their life.

• 한국주거학회논문집
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• 제25권2호
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• pp.99-107
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• 2014

This study attempts to provide implications for developing more efficient and effective community-based support system with AIP perspective for the elderly in Korea. The main purpose of this study is to analyze Japan's community-based integrated care system that respond to the concept of aging in place (AIP) and its cases. In Japan, they have offered Community-Based Service since 2005, and the advanced system which include integrated support categories and consolidated community/local resources will started in 2015 by The revision of Long-term Care Insurance policy, 2012. The result of policy analysis and case studies are as follows: 1) The suggestion for ideal support system model promoted a relationship of multiple agents include private sectors even resident and senior and specified responsibility sharing, 2) the system proposed Not only health and medical care support, living care and residence are also addressed as a comprehensive support. and 3) the amount of available community resource is different by each local government, but the effort to get the understanding of community residents and to connect with a potential community resource is also essential aspect to set effective community-based support system.

• 지역사회간호학회지
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• 제28권4호
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• pp.386-396
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• 2017

Purpose: The purpose of this study was to investigate the influence of social support, self - esteem, hope, and health conservation of the vulnerable elderly people with diabetes. Methods: Participants were 100 vulnerable elderly people with diabetes living in D or K cities. Data collection was done through interviews from February to March, 2016. Social support was measured with the MOS-SSS (Medical Outcomes Study Social Support Survey), self-esteem with Self-Esteem Scale, hope with the Nowotny Hope Scale, and health conservation with the Sung's Health Conservation Scale. IBM SPSS 20.0 was used to analyze descriptive statistics, one-way ANOVA, independent t-test, Pearson correlation, and stepwise multiple regression. Results: Factors affecting the health conservation of the vulnerable elderly people were social support, hope, education level and subjective health status. These factors explained 64.9% of the health conservation. Conclusion: It is necessary to construct a comprehensive nursing classification system for elderly people with diabetes in vulnerable class and to develop integrated health conservation program and nursing care as a new social support resource.

• 보건행정학회지
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• 제33권2호
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• pp.166-172
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• 2023

Background: To improve the support low-income individuals' medical expenses, it is necessary to think about ways to enhance the Catastrophic Health Expenditure Support Program. This study proposes expanding support criteria and changing the income standard. Methods: This study conducted simulations using national data from the National Health Insurance Service. Simulations performed for people who have used health services (n=172,764) in 2022 to confirm the Catastrophic Health Expenditure Support Program's size based on changes to the subject selection criteria. Results: As a result of the simulation with expanded criteria, the expected budget was estimated to increase between Korean won (KRW) 13.2 (11.5%) and 138.6 billion (37.4%), and the number of recipients increased between 41,979 (48.9%) and 150,317 (76.1%). The results of the simulation for the change in income criteria (applied to health insurance levels below the 50th percentile) estimated the expected budget to increase between KRW -8.9 (-7.8%) and 55.6 billion (15.0%) and the number of recipients to increase between -8,704 (-10.1%) and 41,693 (21.1%) compared to the current standard. Conclusion: The 2023 Catastrophic Health Expenditure Support Program's criteria were expanded as per the 20th Presidential Office's national agenda to alleviate the burden of medical expenses on the low-income class. In addition, The Catastrophic Health Expenditure Support Program needs to be integrated with other medical expense support policies in the mid- to long-term, and a foundation must be prepared to ensure the consistency of each system.

• 한국융합학회논문지
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• 제8권7호
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• pp.131-139
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• 2017

본 연구는 지역주민에게 건강증진서비스를 제공하는 공무원을 대상으로 보건소 중심 통합건강증진사업의 효과성을 알아보기 위해 시행되었다. 조사는 구조화된 설문지를 이용하여 2015년 9월 10일부터 10월 5일까지 시행되었으며, 총 254개 보건소에 각 2부씩 508부를 배부하여 349부를 회수하였고, 이 중 339부를 최종 분석 자료로 활용하였다. 본 연구 결과, 대상자들은 통합건강증진사업의 효율성과 자율성, 책임성, 보건복지부지원. 유관기관지원에 대해서 전반적으로 평균 수준으로 인식하는 것으로 나타났으며, 보건소 내에 통합건강증진 전담부서가 있는 경우와 필수사업의 비중이 높을수록 모든 검정변수에서 평가가 긍정적이었다. 하지만 통합사업 전에 비해 업무량이 증가하였으며, 필수사업 시행이 지역별 건강문제나 지역 여건을 충분히 반영하지 못하는 것들이 문제점으로 조사되었다. 이러한 결과를 통합건강증진사업의 성공적 운영 전략에 반영할 필요성이 있다.