• Title/Summary/Keyword: Intervention Strategies

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The Comparative Analysis of Health Risk Factor according to HbA1c Level of Elderly Women Dwelling in Jeonla Province - Blood Health Status, Food Habit and Nutrient Intake - (전라도에 거주하는 여자노인의 당화혈색소 수준에 따른 건강위험인자의 비교분석 - 생화학적 요인, 식습관 및 영양상태 -)

  • Oh, Se In;Kwak, Chung Shil;Lee, Mee Sook
    • The Korean Journal of Food And Nutrition
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    • v.29 no.3
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    • pp.392-403
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    • 2016
  • The purpose of this study was to investigate the relations between HbA1c level and health risk factor. For analysis, 330 elderly women aged 65 years and over were recruited in Jeonla province, Korea. The subjects were classified into two groups according to their HbA1c level; the diabetic group (HbA1c level${\geq}6.5%$, n=68, 20.6%) and control group (HbA1c level<6.5%, n=262, 79.4%). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, a health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups and nutrient intake. Educational level of the diabetic group was significantly lower than that of the control group. The height of the diabetic group was shorter, and percentage fat of the diabetic group was higher than those of the control group. In the diabetic group, the higher concentrations of creatinine and activity of alkaline phosphatase were found to be significantly unfavorable factors. Therefore, the diabetic group was assumed to be at risk of decreased liver and renal function. The self-rated health level of the diabetic group has a declining tendency, while the medicine intake was significantly higher than that of the control group, but there are no significant differences in visiting frequency of hospital and community health center. The distribution of physical activity showed a significant difference between the groups. Although there are no significant differences in nutrient intake, the diabetic group had relatively inferior nutrient intake of diet, especially vitamin C, as contrasted with the control group. In conclusion, the weight control and increasing physical activity may be effective in the prevention of the diabetes and continuous education and intervention by specialized nutritionists will be needed for diabetic patients. These results could be useful to plan effective strategies to increase the health-life expectancy and the prevention of the diabetes of Korean elderly people living in rural areas.

A Rationale for Instrumental Music Playing for Upper Extremity Rehabilitation in Subacute Stroke (아급성 뇌졸중 환자의 상지재활을 위한 악기 연주의 임상적 활용 근거 연구)

  • Jeong, Eunju
    • Journal of Music and Human Behavior
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    • v.10 no.1
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    • pp.1-23
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    • 2013
  • Upper extremity dysfunction is a common consequence following stroke. Spontaneous recovery during the first six months post-stroke is rigorous and considered as a significant indicator of potential long-term progress. Various approaches have been utilized to regain functional upper limb movement necessary for independent living; however, conventional therapy approaches have failed to prove consistency, especially for subacute stroke patients. There is, thus, a need for innovative therapeutic strategies that motivate stroke survivors to facilitate neural and functional recovery during the critical window immediately following stroke. The effect of music on physical enhancement has been frequently reported in the field of medicine as well as neurorehabilitation. The efficacy of rhythm on lower extremity deficits has been well established. Yet, the rationale for using instrumental music making enhancing subacute upper extremities rehabilitation is not clearly described to date. Based on the key mechanism of music as sensori-motor movement facilitator, this paper reviews previous empirical research that utilized music-based interventions for upper extremity rehabilitation for stroke patients, either in the form of receptive or expressive activity. This paper, further, focuses on the current research trends in subacute stroke upper limb rehabilitation and provides applicable rationale of using instrumental music playing.

A Study of the Factors Influencing Health Promoting Behavior and Satisfaction of Life in Female College Students (여대생의 건강증진행위와 삶의 만족에 영향을 미치는 요인에 관한 연구)

  • 백경신;최연희
    • Korean Journal of Health Education and Promotion
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    • v.20 no.2
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    • pp.127-147
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    • 2003
  • The purpose of this study was to investigate the factors influencing health promoting behavior and satisfaction of life in female undergraduate students, to provide the basic data for health promoting intervention in order to improve satisfaction of life. The subjects of this study were 345 female undergraduate students living in Jecheon city who were selected by convenience sampling. The data was collected through self-reported questionnaires from Oct. 2 to Dec. 20, 2001. Research instruments used in this study were the health promoting lifestyle profile developed by Walker et al(1987), satisfaction of life developed by Pavot and Diener(1993), perceived health status by Lawston et al(1982), self-esteem by Rosenberg(1965), self-efficacy by Becker et al(1993), health locus of control by Wallston et al(1978). The data was analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with SPSS/Win program. The results of this study were as follows; 1) The mean score of health promoting behavior was 2.31 point out of 4. Among the sub-levels of health promoting behavior, the order of importance was the following self-actualization(2.76), interpersonal support(2.75), stress management(2.31), nutrition(2.06), health responsibility(1.83), exercise(1.76). The mean score of satisfaction of life was 4.11 point out of 7. 2) The health promoting behavior showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, powerful others health locus of control. The satisfaction of life showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, health promoting behavior. 3) In the relationship between general characteristics and health promoting behavior, there was a significant difference in majors(F=8.50, p=.000). In the relationship between general characteristics and satisfaction of life were significant differences in a grades(F=2.67, p=.04) and economic status of parents(F=8.59, p=.000) 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem and powerful others health locus of control accounted for 34.7% of the variance in health promoting behavior. The most powerful predictor of satisfaction of life was self-esteem. A combination of self-esteem, health promoting behavior, perceived health status, economic status of parents and grade accounted for 34.0% of the variance in satisfaction of life. In conclusion, we need a health promotion program focusing on exercise, health responsibility and nursing strategies enhancing self-efficacy and self-esteem should be developed to promote a healthy lifestyle and satisfaction of life in female college students.

Comparison of the Immediate Effects of the Neural Mobilization Technique and Static Stretching Exercise on Popliteal Angle and Hamstring Compliance in Young Women With Short Hamstring Syndrome (넙다리뒤근 단축 증후군이 있는 젊은 여성에서 오금각과 넙다리뒤근 순응성에 대한 신경가동화기법과 정적신장운동의 즉각적인 효과 비교)

  • Oh, Duck-won
    • Physical Therapy Korea
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    • v.24 no.2
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    • pp.9-18
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    • 2017
  • Background: Limitation of hamstring extensibility is often associated with various musculoskeletal problems such as alterations in posture and walking patterns. Thus, certain appropriate strategies need to be established for its management. Objects: The aim of this study was to compare the effects of the neural mobilization technique and static stretching exercises on popliteal angle and hamstring compliance in young women with short hamstring syndrome (SHS). Methods: Thirty-three women with SHS were randomly assigned to either group-1 ($n_1=17$) that underwent the neural mobilization technique or group-2 ($n_2=16$) that underwent the static stretching exercises. Outcome measures included the active popliteal angle (APA) and a hamstring's electromyographic (EMG) activity at a maximum popliteal angle of the baseline. Intervention for each group was performed for a total time of 3-min (6 sets of a 30-sec application). Results: There were significant interactions between time and group in the APA [group-1 (pre-test to post-test): $69.70{\pm}8.14^{\circ}$ to $74.14{\pm}8.07^{\circ}$ and group-2: $68.66{\pm}7.42^{\circ}$ to $70.52{\pm}7.92^{\circ}$] (F1,31=6.678, p=.015) and the EMG activity of the hamstring (group-1: $1.12{\pm}.30{\mu}N$ to $.69{\pm}.31{\mu}V$ and group-2: $1.19{\pm}.49{\mu}V$ to $1.13{\pm}.47{\mu}V$)(F1,31=6.678, p=.015). Between-group comparison revealed that the EMG activity of the hamstring was significantly different at post-test between the groups (p<.05). Furthermore, in within-group comparison, group-1 appeared to be significantly different for both variables between pre- and post-test (p<.05); however, group-2 showed significant difference in only the APA between pre- and post-test (p<.05). Conclusion: These findings suggest that the neural mobilization technique and static stretching exercises may be advantageous to improve hamstring compliance in young women with SHS, resulting in a more favorable outcome in the neural mobilization technique.

A Correlation Study on the Relationship between Hardiness and Compliance with Prenatal Care in Pregnant Woman (임부의 강인성과 산전간호이행과의 관계연구)

  • 박명희
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.339-355
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    • 1993
  • The purpose of this correlational study was to offer strategies for nursing intervention to improve compliance with prenatal care. This study was designed to investigate degree of tardiness, correlation between hardiness and compliance with prenatal care. In research, the characteristic of hardiness has 1 teen demonstrated in resolving stressful situaltions and in adapting to overcome physical and psycho-logical tension. pregnancy is normal crisis process. Therefore, it is necessary to investigate degree of hardiness in normal pregnant woman and I think that concept of hardiness is able to become a new, important concept for prenatal care imtervention. The subjects were 388 normal pregnant woman over five months, who were selected from five university hospitals and two health centers in Taegu. Data were obtained using a convenience sample technique. Data collection was done from March 6 to June 18, 1992. The instruments used for this study were the Health Related Hardiness Scale developed by Pollock(1984) and compliance with a prenatal care scale developed by the author on the basis of results of a literature review. Data were analyzed using the SAS program for t - test, ANOVA, Scheffe test, Pearson correlation and stepwise multiple regression. The results are as follows : 1. The scores on the hardiness scale ranged from 35 to 210 with mean of 88.89. 2. The scores on the compliance with prenatal care scale ranged from 28 to 140 with a mean of 111.49. 3. There were significant differences between hardiness and obstetrical characteristic factors, duration of pregnancy, frequency of pregnancy, frequency of abortion(P .05). 4. There were significant differences between compliance with prenatal care and general and obstetircal characteristic factors, education and frequency of pregnancy(P .05). 5. Correlations between hardiness and compliance with prenatal care were all negative and significant(r=-.2276~ -.2930, P .000). Challenge of hardiness components was the low est (r= -.2814). 6. Significant differences between hardiness and compliance with prenatal care by group were as follows : Group 1 was the high est, whereas Group 8 was the lowest(F=5.47, P .0000). 7. Factors influencing compliance with prenatal care were : 1) Challenge was the main variable and accounted for 7.92% of the total variance. 2) Education and frequency of pregnancy accounted for an additional 2.74% of the total variance. From the above findings, this study suggests the following : 1) Considering the lack of empirical support, the theroy of hardiness needs to be evaluated. 2) A valid, reliable and culturally appropriate instrument needs to be developed for Health Related Hardiness Scale. 3) There is a need for further study of hardiness in a broad variety of populations. 4) There is a need for comparative study correlation between hardiness and compliance with prenatal care in woman with normal and abnormal pregnancies

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A Comparative Study of Influencing Factors on Elder Abuse of Public Assistance Recipient Elderlies and Community Elderlies (국민기초생활보장 노인과 일반노인의 노인학대 관련요인 비교연구)

  • Park, Mi-Eun
    • Korean Journal of Social Welfare
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    • v.56 no.2
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    • pp.93-119
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    • 2004
  • This article investigates 230 public assistance recipient elderlies and 354 community elderlies in order to find out the current status and influencing factors on elder abuse. It surveyed at Gwangju metropolitan city. The result from the research were 1) the degree of elder abuse is generally low, and the primary type of abuse is psychological abuse and neglect. The victims of abuse experienced psychological pain rather than physical pain. 2) the abuser are mainly in early forties, and very unstable economically. 3) based on personal characteristics of the recipient and non-recipient elderlies, there are significant differences between respondents' sex, age, education level, income, ADL, IADL, chronic disease, depression, social support, and number of friends. 4) the factors affecting elder abuse of public assistance recipient elderlies are depression, alcohol, social support(elderly-related factors), alcohol, childhood abuse(abuser- related factors), and emotional relationship, number of family members(family- related factors). And, the factors affecting elder abuse of community elderlies are childhood abuse, social support(elderly-related), relationship with victims(abuser -related), and emotional relationship(family-related). Finally, the research recommends that differential intervention strategies are needed in order to prevent elder abuse of the public assistance recipient elderlies and the community elderlies.

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Neoliberal Urbanization and Urban Enclosure (I): A Theoretical Intervention (신자유주의 도시화와 도시 인클로저(I): 이론적 검토)

  • Kim, Yongchang
    • Journal of the Korean Geographical Society
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    • v.50 no.4
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    • pp.431-449
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    • 2015
  • Philosophical roots and discussion frames of neoliberalism are very heterogeneous and approaches to neoliberalism including anarchism, post-neoliberalism also take diverse stances. Even if neoliberalism is losing legitimacy and stability through the global financial crisis, 2008, spatial perspective is becoming more and more important as neoliberalism constantly evolve with creating immense variations. Especially, urban space has become strategically crucial arenas as spatio-temporal strategies and generative nodes for reproduction of neoliberalism. Urban enclosure plays a key role in the specific process of neoliberal urbanization as a kind of capitalist formal and real subsumption. Contemporary capitalism continuously has been sustaining the accumulation by dispossession based on urban enclosure through reshaping the primitive accumulation mechanism. These enclosures are embodied by the change of public use concept from public ownership to economic benefits and public-private taking for private capital. Urban enclosure promotes reification deepening the separation and alienation of workers from the means of production and survival, and interdiction from free place appropriation, transformation of urban economy to patrimonial forms. Also it is pervasive in a daily life space and everyday experience in the city, and private tangled social rules dominate public space and the publicity of space.

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Predictors of Intention to Undergo Mammography among Underutilizers (유방암 검진 미수검자의 검진의도 관련 요인)

  • Kye, Su-Yeon;Park, Kee-Ho;Choi, Kui-Son;Bae, Mi-Jin;Moon, In-Ok;Yun, Young-Ok;Lim, Min-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.75-86
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    • 2009
  • Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.

The Effect of Conscious Sedation on Pain and Anxiety of Implant Surgery (임플란트 수술 시 의식하진정법이 환자의 통증과 불안에 미치는 영향)

  • Kim, Hye-Young;Lee, Su-Young;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.411-416
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    • 2014
  • The purpose of this study was to examine the effects of conscious sedation on pain and anxiety of patients in implant surgery. A total of 95 patients who underwent implant surgery were included in the study. In this study, the patient's anxiety and pain to evaluate the pre-operative Visual Analogue Scale (VAS), during-operative Pain Question (PQ), post-operative (Short-form McGill Pain Questionnaire [SF-MPQ], VAS) was used for tools such as questionnaires. The data were analyzed using the chi-squire, independent-samples t-test, multiple linear regression analysis. As a result, the pain reduction was significantly different between the sedative dental treatment and non-sedative dental treatment (p<0.05). The finding of the study multiple linear regression analysis showed that operation time, implant surgery experience, gender, age, operation form and Pain Catastrophizing Scale (PCS) with factors that affect the pain and anxiety (p<0.05). According to the results of the study, considered to be necessary to develop intervention strategies effective using the PCS when managing pain and anxiety of behavior management of this implant patient. Thus, it is advised to provide necessary practical guidelines and dental utilization behaviors on patients with conscious sedation.

A Study on Knowledge, Attitude and Needs of Preventive Education related to Dementia in Adults (성인의 치매지식, 태도, 예방교육 요구도)

  • Park, Sun-Nam;Lim, Hee-Su
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.347-356
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    • 2020
  • The purpose of this study was to examine the knowledge, attitudes and needs of preventive education for dementia in adults and provide them as basic data for developing nursing intervention strategies and preventive education programs for preventing dementia in adults. It collected data from 127 adults living in Seoul who agreed to the study and data were collected through personal interviews using a questionnaire. The level of dementia knowledge was high at 8.17, while the level of dementia attitude was high at 7.14, the need for dementia education was 4.56. The need for dementia preventive education was significant difference in the level of education, and the degree of interest in dementia preventive education showed a significant difference in the participant's occupation. The correlation of knowledge, attitudes and educational needs about dementia showed a significant amount of correlation. In this study, adults had a high level of knowledge about dementia and high attitude scores on dementia. Further studies are needed to increase the positive attitude toward dementia, education programs that increase knowledge need to be provided continuously as they are related to the increase in knowledge about dementia.