• 제목/요약/키워드: Korean Counseling

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암 치료 시 영양상담을 통한 식생활 개선에 관한 연구 (Study on the Improvement of Dietary Life of Cancer Patients during Treatment by Nutrition Counseling)

  • 홍기연;최윤진;엄완근;임현숙;천종희
    • 대한지역사회영양학회지
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    • 제21권1호
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    • pp.93-101
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    • 2016
  • Objectives: This study investigated the improvement of food habits and eating behavior of cancer patients during treatment through the continuous nutrition counseling and monitoring. Methods: Thirty cancer patients during treatment were participated in this study, and the first nutrition counseling and the first and second monitoring were conducted after 2-3 week intervals. Results: As a result of the nutrition counseling and monitoring, all patients improved to a great extent to consume 3 meals a day. The frequency of having breakfast was significantly increased with the nutrition counseling and continuous monitoring as well. The meal fixed quantity was stabilized and the eating speed slowed down as more nutrition counseling were done. The snack intakes of patients did not show any significant difference after the nutrition counseling but showed a slight decline after the monitoring. The frequencies of eating out and a late-night meal significantly decreased after the monitoring. The intakes of fish, meat, vegetables, milk and fruits needed for a well-balanced diet significantly increased as more nutrition counseling were done. The intakes of processed food were significantly decreased after the nutrition counseling and the intakes of fast food were significantly decreased as more nutrition counseling were done. The water intake of patients also significantly increased. In the eating behavior related to health, the frequency of drinking alcohol significantly decreased after nutrition counseling consultation and no patients had dietary supplements after the first monitoring. Conclusions: These results suggested that continuous nutrition counseling is effective in improving eating habits of cancer patients.

고지혈증 환자의 식행동 및 식품섭취에 웹기반 영양상담의 영향 (Effects of Web-Based Nutrition Counseling on Dietary Behavior and Food Intake in Hyperlipidemic Patients)

  • 김종숙;한지숙
    • 대한영양사협회학술지
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    • 제11권4호
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    • pp.418-429
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    • 2005
  • The purpose of this study was to investigate the effect of the web-based nutrition counseling on the dietary behavior and food intake of hyperlipidemic patients and to evaluate the web-based nutrition counseling program. Forty hyperlipidemic patients, twenty of them were hypercholesterolemia and the other twenty were hypertriglyceridemia, participated in the web-based nutrition counseling program. At the first nutrition counseling, the patients were interviewed and then follow-up nutrition counselings were accomplished four times during eight weeks through a web-based internet program. The web-based nutrition counseling program was consisted of diet management, nutrition education and nutritional assessment and the follow-up counseling program. The dietary behavior score increased significantly in both groups after the nutrition counseling program(p<0.01). The diet therapy knowledge score also increased significantly (p<0.01). For food frequency, vegetable (p<0.01), fruit (p<0.05) and seaweed (p<0.01) consumption increased significantly, while meat (p<0.01), egg (p<0.01), snack (p<0.01) and instant food (p<0.01) intake decreased significantly in both groups after the nutrition counseling program. The evaluation of the web-based nutrition counseling program by the patients showed above average in all domains, specially the evaluation scores of younger aged patients habituated to practice computer were better than those of older aged patients. Therefore, this study shows that the web-based nutrition counseling program is effective for improving dietary behavior and food consumption the patients. In addition, these results indicate that internet presents us with potential as a new medium for nutrition counseling in informationized society.

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과잉.공격행동 아동에 대한 해결중심 단기상담의 사계 연구 - 현상학적.심리학적 분석을 중심으로 - (A Case Study of Children with Overactive and Aggressive Behaviors using Solution-Focused Brief Counseling - On the basis of phenomenal and psychological analyses -)

  • 전귀남
    • 한국초등상담교육학회:학술대회논문집
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    • 한국초등상담교육학회 2004년도 학술대회
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    • pp.189-204
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    • 2004
  • We can usually found the children who do overactive and aggressive behaviors. They disrupt classroom order and cause other children immense damage. Their teachers exert themselves to control or manage them in class. This may lead to a reduction of precious time for teaching-learning classroom activities. This study has counseled those children doing overactive and aggressive behaviors with solution-focused brief counseling. This study also explores the following problems. First, how does solution-focused brief counseling affect their overactive and aggressive behaviors? Second, what changes do they experience through solution-focused brief counseling? Third, is solution-focused brief counseling useful in elementary schools? To do this study task, four students have been chosen with the help of teachers in the fifth year at B Elementary School in Ansan. The four children scored high in Mi-hyun Han's 'The ratings of the child's behavior problems' and Se-Yong Jeong's 'Life of school and behavior test'. They are all eleven years old and had two interviews before the experiment and five interviews during the experiment. The analysis of the counseling has been interpreted according to the different analytical methods based on the tasks. Solution-focused brief counseling's effect on children doing overactive and aggressive behaviors has been studied by quantity-analysis method, their changes in behaviors by quality analysis method; phenomenal and psychological method and the usefulness of this counseling in school surroundings by the joint of above two methods. The analysis has provided the following results. First, solution-focused brief counseling has been effective in the reduction of behavioral problems for those children doing overactive and aggressive behaviors and the continuation of the counseling has had a positive effect but it has depended on the individual characteristics and the degree of severity in their behaviors. Second, solution-focused brief counseling has lent itself to encouraging children to have egostrength, confidence, and volition in their behavioral changes with a favorable attitude to the counseling. Third, The egostrength formed through counseling has led children to a progressive direction of their behaviors in their school life. The increasing frequency in counseling has caused a decreasing time-period expected for counseling, and a feasibility of counseling with less resistance. In conclusion, solution -focused brief counseling may be a useful means to help children have positive self-esteem and lead a proper school life, leading to be a helpful facilitation for school site facing a deficiency of counseling.

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Analysis of Client Propensity in Cyber Counseling Using Bayesian Variable Selection

  • Pi, Su-Young
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제6권4호
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    • pp.277-281
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    • 2006
  • Cyber counseling, one of the most compatible type of consultation for the information society, enables people to reveal their mental agonies and private problems anonymously, since it does not require face-to-face interview between a counsellor and a client. However, there are few cyber counseling centers which provide high quality and trustworthy service, although the number of cyber counseling center has highly increased. Therefore, this paper is intended to enable an appropriate consultation for each client by analyzing client propensity using Bayesian variable selection. Bayesian variable selection is superior to stepwise regression analysis method in finding out a regression model. Stepwise regression analysis method, which has been generally used to analyze individual propensity in linear regression model, is not efficient since it is hard to select a proper model for its own defects. In this paper, based on the case database of current cyber counseling centers in the web, we will analyze clients' propensities using Bayesian variable selection to enable individually target counseling and to activate cyber counseling programs.

영양상담에 의한 심혈관질환자의 식행동, 혈청 지질 및 항산화영양소 상태 변화 (Effectiveness of Nutrition Counseling on Dietary Behavior and Serum Levels of Lipids and Antioxidants in Patients with Cardiovascular Disease)

  • 최영선
    • Journal of Nutrition and Health
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    • 제32권6호
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    • pp.681-690
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    • 1999
  • The purpose of this study was to investigate whether nutrition counseling could lead to a beneficial outcomes in patients with cardiovascular disease(CVD). Fifty CVD patients(23 men and 27 women) participated in a dietary counseling program which was based on serum lipid management. Various markers of disease risk including lifestyles, anthropometric indices, eating behaviors, serum lipids, antioxidants, lipid peroxides were measured before and after the program. The program lasted 3-11 months depending on individuals. Waist/hip ratio decreased after nutrition counseling only in women. Smoking and alcohol drinking status did not change significantly after counseling. Food habit score increased significantly in both men and women(p<0.05), and patients consumed mixed cereal rice, fruits, seaweeds, legumes more frequently and snacks less frequently after nutrition counseling (p<0.05). Although intakes of energy, carbohydrate and vitamin B1 were reduced significantly after nutrition counseling, nutrient densities of calcium and iron of diets have increased significantly after nutrition counseling, and those of other micronutrients were not different Serum total cholesterol decreased significantly in men and LDL cholesterol decreased significantly in women. In women lipid peroxide level decreased and $\alpha$-tocopherol level increased significantly, while there was no significantly change in men. We conclude that well-planned nutrition counseling would reduce risks of cardiovascular disease through improving dietary behavior, lipid profile and antioxidant status.

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System for Nutrition Counseling and Screening

  • Hong Soon-Myung;Kim Gon
    • Journal of Community Nutrition
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    • 제7권4호
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    • pp.220-229
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    • 2005
  • The studies on nutrition counseling and screening have been based on stand-alone program. This study introduces the nutrition counseling and screening management system. This system offers convenient user interface and the synthetic results of counseling and screening with various utilities, The system for nutrition counseling and screening consists of the general information of clients, the anthropometry data, the calculation of obesity and body mass index, the state of eating habits, the computation of calorie expenditure, the clinical symptoms, the convenient method for analysis of calorie and nutrients, nutrition prescription and alcoholism screening tests. Having interoperability, these functions preserve the information of clients and manage the historical data. The system inserts, stores and generates the synthetic information of clients, so it is able to provide suitable and efficient counseling to clients. The proposed system gathers various information of clients. With accumulated client data, it does the nutrition education, screening and counseling simultaneously. Managing clients' information connected to database, it can provide systematic and formal information. It is possible for the system to retrieve information and counsel in real time. It is expected that the nutrition counseling management system can improve the national health with animated nutrition counseling. (J Community Nutrition 7(4) : $220\∼229$, 2005)

영양교사 대상 포커스 그룹 인터뷰를 통한 코로나19 이후 청소년의 식생활 변화 및 학교 영양상담 활성화 방안 연구 (A Qualitative Study of Changes in Adolescent Dietary Behavior during the COVID-19 Pandemic and Improvement Strategies for School-Provided Nutrition Counseling)

  • 나예슬;오지은;이경원
    • Human Ecology Research
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    • 제61권1호
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    • pp.39-51
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    • 2023
  • This study utilized qualitative research to understand the changes taking place in adolescent dietary behaviors during the COVID-19 pandemic and the current status of school-provided nutrition counseling. These, along with barriers and strategies for improvement, were derived from focus group interviews with 10 nutrition teachers. Throughout the pandemic, adolescents experienced various dietary problems, including frequent meal skipping, unbalanced diets, increased obesity, and difficulties building positive attitudes towards food. To resolve these dietary problems, nutrition teachers recognized the need for school-provided nutrition counseling. However, nutrition teachers faced various barriers, such as a lack of time for nutrition counseling among students, lack of support from parents, and insufficient space and resources. To revitalize school-provided nutrition counseling, strategies such as home-connected nutrition counseling, the development of standardized guidelines, manuals for school-provided nutrition counseling, software support for nutrition diagnosis, and implementation of nutrition counseling in connection with cooking activities were proposed. This is important as school-provided nutrition counseling can help develop the foundation for healthy dietary behaviors and health promotion in adolescents.

일 지역 보건소 금연클리닉 이용자의 흡연유혹, 자기 효능감 및 금연상담 만족도 (Smoking Temptation, Self-efficacy, and Satisfaction with Counseling among Users of Smoking Cessation Counseling Services Provided by a Public Health Center)

  • 함옥경;유재복
    • 한국보건간호학회지
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    • 제22권2호
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    • pp.246-254
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    • 2008
  • Purpose: In order to assess the effects of smoking cessation counseling provided by a public health center in terms of smoking temptation, smoking cessation self-efficacy, and satisfaction with smoking cessation counseling, and also to provide baseline data for the improvement of smoking cessation counseling programs. Methods: A total of 52 current and former smokers who utilized smoking cessation counseling provided by the health center at least once participated in this study. Using a self-report survey method, data were collected in November 2005. Results: The mean age and duration of smoking of the participants were 49 and 28 years, respectively. Seventy-one percent had experienced smoking cessation trials prior to using the counseling services, and most of the participants had utilized smoking cessation counseling less than 5 times. Mean scores of temptation, self-efficacy, and satisfaction with counseling were $3.39{\pm}0.75,\;3.80{\pm}0.66$, and $4.38{\pm}0.55$ (range,1-5), respectively. The participants were largely vulnerable to smoking temptations under conditions of anxiety or stress. The duration of counseling was associated negatively with smoking temptation, but was associated positively with self-efficacy. Conclusion: To help adopt and maintain smoking cessation, smoking cessation counseling should emphasize methods for coping with smoking temptations and to increase smoking cessation self-efficacy in various tempting situations.

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웹 기반 상담시스템의 설계와 적용 (A Design and Application of a Web-Based Counseling system)

  • 배은희;문교식
    • 정보교육학회논문지
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    • 제5권3호
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    • pp.329-336
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    • 2001
  • 본 논문에서는 초등학생들이 솔직하고 부담 없이 자신의 고민을 상담하고 도움을 받을 수 있는 웹 기반 상담시스템을 설계 및 적용한다. 본 사이버 상담시스템의 특징은 내담자와 활발한 상호작용이 이루어지도록 하고, 상담자체에 불신감이나 불안을 느끼고 있는 내담자들에게 흥미를 주며, 상담에 대한 긍정적인 태도를 갖도록 하는 것이다. 이를 위하여, 상담자와 내담자 사이의 신뢰를 바탕으로 비밀이 보장되도록 하였다. 여러 사회 단체에서 운영하는 사이버 상담실은 이메일을 통해서만 비밀 상담할 수 있도록 설계되어 단 회적인 상담으로 끝나는 경우가 많아 바람직한 상담관계가 성립될 수 없었다. 본고는 학교의 웹 서버를 활용하여 상담자와 내담자만이 상담 내용을 볼 수 있도록 비공개 상담시스템을 설계하고 적용 결과를 보고한다. 본 시스템을 적용한 결과 면대면 상담에 비하여 시 공간적 제약을 받지 않고 두려움 없이 상담할 수 있다는 장점 때문에 학생들이 많은 흥미를 갖고 참여하였음을 관찰할 수 있었다.

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고도비만 환자 대상 한의 비만 상담을 포함한 한의치료의 체중 감량 효과: 후향적 차트 리뷰 (Effect of Korean Medicine Treatment Including Korean Medicine Counselling on Weight Loss in Patients with Morbid Obesity: A Retrospective Chart Review)

  • 김성하;한경선;권오진;이원구;윤철상;이준환
    • 한방비만학회지
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    • 제21권1호
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    • pp.22-31
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    • 2021
  • Objectives: We conducted a retrospective chart review to investigate the effects of Korean Medicine (KM) treatment on weight loss in patients with morbid obesity (body mass index [BMI]≥30 kg/m2) and to compare the effects of KM counseling and non-counseling on weight loss. Methods: We performed a retrospective chart review of patients with morbid obesity who received KM treatment for at least 1 month. We evaluated the effects of KM treatment on body weight, BMI, body fat, fat mass, EuroQol-5D, and the Korean version of the obesity-related quality of life scale (KOQOL). We also assessed the liver and kidney functions, and adverse events. We performed a comparative analysis between the counseling and non-counseling groups. Results: A total of 37 patients who underwent 4 weeks of KM treatment involving Wolbi-tang, electroacupuncture, and KM counseling were included in this study. Twenty-one patients were assigned to the counseling group and sixteen patients to the non-counseling group. There was a significant decrease in weight, BMI, fat mass, and KOQOL (P<0.05) with improvements in total cholesterol, low-density lipoprotein, and triglycerides. The counseling group had a greater reduction in body weight, BMI, body fat, and fat mass compared to the non-counseling group, although it was not significant. In the BMI below 35 (n=25), the reduction ratio of body weight, body fat mass, and body fat was higher in the counseling group than in the non-counseling group; additionally, body fat decreased significantly in counseling group (P<0.05). No severe adverse effects were observed. Conclusion: KM treatment could be effective for weight loss, especially in patients with morbid obesity, KM counseling could also be a good tool for weight loss, typically in patients with BMI<35 kg/m2.