• 대한간호학회지
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• 제35권5호
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• pp.943-954
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• 2005

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly on health promotion lifestyle and health status. Method: The study was a nonequivalent control group pre-post experimental design. Data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. 44 elders were in the experimental group and 45 elders were in the control group. The 16-week health promotion program was given to the experimental group. Data was analyzed by descriptive statistics, $x^2$-test, t-test, and ANCOV A test with SPSS/Win 10.0 program. Result: The experimental group showed higher scores of a health promotion lifestyle and perceived health status than the control group. In addition, systolic BP, heart rate, body fat and glucose of the experimental group were lower than the control group. Waist flexibility, left hand grip power, back strength and leg strength of the experimental group were higher than the control group. However, there were no significant differences in diastolic BP, total cholesterol and right hand grip power between the two groups. Conclusion: This health promotion program for rural elderly can be recommended as an effective nursing intervention in rural communities.

• 기본간호학회지
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• 제19권3호
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to develop and test a hypothetical model which explains health behavior adherence in elderly people with prehypertension. The model was based on self-determination theory (SDT). Methods: Data were collected from June 21 to July 15, 2010, using self-report questionnaires. The participants were 140 elders with prehypertension who lived in D Metropolitan City. Collected data were analyzed using PASW 18.0 for descriptive statistics and correlation analysis and AMOS 5.0 for covariance structure analysis. Results: It appeared that the overall fit index was good with a ${\chi}^2$ score of 13.23 (p<0.05), GFI of 0.97, AGFI of 0.79 and RMR of 0.28 in the modified model. The results revealed that significant main effects of both health provider's autonomy support and autonomous motivations were found on the measure of health behavior adherence. These factors explained 72% of variance in the participants, health behavior adherence. Conclusion: The overall findings may provide useful assistance in developing effective motivation-enhanced programs for health behavior adherence.

• 지역사회간호학회지
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• 제16권4호
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• pp.392-403
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• 2005

Purpose: This study was to evaluate the nutritional status of low-income elders in urban areas and factors affecting their nutritional risk. Methods: A cross-sectional analysis was conducted. The subjects were 300 elders selected from home visiting clients of DongJack Public Health Center. Data were collected using a questionnaire containing questions on socio-demographic characteristics. health behavior and disease. dietary pattern. Nutritional Screening Initiative. Geriatric Depression Scale and Barthel Index for ADL. Collected data were analyzed through descriptive statistics. $X^2-test$ and multiple regression analysis using SPSS. Results: Of the subjects, 63% had high nutritional risk, 21.3% moderate nutritional risk, and 15.7% good nutritional risk. NSI score was significantly different according to economic status, subjective health condition, medication, dental health, depression. regularity of diet and meal with family. Multiple regression analysis revealed that depression, subjective health condition, dental health and regularity of diet and meal with family explain 38.1% of nutritional risk. Conclusion: It is necessary to evaluate nutrition status and to control nutritional risk factors such as depression, dental health, regularity of diet and meal with family for improving the health of the low-income elderly.

• 지역사회간호학회지
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• 제24권1호
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• pp.62-73
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• 2013

Purpose: The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them. Methods: This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, $x^2$-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0. Results: Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing. Conclusion: The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.

• 지역사회간호학회지
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• 제24권4호
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• pp.427-437
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• 2013

Purpose: This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly. Methods: The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs. Results: ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001). Conclusion: The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.

• 지역사회간호학회지
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• 제24권3호
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• pp.323-331
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• 2013

Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.

• 대한간호학회지
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• 제40권4호
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• pp.463-472
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• 2010

Purpose: This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults. Methods: The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008. Results: Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4. Conclusion: The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

• 한국농촌건축학회논문집
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• 제16권4호
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• pp.1-8
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• 2014

The purpose of this study is to analyzes the administration actual situation of community living home in Korea. The results are as follows. First, community living home in Korea is distributed over the Jeonranam-do areas by approximately 67.7%, and distributed over 18 cities in the Jeonrabuk-do areas. Second, In a type of community living home, "Sharing residence type" accounts for approximately 97%. The reason of this is because it can save a budget by utilizing existing public accommodation. Third, the administration main constituent of community living home running in each city is a neighborhood association, but bears the administration expense in the local government. Fourth, as a result of having analyzed the representative example of the community living home, "Sharing residence type" knew that a per person necessary area was the insufficient. Finally, it is desirable for oneself of the neighborhood association to be in charge of the administration main constituent of the community living home basically.

• 대한간호학회지
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• 제39권1호
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• pp.10-20
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• 2009

Purpose: The purpose of this study was to identify the effects of hand acupuncture therapy on pain, ROM, ADL, and depression among older people with low back pain and knee joint pain. Methods: The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 40 patients, 18 in the experimental group and 22 in the control group. A pretest and 2 posttest were conducted to measure the main variables. For the experimental group, hand acupuncture therapy, consisting of hand acupuncture and press-pellets based on corresponding points, was given. Results: There were statistically significant differences in pain, ROM in knee joint, and ADL in the experimental group but not in depression compared to the control group over two different times. Conclusion: The hand acupuncture therapy was effective for low back pain, knee joint pain, ROM in knee joint and ADL among the elders in this study. Therefore, the hand acupuncture therapy can be utilized in the field of geriatric nursing as a nursing intervention for older people with low back pain and knee joint pain.

• 기본간호학회지
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• 제16권1호
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• pp.39-45
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• 2009

Purpose: This study was done to verify the effects of foot reflexology on the self-esteem and vitality of elders. Method: A non- equivalent control group pre- and post-test design was used. Research instruments to measure self-esteem and vitality were used in this study. The participants were elderly women hospitalized in a hospital in Okcheon County, Chungbuk Province, Korea. The 18 patients in the experimental group performed 40 minutes of foot reflexology per time for a total of 12 times over two weeks, and the 18 patients in the control group received regular care only. Before and after the experiment, both groups were tested for self-esteem and vitality. Frequencies, percentages, $\chi^2$-test, t-test and Mann-Whitney U test with the SPSS/WIN 10.0 program were used to analyze the collected data. Results: Vitality of the elderly women patients improved significantly in the experimental group. However self-esteem did not increase significantly. Conclusion: Foot reflexology is effective as a nursing intervention in improving the health of elders.