• 대한간호학회지
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• 제37권1호
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• pp.72-80
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• 2007

Purpose: This study was to analyze the trend of research on intervention for patients with metabolic syndrome. Method: Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as 'metabolic syndrome', 'intervention', 'lifestyle modification', or 'community-based' were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program - Adult Treatment Panel(NCEP-ATP III). Results: 1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent. Conclusion: Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.

• 디지털융복합연구
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• 제18권4호
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• pp.371-380
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• 2020

본 연구는 지역사회노인을 대상으로 한 건강증진프로그램의 효과를 확인하는 체계적고찰 연구이다. 연구 방법은 국내 데이터베이스인 RISS, KISS, DBpia, KoreaMed 를 사용하여 출판된 논문을 검색 후 총 10편의 연구를 분석하여 연구자 2인이 코드화한 후 정리하였다. 노인을 대상으로 한 건강증진프로그램 중재의 특성은 주 2회 이상의 중재 빈도, 1회 60분 정도의 중재 시간 12주 이상의 중재 기간을 적용한 경우가 많았다. 중재의 구성에서 운동과 교육을 함께 적용한 연구와 운동의 유형을 혼합한 연구가 주를 이루고 있었고 대다수의 연구가 집단 운동 형태로 적용하였으며 과반수의 연구가 중재에 음악을 활용하였다. 노인을 위한 건강증진프로그램 연구의 결과측정변수는 신체적 영역에서 근력, 유연성, 균형을 사용하였고, 신체조성에서는 체질량지수를 활용한 경우가 많았다. 인지, 심리, 사회적 영역에서 가장 많이 측정된 변수는 우울, 자기 효능감, 건강증진생활양식, 삶의 질이었다. 본 연구를 통해 지역사회 노인의 삶에서 지속가능한 건강증진 프로그램 개발 및 효과검증이 필요함을 알 수 있었다.

• 기본간호학회지
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• 제17권4호
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• pp.487-497
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• 2010

Purpose: This study examined the validity and reliability to develop a lifestyle evaluation tool for metabolic syndrome patients. Methods: A methodological research design was used. The construct factors and preliminary items were identified by reviewing previous researches and tools related to lifestyle and reviewed by ten experts. It was tested with 195 patients with metabolic syndrome in a university hospital. The data were analyzed with SPSS/WIN 14.0. Results: To test the validity, principal component analyses were used and resulted in the extraction of six components. The convergent validity resulted r= .72 (p<.001) with Health Promotion Lifestyle Profile. The discriminant validity with Center for Epidemiologic Studies Depression Scale resulted r= -.15 (p=.004). The Internal consistency of the tool had an Cronbach's a of .92. The self-report format Lifestyle Evaluation Tool for the patients with metabolic syndrome was developed with 36 items and four-rating scales:'physical activity and weight control' eight items, 'dietary habits' sixteen items, 'drinking and smoking' three items, 'sleep and rest' two items, 'stress' three items, 'drug and health management' four items. Conclusion: This Tool will evaluate health behaviors in patients with metabolic syndrome. Also, it will contribute to the development of nursing intervention to improve the metabolic syndrome patients' lifestyle.

• 재활치료과학
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• 제8권2호
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• pp.7-30
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• 2019

목적 : 본 연구는 지역사회 노인에게 적용한 라이프스타일 중재의 형태와 효과를 알아보고자 하며, PRISMA 가이드라인를 통해 체계적 고찰을 시행하였다. 연구방법 : 2008년 1월부터 2017년 12월까지 국 내외 학술지에 개제된 논문을 국가과학기술정보센터(National Digital Science Library), RISS, PubMed, CINAHL을 통하여 검색하였다. 선정기준에 따라 최종적으로 20편의 연구를 분석하였으며, PEDro scale(Physiotherapy Evidence Database scale)을 사용하여 문헌의 질 평가를 하였다. 문헌에서 사용된 중재는 참가자들의 질환적 특성에 따라 분류하였다. 결과 : 라이프스타일 중재의 주요 구성요소는 중등도 이상의 운동과 같은 신체활동 증진과 건강한 식습관 형성을 위한 교육 및 훈련으로 확인되었다. 최종 분석된 20편 중 17편의 연구에서는 운동프로그램과 교육 또는 식단관리와 운동과 같이 두 가지 이상의 구성요소를 갖는 형태로 중재가 적용되었다. 노인의 건강 및 삶의 질을 평가하기 위해 다면적인 평가가 이뤄졌으며 그 중 생화학적 요인(biochemical factor)과 건강 및 웰빙(Health and well-being)을 평가하는 도구가 가장 많았다. 연구 분석 결과 지역사회 노인을 대상으로 한 라이프스타일 중재의 효과는 연구별로 상이하게 나타났으나, 14편의 연구에서 중재 직후 실험군과 대조군 간에 건강 및 삶의 질의 유의한 차이가 나타났다. 결론 : 본 연구는 노인의 질환적 특성에 따른 라이프스타일 중재기법을 선택하는데 도움을 줄 수 있을 것으로 사료된다. 향후 국내 지역사회 상황에 부합되는 중재의 개발 및 효과에 관한 연구를 통해, 작업치료적 라이프스타일 중재의 실행가능성에 관한 연구들이 체계적으로 이루어져야 할 것이다.

• 한국보건간호학회지
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• 제28권2호
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• pp.270-284
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• 2014

Purpose: This study investigated the effects of lifestyle factors in metabolic syndrome among adolescents. The metabolic syndrome has been reported as a cause of various chronic diseases, including cardiovascular disease and diabetes in adolescents. Method: This study is a cross-sectional study on 1,931 adolescents (1,011 boys and 920 girls) aged 12-19 years from the Korean Health and Nutrition Examination Survey 2010-2012. Data were analyzed by descriptive statistics, t-test, $x^2$-test, and logistic regression in consideration of strata, cluster, and weight as national data. Result: The prevalence of metabolic syndrome in adolescents aged 12-19 years was 4.3% (Boys, 5.4%; Girls, 3.1%). Among lifestyle factors, BMI had significants influences on the metabolic syndrome risk, but other variables did not. Conclusion: The results of this study indicate that further research is necessary on the effect of lifestyle factors in metabolic syndrome and that school health nurses should focus on implementation of effective programs for promotion of activity and healthy foods for prevention and intervention of metabolic syndrome.

• 지역사회간호학회지
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• 제9권1호
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• pp.30-39
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• 1998

The purpose of this study was to identify the factors influencing health promoting lifestyle of teachers and to provide the data for efficient health management of teachers. The subjects of this study were eight hundred nine teachers, who were chosen in Choong-Buk province. Survey Questionaires for data analysis were collected through visiting or mailing from September 1 to 30, 1997. The instruments used in this study were HPLP(Health Promoting Lifestyle Profile) by Walker (1987), Internal Health Locus of Control by Walston et al. (1978), Self Esteem by Rogenberg(1965), Importance of Health by Muhlenkamp (1985), Self Efficacy by Sherer & Maddux(1982), and Family Function by Olson & Schellenberg (1985). Data were analyzed by descriptive statistics, unpaired t-test, ANOVA, Pearsons correlation coefficient and stepwise multiple regression using SPSS/PC(v. 4.01) program. The results were as follows; 1. The mean of health promoting lifestyle was total 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpers 52, stress management 2.33, exercise 1.91, and health responsibility 1.82 in order. The index of total health promoting lifestyle was significantly influenced by the factors including sex, age, religion, marital status, duration of work, teaching load, education level and number of family members. 2. The health promoting Lifestyle was significantly positive correlated with Self Efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Self Esteem. 3. Self Efficacy was the most influential determinant predicting health promoting lifestyle of teachers. Self efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Age explained 42% of the health promoting lifestyle. Based on the above findings, it is suggested to develop nursing intervention to improve Self Efficacy, Importance of Health, Family Function of teachers enhance health promoting lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence health promoting lifestyle of teachers.

• 대한예방한의학회지
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• 제22권1호
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• pp.29-44
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• 2018

Objectives : This study was conducted to survey on the research trends of Traditional Korean Medicine(TKM) intervention with woman menopausal symptoms in Korea. Method : We searched Korean research database by using keyword 'Menopause'. Korean research databases were Korean Studies Information Service System(KISS), Research Information Service System(RISS) and Korean Medicine Information System(OASIS). We classified articles identified by TKM treatments. Results : We analyzed 63 studies by classifying 4 interventions that consist of acupuncture treatment, herbal medicine, lifestyle modification, complex therapy. According to studies using acupuncture, Sameumgyo(三陰交, SP6) was the most treated. Soyosan(逍遙散) was most treated in herbal medicine studies, and massage was most used in lifestyle modification. Conclusion : A variety of treatment using TKM have been used for menopausal women. It is necessary to increase the level of evidence of TKM intervention through additional studies in the future.

• 대한간호학회지
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• 제44권6호
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• pp.672-681
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• 2014

Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.250-259
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• 2008

Purpose: The purpose of this study was to identify the relation of Job Stress, Heart Rate Variability, Blood Pressure and Lifestyle on White-Collar Workers. Method: Data were collected from August to December in 2007. HRV was measured using Freeze-Framer. WSRI and Lifestyle data were collected from the self-reported questionnaire. Result: 1) Total score of WSRI was 32.88, H score was 47.92, L score was 16.90, systolic blood pressure was 138.88mmHg, diastolic blood pressure was 81.20 mmHg. 2) WSRI correlated with L score of HRV, BP, smoking, drinking positively. WSRI correlated with H score, exercise times negatively. H correlated with exercise positively and had negative correlation with BP and L. Systolic pressure correlated with smoking and drinking positively. Conclusion: WSRI, HRV, BP and lifestyle are interrelated strongly and they need to be monitor continually. It is considered that education of health and intervention with HRV make white-collar workers concern more about their health and care.

• 한국간호교육학회지
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• 제18권2호
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to identify the factors influencing Health Promotion Lifestyle Profile of women college students. Methods: The sample consisted of 248 women college students in P city. Self report questionnaires were used to measure the variables. In data analysis, SPSSWIN 20.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: The mean score for Health Promotion Lifestyle Profile was 2.27. In the the highest subcategories, the highest degree of performance was interpersonal relationships and the lowest degree was health responsibility. Health Promotion Lifestyle Profile was significantly different according to religion (F=3.48, p=.017), economic state(F=3.01,p=.031), perceived health state(F=8.07, p<.001), exercise frequency (F=16.02, p<.001), and self-rated knowledge about health (F=21.08, p<.001). In regression of analysis, perceived health state, exercise frequency, and self-rated knowledge about health were significant predictors explaining 30.5%. Conclusion: This study suggests that perceived health state, exercise frequency, and self-rated knowledge about health are significantly influencing factors in Health Promotion Lifestyle Profile in women college students. Therefore, the strategies of nursing intervention which improve these variables must be developed for women college students.