• 대한건축학회논문집:계획계
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• 제34권2호
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• pp.13-21
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• 2018

The elderly are more likely to experience passive emotions such as loneliness, anxiety, and depression due to decreased physiological function and low participation in social activities. Therefore, the purpose of this study is to seek how to apply biophilic design from a healing perspective considering mental health to the residential space for the elderly. Biophilic design has a positive effect on the psychological stability of human being and the creation of a human-centered environment that provides various benefits to people's health through the combination with natural elements. The method of this study is as follows. First, survey tools are developed by reviewing literature related to biophilic design and planning factors in housing. Second, we conduct the survey around mental health status and preference of applying biophilic design patterns to the elderly and pre-elderly. Third, we propose a plan to apply biophilic design patterns in houses based on the analyzed results. The biophilic design pattern covered in this study is meaningful in that it seeks clues, the housing plan to create healing environment for the elderly with the nature friendly view.

• 정신신체의학
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• 제4권1호
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• pp.98-108
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• 1996

Korean women are now living almost 1/3 of their life after menopause. Sex-steroid hormone deficiency adversely affect various fields of physical & mental activity and quality of life during this period. Therefore, replacement of deficient hormone is thought to be natural therapeutic modality. Postmenopausal syndrome is recently redefined as an endocrinopathy with both short-and long-term sequelae, as a result of cessation of ovarian function. Hormone replacement therapy taken at or near time of menopause alleviates shot-term acute menopausal symptoms such as vasomotor disturbances and psychological problems. HRT also beneficially affects some of intermediate symptoms such as urogenital atrophy and cutaneous problems. The major benefits of long-term use were reductions in risk of long-term sequelae, that is, total fracture by 50-60%, cardiovascular disease by 50% and cerebrovascular disease by 30-40%, respectively. In addition, HRT may also positively influence Alzheimer's disease, reduce the colorectal cancer risk and increase longevity of the life. In conclusion, all postmenopausal women should consider preventive HRT when there are no contraindications.

• 한국정보시스템학회지:정보시스템연구
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• 제30권2호
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• pp.79-103
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• 2021

Purpose Based on consumers' economic, psychological, self-development and conversion costs, this study discusses the relationship between consumers' negative attitude to their shadow work during the course of using self-service in unmanned supermarkets and their behavior. Design/methodology/approach Along with the Hirschman(1970)'s EVLN(Exit, Voice, Loyalty, and Neglect) reviewed, the proposed model of this study is based on the S-O-R model(Mehrabian and Russel, 1974) and mental accounting theory(Thaler, 1999), having empirical validation. Findings In the process of visits and consumption in unmanned supermarkets, increasing economic and psychological benefits can effectively reduce consumers' negative attitudes towards shadow work. In addition, the increase in switching costs will also effectively reduce consumers' negative attitudes towards shadow work. When shadow work holds a negative attitude, all the three kinds of actions will occur. Unmanned supermarket operators use consumers to create value while giving a certain return to them, which is conducive to the sustainable development of unmanned supermarket enterprises.

• CRM연구
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• 제4권2호
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• pp.31-41
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• 2011

소셜네트워크(Social Network)는 전세계 사용자간의 커뮤니케이션을 지원함으로써 이용자들간의 관계형성을 통해 다양한 정보의 흐름을 유도하고 있다. 이를 통해 사용자는 다양한 혜택을 누리고 있으며 이는 우리사회에 커다란 영향력을 미치고 있다. 본 연구의 목적은 소셜네트워크 서비스(SNS) 이용자의 SNS 이용 심리 및 태도를 Davis의 기술수용모델(TAM)에 근거하여 연구하고자 한다. SNS 이용자들은 개인의 관심분야와 관련하여 다양한 정보를 생산하고, 확산하고, 획득하는 채널로서 SNS를 활용하고 있으며 이러한 활동에 따른 SNS 이용혜택이 소비자의 지각된 유용성에 어떻게 영향을 미치는지에 중점을 두고 살펴보고자 한다. 본 연구의 SNS 이용자 혜택은 SNS의 다양한 혜택 중에서도 이용자들 간의 상호작용을 통해 형성되는 관계혜택에 초점을 두고 있으며 이러한 소비자의 관계혜택 중 소비자가 느끼는 심리적 혜택과 정보적 혜택은 SNS이용자의 관여도에 따라 지각된 유용성이 다르게 영향을 미칠 것이라는 가정 하에 이와 관련한 지각된 유용성과 지각된 용이성이 브랜드 태도에 어떻게 연결되는지를 살펴보고자 한다.

• 한국사회복지학
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• 제58권2호
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• pp.33-56
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• 2006

본 연구는 정신장애인의 일차적보호제공자가 더 이상 보호를 제공할 수 없을 때를 대비한 평생계획(재정계획, 주거계획, 법적 보호)에 초점이 있다. 따라서 1994년 이후 지역사회중심의 국가적 정신보건전략을 체계적으로 수행하고 있는 뉴질랜드 정부의 정책과 지역사회에서 포괄적 서비스를 제공하고 있는 NGO의 평생계획을 위한 구체적 서비스를 조사하여 우리나라에의 적용가능성을 찾고자 하였다. 조사결과 첫째, 재정계획 면에서 뉴질랜드 정부는 소득보장으로 장애급여와 기타 수당을 지급하고, 고용촉진을 위해 고용주에게 임금을 보조하는 형태의 재정적 지원을 한다. 그리고 지역사외의 NGO는 구직과 고용 유지를 위한 자원연결과지지 서비스를 제공한다. 둘째, 주거계획으로 정부는 주택보조와 자립지원을 통해 거주지 마련을 지원하고 NGO는 지지적 주거를 통해 지역사회에서 생활하는데 필요한 주거와 포괄적 지지를 동시에 제공하고 있다. 셋째, 법적 보호는 신상 및 재산보호법(PPPR Act)하에 법원이 신상관리와 재산관리를 도울 복지후견인과 재산관리인을 지정하는데 이들은 정신장애인의 존엄성과 자기결정권에 대한 존중을 전제로 관리할 것으로 의무화하고 있다. 이러한 결과를 바탕으로 연구자는 우리나라의 지역사회정신보건센터와 사회복귀시설의 역할과 기능을 임상서비스와 사회적 서비스로 구분하여 정신보건전달체계가 보다 소비자의 욕구에 반응할 것을 제안하였다. 또한 장애인의 생계와 장애로 인한 추가비용을 감당할 수 있도록 장애수당을 현실화할 것과 지지적 주거의 확대와 지원의 필요성을 제기하였다. 그리고 정신장애인의 법적 보호를 위해 성인후견인 제도의 도입을 제안하였다.

• 근관절건강학회지
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• 제8권1호
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• pp.122-140
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• 2001

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and functional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and good of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fitness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy. BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status. perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39%. Perceived barriers of action were directly influeced by past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status. which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style. Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.579-591
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• 2017

회복지향질병관리(Illness Management and Recovery: IMR) 프로그램은 정신과 환자의 질병에 대한 자가 관리 및 회복을 촉진하기 위해 개발되었다. 본 연구에서는 한국판 IMR 프로그램이 입원한 만성 중증정신과 환자의 회복, 정신질환 지식, 희망에 미치는 영향을 살펴보았다. 연구 대상자는 조현병, 양극성장애, 조현형정동장애로 진단 받은 사람들로 실험군(51명)은 IMR 프로그램에 참여하였으며, 대조군(41명)은 기존의 치료를 유지하였다. 자료 수집은 2015년 5월부터 2016년 12월까지 이루어졌다. 정신건강회복척도, 정신장애 지식척도, 한국판 희망척도를 사전과 중재 이후에 실시하였다. 연구결과 IMR 프로그램에 참여한 사람들이 기존 치료를 유지한 대조군에 비해 자신의 회복 추구와 정신장애에 대한 지식이 향상하였다. 그러나 두 그룹 모두 희망에 대한 변화는 유의하지 않았다. 본 연구는 한국에서 처음 시행된 IMR 프로그램의 효과성 연구이다. 본 연구 결과는 한국판 IMR 프로그램이 우리나라 정신보건 임상에서 만성 정신과 환자의 회복을 촉진시키는 효과적인 중재로 활용될 가능성을 지지한다.

• 동의신경정신과학회지
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• 제33권2호
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• pp.123-131
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• 2022

Objectives: The purpose of this study was to investigate the experience and perception of using Korean medicine treatments for patients with mental disorders. Methods: The method of a qualitative analysis was used, and semi-structured interviews were conducted. The researchers developed the survey questionnaires with consultation from psychiatrists from various university hospitals. Before conducting interviews, an IRB was approved KHSIRB-21-131 (RA), and the Hankook Research Company managed the interviews. The question composition comprised 11 questions based on symptoms and treatment situations accompanying treatment due to mental distress, perception of Korean medicine, awareness of treatment costs, and awareness of treatment costs. Results: A total of six patients were interviewed. Each interviewee took 90 minutes to answer questions. Through the analysis of the data, the patients comprised four categories: characteristics, awareness of Korean medicine, awareness of Western treatment, and daily life due to mental disorder. The experience and perception of patients using Korean medicine showed positive attitudes. There was an opinion among patients that Korean medicine treatment was less dependent on drugs, and had fewer side effects, than Western medicine. Some patients said that Korean medical treatment is expensive and burdensome medical expenses. Some patients were not aware of the application of insurance to mitigate medical expenses. Conclusions: Based on the findings of the study, it is urgent to expand the application of insurance benefits to Korean medicine.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2001년도 제4회 국제학술 심포지움
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• pp.1-9
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• 2001

Health Insurance System in Korea was introduced in 1977 and expanded health insurance benefits for all people in 1989. The development of medical service and technology takes a growing concerning for public health and medicine. And also, it helps to extend the average life span of Koreans. Therefore, the old people are steadily increased over seven percent of total population and will take more than 14% in 2023. Generally, the old people have the chronic disease such as diabetes and hypertension. Also, smoking, stress, environmental pollution and lack of exercise, leading cause of cancer, cardiovascular disease and respiratory infections have affected to state economy negatively. Therefore, health promotion law was established for a variety of health promotion process, including education, program implementation and community development. The goals and strategies for health promotion are as following: . Practice of healthy life: - Strengthen publicity activities on smoking and exercise. - Program development for nonsmoking and exercise. - Program extent for community health. Strengthen of mental health: - Planning of national survey for mental patient. - Prevention of alcoholism - Setting up special hospital for alcoholism . Constant cancer management under government - Developing medical treatment and prevention program. - Early diagnosis for the whole nation . Management of chronic disease - Strengthen of Prevention Program . Reinforcing of oral health - A national survey of oral health - Oral health education

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.89-96
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• 2015

Purpose: Despite well-known benefits of walking on cardiovascular health, no structured walking exercise program has been formally tested on elderly Korean immigrants (EKIs). This pilot randomized controlled trial study assessed the effect of a walking program on walking behavior (pedometer steps count), stress (cortisol), depressive symptoms (CESD-10), and cardiovascular disease biomarkers (hs-CRP and fibrinogen) via venipuncture in EKIs. Methods: Seventy EKIs recruited from a Korean community were randomly assigned to a 12-week walking group or control group in a 3:2 ratio. The working program included a pedometer, buddy, monthly coffee card, weekly call for goal setting, and physical activity consultation. Walking group EKIs maintained the Centers for Disease Control and Prevention recommended exercise guidelines and good mental health status over 12 weeks. Results: There was no significant difference in the outcomes between control and walking groups. Conclusion: Social networking with Koreans in the senior center and church from a well-established Korean community might have positive effects on mental health.