• 지역사회간호학회지
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• 제32권3호
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• pp.368-381
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• 2021

Purpose: The obesity prevention and management program led by public health centers are important in the community. This study aims to identify the current status of obesity prevention and management programs at public health centers and perceptions regarding facilitators and barriers when implementing programs. Methods: This study used a concurrent mixed methods design. A survey was conducted to investigate the current status and infrastructure of the obesity prevention and management program at eighty-three public health centers nationwide. Nine program managers and six local residents with experience in the program were interviewed by using a semi-structured questionnaires. Results: Most of the infrastructure facilities for the program were inadequate, and insufficient budgets and lack of professional staff were identified as barriers. Facilitators included diversification of program delivery methods, operator competence, and visible outcomes and rewards. For the effectiveness of the program, it is vital to have adequate assistants, a sufficient budget, various promotional methods, and connections with various institutions in the community. On this basis, it is acknowledged that the public health center serves as a platform for preventing and managing obesity in the community. Conclusion: It is expected that infrastructure improvements in public health centers and the link with community resources are needed. In addition, there is an urgent need to set standards for obesity prevention and management programs implemented in public health centers to 'resolve regional disparities'.

• 한국노년학
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• 제40권3호
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• pp.485-509
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• 2020

이 연구는 영국, 스웨덴, 미국, 일본, 한국 5개국 대상의, 장기요양서비스 시장화가 서비스 질에 미치는 영향에 관한 경험적 연구 결과를 리뷰(review)한 문헌연구이다. 본 연구에서는 먼저 한국, 영국, 미국, 스웨덴, 일본의 시장화 및 서비스 질에 대한 규제체계에 대해 비교하였다. 다음으로 우리나라 장기요양보험제도가 도입된 2008년부터 2019년까지 국내에서 출판된 등재지 또는 등재후보지 논문과, PubMed, Web of Science에 등재된 국외 논문 중 시장화와 서비스 질의 관계를 경험적으로 검증한 논문을 선별하여 리뷰하였다. 국내 논문 7편과 국외 논문 13편(미국 7편, 영국 3편, 스웨덴 2편, 일본 1편)을 리뷰한 결과, 시장화가 서비스 질을 향상시켰다고 보기는 어려운 것으로 나타났다. 구체적으로 경쟁이 서비스 질을 향상시킨다는 결과는 미약하였으며, 영리시설의 서비스 질이 비영리시설보다 우수하다는 근거는 찾기 어려웠다. 영리시설 체인화는 서비스 질에 부정적인 영향을 미친다는 근거가 제시되었다. 국내외 연구 분석 결과는, 영리시설의 체인화 등을 통해 서비스 질 개선방안을 추진하는 전략은 재고해 볼 필요가 있으며, 국공립시설 및 비영리시설의 확대를 통한 공급주체 재편 필요성이 있음을 시사한다.

• 지역사회간호학회지
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• 제17권2호
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• pp.263-272
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• 2006

Purpose: Smoking has more injurious impacts on teenagers compare to adults in that they are in the growing stage with incomplete cells, tissues, and organs. Usually smoking among adolescent group is closely related to illegal drug uses. Also, smoking in the youth drives them to ill health in adulthood, so that they will pay future national health cost. The purpose of this study was to evaluate the impacts of school life and home surroundings on adolescent's smoking. The result of this study will be utilized to promote antismoking moods in schools and homes. Method: Samples of the study are all middle and high school students in one community. The surveys were conducted from May 13th to October 29th, 2004 using the questionnaire developed by researchers. T-test, ANOVA test, Chi-square test and logistic regression analysis were performed to identify the differences of teenagers' school life and their home surroundings between smoking and non-smoking groups using SPSS 12.0 English version. Results: The findings were that there was a significant difference between smoking groups and non-smoking groups related to school life and home surroundings. Smokers were less satisfied with their school work and had poor school record and poor relationships with their friends. Smokers had more smoking parents and don't set along with and less satisfied with their parents. Conclusion: In conclusion, the teenagers' school lives and home surroundings have impacts on adolescent's smoking. Therefore, it is very important to include the factors related to the teenagers' school lives and home surroundings in the smoking prohibition program in order to promote antismoking.

• Journal of Hospice and Palliative Care
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• 제23권2호
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• pp.71-84
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• 2020

Purpose: The purpose of this systematic review and meta-analysis was to investigate the effects of advance care planning on end-of-life decision-making. Methods: Databases including RISS, KISS, KMbase, KoreaMed, PubMed (MEDLINE), Embase, and CINAHL were searched for studies that examined the effects of advance care planning interventions. The inclusion criteria were original studies in English or Korean; adults ≥18 years of age (population); advance care planning (intervention); completion of advance directives (AD) or advance care planning (ACP) (outcomes); and randomized or non-randomized controlled trials (RCTs and non-RCTs, respectively) (design). Study quality was measured using the checklists of the Joanna Briggs Institute. Meta-analyses were conducted with the Comprehensive Meta-Analysis program. Results: Nine RCTs and nine non-RCTs were selected for the final analysis. The effect sizes (ES) of the outcome variables in nine RCTs were meta-analyzed, and found to range from 0.142 to 0.496 for the completion of AD and ACP (ES=0.496, 95% CI: 0.157~0.836), discussion of end-of-life care (ES=0.429, 95% CI: -0.027~0.885), quality of communication (ES=0.413, 95% CI: 0.008~0.818), decisional conflict (ES=0.349, 95% CI: -0.059~0.758), and congruence between preferences for care and delivered care (ES=0.142, 95% CI: -0.267~0.552). Conclusion: ACP interventions had a positive effect on the completion of AD and ACP. To apply AD or ACP in Korea, it is necessary to develop ACP interventions that reflect aspects of Korean culture.

• Clinical and Experimental Reproductive Medicine
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• 제41권1호
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• pp.15-20
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• 2014

Objective: Combined oral contraceptives (COCs) have some adverse effects on the serum lipid profile. Because hyperlipidemia is one of the risk factors in cardiovascular diseases, lipid abnormalities should be evaluated in women consuming COCs. Vitamins E and C are known to have beneficial effects on serum lipid profiles. Therefore, in this study, we evaluated the effects of vitamins E and C on serum lipids in women using COCs. Methods: The study compared changes in lipid parameters with and without vitamin therapy in women consuming COCs compared to those of a control group (40 non-contraceptive users or NCU) for 4 weeks. Total cholesterol and triglyceride, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels along with HDL/LDL ratios were measured for all participants. Results: COC users experienced significantly higher increases in the levels of triglycerides and LDL than non-users (p<0.05). However, no significant differences were noted in the total cholesterol and HDL levels. In the treated COC group receiving vitamins E and C, the HDL level and the HDL/LDL ratio increased and the LDL and triglycerides levels decreased significantly compared with those of the other groups. Conclusion: The results of our study indicate that supplementation with antioxidant vitamins E and C restores a normal lipid profile in COC users.

• 산업융합연구
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• 제19권5호
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• pp.79-90
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• 2021

본 연구는 우리나라에서 연구된 대학생 대상 의미증진 프로그램의 효과에 관한 문헌을 융합적으로 살펴보고 대학생 대상의 의미증진 프로그램의 내용적 형식적 특성과 의미증진 효과를 분석하기 위하여 실시되었다. 2021년 5월까지 국내에서 출판된 연구논문과 학위논문 중 대학생의 의미증진을 목적으로 한 연구를 대상으로 문헌을 수집하였다. 2021년 6월 10일부터 20일까지 6개의 데이터베이스를 사용하여 '의미요법' OR '로고테라피' OR '의미치료' OR '삶의 의미' OR '의미'로 검색을 실시하였다. 최종 선정된 논문은 7편을 두 명의 독립된 연구자가 표준화된 도구를 사용하여 비뚤림 위험과 연구의 질평가를 수행하였다. 7편의 의미증진 프로그램은 모두 대학생의 삶의 의미 발견에 효과가 있었으며, 단일중재와 병합중재 모두 효과가 있는 것으로 나타났다. 대학생 대상 의미증진 프로그램의 효과크기 분석을 위해서는 향후 무작위 대조군 실험연구가 시행될 필요가 있다.

• 산업융합연구
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• 제22권3호
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• pp.137-154
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• 2024

본 연구는 통합적 문헌고찰을 통해 COVID-19 팬데믹 상황에서의 임신부 스트레스의 특징을 파악하고자 하였다. 자료수집은 2020년부터 출간된 문헌 중 영어 또는 한글로 발표된 논문들을 대상으로 2023년 5월 1일부터 2023년 8월 10일까지 수행하였다. 문헌검색은 PubMed, Embase, Cochrane library, CINAHL의 국외 검색엔진과 RISS, KISS, 국회도서관의 국내 검색엔진을 사용하였는데, 'pregnan*', 'maternity', 'COVID', 'corona', 'pandemic', 'infection', 'stress'코로나, '팬데믹', '감염', 및 '스트레스'의 검색어를 조합하여 실시하였고, 질평가를 거쳐 최종 13편의 문헌이 선정되었다. COVID-19 팬데믹 상황에서 임신부 스트레스 정도는 대체로 증가하였으며, 임신부 스트레스 주요 요인으로는 임신부의 의학적 상태, 정신심리적 요인, 사회경제적 요인이 있었다. COVID-19 팬데믹 상황 하에서 임신부를 대상으로 이루어진 스트레스 감소 중재는 비대면 교육 및 훈련이 효과적인 것으로 나타났다. 본 연구결과를 바탕으로 신종 감염재난 상황을 대비할 수 있는 스트레스 감소 프로그램 개발의 토대가 될 수 있을 것이라 사료된다.

• 지역사회간호학회지
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• 제16권1호
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• pp.86-94
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• 2005

Purpose: This study investigated the Korean nurses' international migration to provide the basic data for establishing plans of supply and demand for nurses and the status of Korean nurses' application for foreign nurse licenses and overseas employment. Method: The subjects were 5.447 nurses who requested English written nurse license to the Ministry of Health and Welfare for the application of foreign nurse license examinations and overseas employment. Human Resources Development of Korea provided documents of nurses migrated to Saudi Arabia. Data were collected from December, 2002 to July, 2003 and analyzed by using descriptive statistics. Result: The total applicants for foreign nurse license were 3,149 for 2 years. In the year 2001, 1.129 nurses applied, 2,020 nurses in the year 2002. Out of 3,149 total subjects, 2,705(85.9%)nurses applied for U. S. A. nurse license. Eighty percent of the applicants of the U. S. A. nurse license examination applied for the New York states. The number of applicants for Canada was 215(6.8%), followed by Australia 88(2.8%), U. K. 86(2.7%), and New Zealand 45(1.4%). Average age of the applicants was 31, 49.0% of them were in their twenties. Three year college graduates accounted for 64.1% B.S.N. 33.9%. Applicants graduated from universities or colleges of Seoul area were 37.3%, followed by Daegu. The total number of nurses employed overseas were 1,291 during 2001 and 2002. Seven hundred thirty eight nurses(57.2%) were employed in the U. S. A.. Average age was 34, 60.9% were 3year college graduates, nurses graduated from Seoul area were 44.9%. No one applied for Saudi Arabian nurse license, 172 nurses were employed during 1999 and 2002, 39.5% of them were in their thirties. Conclusion: The results of this study shows relatively young and experienced nurses have intention to migrate internationally and they actually migrate to other countries. Comparing the number of nurses migrating to other country with the number of newly issued nurse licenses in Korea every year. the percentage of overseas employment was relatively high. To cope with Korean nurses international migration. new policy to monitor the status of nurse's international migration and an institution to deal with the affairs should be established. And the further study is needed to measure nurse's competence and influencing factors of Korean nurses employed in the U. S. A.

• 한국융합학회논문지
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• 제11권8호
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• pp.381-390
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• 2020

본 연구는 국내의 만성질환자를 대상으로 수행된 임파워먼트 관련요인에 대한 문헌을 고찰하였다. 2011년 1월부터 2020년 4월까지 출판된 문헌을 주요 데이터베이스에서 검색하였으며, 14편을 최종분석에 사용하였다. 모두 단년도 횡단적 연구로, 회귀분석을 이용한 연구가 가장 많았다. 임파워먼트 측정 도구는 Diabetes Empowerment Scale-Short Form (DES-SF)를 사용한 연구가 4편(28.6%)으로 가장 많았다. 본 연구결과 국내 만성질환자의 자가관리, 사회적지지, 건강정보이해능력, 삶의 질과 임파워먼트와의 관련성을 확인할 수 있었다. 본 연구는 국내의 만성질환자를 대상으로 임파워먼트 측정 도구 개발, 중재프로그램 개발에 기초가 될 것이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권3호
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• pp.7-19
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• 2013

Purpose: The main objective of this paper is, first, to assess a body of research evidence that articulates the impact of environmental and design factors on safety, quality of life, and health of the elderly who reside in geriatric hospitals or other elderly care facilities and, second, to draw out design implications that can be incorporated into design process and design decisions to help create healing environments for the elderly. Methods: Extensive literature review has been conducted to identify rigorous empirical studies that link the design of elderly care facilities to health-related outcomes and scrutinized peer-reviewed articles published in many different fields including architecture, psychology, nursing to gerontology. Results: The review found a growing body of rigorous studies that identified physical environmental and design factors that improve safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities. Implications: The findings of the review can be translated to design decisions to promote safety, quality of life, and health of the elderly in geriatric hospitals or other elderly care facilities.