• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.134-144
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• 2018

본 연구는 고관절 수술 환자에게 섬망 예방프로그램을 적용하여 그 효과를 검증하기 위한 비동등성 대조군 사후설계를 이용한 유사실험연구이다. 연구대상은 일 종합병원에서 고관절 수술후 외과계중환자실에 입실한 65세 이상 노인 환자였으며 실험군 33명, 대조군 31명이었다. 실험군에게 섬망 예방프로그램을 적용하였으며 구체적 내용은 오리엔테이션 중재, 활동 중재, 생리적 중재, 영양 중재, 수면 중재, 환경 중재로 구성되었다. 자료분석은 ${\chi}^2-test$, independent t-test로 분석하였다. 연구결과 실험군은 대조군 보다 섬망 발생률이 낮은 것으로 나타났다(${\chi}^2=7.048$, p=.008). 실험군은 대조군 보다 중환자실 재실일수와 재원일수가 적었으나 통계적으로 유의하지 않은 것으로 나타났다. 본 연구에서 적용한 섬망 예방프로그램은 고관절 수술환자의 섬망을 예방하는데 효과적임을 확인하였으며 향후 고관절 수술환자 섬망 예방을 위해 실무에 적용할 수 있을 것으로 기대한다.

• 종양간호연구
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• 제9권1호
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• pp.43-51
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• 2009

Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of 'Introduction to cancer', 'Treatment and treatment complications of cancer', 'Post-treatment nutritional care', 'Helpful information', 'Introduction to hospice and palliative care', 'Comprehension of life and death', 'Holistic hospice and palliative care', 'How to communicate as a smart patient', 'Hospice and ethics', 'Pediatric hospice', 'Bereavement management', and 'Clinical practicum'. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

• Journal of Korean Biological Nursing Science
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• 제12권1호
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• pp.39-47
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• 2010

Purpose: The purpose of this study was to investigate the health status, nutritional status, and nutrient intakes of Korean female elderly who are members of a local church in Seoul, Korea. Methods: The subjects were 59 female who are aged >65 yr. We investigated the nutritional status of the subjects using anthropometric and biochemical measurements. Interview was conducted to obtain the information regarding the health status. We also obtained dietary intake of these subjects to figure out the nutrient intakes. Results: The mean age of the subject was 74.0 yr old. Based on the WHO standard (obesity, body mass index, BMI ${\qeq}25$), we categorized the subjects to the obese and the non obese groups. The number of subjects in the obese group was 34 (57.6%). The mean Diastolic BP (p=.002), BMI (p<.001), waist circumference (p<.001), hip circumference (p<.001), blood level of transferrin (p=.038), and nutrient intakes of calcium (p=.026), potassium (p=.046), folate (p=.038) and vitamin E (p=.031) were higher in the obese group than in the non obese group. The subjects with hypertension was 67.5%. The presence of hypertension was correlated with BMI (p<.05). The number of subjects with hypercholesterolemia was 17 (28.8%). The level of cholesterol was correlated with BMI (p<.05) and wasit/hip ratio (p<.05). Conclusion: The female elderly in our study had higher prevalence of obesity which is a risk factor for hypertension and hypercholesterolemia. The nutrient intake of high sodium, high cholesterol, and low dietary fiber of these subjects suggests that there is an urgent need to develop an well planned nutritional education program for female elderly.

• 한국지역사회생활과학회지
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• 제17권3호
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• pp.143-158
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• 2006

The study examined nutritional conditions to enhance the quality of meals and to provide the basic data for more proper dietary life of college students. Our analysis was based on the body measurement, food intake and food habits for 200 students of Chung-Nam. The nutrient intake was examined using the 24-hour recall method. The data were analyzed by the Computer Aided Nutritional Analysis Program and then the diet quality was estimated using the Mean Adequacy Ratio(MAR), the Nutrient Adequacy Ratio(NAR) and the Index of Nutritional Quality(INQ). The average weight and height of male students were $67.57{\pm}8.66kg,\;174.64{\pm}5.87cm$, while those of female students were $53.46{\pm}6.86kg,\;159.10{\pm}4.19cm$, respectively. The total energy intake of the male students was $3221.71{\pm}200.39kcal$, while that of the female students was $1884.67{\pm}100.93kcal$. The male students are higher than female in % of RDA. The percentages of carbohydrate, protein and lipid for male students were $57.18{\pm}7.83%,\;15.15{\jpm}3.36%\;and\; 27.67{\pm}6.68%$, while those of female students were $58.77{\pm}7.68%,\;15.51{\pm}4.55%\;and\;25.72{\pm}6.20%$, respectively. There was no significant difference in calcium intakes for both groups, however they are less than the RDA. In terms of iron, the male students took $16.98{\pm}5.57mg$ and the female students took $11.35{\pm}2.68mg$, with significant difference (p<0.001). The male and female students showed sufficient intake of vitamins, with significant difference between two groups except for vitamin A. The mean MAR, an index of overall dietary quality, was significantly higher in the male students than female students(p<0.01). Male and female students enjoying two meals or more a day were 59%, and those having enough time for one meal or less a day were 36.5%. Male and female students having no breakfast were 39%. Male and female students having vegetables intake were 53.5%, and having milk or milk products every day were 29.5% of them. In conclusion, nutritional education is recommended to increase the calcium intake and fruit and vegetable consumption for dietary fiber, and to emphasize regularity of meal time.

• Journal of Nutrition and Health
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• 제40권7호
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• pp.658-666
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• 2007

본 연구는 체격, 체중감량 목표 및 개념, 지식정도 등의 체중감량에 대한 인식을 조사하기 위하여 수행되었다. 1) 조사대상자의 평균 연령은 남성 39.9세 여성 39.3세였고, 신장, 체중과 BMI는 연령과 성별에 따라 유의적인 차이 (p<0.05)를 나타내었다. 2) 비만도의 분포는 연령이 높고 남성의 경우 과체중과 비만이 유의적으로 많았다 (p<0.05). 3) 본 연구의 대상자들은 연령이 낮거나 여성의 경우 체중이 저체중이거나 정상체중임에도 불구하고 희망체중은 낮아 왜곡된 체형인식을 가지고 있었다. 4) 체중감량에 대한 목표는 연령이 낮을수록 외모적 이유로, 연령이 높을수록 건강상의 이유라고 대답하였다 (p<0.05). 체중감량 개념에 대해서는 연령이 낮을수록 "약간 마르거나 날씬한 몸매를 유지하는 것"이라고 인식한 반면, 연령이 높을수록 "정상 체중에 도달하기 위해 노력하는 것" 또는 "병에 걸리지 않도록 체중을 유지하는 것"이라고 대답하여 연령에 따른 유의적인 차이를 보여주었다 (p < 0.05). 5) 체중감량과 식습관, 운동 및 영양지식과 같은 체중감량에 관한 지식에 관한 연령과 성별에 따른 총 정답률의 유의적인 차이는 보이지 않았다. "물도 살을 찌게 한다"라는 문항은 68.5%의 가장 낮은 정답률을 보였으며, "아침식사를 거르는 것은 다이어트에 효과적이다"라는 문항에 91.7%의 가장 높은 정답률을 보였다. 본 연구 결과 성별, 연령별에 따라 체중감량에 대한 인식 목적 희망체중감량 목표 등에서 유의적인 차이가 나타났다. 따라서 체중감량을 위한 영양교육 자료 개발시 성별, 연령별로 특화된 맞춤형 영양교육 컨텐츠 개발이 필요하리라 사료된다.

• 대한지역사회영양학회지
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• 제19권6호
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• pp.550-557
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• 2014

Objectives: This study was conducted to examine the preferences and needs of typical Korean females adults for food and nutrition information provided by the mass media. Methods: A total of 343 females (77 in their 20s, 85 in their 30s, 88 in their 40s and 93 in their 50s) residing in the Seoul/Gyeonggido area was surveyed on general characteristics, main sources of food and nutrition information and needs for sources and contents of nutrition information. Results: The survey showed that typical Korean females obtained knowledge of food and nutrition mainly through the Internet (30.4%) and broadcasting (29.0%). Typical Korean females were interested in 'dietary management for weight control' (21.9%), 'the prevention and treatment of disease' (20.0%), 'food safety' (16.8%), 'proper dietary habits' (14.6%), 'cookery' (11.8%), 'functional foods' (9.6%), 'restaurant details' (3.5%) and 'life-cycle-specific dietary guideline' (1.6%). Needs for food and nutrition program forms on TV were 'educational programs' (34.3%), 'documentaries' (20.8), 'expert lecture-style' (13.0%), 'entertainment programs' (11.9%), 'expert conversation' (11.4%), 'news-style' (4.6%) and 'public campaign advertisements' (4.0%). On the Internet, 38.6% of the respondents preferred to get information provided by food and nutrition-related institutions (38.6%) while 26.1% preferred webtoons for nutritional information. The favored forms in mobile applications were 'monitoring their diets' (29.5%), 'data-based texts information' (21.4%), 'experts feedback' (20.6%), 'communities' (15.1%) and 'games' (13.1%). The rates of the preference to obtain information from experts such as nutritionists and dietitians and doctorsor dietitian turned reporters increased markedly with older ages. Conclusions: Since the mass media is a main source of food and nutrition information for the general public, the effectiveness and accuracy of the information provided should be enhanced by taking the needs of the public into account. The quality of information should be improved by involving more nutrition experts.

• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.244-255
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• 2009

본 연구는 농촌지역 조손가정 조부모의 건강상태와 건강생활습관 및 영양상태를 분석한 탐색적 연구로 2009년 1월말 현재 지역사회서비스투자사업의 일환으로 실시되는 조손가구 57가구의 70명의 노인을 대상으로 하였다. 연구도구는 '전국노인장기요양보호서비스 욕구조사'도구와 간이영양 사정표를 사용하여 빈도, 백분율, 평균 점수를 분석하고, 이들 변수간의 관련성은 $x^2$-test, F-test 및 상관관계를 보았다. 조부모의 평균 연령은 70.1${\pm}$6.65세이었고, 생활수준은 67.2%에서 어려움을 보였으며 교육수준이 낮은 편이었다. 만성질 환율은 58.6%, 급성질환이환율은 5.7%, 우울노인이 20.0%, ADL과 IADL에서 수발이 필요한 조부모는 각각 14.5%, 35.7%에 해당되었다. 인지기능에서 장애는 22.7%, 낙상지수는 2.93점(표준편차${\pm}$1.09점)으로 나타나 낙상가능성을 시사해주었다. 건강생활습관에서는 흡연율 11.4%, 음주율 35.7%, 건강검진율 67.1%이었다. 영양점수는 평균 21.0점(표준편차 ${\pm}$3.5점)이었으며, '영양양호' 37.8%, '영양불량경계역'56.8%, '영양불량' 5.4%, '비만' 44.6%로 나타났다. 일반적 특성에 따른 건강상태에서는 IADL, 우울상태와 낙상지수가 유의한 지표로 p<.01수준에서 성별, 연령, 생활수준, 배우자유무와 관련이 있었고, 건강특성과 영양상태에서는 급성질환(p<.05), ADL(p<.001), IADL(p<.01) 인지기능(p<.01)의 장애유무와 관련이 검정되었다. 조손가정 조부모의 일반적 특성, 건강상태, 건강생활습관과 영양상태와의 상관관계에서는 이들 지표간의 유의한 상관을 보였다. 따라서 앞으로 조손가정의 조부모의 건강상태에 관여되는 일반적 특성을 고려하여 건강생활습관의 개선이 가능한 건강증진사업을 도모함과 더불어 조손가정의 건강과 영양관리가 이루어질 수 있는 중재서비스의 개입이 이루어져야 할것을 제언한다.

• Nutritional Sciences
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• 제5권1호
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• pp.34-39
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• 2002

The objective of tole study was to compare nutritional knowledge, attitudes and food practices of competitive athletes, recreational athletes and non-participants. All students enrolled at the University of Nebraska in an Introductory Nutrition course in which sports nutrition was stressed, were asked to participate in the study. The course was typical of many introductory nutrition courses ; about two thirds of the students were from the Department of Health, Physical Education and Recreation, and most of the students were encouraged to take this course by their advisers. The students were divided into three groups : 20 competitive athletes (mostly runners, swimmers, basketball players and football players for the University), 14 recreational athletes (who were involved in a planned exercise program at least 2 hours per week), and 19 non-participants. At the beginning of the semester, students completed a food frequency questionnaire, and a 24-hour food record based on the Food Guide Pyramid. A nutrition knowledge and attitude questionnaire was formulated specifically for this study, covering normal nutrition and sports nutrition. The results showed that consumption of foods from all Food Guide Pyramid food groups except the fats/oils/sweets group was not significantly different among the three student groups. Regarding the fats/oils/sweets group, competitive athletes consumed significantly more numbers of servings than recreational athletes, while the recreational athletes consumed significantly more than non-participants (p<0.01). The total mean scores from the nutrition attitude and knowledge questionnaire were not significantly different among the three student groups. However, combined athletes (competitive athletes and recreational athletes) obtained significantly higher scores on some of the nutrition attitude questions (p<0.05). The results of the study indicate that athletes, significantly lower scores on some of the nutrition knowledge questions (p<0.05). The results of the study indicate that athletes, whether competitive or some of the nutrition knowledge questions (p<0.05). The results of the study indicate that athletes, whether competitive or recreational, had a very positive attitude regarding the effects of nutrition on their sports performance and health: however, these athletes did not appear to apply scientific principles of sports nutrition to their diet. In conclusion, advising athletes to simply increase or decrease their intakes of certain foods is too simplistic an approach for maintenance of good health and for better sporting performance. Athletes and non-athletes need continuous nutrition education to help with improving their competitive edge and food choices.

• 한국식품영양과학회지
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• 제38권11호
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• pp.1551-1558
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• 2009

본 연구는 최대 골질량에 도달하는 20대의 대학생 1039명(남학생 532명, 여학생 507명)을 대상으로 골초음파 상태와 영양소 섭취 및 생화학적 영양 상태를 나타내는 지표들과의 관계를 분석하였다. 대상자의 골밀도 수치에 따라 t-score$\underline{\geq}$-1인 정상 골밀도군과 t-score<-1 골감소군으로 분류하여 비교한 결과 남학생의 경우 정상 골밀도군이 90.4%, 골감소군이 9.6%이며 여학생의 경우 정상 골밀도군이 94.1%, 골감소군이 5.9%의 분포를 보였다. 체적지표인 BMI를 아시아-태평양 비만기준에 의거하여 분리하였을 때는 남학생은 저체중 3.4%, 정상＋과체중 70.7%, 비만 25.9%, 여학생은 저체중 16.2%, 정상＋과체중 76.5%, 비만 7.3%의 분포를 보였다. 정상 골밀도군과 골감소군의 골밀도와 생화학적 영양 상태는 남학생 여학생 모두 통계적으로 유의한 차이가 없었다. 전체대상자들의 영양소 섭취상태를 살펴 본 결과, 남학생의 경우 정상 골밀도군과 골감소군 간의 유의적인 차이가 나타나지 않았으나 여학생의 경우 동물성 단백질과 동물성 철분 섭취량이 정상 골밀도군에서 골감소군보다 유의하게 높았다. 평균 에너지 섭취량은 동일한 연령대의 한국인영양섭취기준(KDRIs)과 비교하였을 때, 각 남학생 정상골밀도군 약 74%, 골감소군 67%, 여학생 정상골밀도군 약 89%, 골감소군 81%의 섭취수준을 나타내었다. 평균 단백질섭취량은 남녀 두 군 모두 100%를 상회하는 섭취 양상을 나타냈으며, 강한 뼈를 유지하거나 각종 신진대사에 필수적인 영양소이기 때문에 골격건강에 가장 큰 영향을 미치는 칼슘의 경우 남학생과 여학생 모두 KDRIs와 비교하여 권장섭취기준의 약 63%정도로 부족한 것으로 나타났다. 골 건강 상태에 영향을 미치는 영양인자의 로지스틱 회귀분석 결과 연령, 성별 및 BMI를 교란변수로 통제하였을 경우 동물성 단백질, 동물성 철분 및 아연섭취는 골감소를 예방하는 보호 작용이 있는 것으로 나타났다. 동물성 단백질과 이들 미량 영양소의 섭취정도는 높은 식사의 질을 반영하므로 질적으로 우수한 식생활이 최대 골질량에 도달하는 시기인 20대의 골격형성과 건강을 위해 필수적인 것으로 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제33권10호
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• pp.1617-1623
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• 2020

Objective: This study was conducted to investigate the effects of dietary probiotic blend and liquid feed program at different nutritional densities on growth performance, nutrient digestibility, fecal score of weaning piglets. Methods: A total of 120 weaning pigs with an initial body weight of 7.05±0.93 kg per pig (21 days of age) were randomly allocated into 1 of the following 8 dietary treatments (3 replicates per treatment with 5 pigs per replicate) in a 2×2×2 factorial arrangement (nutrition levels: apparent metabolic energy [AME] = 3,500 kcal/kg, crude protein [CP] = 20% vs AME = 3,400 kcal/kg, CP = 19.42%; feed types:dry vs wet; probiotics levels: 0 mg/kg vs 300 mg/kg). Results: During d 5 to d 15, greater average daily gain (ADG) and average daily feed intake (ADFI) (p<0.05) were observed in probiotics treatments. During d 15 to d 25, gain:feed (G:F) ratio (p<0.05) were significantly improved in probiotics, wet feed and high nutrition diet. Moreover, two interactions i) between nutrition levels and feed types, and ii) between nutrition levels and probiotics were found in G:F ratio. Furthermore, there was a significant positive interaction on G:F among those 3 factors (p<0.05). Overall, increasing ADG, ADFI, and G:F ratio were detected in probiotics treatment significantly (p<0.05). Besides, an obvious reduction on fecal score was observed in probiotics treatment from d 0 to d 5 (p<0.05). There was an interactive effect on fecal score between feed types and nutrition concentrations from d 5 to d 25 (p<0.05). Conclusion: These results indicated that probiotics supplementation could benefit growth performance and reduce the frequency of watery feces. Besides, wet feed program (feed:water = 1:1.25) could improve the G:F. The effect of liquid feed or probiotic could be influenced by dietary nutrition density in weaned piglets. An increased value of G:F was obtained when wet feeding a high nutrition diet (100 kcal higher than NRC 2012 recommendations) was supplemented with probiotics for 15 to 25 days.