• 제목/요약/키워드: Physical Environmental Factors

검색결과 1,086건 처리시간 0.029초

일 중소병원 입원노인환자의 수면양상에 영향을 미치는 요인 (Factors Affecting Sleeping Patterns among Hospitalized Elderly)

  • 심혜정;김진선;김계하
    • 성인간호학회지
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    • 제20권4호
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    • pp.573-587
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    • 2008
  • Purpose: The purpose of this study was to identify the factors affecting sleeping patterns among hospitalized elderly. Methods: A descriptive correlational study was conducted. Participants were 121 hospitalized elderly in a hospital located in a county. A structured questionnaire was used for data collection. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Results: Almost a half of hospitalized elderly in this study suffer from sleep disturbances. As results of univariate analyses, physical symptoms, anxiety, depression, and environmental factors disturbed sleep among hospitalized elderly. However, the result of stepwise multiple regression analysis identified that anxiety and environmental factors were significant predictors of sleeping patterns for hospitalized elderly and these two factors accounted 32.5% of variance of sleeping patterns among hospitalized elderly. Conclusion: Sleep assessment should be conducted on admission to identify sleep difficulties and thereby to improve quality of nursing care. Nurses and other health care personnels should make efforts to decrease anxiety and to eliminate environmental barriers of sleep among hospitalized elderly. Educational programs for nursing staff that offer information about sleep and sleep promoting interventions for the elderly patients are critical. Moreover, sleep promotion intervention program should be developed, applied and evaluated.

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아동비만에 영향을 미치는 일반요인 및 식이섭취 실태에 대한 비만군과 대조군의 비교 연구 -인천시내 초등학교 중심으로- (A Comparative Study of Obese Children and Normal Children on Dietary Intake and Environmental Factors at an Elementary School in Inchon)

  • 이윤주;장경자
    • 대한지역사회영양학회지
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    • 제4권4호
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    • pp.504-511
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    • 1999
  • The purpose of this survey was to investigate the relationship among obese children, dietary intake and environmental factors. Therefore, this survey compared obese children with normal children on dietary intake and environmental factors. The survey were 110 obese children and 110 normal children whose age, height, and sex were same as the obese children of 21 elementary school in Inchon. The statistical analysis of data was completed using SAS program. The results were summarized as follows : 1) The student's obesity was related to parent's obesity and number of their siblings. There were significant differences between obese groups and normal group for these two factors. 2) Meal time of the obese group showed more irregularity than that of the normal group. Otherwise, the normal group were more "piclity" about special food than the obese group(p<0.05). Also obese children showed unconsious eating while reading or watching TV(p<0.01). The normal group attended physical education class more eagerily the obese group(p<0.001). There was no significant difference between obese children and normal children for learning habits. 3) Obese children shoed higher intake of nutrients compared to normal children. Among all the nutrients, minerals and vitamins showed significant differences. Therefore, further study on obese children and their intake of minerals and vitamin is needed. Also, in order to prevent factors which influence obesity, nutrition education at home as well as school was needed.as needed.

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Open Space Design Elements and Social Support Design In Healing Facilities

  • Kim, Sunyoung
    • International Journal of Advanced Culture Technology
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    • 제10권2호
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    • pp.53-61
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    • 2022
  • This study suggested the environmental components for open space in a healing environment based on the social support approach for integrating and enhancing users' activities and interactions. The physical environments of the open space in healing facilities should be suggested by social support design and support the interactions of various users. Particularly architectural environment conditions should reinforce the contribution to the revitalization of medical facilities based on improving the healing effect of patients through mutual exchange of users. The open space environment conditions influence users' healing process with physical design factors and users' interactions, and the flexible environments based on the social support that is crucial for circulation and mutual exchange of users. The open space transformation, integration of technology, and wayfinding system with color and signage also allow users to improve the space experience and easy access. The environmental components of open space design should include easy access for user inflow, flexible layout for comfort, access to outdoor spaces, integration of warm color schemes for relaxation, personalization of spaces with artwork, and visual interest through the use of textures and materials.

환자의 개별 특성 및 병동의 환경 특성이 환자낙상 위험도에 미치는 영향 - 환자낙상 위험인자 파악을 위한 사례-통제 연구 (The Effect of Patient-related and Environment-related Characteristics on the Risk of Falling in Inpatient Care Unit - A Case-Control Study to identify Inpatient Fall Risk Factors)

  • 최영선
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권4호
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    • pp.61-70
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    • 2021
  • Purpose: The study aims at identifying patient-related and environmental factors associated with an increased risk of falling and, therefore, both caregivers and designers can be aware of fall risk factors and can contribute to prevent inpatient falls in their own areas of expertise. Methods: A case-control study has been conducted, utilizing patient data and physical environmental data in the unit of General Medicine in the United States. The case-control study investigated data about patients who had suffered falls as well as patients with similar characteristics (e.g., age, gender, and diagnosis) who did not suffer falls. Results: The study identified both patient-related and physical environmental factors associated with inpatient falls. Morse fall risk score, patient visibility, and patient accessibilityB were identified as significant predictors to inpatient falls, when controlling for other significant variables. Implications: The findings of the study can provide implications to both caregivers and healthcare and hospital environment designers. Caregivers should give special attention to patients with high Morse Fall Risk Scores to prevent inpatient falls. Designers also need to examine and to fine-tune the unit layout of inpatient care units to maximize each patient room's patient visibility from the rest of the unit and patient accessibilityB from working areas of nurses.

Interpretation of Physical Properties of Marine Sediments Using Multi­Sensor Core Logger (MSCL): Comparison with Discrete Samples

  • Kim, Gil-Young;Kim, Dae-Choul
    • Journal of the korean society of oceanography
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    • 제38권4호
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    • pp.166-172
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    • 2003
  • Multi­Sensor Core Logger (MSCL) is a useful system for logging the physical properties (compressional wave velocity, wet bulk density, fractional porosity, magnetic susceptibility and/or natural gamma radiation) of marine sediments through scanning of whole cores in a nondestructive fashion. But MSCL has a number of problems that can lead to spurious results depending on the various factors such as core slumping, gas expansion, mechanical stretching, and the thickness variation of core liner and sediment. For the verification of MSCL data, compressional wave velocity, wet bulk density, and porosity were measured on discrete samples by Hamilton Frame and Gravimetric method, respectively. Acoustic impedance was also calculated. Physical property data (velocity, wet bulk density, and impedance) logged by MSCL were slightly larger than those of discrete sample, and porosity is reverse. Average difference between MSCL and discrete sample at both sites is relatively small such as 22­24 m/s in velocity, $0.02­-0.08\;g/\textrm{cm}^3$ in wet bulk density, and 2.5­2.7% in porosity. The values also show systematic variation with sediment depth. A variety of factors are probably responsible for the differences including instrument error, various measurement method, sediment disturbance, and accuracy of calibration. Therefore, MSCL can be effectively used to collect physical property data with high resolution and quality, if the calibration is accurately completed.

하천정비에 의한 하천의 물리적 교란 평가 - 남강과 영천강을 대상으로 - (Assessment of Physical Stream Disturbances by River Improvement - Case Studies of Nam River and Youngcheon River -)

  • 김기흥
    • 한국환경복원기술학회지
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    • 제12권3호
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    • pp.83-97
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    • 2009
  • The objects of study is to propose criteria for physical river disturbance assessment and as case study to show the application results for river improvement. For this purpose, the river disturbance assessment method for past disturbance process and the present-day potential natural state of stream is proposed. To assess the disturbance of the Youngcheon River caused by river improvement, One ares of Nam River was selected for the reference reach and two areas of Youngcheon River were selected for the comparison reach. And these reaches were surveyed and analyzed according to applying criteria of the river disturbances assessment. The assessment indices were physical factors as like epifaunal (bottom), embededness, velocity/depth regime, sediment deposition, channel flow status, channel alteration, frequency of riffles, bank stability, vegetative protection and riparian zone etc. The results showed that physical river environment in Youngcheon River area was disturbed by artificial revetment and bed excavation, consequently this disturbance give rise to impact of ecosystem in river. Hereafter, the criteria for river disturbance assessment are needed to consider various river characters as bed materials and bed slop etc.

치매노인의 낙상위험요인에 관한 메타분석 (A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia)

  • 홍선영;박희옥
    • 성인간호학회지
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    • 제29권1호
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    • pp.51-62
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    • 2017
  • Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

주거단지계획 기본구상 결정요인에 관한 연구 - 물리적 계획요소를 중심으로 - (The Determinant Factors of Basic Concept in the Residential Site Planning - Focus on Physical Planning Elements -)

  • 조성학
    • 한국주거학회논문집
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    • 제28권2호
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    • pp.67-74
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    • 2017
  • The purpose of this study is to present basic data of basic concept that planners should consider in planning process. For this purpose, we have proposed the determinant factors of basic concept. In particular, this study focuses on the physical planning elements among the various planning elements that determine the basic concept. The research method is the case study and analysis for the competitions of LH for the past four years. After dividing the residential environment area, the planning elements was derived and the planning direction is arranged for the case district. The determinants factor were determined by the structure of each area. Three area, including the degree of urban context, were found to be the main determinants of the basic idea. The results of the study are as follows. (1) The degree of reflection of urban context, the degree of effort to resolve environmental influences are determinant factors of basic concept. (2) The degree of connection between urban and site area, the degree of overlapping of the boundaries, and street are determinant factors of basic concept. (3) The degree of appropriateness of the residential layout, the degree of rationality of the moving plan, the adequacy of the community space plan are determinant factors of basic concept.

지역사회 고령자의 낙상경험에 따른 위험요인 비교 (The Comparison of Risk Factors for Falls in the Community-Dwelling Elderly)

  • 김수민
    • PNF and Movement
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    • 제14권2호
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    • pp.93-103
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    • 2016
  • Purpose: This study aimed to investigate the factors that increase fall risk in the residential environment and the perceived fall risk among community-dwelling elderly through comparisons between fallers and non-fallers. Methods: The subjects were 95 community-dwelling elderly aged 65 years and over residing in the metropolitan city of Ulsan. A structured questionnaire consisting of items on sociodemographics and health- and fall-related characteristics was used and data were collected from July to August 2015. The data were analyzed with the SPSS/WIN program. Results: Among recent fallers, 38.9% had diagnosed diseases when the fall occurred, 56.87% were fearful of a recurrent fall, and 86.5% stated that they were increasing their carefulness but that had led to a decrease in activity. There were significant differences between elders who had fallen at least once and elders who had no falls in age, health status, depression, the experience of falling, fear of falling, diseases, and medications. Conclusion: The results indicate a need to assess risk factors to identify older adults with a high risk for falling and the need to develop multifactorial intervention programs that consider both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

건설업 종사자의 상지 근골격계 증상에 영향을 미치는 업무관련 요인 (Work-related Risk Factors Associated with Upper Extremity Symptoms among Construction Workers)

  • 조형열;박종;이철갑
    • 한국산업보건학회지
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    • 제28권2호
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    • pp.211-221
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    • 2018
  • Objectives: The purpose of this study was to identify work-related risk factors associated with upper extremity symptoms among construction workers using the fourth Korean Working Condition Survey(KWCS). Methods: Subjects were 2,724 construction workers selected from 50,007 respondents in the 2014 KWCS. The presence or absence of upper extremity symptoms and work-related risk factors, including individual, physical, and psychosocial factors, were used as variables. A multiple logistic regression analysis was performed in order to evaluate the relationship of the upper extremity symptoms with work-related risk factors. Results: Upper extremity symptoms were significantly associated with: employment type(OR: 1.57, 95% CI: 1.18~2.09); job satisfaction(OR: 2.06, 95% CI: 1.33~3.18); verbal abuse(OR: 2.06, 95% CI: 1.33~3.18); tiring or painful posture(OR: 2.33, 95% CI: 1.73~3.15); carrying or moving heavy loads(OR: 1.68, 95% CI: 1.23~2.24); repetitive hand or arm movement(OR: 1.42, 95% CI: 1.06~1.91) Conclusions: In order to prevent the upper extremity musculoskeletal disease in the construction industry, it is necessary to stabilize employment, enhance job satisfaction, and eliminate violence in the workplace and improve physical work environment.