• 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.

• 가정간호학회지
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• 제4권
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• pp.30-40
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• 1997

The change in health care environment increases the importance of Visiting Nursing Services Program. It has been performed by nurses of district health centers in Seoul since 1991. The Achievement of Visiting Nursing Services Program will be dependent upon their activities. The purpose of this study was to identify the Performance of Visiting Nurses and Job satisfaction of district health centers in Seoul. Therefore, it was to provide the fundamental data development of Visiting Nursing Services Program. The subjects were 214 Visiting Nurses of district health centers in Seoul. The data was collected by self reporting questionnaire from April 15 to April 30, 1997. Their performances and various supportive factors were measured with the instruments developed by the researcher. Job satisfaction were also measured by the instrument developed by Slavitt et al. (1978) was used. The data were, analyzed by Cronbach Alpha, mean, standard deviation, percentage, t -test, ANOVA Duncan test, Correlation Coefficient, and Stepwise Multiple Regression with SAS program. The results of this study were as follows: 1. The average of budget of Visiting Nursing Services Program of district health centers was 0.9% and the average of visiting nursing services personnel of district health centers was 10.1%. 2. With regard to the job satisfaction of Visiting Nurses the mean score was 2.92 out of 5. While the level of Job prestige / status presented as a mean score of 3.48 which was the largest among the 7 components of job satisfaction, the level of administration was the lowest showing 2.57 scores respectively. There were significant differences in the job satisfaction by age, working career of health centers(p<0.01, 0.001). 3. The average of the performance level of Visiting Nurses variables was 2.29; The variable with highest degree of performance was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was the directive nursing services. The significant difference was found in performance level according to age, structure type of visiting nursing services, working career of health centers and working career of visiting nursing services(p<0.05). 4. With regard to the perception of the performance expertise by the Visiting Nurses the mean score was 2.37 : The variable with highest degree of performance expertise was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was management of home-environment. The significant difference was found in performance expertise according to working career outside of health centers(p<0.05). 5. With regard to the perception of the performance necessity by the Visiting Nurses the mean was 2. 40 : the variable with highest degree of performance necessity was the teaching & consultation, establishment of performance plan, whereas the on with the lowest degree was directive nursing services. The significant difference was found in performance necessity according to working career of visiting nursing services(p<0.05). 6. A positive correlation was found between job satisfaction and performance level(r=.3731, P<0.001). Also, a weak positive correlation was found between the components of job satisfaction and performance level. 7. Stepwise multiple regression analysis revealed that the most powerful predictor was the variance of job satisfaction(R=.3557, $R^2$=.1265). Structure type of visiting nursing services and working career of visiting nursing services accounted for 19.0% of the variance in performance level in nurses. In conclusion, Job satisfaction, Structure type of visiting nursing services and Working career of visiting nursing services variables had influenced on performance level in health centers. Further research is required to confirm these findings.

• 영재교육연구
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• 제11권3호
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• pp.131-153
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• 2001

유아기에 영재를 판별하여 유아 영재의 흥미와 능력에 적합한 교육 프로그램을 제공하면, 유아영재의 잠재력은 극대화될 수 있다. 유아기에는 다른 연령에 비해 특히 실제의 발달과 잠재적 발달간의 차이가 특히 많기 때문에, 혼자 해결하도록 할 때보다 적절한 교육적 개입을 해주었을 때 더 많은 잠재적 능력을 발휘할 수 있다. 유아가 가진 영재성을 사장시키지 않기 위해서는 유아의 영재성을 조기에 판별하여 그들에게 적절한 교육적 프로그램을 제공하는 것이 필요하다. 본 연구의 목적은 역동적 평가방법을 적용한 유아 영재 판별방법을 제시하고자 하는 것이다. 이를 위해. 본 연구에서는 기존의 유아 영재 판별 방법들을 검토하고 이에 대한 문제점을 살펴보았다. 그런 후에 역동적 평가의 특징과 유형을 살펴보고, 마지막으로, 역동적 평가가 유아 영재를 판별하고자 할 때 어떻게 적용될 수 있는지를 탐색해 보았다. 유아기에 역동적 평가방법을 이용해 영재를 판별하면 다음과 같은 점에서 유용성이 있다. 첫째, 유아 영재의 판별에 역동적 평가방법을 사용하면 표준화 검사에 능력을 보이지 않는 잠재력이 있는 유아를 판별할 수 있다. 둘째, 역동적 평가방법은 학습에 대한 산출물보다 학습에 대한 과정을 평가할 수 있다. 셋째, 역동적 검사는 유아 영재를 조기에 발견하고 이에 적절한 교육적 처치를 할 수 있는 정보를 제공받을 수 있어 개별화교육이 가능하도록 해준다. 넷째, 역동적 평가는 진단과 교수를 연결시킴으로써 유아의 잠재력을 더욱 정확하게 측정할 수 있도록 해주며, 유아 영재들이 계속적인 성장을 할 수 있도록 교육적인 환경을 제공해 줄 수 있다.ject-orientation. For the convenience of input, output analysis, GUI(Graphic User Interface) of menu, window, dialog box, etc. are provided to the user, For the execution of DADSim, Silicon Graphic IRIX 6.3 or high version is required. DADSim can be used for the effectiveness analysis of­defence systems. Some illustrative examples will be shown in this paper.s, namely resources of military force planing requirement for 15 years, is given already for the accomplishment of military strategy. The purpose of this study is to seek a direction of the ROK′s military build-up policy in a viewpoint of capability-based military build-up.group, no difference was found in its fragrance. And, no difference was found in brightness and viscosity between samples. As a result of conducting the palatability test,

• 한국의학물리학회지:의학물리
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• 제16권4호
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• pp.207-213
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• 2005

경동맥 내중막 두께의 심각한 정도는 일과성 뇌 허혈, 중풍, 그리고 심근경색과 같은 관상동맥질환의 원인 질환이 되는 죽상동맥경화에 대한 독립적 예측인자이다 경동맥 내중막 두께는 내막두께와 중막두께로 구성되어 있지만, 내막과 중막 각각의 임상적 중요성에 대하여는 연구가 잘 되지 않고 있다. 본 연구에서는 죽상동맥경화증을 진단하기 위하여 B-mode 초음파 영상처리기술을 이용하여 내막, 중막, 그리고 내중막 두께를 측정하는 방법을 고안하였다. 내막, 중막, 내중막 두께의 임상적 중요성을 조사하기 위해서 144명(평균연령: 57세, 남성: 72명)의 환자를 대상으로 고해상도 초음파를 이용하여 총경동맥의 영상을 스캐닝 하였다. 그 결과, 죽상동맥경화성 질환이 있는 집단이 없는 집단에 비하여 내중막(p<0.01) 두께뿐만 아니라 내막(p<0.05) 및 중막(p<0.05)의 두께도 모두 유의하게 더 두꺼운 것으로 나타났다. 위험인자 중 고혈압이 있는 집단은 없는 집단에 비해 내막(p<0.01), 중막(p<0.001) 및 내중막(p<0.001) 두께 모두가 유의하게 더 두꺼웠고, 흡연을 하는 집단은 하지 않는 집단에 비해 내막의 두께만 유의하게 더 두꺼웠다(p<0.01). 내막(r=0.374, p=0.001), 중막(r=0.433, p=0.000) 및 내중막(r=0.479, p=0.000) 두께는 연령과 정적 상관관계(positive correlation)를 보였다. 두께들간의 공유설명량 ($r^2$) 평가결과는 내중막두께와 중막두께가 $92.4\%$, 내중막두께와 내막두께는 $49.1\%$, 그리고 내막두께와 중막두께는 $27.4\%$이었다. 이 결과는 경동맥의 내막과 중막은 서로 다른 생리현상을 갖는다는 것을 시사한다.

• Journal of Nutrition and Health
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• 제56권3호
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• pp.300-314
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• 2023

본 연구는 2016-2018년 국민건강영양조사 자료를 이용하여 청소년의 아침결식과 관련된 요인을 찾고 아침결식 예측모형을 분석하여 청소년의 아침결식 예방 교육 및 정책 수립에 기초 자료를 제공하고자 하였다. 2016-2018년 국민건강영양조사의 참여자는 총 24,269명으로 12-18세의 청소년 중 변수 결측자를 제외한 대상자는 1,024명이며, 이중 아침식사 섭취자 579명, 결식자 445명이었다. 남학생의 49.1%, 여학생의 50.9%가 아침결식자였다. 연령은 아침식사 결식군이 유의적으로 높으며, 결식군의 고등학생 비율이 높았다. 가구소득 4분위수는 아침식사 섭취군의 9.1%, 결식군의 15.4%가 '하'로 유의적인 차이를 보였다. 조사대상자의 신체적 요인은 유의적인 차이를 보이지 않았으나 체중감소를 위해 결식을 하는 경우는 아침식사 결식군의 25.3%, 섭취군의 10.4%로 유의적인 차이를 보였다. 조사대상자의 식습관과 정신건강에서 아침식사 결식군이 섭취군보다 1일 1회이상 외식횟수가 유의적으로 높았으며, 최근 1년간 1주 동안 5-7회 이상의 저녁식사 섭취빈도는 아침섭취군이 유의적으로 높았다. 또한, 아침식사 섭취군은 결식군보다 영양교육 경험이 유의적으로 높았으며, 아침식사 섭취군이 결식군보다 에너지, 단백질, 지방, 탄수화물, 식이섬유, 콜레스테롤, 비타민 A, 비타민 B1, 비타민 B2, 니아신, 비타민 C, 칼슘, 인, 나트륨, 칼륨, 철의 섭취율 및 탄수화물, 단백질, 지방의 섭취비율도 유의적으로 높았다. 아침결식 예측 모형을 도출하기 위해 CART 알고리즘을 사용한 의사결정나무 분석결과, 아침식사 섭취여부를 결정하는 주요인은 투입된 7개의 변수 중 교육수준과 영양교육 경험을 제외한 결식을 통한 체중조절, 가구소득 4분위수, 저녁식사 빈도, 연령, 외식 횟수였다. 체중조절을 위하여 결식을 하는 경우는 아침식사 결식군에서 높았다. 체중조절을 위하여 결식을 하지 않는 대상자는 가구소득 4분위수의 수준에서 소득이 '하', '중하'일 때 아침결식 비율이 높았다. 가구소득수준이 '상', '중상' 대상자의 경우는 저녁식사 빈도가 주 3-4회 이하인 경우 아침결식 비율이 높았다. 저녁식사 빈도가 주 5-7회이더라도 연령이 14.5세 초과인 경우 아침결식을 하고 있으며, 연령이 14.5세 미만인 대상자들은 외식횟수가 일 1회 이상인 경우, 주 6회 이하인 경우 아침결식을 하고 있었다. 따라서 아침결식을 감소시키기 위해서 청소년 대상의 각 그룹의 결식 주요인에 따라 올바른 체중조절 방법, 아침식사 배달, 건강정보에 대한 접근성 높이기, 아침결식과 질병과의 관련성 교육을 위한 토론수업 및 역할놀이 등과 같은 맞춤형 교육이 필요하며, 향후 청소년의 저녁식사 결식 감소 방안에 대한 연구가 추가적으로 진행되어야 하겠다.