• 제목/요약/키워드: Program Level

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심장재활 교육프로그램이 심근 경색증 환자의 질병관련 지식과 건강행위 이행에 미치는 효과 (Effects of Cardiac Rehabilitation Teaching Program on Knowledge Level and Compliance of Health Behavior for Patients with Myocardial Infarction)

  • 정혜선;김희승;유양숙;문정순
    • 대한간호학회지
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    • 제32권1호
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    • pp.50-61
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    • 2002
  • The purpose of this study was to investigate the effects of cardiac rehabilitation teaching program on knowledge level and compliance of health behavior for the patients with myocardial infarction. Method: The subjects were 47 patients 23 were assigned to the experimental group and 24 were for the control. The cardiac rehabilitation teaching program is a individualized teaching program which was delivered to the experimental group during hospitalization period by present researcher. Data were collected through questionnaire surveys for knowledge level and compliance of health behavior from September 15, 1999 to December 31, 2000. The collected data was analyzed by using the SAS program. Results: 1. With regard to the knowledge scores 1) The total knowledge level in the experimental group was significantly higher than in the control group. 2) As to the knowledge domains, nature of disease, risk factors, diet, medication, exercise, and daily activities were significantly higher in score in the experimental group than in the control group. 2. With regard to the compliance of health behavior 1) The average compliance with good health behavior was significantly higher in the experimental group than in the control group. 2) As to the health behavior domains smoking cessation, diet, stress management, regular exercise, and other measures for lifestyle modification were significantly higher in score in the experimental group than in the control group. 3. The pre-treatment knowledge score was positively correlated to the post-treatment knowledge score and post- treatment knowledge score was positively correlated to the post-treatment compliance of health behaviors. Conclusion: The above findings indicate that the cardiac rehabilitation teaching program for the experimental group was effective in increasing level of knowledge and improvement of compliance with good health behavior of patients with myocardial infarction.

지역사회 중심의 당뇨 사례관리사업 효과 (The Effect of Case Management Program for Diabetic Patients in Korean Community)

  • 신은영;김철환;유원섭;김창엽;김희걸
    • 지역사회간호학회지
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    • 제14권4호
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    • pp.559-567
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    • 2003
  • Background: We first launched the case management program for diabetic patients who were registered in NHIC (National Health Insurance Corporation) in Korea and conducted this study to assess the effectiveness of the program. Methods: During the period from October in 2002 to March in 2003, 30 case managers performed the program for 71 diabetic patients. We evaluated the effectiveness of the program based on the results of fasting blood sugar level, two hour post-prandial blood sugar level, knowledge for diabetes, difficulty index in diabetes management, and the health risk factor changes of them. We analyzed results related to these factors through $x^2$ test and paired t-test. Results: The ave rage age of the subjects was 58.9. and the numbers of women and men were 43 and 28 respectively. The fasting blood sugar level and two hour post-prandial blood sugar level decreased from 164.3mg/dl to 146.5mg/dl and from 224.0mg/dl to 203.0mg/dl respectively. The knowledge for diabetes and difficulty index in diabetes management changed from 8.13 to 9.10 and from 3.52 to 2.91 respectively, and these changes were the positive. We observed improvement in self-test of sugar level, foot management, oral hygiene and proper medication but not in self-test of nutritional management. Conclusions: This study revealed that the case management program for diabetic patients who were registered in NHIC is significantly effective. However, the program need to study further to understand its long-term effects.

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비만아동들의 식습관 및 과식 조절 정도에 따른 체중조절 프로그램의 효과 (Effects of Eating Habits and Control of Overeating of Obese Children on Body Weight Control Program)

  • 김경희
    • 한국식생활문화학회지
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    • 제20권4호
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    • pp.476-486
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    • 2005
  • The purpose of this study was to investigate the effects of eating habits and control of overeating of obese children on the body weight control program. The program included nutritional education, psychotherapy and physical exercise on weekly session for 9 months. The results of this study were as follows. Participants of the study involved 30 obese children attending elementary school. The average age of the children was 11.78 years, mean height and weight were 146.22cm and 50.61kg. The average BMI and body fat contents were 24.06 and 30.49% respectively and WHR of the children was 0.87. There was a significant difference between boys and girls' BMI(25.18, 23.31, p<0.01). As a result of the eating habits test, 50% of the subjects showed low level of regularity of diet, and 76.7% of the subjects showed high level of balanced diet score. Large portion(83.3%) of the subjects had high level of healthy behavior score. WHR of girls significantly decreased from 0.86 to 0.82(p<0.01) after the body weight control program. There were no significant differences in serum components of the obese children after the program. When regarding the score of eating habits in relation to obesity indices, the WHR significantly decreased(p<0.05) in a group of children with high eating habits score. Also in the group of overeating controls, significantly decreased WHR(p<0.05). In the results of correlation analysis, body weight was positively correlated with BMI(r=0.624), the level of total cholesterol(r=0.5109) and HDL cholesterol(r=0.5088). The score of healthy behavior was positively correlated with height(r=0.5286) and negatively correlated with the level of LDL cholesterol(r=0.3555) and WHR(r=0.4028) These results suggest that the body weight control program must be considerate of the different groups of children with different scores in the eating habits and overeating controls test.

뇌졸중환자의 낮 병동 재활간호프로그램의 적용평가를 위한 예비연구 (The Preliminary Study for the evaluation of the Rehabilitation Nursing Program integrated with Day Care Program of Stroke Survivors)

  • 서문자;강현숙;이명화
    • 재활간호학회지
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    • 제3권1호
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    • pp.98-107
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    • 2000
  • A Preliminary study for the evaluation of the Rehabilitation Nursing Program(RNP) implemented to the 25 stroke survivors at the Day Care Program Center of National Rehabilitation Hospital in Seoul was done at 1999. The purposes of this study was to assess the psychological effects as outcome-variables such as depression, powerlessness and self efficacy of the stroke survivors who were discharged from acute care hospitals. The Rehabilitation Nursing Program (RNP) integrated with the Day Care Program for rehabilitation was implemented and the psychological outcome variables were measured by 3 psychologic instruments of Zung Depression Scale, Millers's powerlessness and the Bandura's self efficacy scale. These instruments were translated into Korean and the contents validity and the reliability were tested. The subjects were 17 males and 8 females and 52% were aged over 51 years old and 24% were from 31 to 50 years old. Most of them (72%) had been educated more than high school level. The contents of RNP were 8 sessions composing of self-introduction, individualized assessment, health contract and feedback, management of depression, shaving experiences, effective communication, self efficacy teaching, health information, and daily care activities. This study found that the level of depression and the powerlessness were within average level and had not been changed the level of self efficacy after RNP were somewhat higher than before, but it was not changed significantly. According to the results, the psychological state of the subjects were not changed significantly. Only the level of self efficacy was a little improved after having the RNP. Based on theses results, the RNP should be focussed on the psychological nursing care and the psychological outcome variables were retested strictly with the enough sample size.

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프로그램 수준 건설사업에서 지연관리지수(Delay Management Index)를 활용한 공사지연 예방 사례연구 (A Case Study on the Prevention of Construction Delays Using the Delay Management Index in Program Level Construction Projects)

  • 유준혁;김옥규
    • 한국건축시공학회지
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    • 제21권4호
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    • pp.347-359
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    • 2021
  • 최근 건설공사는 초대형화로 단일 공사규모가 복잡해지고 천문학적인 공사비가 소요되는 프로그램 관리 형태의 성격을 지니는 사업이 등장하고 있다. 특히, 대규모 건설사업과 같이 프로그램 수준에서 관리가 절대적으로 필요한 사업은 계획된 일정 및 비용에 대한 전제적인 관리가 필요하다. 하지만 국내의 경우 구체적인 공사지연에 관한 관리기준이 부재한 현실이다. 이에 본 연구에서는 대규모, 장기간 진행되는 프로그램 수준의 대규모 건설사업을 성공적으로 수행하고 공정지연 및 부진사업을 사전에 방지하기 위한 지연관리지수(Delay Management Index, DMI)를 개발하였다. 이를 통해 대규모 복합건설 프로젝트를 대상으로 사례연구를 수행하였으며, 프로그램 수준 건설사업을 위한 지연예방체계를 구축하였다.

노인 대상 입체조 프로그램의 구강건조증 개선 효과 (The effect of dry mouth improvement by oral exercise program in elderly people)

  • 전영주;최준선;한수진
    • 한국치위생학회지
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    • 제12권2호
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    • pp.293-305
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    • 2012
  • Objectives : The purpose of this study was to confirm effects of oral exercise program intended to improve the condition of salivary hypofunction and to provide basic data for development of oral health program for the elderly Methods : The subjects were 125 elderly women who resided in Gyeong-In area and were aged 65 years and older. During a 2-month period, an oral exercise was conducted twice a week. A survey was conducted by interviewing the selected elders to determine the state of their subjective dry mouth. Unstimulated whole saliva was measured before and after the oral exercise program. Results : There was a significant improvement in subjective dry mouth symptoms, severity scores of dry mouth after the oral exercise, and there were affected by age and income level. There was a significant increase in unstimulated whole-saliva after the oral exercise program. There was positive interrelationship between dry mouth Symptom improvement level and inconvenience improvement level, and between inconvenience improvement level and the increase of unstimulated whole-saliva. Conclusions : This study showed the effects of the oral exercise program. It is suggested that this oral exercise program has positive effects on the condition of dry mouth. For the explicit improvement effect on the condition of dry mouth, the oral exercise program needs to be carried out in consideration of the elderly's general characteristics.

노인전담 방문간호사 교육 프로그램 개발 및 평가 (Development and Evaluation of Geriatric Visiting Nurses' Educational Program)

  • 백희정
    • 가정간호학회지
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    • 제25권3호
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    • pp.240-248
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    • 2018
  • Purpose: The purpose of this study was to evaluate the validity of an educational program developed for geriatric visiting nurses in Seoul by assessing their satisfaction level and level of learning goal achievement. Methods: This descriptive research study was conducted to develop, implement, and evaluate the educational program in accordance with the ADDIE Instructional System Model. Participants were 170 nurses hired for the 2016 Seoul Metropolitan Government visiting service for older people. Based on Kirkpatrick's Training Evaluation Model, reaction and learning evaluations were conducted during and after the educational program. Data were analyzed using descriptive statistics. Results: The developed educational program consisted of basic and professional courses. The evaluations showed that participants were highly satisfied with the lectures and field placement. Over 90% of the participants achieved the learning achievement goals. Conclusion: The program developed for geriatric visiting nurses in Seoul is considered a valid educational program because of the participants' high levels of satisfaction and academic achievement.

의료보험 성인병 건강검진율의 결정요인 (Factors Affecting the Participation Rate in the Health Screening Program of Medical Insurance)

  • 윤성태;지선하;서일;오희철;김한중
    • Journal of Preventive Medicine and Public Health
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    • 제33권2호
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    • pp.150-156
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    • 2000
  • Objective : To analyze the factors affecting the participation rate in the health screening program of medical insurance. Method : We investigated the factors associated with the participation rate in the health screening program in Korea. Data were collected at the aggregate level from 145 employee health insurance societies and 227 self-employed health insurance societies from 1995 to 1997 Data were also collected at the individual level from four health insurance societies. This study hypothesized that the participation rate of the health screening program was related to 1) the characteristics of its members and the size of the health insurance society; 2) the specifications of the health screening program; 3) the venue of the health screening institution and the interests of individuals in the health screening program; and 4) the activities of the health insurance society. We used bivariate and multiple regression models to examine the factors on the participation rate of the health screening program. Results : First, in the case of dependents of on employee health insurance society, the ratio of dependents 40 years old and over, the average monthly contribution per household, the interest and satisfaction level of individuals in health screening, and the level of refunds for over-payment were all associated with the participation rate in the health screening program, accounting for 54.4% of the participation rate. Second, in case of those insured by the self-employed health insurance society, the interest and satisfaction level of individuals in health screening, the level of refunds for over-payment, and the performance level of on-the-spot health screening were statistically significant, accounting for 40.1% of the participation rate. Conclusion : The factors concerning the participation rate in the health screening program of medical insurance, in both a health insurance society and for individuals, were closely related to the age and gender of individuals and household contributions.

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결혼이주여성의 구강보건교육 후의 구강보건지식과 관리 및 태도변화에 대한 연구 (Study of oral health knowledge, management and attitude change after health education program designed for marriage immigrant women)

  • 최미숙;김한곤;최규일
    • 한국치위생학회지
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    • 제13권4호
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    • pp.569-579
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    • 2013
  • Objectives : TThe purpose of this study was to provide the oral health education program for marriage imimigrant women. This study focused on the pre and post education effects including knowledge and attitude of oral health. Methods : Subjects were 51 marriage immigrant women who participated in the 4 phases of oral health program for two weeks from March 26 to June 30, 2012. Results : Oral health education program had a significant influence on the level of oral health perception. The oral health education program enhanced the knowledge level of marriage immigrant women. Oral Hygiene Index (OHI-S) also showed a significant difference and suggested that the oral health education program increased the level of knowledge related to oral care. Conclusions : It is necessary to investigate motivation factors and influential factors changing the oral health behaviors, knowledge and attitude related to oral health. Further study will be necessary to analyze the characteristics by countries, social class and age.

다수준 건강증진 모형에 기반 한 건강증진 프로그램 효과 (The Effect of a Health Promotion Program through Multi-level Health Promotion)

  • 김경희;윤희상
    • 지역사회간호학회지
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    • 제21권1호
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    • pp.92-100
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    • 2010
  • Purpose: This study was carried out to investigate the effects of improvement in self-rated health, self-efficacy, perceived benefit and health promotion behavior by running a health promotion program through the coalition of industries, universities and districts. Methods: This study was designed as non-equivalent control group research. Data were collected from 62 participants in a health promotion program who were enrolled in a community center (experimental group: 29, control group: 33). The program was applied from October to November, 2008. The health promotion program was composed of value, competence, action, and policy based on a multi-level health promotion model. Collected data were analyzed through $x^2$ test, t-test, and Wilcoxon test. Results: After participating in the health promotion program, the experiment group showed statistically significant increases in self-efficacy, perceived benefit and health promotion behavior but not in self-rated health. Conclusion: It was proven that the health promotion program enhanced the health promotion level in the community.