• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4005-4013
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• 2013

Background: Although breast cancer is a major public health worry among Asian women, adherence to screening for the disease remains an obstacle to its prevention. A variety of psycho-social and cultural factors predispose women to delay or avoidance of screening for breast cancer symptoms at the early stages when cure is most likely to be successful. Yet few interventions implemented to date to address this condition in this region have drawn on health behavior theory. Materials and Methods: This paper reviews the existing literature on several cognitive theories and models associated with breast cancer screening, with an emphasis on the work that has been done in relation to Asian women. To conduct this review, a number of electronic databases were searched with context-appropriate inclusion criteria. Results: Little empirical work was found that specifically addressed the applicability of health theories in promoting adherence to the current breast cancer prevention programs Among Asian women. However, a few studies were found that addressed individual cognitive factors that are likely to encourage women's motivation to protect themselves against breast cancer in this region of the world. The findings suggest that multi-level, socio-cultural interventions that focus on cognitive factors have much promise with this issue. Conclusions: Interventions are needed that effectively and efficiently target the personal motivation of at-risk Asian women to seek out and engage in breast cancer prevention. Concerning implications, personal motivation to seek out and engage in individual preventive actions for breast cancer prevention among Asian women is a timely, high priority target with practical implications for community development and health promotion. Further studies using qualitative, anthropologic approaches shaped for implementation in multi-ethnic Asian settings are needed to inform and guide these interventions.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2010년도 춘계학술대회 논문집
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• pp.43-43
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• 2010

Presently, there is the dilemma of uncertainty with respect to the evaluation of sound and vibration based on the fact that there is obviously no agreement upon appropriate methods to measure the "truth" concerning the acceptance of sound and vibration. To evaluate properly physical and perception data in sound and vibration it is necessary to implement new methods and innovative approaches to understand the input of human response in sound design. Fortunately, an elaborate dialogue of the usefulness and applicability of those approaches is in progress. Moreover, the need of using and combining perception and physical data in order to comprehend the process of human perception and evaluation sufficiently is widely accepted. However, still the question remains how the goal of an adequate combination can be achieved. Clearly, themultidimensional human perception cannot be easily reduced to singular numbers. Moreover, factors, among others the meaning of the sound, the composition of the diverse sound sources, the listener's attitude, expectations and experiences, are significant parameters which have to be considered to comprehend the different perceptions and evaluations with regard to specific stimuli. Taking under consideration the physical, psychological, and cognitive dimensions as well as the integration of aspects of design require partially various new approaches. While binaural measurement and analysis technologies and psycho-acoustics are well established as they are proved to be valuable auxiliary tools; it has not been achieved to develop generally acceptable measurement units concerning sound quality. Consequently, there is a need for new approaches and methods which make it possible to comprehend sufficiently the process of perception and evaluation. Going with people's mind will be one solution for the future; thisconcept will be introduced based on the development in sound design.

• 한국사회복지학
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• 제57권3호
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• pp.415-435
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• 2005

본 연구는 '계획된 행동이론'과 '계층적 성격모델'을 이론적 근거로, 65세 이상 고령자의 '은퇴에 대한 재정적 준비행동'을 결정하는 개념적 구조를 고찰하였다. '충주지역 고령인구의 보건 복지실태'의 원자료를 이용하여 65세 이상 노인 253명의 자료를 분석하였다. 구조방정식모형을 이용한 분석결과, '은퇴준비를 위한 재정적 지식'과 '은퇴에 대한 재정적 준비행동' 사이의 인과관계만이 유의미한 것으로 나타났으며 가정된 구조방정식모형의 모형합치도는 매우 높은 것으로 분석되었다. 본 연구의 결과는 성격의 표면적 특성이 행동에 영향을 미친다는 계층적 성격이론과 지식은 행동의도가 실질적 행동으로 표면화되는데 결정적 변인이라는 계획된 행동이론의 논지를 실증하였다. 끝으로, 은퇴에 대한 재정적 준비를 위한 사회적 프로그램의 필요성 등 본 연구가 제안하는 사회복지의 실천적 함의가 논의되었다.

• 지역사회간호학회지
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• 제19권1호
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• pp.57-65
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• 2008

Purpose: The purpose of this study is to assess the priorities of health promotion for older adults in the rural community. The study attempts to display demographic characteristics subjective health status and chronic diseases status of the older adults. Methods: We surveyed 384 senior residents in a community via face-to-face interviews in their homes, who were selected by proportional random sampling. We analysed the frequency, multiple responses and $X^2$ by SPSS 12.0K. Results: The mean of subjective health status was $54.04{\pm}21.69$ with a maximum of 100. Our study found that the high priorities in health promotion for older adults were prevention and management of hypertension and diabetes, strengthening of joint and muscles, cancer screening and physical exercise. Prevention of depression and social activities were low priorities. Strengthening of joints and muscles was a high priority among women while smoking cessation and social activities were high priorities of men. Conclusion: In conclusion, health promotion priorities of older adults differed by gender and subjective health status. Disease-related priorities received more attention than psycho-social health priorities. This study suggests comparing the priorities regionally and nationally.

• 가정과삶의질연구
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• 제9권2호
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• pp.191-207
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• 1991

The purpose of this study is to investigate the degree of socialization of household work and to analyze the influence of demographic and psycho-social variable on socialization of household work. For the purpose of this study, questionnaires were administrated to 314 housewives in Pusan. For the statistical analysis were as follows; 1)The degree of socialization in the domain of food showed significant difference by number of family, number of children, housewife's age, housewife's education, husband's education, income and sex-role attitude. The degree of socialization in the domain of housing showed significant difference by family pattern, housewife's education, husband's education, state of housewife employment. husband's occupation , income and sex-role attitude. The degree of socialization in the domain of clothing showed significant difference by housewife's age, housewife's education, husband's education , state of housewife employment. husband's occupation, income and sex-role attitude. The degree of socialization in the domain of family management showed significant difference by number of children, housewife's age. state of housewife employment, income, period of marriage life and sex-role attitude. The degree of socialization in the domain of home management showed significant difference by housewife's education, husband's occupation, sex-role attitude and share of household work. 2) The socialization in the domain of food was influenced husband's education, income, housewife's education and sex-role attitude. The socialization in the domain of housing was influenced husband's education, income, housewife's occupation and sex-role attitude. The socialization in the domain of clothing was influenced husband's education, income. housewife's occupation and sex-role attitude. The socialization in the domain of family management was influenced husband's education, shave of household work. and sex-role attitude. The socialization in the domain of home management was influenced husband's education, shave of household work, and sex-role attitude.

• 한국간호교육학회지
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• 제3권
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• pp.26-33
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• 1997

Problem-Based Learning(PBL) is at the forefront of educational reform. The acceptance of PBL as an educational approach with wide application represents a major change in thinking about educational processes and their relationships to the wider community. In 1969, PBL as a method was introduced at the Medical School of McMaster University in Hamilton, Canada. The most important advantages in PBL are acquiring knowledge that can be retrieved and applied, learning to learn(self-directed learning) and learning to analyze and solve Problems. PBL is widely used within the sector where it had its origin, namely health profession education. A generally accepted starting point in the development of a problem-based curriculum is the set of professional competencies of future graduates, which describe the typical problems professionals have to deal with. Formulating learning objectives highly depends on the format and content of the presented problems. Contrary to that, in a classic course in higher education, it is customary that teachers express objectives in a compulsory subject matter. Curricula which advocate problem-based learning generally use case studies in the form of paper cases, simulations and real patients with the intention of stimulating classroom discussion of clinical and basic science concepts within a problem-solving framework. One goal of using paper cases is to stimulate the learning of basic science within a clinical situation. Through self-directed study the students solve problems and explore the psycho-social dimensions within the cases. The general outcome based on the program evaluation research of PBL is that PBL students respond positively about the learning experience. In summary, PBL is a curriculum design and a teaching/learning strategy which simultaneously develops higher order thinking and disciplinary knowledge bases and skills by placing students in the active role of practitioners(or problem solvers) confronted with a situation(ill-structured problem) which reflects the real world.

• 한국게임학회 논문지
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• 제12권2호
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• pp.31-41
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• 2012

치료용 기능성 게임은 직접적인 치료보다는 환자의 심리적인 변화를 일으키고, 적극적인 치료 의지를 가지게 하는 것이 주된 목적이다. 본 연구에서는 선행 자료들을 분석하여 심리 치료를 위한 치료용 기능성게임을 설계할 때 고려할 요소로 5가지를 추출하였다. 추출한 요소들의 검증을 위해 이미 치료 효과가 입증된 '리미션', 현실의 일상생활에서 어려움을 겪을 수 있는 환자가 가상공간에서 선(先) 경험을 통해 치료 효과를 얻을 수 있도록 설계된 '심즈2'를 집중적으로 분석하였다. 그 결과, 캐릭터와의 일치성, 게임 소재의 안정성, 현실적 사실성, 게임 진행의 자기결정성은 전반적으로 적용되어 있었지만, 현실과의 상호작용성은 적용되어 있지 않았다. 그러나 현실과의 상호작용성은 선행 연구와 추출 요소에 대한 설문 검증으로 적합한 요소로 나타났다. 본 연구결과는 치료용 기능성게임을 설계하고자 할 때 고려할 중요한 참고 자료가 될 것으로 기대한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.245-252
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• 2016

Due to increasing incidence of breast cancer, recognition of risk factors has become increasingly important. Over the past few decades, among risk factors of this disease, stressful life events have attracted particular attention, but their relationship with breast cancer incidence and survival remains a mystery. This study aimed to examine the relationship between severe stressful life events and incidence and survival of women with breast cancer. In this case-control study, using a structured telephone interview with 355 women with breast cancer and also with 516 women with benign breast diseases who were matched in demographic characteristics, necessary information about the experience of major stressful events in the years before the diagnosis were collected. Data were analyzed using statistical methods of ${\chi}^2$, t, and Kaplan-Meier with a significance level of <0.05. Generally, in the case and control groups, there were no significant association between experience of stressful life events and incidence of breast cancer. Regarding associations between each of the events and incidence of breast cancer only "severe interpersonal problems with spouse" was significant. In the breast cancer group, even after controlling confounding variables, there was no significant association between major stressful events and disease-free survival, or overall 5-and 10-year survival. In this study, only "severe interpersonal problems with spouse" was confirmed as a risk factor. This result can be useful in developing preventive policies. More research regarding the interactive effects of psycho-social factors in the incidence and survival of breast cancer with stressful life events is recommended.

• 인간행동과 음악연구
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• 제7권2호
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• pp.1-22
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• 2010

본 연구는 심리 정서적 지원 프로그램의 일환으로 집단 피아노 연주 활동 프로그램이 국제결혼 이주여성들의 자기효능감에 어떠한 영향을 미치는 지 알아보는 데에 목적을 두었다. 이를 위해 서울에 소재한 N 다문화 지원 기관에서 국제결혼 이주여성 5명을 대상으로 10주간 주 1회 10회기의 집단 피아노 연주 활동 프로그램을 실시하였다. 본 연구의 연구 방법에는 양적 연구 방법과 질적 연구 방법이 함께 사용된 혼합적 연구 방법 설계가 사용되었다. 연구 결과, 대상자들의 자기효능감 척도 검사 평균 점수는 비모수 검증 결과 유의도 수준 .05에서 통계적으로 유의미함을 나타냈으며, 질적 내용 분석에서도 세션 초기보다 세션 후기에 대상자들의 자기효능감이 언어적 행동적 측면에서 긍정적으로 변화하였음을 보여주었다. 따라서 이상의 연구 결과는 국제결혼 이주여성들의 자기효능감을 증진시키는 데에 집단 피아노 연주 활동 프로그램이 효과적인 중재도구로서 가능성이 있음을 보고하고 있다.

• 성인간호학회지
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• 제20권2호
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• pp.269-279
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• 2008

Purpose: The study was to examine the effect of lumbar stabilization exercise on back pain, physical fitness, sleep, and depression in middle-aged women who have chronic back pain. Methods: With one group pre-post test design, 18 subjects who have had more than 6 months of back pain were recruited by convenience sampling in D metropolitan area. Lumbar stabilization exercise was based on Tai Chi for back pain program developed by Lam(2003). This program was mainly focusing on strengthening lumbar stabilizing muscle for one hour per session, twice a week for 20 weeks. Degree of back pain, back pain disability, sleep, and depression were measured at three time points(pretest, 12 weeks, and 20 weeks) by a structured study questionnaire. Physical fitness variables including waist flexibility, mobility, and back muscle strength were measured three times at health promotion center located in the university hospital. Data were analyzed by frequency, descriptive statistics, and repeated measures of ANOVA. Results: Mean age of subjects was 52 years(SD = 6.4). Most of them(90%) had suffered from back pain more than one year and 67% was taking medicine to relieve their back pain. Results showed that back pain score and disability score were not significantly decreased after the exercise. On physical fitness variables, however, waist flexibility(F = 3.50, p = .04) and mobility(F = 3.31, p = .04) were improved after the exercise. Quality of sleep(F = 4.48, p = .03) was improved gradually and depression scores were also decreased(F = 3.12, p = .05) after the exercise. Conclusion: This lumbar stabilization exercise was not able to reduce chronic back pain, but could improve physical fitness and psycho-social variables for community dwelling women who have chronic back pain. Further study is needed to replicate this exercise with control group to confirm the positive effect.