• 보건의료산업학회지
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• 제7권4호
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• pp.221-232
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• 2013

This study aims to analyze the effect of hypertense, diabetic patients, managerial characteristics on their depression and suicidal thinking. Thus, this study selected 6,217 adults over the age of 19 from the 5th first-year data of Korean National Health and Nutrition Examination Survey conducted by KCDC(Korea Centers for Disease Control and Prevention) in 2010. As factors having effect on their suicidal thinking, unmarried patients(p=.000), middle school(p=.045), high school(p=.015), college and higher(p=.018), medicare(p=.045), hypertense(p=.042), exercise walking irregularly(p=.021), sense of depression(p=.035) showed a higher rate of suicidal thinking which were found to be statistically significant variables. Hypertense show a higher rate of suicidal thinking than normal people. Accordingly, it is necessary not only to pay attention to establishing plans to provide Hypertense and Diabetic patients with medical treatments, but to have more concern about their mental health so that they may be provided with a political support future.

• 디지털융복합연구
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• 제19권12호
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• pp.541-548
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• 2021

본 연구는 노인차별경험이 자살생각에 미치는 영향과 상실감 및 우울감의 매개효과를 검증함으로써 노인차별경험, 상실감, 우울감이 자살생각으로 이어지는 경로를 분석하였다. 연구대상은 경기도 31개 시군구 노인복지관을 대상으로 지역별·유형별 층화표집 방법을 활용하여 노인복지관(10개소) 이용자인 65세 이상 노인 400명 대상으로 1:1 심층면접 조사하여 총 360부를 최종 분석하였다. SPSS 25.0과 AMOS 23.0을 활용하여 빈도분석, 기술통계분석, 상관분석, 구조방정식과 Bootstrapping의 분석방법을 통해서 검증하였다. 연구 결과 첫째, 노인차별경험이 많을수록 자살생각이 증가하는 것으로 나타났다. 둘째, 노인의 차별경험이 자살생각에 미치는 영향에서 상실감이 부분매개 효과가 있음을 확인하였다. 셋째, 우울감은 노인의 차별경험과 자살생각 간에 부분매개 역할을 하는 것으로 나타났다. 이러한 연구 결과를 토대로 노인자살을 예방하기 위해 노인차별경험과 상실감 및 우울감이 자살생각으로 연쇄되는 것을 완화할 수 있는 정책적·실천적 제언을 하였다.

• 한국치위생학회지
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• 제9권4호
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• pp.659-669
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• 2009

Objectives : The degree of depression in dental hygienist was analyzed to reveal the various factors related to them. Methods : The self-administered questionnaires were filled out from 202 dental hygienist in Daejeon City. The survey items included subjects' socio-demographic and job-related characteristics, health-related behaviors, depression. Chi-Square analysis and Pearson's correlation coefficient was put into survey results, in which a degree of depression was dependent variable and others were independent variable. Results : 1. The distribution for depression degree has shown the rate as 80.2% in normal range group and 19.8% in depression group. 2. As for depression, long working hours(p=0.042), poor sense satisfaction in work(p=0.000), not fit to the job(p=0.003), low personal relation with peer works or supervisors(p=0.039), without alcohol drinking(p=0.048), poor subjective condition of health(p=0.000) than their respective counterparts. 3. Concerning correlation between depression and various factors, poor sense satisfaction in work(r=-0.332, p=0.000), not fit to the job(r=-0.353, p=0.000), low personal relation with peer works or supervisors(r=-0.215, p=0.002), without alcohol drinking(r=-0183, p=0.009), poor subjective condition of health(r=-0.333, p=0.000). Conclusions : These results showed that depression state could be influenced by various factors, which include socio-demographic, job-related characteristics and health-related behaviors. Therefore, in order to reduce depression state of dental hygienists, development and application of programs to manage and research for them are required to be revitalized as well as socio-demographic and job-related characteristics and health-related behaviors.

• 지역사회간호학회지
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• 제17권1호
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• pp.5-16
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• 2006

Purpose: The purpose of this study was to show the effect of walking exercise on physiological index, physical fitness, self-esteem. depression. and life satisfaction in institutionalized elderly women aged over 70. Sample and Method: Data were collected from subjects who consented to participate in this program for eight weeks from the 2nd of July to the 27th of August 2005. The subjects were divided into two groups, 26 subjects in the experimental group who had walking exercise and 30 in the control group who did not have walking exercise. The intensity of the walking exercise allowed 50-65% of the maximum heartbeat. Results: The results of the experiment supported the hypothesis that the experimental group would have higher flexibility, left grip strength, sense of equilibrium, self-esteem and life satisfaction and lower depression than the control group. Conclusion: Walking exercise has the effect of decreasing diastolic blood pressure together with improvement in flexibility, left grip strength, sense of equilibrium, self-esteem, depression and life satisfaction for institutionalized elderly women aged over 70. According to the results presented above, walking exercise can be strongly recommended for improving the health of institutionalized elderly women.

• 성인간호학회지
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• 제23권4호
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• pp.374-385
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• 2011

Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.

• 한국사회복지학
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• 제44권
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• pp.318-345
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• 2001

The purpose of this research was to develop and evaluate a preventive mental health program for the depression among the elderly in community. Based on the review of literature, intervention program for preventing depression among the elderly was developed. In particular, the program focuses on enhancing the sense of control which is from social cognitive theory. The preventive mental health program consists of two parts: Tan-Hak and Social intervention program. Tan-Hak was oriented to cognitive change and activities, while social intervention program dealt with some social skills for relationship, stress management, motivation of social activities (volunteer activities), positive future designing, etc. For the evaluation of this program, we employed depression scale and medical measurement such as hormone test before and after the program, and in-depth interview of subjects. Overall, this program was successful in some points. First, through the pre and post test, this program has positive effect on strengthening the sense of control, and consequently, lowering depression level. Secondly, 18 people started this program called "smile class" at first time, and none of them turned out until the end of the program. This implies that the program was interesting to the elderly.

• 한국콘텐츠학회논문지
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• 제19권6호
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• pp.281-291
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• 2019

본 연구는 스트레스가 노인의 우울에 미치는 영향에서 사회적 지지의 조절효과와 자아존중감의 매개효과 검증을 목적으로 하였다. 본 연구대상은 만 65세 이상으로 종합사회복지관을 이용하는 노인 485명을 분석한 결과는 다음과 같다. 첫째, 노인의 스트레스가 우울에 미치는 영향에서 가족문제, 건강문제, 경제문제, 상실감은 우울에 유의미한 영향을 미치는 것으로 나타났다. 둘째, 노인의 자아존중감이 스트레스와 우울 간에 미치는 영향에서 스트레스의 가족문제, 경제문제, 상실감은 우울에 매개효과가 있는 것으로 나타났으며, 건강문제에서는 매개효과가 나타나지 않았다. 셋째, 노인의 사회적 지지가 스트레스와 우울 간에 미치는 영향에서 사회적 지지의 조절효과는 우울에 부적인 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 노인의 우울을 감소시키기 위한 사회복지의 실천적 함의를 제시하고자 한다.

• 디지털융복합연구
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• 제15권12호
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• pp.413-421
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• 2017

본 연구는 전통놀이를 활용한 융복합 프로그램이 농촌 여성노인의 우울, 소속감과 자살생각에 미치는 효과를 확인하기 위한 것이다. 본 연구의 대상은 K군의 마을회관을 이용하는 65세 이상의 여성노인 42명(실험군=20명, 대조군=22명)이다. 자료수집기간은 2017년 7월 17일에서 8월 23일까지였다. 실험군은 주2회 50분씩 총 12회기 전통놀이 프로그램에 참여하였고, 대조군은 사전조사와 사후조사 후 1회 30분씩 총 2회의 건강교육 프로그램에 참여하였다. 수집된 자료는 서술 통계, $x^2$-test, t-test를 이용하여 분석하였다. 본 연구결과, 프로그램에 참여 후 실험군은 대조군에 비해 우울(t=-4.86, p<.001)과 소속감(t=4.611, p<.001)에서 통계적으로 유의하게 향상되었다. 따라서 본 연구의 전통놀이프로그램은 농촌여성의 우울과 소속감향상에 효과가 있음이 입증되었다. 추후 농촌노인의 성별과 도시지역의 노인을 대상으로 지역을 확대하여 프로그램의 유용성을 확인하기 위한 추후연구를 제언하였다.

• 산업진흥연구
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• 제6권4호
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• pp.47-58
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• 2021

본 연구는 회상요법을 활용한 집단미술치료가 치매노인의 우울, 대인관계, 주관적 행복감에 미치는 영향을 분석하였다. 연구대상은 S군에 소재하는 S주간보호센터 이용자 중 본 연구에 참여를 희망하는 65세 이상의 치매노인 총 30명을 대상으로 2020년 11월 7일 부터 2021년 1월 2일 까지 주1회씩 12회를 걸쳐 진행하였다. 자료 분석은 SPSS 24.0 통계프로그램을 이용해서 신뢰도 검증, 교차분석, 독립표본 T-test, 3×2 혼합변량분석를 실시하였다. 본 연구결과는 다음과 같다. 첫째, 회상요법을 활용한 집단미술치료는 치매노인의 우울감소에 효과가 있었다. 둘째, 회상요법을 활용한 집단미술치료는 치매노인의 대인관계 증진에 효과가 있었다. 셋째, 회상요법을 활용한 집단미술치료는 치매노인의 주관적 행복감 향상에 효과가 있었다. 따라서 회상을 활용한 집단미술치료가 치매노인의 우울을 감소시키고, 대인관계를 증진시키며, 주관적 행복감을 향상시키는데 효과적인 중재로서 유용하게 적용될 수 있음을 알 수 있다.

• 여성건강간호학회지
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• 제11권1호
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• pp.58-66
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• 2005

Purpose: The purpose of this study was to identify the patterns of activities of daily living (ADL) functional status and to examine the relationships between sense of coherence(SOC), depression, and uncertainty in gynecologic cancer patients who were receiving chemotherapy. Method: A prospective, longitudinal design with repeated measures was utilized. Women reported depression, SOC, and uncertainty at the beginning of the first cycle of chemotherapy, and they recorded ADL functional status everyday for two consecutive treatment cycles. the The instruments used were the Karnofsky Performance Status Index, Orientation to Life Questionnaire, Beck Depression Inventory, and Mishel Uncertainty in Illness Scale-Adult Form. Result: Data from 42 women showed that the ADL functional status during the second cycle was better than that of the first cycle with significant improvement each week. However, it did not completely recover to the baseline level even three weeks after the treatment ended in both cycles. SOC was correlated with depression(r=-.64, p<.001) and uncertainty(r=-.62, p<.001). Uncertainty was related to depression (r=.66, p<.001) and to functional status during the second cycle(r=-.45, p<.05), while the scores of the functional status during the two cycles were not related. Conclusion: Changing patterns and level of functional status during the treatment phase would be useful information for cancer patients to prepare coping strategies for positive health outcomes.