• 제목/요약/키워드: Social Pressure

검색결과 486건 처리시간 0.024초

Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study

  • Saffari, Mohsen;Sanaeinasab, Hormoz;Jafarzadeh, Hassan;Sepandi, Mojtaba;O'Garo, Keisha-Gaye N.;Koenig, Harold G.;Pakpour, Amir H.
    • Journal of Preventive Medicine and Public Health
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    • 제53권4호
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    • pp.275-284
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    • 2020
  • Objectives: Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD. Methods: In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores. Results: All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/㎡ at baseline to 25.8±2.4 kg/㎡ at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold. Conclusions: A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.

규칙적인 운동프로그램이 경로당 이용 노인의 건강에 미치는 효과 (The Effects of Excercise Program on Health of the Elderly in Senior Citizen's Center)

  • 최선하
    • 한국보건간호학회지
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    • 제11권2호
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    • pp.38-56
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    • 1997
  • A great deal of attention has been paid to the quality of life in citizens due to the increased number of long term life expectancy. reported as effective in the health promotion of the senior citizens. In this study, the principal investigator developed an exercise program for the senior citizens, which could be educated and managed by nursing staff. This kind approach may support the need of exercise program on regular base via the social organization, which may mean the intentional change of life style. The exercise program consisted of exercise, health education, and a direct the population of the senior A regularexercise has been nursing care. A quasi -experimental study was conducted to investigate the effects of excercise program on health of the elderly in senior citizen's center. Independent variable was a 9 weeks exercise program. Dependent variables were: 1) physical health [e.g. physical fitness(cardiopulmonary endurance, back muscle strength, grip strength, muscular tolerance, flexibility and body fat proportion), physiologic parameters(blood pressure, pulse, respiration. and blood glucose), and perceived physical health status; 2) mental health measured by depression score; and 3) cognitive perception of exercise measured by usefulness and self-efficacy. A total of 37 subjects was randomly assigned into either the control group (without the exercise program: n=18) or the intervention group(with the exercise program: n=19). The results of the study analyzed using a SAS, were as follows: 1) In physical fitness of physical health, there was a significant improvement in cardiopulmonary tolerance. back muscle strength. muscular tolerance and flexibility in the intervention group, compared to the control group, while no difference in grip strength and body fat proportion. The exercise program resulted in decreases in blood pressure, pulse, respiration and blood glucose within normal range and improvement of perceived physical health status in the intervention group. 2) There was a slight increase of mental health(depression score) in the intervention group compared to the control group. but without statistical significance. 3) There was a significant improvement in cognitive perception of exercise(e.g. usefulness and self -efficacy) in the intervention group, compared to the control group. It was concluded that the exercise program employed in this study was appropriate for women senior citizens and had a positive effect on health in general.

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노인장기요양보험 급여비용의 중장기 추계 (Projecting Public Expenditures for Long-Term Care in Korea)

  • 윤희숙;권형준
    • 보건행정학회지
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    • 제20권1호
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    • pp.37-63
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    • 2010
  • Public expenditures on long-term care are a matter of concern for Korea as in many other countries. The expenditure is expected to accelerate and to put pressure on public budgets, adding to that arising from insufficient retirement schemes and other forms of social spending. This study tried to foresee how much health care spending could increase in the future considering demographic and non-demographic factors as the drivers of expenditure. Previous projections of future long-term expenditure were mainly based on a given relation between spending and age structure. However, although demographic factors will surely put upward pressure on long-term care costs, other non-demographic factors, such as labor cost increase and availability of informal care, should be taken into account as well. Also, the possibility of dynamic link between health status and longevity gains needs to be considered. The model in this study is cell-base and consists of three main parts. The first part estimated the numbers of elderly people with different levels of health status by age group, gender, household type. The second part estimated the levels of long-term care services required, by attaching a probability of receiving long-term care services to each cell using from the sample from current year. The third part of the model estimated long-term care expenditure, along the demographic and non-demographic factors' change in various scenarios. Public spending on long-term care could rise from the current level of 0.2~0.3% of GDP to around 0.44~2.30% by 2040.

안전을 고려한 상용 2,3-Butanediol 탈수반응 시스템 설계 (Design of Commercial 2,3-Butanediol Dehydration Reaction System Considering Safety)

  • 송대성
    • Korean Chemical Engineering Research
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    • 제58권4호
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    • pp.581-587
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    • 2020
  • 본 연구에서는 기존의 2,3-Butanediol (2,3-BDO) 탈수 반응시스템의 문제점을 해결하기 위해 새로운 반응 시스템이 제안되었다. 대기압 근처에서 2,3-BDO 반응물을 반응온도 360 ℃ 까지 올리기 위해서, 상용공정에서 일반적으로 사용되는 용광로를 사용하게 되면 반응 시스템이 적절히 작동할 수 없다는 것이 확인되었다. 그것은 2,3-BDO 올리고머로 고려되는 물질 때문이다. 그것은 용광로 튜브 안의 막힘, 폭발과 같은 안전 문제 뿐 아니라 반응 시스템의 유지보수의 어려운 문제점을 일으킬 수 있다. 그러한 문제점을 해결하기 위한 방법은 용광로를 대신해 감압운전 하에서 고압스팀을 사용하는 열교환기를 사용해서 반응물의 온도를 낮추고 반응 온도를 낮추는 것이다. 반응 속도론을 사용하여, 반응기의 성능이 감압운전과 더 낮은 온도, 330 ℃에서 크게 다르지 않다는 것을 보였다. 이 결과는 왜 새로운 반응 시스템이 제안되었는지를 설명한다.

음압원리를 이용한 연부조직 스트레칭이 여성의 유방 확대에 미치는 영향 (Effects of soft tissue stretching using negative pressure on women's breast augmentation)

  • 김경연;이은주
    • 한국융합학회논문지
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    • 제11권1호
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    • pp.285-291
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    • 2020
  • 오늘날 현대 여성들은 여성성을 가장 극대화할 수 있는 가슴 성형에 대한 여성들의 관심은 더욱 커지고 있다. 그러나 유방 확대술은 부작용에 대한 논란이 지속되고 있으며 많은 사람들이 두려워하고 있는 수술 중의 하나이다. 이러한 부분을 보완하고자 본 연구는 한국여성 23명을 대상으로 E사의 비수술적인 유방 확대 프로그램인 가슴 스트레칭 기기를 10주동안 사용하여 가슴이 형태적 변화를 연구하였다. 실험 결과로 체중의 변화는 없었으나 가슴의 컵 사이즈 확대, 유방 직경 증가, 유방 부피가 증가하였으며 가슴 탄력의 변화는 거의 없는 것으로 확인되었다. 가슴 외부 연부조직 확장 시스템이 동양인 한국 여성에게 가슴의 형태적 변화에 도움이 되는 것으로 확인되었다. 그러나 이 시스템은 일정 기간 사용 시간을 준수하기 위해 사회적인 생활에 제약을 받을 수 있으며 개인적인 노력이 뒷받침되어야 한다.

혈액투석환자의 자가간호행위 (Self Care Behavior of Hemodialysis Patients)

  • 조미경;최명애
    • Journal of Korean Biological Nursing Science
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    • 제9권2호
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    • pp.105-117
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    • 2007
  • Purpose: The purpose of this study was two folds: first, to identify the level of self care behavior of the hemodialysis patients and second, to find the correlation between the self care behavior and the physiologic indices. Method: The subjects were 52 hemodialysis patients, male and female, who have regularly received hemodialysis dialysis at the Dialysis Room in a leading teaching hospital, Seoul. The patients responded to the self care behavior questionnaires including their socio-demographic characteristics. The respondents have regularly recorded the self care log book. The physiologic indices, clinical characteristics related to the disease and hemodialysis were collected by the chart review. Result: The mean score of the self care behavior was 3.46. The mean score of the self care behavior on categories demonstrated as follows: medication 4.29, fistula management 4.13, management of physical problem 3.71, diet 3.28, exercise and rest 3.22, blood pressure and body weight management 2.97 and social adjustment 2.05 in order. Thirty patients managed discomfort of their fistula. Eleven patients took exercise for 0.5-1 hr/week. Thirty patients measured their body weight daily and thirty two measured their blood pressure daily. The score of self care behavior was significantly correlated with the mean weight gains between the dialysis sessions(r=-.312, p=.05). The mean weight gains between dialysis sessions was found to be high as the level of serum phosphorus and potassium increased(r=-.316, p=.05, r=-.465, p=.01). Conclusion: The result suggests that nursing intervention to the hemodialysis patients to improve self care behavior should be encouraged and further developed.

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대학생 절주교육 프로그램(과음없는 캠퍼스 만들기) 개발: Intervention Mapping과 Transtheoretical Model의 적용 (Development of "Drink Smart" Alcohol Education Program for University Students: Application of the Intervention Mapping and Transtheoretical Model)

  • 김혜경;김명;이은희;권은주;조한익
    • 보건교육건강증진학회지
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    • 제28권5호
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    • pp.145-160
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    • 2011
  • Objectives: This study attempted to apply the Intervention mapping and Transtheoretical models to develop a program to promote moderate alcohol drinking in university students. Methods: Surveyed data from 1,137 university students were analyzed to identify personal and environmental determinants for alcohol drinking. Based on these determinants, program objectives were established. Crossing the objectives with related important determinants resulted in matrices of learning objectives for which educational strategies were developed. Subsequently, an intervention program were designed to achieve those objectives. Results: Identified personal determinants included awareness, attitudes, self-efficacy and behavioral skills. Environmental determinants were binge drinking behaviors of family members and peers, and social pressure for drinking. Program, impact and learning objectives were developed to change the identified determinants. Program activities included provision of information on positive and negative consequences of binge drinking, opportunities for assessing one's drinking pattern, increasing outcome expectancies of and skill building for monitoring drinking, resisting peer pressure and managing stress. To facilitate adoption and maintenance of the program, an intervention diffusion plan was suggested. An evaluation plan was developed by utilizing RE-AIM framework. Conclusions: In order to expand evidence bases for effective theory-based programs, the developed program should be tested in diverse university settings.

공기압을 이용한 전기설비 침수 방지 장치 개발에 관한 연구 (The development for flooding prevention apparatus of electrical equipment using air pressure)

  • 김기현;전현재;이상익;배석명;이재용
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2008년도 춘계학술대회 논문집
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    • pp.281-284
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    • 2008
  • Inundation of substation and ground power equipment breaks out every summer season in low-lying downtown and low-lying shore by localized heavy rain, typhoon and tidal wave. In case inundation excluding the exchanging cost of equipment, it occurs a great economic and social loss owing to recovery time and events of electric shock occur by inundation electrical equipment(Pad-mounted Transformer and Switch). In case of installing the power equipment at flood danger territory, we are necessary to the product development, the product is that water does not come in the inside the power equipment. Product of pressure maintaining are established on the basic frame and sensor operates at the flooding occurrence and is maintained a shutting tightly structure and it is a method. The product which is produced the reliability of the product it confirmed a flooding yes or no from the condition which puts in the water tank and it verified. We estimate that loss cost which is caused by with flooding and the power failure will be diminished if it is addition to advances the reliability evaluation and a security of the flood protection product.

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유산소 운동이 조혈모세포이식자의 건강상태와 체력에 미치는 효과 (The Effect of Aerobic Exercise Program on Health Status and Physical Fitness in Patients after the Stem Cell Transplantation)

  • 한신희
    • 재활간호학회지
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    • 제4권1호
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    • pp.7-19
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    • 2001
  • The Objectives of this research is to determine the effect of aerobic exercise program on health status and physical fitness in patients after the stem cell transplantation. This research design is one-group pretest-post test design. Sixteen subjects were selected from one university hospital in Seoul for the study, they was carried out aerobic exercise three to five times a week for 12 weeks. The period of data collection was from February to July, 2000. The collected data was analysed by descriptive analysis, paired t-test, content analysis SAS program was used for the statistical analysis. The results are as follows : 1. There was a significant improvement in the Physical functioning, Vitality and Reported change (t=2.39, p=0.03; t=2.35, p=0.03; t=2.58, p=0.02) but no change was observed in the Role physical, General health perception, Bodily pain, Social functioning, Role emotional and Mental health. 2. There was a significant improvement in the physical fitness (higher VO2 max, t=2.43, p=0.02; lower systolic pressure, t=-4.09, p=0.001; lower diastolic pressure, t=-3.43, p=0.002; lower pulse rate, t=-3.43, p=0.004; higher muscle sustaining power, t=2.79, p=0.015; higher muscle power, t=5.18 p=0.000; higher power of beginning, t=5.55, p=0.001; higher the sense of equilibrium, t=3.57, p=0.003; higher Hemoglobin, t=5.92, p=0.000; higher Hematocrit, t=5.38, p=0.000). Therefore, this study will provide a theoretical back ground for patients after stem cell transplantation to understand the importance of physical exercise and maintain physical exercise; and for other researches to refer to the results for exercise protocol of rehabilitation program.

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건강증진프로그램이 재가뇌졸중환자의 기능상태에 미치는 효과 (The Effects of the Health Promotion Program on Functional Status of the In-house Stroke Patients)

  • 박혜경
    • 재활간호학회지
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    • 제6권2호
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    • pp.213-225
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    • 2003
  • The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third, the fourth, the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly, compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion, knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly, compared with that the control group. 5. HWR in the experimental group didn't decreased significantly, compared with that the control group. 6. The degree of depression in the experimental group decreased significantly, compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly, compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore, it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.

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