• 보건교육건강증진학회지
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• 제33권4호
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• pp.55-65
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• 2016

Objectives: Members of Korean Healthy Cities Partnership(KHCP) has increased rapidly since 2006 and adopted Active Living Environments(ALE) as common theme in 2015. Academic definition and categorization, needs assessment and operational planning for making active living environments were required from KHCP. Methods: Literatures review, survey to members of KHCP, specialist discussion and consultation with members of KHCP have been done from October of 2015 to February of 2016. Results: ALE included humane(social networks), physical and political resources. Three categories and 13 items for ALE were identified. Present actions among member cities were variable and especially immature in physical environments. Indicators for ALE were not secured stably. Requirements for policy and physical environmental approach and adolescent programme were high. Priority areas for education and technical assistance were master planning, guideline and case, program and policy development, partnership development, and networking among cities. Representative projects among member cities were somewhat different from ideal models. Conclusions: Policy and environmental approaches needs to be reinforeced systemically for members of KHCP including securing stable indicators. More education and technical assistance also needed sustainably.

• 간호행정학회지
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• 제3권1호
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• pp.107-118
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• 1997

This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

• 대한간호학회지
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• 제48권5호
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• pp.506-520
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• 2018

Purpose: To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women. Methods: A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0). Results: The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG. Conclusion: These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.

• 환경영향평가
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• 제31권5호
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• pp.343-358
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• 2022

최근 증가하는 장애인구와 복지 패러다임의 변화에 따라, 정부는 장애인을 위한 기본법과 편의증진법의 제정 등 장애인의 생활환경 개선을 위하여 녹색환경 불평등 문제와 인간의 삶의 질 향상을 추구하는 녹색복지와 환경복지에 주목하고 있다. 그에 따른 장애인을 위한 녹색환경복지가 정책적으로 지원되고 있지만, 조성된 녹색복지공간 및 치유환경에 대한 평가지표는 전무한 실정이다. 따라서 본 연구는 치유환경을 물리적 측면·심리적 측면·사회적 측면으로 구분하고 치유환경의 역할 및 공간적 기능이 적합한가에 대하여 판단할 수 있는 평가지표를 제시하고자 전문가 FGI를 활용하여 연구를 진행하였다. 연구 결과, 물리적 측면 평가항목 26개, 심리적 측면 평가항목 14개, 사회적 측면 평가항목 11개로 최종 51개의 치유환경 평가항목이 도출되었다. 본 연구에서 도출된 평가지표를 활용하여 장애인거주시설 내 조성된 치유환경에 대한 평가가 가능하며, 향후 조성될 치유환경의 계획단계에서 기초자료로 활용이 가능하다.

• 보건교육건강증진학회지
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• 제25권1호
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• pp.39-53
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• 2008

Objectives: The purpose of this study was to investigate the effects of muscle strength exercise on physical function and quality of life in the frail elderly. Methods: Subjects were 401 frail elderly people selected by the screening tool developed by Japan department of Health, Labor and welfare. The program was carried out for twice a week for 12 weeks. Data were analyzed with paired t-test and t-test using STATA program. Results: 1) Muscle strength exercise for the frail elderly showed statistically significant effects on improving grip strength, single leg stand, TUG(Time up to go) and quality of life. 2) The grip strength and single leg stand indicators showed statistically significant effects between the over 75 years old and the under 75 years old. However, TUG and quality of life indicators didn't show statistically significant effects between the over 75 years old and the under 75 years old. Conclusions: The muscle strength exercise for the frail elderly people was very effective on improving grip strength, single leg stand, TUG and quality of life and especially, it was more effective in the over 75 years old than in the under 75 years old.

• 한국주거학회논문집
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• 제22권1호
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• pp.43-55
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• 2011

The purpose this study is to develop indicators that measure the healthy housing condition of multi-family housing. The major findings are as follow: first, healthy housing was defined by physical, mental, social, and management aspects and proposed the conceptual model of hierarchy structure of evaluation of healthy housing by literature reviews. Second, evaluating items were selected based on literature reviews of existing indicators and preceding studies about both domestic and overseas multi-family housing. The evaluating indicators were identified as a total of 87 evaluating items which were composed of four dimensions and 16 attributes on the basis of the conceptual model. They cover comprehensive scope of the multi-family housing such as unit, building, complex, and site. Third, as the measurement, the 5-point ordinal scale measure was suggested. The evaluating measurement including measure standards, measure methods, and measure contents were developed by each evaluating items. Lastly, the weighting of evaluating indicators was developed by AHP method conducted by survey of an expert group. Items were identified as high contributors or low contributors. The weighting of these items could suggest several evaluations according to the situation. The level of healthy housing condition may be evaluated by both total evaluation and a specific field of evaluation.

• 농촌계획
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• 제28권1호
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• pp.37-47
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• 2022

The purpose of this study is to introduce the concept of community resilience to rural society and build an index suitable for the reality of rural areas. Furthermore, by calculating the importance of evaluation factors, it was attempted to present priorities and alternatives for each evaluation factor. By stratifying the derived indicators, a survey was conducted targeting 20 researchers, practitioners, and public officials, three groups of experts working in rural areas who were well aware of the realities and problems of rural areas. In the survey, a pairwise comparison was performed to compare factors 1:1 to calculate the importance, and for rational and consistent decision-making, decisions were made in the 9-grade section. Using the collected data, consistency analysis that can evaluate reliability in the decision-making process and the relative weight of evaluation factors were calculated through AHP analysis. As a result of the analysis, as a result of examining the priority of final importance by summarizing the importance of all evaluation factors, 'Income creation using resources' > 'Population Characteristics' > 'Tolerance' > 'External Support' > 'Social Accessibility' > 'Physical Accessibility' > 'Community Competence' > 'Infrastructure' > 'Leader Competence' > 'Natural Environment' was derived in the order. In the study dealing with urban community resilience indicators, social aspects such as citizen participation, public-private cooperation, and governance were presented as the most important requirements, but this study differs in that the 'income creation' factor is derived as the most important factor. This can be seen through the change in the income difference between rural and urban areas. The income structure of rural areas has changed rapidly, and it is now reaching a very poor level, so it is necessary to prepare alternatives to 'income creation' in the case of rural areas. Unlike urban indicators, 'population characteristics' and 'tolerance' were also derived as important indicators of rural society. However, there are currently no alternatives to supplement the vulnerability by strengthening the resilience of rural communities. Based on the priority indicators derived from the study, we tried to suggest alternatives necessary for rural continuity in the future so that they can be supplemented step by step.

• 한국노년학
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• 제38권4호
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• pp.963-979
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• 2018

본 연구는 생애에 걸쳐 축적된 노인의 이질성을 기반으로 노년기 허약유형을 발견하고 허약 유형별 영향요인을 밝히는데 목적이 있다. 연구대상은 지역사회에 거주하고 있는 70세 이상 노인으로 한정하였으며, 전국 70세 이상 노인의 성별과 연령, 그리고 지역(시 도)을 기준으로 비례할당을 통해 표본을 추출하여 최종적으로 403명의 자료가 분석에 사용되었다. 노년기 허약수준과 유형 파악은 15개 문항으로 구성된 Tilberg의 허약지표(Tilberg frailty indicators)를 활용하였다. 잠재계층분석(latent class analysis)을 통해 노인의 허약유형을 도출하였으며, 허약유형의 결정요인을 밝히기 위해 다항 로지스틱 회귀분석을 실시하였다. 연구결과 우리나라 노인의 허약유형은 다차원허약형(27.0%), 심리적 허약형(26.8%), 일상도움필요형(46.2%) 등의 세 가지 유형으로 나타났다. 세 유형 모두 일상생활문제를 처리하는데 어려움이 있으나 도움을 충분히 받고 있지 못한다는 공통점이 발견되었다. 그 밖에 다차원허약형은 다른 유형에 비해 신체 및 심리적 허약 위험이 높고, 부분적으로 사회적 허약수준이 높았다. 심리적 허약형은 우울이나 슬픔, 불안과 초조 등과 같은 심리적 허약 가능성이 높은 유형이며, 일상도움필요형은 신체적 및 심리적으로 건강한 편이나 일상생활 문제처리의 어려움이 있으나 주변으로부터의 도움이 부족한 것으로 나타났다. 일상도움필요형을 기준집단으로 허약유형별 차이를 가져오는 요인을 분석한 결과, 다차원허약형은 일상도움필요형에 비해 교육수준이 낮고, 경제활동을 하지 않으며, 영양관리상태가 상당히 열악한 것으로 나타났다. 일상도움필요형에 비해 심리적 허약형은 남성 노인일 가능성이 높고, 교육수준이 낮으며, 중소도시보다는 대도시에 거주할 가능성이 높으며, 흡연율은 낮은 것으로 나타났다. 본 연구 결과를 기반으로 우리나라 노인의 허약유형과 궤적에 대한 논의와 허약으로의 진행을 예방할 수 있는 방안을 제시하였다.

• 인간식물환경학회지
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• 제24권3호
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• pp.245-256
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• 2021

Background and objective: The vitalization of urban agriculture has increased various forms of experience-based education using school gardens, which raised the importance of school gardens in terms of value as well as the need to develop an implementation system for education-based agricultural experience service using school gardens. Thus, we reset the evaluation indicators from the previous study to establish objective evaluation indicators that enable quantitative comparison of school garden education services. Methods: Analytic hierarchy process (AHP) and direct question (DQ) surveys were conducted on 20 experts from October 12 to 19, 2020 after establishing the purpose and subjects of evaluation, and then the weights were calculated using the Expert Choice 2010 program. Results: First, we analyzed the problems of the previous indicators by categorizing the performance indicators and comparing and verifying them with six requirements of valuation. Then, we added 'welfare values' and established sub-indicators accordingly. The importance of value indicator in AHP was in the order of education values (0.544), health values (0.182), welfare values (0.164), environmental values (0.062), and economic values (0.049). The importance of environmental and economic values was relatively low, less than 0.1. The importance of sub-indicators was highest in cultivating character (0.144), followed by enhancing ecological sensitivity (0.141) > promoting mental health (0.134) > cultivating agricultural literacy (0.120) > improving social skills (0.104). And mitigating climate change in environmental values was lowest (0.009). Increase in income was the lowest (0.036). This can be regarded as the expression of change to increase the educational effect based on collective life and the connotative meaning of 'school'. In the case of DQ, the AHP weight and order were the same, but the environmental and economic values were relatively low, and the result was different from AHP weight. For sub-indicators, the importance in DQ was highest in promoting mental health (0.136), followed by promoting physical health (0.085), ]cultivating character (0.082), social integration (0.072), and enhancing ecological sensitivity (0.071). After reviewing related experts, we came up with 5 evaluation indicators and 16 sub-indicators for school garden education service, which are objective evaluation indicators that enable quantitative comparison. Conclusion: In the future, we will validate the socioeconomic values of school garden education services and contribute to revitalizing school gardens by establishing policy alternatives for effective operation and management of school gardens.

• 대한물리치료과학회지
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• 제6권3호
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• pp.41-52
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• 1999

Stroke is the leading cause of adult disability and the third leading cause of adult death in the world. Stroke has an impact on the physical, psychological and social dimensions of quality of life. An increasing number of authors have reported a deterioration of the quality of life in a large proportion of patients after a stroke. Just as satisfaction with each dimension varies to everyone, the importance of each dimension also varies and does not impact equally on the quality of life. So assessment on the quality of life has to adopt a multidimentional approach and to make use of the subjective and objective indicators.