• 보건교육건강증진학회지
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• 제20권2호
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• pp.127-147
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• 2003

The purpose of this study was to investigate the factors influencing health promoting behavior and satisfaction of life in female undergraduate students, to provide the basic data for health promoting intervention in order to improve satisfaction of life. The subjects of this study were 345 female undergraduate students living in Jecheon city who were selected by convenience sampling. The data was collected through self-reported questionnaires from Oct. 2 to Dec. 20, 2001. Research instruments used in this study were the health promoting lifestyle profile developed by Walker et al(1987), satisfaction of life developed by Pavot and Diener(1993), perceived health status by Lawston et al(1982), self-esteem by Rosenberg(1965), self-efficacy by Becker et al(1993), health locus of control by Wallston et al(1978). The data was analyzed by using descriptive statistics, pearson correlation coefficient, stepwise multiple regression with SPSS/Win program. The results of this study were as follows； 1) The mean score of health promoting behavior was 2.31 point out of 4. Among the sub-levels of health promoting behavior, the order of importance was the following self-actualization(2.76), interpersonal support(2.75), stress management(2.31), nutrition(2.06), health responsibility(1.83), exercise(1.76). The mean score of satisfaction of life was 4.11 point out of 7. 2) The health promoting behavior showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, powerful others health locus of control. The satisfaction of life showed significant positive correlation with perceived health status, self-esteem, self-efficacy, internal health locus of control, health promoting behavior. 3) In the relationship between general characteristics and health promoting behavior, there was a significant difference in majors(F＝8.50, p＝.000). In the relationship between general characteristics and satisfaction of life were significant differences in a grades(F＝2.67, p＝.04) and economic status of parents(F＝8.59, p＝.000) 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem and powerful others health locus of control accounted for 34.7% of the variance in health promoting behavior. The most powerful predictor of satisfaction of life was self-esteem. A combination of self-esteem, health promoting behavior, perceived health status, economic status of parents and grade accounted for 34.0% of the variance in satisfaction of life. In conclusion, we need a health promotion program focusing on exercise, health responsibility and nursing strategies enhancing self-efficacy and self-esteem should be developed to promote a healthy lifestyle and satisfaction of life in female college students.

• 지역사회간호학회지
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• 제11권2호
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• pp.441-452
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• 2000

The purpose of this study was to identify the prevalence of urinary incontinence and its relating factors elderly communities. Subjects of this survey consisted of 877 elderly women and men in one Kun. Korea, who were over 60 years old. The design for this study was descriptive: the subjects were interviewed by well trained investigators from July 9. 1999 to July 20. 1999. During that survey period, the subjects were interviewed with a structured questionnaire. The data were analyzed by frequency, percentage, $X^2-test$. T-test using an SAS program. The results of the study were the following: 1. The prevalence rate of urinary incontinence was 20.1 %. of the total. The types of urinary incontinence were mixed incontinence 44.3%. stress incontinence 38.1%. and urge type incontinence 17.6%. 2. The relating factors of urinary incontinence were as follows: 1) 33.5% of UI(urinary incontinence) subjects reported urine loss once a month. twice or three times a week 23.3%. one or two times a day 17.0% 2) 38.1% of elderly reported only 1 to 2 drops. 1 t-spoon 36.9%. 1 T-spoon 15.9% 3) The volume of urine loss registered by changing underwear was 63.1 %. no necessity of changing underwear was 22.1 %. or using some type of pads was 13.1%. 4) 62.5% of UI subjects never discussed their UI problem with other people. 73.9% of the total had never experienced any treatment for their UI problem. The reasons for not receiving medical cure were their typical conception about urinary incontinence taking UI as a normal part of aging 76.2% and due to their bad financial situation 9.2%. 3. Women had more prevalence of UI than men (p=0.01), and it was found that the worse the subjective health state. the higher the prevalence of UI (p=0.001). However. there was no statistical difference in daily frequency of UI (p>0.05). The more nocturnal incontinence (p=0.001), the more intermittent stream experience (p = 0.01), the more retention experience (p = 0.01), and the more incomplete the emptying experience (p=0.001), the higher the prevalence of UI. 4. UI groups had lower ADL scores than non UI groups(p=0.01). The level of depression in the group of urinary incontinence was significantly higher than that of non incontinence group (p=0.0001). As shown above, the elderly people suffering from UI haven't been treated properly: their subjective health state and their ADL competence was lower, and their depression level was higher than non UI groups. Therefore, the development of a proper urinary incontinence management program are required so that they can lead more healthy lives. Also continual case studies for the elderly people with UI are necessary.

• 디지털융복합연구
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• 제19권7호
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• pp.253-261
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• 2021

본 연구는 만성질환을 앓은 성인 흡연자에서 금연 의지와의 연관성을 확인하고자 하며, 연구 방법은 국민건강영양조사 제7기(2016~2018) 자료를 활용하여 분석하였다. 대상자는 19세 이상 만성질환자 960명을 대상으로 빈도 분석, Chi-square test, 로지스틱 회귀분석을 실시하였으며 이는 SPSS 26.0 Program을 이용하여 분석하였다. 연구 결과 교육 수준에 따라 고등학교 졸업(OR=1.328, 95% CI=1.004-1.757), 대학교 졸업 이상(OR=1.556, 95% CI=1.167-2.075), 스트레스는 많을수록(OR=1.602, 95% CI=1.217-2.109), 금연 시도가 있었던 경우가(OR=5.263, 95% CI=4.287-6.462) 금연 의지와 연관이 있었다. 금연 의지가 높은 집단을 대상으로 적극적인 금연 프로그램 참여를 통해 흡연율을 감소시키며 적절한 스트레스를 해소할 방안을 마련하여 만성질환을 예방할 필요가 있다.

• 한국체육학회지인문사회과학편
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• 제55권2호
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• pp.35-46
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• 2016

이 연구는 IPA분석을 통해 중·고등학교 아침운동의 중요도와 만족도에 대한 인식의 차이를 알아보고 아침운동의 개선 및 시사점을 제공하는데 목적이 있다. 편의표본방법을 이용하여 430명의 설문조사 자료를 분석하였고, 대응표본 t-test, IPA매트릭스를 도식화를 통해 다음과 같은 결론을 도출하였다. 첫째, 아침운동 참여 IPA 분석은 I사분면 : '스트레스 해소', '학교생활의 즐거움', '운동 기능향상', '친구들과의 관계개선', '체육수업에 도움', '건강 및 체력증진', '운동시설 및 용구의 양과 질', '규율이나 규칙', '지도교사의 리더십', '열정적인 지도', '공정한 지도', '운동 능력향상', '체육수업 이해에 도움', II사분면 : '소질 및 특기개발', '시작시간', '시설 및 용구의 안전관리', '새로운 스포츠로 구성', '요구와 흥미를 고려', '수준고려', '성별고려', III사분면 : '성격의 변화', '다양한 종목의 실기능력', '사고력증진', IV사분면 : '참여시간의 양', '학생들과의 의사소통', '수업내용을 쉽게 설명'의 속성이 포함되어 있었다. 둘째, 개선방안은 1) 안전교육 연계 프로그램, 2) 지적, 정서적 기여 프로그램, 3) 성별, 수준별 프로그램이 제시 되어야 할 것이며 4) 앞서 전술한 프로그램의 질적향상을 위한 전문인력 확충이 필요할 것으로 사료된다.

• 대한예방한의학회지
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• 제5권2호
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• pp.8-28
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• 2001

This investigation grasps the level and relevant elements of performance of health promotional activities for the elderly in Korea. It provides fundamental data on health promoting projects targeting the elderly population from farming villages. Hence, this study gropes for an effective approach and measures of health promoting programs. The program needs to be developed with a focus on elderly people from farming villages. In addition, it was carried out in order to provide basic data for development of health projects for local communities. Data gathering was based on survey data targeting patients from the free clinic service. Service was rendered for the residents of farming villages, and conducted at the Offices of CheonBuk Province from October 2000 to December 2000. Analytical results were used to examine the health promotional method for the elderly in the aspect of Oriental Medicine. SPSS 9.0 version as well as T-test and ANOVA were used for survey data analysis. Piersons correlation coefficient was utilized for the relationship for each area, obtaining the following analytical results. 1. The average score for the activities of health promotion was 2.28. Looking at each subcategory, stress management was the highest at 3.65; interpersonal relationship, 3.00; nutrition, 2.55; health responsibility, 2.15; self-realization, 2.03; and exercise was the lowest at 1.89. 2. With respect to lifestyle of the health promotion secondary to general features of elderly people from farming villages, the level of activities of health promoting lifestyle was shown to be higher for males than that of females. Self-realization area was high among males in detailed particulars while the level of execution was high as age decreases in the stress area. 3. Regarding health promoting life style secondary to socioeconomic characteristics, the level of execution was higher for the individuals with a higher level of education and further utilization of spare time. With respect to occupation, the level was highest for people from the fishery. The level decreased in the order of other occupations such as trade, unemployed and agriculture, which was shown to be the lowest. In detailed particulars, it revealed that higher the individuals educational level, the higher the self-realization and stress management areas. The level of interpersonal relationship was the highest among people with little or no education. With respect to self-realization area, the level was highest among the cases where one paid living expenses along with their children. The lowest level of living expenses was seen in the cases where an individual pays for living expenses by himself/herself. There were significant results in all areas except for nutrition areas depending on occupation. The fishery was shown to be the highest. The level of activities was higher as one utilizes more spare time in all areas except for the area of interpersonal relationship.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 기본간호학회지
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• 제6권3호
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• pp.464-476
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• 1999

This study was conducted between October 1, 1998, and December 31, 1998, in order to provide basic data to develop better self-management educational programs for systemic lupus erythematosus (lupus) patients. In the study, the extent of each patients knowledge on the disease and their learning needs about it were examined for 100 lupus inpatients and outpatients at the Kangnam St. Marys Hospital. Data were collected by using questionnaires to those patients. Frequencies, percentage, average, standard deviation, t-test, ANOVA, and Duncans multiple range test were examined through the SAS program. The result of study follows : 1) The average score of patients knowledge on the disease was 15.7 (range, 7-20; standard deviation, 2.74). Subjects scored higher as far as the extent of their knowledge in the following categories : management of daily life, diet, characteristics of the disease, risk factors, and medication. Two categories shared the highest percentage of correct answers : 99% of subjects correctly identified that fatigue and stress aggravate symptoms of lupus and symptoms of lupus vary among individuals in range and type. However, when subjects were asked if patients should get a regular examination by an ophthalmologist every 4-6 months while they are on medication to treat rashes, lupus can be completely cured, and contraceptives that include a female hormone (estrogen) are good as contraceptive methods, the percentages of correct answers were low (32%, 31%, and 20%, respectively). In terms of subjects knowledge about the disease by their general characteristics, single subjects had more knowledge about the disease than married subjects did (t=2.14, p=0.0353). The extent of knowledge also varied by monthly income (F=4.96. p=0.0097). Those with more formal education had more knowledge about lupus than those who had less formation education did (t=2.95, 0.0039). Additionally, those who were satisfied with their education about the disease had better knowledge about it than those who were dissatisfied with their education did (t=2.71, p=0.0090). 2) The extent to which lupus patients wanted to be educated about the disease was, on average, 64.5 (range, 46-75; standard deviation, 7.91). Areas for which patients requested education are listed here in order : risk factors, sexual lives and patients associations. Patients who had been hospitalized demonstrated wanting more education than those who had not been did(t=3.73, p=0.0003). The extent to which they wanted the information was different by the number of educational sessions they had (F=3.98, p=0.0249). In conclusion, the results above would be considered when the education programme is planned for SLE patients.

• 보건의료산업학회지
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• 제1권1호
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• pp.59-74
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• 2007

Considering the characteristics of the Korean family which maintain a close connection with their patients from the moment of their falling sick to hospitalization to discharge, the family is the most important environmental factor of the social supporting system, and is the important object of the client as well as activity system. The medical social work intends to meet the practical needs of aged chronic patients, providing them and their family with a professional human service. The end of this study is to find out the hardships of both the aged chronic patients and their family as well as their needs for the social welfare service, and to search out the way of comprehensive social work service. The summary of the analysis of the survey is as follows: 1. The needs of aged chronic patients are divided into those of the solution of the problems of falling ill, social welfare program and discharge. Those needs arc affected by the various factors of the types of hospitals, the patients' age, the kinds of insurance, and the supporting systems, etc. Accordingly, the assessment of the needs of the patients are asked to be done comprehensively in accordance with the kinds of diseases and social environments. 2. The importance of the family to the aged chronic patients is evident. The family plays a decisive role in the patients' hospitalization and discharge, the family being an important supporting system and making it necessary to take an approach to client system. The family has difficulty in getting connection of community resources, in adapting to social life after the patient's discharge, and in paying the treatment. The family suffers the secondary hardships more than the burden of the treatment expenses. 3. For this reason various interventions are needed to reduce the stress caused by supporting and nursing patients. Thus the social welfare service for the aged chronic patients and their family needs the following prepositions: 1. It is the characteristics of the aged chronic patients that they need continuous care and that the strengths of the patients and their family cannot be too much emphasized, and that comprehensive assessment based on the connection 'with the community and the mutual interchange 'with the environment, is much emphasized. 2. The family of the aged chronic patient is a resources system as well as a client one. 3. Another characteristic of the aged chronic patients is that with the resources connection in mind, it needs an active intervention of social workers in the community. With these prepositions considered, the development of practical social work service for the aged chronic patients is thought urgently needed.

• 한국융합학회논문지
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• 제12권4호
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• pp.61-68
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• 2021

본 연구는 주거지원사업에 참여한 탈노숙인들의 뇌파 검사 시행 후 정량화된 결과를 분석한 융합연구로, 그들의 인지, 심리, 행동적 특성을 도출하고자 하였다. 본 연구 참여자들은 임시노숙인 시설 혹은 노숙인 생활시설에서 거주한 경험이 있고 주거지원사업에 참여 의사를 밝힌 6명이다. 뇌파 측정은 국제 10-20법에 따라 브레인마스터 장비를 이용하였다. 분석 결과, 연구 참여자들은 감정적 측면의 특이점을 보여주는 Theta파, Beta파, High Beta파가 높게 나타났으며, 이는 감정적인 측면에서 분노, 불안, 불면증 등 감정적 측면의 특징을 보여주는 결과이다. 따라서 이들이 향후 지역사회에서 안정적으로 주거생활을 유지하기 위해서는 스트레스 관리, 상담, 신체적 건강관리 서비스를 제공할 것을 제안한다. 본 연구 결과는 노숙인의 인지, 심리, 행동적 특성에 대한 정량적 근거를 제시하였으며, 향후 그들이 지역사회에서 자립생활을 유지하기 위해서 필요한 지원체계에 시사점을 제공한다.

• 정보관리학회지
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• 제41권1호
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• pp.211-240
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• 2024

본 연구는 노인과 청년이 함께하는 독서모임의 후속 연구로 중년과 청년이 함께하는 세대교류 독서모임을 다루었다. 독서모임의 프로그램은 독서습관을 형성할 수 있으며 그림책 독서를 통한 심리적 치료를 경험할 수 있도록 고안되었다. 연구자는 중년 참여자와 청년 참여자가 참여하는 그림책 독서모임을 운영하고, 개별인터뷰를 한 다음, 연구 데이터를 분석하여 시사점을 제시하는 질적연구를 하였다. 세대가 교류하는 독서모임은 중년 참여자에게는 청년과 자녀를 이해하고 청년으로부터 배우는 계기가 되었으며, 청년 참여자에게는 중년과 부모를 이해하고 중년으로부터 배우면서 세대 차이가 아니라 동질감을 느끼게 하였다. 또한 그림책을 읽으면서 스트레스를 줄이고, 인생의 중요한 교훈을 배우면서 그림책 치료의 긍정적 효과를 볼 수 있었다. 참여자들은 독서습관 형성에도 도움을 받았다. 이를 통하여 다양한 세대가 교류하는 독서모임의 시사점을 제시하였다. 본 연구를 통하여 다른 세대를 이해할 수 있는 세대교류 형태의 독서모임이 더욱 활성화되고, 많은 사람이 그림책을 비롯한 책을 읽는 활동의 장점을 발견하고 독서를 습관화할 수 있기를 기대한다.