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The Study on Health Promoting Lifestyle of the Elderly (노인의 건강증진 생활양식에 관한 연구)

  • 송영신;이미라;안은경
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.541-549
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    • 1997
  • This study was done to describe health promoting lifestyle and determine affecting factors in elderly based on the Heath Promotion Model by Pender. Cognitive-perceptual factors that were included in this study were self-efficacy and hardiness. Modifying factors were demographic characteristics (sex, age, partner, previous illness, education level. income and religion). The specific purpose of this study was to examine the relationships of self-efficacy, hardiness and the demographic chasteristics to health promoting lifestyle and to determine causal factors affecting the elderly. The subjects were a volunteer sample of 98 elderly in one city in? The instruments for this study were Health Promoting Lifestyle Profile(47items, 4scale), Health Related Hardiness Scale(22i1ems, 6scale), general Self-Efficacy Scale(13i1ems, 5scale). Frequency, percentage, t-test, ANOVA, Pearson's correlation coefficient and Stepwise Multiple regression technique with SAS program were used to analyse the data. The Results of the study are as follows : 1) The average item score for the health promoting lifestyle was 2.63, the highest score on the subscales was interpersonal support (M=3.3), followed by self-actulization(M=2.9), nutrition(M=2.8), stress management(M=2.7), health responsibility(M=2.1) with the lowest bring exercise(M=2.0) 2) A significant difference between education level, income, religion and health promoting lifestyle were found. 3) All of the subscales on health promoting lifestyle were positively related to total hardiness (r=0.330, p<0.001). The hardiness subscale of control was positively related to self-actulization(r=0.276, p<0.01), and commitment was positively related to self-actualization(r=0.315, p<0.001), exercise /nutrition(r=0.245, p<0.01), interpersonal support(r=0.278, p<0.01), stress management(r=0.250, p<0.01). Challenge was positively related to self-actualization(r=0.315, p<0.001), exercise /nutrition(r=0.245, p<0.01). There was no significant correlation between self-efficacy and all of the subscales of health promoting lifestyle. Self-efficacy showed a significant correlation only with control(r=0.469, p<0.001), comittment(r=0.507, p<0.001), challenge (r=0.489, p< 0.001). 4) Comittment, self-efficacy and income explained 25.01% of the variance for the total health promoting lifestyle. The results of this study show that commitment, self efficacy and income predicted the health promoting lifestyle of the elderly. So health promoting programs that increase commitement and self-efficacy should be developed to promote a healthy lifestyle of the elderly, especially those who have low income.

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The Effect of Reminiscence with Audio-Visual Stimulation on Senile Dementia (치매노인에게 시청각 자극을 병행한 회상요법의 적용효과)

  • 김남초;유양숙;한숙원
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.98-109
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    • 2000
  • The purpose of this study was to identify the effect on improvement of the Activity of Daily Living (ADL) and decrease the cognitive function and agitation behaviors by reminiscence with audio-visual stimulation for senile dementia. The quasi-experimental design was used in this study. Subjects were 26 with mild senile dementia who were cared for at a Day Care Center for Dementia in Seoul. The data were collected from March to July, 1999. Subjects were divided into three groups : Control Igroup with 10 subjects, reminiscence group(Control II group with 8 subjects), and reminiscence with audio-visual stimulation group(experimental group with 8 subjects). The Control I group got routine care as usual. Control II group participated in reminiscence sessions for one hour a day, five times a week , for a period of 4 weeks. The experimental group participated in reminiscence with audio-visual stimulation sessions for one hour a day, five times a week, for a period of 4 weeks. Instruments of this study were color photography with sound that was developed through an open questionnaire about events, objects, humans in action and animals that 100 Korean elderly over 60 would like to memorize. This was referred from the Sensory Stimuli Package by Namazi and Haynes(1994). The effects of treatment was evaluated through MMSE-K by Kwon & Park(1989). Also the Brief Cognitive Rating Scale(BCRS) by Reisberg et al(1983) for the cognitive function, through Agitation Inventory by Cohen- Mansfield and Colleague(1989) for behavioral response and through the Rapid Disability Rating Scale-2(RDRS-2) by Linn & Linn(1982) for the activity of daily living respectively. Data analysis was done using SPSS for $\chi$2- test, ANOVA, repeated measures ANOVA. The results were as follows : 1. Reminiscence with audio-visual stimulation did not improve cognitive function for senile dementia, but significantly improved verbal expression, the subscale of cognitive function. 2. Reminiscence with audio-visual stimulation reduced agitation behavior of experimental group significantly, but there was no significant difference between groups. 3. Reminiscence with audio-visual stimulation did not significantly effect the activity of daily living after treatment. In conclusion, it was shown that the reminiscence with audio-visual stimulation was an effective therapy to improve verbal expression and to reduce agitation behaviors of senile dementia. Further research with more indepth approach is needed, considering characteristic and level individualized for each senile dementia.

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The Study on the Quality of Life for the Mothers of Hospitalized Chronic Pediatric Patients (만성질환아 어머니의 삶의 질에 관한 연구)

  • Choi Myung Ae;Lee Hyun Sook;Kim Dae Hee;Park Myung Hee;Yoon So Young;Cho Yeon Hee;Bang Kyung Sook;Park Yeon Hwan
    • Child Health Nursing Research
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    • v.6 no.2
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    • pp.249-261
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    • 2000
  • The purpose of this study were to identify the quality of life for the mothers of hospitalized chronic pediatric patients, and to explore the factors affecting the QOL of those mothers. The subjects were 201 mothers whose children had hospitalized at one University hospital with chronic diseases. Data were collected from the December, 1997 to December, 1998. We used a revised QOL instrument consisting of 34 items, 5 point likert scale based on the Noh's QOL instrument. The revised QOL consists of six subscales, those are physical status and function, self esteem, emotional status, economic status, relationship with family members, and relationship with neighborhood. Data were analyzed by t-test, ANOVA, Pearson's correlation using SPSS-PC. The results were as follows: 1. The mean score of quality of life for the mothers of chronic pediatric patients was 100.31, and item mean was 2.95. In subscale analysis, item mean of economic status was the lowest, and that of relationship with family members was the highest. 2. Correlations between characteristics of chronic pediatric patients, their mothers and QOL of mothers were as follows; 1) Total QOL of mothers had a significant positive relationship with progressing time relapse after diagnosing and age of mothers. There was a significant negative relationship between the total QOL of mothers and number of hospitalization of their children. 2) QOL on self esteem and economic status had a significant relationship with age of pediatric patients, the time relapse after diagnosis, and age of mothers. Total number of family members and QOL on economic status showed a significant positive relationship. QOL on emotional status, economic status, and relationship with family members of mothers showed negative correlations with the number of hospitalization of their children. 3. Followings were the result of difference in QOL among different demographic cha- racteristics of the subjects. 1) QOL on economic status of mothers was significantly higher when fathers of pediatric patients had jobs. 2) Total QOL score, QOL on emotional status, and QOL on relationship with neighborhood were significantly higher when mothers of pediatric patients had spouses. 3) QOL on self esteem of mothers was significantly higher when mothers had religion. 4. Followings were the result of difference in QOL among different diagnosis of the children. 1) Total QOL score of mothers whose children had congenital heart disease was higher than that of mothers whose children had leukemia and cancer. 2) QOL on emotional status, economic status, and relationship with family members of mothers whose children had congenital heart disease were higher than those of mothers whose children had leukemia, cancer, and epilepsy.

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Effects of On-Line Community Assisted Team Learning Activities on University Students' Academic Achievement and on the Scores of Shared Mental Model Subscales (온라인 커뮤니티 보조의 팀 학습이 대학생들의 학업성취도와 공유된 정신모형에 미치는 효과)

  • Jun, Myong-Nam;Park, Hye-Sook
    • The Journal of the Korea Contents Association
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    • v.12 no.5
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    • pp.541-552
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    • 2012
  • The purpose of the study was to investigate the effects of On-Line Community Assisted Team Learning (OCATL) activities on academic achievement and team member's Shared Mental Model(SMM) subscale scores. Two studies were conducted over two semesters in different universities. The first study was aimed at examining the effects of OCATL on university students' academic achievement using pre- and post- experimental design. For this experiment, 133 university students composed of 80 male and 53 female students from 13 colleges participated. The OCATL activities included the orientation of OCATL, seminar on collaborative learning, on-line community assisted team learning with sixteen hour participation during one semester and a final report (or a term paper). To measure these students' academic achievement, their pre- and post-semester's GPA were compared. The results of paired t-test revealed a significant difference in academic achievement (p<.05). The second study was designed to compare the scores of SMM subscales of the experimental group with the OCATL activities and those of the control group without using OCATL activities. The data was collected using the scale of Shared Mental Model(SMM)-short version developed by Johnson in 2011[18]. For this study, 74 participants from 10 teams served as an experimental group and 15 teams which were not exposed to OCATL activities served as a control group. The MANOVA results showed that SMM subscores of two groups measured after the experiment were statistically significantly different: The experimental group with the OCATL activities showed high scores on general task and team knowledge, general task and communication skills, attitudes toward team and task, team dynamics and interactions, team resources and working environment, and satisfaction with the team.

Study on Standardization of Korean Version of Psychiatric Diagnostic Screening Questionnaire(K-PDSQ) (한국판 정신장애 진단 선별 질문지의 표준화 연구)

  • Choi, Hyeong-Keun;Jung, Sung-Won;Jo, Hyun-Ju;Kim, Jeong-Bum;Jung, Chul-Ho
    • Anxiety and mood
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    • v.9 no.1
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    • pp.31-37
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    • 2013
  • Objective : The PDSQ is a brief and psychometrically strong self-report scale designed to screen for common DSM-IV Axis I disorders in clinical settings. In this study, the K-PDSQ was compared with the M.I.N.I.-Plus (Mini-International Neuropsychiatric Interview-Plus) for diagnostic validity and availability of the K-PDSQ as a part of standardization of the K-PDSQ. Methods : The 640 patients were evaluated with the K-PDSQ and the M.I.N.I.-Plus. Diagnosing with the M.I.N.I.-Plus, the diagnostic correspondence, administering time, sensitivity, specificity, ROC curve, and AUC of the K-PDSQ were evaluated. Results : For the diagnostic correspondence of the K-PDSQ, Cohen's kappa coefficient was .66 between the K-PDSQ and the M.I.N.I.-Plus. The administering time of the K-PDSQ was $18.2{\pm}11.80$ minutes. Both sensitivity and specificity of the K-PDSQ were higher: the mean sensitivity across 10 subscales of K-PDSQ was 86%; the mean specificity was 84%. All AUCs of each subscale were above .80, which were statistically significant. Conclusion : The K-PDSQ is valid and available as a diagnostic screening tool. It will be widely used in clinical settings for screening DSM-IV Axis I diagnosis because of its simplicity and high reliability.

Relationship between oral health quality of life and oral health-related factors in patients with successful dental implants (임플란트 완성 환자의 구강건강관련 삶의 질과 관련 요인)

  • Park, Jung-Hyun;Urm, Sang-Hwa;Kwun, Hyeon-Sook;Cho, Gab-Suk;Heo, Seung-Ju;Lee, So-Young;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.717-727
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    • 2011
  • Objectives : This study was purposed to estimate the level of oral health quality of life and the relationship between health-related factors and oral health quality of life in patients with successful dental implants. Methods : This questionnaire survey was conducted during the period from December 2009 to March 2010 with 126 patients confirmed successful dental implants in Busan. The oral health related quality of life and oral health-related factors were estimated with OHIP-14 and 8 oral health characteristics, respectively. Data analysis was performed with descriptive analysis, t-test, ANOVA, multiple regression analysis using SAS(ver 9.1) program. Results : The score of oral health quality of life in patients with successful dental implants was $12.25{\pm}7.82$. The scores of subscale of the oral health quality of life were $1.24{\pm}1.35$ in social disability, $1.60{\pm}1.37$ in handicap, $1.60{\pm}1.44$ in psychological disability, $1.70{\pm}1.38$ in functional limitation, $1.81{\pm}1.35$ in physical disability, $2.14{\pm}1.46$ in physical pain, $2.17{\pm}1.46$ in psychological discomfort, respectively. The related factors of oral health quality of life in patients with successful dental implants were absence of other type prosthesis and experience of tooth brushing education. Conclusions : The oral health related quality of life in patients with successful dental implants was relatively good condition. Social supports and chances for high quality denture and tooth brushing educations are needed to improve oral health related quality of life in patients with dental implants.

Mental Health Problems in Child and Adolescent Obesity (비만에 이환된 아동청소년에서 보이는 정신건강문제)

  • Kang, Na Ri;Lee, Ji Sun;Kang, Ki Soo;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.2
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    • pp.119-129
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    • 2016
  • Objectives: The purpose of this study was to investigate mental health problems in obese child and adolescent patients. We assess the frequency of mental health problems and their differences according to sex, school grade and severity of obesity. Methods: The sample consisted of 106 children and adolescents aged 8-16 years (61 boys with mean age $10.98{\pm}2.26$, 45 girls with mean age $9.74{\pm}1.96$, p=.004) who were diagnosed with obesity and recruited at the Department of Pediatrics of Jeju National University Hospital. The participants completed the Korean-Child Behavior Checklist (K-CBCL), Children's Depression Inventory (CDI), Korean version of the Eating Attitude Test-26 (KEAT-26), and somatotype drawings. Results: The percentage of participants having a T-score in clinical range on one or more CBCL subscale was 37.7%. The percentage of participants in the high risk group for depression (CDI score above 17) was 20.8% and that in the high risk group for eating disorder (EAT-26 score above 20) was 6%. The girls showed significantly lower CBCL T-scores in social competence ($48.39{\pm}15.66$ vs. $38.91{\pm}22.04$, p=.011), adjustment function ($49.51{\pm}17.35$ vs. $40.38{\pm}22.58$, p=.020) and school competence ($53.34{\pm}10.47$ vs. $48.22{\pm}15.11$, p=.042) than the boys, but the percentages of boys and girls in clinical range were not significantly different. The middle school students showed (significantly) higher CBCL T-scores in somatic symptoms ($60.86{\pm}9.44$ vs. $55.74{\pm}6.76$, p=.005), aggressive behavior ($58.81{\pm}6.74$ vs. $54.68{\pm}6.22$, p=.009), total problems ($59.86{\pm}9.91$ vs. $54.88{\pm}9.76$, p=.039) and externalizing problems ($57.90{\pm}10.57$ vs. $52.44{\pm}9.38$, p=.022) than the elementary school students. The severe obesity group showed significantly higher CBCL T-scores in attention problems ($59.18{\pm}9.45$ vs. $54.15{\pm}5.34$, p=.001), social problems ($59.25{\pm}8.59$ vs. $55.96{\pm}6.50$, p=.038), delinquent behavior ($58.07{\pm}6.97$ vs. $54.73{\pm}6.00$, p=.017) and total problems ($59.21{\pm}11.65$ vs. $54.67{\pm}9.03$, p=.037) than the mild to moderate obesity group. Conclusion: Significant proportions of obese children and adolescents suffer from mental health problems. Clinicians need to pay attention to the mental health risk, especially in obese adolescents and severely obese children and adolescents.

The Relationship between Students' Out-of-school Science Experience and Their View on the Nature of Science (학생들의 학교 밖 과학 경험과 과학의 본성에 대한 견해 사이의 관계)

  • Kang, Suk-Jin
    • Journal of the Korean Chemical Society
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    • v.56 no.3
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    • pp.378-385
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    • 2012
  • In this study, the relationship between students' out-of-school science experience and their view on the nature of science was investigated. The participants were 267 sixth graders, 281 eighth graders, and 307 tenth graders from schools in Seoul. A test of views on the nature of science which consists of five items concerning the purpose of science, the definition of scientific theory, the nature of scientific model, the tentativeness of scientific theory, and the origin of scientific theory was administered. Students' out-of-school science experiences were measured with a subscale of the modified Science Experience Survey consisting of seven items. The results indicated that no statistically significant relationship was found between students' out-of-school science experience and their view on the nature of science in sixth graders. In eighth graders, high level students in terms of out-of-school science experiences were found to possess more contemporarily epistemological view in the item concerning the nature of scientific model but more falsificationist view in the item concerning the tentativeness of scientific theory. High level tenth graders in terms of out-of-school science experiences exhibited more epistemologically sophisticated understandings of the nature of science than their counterparts in the items concerning the purpose of science, the definition of scientific theory, and the nature of scientific model.

Validity of the Teacher's Scales for Gifted Preschool Children (교사용 유아 영재성 평가척도 개발 및 타당화 연구)

  • Lee, Chae-Ho;Choe, In-Soo
    • Journal of Gifted/Talented Education
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    • v.22 no.2
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    • pp.483-497
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    • 2012
  • The purpose of this study was to examine the validity of the Teacher's Scale for Gifted Preschool Children(TSGPC). Participation of this study were 357 preschool children and their parents and teachers from Seoul, Ulsan, Daegy, Gwangiu & Daejeon. Data were analyzed by exploratory factor analysis, Pearson's r, t-test and Cronbach's ${\alpha}$. Results are as follows. (1) exploratory factor analysis of TSGPC revealed that a 5-factor solution (academic ability, creativity, task commitment, artistic talent, and leadership) was the best fit. (2) Correlations between TSGPC and parental rating scale for young children's giftedness were significant. (3) Scores of TSGPC between gifted children and general children were significantly different (4) Cronbach's ${\alpha}$ ranged from .82 and .91 for subscale of TSGPC and .93 for the total scale. These results show that the Teacher's Scale for Gifted Preschool Children is quite reliable and valid measure.

A Study of Health Literacy, Self-Management Knowledge, and Self-Care Behaviors in Elderly with Hemodialysis (혈액투석 노인의 건강문해력, 자가관리지식과 자가간호행위에 관한 연구)

  • Yu, Hye Seon;Lee, Young Whee;Kim, Hwasoon
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.609-619
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    • 2021
  • The purpose of this study was not only to identify the level of health literacy, self-management knowledge and self-care behavior, but also to identify the relations those variables in elders with hemodialysis. The subjects of this study are 193 patients from dialysis clinics of nine hospitals in Incheon who aging over 60 years old. Data collection was conducted by using Health Literacy Scale, Self-Management Knowledge Scale, and Self-Care Behavior Scale. The data were analysed by descriptive analysis, t-test, ANOVA, and Pearson correlation coefficient using SPSS statistics 23.0 program. In the results, average score of subjects' health literacy, self-management knowledge and self-care behavior were 13.66(±2.09), 13.33(±1.85) and 63.95(±10.32), respectively. There were significant positive correlation between self-management knowledge and health literacy (r=0.37, p<.001) and reading comprehension part which is subscale in health literacy (r=.25, p=.001). Also, there was significant positive correlation between self-management knowledge and self-care behavior (r=0.15, p<.05). According to the above results, for improving the self-care behaviors in elders with hemodialysis, it is necessary to provide tailored education based on his/her level of health literacy.