• 지역사회간호학회지
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• 제18권1호
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• pp.156-164
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• 2007

Purpose: This study was to investigate adequate strategies of PBL in community health nursing for learning in the real community situation. Method: Data were collected in a PBL class of 14 third-year students who solved problems and assessed PBL in community health nursing related to visiting nursing and chronic diseases. Results: The students guessed situations diversely, chose learning issues widely and mapped the learning concepts specifically. In the assessment of the presentation, the peers of the same group gave the highest score $29.00{\pm}3.36$, the tutor lowest score $22.83{\pm}5.15$. In 5-point Likerts scale, the group dynamic was highest ($4.18{\pm}.61$) and the presentation was lowest ($3.59{\pm}.84$). Conclusion: The group needs to include students who have experiences in the practice at the health centers. The PBL class should be managed by the block system along with the conventional learning. Students needs to practice the self-directed learning and the presentation in a first semester and then PBL. The introduction of community health nursing begins with the conventional lecture and the programs on life circle and health centers through PBL in the comprehensive curriculums.

• 지역사회간호학회지
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• 제28권1호
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• pp.13-22
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• 2017

Purpose: The aim of this study is to examine the reciprocal causal relationship between social activities and health with reference to the cognitive function level among community-dwelling older adults. Methods: We conducted a longitudinal data analysis using the $4^{th}$ (Time 1) and $5^{th}$ (Time 2) waves from the Korean Longitudinal Study of Ageing adopting cross-lagged panel analysis (CLPA). Results: A total of 3,473 community-dwelling older adults were included in the analysis: 2,053 in the normal cognitive function group, 912 in the mild cognitive impairment group, and 508 in the moderate to severe cognitive impairment group. The CLPA revealed that higher levels of social activities at Time 1 significantly influenced better subjective health perception at Time 2 in all three groups. In addition, better subjective health perception at Time 1 significantly influenced higher levels of social activities at time 2 only in the normal cognitive function group. Conclusion: This study demonstrates that participating in social activities has positive effects on health regardless of the cognitive function level in community-dwelling older adults. This finding suggests that there is a need to develop strategies that can be used to encourage older adults with cognitive decline to maintain participation in social activities.

• Ocean and Polar Research
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• 제42권4호
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• pp.271-281
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• 2020

We investigated mesozooplankton in the Yellow Sea in spring to understand its community structure and relationship with environmental factors. Total mesozooplankton density ranged from 1,542 to 7,367 ind. m-3 and the biomass ranged from 3 to 42 mg C m-3. The total density and biomass had a positive relationship with chlorophyll-a (chl-a) concentration. The mesozooplankton community was divided into two groups at 125.5 E by cluster analysis: one was an inshore group and the other was an offshore group. The inshore group of mesozooplankton was of high density but low diversity, while the offshore group was of high diversity but low density. Copepod Acartia hongi and its copepodites were the most abundant species, comprising 27.8% of the total mesozooplankton density. A. hongi was especially abundant at the inshore, serving as the indicator species of the inshore group. Redundancy analysis found a positive relationship between the density of A. hongi and chl-a concentration. Oithona similis and Centropages abdominalis were 2nd and 3rd dominant species comprising 9 and 7% of the total density, respectively. The density of O. similis was positively related to water depth, but C. abdominalis was related to chl-a concentration. Chl-a concentration seems to influence significantly the mesozooplankton community structure in the Yellow Sea in spring, rather than water temperature or salinity.

• 대한간호학회지
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• 제44권6호
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• pp.697-707
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• 2014

Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

• 한국학교ㆍ지역보건교육학회지
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• 제19권3호
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• pp.65-77
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• 2018

Background & Objectives: This study aims to investigate the health status of family caregivers with dementia patients and identify the factors related to their anxiety and depression. Methods: Data from 2015 Community Health Survey(n=2,426) was used. A chi-square test was performed to investigate the health status of family caregivers, and a multiple logistic regression analysis was used to identify the factors associated with anxiety and depression. Results: Odds ratio(OR) of anxiety and depression was 1.29 times higher in female, 2.49 times higher in over 70 years versus under 39 years. ORs were lower 34.0%, 26.0%, 26.0% in the working group, the physical activity group, the alcohol drinking group respectively. ORs of anxiety and depression were 4.54 times, 1.57 times higher in the stress group, the chronic disease group respectively. And ORs were 61.0%, 28.0% lower respectively when social networks and social activities was present. Conclusions: The rate of experiencing anxiety and depression was high in family caregivers with dementia patients. It is necessary to provide diverse programs to reduce the burden of family support, anxiety and depression of family caregivers.

• 한국환경생태학회지
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• 제26권4호
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• pp.576-587
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• 2012

임자도 대광사구의 현존상관식생은 해안 방풍림으로 조성된 곰솔군락이 가장 넓게 분포하고 아까시나무군락, 갯그령군락, 띠-갯그령군락, 통보리사초군락, 갯쇠보리군락, 띠군락, 갈대군락, 띠-산조풀군락이 띠모양 또는 파편화로 분포하였다. 조사지점 74개소에 대해 식물사회학적 방법으로 자료를 수집 및 분석한 결과, 대광사구식생의 종조성은 7개군락, 5개군으로 총 10개 식생단위로 유형화되었다. 7개 군락은 곰솔군락, 갯그령군락, 아까시나무군락, 해당화군락, 갯쇠보리군락, 통보리사초군락, 산조풀군락으로 구분되었으며, 곰솔군락의 하위단위로 고사리군, 갯그령군, 곰솔전형군의 3개군과 산조풀군락의 하위단위로 갈대군, 산조풀전형군의 2개군으로 구분되었다. 종의 해안선으로부터 대상분포는 갯그령 - 통보리사초, 좀보리사초 - 갯완두 - 갯메꽃 - 순비기나무, 갯완두, 갯쇠보리 - 해당화 순으로 나타났다. 종단면을 분석한 결과, 전사구의 초본식생의 폭이 넓고, 전사구 전면부의 경사가 완만하며, 사구열이 많고, 구조물이 없는 유형이 사구의 침식에 덜 취약하고, 회복에 유리한 것으로 나타났다.

• 한국산림과학회지
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• 제112권4호
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• pp.393-404
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• 2023

천연기념물 수림지는 자연의 역사와 가치가 내포된 문화유산이자 자연유산이지만 산업화와 도시의 무분별한 확대로 생육환경이 악화되고 있어 천연기념물로 지정된 숲의 온전한 생태계 보전 및 관리를 위해서는 산림군집구조 특성의 구명이 선행되어야 한다. 따라서 본 연구는 제주도 천연기념물 수림지인 제주 평대리 비자나무 숲과 제주 납읍리 난대림을 대상으로 식생유형을 분류하고 유형별 층위 구조, 종다양도 분석을 통해 군집구조 특징을 구명하고자 하였다. 식생 유형 분류 결과 군락군 수준에서 까마귀쪽나무 군락군으로 구분되었으며, 군락 수준에서는 비자나무군락과 종가시나무군락으로 구분되었다. 비자나무군락은 이나무군과 홍지네고사리군으로 세분되었고, 종가시나무군락은 산쪽풀군과 가는쇠고사리군으로 세분되었다. 중요치 분석 결과, 교목층에서 식생유형 1(까마귀쪽나무군락군-비자나무군락-이나무군)과 2(까마귀쪽나무군락군-비자나무군락-홍지네고사리군)는 비자나무가, 식생유형 3(까마귀쪽나무군락군-종가시나무군락-산쪽풀군)과 4는(까 마귀쪽나무군락군-종가시나무군락-가는쇠고사리군) 종가시나무의 중요치가 높게 나타났다. 종다양도 분석 결과, 식생유형 1은 2.866, 식생유형 2는 2.716, 식생유형 3은 2.222, 식생유형 4는 2.326로 나타났다. 본 연구 결과 식생유형별 차별화된 관리 방안 마련이 필요할 것으로 판단되었다.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.185-190
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• 2020

Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.

• 대한간호학회지
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• 제45권3호
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• pp.459-468
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• 2015

Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

• 지역사회간호학회지
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• 제24권3호
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• pp.323-331
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• 2013

Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.