• 보건교육건강증진학회지
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• 제26권2호
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• pp.15-23
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• 2009

Objectives: This study was conducted to investigate the relationship between physical activity function and stages of self-change for exercise in the aged of a farming village. The object of this research was to make with the basic data for the exercise program for the aged of rural area. Methods: This study was a volunteer sample of 612 persons, 60 years and above, who were living at the 2 farming villages, in 2005 July. This instruments were analyzed using frequency analysis and descriptive statistics, multiple regression analysis. Results: The distribution of stages of self-change of the research object person showed that the pre-contemplation stage was most with 57.2%, and the contemplation stage : 8.1%, the preparation stage : 2.2%, the action stage : 22.5%, the maintenance stage : 10.0%. The person who having good physical function state and advanced stages of self-change of exercise were higher in the ratio of the educational level and the income level. Factors for physical function were effected by the aging and the woman negatively. Conclusion: Physical function scores were highly correlated with stages of self-change for exercise. So it will be helpful that the program which designed by one's physical function and stage of self-change for exercise would applied the one.

• 한국인구학
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• 제32권1호
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• pp.71-91
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• 2009

고령화 사회에 내재된 가장 핵심적인 문제는, 인구의 다수를 차지하는 노인의 상실된 사회적 지위 및 역할을 회복시키고, 이를 통해 노인의 사회통합을 기하는 문제이다. 이 연구의 목적은 우리나라 노인들의 사회참여 유형을 분석하고, 각 유형을 결정짓는 요인이 무엇인지 밝힘으로써 보다 노인중심적인 관점에서 노인들의 사회참여 활성화를 위한 정책제언을 도출하는 것이다. 이를 위해 본 연구는 한국보건사회연구원의 2004년도 "전국 노인생활실태 및 복지욕구조사" 자료를 활용하여 분석을 실시하였다. 먼저, 사회참여 유형화를 위해 군집분석을 활용하였으며, 사회참여 유형 결정요인을 위해 다항로지스틱 회귀분석을 실시하였다. 분석 결과 노인의 사회참여 유형은 "자원봉사중심형", "종교중심형", "직업중심형", "경로당중심형"으로 유형화되었다. 또한 다양한 유형의 사회참여는 노인 개인이 가지고 있는 경험과 자원, 그리고 인구학적 조건 등의 차이에서 비롯된다는 사실을 발견할 수 있었다.

• 지역사회간호학회지
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• 제11권1호
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• pp.231-244
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• 2000

Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

• Journal of Hospice and Palliative Care
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• 제20권4호
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• pp.226-234
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• 2017

목적: '연명의료결정법'의 시행으로 호스피스 완화의료의 대상이 암뿐 아니라 후천성면역결핍증(acquired immunodeficiency syndrome, AIDS)을 포함한 비암성 질환에까지 확대된다. 하지만, AIDS에 대해서는 부정적인 인식과 낙인, 편견이 많아 호스피스 완화의료 확대에 대한 우려가 많다. 이에 본 연구에서는 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도에 영향을 주는 요인들을 알아보고자 하였다. 방법: 우리나라의 19개 기관의 326명의 호스피스 자원봉사자들을 대상으로 자가 기입식 설문지를 이용해 조사하였다. 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도는 11단계 숫자등급을 통해 파악하였다. 인구사회학적 변수들, 자원봉사와 관련된 변수들, 자원봉사에 대한 만족도, AIDS에 대한 지식 수준, AIDS에 대한 태도('AIDS 환자에 대한 두려움', 'AIDS 환자에 대한 부정적인 태도', '개인적인 낙인', '낙인적 태도')를 조사하였다. 다중회귀분석을 이용하여 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도에 영향을 주는 요인들을 알아보았다. 결과: 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도 점수는 암환자에 대해서보다 평균 2.82점 낮았고 이는 통계적으로 유의하였다(P<0.001). 다중회귀분석 결과 자원봉사에 대한 만족도가 높을수록(P=0.002) '개인적인 낙인' 점수가 낮을수록(P<0.001) 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도는 높아졌다. 결론: 본 연구의 결과 호스피스 자원봉사자들의 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도와 관련이 있는 요인은 자원봉사에 대한 만족도와 AIDS에 대한 태도 중 '개인적인 낙인'이었다.

• 대한치과보철학회지
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• 제42권2호
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• pp.175-191
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• 2004

Statement of problem: Platelet-rich plasma(PRP) is well known to be very effective method to stimulate and accelerate the healing of bone and soft tissue. However, there are few reports which deal with the mechanisms of the PRP on the activation of the osteoblasts. Purpose: This study was aimed to investigate the effect of growth factors in PRP on the activity of osteoblasts. Material and method: To evaluate the effect on human, human osteoblast cell line was cultured. PRP was extracted from the blood of a healthy volunteer. Using the recombinant growth factors of PDGF, $TGFT-\beta$, IGF-1, bFGF which are mainly found at bone matrix and their neutralizing antibody, the effect of PRP on the attachment and proliferation of osteoblasts was evaluated. To evaluate the autocrine and paracrine effects, conditioned media(CM) of PRP was made and compared with PRP. By the western blot analysis, the expression of growth factors in PRP, CM was examined. Cell morphology was compared by the light microscope. Results : 1) The effects of CM on osteoblast were similar to the effects of PRP. 2) PRP, CM, recombinant $TGF-\beta$, bFGF, IGF-1 showed significantly higher cellular attachment than control(p<0.05) in the cell attachment assay. In the cell proliferation assay, PRP, CM, recombinant $TGF-\beta$, IGF-1, bFGF, PDGF increased significantly cell proliferation(p<0.01). Among the recombinant growth factors, IGF-1 showed the highest cellular attachment and proliferation. 3) In the western blot assay, bFGF, IGF-1, PDGF weve equally expressed in PRP and CM. 4) The attachment of osteoblast cell decreased significantly after the addition of neutralizing antibody against $TGF-\beta$, IGF-1(p<0.05). In the cell proliferation assay, the addition of neutralizing antibody against $TGF-\beta$, bFGF, PDGF, IGF-1 decreased significantly the cellular proliferation(p<0.05). The amount of decreasing in the cell attachment and proliferation is the highest in at-lGF-1. 5) The cells in control group were flattened and elongated with a few cellular processes in the a light microscope. But, the cells appeared as spherical, plump cells with well developed cellular processes in experimental groups. The cells in PRP and CM had more prominent developed features than recombinant growth factor groups. Conclusions : These findings imply that PRP maximize the cellular activity in early healing period using the synergistic effect, autocrine, paracrine effects of growth factors and increase the rate and degree of bone formation.

• Journal of Periodontal and Implant Science
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• 제30권1호
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• pp.111-120
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• 2000

Purpose We designed this study for the purpose of determining the relationship between periodontal disease activity and PLBW, using the evaluation of probing pocket depth, loss of attachment, gingival index, gingival crevicular fluid amount and subgingival microflora. Methods A total of 100 volunteer mothers(mean age 30.44) at the Department of Obstetrics and Gynecology Seoul National University Hospital were selected for this study.Pregnancy outcomes were categorized into cases and controls in two ways. our definition was based on the following; Group 1 : Any PLBW cases Vs. All NBW controls Group 2 : PLBW cases Vs. NBW controls A periodontal exam was performed on the Ramfjord( #16, 21, 24, 36, 41, 44) teeth and Clinical evaluation consisted of probing pocket depth, loss of attachment, gingival index and gingival crevicular fluid amount. Subgingival plaque samples were collected by three sterile #35 paper points. The total number of anaerobic colonies and aerobic bacteria were enumerated after incubation. Antisera to P. gingivalis, P. intermedia, A. actinomycetemcomitans were produced in white rabbits with live whole cells suspensions. The specific fluorescent bacteria obtained by immunofluorescence and total cell counts obtained by dark-field microscopy were counted on four fields. The percent of each specific microorganism in the total cell count was determined. Results Any PLBW and PLBW cases showed significantly greater probing depth and attachment loss than all NBW and NBW controls. Cases group had significantly increased anaerobic bacterial counts compared with control group and no differences in the other microbes. This study confirmed that periodontal disease is a statistically significant risk factor for PLBW by investigating clinical parameters and subgingival plaque analysis.

• 한국노년학
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• 제31권1호
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• pp.33-47
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• 2011

본 연구의 목적은 여성독거노인의 우울과 삶의 질과의 관계에서 사회적 지지와 사회적 활동의 역할 즉 조절 효과와 매개효과를 검정하여 그들의 우울을 줄이고 삶의 질을 높이기 위한 기초자료를 제공하는데 있다. 서술적 조사연구로써 K시의 여성독거노인 129명을 대상으로 2010년 6월부터 7월 까지 설문지를 이용하여 자료수집하고, SPSS Win 18.0 program으로 통계처리 하였다. 연구결과 여성독거노인의 평균 연령은 77.5세, 평균 독거기간은 14년이었다. 여성독거노인의 우울은 2.65점(±.42)으로 보통이상의 우울을 경험하고, 삶의 질은 2.80점(±.57), 사회적 지지는 3.34점(±.57)으로 보통정도의 삶을 영위하며 중간정도의 사회적 지지를 받는다고 생각하였다. 사회적 활동 중 여가활동은 3.75점(±1.08), 봉사활동은 3.80점(±.00)으로, 여가활동 시 보통이상의 만족도를 가지며, 경제활동은 2.84점(±1.00)으로 경제활동 시 보통정도의 만족도를 가지는 것으로 나타났다. 여성독거 노인의 우울과 삶의 질은 역 상관관계(r=-.745, p=.004)이며, 사회적 지지(r=.544, p=.000), 여가활동(r=.480, p=.024)과 경제활동(r=.711, p=.001)은 순 상관관계를 나타내었다. 또한 사회적 지지와 사회적 활동의 조절효과는 없었고 사회적 활동의 매개효과도 없었다. 그러나 사회적 지지의 매개효과는 있는 것으로 나타났다. 즉 사회적 지지와 사회적 활동의 조절효과가 없어서 사회적 지지와 사회적 활동이 여성독거노인의 우울과 상호작용하여 삶의 질을 높일 수 있다고 할 수 없다. 사회적 지지의 매개효과는 존재하는 것으로 나타나, 여성독거노인의 우울은 사회적 지지를 통하여 그 정도가 완화되며 사회적 지지가 높을수록 삶의 질이 높아지는 것으로 나타났다. 추후 사회적 지지 프로그램을 개발하여 여성독거노인의 우울과 삶의 질에 영향을 미치도록 유도하며, 사회적 활동에 대한 조절효과와 매개효과에 대한 반복연구가 필요하다.

• 농촌지도와개발
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• 제13권1호
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• pp.209-225
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• 2006

According to shift of the political focus from agricultural productivity to social development, it has been increased importance of local leader in rural society. Especially rural women leader's role has been increased not only in agricultural business but also in social activity of locality. Although a lot of leadership study related to rural community development, it has been very scarcely study about leader's action in pattern or doing in style based on psychological scale. Therefore this a kind of pilot study on that. For this data, it was gathered from 24 female farmer leaders of a federation group in 2005. In this study, to define the action in pattern or doing in style of leader, it was adopted to Ozasz Yoshihisa's scale which is consisted of 40 items into 8 types. From analysis of female farmer leader's action in pattern or doing in style, most of them were belong to volunteer type, generalist type, farmer type. This menas most of them were head toward maintenance of the present status, keeping one's balance, adaptation oneself to new environment, or acceptance the logic of events, not trying to innovate. But it was not clear that any variable has a relation in the action in pattern or the doing in style, for definition of variables, it should be more detailed study.

• Journal of Preventive Medicine and Public Health
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• 제46권2호
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• pp.62-73
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• 2013

Objectives: An outbreak of hepatitis A occurred at a residential facility for the disabled in July 10, 2011. This investigation was carried out to develop a response plan, and to find the infection source of the disease. Methods: A field epidemiologist investigated the symptoms, vaccination histories, living environments, and probable infection sources with 51 residents and 31 teachers and staff members. In July 25, 81 subjects were tested for the hepatitis A virus antibody, and specimens of the initial 3 cases and the last case were genetically tested. Results: Three cases occurred July 10 to 14, twelve cases August 3 to 9, and the last case on August 29. Among the teachers and staff, no one was IgM positive (on July 25). The base sequences of the initial 3 and of the last case were identical. The vehicle of the outbreak was believed to be a single person. The initial 3 patients were exposed at the same time and they might have disseminated the infection among the patients who developed symptoms in early August, and the last patient might have, in turn, been infected by the early August cases. Conclusions: The initial source of infection is not clear, but volunteers could freely come into contact with residents, and an infected volunteer might have been the common infection source of the initial patients. Volunteers' washing their hands only after their activity might be the cause of this outbreak. Although there may be other possible causes, it would be reasonable to ask volunteers to wash their hands both before and after their activities.

• 지역사회간호학회지
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• 제15권2호
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• pp.308-322
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• 2004

Purpose: 'The purpose of the present study was to understand students' experiences from their standpoint, to identify relevant variables and to examine into their relations by analyzing and describing what phenomenon 'nursing students' visiting ambulatory bathing service' is, what are the reasons for the phenomenon, and what interactions are in the phenomenon. Method: The subjects were thirteen students. Data were collected through in-depth interviews and analyzed by Strauss and Corbin's analysis method. Result: With regard to ambulatory bathing service, participants responded 'lack of education', 'inexperienced personal relations' and 'disappointment with recipients families'. They recognized 'burden' and 'compassion'. The intensity of generated 'burden' and 'compassion' was determined by volunteering persons, the degree of health care service, recipients' response and interaction of climate. When 'burden' and 'compassion' were generated, participants selected their own coping strategies. Strategies in the situation of 'burden' and 'compassion' were significantly influenced by 'burden' and 'compassion' and structural situation - 'mutual relation structure,' 'volunteers' capability,' 'the degree of volunteering guidance,' 'community participation,' 'recipients' environment,' 'information sharing,' 'special vehicle equipment' and 'economical burden.' Strategies include' service training,' 'receiving volunteering training,' 'preliminary service preparation,' 'volunteering.' 'connection to local medical center,' 'intention,' 'information sharing,' 'passive response to recipients' appreciation' and 'the understanding of publicity'. The results of selected 'burden' and 'compassion' are described with 'worthiness' and 'cohesion' as follows. Conclusion: This study is significantly meaningful in that it examined bathing service welfare in its initial stage. There are not much outcome from previous studies. However. it is meaningful that this study intended to develop theories on the nature of experiences and the relations among concepts derived from the visiting ambulatory bathing service process of nursing students. Professors who taught social volunteering in universities understood the experience of nursing students who did the visiting ambulatory bathing service. Consequently, professors will provide an effective instruction to enable these students to carry out visiting ambulatory bathing services efficiently in order to meet demands when they conduct the services. For the volunteering service activity in major-related fields among college students' social volunteering activities, they recognized the necessity of systematic education and preparation.