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Evaluation and Categorization of Commercially Prepared Enteral Nutrition Formulas

  • Dong-Yeon Kim;Hee-Jae Suh
    • Korean Journal of Community Nutrition
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    • v.3 no.5
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    • pp.729-738
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    • 1998
  • In order to investigate the types of enteral nutrition formulas currently used in hospitals and evaluate and categorize the commercially prepared enteral nutrition formulas formulas available in the domestic market, we asked dietitians working in 6 hospitals in Seoul to complete the questionnaire and obtained compositional characteristics of 12 commercially prepared enteral nutrition formulas. The average proportion of patients receiving the commercially prepared enteral nutrition formulas(60.6%) was greater than that of patients receiving the in-hospital preparations(31.9%). In the group of patients receiving the in-hospital prepared formulas, the enteral feeding was mainly administered orally, whereas, in the group of patients receiving the commercially prepared formulas, tube feeding was the primary route of formula administration. In both groups, however, a greater proportion of patients received the formulas as total replacements of their meals and for the purpose of dietary supplementation. On the basis of major criteria for evaluation of the commercially prepared enteral nutrition formulas, the 6 products out of the 9 nutritionally complete products formulated for the purpose of dietary supplementation were grouped into the same category(standard protein, caloric density of 1kcal/ml, and tube/oral), so they were considered therapeutically comparable. However, the remaining 3 products were different in protein content(high protein) or route of administration(tube only). Of the 3 nutritionally complete products formulated specifically for the purpose of dietary therapy, 2 products were formulated for patients with renal disease, and the one product was formulated for diabetic patients. Therefore, the data in this study showed that the commercially prepared enteral nutriton formulas became an important part of the enteral nutrition for hospitalized patients in Korea, but the domestic market has not yet generated a wide variety of the formulas, not providing many choices for clinicians to manage the diets for their patients. The results of this study would be helpful for clinicians in choosing appropriate products for their patients, for manufactures in developing new products, and for regulatory authorities to establish the regulation for the broad group of heterogeneous products that are marketed and will be developed as medical foods. In addition, the process of maintaining the categories for evaluation of the commercially prepared enteral nutrition formulas should be dynamic because new products may not reasonably fit any of the existing categories.

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Research into Clinical Nurses' Knowledge, Importance and Perception of Diabetes Mellitus (임상 간호사의 당뇨병에 대한 지식, 중요도 및 인지도 조사)

  • Shin, Jeong-Sup;Park, Choon-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.95-107
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    • 2002
  • The purpose of this study is to determine the clinical nurses' knowledge of DM and diabetes patient education aptitude so as to provide a basis for clinical nurse training with respect to diabetes patient education program. The data has been collected through the questionnaires of 42 items from the Knowledge on DM and each 16 item from the Importance on the elements of diabetes patient and the Recognition for clinical nurses, respectfully. 166 nurses from a general hospital who had participated in clinical nurse training in Sep. 28 and Oct. 4, 2001 were subject to respond the questionnaires. Analysis has been done by using statistical method such as percentage, average, standard deviation, t-test, ANOVA, Duncan test and Pearson correlation coefficients. The findings are as follows: 1. Clinical nurses' knowledge levels of diabetes 1) The average level of nurses' knowledge about diabetes is 29.37 (right answer- finding rate: 70%), which is intermediate. 2) Amongst the nurses classified by their knowledge levels about diabetes, the group with less than one year career and that with more than 5 year careers are found to have higher knowledge levels. The item with the highest right answer-finding rate was 'Please find the wrong out of the following examples about foot care'. Meanwhile, the item with highest incorrect answer-finding rate was 'what does blood sugar control aims for amongst gestational diabetes?'. 2. Clinical nurses' importance and perception levels of educational training about diabetes 1) There were no differences amongst nurses' importance level about diabetes. 2) Nurses usually had high scores(4.30) in terms of the items related to the importances about educational training. 3) There were quite high recognitions of general characteristics and symptoms about diabetes, amongst the nurse cohorts working more than one year and less than 5 years, and over 5 years, the group belonging to the internal department, that having the previous experiences of dealing with diabetes, and that having their diabetic relatives and other close people. Meanwhile, strangely, the group who identified themselves as 'not good at treating diabetes' had a high recognition level of educational training about diabetes. 3. Relationship between knowledge levels and importance & perception levels of diabetes 1) The higher knowledge about diabetes nurses had, the more importance they recognized. 2) It is found that there was no relationship between knowledge and perception of diabetes. 3) The more importance about diabetes nurses had, the higher perception they obtained. In conclusion, there is an urgent need for systematic educational programs about diabetes including technical aspects, in order to upgrade and improve nurses knowledge levels. In addition, re-educational training should be provided at regular intervals. Further, we believe the nurses with high knowledge about diabetes and interests in the provision of educations for patients can be far more confident, and in return, patients can have better self-management about diabetes obtained through educations. Based on the above-mentioned findings, we would like to make the suggestion: re-evaluation about nurses' knowledge and cognition levels should be carried out after job training programs about diabetes.

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An Analysis of the Correlation between Health-related Habits and the Biochemical Characteristics of the Blood of Bus Drivers in the Masan Area (마산지역 시내버스 운전자의 건강관련 생활습관과 혈액의 생화학적 지표와의 상호관련성 분석)

  • 윤현숙;김기련
    • Korean Journal of Community Nutrition
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    • v.7 no.2
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    • pp.232-244
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    • 2002
  • This study investigated the correlation between health-related habits and the biochemical characteristics of the blood of Korean bus drivers. A total of 178 bus drivers working in the Masan area participated in this study. The general characteristics and health-related habits of the subjects were surveyed using a serf-administered questionnaire. The biochemical date were collected from regular health check-ups done through their workshop health insurance company in lune, 1999. The results were as follows : The average age of the subjects was 38 years, and 44.2% had a driving career of between 10 and 19 years. About 90% of the subjects ate irregularly, and 36% ate. health floods. Their rates of drinking, smoking and exercise were 74.6%, 83.6% and 70.8%, respectively. Their frequency of drinking was significantly increased as the length of their driving career increased (p < 0.001). Their levels of total serum cholesterol, in relation to the length of their driving career was significantly higher in the over 20 year group than in the below 10 year group (p < 0.05). Their systolic blood pressures, according to age, were significantly higher in the 51 to 60 age group than in the other groups (p < 0.05). Their total um cholesterol levels signiscantly increased with increasing age (p < 0.001). Their diastolic blood pressures (p < 0.001) and blood glucose levels (p < 0.05) were significantly higher among the subjects who drinking alcohol almost everyday, than among other subjects. Their systolic blood pressures who significantly increased with increasing frequency of their drinking (p < 0.001). The systolic blood pressure and diastolic blood pressure were positively related to age, the amount of drinking, the frequency of drinking and the obesity index, and negatively related to exercise and the duration of exercise. The hemoglobin was positively related to age, preference for a meat diet and the obesity index. The blood glucose was positively related to the amount of drinking, and the total serum cholesterol was positively related to age, length of driving career, period of smoking and the obesity index. The results of this study indicated that bus drivers need regular exercise, moderation of their drinking and smoking, and control of their body weights so as to prevent chronic diseases.

A Study on Dietary Behavior and Health Condition of Employees at Department Stores (백화점 종사자의 식행동과 건강상태에 관한 조사)

  • Kim, Hye-Kyung;Kim, Jin-Hee;Park, Young-Sook
    • Korean Journal of Community Nutrition
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    • v.13 no.3
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    • pp.374-385
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    • 2008
  • A study has been performed to provide the basic information about the current dietary habits, health related behaviors, and body indices and to bring forward the importance of this information to the people's attention based upon the relation between employee's life patterns and health conditions in their daily lives. Three hundred and five department store workers were examined from August 2006 to September 2006. With the average BMI values $23.9{\pm}2.2$ for males and $20.0{\pm}1.9$ for females, both gender groups were in normal, but 62.2% of the males were overweight and 15.4% of the females were under-weight. Regarding dietary and health related factors on how they perceive themselves, as normal were 204 (66.9%) the most and bad and very bad were respectively 43 (14.1%) and 5 (1.6%). Half of the subjects (43.2%) perceived sleeping hours to be insufficient, and 64.4% of them need to exercise regularly. As problems related to eating habits, they reported irregular meal times, overeating, preference of hot and spicy food, skipping meal, unbalanced meals. Regarding weight control they have attempted were the most (73.0%), after weight reduction, 51.2% of the subjects had side effects, such as gastrointestinal troubles, anemia, dizziness, sense of fatigue, constipation, physiological disorder, and diarrhea, etc. In the food habit score, it was shown that overall average score of the subjects was $62.63{\pm}9.86$ which is lower than other studies. Female ($62.76{\pm}10.15$) had better score than male ($61.67{\pm}8.06$). While the item with the highest point was eat all three meals of the day, that was the lowest point, exercise every day. The food habit score of the younger group had lower than older group, and also they preferred sweet foods to other group. The results suggest that nutrition education for workers at specific working fields needs to be more focused on the improvement of dietary habits and health status of workers.

Relationships Between Job Stress and Psychosocial Stress Among Nurses in a University Hospital (대학병원 간호사의 직무스트레스와 사회심리적 스트레스의 관련성)

  • Park, Sung-Kyeong;Kim, Jong-Oh;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.3887-3896
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    • 2011
  • This study was intended to measure the level of psychosocial stress among nurses working for a university hospital and to reveal its related factors. The self-administered questionnaires were given to 450 nurses during the period from October 1st to 31st, 2010. As a results, the level of psychosocial stress was 10.2% in normal group, 64.0% in potential stresses group, and 25.8% in high risk stress group. In correlation, psychosocial stress was positively correlated with job demand, but it was negatively correlated with job autonomy, supervisor and colleague support. For the results of hierarchial multiple regression analysis, the level of psychosocial stress was influenced by the variables of regular exercise, quality of sleep, subjective status of health, shift work, fit to the job, job demand, job autonomy and supervisor support. Especially, the psychosocial stress was higher related with the contents of job stress increased with explanatory powers of 18.1% on the psychosocial stress.

The Influence of Educare Teachers' Self-encouragement and Social Support on Psychological Burnout (보육교사의 자기격려와 사회적 지지가 심리적 소진에 미치는 영향)

  • Jo, Sang Ho;Kang, Dae Ok;Kim, Seong Cheol
    • Korean Journal of Child Education & Care
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    • v.18 no.4
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    • pp.51-63
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    • 2018
  • Objective: The purpose of this study was to verify the influence of educare teachers' self-encouragement and social support on their psychological burnout. Methods: This study was 329 educare teachers working in Jeju Special Self-Governing Province. The questionnaire for this study (self-encouragement scales, social support scales, and psychological burnout scales) was conducted and t-test, F-test, Turkey post test, Pearson Correlation analysis, simple regression analysis and multiple regression analysis was conducted by using the SPSS windows 18.0 program. Research results of analysis were as follows. Results: First, the difference of self-encouragement of educare teachers was remarkable according to age group and that of social support noticeable according to age group and career while that of psychological burnout was noticeable according to age group and marital status. Second, educare teachers' self-encouragement and social support has negative correlation with their psychological burnout. Third, educare teachers' self-encouragement and social support affect their psychological burnout in negative manner. In particular, self-encouragement functions, more than social support, as a main factor in reducing psychological burnout. Conclusion/Implications: These results can be utilized as basic data for developing education and counselling programs designed to provide emotional stability for educare teachers and help them give more positive child-care service.

Association Between Job Stress and Fatigue Symptoms Among Fire-Fighting Officials (소방공무원의 직무스트레스와 피로수준과의 관련성)

  • Lee, Kwang-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.496-506
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    • 2021
  • This study examined the relationship between job stress and fatigue symptom of fire-fighting officials. The study subjects were 330 fire-fighting officials working at five fire stations in the D metropolitan city. The study survey was a structured self-administered questionnaire from September 1 to October 31, 2019. The level of fatigue symptoms and job stress were significantly higher (p<.0.001). By the sub-region, the level of fatigue symptoms and job demand were significantly higher (p=0.046), but the decision latitude, the supervisor support, and co-worker support were lower (p=0.006, p<0.001, and p<0.001, respectively). The level of fatigue symptom showed a significant positive correlation with the total score of job stress (r=0.348, p<0.05) and the job demand (r=0.301, p<0.05). In contrast, it showed a significant negative correlation with the decision latitude (r=-0.306, p<0.05), supervisor support (r=-0.340, p<0.05), and co-worker support (r=-0.355, p<0.05). Multivariate logistic regression showed that the odds ratio of the high-risk fatigue group was significantly higher in the high-risk group of job stress than in the low group of job stress (ORs=3.03, 95% CI=1.13~8.12). These findings suggest that the level of fatigue symptoms of fire-fighting officials is related significantly to job stress.

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM (변화의 과정에 있는 방문간호사의 직무분석: FGI와 DACUM을 적용하여)

  • Kim, Jieun;Lee, Insook;Choo, Jina;Noh, Songwhi;Park, Hannah;Gweon, Sohyeon;Lee, kyunghee;Kim, Kyoungok
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.13-31
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    • 2022
  • Purpose: This study conducted a job analysis of visiting nurses in the process of change. Methods: Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM. Results: Visiting nurses' job was derived as the theme of present versus transitional roles. The present role was categorized as 'providing individual- and group-focused services' and 'conducting organization management', while the transitional role was categorized as 'providing district-focused services' and 'responding to new health issues'. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks. Conclusion: The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

The Effect of Organizational Efficacy, Self-efficacy, Nursing Professionalism on Organizational Commitment in General (종합병원간호사의 조직효능감, 자기효능감, 간호전문직이 조직몰입에 미치는 영향)

  • Kim Hyun Woo;Eun Hee Park
    • Journal of Industrial Convergence
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    • v.21 no.7
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    • pp.75-82
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    • 2023
  • The purpose of this study was designed to help the operation of the hospital organization through analysis of factors influencing organizational commitment of general hospital nurses. 129 nurses in general hospitals were targeted in G City. This study was conducted to analyze the effects of group efficacy, self-efficacy, and nursing professionals on organizational commitment. T-test, ANOVA, Pearson's correlation coefficient, Descriptive statistics and multiple regression were used. Stepwise regression analysis found that organizational commitment was affected by group efficacy(β=0.240, p =.003), nursing professionalism(β=0.229, p =.004) and daytime work(β=0.249, p =.003), The F statistic was 10.478 (p <.001). Therefore, in order to improve organizational commitment, it will be necessary to prepare communication programs and cooperation programs per unit to improve collective efficacy. In addition, it is necessary to improve the system, such as a system dedicated to night workers, so that the working hours of nurses in general hospitals can be maintained constant. In addition, it is necessary to develop a support program so that nursing professionals do not decrease due to disappointment in reality in the nursing field.

A Study on Trip Generation Model considering Trip-chaining by Behavioral Homogeneous Person Group ("유사 통행행태 집단"의 Trip-chaining을 고려한 통행발생 모형)

  • Lee, Seon-Ha;Yun, Jin-Suk
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.5D
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    • pp.709-716
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    • 2006
  • The rapid changes of family structure such as singles, working couples and so on have effects on a travel behaviour. One of the characteristics from this is the increasing portion of trip-chain, in which plural activities were conducted in a "single outgoing" travel. Therefore travel must be considered as location change to conduct various activities instead of pursuing single travel purpose. This paper specifies a behavioral homogeneous person group by a job, a possession of cars. Based on this classification of person groups and their activity diary, the sequence, time and travel mode of activities in a day can be verified. As a case study household survey was conducted in city Kongju. The survey result shows that the classification of behavioral homogeneous person group based on criteria like employment status and car ownership bring a good result to forecast trip generation in traffic zone.