• 대한간호
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• 제36권5호
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• pp.63-73
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• 1998

The home visiting health nurses are important man-power who can serve various and persistent rehabilitation care to disabled person in community. The Community Based Rehabilition project(CBR) of national rehabilition center have been carried out from 1995. As a part of that project national health center performed rehabilition education program for home visiting health nurses. The purpose of this study is to analysis the effect of this education. In the first stage all of those groups were educated for two weeks in national rehabilitation center. But only two group nurses, one is in a urban and the other in a rural community, have been educated continually in the field through discussing rehabilitation care case study. The data in this study were gathered from three group healh nurses and analysed by SAS computer program. The results about knowledge, attitude and practice changes of the three group nurses were as follows. 1. In the pre education state the mean point of all nurses' attitude for rehabilition was 59, but in the post education state that was 90. The difference between pre and post attitude is very significant(t=-14.1. p<0.0001l). 2. In the pre education state the mean point of all nurses' knowledge for rehabilition was 45, but in the post education state that was 78. The difference between pre and post knowledge is very significant(t=-12.7, p<0.000l). 3. In the pre education state the mean point of all nurses' practice for rehabilition care was 37, but in the post education state that was 62. The difference between pre and post practice is very significant(t=-7.3, p<0.000l). 4. In practice point, the two group nurses who have been educated continuously were superior to the other(t=-3.9. p<0.00l). 5. All points between the urban and rural nurses were no significant differences(p>0.l). 6. All changes of the attitude, knowledge and practice did not affected by age(F=0.58, p>0.l). professional career(F=O.61, p>0.l), educational background(F=0.97, p>0.l).

• 대한지역사회영양학회지
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• 제18권1호
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• pp.65-76
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• 2013

The purpose of this study was to investigate the effects of a nutrition education and personalized lunch service program in a senior welfare center. A total of 30 elderly (14 males, 16 females) aged 62~89 years participated in this study. Nutrition education lessons (2 hour/lesson/week) were provided for 4 weeks. Also, ten weeks from week 3rd to week 12th, personalized lunch providing 1/3 personal needed energy was served 5 times for a week. After the nutrition intervention program, we compared anthropometric characteristics, blood biochemical characteristics, nutrition knowledge, dietary attitude and dietary intake using 24 hr recall with those before the intervention. The body weight (p < 0.001) and body mass index (BMI) (p < 0.001) were decreased. There were significant increases in score of nutrition knowledge (p < 0.01) and consumption of milk & milk products for snacks. There was a positive effect on fasting blood sugar (FBS) showing significant decreases in portion of impaired fasting glucose and diabetes mellitus (p < 0.05). Also, serum triglyceride (TG) was significantly decreased (p < 0.05). In evaluation of nutrient intake by Dietary Reference Intakes for Koreans (KDRIs), riboflavin (p < 0.01), vitamin C (p < 0.001), calcium (p < 0.05) were positively improved. The index of nutritional quality (INQ) and intakes of vitamin C (p < 0.001), riboflavin (p < 0.05), Ca (p < 0.01) and Fe (p < 0.05) were increased. In conclusion, this nutrition education and lunch service program providing 1/3 personal needed energy can be used to develop and implement a tailored nutritional intervention programs in the setting of a community senior welfare center to improve health and nutritional status of Korean elderly.

• 대한지역사회영양학회지
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• 제25권3호
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• pp.189-203
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• 2020

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.

• 재활치료과학
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• 제11권2호
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• pp.39-51
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• 2022

목적 : 본 연구는 지역사회 거주 노인을 대상으로 연하재활 인식도, 교육 및 치료 경험과 현황을 설문을 통해 확인하여 지역사회 연하재활 중재 서비스 제공의 필요성을 파악하기 위하여 진행되었다. 연구방법 : 경기도 내 일개 보건소에 내소하는 지역사회 거주 노인에게 지역사회 연하장애 인식, 교육, 치료에 관한 직접 설문을 진행한 후 기술통계 및 빈도분석을 활용하여 분석하였다. 결과 : 총 89명의 응답 결과를 분석하였다. 지역사회 노인들의 연하장애에 대한 인식도 및 교육, 치료 경험은 높지 않았으나, 중요성 및 참여도는 높은 것으로 나타났다. 원하는 교육 주제로는 구강 건강 및 관리, 씹기 및 삼킴, 구강운동법으로 다양하였으며, 추후 보건소에 연하재활 프로그램이 생기면 참여한다고 응답하였다. 연하재활 교육 및 치료 참여가 어려운 이유는 정보 및 기회 부족을 꼽았다. 대부분의 연하장애 증상에 대한 이해도는 높은 것으로 나타났다. 결론 : 연하재활은 일생에 걸친 주요 일상 활동인 먹기 및 삼킴 기능을 유지시키고 삶의 질에도 직접적으로 영향을 미치는 지역사회 재활의 주요 영역이다. 본 연구를 통해 지역사회 연하재활의 필요성과 중요성을 확인하였으므로, 지역사회 노인을 포함한 지역사회 대상자들에게 연하재활에 관련된 정확한 인식 제공과 체계화된 프로그램 개발이 필요한 시점이다. 더불어 지역사회 노인들의 연하장애 증상 조기 발견과 중재 제공을 통해 삶의 질 증진을 위한 작업치료사들의 적극적 역할이 필요하다.

• 한국콘텐츠학회논문지
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• 제16권6호
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• pp.270-282
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• 2016

커뮤니티센터란 주거지구 인근에 위치하여 지역사회의 문화 활동의 중심이 되는 각종 공공시설을 의미한다. 최근 통합적 문화 활동의 수요가 증가하면서 커뮤니티센터가 단순 여가활동이 아닌 복지, 체육, 생활예술, 교육 등 공동체복원 및 생활편의를 증진시키는 복합적 공간으로 변모하고 있다. 본 연구는 세종시 주거지형 U-City 체험지구 개발사업의 일환으로, 지역민의 문화 참여 접근성을 제고한다. 특히 체험위주의 공간을 제공함으로서 사회적 통합을 유도하여 궁극적으로 U-City가 만드는 소통과 체감의 도시공간으로 회복하고자 한다. 본 연구를 통해 공동체 회복 기능의 커뮤니티센터를 집중 연구함으로서 주거지형 U-City 서비스 계획에 적용할 수 있는 실질적 대안을 마련할 수 있다. 이는 기존의 관람형, 강좌형의 일 방향 커뮤니티센터가 아닌 지역주민이 직접 체험하고 자발적으로 참여하는 쌍방향 운영의 커뮤니티센터의 발전방향을 제시했다는데 의의가 있다.

• 대한영양사협회학술지
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• 제4권1호
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• pp.30-39
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• 1998

This study was carried out to investigate the job characteristics and relationships between general characteristics and job satisfaction of the dietician in community health center. The subjects were 40 dieticians who responded to the questionnaire distributed at the annual education program in 1997. Statistical data analysis was completed using SAS package program for frequencies, means, $x^2$-test, ANOVA and Duncan's multiple range test. The results of this study can be summarized as follows. 45.0% of the dieticians were 26 to 30 years old, four-year-course university graduates were 75.0% and daily workers were 72.5% The level of the job satisfaction of the dietician in community health center was the highest in the relationship with colleagues. The other parts of job satisfaction such as effects of nutrition counselling and education, value achievement as a dietician, general work and supervision by supervisors were above average, The general characteristics such as the age, the level of education, employment conditions, working hours per week and total length of service were significantly to all fields of job satisfaction except general work.

• 보건행정학회지
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• 제33권1호
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• pp.3-18
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• 2023

Background: A chronic disease management program including patient education, recall and remind service, and reduction of out-of-pocket payment was implemented in Korea through a chronic care model. This study aimed to assess the effect of a community-based intervention program for improving medication adherence of patients with diabetes mellitus in rural areas of Korea. Methods: We applied a non-equivalent control group design using Korean National Health Insurance Big Data. Hongcheon County has been continuously adopting this program since 2012 as an intervention region. Hoengseong County did not adopt such program. It was used as a control region. Subjects were a cohort of patients with diabetes mellitus aged more than 65 years but less than 85 years among residents for 11 years from 2010 to 2020. After 1:1 matching, there were 368 subjects in the intervention region and 368 in the control region. Indirect indicators were analyzed using the difference-in-difference regression according to Andersen's medical use model. Results: The increasing percent point of diabetic patients who continuously received insurance benefits for more than 240 days from 2010 to 2014 and from 2010 to 2020 were 2.6%p and 2.7%p in the intervention region and 3.0%p and 3.9%p in the control region, respectively. The number of dispensations per prescription of diabetic patient in the intervention region increased by approximately 4.61% by month compared to that in the control region. Conclusion: The intervention program encouraged older people with diabetes mellitus to receive continuous care for overcoming the rule of halves in the community. More research is needed to determine whether further improvement in the continuity of comprehensive care can prevent the progression of cardiovascular diseases.

• 지역사회간호학회지
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• 제22권3호
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• pp.252-261
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• 2011

Purpose: This study was conducted to evaluate the effects of a dementia education program for Korean older adults who resided in community. Methods: The research adopted the non-equivalent control group pretestposttest design. A total of 66 older adults completed the study (31 older adults in the experimental group and 35 in the control group). The Experimental group participated in a six-session dementia education program for three weeks. The effects of the dementia education program were evaluated using the measures of knowledge of dementia and attitude toward dementia. Data were analyzed using independent sample t-test with SPSS/WIN 18.0. Results: There was a significant change in the knowledge of dementia in the experimental group (t=2.75, p=.008). Although there was an increase in attitude toward dementia in the experimental group, the change was not statistically significant (t=1.26, p=.212). Conclusion: The results indicated that the dementia education program is effective in improving the knowledge of dementia among community-dwelling older adults. There is a need to develop more effective dementia education programs designed to improve older adults' attitude toward dementia. Further research is needed using a highly rigorous research methodology.

• 보건교육건강증진학회지
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• 제29권4호
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• pp.57-66
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• 2012

Objectives: This paper describes the concept, principles, and strategies and directions for community participation in health promotion. Methods: Descriptions of and discussions on community participation in this paper are based on the results of selected peer-reviewed research articles, white papers, and practice manuals which address the issues of community participation and community empowerment, and principles and strategies for practice in community health promotion. Results: In ladder-of-community-participation models, the level of participation ranges from non-participation to the stages where communities have partnerships, delegated power, and control. Enhancement of participation is presented as a continuum of informing - consulting - involving - collaborating - empowering. For community participation to reach its fullest potential, the types and levels of participation desired should be clearly decided at the beginning. Along with community readiness for participation, public health system should also be in place readily to process community participation for health promotion with appropriate procedures, guidelines, methods, resources, and stakeholders' commitment and support. Conclusions: For the promotion of participation in community health, readiness for participation of both community and public health system should be prepared.

• 한국조경학회지
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• 제43권2호
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• pp.40-55
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• 2015

본 연구의 목적은 효과적인 숲유치원교육을 위한 체험형 운영방식으로서 주민자치형 유아숲체험장의 효용성을 조명하는 것이다. 이를 위해, 12개소의 서울시 유아숲체험장 중 2014년 유일하게 주민자치운영을 한 금천구 유아숲체험장에 대하여 중요도 성취도 분석을 실시하였다. 분석에 필요한 설문자료는 총 36문항으로 공간 시설영역 20문항, 운영 프로그램영역 16문항(주민자치운영영역 6문항 포함)으로 구성하고, 설문조사는 2015년 1월 12일~19일 동안 실시되었다. 설문대상자는 2014년 본 연구대상지에서 숲교육을 담당했던 숲교육전문가 15명과 숲체험 프로그램에 참여했던 19개 보육기관의 당시 인솔교사 50명으로서, 분석자료로 최종 사용된 응답지는 각각 13부, 43부이다. 연구결과, 먼저 공간 시설영역에 대한 중요도, 성취도 평균값은 각각 숲교육전문가가 4.07, 3.78로, 보육기관 교사가 4.16, 3.84로 나타났고, 운영 프로그램영역에 대한 중요도 성취도 평균값은 각각 숲교육전문가가 4.38, 4.16으로, 보육기관 교사가 4.44, 4.00으로 나타났다. 두 집단 모두 공간 시설영역을 운영 프로그램영역보다 낮게, 중요도보다 성취도를 낮게 평가하였다. 두 집단 모두 중요도 성취도가 높아 '지속적인 노력 유지'가 필요한 것으로 평가된 항목들은, 공간 시설영역으로 '접근성', '안전성', '각 공간별 숲길로의 연결성', '개별자연물', '안전시설'의 5개 항목과 운영 프로그램영역으로 주민자치 운영을 통한 '숲교육전문가의 유아행동에 대한 유연성', '숲교육전문가의 진행전문성', 숲프로그램의 '흥미성, 다양성', '유연성', '숲교육전문가의 역할'의 5개 항목으로 나타났다. '숲체험활동의 지원'을 포함한 주민자치운영영역의 항목들은 대부분 '중요하다'라는 평가를 받았지만, '지역활성화 노력'을 포함한 몇 개의 항목들이 성취도측면에서 낮게 평가되었다. 그러나 중요도에서 높은 평가를 받은 만큼, 향후 '우선시정'이 된다면 성취도측면에서 높은 평가가 예상된다. 또한 중요도 성취도 모두 높게 평가된 '숲교육전문가의 역할'을 포함한 프로그램영역이 주민자치운영으로 인해 더 실행가능할 수 있었던 항목이었음을 고려해 보았을 때, 주민자치운영은 긍정적인 평가를 받은 것으로 판단된다. 결과적으로 주민자치에 의한 운영은 체험형 숲유치원교육을 위한 유아숲체험장의 운영방식으로서 그 효용성이 있으며, 앞으로 이러한 운영방식이 '지속적인 노력'과 '우선시정'을 할 수 있는 지속성을 갖출 때, 주민자치형 유아숲체험장은 효율적인 체험형 숲유치원교육을 위한 대안이 될 수 있을 것으로 예상된다.