• 성인간호학회지
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• 제16권1호
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• pp.37-48
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• 2004

Purpose: The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. Method: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy, U/E function, ADLs and subjective response. Result: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.

• 지역사회간호학회지
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• 제19권4호
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• pp.704-714
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• 2008

Purpose: This study explored the feasibility of a 12 week self-efficacy based exercise intervention for overweight and obese college students. Method: A repeated measure, 4-group randomized controlled design was used. Students were recruited from two universities. in Seoul. Korea using: (1) flyers either on the campus bulletin boards or in campus restrooms: (2) advertisement on campus e-board: and (3) self-referral. Inclusion criteria were: (1) Korean college students aged 18 to 29: (2) BMI >23: (3) viscerally obese: and (4) accessible to a phone and a computer. Participants completed three self-reported questionnaires: socio-demographic questionnaire (at the baseline), Exercise Self-Efficacy Scale (at the baseline and $12^{th}$ week), and Physical Fitness sub-subscale (at the baseline and $12^{th}$ week). Additionally. physiological data (height, weight, blood pressure) were collected at the baseline and $12^{th}$ week. Descriptive statistics and a two-way mixed ANOVA were performed using SPSS12.0. Results: No significant group difference was observed. However. students with increased exercise self-efficacy during the program showed better physical fitness in the $12^{th}$ week. When students' physical fitness was enhanced. the physiological factors were improved. Conclusions: Self-efficacy based exercise intervention may be applicable and acceptable to the college students. It is necessary to conduct a replicated study with a larger sample and an elongated intervention period.

• 한국융합학회논문지
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• 제8권7호
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• pp.349-356
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• 2017

본 연구는 골관절염을 앓고 있는 여성을 대상으로 24주간의 수동적 수중재활운동을 통하여 효율적인 골관절염 예방 재활 프로그램 및 운동처방의 양식에 지침을 제공하는데 목적이 있다. 본 연구의 대상자는 K 정형외과 전문의에게 골관절염이라는 진단 받고 골관절염으로 인한 통증으로 병원을 3회 이상 내원한 자 중 실험군은 수동적 수중재활 운동집단(CG, n=10)과 비교군(AREG, n=10)으로 선정하였다. 연구결과 집단 내 좌우 어깨 높이(shoulder height) 변화는 수동적 수중재활운동군에서 유의한 차이가 있었다(p<.001). 집단 내 좌우 견갑골 하각 무늬의(sacpula patterns inferior) 변화는 수동적 수중재활운동군에서 유의한 차이가 있었다(p<.001). 집단 내 좌우 골반 하각 무늬의(pelvis patterns inferior) 변화는 수동적 수중재활운동군에서 유의한 차이가 있었다(p<.001).

• 한국가정과학회지
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• 제4권1호
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• pp.68-78
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• 2001

본 연구는 비만아동을 위한 효과적인 운동 및 식이요법에 관한 기초 자료를 얻기 위하여 실시하였다. 8∼12세의 비만아동(BMI 25.2${\pm}$1.7)을 대상으로 3일간 실험환경에 적응하기 위한 대조기간을 거친 후 1주간은 운동기간과 다음 1주간은 운동을 하면서 에너지를 제한하는 기간으로 나누어 실시하였다. 운동강도는 60∼75%HRmax 이었으며 에너지 제한량은 493kcal/day이었다. 실험 전후 혈액 성상의 변화를 측정한 결과 Hemoglobin 농도. Hematocrit치, 혈당, GOT 및 GPT 활성은 실험 전후 유의적인 차이는 없었으며 alkaline phosphatase 활성은 유의적으로 감소하였다. 혈 중 총 지방 함량은 실험전 680.0${\pm}$83.1mg/dl에서 실험 후에는 630.0${\pm}$68.2mg/dl으로 감소하는 경향은 보이나 유의적인 차이는 나타나지 않았다. 혈 중 총 콜레스테롤 농도는 실험전 187.0${\pm}$8.1mg/dl에서 실험 후에는 192.6${\pm}$6.9mg/dl으로 유의적인 차이는 나타나지 않았으나, HDL-콜레스테롤 농도는 실험 전 51.8${\pm}$2.9mg/dl에서 실험 후 70.2${\pm}$6.4mg/dl으로 유의적으로 증가하였다. 혈 중 LDL-콜레스테롤 농도는 실험전 100.7${\pm}$5.6mg/dl에서 실험 후 108.5${\pm}$2.3mg/dl으로 유의적인 차이는 없었으나, 혈 중 VLDL-콜레스테롤 농도는 실험 전 34.5${\pm}$5.1mg/dl에서 실험 후 14.3${\pm}$7.6mg/dl으로 유의적으로 감소하였다. 혈 중 중성지방 농도는 실험전 192.0${\pm}$27.1mg/dl에서 132.3${\pm}$9.7mg/dl으로 감소되는 경향이었으나 유의적인 차이는 나타나지 않았다. 혈 중 유리지방산 농도는 실험 전 20.0${\pm}$2.luEq/l에서 실험 후 30.1${\pm}$3.3uEq/l로 유의적으로 증가하였다. 총 콜레스테롤에 대한 HDL-콜레스테롤의 비율(%HDL) 또한 실험전 27.9에 비해 실험 후 34.6으로 유의적으로 증가하였다. 심혈관질환의 위험도 판정에 사용되는 동맥경화지수는 실험전 2.7에서 실험 후 1.8로 유의적으로 감소하였다. 이상의 결과로 보아 비만아동을 대상으로 운동 및 에너지 제한을 실시한 결과 본 실험에 적용한 프로그램은 체중 감소에 효과적으로 작용하였으며 유의있게 HDL-콜레스테롤 농도를 증가, VLDL-콜레스테롤 농도는 감소 시켜서 혈 중 지질대사 측면에 긍정적인 효과를 나타내었다. 그러나 일부 무지방조직의 감소를 동반하는 것으로 보아 본 실험의 프로그램 중 운동 부하량을 다소 줄여 비만 치료시 적용하면 매우 효과적일 것이라 사료된다.

• 디지털융복합연구
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• 제13권4호
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• pp.377-385
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• 2015

본 연구의 목적은 2014 코리아컵 국제체조대회 링 종목 결승전에 참여한 국내외 우수선수를 대상으로 난도 점수, 실행 점수 및 실시기술에 대한 난도요소 분포, 그룹요소별 기술 분포 등에 대한 연기내용을 분석한 융복합연구로서 경기력 향상을 위한 훈련방향 설정과 연기구성 및 기술 습득 전략 수립에 기여하고자 수행하였다. 자료 수집은 경기 성적표와 심판들에게 배포되는 경기결과 자료 및 경기영상을 촬영한 것을 이용하였다. 연기내용 분석 결과에 대한 결론은 다음과 같다. 첫째, 우리나라 선수들의 경기기술은 난도가 높은 힘 버티기 보다는 스윙기에 의존하는 특성을 보였다. 둘째, 스윙기 기술에 익숙한 특성을 살려서 난도가 높은 Jonasson과 Roll bwd. slowly with str. arms and body to swallow(2s.) 기술 습득이 필요하다. 셋째, 버티기 기술과 고난도 기술 습득을 위한 기술 감각훈련 및 근력 강화 프로그램이 개발되어야 한다.

• 한국전문물리치료학회지
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• 제28권2호
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• pp.146-153
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• 2021

Background: Researchers have previously commenced examining the degree of concordance between parent proxy and child self-reports on health-related quality of life (HRQOL) of many disease and impairment populations. Objects: To explore the differences between parent proxy and child self-reports on the HRQOL using Korean version of KIDSCREEN-10 questionnaires for applying to elementary school children and their parents who participated for a school-based wellness program. Methods: The focus groups were recruited for a school-based wellness program by implementing the following wellness services: 1) referring to a screening session for detecting potential posture-related musculoskeletal problems and 2) recommending home exercise programs. Before a primary field testing for the program, two focus groups were formed with a group of 9 parents and their 9 elementary school children aged 8-10 years of age. The parent proxy and child self-report versions of KIDSCREEN-10 questionnaires were administered to both groups after completion of the wellness program. Item level Rasch rating scale analysis was applied to compute logit scales of KIDSCREEN-10 questionnaire. Intraclass correlation coefficients (ICCs) and scatterplot of item difficulty between two reports were analyzed. Results: For fit statistics of parent proxy report, all items except 4 items (i.e., psychological well-being, mood/emotions, self-perception, parent relation) were found to be acceptable. For fit statistics of child self-report, all items except 3 items (i.e., psychological well-being, autonomy and home life) were acceptable. The relationship between two reports using ICCs were ranging from weak to very strong at p = 0.05 (i.e, ICCs = 0.011 to 0.905). Scatterplot analysis between two reports showed a major disparity on self-perception item at 95% confidence intervals. Conclusion: Both item level analyses and ICC comparisons provided a disparity between parent proxy and child self-reports of the HRQOL on self-perception item after competing a school-based wellness program. Therapist should consider the item as part of the HRQOL assessment.

• 지역사회간호학회지
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• 제6권1호
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• 지역사회간호학회지
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• 제12권2호
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• pp.344-360
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• 2001

A quasi-experimental study was conducted to investigate the effects of health promotion program on health of the clients with arthritis. In this study. the health promotion program consisted of self appointment and confirmation. discussion, health education. group counsel, and exercise. And the program focused on self - help group meeting. A total of 68 subjects was randomly assigned into either the control group(n = 24) or the intervention group(n =44). The results of the study analyzed using a SPSS win, were as follows: 1) In physical function of physical health. there was a significant improvement in flexibility of the shoulder joint(hold the hand upward and downward behind the back). sit and reach, extension of the knee joint in the intervention group, compared to the control group, while no difference in flexibility of the shoulder joint(raising the arm), flexion of the knee joint, and grip strength. There was a significant improvement in physical functional disability in the intervention group, compared to the control group, but no difference in fatigue and pain. 2) The health promotion program resulted in improvement in psychosocial health(e.g. increase of self-efficacy and decreases of social functional disability) in the intervention group, compared to the control group. It was concluded that the health promotion program(weekly session for 6 weeks) employed in this study was appropriate for the clients with arthritis in primary health care center and had a positive effect on health in general.

• 한국보건간호학회지
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• 제14권2호
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• pp.229-245
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• 2000

Previous studies have shown that five representative behaviors affect the health of adults in everyday life : smoking, drinking, exercise, nutrition, and stress. This study focuses on these five behaviors in an attempt not only to develop a program that promotes health, but also to suggest ways that such a program may be implemented to reflect diverse lifestyles. Our aim is to show how individual subjectivity influences behavior when making lifestyle choices that affect health. By analyzing individual characteristics, we tried to group people according to their common attitude and behaviors to promote health. We hope that this study may provide the fundamental data which may be used to assist professionals in promoting healthy behaviors among adults. In order to examine how subjectivity(e.g, personal opinions or attitudes) influences behavior, we prepared Q-statements which were composed of Q-samples for the study of human subjectivity. We polled forty-two adults and then analyzed the results using a PC qunal program. As a result, the respondents were classed according to six different types. Type One includes people who think managing stress is the most effective way to live a healthy life. They regard smoking and drinking as harmful behaviors. Type Two subjects, on the other hand, regard smoking and drinking as a matter of taste with few harmful effects. Although they recognize the importance of managing stress, they have a positive attitude towards smoking and regard nutrition as a minor factor in promoting their healthy lifestyle. Those classed as Type Three emphasize the necessity of exercise. They perceive drinking, smoking, and stress as harmful. People in this category seek to increase physical strength and to regulate all five health behaviors by keeping them in a normal range. Type Four consists of people who are indifferent to their health. While they seem to recognize the importance of regular exercise, they pay little attention to nutrition or to the harmful effects of smoking, drinking, and stress. They believe that exercise alone is sufficient to maintain their health. Type Five subjects believe drinking is not a harmful behavior at all. Rather. it has a positive effect on their mental health. They are characterized by this positive attitude towards drinking as well as by indifference toward nutrition (although they readily admit that good nutrition is important). Finally. those classed as Type Six have a positive attitude toward moderate drinking as a means to relieve stress. However. they also recognize the harmful effects of excessive drinking. They regard good nutrition as an important lifestyle choice but are indifferent toward exercise. This type is engaged in passive health management. This study devised six types or categories that reflect different attitudes toward promoting health in everyday life. It further went on to analyze the characteristics of each type. This study shows that programs designed to promote health must be modified to reflect the diversity of individual attitudes and patterns of behaviors.

• 재활간호학회지
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• 제19권2호
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• pp.148-155
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• 2016

Purpose: The purpose of this study was to identify the influencing factors on osteopenia and osteoporosis in Korean aged 50 years and above. Methods: Data from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-1, 2010) were obtained and 2,773 subjects who got bone density test and were classified "normal, osteopenia or osteoporosis" were selected. Data were analyzed $x^2$ test, ANOVA, $Scheff{\acute{e}}$ test and logistic regression using the SAS 9.4. Results: Gender, age, days of flexibility exercise, vitamin D in blood and weight were found to be influencing factors for osteoporosis in Korean aged 50 years and above. Gender. age and smoking were found to be influencing factors for osteopenia in Korean aged 50 years and above. Conclusion: This study suggested that nursing intervention should include exercise promotion, intake vitamin D, smoking cessation and weight control program in order to reduce the prevalence of osteoporosis and osteopenia.