• 지역사회간호학회지
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• 제13권1호
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• pp.68-78
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• 2002

This study intended to analyze the health promoting behaviors by comparing various factors according to the residence areas(Korea or Japan) of Korean Elderly. and to present basic data in planning systematic and effective programs of health promotion for each residence area. The subjects of this study were 164 Korean elders in Daegu, South Korea, and 164 elders in Aichi prefecture, Japan. Data was collected by interviews and self-administered questionnaires from the 1st to the 20th of April in 2000. The tool for this study was based on Walker et al.(1987)'s Health Promotion lifestyle Profiles (HPLP). The analysis was performed with Cronbach's $x^2-test$, t-test. ANCOVA, Kendal tau, Pearson correlation, and Stepwise Multiple Regression test using SPSS program. The results are as follows: 1. There was a significant difference in occupation($x^2$=41.3. p=0.000), the source of the pocket money($x^2$=114.36. p=0.000) by the residence areas in terms of socio-demographic characteristics. 2. There was a significant difference between the two groups on the health promoting behaviors(t=-8.19. p=0.000). The score of elders group in the South Korean group on health promoting behaviors was 2.32. showing 0.33 lower than that of the elders group in Japan(2.65). 3. ANCOVA involving occupation and the source of pocket money as co-variables. showed significant differences (F=15.37. p=0.000) regarding health promoting behaviors according to the residence areas. 4. In consideration of variables that have an influence on health promoting behavior by residence areas, pocket money occupied 11.5% of health promoting behavior in the elders group in South Korea. In the elders group in Japan, pocket money occupied 18.1% of health promoting behavior and 20.6% including education. The suggestions based on the results of this study are as follows.: 1. It is necessary to develop health promoting programs considering the residence areas of Korean elders. 2. It is necessary to develop social programs for improving the education level and solving pocket money problems, which are the significant factors for the health promoting behavior of Korean elders.

• 여성건강간호학회지
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• 제5권1호
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• pp.146-165
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• 1999

The purpose of this paper was to identify the performance of health promoting lifestyles and health perception over 18 years old women living Wonju city so that the results will be based for setting up women's health nursing center. The subjects were 1080 women selected by stratified and purposive sampling. The data were collected by self reporting questionnaire and interview from May to June, 1998. Data were analyzed by SPSS win program. The results were as follows : 1. The range of age was 18-84 years, The proportion according to women's lifecycle was premarital group 20.0%, delivery and rearing group 49.9%, over middle aged-elderly group 29.8%. 2. The mean menarchial age was 15.2 and menopausal age was 48. Mean frequenices of pregnancy is 2.4 and artificical abortion rate is 36.4%. Primary cause of abortion was unwanted babies 42.8%. The practice rate of family planning was 79.4% and permanent sterilization rate was 37.6%. 3. Fatigue was predominated problem in target population. Depression and headache was predominated in premarital group, headache and nervous felling in delivery and rearing group, arthritis and loss of memory in over middle aged-elderly group. 4. Only 13.7% of the target population make some efforts for their health in compare to 85.9% have attention for their health. Perception of unhealthy rate was 9.1% in premarital group, 24.8% in delivery and rearing group, 30.1% in middle aged-elderly group. 5. The average score of the HPLP(Health Promoting Lifestyle Profile) was 2.41. The variable with the highest degree of performance was interpersonal relationship, whereas the one with the lowest degree was the professional health maintenance. The significant difference was found in HPLP according to age, residential area, marital status, educational level, income level. 6. Majority(95.1%) of the target population agreed on necessity for women's health nursing center. Proper location area was presented to women's center and public health center. The priority for health education program was proper diet, family health, stress management, and exercise. In conclusion, we should prepare the education program for women's health according to women's lifecycle, because health perception, HPLP, and education program needed was differentiated in women's lifecycle. Also we suggest that women's health nursing center based community was needed for proper management of women's health.

• 한국융합학회논문지
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• 제12권12호
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• pp.355-363
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• 2021

본 연구는 통계청 '2019 생활시간조사'의 행동분류를 작업치료 실행체계(OTPF-4)의 작업영역에 따라 재분류한 후, 국내 장애노인 842명의 일반적 특성과 돌봄 필요 사유에 따라 작업영역별 시간사용을 살펴보고자 독립 t-검정과 일원배치 분산분석을 실시하였다. 그 결과, 국내 장애노인은 휴식과 수면에 가장 많은 시간을 할애하였다. 또한, 성별에 따라 수단적 일상생활활동(IADL)(P<.001), 여가(P<.001), 사회참여(P<.001), 혼인상태에 따라 일상생활활동(ADL)(P<.01), IADL(P<.001), 놀이(P<.05), 여가(P<.001), 교육정도에 따라 ADL(P<.05), 교육(P<.001), 사회참여(P<.01)에서 유의한 차이가 나타났다. 돌봄 필요 사유에 따라 ADL(P<.01), IADL(P<.001), 휴식과 수면(P<.01), 여가(P<.001), 사회참여(P<.001)에서 유의한 차이가 나타났다. 본 연구는 국내 장애노인의 작업영역별 시간사용을 파악하였기에 장애노인의 균형적, 효율적인 라이프스타일을 위한 중재를 계획하는데 활용될 것이다.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.332-341
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• 2019

본 연구는 전기노인과 후기노인의 수면의 질을 조사하고 수면의 질에 영향을 미치는 요인을 비교하기 위한 서술적 조사연구이다. 연구 대상은 편의표출법을 적용하여 G도에 거주하는 재가 노인을 대상자로 200명을 선정하였다. 구조화된 설문지를 이용하여 사회 인구학적 특성, 생활습관 및 건강관련 특성, 우울, 그리고 수면의 질을 조사하였다. 자료분석은 IBM SPSS WIN/21.0을 이용하여 ${\chi}^2-test$, t-test, ANOVA(Scheffe's test), Pearson's Correlation coefficient, Multiple Regression을 이용하여 분석하였다. 연구결과는 다음과 같았다. 수면의 질은 전기노인에 비해 후기노인이 통계적으로 유의하게 나빴다. 상관관계를 분석한 결과, 전기노인에서는 우울(r=-.22, p=.038)만이 수면의 질과 유의한 부적 상관관계가 나타났다. 후기노인에서는 우울(r=-.19, p=.045)과 주관적 건강상태(r=-.29, p=.002)가 수면의 질과 유의한 부적 상관관계가 있었다. 수면의 질에 영향을 미치는 요인을 분석한 결과, 전기노인에서는 직업, 만성질병 그리고 경제수준으로 나타났고, 후기노인에서는 만성질병, 주관적 건강상태 그리고 흡연이 유의하게 나타났다. 본 연구 결과는 노인의 수면 건강을 향상시킬 수 있는 연령별 맞춤형 전략 수립에 기초자료로 활용될 수 있을 것이다.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.202-209
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• 2018

본 연구는 연령층별 구강건강과 저작불편이 영양소 섭취에 미치는 영향을 분석하기 위해 수행되었다. 대상은 국민건강영양조사 제6기(2015), 질병관리본부 자료를 이용하였으며, 그 중 20세 이상 성인 5,855명을 선정하였다. 자료는 SPSS 21.0을 이용하여 분석하였다. 연구결과 저작불편군은 60세 이상이 39.5%로 나타났으며, 20-39세 8.1%에 비해 5배 가까이 높게 조사되었다. 저작불편군은 치주질환 33.4%, 치아우식 30.1%, 당뇨 41.8%, 심근경색 57.3%, 관절염 44.0%, 천식 48.0%, 우울증 41.9%를 현재 경험하고 있었고. 저작불편군의 86%가 발음 불편을 경험하고 있었다. 저작불편군의 식품섭취량은 1446.59g으로 저작용이군 1666.62g보다 낮았고 단백질, 탄수화물, 식이섬유 등 다양한 식품 섭취량이 유의하게 낮은 것으로 조사되었다. 결론적으로 저작불편은 식품섭취, 전신 및 정신건강과 관련이 있었고, 연령증가에 따른 저작불편은 발음 불편의 문제와도 연관성이 있었다. 그러므로 연령증가에 따른 구강건강 문제를 해결하기 위해 예방처치에 관심을 갖고 구강건강을 유지할 필요가 있으며, 저작불편 문제의 초기치료가 요구되었다. 그리고 구강질환 예방을 위한 치과적 치료뿐만 아니라 구강근훈련을 통한 구강기능 개선으로 저작, 발음 기능을 유지하여 건강한 삶을 유지할 수 있도록 지속적인 구강건강관리가 요구되었다.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.247-260
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• 2018

본 연구는 우리나라 장기요양보험 인정자들의 연령대(70대군, 80대군 및 90세 이상 군)별 정신적 건강상태(우울, 인지기능장애 및 치매)를 알아보고, 정신적 건강상태에 관련된 요인을 규명해 보고자 시도하였다. 조사대상은 2011~2014년도에 국민건강보험공단에서 장기요양 인정자로 판정받았던 70세 이상 노인 1,488명(남성 740명, 여성 748명)으로 하였다. 자료 수집은 국민건강보험공단으로부터 생활습관 등이 기재된 문진표, 검사항목별 건강검진 및 장기요양자료를 연구목적으로 제공받아 수집하였다. 연구결과, 조사대상자들의 연령대별 정신적 건강상태를 나타내는 우울, 인지기능장애 및 치매 수준은 연령대가 증가할수록 유의하게 높아지는 경향을 보였다. 다중 로지스틱 회귀분석 결과, 정신적 건강상태를 나타내는 우울, 인지기능장애 및 치매가 나타날 위험비는 각 연령대별로 큰 차이 없이 남성보다 여성에서, 과체중군보다 저체중군에서, 비흡연군보다 흡연군에서, 비음주군보다 음주군에서 유의하게 증가하였다. 이상과 같은 연구결과는 조사대상자들의 정신적 건강상태(우울, 인지기능장애 및 치매)는 연령이 증가할수록 저하됨을 시사하며, 특히 흡연, 음주 및 규칙적인 운동 등과 같은 건강관련행위특성이 좋지 않은 군이 좋은 군보다 정신적 건강상태가 저하되고 있음을 시사하고 있다.

• 한국인터넷방송통신학회논문지
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• 제18권4호
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• pp.19-26
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• 2018

최근 몇 년 동안, 인구 평균 연령의 급격히 증가하면서 다른 연령대의 사람들과 비교할 때 고령자가 더 많아지고 있다. 그 결과 산업계와 학계 모두 노인에게 건강하고 안전한 생활 방식을 제공하기 위한 여러 가지 해결 방법개발에 집중하고 있다. 전천후 생활보조 접근법은 혁신적인 기술과 서비스를 개발함으로써 노인들의 삶의 질을 향상시키고 건강 상태를 모니터링 하는 방법이다. 전천후 생활보조 기술은 또한 노인을 위한 더 많은 안전을 제공하고 응급대응 메커니즘, 추락 탐지 솔루션 및 비디오 감시 시스템을 제공할 수 있다. 불행히도 전천후 생활보조 데이터의 민감한 특성으로 인해, 전천후 생활보조 시스템은 무결성, 기밀성, 가용성, 익명 성 등과 같은 보안 요구 사항을 충족해야한다. 본 논문에서는 전천후 생활보조 시스템을 위한 적응형 인증 프로토콜을 제안한다. 제안된 인증 프로토콜은 전천후 생활보조 시스템에 필수적인 몇 가지 중요한 보안 요구 사항을 지원할 뿐만 아니라 다양한 유형의 공격으로부터 안전하다. 또한 보안 분석 결과를 통해 제안된 인증 프로토콜이 기존 프로토콜보다 더 효율적이고 안전하다는 것을 보여준다.

• 지역사회간호학회지
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• 제7권1호
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance 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 autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2667-2671
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• 2013

Background: Colorectal cancer (CRC) is a major cause of morbidity and mortality in the western world and also ranks as the fifth-leading malignancy and death in Thailand. This study aimed to provide a present outlook of colorectal diseases among Thai patients with special emphasis on CRC in Hatyai, Songkhla, southern Thailand. Materials and Methods: This retrospective study covered ten year data of CRC, benign colorectal tumors and non-colorectal tumors from the Department of Pathology in Hatyai Hospital, Songkhla, Thailand, between years 2003-2012. Incidence rates based on age, gender, ten year incidence trends, and distribution of histopathological characteristics of patients were calculated and demonstrated. Results: Out of 730 biopsies, 100 cases were benign colorectal tumors, 336 were CRC and 294 were non-colorectal tumors. Colorectal tumors (both benign and CRC) (60.1%) were more common than non-colorectal tumors (39.9%). CRC (77.1%) were more common than benign colorectal tumors (32.9%). Colorectal tumors were mainly found in patients aged over sixty whereas non-colorectal and benign colorectal tumors were found in those under sixty (P=0.01). sAmong CRC, adenocarcinoma contributed about 97.3% of all cases with well differentiated tumors being the most frequent (56.9%). Both benign colorectal tumors and CRC were more commonly found in males (63%) than females (37%). The incidence trend of CRC demonstrated increase from 2003-2012. Conclusions: The incidence of CRC increased in Hatyai from 2003-2012. CRC tends to be more common in people older than sixty, thus, screening programs, cost-effective analysis of treatment modalities, and treatment protocols for the elderly should be examined. Proper implementation of preventive measures such as changing lifestyle factors might enhance control of colorectal disease.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4501-4504
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• 2012

In recent decades, decreasing trends in esophageal cancer mortality have been observed across China. We here describe esophageal cancer mortality trends in Linzhou city, a high-incidence region of esophageal cancer in China, during 1988-2010 and make a esophageal cancer mortality projection in the period 2011-2020 using a Bayesian approach. Age standardized mortality rates were estimated by direct standardization to the World population structure in 1985. A Bayesian age-period-cohort (BAPC) analysis was carried out in order to investigate the effect of the age, period and birth cohort on esophageal cancer mortality in Linzhou during 1988-2010 and to estimate future trends for the period 2011-2020. Age-adjusted rates for men and women decreased from 1988 to 2005 and changed little thereafter. Risk increased from 30 years of age until the very elderly. Period effects showed little variation in risk throughout 1988-2010. In contrast, a cohort effect showed risk decreased greatly in later cohorts. Forecasting, based on BAPC modeling, resulted in a increasing burden of mortality and a decreasing age standardized mortality rate of esophageal cancer in Linzhou city. The decrease of esophageal cancer mortality risk since the 1930 cohort could be attributable to the improvements of socialeconomic environment and lifestyle. The standardized mortality rates of esophageal cancer should decrease continually. The effect of aging on the population could explain the increase in esophageal mortality projected for 2020.