• Safety and Health at Work
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• 제14권1호
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• pp.59-65
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• 2023

Objectives: Epidemiological evidence linking long working hours and shift work to metabolic syndrome remains inadequate. We sought to evaluate the impact of reducing working hours on metabolic syndrome. Methods: We compared the prevalence of metabolic syndrome among male manual workers in a manufacturing company (N = 371) before and after the introduction of policy to reduce daily work hours from 10 to 8 hours. Components of metabolic syndrome were measured in periodic health examinations before the intervention, 6-9 months after, and 1.5-2 years after the intervention. Generalized estimating equation models were used to estimate changes in the prevalence of metabolic syndrome. Analyses were stratified by day work versus shift work. Results: The results showed a significantly decreased prevalence of metabolic syndrome 6-9 months following the intervention in day workers (risk ratio = 0.68, 95% confidence interval 0.52-0.88), but the benefit disappeared after 1.5-2 years. Shift workers showed a decreased prevalence of metabolic syndrome for the whole follow-up duration after the intervention, although the change was not statistically significant. Conclusion: Reducing working hours was associated with short-term improvement in metabolic syndrome in male manual workers.

• 지역사회간호학회지
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• 제19권2호
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• pp.177-187
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• 2008

Purpose: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. Method: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting. therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. Result: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group". was supported(t=-4.219. p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported(t=-1.726, p=.092). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

• 정신신체의학
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• 제30권1호
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• pp.30-37
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• 2022

연구목적 본 연구는 정신건강 고위험군 대학생을 위한 인지행동치료 기반 개입 프로그램의 개발 및 정신건강 요인들에 대한 치료 효과 확인을 목표로 하였다. 방 법 본 프로그램은 대학생 특정 개입으로서 우울 등의 문제 증상을 감소시키고 회복탄력성 및 긍정정서를 증진시키기 위해 개발되었다. 총 26명의 고위험군 대학생을 대상으로 총 8주동안의 집단 프로그램을 진행하여, 우울, 회복탄력성, 삶의 만족도, 긍정 및 부정적 정서의 사전, 사후 변화를 측정하여 비교하였다. 결 과 본 프로그램의 주요 목표 증상인 우울 점수는 개입 전에 비해 개입 후 유의미하게 감소하였다(t=3.51, p=0.002). 또한, 대학생들의 회복탄력성(t=-3.65, p=0.001)과 삶의 만족도(t=-3.00, p=0.006)와 같은 보호 요인 또한 유의미하게 향상되었다. 한편, 부적 정서는 개입 전후 유의미한 차이가 관찰되지 않았으며(t=-0.94, p=0.356), 긍정 정서는 개입 후 감소하였다(t=2.28, p=0.031). 결 론 본 연구는 집단 프로그램 시행 후 참가자들의 우울 증상이 감소하고, 회복탄력성 및 삶의 만족도가 증가함을 확인하였다. 이는 본 프로그램이 대학생 정신건강 고위험군의 문제 증상 및 보호 요인에 효과적으로 개입할 수 있음을 시사한다.

• Journal of Nutrition and Health
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• 제46권2호
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• pp.156-165
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• 2013

This study examined how achievement of session goals contributes to outcomes of subjects after participation in a 12-week lifestyle intervention program in men with metabolic syndrome (MetS). Thirty office workers with MetS, aged $47.2{\pm}6.6$ years, participated in this study, from March to July, 2011. The intervention program included face-to-face counseling five times during the 12-week period. Counselors and subjects designed session goals for each round. The average of the goal achievement rate was calculated based on compliance for each round. The subjects were divided into three groups according to their tertiles of achievement rate: Low-compliance group (LC, < 59%), medium-compliance group (MC, 59-70%), and high-compliance group (HC, > 70%). Anthropometry, biochemical index, and nutrient intake were examined at baseline and at the end of the 12-week intervention program. After the intervention, diastolic blood pressure (DBP) showed a significant decrease in the LC group, and waist circumference (WC) showed a significant decrease in the MC group. Systolic blood pressure (SBP), DBP, and low-density lipoprotein cholesterol (LDL) showed a significant decrease in the HI group. Changes in SBP and DBP were significantly lower in the HC group than in the MC group (p < 0.05, p < 0.01). Changes in LDL were significantly lower in the HC group than in the MC group (p < 0.05). Results for intake of total energy, protein, fat, and sodium, as well as rates of carbohydrate and fat intake, showed a significant decrease in all participants (p < 0.05). The change in fiber was significantly higher in the HC group than in the MC group (p < 0.05). The change of fruit serving size showed a significant increase in the HC group (p < 0.01). The number of risk factors for MetS showed a significant decrease in the LC and HC groups (p < 0.05), however, no significant mean differences were observed among the three groups. In conclusion, participation in this intervention program resulted in positive effects on risk factors for MetS, nutrient intake, and dietary habits, especially in the High-compliance group.

• Asian Pacific Journal of Cancer Prevention
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• 제17권10호
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• pp.4783-4790
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• 2016

Purpose: Cancer-related fatigue is frequently experienced by patients during and after therapy. The present study was conducted to assess the impact of energy conservation strategies and health promotion in breast cancer survivors. Methods: A randomized controlled trial was carried out to compare the intervention effect (n=69.0) with controls (n=66.0) based on routine oncology ward care. The intervention was five weekly sessions for groups of 6-8 breast cancer survivors. Data on fatigue and health promotion lifestyle were obtained before and after completion the intervention and then 8 weeks later for analysis of variance (ANOVA) with repeated measures. Results: Our findings showed cancer-related fatigue to be reduced in the intervention group from pre- to post-intervention, and this persisted over the 8-weeks follow-up period (F = 69.8, p<0.001). All subscales of the cancer fatigue scale demonstrated statistically significant effects with partial eta-squared values ranging from 0.15 (the smallest effect in cognitive fatigue) to 0.21 (the largest for affective fatigue). Changes in the health promotion life style indicated a significant promotion from pre- to post-intervention, and this again continued after 8-weeks follow-up (F = 41.6, p < 0.001). All six domains of a health promoting life style featured significantly elevated values, the largest effect being seen in the interpersonal relations subscale (F=57.7, partial ${\eta}^2=0.21$, p<0.001) followed by physical activity (F=51.9, partial ${\eta}^2=0.18$, p<0.001). Conclusions: The program was effective in decreasing cancer related fatigue and promoting a healthy lifestyle.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.37-46
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• 2015

Objectives: This study was conducted to expand evidence-base for the effectiveness of lifestyle intervention programs to prevent the onset of diabetes and cardiovascular diseases. Methods: Seven intervention studies between 2006 and 2014 at Korea Association of Health Promotion were analyzed. All the studies were randomized controlled trials(RCTs) and included multi-component behavioral interventions. The participants of the programs were 2,172 adults with risk factors regarding metabolic syndrome criteria. The proportions of normalized participants were compared within and across the studies using odds ratio effect sizes. Results: The reductions in the prevalence of metabolic syndrome were from 49.6% to 65.1% in intervention groups, and from 38.7% to 52.3% in comparison groups. Significant differences in effectiveness between groups were found in two studies, one in 2006 with odds ratio of 1.69(p<0.01) and another in 2009 with odds ratio of 2.36(p<0.001). Proportions of normalized participants were higher in blood pressure(31.9% to 52.5% in the intervention groups and 23.0% to 43.3% in comparison groups) than other risk factors. Abdominal obesity showed weakest improvement after the intervention in both groups. Conclusions: Lifestyle modification program is an effective method to reduce diabetes and cardiovascular risks in adults by decreasing the prevalence of metabolic syndrome and its components.

• Journal of Korean Biological Nursing Science
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• 제22권1호
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• pp.1-10
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• 2020

Purpose: Diabetes Mellitus (DM) is a leading cause of death with a prevalence rate of 12.4% in South Korea. Self-management is crucial for patients with DM, because many studies have reported that self-management intervention based on the Health Belief Model (HBM) is effective. The purpose of this study was to investigate the current state of HBM based intervention studies and the components and effects of the theories used in the study for diabetes patients. Methods: A systematic review was conducted using the Pubmed, Cochrane Library and Embase databases from January 2009 to May 2019. We reviewed characteristics of intervention based on the HBM in randomized controlled clinical trials (RCTs), quasi-experimental study intervention. Results: Eight studies published in English between 2009 and 2019 were included in this review. The key components of the health behavior promotion program applied to the DM patients were perceived susceptibility, perceived severity, perceived benefits, perceived barriers and self-efficacy. The intervention based on these components has reported to significantly increase the health behavior change, likelihood of taking health action and improve physiological indicators (HbA1c, and fasting blood sugar etc.). Conclusion: This study highlighted the importance of intervention programs based on the HBM for DM patients.

• 디지털융복합연구
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• 제17권4호
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• pp.211-217
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• 2019

국내 만성질환 관리에서 모바일 헬스 적용이 임상적으로 유용하다는 보고가 증가됨에 따라, 본 연구는 텍스트 마이닝 기법을 적용하여 국내 외 학술지에 게재된 국내 만성질환자 대상 모바일 헬스 중재연구의 특성 및 중심 키워드의 변화를 파악하고자 시도된 이차분석연구이다. 분석대상 논문은 2005년부터 2018년까지 학술지에 게재된 최종 20편으로, 추출한 텍스트는 Microsoft Excel을 활용하여 논문별 분석을 실시하였고, Text Analyzer를 사용하여 주제어를 추출하였다. 연구결과, 모바일 헬스 중재 연구는 고혈압, 당뇨병, 뇌졸중 관상동맥질환자에 주로 적용되었다. 가장 많이 사용된 중재 유형은 애플리케이션 개발이었으며, 최근 연구에서는 주로 '유용성', '모바일 헬스', '결과측정' 등의 단어들이 가장 많이 출현하였다. 추후 만성질환자 대상 모바일 헬스 중재에 관한 국내 외 연구 모두를 포함하여 주제어 간의 연관성을 확인할 수 있는 사회연결망 분석방법을 적용하여 그 효용성을 확인해볼 것을 제안한다.

• 유통과학연구
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• 제20권12호
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• pp.1-12
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• 2022

Purpose: Nutrition has a direct and substantial effect on the agenda of the Sustainable Development Goals (SDGs). Recognizing the importance of adequate diet in strengthening school children's health, the relevant parties should take the initiative to introduce effective nutrition intervention programs. Malnutrition, in all conditions, hinders children's potential to survive and thrive. It has been challenging to demonstrate that enhancing nutrition and sustainability instruction in schools leads to healthier and more sustainable eating patterns. This scoping review is to discover the important drivers and emerging themes in nutritional health intervention distributions at schools toward the attainment of SDGs for school children's health. Data and methodology: A scoping review of the literature was conducted between 2007 and 2022 using the Web of Science (WoS) and Scopus databases. A total of 25 journal articles were identified for a full review. Results: Five themes were found from the literature relevant to the scenario surrounding pupils and food intake in schools. The data implied that nutrition intervention distributions, including food literacy, food consumption, good governance, and food entrepreneurship, might have a prominent impact on the behavioral and health outcomes of school children. Conclusions: Findings have emerged on the usefulness of nutrition intervention distributions at school in encouraging healthy diet intake among school children and consequently meeting the Sustainable Development Goals.

• 디지털융복합연구
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• 제14권12호
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• pp.245-256
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• 2016

본 연구는 국내 결혼이주여성을 대상으로 한 건강관련중재연구의 동향을 고찰함으로 결혼이주여성의 건강증진을 위한 중재개발의 기초적 자료로 활용하기 위한 문헌분석 연구로 15년간 국내외 학술지에 발표된 결혼이주여성 대상 건강관련 논문 96편 중 9편의 중재연구를 분석하였다. 9편의 실험 연구 중 3편이 임신 분만 관련 중재 연구이고, 영유아 감염예방, 여성 질환 관련 중재연구가 각각 1편이었으며, 신체적 요소만을 다룬 논문은 3편, 정신적 요소만을 다룬 논문은 2편, 4편은 정신 및 신체적 혹은 사회적 요소를 함께 포함하는 중재프로그램을 제공하였다. 신체적 요소를 포함한 결혼이주여성 대상의 연구는 여성이 결혼 후 자녀를 출산하고 양육하는 과정에 이어 생애 전반에 걸친 다양한 문제에의 접근을 고려할 필요가 있으며, 이들을 위한 정신사회적 중재는 여성 개인적 차원과 관계적 차원 모두에서 긍정적 대처와 적응을 돕기 위한 목적으로 계획되어야 할 것이다.