• Title/Summary/Keyword: individual counseling

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Qualitative Research on Counseling and Academic Stress of Novice Elderly Female Counselors (중·노년층 여성 초심상담자의 상담과 학업스트레스에 관한 질적연구)

  • Kim, Jin-Ok;Cheong, Moon-Joo
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.573-586
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    • 2018
  • The purpose of this study was to investigate the Quality of stress experienced in counseling and counseling of elderly female novice counselors and, through this, to provide information and information that can help counselors of elderly to continue their counseling. The study participants interviewed 157 elderly women who were studying at religious institutions, counseling graduate schools, and general graduate schools. in the data collection, each individual participated in a one - to - one interview for 3 months from May to August, 2017. To analyze this material, it was used CQR method, as one of the Qualitative analysis methods. The results were divided into two factors of stress in the academic and counseling domains. in academic stress, academic stress symptoms, content, and weighting factors were separated into three key factors. in counseling stress, four core factors were identified: client, supervision, counselor's ability, and social environmental factors. The significance of this study is that the elderly novice counselors in the elderly have specified the areas of stress experienced by them and provided them with helpful information Then, implications and suggestions were discussed.

Multi-level Analysis of the Effects of Perceived Workplace Support and Access to Workplace Counseling on Depression Among Victims of Workplace Bullying (직장 내 괴롭힘 피해자가 인식한 직장 내 지지와 상담접근성이 우울에 미치는 영향에 대한 다층분석)

  • Seulki Lee
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.125-146
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    • 2023
  • The aims of this study was to investigate the effect of workplace support and access to workplace counseling on the depression level of employees who are workplace bullying victims and then find cross-level interaction effects between individual and group factors. A multi-level analysis was conducted using data from 642 individuals who reported experiencing workplace bullying in the 2017 National Human Rights Commission survey. The findings indicate that a worker's perceived safety of their workplace is negatively associated with depression levels. Additionally, higher perceived workplace support and access to workplace counseling were associated with lower depression levels. Lastly, a positive interaction effect was observed between access to workplace counseling and perceived workplace support in relation to depression levels. That is, higher access to workplace counseling increases the negative effect of workplace support on depression levels of employees. These results highlight the importance of creating protective factors such as a safe and supportive organizational culture to combat workplace bullying of coworkers or supervisors, and implementation of counseling and support services to assist victims in coping with workplace bullying and reducing depression symptoms.

Effectiveness of NQ-E index-based individual nutrition counseling for community-care elderly: an intervention study on improving nutritional status, complex chronic diseases, and quality of life (커뮤니티케어 대상 노인의 NQ-E 지수 기반 개별영양상담 효과성: 복합만성질환과 삶의 질 개선에 관한 중재 연구)

  • Yoonjeong Choi;Jihyun Lee;Heesook Lim;Yoo Kyoung Park
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.480-494
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    • 2023
  • Objectives: This study sought to assess the effectiveness of community-based nutrition counseling on improving nutritional status, managing complex chronic diseases, and enhancing the quality of life for elderly individuals with chronic conditions, particularly in older adults with high levels of food insecurity and multiple chronic illnesses. Methods: Thirty elderly subjects with diabetes and hypertension who were registered at local Senior Welfare Center received individualized nutrition counseling, based on their Nutrition Quotient for the Elderly (NQ-E) index. Over a 16-week period, they received tailored counseling and underwent various health and nutritional assessments. The final analysis included 28 participants after two dropped out. Data analysis was conducted using the SPSS v28.0. Results: The subjects were over 70, with multiple chronic diseases including diabetes and hypertension and predominantly female. After 16 weeks, significant improvements were observed in the subjects' grip strength, and HbA1c levels, as well as in their NQ-E scores, indicating improved dietary balance and diversity. There were no significant improvements in the 'Moderation' subdomain of the NQ-E index, suggesting that this aspect requires further attention in nutritional counseling. The subjects' nutritional risk scores (NSI) were also significantly decreased, indicating less nutritional risk. Lastly, as measured by the SF-36K, the subjects' quality of life showed significant improvement in several domains including physical role performance and social function. Conclusions: This study demonstrates that tailored nutrition counseling, based on the NQ-E index, can improve elderly health, manage chronic diseases, and enhance quality of life. This approach potentially broadens the scope of community nutritionists' roles within an aging society. However, additional research is necessary to evaluate these interventions' long-term effects and sustainability.

The Meal Management of Korean Type 2 Diabetes Patients Using Carbohydrate Counting (Carbohydrate counting 을 이용한 제2형 당뇨병 환자의 식사 관리)

  • Park, Seon-Min;Choe, Su-Bong
    • Journal of the Korean Dietetic Association
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    • v.5 no.1
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    • pp.64-73
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    • 1999
  • Carbohydrate(CHO) counting is a meal planning approach used with diabetic patients that focuses on carbohydrate as the primary nutrient affecting post-prandial glycemic response. However, it has not been used in meal management of diabetic patients in Korea. CHO counting can be used by clients with type 1 and 2 diabetes. The purpose of the study was to determine the barriers to utilize the CHO counting when three levels of CHO counting were educated to type 2 diabetic patients who started continuous subcutaneous insulin infusion (CSⅡ) therapy by nutrition lectures and counseling. And the CHO-to-insulin ratios were determined for the individual patients who followed the carbohydrate counting as a meal management, and the factors to influence the CHO-to-insulin ratios were selected through the stepwise regression analysis. Twenty- four subjects were received three lectures, and one or two nutritional counseling for a month. The average age of the subjects was 50.7 years, and the duration of diabetes was 9.4 years. Their body mass index (BMI) was 21.5 kg/$m^2$. The difficulties of using CHO counting were 1) confusing the CHO exchange system to diabetic food exchange system, 2) lack of basic nutrition and not distinguishing nutrients such as CHO, fat and calorie, and 3) lack of motivation to make effort to count and record the amount of carbohydrates eaten. Nutritional counseling replenished the nutrition education and made patients practice CHO counting. Average CHO-to-insulin ratios at breakfast, lunch and dinner were 4.1$\pm$3.3, 2.9$\pm$2.6 and 2.9$\pm$3.0units/23g of CHO, respectively. CHO-to-insulin ratios were influenced by gender, age, BMI, post-prandial blood glucose levels and post-prandial c-peptide levels. The effective education and nutritional counseling of CHO counting can make CHO counting applicable to type 2 diabetic patients as meal management for improving glycemic control with less hypoglycemic episode.

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Perception and Satisfaction on Nutrition Counseling Service for Patients Consuming a Therapeutic Diet at Hospitals in Busan (부산지역 일부병원 치료식 섭취 환자의 영양상담에 대한 인식 및 만족도)

  • Yi, Jeong-Ryeh;Son, Eun-Joo;Lyu, Eun-Soon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.9
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    • pp.1305-1312
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    • 2010
  • The purpose of this study was to investigate the perception and satisfaction on the nutrition counseling service for patients consuming a therapeutic diet at hospitals in Busan. The subjects were 153 inpatients at five hospitals with over 400 beds each. The research was performed through the interviewing process using questionnaires conducted from January to February, 2008. In a total of 88 patients, 57.5% had experienced nutrition counseling and were through the motives of counseling with doctors 64.2% and themselves 29.3% of the patients. In the method of nutrition counseling, 58% of the patients had an individual counseling. In the patients' perception on the nutrition counseling, 75.0% of the patients understood very well, 83.0% of them perceived the explanation as very important, 79.5% were very satisfied and 78.7% were helped in nutrition-management. On a scale of 5.00 for the nutrition counseling satisfaction, the average scores were 3.80 for 'explanation of knowledge', 3.71 for 'cognitive communication skills', 4.05 for 'effective communication skills' and 3.60 for 'facilitation skills'. The items of low scores in the nutrition counseling satisfaction were 'follow up diet-therapy after discharge', 'providing to personalized nutrition information', 'presentation of specific menu' and 'methods of menu planning'. There were significant (p<0.01) positive correlation between perception and satisfaction on the nutrition counseling. Therefore, it was suggested that dietitians increase the patients' satisfaction on the nutrition counseling with developing the model based on the patient-centered counseling.

A Study on Diet Behaviors and Related Factors in Dieting College Students (다이어트 경험 대학생의 다이어트 행동 실태와 관련 요인 분석)

  • Kim, Mee-Ra;Kim, Hyo-Chung
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.1
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    • pp.135-148
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    • 2008
  • This study examined the dieting behaviors and diet-influencing factors among college students in the Youngnam region. The data were collected by a self-administered questionnaires during May, 2007. One hundred-ninety samples were ultimately analyzed by SPSS Windows. The results were as follows. First, when comparing calculated BMI with perception of individual body image, many respondents regarded themselves as overweight although they were within normal BMI. Second, over four-fifths of the respondents indicated they were concerned with diet, and many respondents answered that they needed education and information on dieting. In terms of diet knowledge, the mean for correct answers was 77.9%. Mass media were very important sources for acquiring diet information, and the most popular dieting method was fasting therapy. The results of regression analyses to determine the factors affecting several dieting practices showed that grade, monthly allowances, diet awareness, diet knowledge, perception of individual body image, and BMI were significant.

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Survey on Current Situations of Geriatric Patients' Medication and Drug Interactions Based on Prescriptions (노인환자들의 복약실태와 처방전상의 약물상호작용 검토)

  • 최용순;손의동
    • YAKHAK HOEJI
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    • v.47 no.6
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    • pp.390-397
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    • 2003
  • It is common that geriatric patients are on several medications at the same time. With this situation on hand, this study has collected prescriptions of individual geriatric patient and investigated possible drug interactions. In order to minimize the drug interactions and protect those patients from adverse reactions of medication, the gradual implementation and management of the medication history of each individual patient, the establishment of medication counseling system on medicines particularly in need of obligatory advice, the use of an inspection system on drug interactions at the time of prescription, and the implementation of a patient monitoring system on the drugs with narrow margin of safety at hospitals.

Effect of a 12-week weight management program on the clinical characteristics and dietary intake of the young obese and the contributing factors to the successful weight loss

  • Lee, AeJin;Jeon, Kyeong Jin;Kim, Hye-Kyeong;Han, Sung Nim
    • Nutrition Research and Practice
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    • v.8 no.5
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    • pp.571-579
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    • 2014
  • BACKGROUND/OBJECTIVES: The objectives were to investigate the effect of a 12-wk intervention with behavioral modification on clinical characteristics and dietary intakes of young and otherwise healthy obese and to identify factors for successful weight loss. The goal was to lose 0.5 kg per week by reducing 300-500 kcal/day and by increasing physical activities. SUBJECTS AND METHODS: Forty four obese subjects (BMI > 25) and 19 normal weight subjects (BMI 18.5-23) finished the 12-week intervention. Obese subjects participated in 5 group educations and 6 individual counseling sessions. Normal weight subjects attended 6 individual counseling sessions for evaluations of dietary intake and exercise pattern. Anthropometric and clinical characteristics and 3-day dietary records were evaluated at baseline and week12. RESULTS: Weight and serum triglyceride and free fatty acid concentrations in obese group decreased significantly with intervention. Intakes of energy, fat, and cholesterol decreased significantly in the obese. Active participation, realistic weight loss goal setting, and weight gain after high school graduation not during childhood were identified as key factors for successful weight loss. CONCLUSIONS: The 12-week intervention with behavioral modification resulted in reduced energy and fat intakes and led to significant weight loss and improvements of clinical characteristics in the obese. The finding that those who became obese during childhood lost less weight indicates the importance of 'early' intervention.

A Study on Food Service Administration and Nutrition Education in Elementary Schools in Inchon (인천시 초등학교의 급식운영 및 관리와 영양교육실태)

  • Chyun, Jong-Hee;Choe, Eun-Ok;Hong, Sung-Ya;Woo, Kyung-Ja;Kim, Young-A
    • Journal of the Korean Society of Food Culture
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    • v.14 no.4
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    • pp.417-429
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    • 1999
  • The status of general food service administration and nutrition education was investigated in 111 elementary schools located in Inchon Metropolitan Area by questionnaires. The results are as follows ; 1. Most schools served 5 lunches per week. Meal cost per capita was 1212.1 won in urban type school and 979.0 won in rural type school. Most schools(91.9%) had 1 regular dietitian and 1 regular cook. With increasing number of students the number of temporary employees increased significantly. Most school dietitians(86.5%) were in their twenties and had 2 year careers. 2. Most dietitians(90.1%) planned the menu based on the RDA with the first consideration in nutritional needs of the students. Many dietitians(81.8%) surveyed on the food preferences of the students at least once a year. About 86% of the schools had the food service committee which was helpful. Dietitians were the first one in charge of food purchasing and checking, and sometimes a manager in general school affairs worked together. One third of the schools used the volunteer parents in food services. 3. Most school dietitians(97.2%) gave the students nutrition education using handouts once a week. However, they could not teach the students through the classroom lecture because they are not the regular teachers. Food garbages were removed by the professional trash collecting company or by using fermentation machines or by giving them to animals as feeds. School events concerning the food and nutrition were mostly drawing pictures and composition. Only 36.4% of the school dietitians had experienced in nutrition counseling for an individual student. Most of them(99.1%) thought that individual counseling is necessary if they have enough time and chances to do.

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The Effect of 6 Month Alphacalcidol Treatment or Nutrition Education on the Nutrient Intakes, Bone Mineral Density and Bone Markers in Continuous Ambulatory Peritoneal Dialysis Patients (6개월간의 Alphacalcidol의 투여와 영양교육의 실시가 지속성복막투석 환자의 영양소 섭취, 골밀도 및 골대사 지표에 미치는 영향)

  • Son, Sook-Mee;Park, Jin-Kyung
    • Korean Journal of Community Nutrition
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    • v.11 no.6
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    • pp.793-807
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    • 2006
  • This study was performed to estimate the effect of alphacalcidol supplementation or nutrition education on the nutrient intakes, bone mineral density and bone markers in continuous ambulatory peritoneal dialysis (CAPD) patients. The 90 CAPD subjects were randomly assigned to 3 groups (alphacalcidol group: AG, nutrition education group: NG, and control group: CG). Alphacalcidol supplementation($0.5{\mu}g/day$) was carried out for 8 months. Nutrition counseling was performed according to the patient s individual question for the first 6 months and scheduled nutrition education with individual counseling was carried out for the last 2 months. In baseline data. there were no significant differences in age, sex, family number, education years and monthly income except the NG showed significantly less duration of CAPD (p< 0.05) compared to other two groups. After intervention all three groups showed tendency of lower intakes. NG revealed less decrease in protein, especially in animal protein calcium from Ca-P binder, dietary calcium, dietary iron and niacin. NG showed significantly more increase in dry weight (p<0.05) and AG in waist circumference (p<0.001) after intervention. The groups did not show significant differences in the changes of biochemical indices related to bone metabolism. NG revealed more increase in trochanter BMD(p < 0.05) compared to other two groups. It seems that nutrition education is more effective in preventing deterioration or improving the bone and general nutrition status.